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Sample records for surgical voice restoration

  1. Voice restoration

    NARCIS (Netherlands)

    Hilgers, F.J.M.; Balm, A.J.M.; van den Brekel, M.W.M.; Tan, I.B.; Remacle, M.; Eckel, H.E.

    2010-01-01

    Surgical prosthetic voice restoration is the best possible option for patients to regain oral communication after total laryngectomy. It is considered to be the present "gold standard" for voice rehabilitation of laryngectomized individuals. Surgical prosthetic voice restoration, in essence, is alwa

  2. Surgical voice restoration after total laryngectomy: An overview

    Directory of Open Access Journals (Sweden)

    B Elmiyeh

    2010-01-01

    Full Text Available Total laryngectomy is potentially a debilitative surgery resulting in compromise of some of the most basic functions of life including speech and swallowing. This may have a profound adverse effect on the patient′s physical, functional, and emotional health, and may result in a decreased quality of life (QOL. Until the 1980s, total laryngectomy was regarded as a dreadful, but often, life-saving procedure for which there was little alternative, and was used as a last resort. At that time survival at any cost in terms of QOL was paramount and many laryngectomies were forced into an isolated life as a mute and dysphasic recluse. Most attempts at voice restoration produced inconsistent results and often techniques were laborious, expensive, and ineffective, particularly when carried out as a salvage procedure after failed radiotherapy. Progress in voice rehabilitation, following total laryngectomy, over the last 30 years, has made an enormous difference in the whole concept of the management of laryngeal cancers. Currently there are several options available for these patients, namely, esophageal speech, artificial larynx, and tracheoesophageal speech. The choice of speech rehabilitation varies from patient to patient, but tracheoesophageal voice has become the preferred method. This article provides a brief account of surgical voice restoration after total laryngectomy. Special emphasis has been given to the surgical technique, special considerations, complications, and the prevention / treatment of tracheoesophageal voice restoration.

  3. The electrolarynx: voice restoration after total laryngectomy.

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    Kaye, Rachel; Tang, Christopher G; Sinclair, Catherine F

    2017-01-01

    The ability to speak and communicate with one's voice is a unique human characteristic and is fundamental to many activities of daily living, such as talking on the phone and speaking to loved ones. When the larynx is removed during a total laryngectomy (TL), loss of voice can lead to a devastating decrease in a patient's quality of life, and precipitate significant frustration over their inability to communicate with others effectively. Over the past 50 years there have been many advances in techniques of voice restoration after TL. Currently, there are three main methods of voice restoration: the electrolarynx, esophageal speech, and tracheoesophageal speech through a tracheoesophageal puncture (TEP) with voice prosthesis. Although TEP voice is the current gold standard for vocal rehabilitation, a significant minority of patients cannot use or obtain TEP speech for various reasons. As such, the electrolarynx is a viable and useful alternative for these patients. This article will focus on voice restoration using an electrolarynx with the following objectives: 1) To provide an understanding of the importance of voice restoration after total laryngectomy. 2) To discuss how the electrolarynx may be used to restore voice following total laryngectomy. 3) To outline some of the current electrolarynx devices available, including their mechanism of action and limitations. 4) To compare pros and cons of electrolaryngeal speech to TEP and esophageal speech.

  4. Restorative Justice Scripts in Ursula K. Le Guin's "Voices"

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    Oziewicz, Marek C.

    2011-01-01

    This essay examines restorative justice scripting in "Voices", the second volume of Ursula K. Le Guin's "Annals of the Western Shore." Narrated by a rape-child, "Voices" is the story of an occupied city-state and of how the conquered and the conquerors negotiate a formula for peaceful coexistence. They are able to do…

  5. Hymen Restoration: "My" Discomfort, "Their" Culture, and Women's Missing Voice.

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    Schuster, Sylvie

    2015-01-01

    The discourse among medical and scientific communities on hymen restoration is largely missing the voice of women affected. This article calls for a more nuanced reflection on women's real life experiences and the complexities inherent in the negotiation process about the surgery going beyond "ideologies" and the extremes of rape and threats to life. By taking the clinical experience of a woman who requests restoration surgery before her arranged marriage, this article illuminates the grey zone beyond these extremes and explores an individual woman's options for making her own choices.

  6. Surgical crown lengthening: a periodontal and restorative interdisciplinary approach.

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    Parwani, Simran R; Parwani, Rajkumar N

    2014-01-01

    Surgical crown lengthening helps to provide an adequate retention form for proper tooth preparation, thus enabling dentists to create esthetically pleasing and healthy restorations. Long-term stability requires accurate diagnosis and development of a comprehensive treatment plan in each case. This sequence of events stresses the importance of communication between the restorative dentist and the periodontist. This article presents 2 cases that involve surgical crown lengthening (including mucoperiosteal flap and ostectomy) for the restoration of teeth.

  7. Restoration of voice function by using biological feedback in laryngeal and hypopharyngeal carcinoma patients

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    Choinzonov, E. L.; Balatskaya, L. N.; Chizhevskaya, S. Yu.; Meshcheryakov, R. V.; Kostyuchenko, E. Yu.; Ivanova, T. A.

    2016-08-01

    The aim of the research is to develop and introduce a new technique of post-laryngectomy voice rehabilitation of laryngeal and hypopharyngeal carcinoma patients. The study involves comparing and analyzing 82 cases of voice function restoration by using biological feedback based on mathematical modeling of voice production. The advantage of the modern technology-based method in comparison with the conventional one is proved. Restoration of voice function using biofeedback allows taking into account patient's abilities, adjusting parameters of voice trainings, and controlling their efficiency in real-time mode. The data obtained indicate that the new method contributes to the rapid inclusion of self-regulation mechanisms of the body and results in the overall success rate of voice rehabilitation in totally laryngectomized patients reaching 92%, which reduces the rehabilitation period to 18 days, compared to 86% and 38 days in the control group, respectively. Restoration of disturbed functions after successful treatment is an important task of rehabilitation and is crucial in terms of the quality of cancer patients' lives. To assess life quality of laryngeal cancer patients, the EORTC Quality of Life Core Questionnaire (QLQ-C30), and head and neck module (QLQ-H&N35) were used. The analyzed results proved that the technique of biofeedback voice restoration significantly improves the quality of life of laryngectomized patients. It allows reducing the number of disabled people, restoring patients' ability to work-related activities, and significantly improving social adaptation of these patients.

  8. Voice restoration following total laryngectomy by tracheoesophageal prosthesis: Effect on patients' quality of life and voice handicap in Jordan

    Directory of Open Access Journals (Sweden)

    Wreikat Mahmoud M

    2008-03-01

    Full Text Available Abstract Background Little has been reported about the impact of tracheoesophageal (TE speech on individuals in the Middle East where the procedure has been gaining in popularity. After total laryngectomy, individuals in Europe and North America have rated their quality of life as being lower than non-laryngectomized individuals. The purpose of this study was to evaluate changes in quality of life and degree of voice handicap reported by laryngectomized speakers from Jordan before and after establishment of TE speech. Methods Twelve male Jordanian laryngectomees completed the University of Michigan Head & Neck Quality of Life instrument and the Voice Handicap Index pre- and post-TE puncture. Results All subjects showed significant improvements in their quality of life following successful prosthetic voice restoration. In addition, voice handicap scores were significantly reduced from pre- to post-TE puncture. Conclusion Tracheoesophageal speech significantly improved the quality of life and limited the voice handicap imposed by total laryngectomy. This method of voice restoration has been used for a number of years in other countries and now appears to be a viable alternative within Jordan.

  9. Restoring Lost Voices: An Interview with Carol Gilligan.

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    Goldberg, Mark F.

    2000-01-01

    Gilligan's work at Harvard University has centered about the study of female thinking and moral decision making. She and her colleagues tried to repair the omission of girls' voices from the psychological literature. She is currently studying boys' narrowed self-expression and wants schools to amplify children's voices. (MLH)

  10. Surgical and Technical Modalities for Hearing Restoration in Ear Malformations.

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    Dazert, Stefan; Thomas, Jan Peter; Volkenstein, Stefan

    2015-12-01

    Malformations of the external and middle ear often go along with an aesthetic and functional handicap. Independent of additional aesthetic procedures, a successful functional hearing restoration leads to a tremendous gain in quality of life for affected patients. The introduction of implantable hearing systems (bone conduction and middle ear devices) offers new therapeutic options in this field. We focus on functional rehabilitation of patients with malformations, either by surgical reconstruction or the use of different implantable hearing devices, depending on the disease itself and the severity of malformation as well as hearing impairment. Patients with an open ear canal and minor malformations are good candidates for surgical hearing restoration of middle ear structures with passive titanium or autologous implants. In cases with complete fibrous or bony atresia of the ear canal, the most promising functional outcome and gain in quality of life can be expected with an active middle ear implant or a bone conduction device combined with a surgical aesthetic rehabilitation in a single or multi-step procedure. Although the surgical procedure for bone conduction devices is straightforward and safe, more sophisticated operations for active middle ear implants (e.g., Vibrant Soundbridge, MED-EL, Innsbruck, Austria) provide an improved speech discrimination in noise and the ability of sound localization compared with bone conduction devices where the stimulation reaches both cochleae.

  11. Right ventricular dysfunction affects survival after surgical left ventricular restoration.

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    Couperus, Lotte E; Delgado, Victoria; Palmen, Meindert; van Vessem, Marieke E; Braun, Jerry; Fiocco, Marta; Tops, Laurens F; Verwey, Harriëtte F; Klautz, Robert J M; Schalij, Martin J; Beeres, Saskia L M A

    2017-04-01

    Several clinical and left ventricular parameters have been associated with prognosis after surgical left ventricular restoration in patients with ischemic heart failure. The aim of this study was to determine the prognostic value of right ventricular function. A total of 139 patients with ischemic heart failure (62 ± 10 years; 79% were male; left ventricular ejection fraction 27% ± 7%) underwent surgical left ventricular restoration. Biventricular function was assessed with echocardiography before surgery. The independent association between all-cause mortality and right ventricular fractional area change, tricuspid annular plane systolic excursion, and right ventricular longitudinal peak systolic strain was assessed. The additive effect of multiple impaired right ventricular parameters on mortality also was assessed. Baseline right ventricular fractional area change was 42% ± 9%, tricuspid annular plane systolic excursion was 18 ± 3 mm, and right ventricular longitudinal peak systolic strain was -24% ± 7%. Within 30 days after surgery, 15 patients died. Right ventricular fractional area change (hazard ratio, 0.93; 95% confidence interval, 0.88-0.98; P right ventricular longitudinal peak systolic strain (hazard ratio, 1.15; 95% confidence interval, 1.05-1.26; P Right ventricular function was impaired in 21%, 20%, and 27% of patients on the basis of right ventricular fractional area change, tricuspid annular plane systolic excursion, and right ventricular longitudinal peak systolic strain, respectively. Any echocardiographic parameter of right ventricular dysfunction was present in 39% of patients. The coexistence of several impaired right ventricular parameters per patient was independently associated with increased 30-day mortality (hazard ratio, 2.83; 95% confidence interval, 1.64-4.87, P right ventricular systolic dysfunction is independently associated with increased mortality in patients with ischemic heart failure undergoing surgical left

  12. Surgical ventricular restoration for the treatment of heart failure.

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    Buckberg, Gerald; Athanasuleas, Constantine; Conte, John

    2012-12-01

    Heart failure (HF) is an emerging epidemic affecting 15 million people in the USA and Europe. HF-related mortality was unchanged between 1995 and 2009, despite a decrease in the incidence of cardiovascular disease. Conventional explanations include an aging population and improved treatment of acute myocardial infarction and HF. An adverse relationship between structure and function is the central theme in patients with systolic dysfunction. The normal elliptical ventricular shape becomes spherical in ischemic, valvular, and nonischemic dilated cardiomyopathy. Therapeutic decisions should be made on the basis of ventricular volume rather than ejection fraction. When left ventricular end-systolic volume index exceeds 60 ml/m², medical therapy, CABG surgery, and mitral repair have limited benefit. This form-function relationship can be corrected by surgical ventricular restoration (SVR), which returns the ventricle to a normal volume and shape. Consistent early and late benefits in the treatment of ischemic dilated cardiomyopathy with SVR have been reported in >5,000 patients from various international centers. The prospective, randomized STICH trial did not confirm these findings and the reasons for this discrepancy are examined in detail. Future surgical options for SVR in nonischemic and valvular dilated cardiomyopathy, and its integration with left ventricular assist devices and cell therapy, are described.

  13. Advanced Esthetic Management of Dental Implants: Surgical and Restorative Considerations to Improve Outcomes.

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    Levin, Barry P; Rubinstein, Sergio; Rose, Louis F

    2015-01-01

    Successful dental implant therapy in the maxillary anterior dentition requires meticulous attention to surgical and prosthodontic measures. Proper diagnosis, extraction technique, implant selection, and placement significantly impact outcomes. Respect of hard and soft tissue physiology following tooth loss and implant placement requires specific steps be taken. Management tissue contours properly, via regenerative therapy, results in successful framing of the restoration. Provisionalization and definitive restorative therapy also impacts the level of esthetic success. The contours of the temporary abutment and crown develop soft tissue contours for the final restoration. Overcontouring can lead to soft tissue recession and mucosal asymmetry. Design of the definitive crown(s) is crucial for long-term maintenance of esthetically acceptable results. Visualizing the outcome of treatment prior to its inception, following specific surgical and restorative guidelines, increases the likelihood of success. This article demonstrates the importance of proper surgical and prosthetic principles in achieving esthetic implant results. © 2015 Wiley Periodicals, Inc.

  14. Preparing and Restoring Composite Resin Restorations. The Advantage of High Magnification Loupes or the Dental Surgical Operating Microscope.

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    Mamoun, John

    2015-01-01

    Use of magnification, such as 6x to 8x binocular surgical loupes or the surgical operating microscope, combined with co-axial illumination, may facilitate the creation of stable composite resin restorations that are less likely to develop caries, cracks or margin stains over years of service. Microscopes facilitate observation of clinically relevant microscopic visual details, such as microscopic amounts of demineralization or caries at preparation margins; microscopic areas of soft, decayed tooth structure; microscopic amounts of moisture contamination of the preparation during bonding; or microscopic marginal gaps in the composite. Preventing microscope-level errors in composite fabrication can result in a composite restoration that, at initial placement, appears perfect when viewed under 6x to 8x magnification and which also is free of secondary caries, marginal staining or cracks at multi-year follow-up visits.

  15. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations.

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    Buser, Daniel; Martin, William; Belser, Urs C

    2004-01-01

    The placement of dental implants in the anterior maxilla is a challenge for clinicians because of patients' exacting esthetic demands and difficult pre-existing anatomy. This article presents anatomic and surgical considerations for these demanding indications for implant therapy. First, potential causes of esthetic implant failures are reviewed, discussing anatomic factors such as horizontal or vertical bone deficiencies and iatrogenic factors such as improper implant selection or the malpositioning of dental implants for an esthetic implant restoration. Furthermore, aspects of preoperative analysis are described in various clinical situations, followed by recommendations for the surgical procedures in single-tooth gaps and in extended edentulous spaces with multiple missing teeth. An ideal implant position in all 3 dimensions is required. These mesiodistal, apicocoronal, and orofacial dimensions are well described, defining "comfort" and "danger" zones for proper implant position in the anterior maxilla. During surgery, the emphasis is on proper implant selection to avoid oversized implants, careful and low-trauma soft tissue handling, and implant placement in a proper position using either a periodontal probe or a prefabricated surgical guide. If missing, the facial bone wall is augmented using a proper surgical technique, such as guided bone regeneration with barrier membranes and appropriate bone grafts and/or bone substitutes. Finally, precise wound closure using a submerged or a semi-submerged healing modality is recommended. Following a healing period of between 6 and 12 weeks, a reopening procedure is recommended with a punch technique to initiate the restorative phase of therapy.

  16. Surgical cytoreduction restores the antitumor efficacy of a Listeria monocytogenes vaccine in malignant pleural mesothelioma.

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    Kennedy, Gregory T; Judy, Brendan F; Bhojnagarwala, Pratik; Moon, Edmund K; Fridlender, Zvi G; Albelda, Steven M; Singhal, Sunil

    2015-07-01

    Recent studies suggest that immunotherapy may offer a promising treatment strategy for early-stage malignant pleural mesothelioma (MPM), but advanced tumor burden may limit the efficacy of immunotherapy. Therefore, we hypothesized that surgical cytoreduction could restore the efficacy of vaccine-based immunotherapy for MPM. We developed a murine model of MPM through transduction of a mesothelioma cell line with mesothelin. We used this model to evaluate the efficacy of a Listeria monocytogenes vaccine expressing mesothelin. Tumor growth was significantly inhibited at four weeks in animals vaccinated two weeks prior to tumor cell inoculation as compared to those given an empty vector control (1371 ± 420 mm(3) versus 405 ± 139 mm(3); p surgery reduced MDSCs to levels comparable to those in tumor-naïve mice. This study demonstrates that cytoreduction surgery restores the efficacy of cancer vaccines for MPM by reducing tumor-related immunosuppression that impairs immunotherapy.

  17. Restorative Practices: Giving Everyone a Voice to Create Safer Saner School Communities

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    Mirsky, Laura

    2011-01-01

    Restorative Practices is a proactive approach to whole-school climate change based on communication and responsibility. It is an approach being developed and refined as an alternative to exclusionary and punitive "zero-tolerance" policies mandated in many schools today. In this article, Laura Mirsky of the International Institute for Restorative…

  18. The treatment of female pattern hair loss and other applications of surgical hair restoration in women.

    Science.gov (United States)

    Epstein, Jeffrey S

    2004-05-01

    In the specialty of surgical hair restoration, men comprise more than 90% of the patients treated; however, in the last few years the number of women undergoing the procedure has increased significantly. The reasons for this growth are many and include the increase in public awareness of the efficacy of hair transplantation from such sources as the media,the Internet, advertising and word of mouth. More importantly, advances in technique have significantly improved results, increasing the confidence level in women to undergo the procedure and in hair transplant specialists to offer it.

  19. Self-reported changes in the professional singing voice after surgical intervention treatment for breast cancer: a survey pilot study of female professional singers.

    Science.gov (United States)

    Baroody, Margaret M; Barnes-Burroughs, Kathryn; Rodriguez, Michael C; Sataloff, Dahlia M; Sataloff, Robert Thayer

    2013-03-01

    The effects of breast cancer surgical treatment on the professional singing voice are unknown. The purpose of this study was to discover whether there are self-perceived changes in the quality and/or process of singing experienced by professional female singers who have undergone surgical intervention for the treatment of diagnosed breast cancer-including any changes perceived from the use of radiation, chemotherapy, and other drug treatments related to those surgeries. A voluntary subject pool comprised female professional singers who have undergone surgery for breast cancer was recruited from professional singing networks. Participants underwent evaluation through an anonymous online survey, psychometrically vetted for content and instrument reliability/validity before administration. Valid participants (N=56) responded to 45 questions regarding surgical procedures, related therapies, and self-perceived vocal effects. Analysis of results produced a preliminary description of types of voice change, duration of changes, and qualitative self-perceptions. This initial report reveals that there are self-perceived singing voice changes experienced by professional singers treated for breast cancer. However, additional research is needed to determine the degree of vocal impact perceived to be attributable to individual surgical interventions and related therapies. Copyright © 2013 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

  20. Hands-free speech after surgical voice rehabilitation with a Provox voice prosthesis: experience with the Provox FreeHands HME tracheostoma valve system.

    Science.gov (United States)

    Lorenz, K J; Groll, K; Ackerstaff, A H; Hilgers, F J M; Maier, H

    2007-02-01

    Excellent results have been reported with the use of voice prostheses for the rehabilitation of laryngectomees. Patients, however, consider it a disadvantage that the tracheostoma must be closed manually for speech production. This limits their ability to simultaneously communicate by gesture or to work with both hands. An automatic tracheostoma valve helps patients overcome this problem. We describe a prospective clinical trial evaluating our experience with the Provox FreeHands HME Automatic Tracheostoma Valve system. Twenty-four laryngectomees were randomly selected from the patients who had undergone laryngectomy at the ENT Department. Immediately, after 4 weeks and 6 months later having been fitted with a Provox FreeHands HME, the patients were asked to complete a questionnaire in order to assess their satisfaction, voice quality, wearing comfort, fixation, potential problems, and the effectiveness of the HME cassette. In addition, we investigated relevant voice quality parameters including dynamics range, frequency range of the speaking voice, and maximum phonation time. Seven patients discontinued the study due to problems of securing the valve to the skin (four patients) or recurrent cancer (three patients). Ten of the remaining 17 patients wore the valve daily for an average of 8.4 h. A total of 88% of the patients considered it a great advantage to be able to speak without having to use their hands. With the Provox FreeHands HME, maximum phonation time was 8.7 (+/-6.2) s and the dynamic range was 21.9 (+/-5.8) decibels. The results show that the Provox FreeHands HME Automatic Tracheostoma Valve system not only allows hands-free speech but is also associated with excellent compliance and good voice rehabilitation.

  1. Relationship between periodontics and restorative procedures: surgical treatment of the restorative alveolar interface (rai)--case series.

    Science.gov (United States)

    Almeida, A L P F; Esper, L A; Sbrana, M C; Cunha, M J S; Greghi, S L A; Carrilho, G P B; Pegoraro, L F

    2013-12-01

    Maintenance of a healthy periodontium is fundamental for the long term success of prosthetic restorations. Thus, prosthetic procedures with subgingival margins may affect the periodontal health if the distances between the junctional epithelium and supracrestal connective tissue attachment aren't respected, or if there is insufficient space to maintain the health of the interproximal tissues, leading to gingival inflammation, connective tissue attachment loss and bone resorption. The restorative alveolar interface (RAI) technique was described as the portion of the root surface extending from the alveolar crest apically to the restorative margin coronally. RAI consists of modifying the restorative margin position into a healthier environment, respecting the biological width and therefore allowing effective plaque control. This paper describes four clinical cases with indication for the RAI technique for maintenance of periodontal health. The cases were associated with prostheses. All cases were evaluated at 90 days and exhibited a healthy periodontal tissue. Successful outcomes were observed in the different indications for the RAI technique.

  2. VOICE REHABILITATION FOLLOWING TOTAL LARYNGECTOMY

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    Balasubramanian Thiagarajan

    2015-03-01

    Full Text Available Despite continuing advances in surgical management of laryngeal malignancy, total laryngectomy is still the treatment of choice in advanced laryngeal malignancies. Considering the longevity of the patient following total laryngectomy, various measures have been adopted in order to provide voice function to the patient. Significant advancements have taken place in voice rehabilitation of post laryngectomy patients. Advancements in oncological surgical techniques and irradiation techniques have literally cured laryngeal malignancies. Among the various voice rehabilitation techniques available TEP (Tracheo oesophageal puncture is considered to be the gold standard. This article attempts to explore the various voice rehabilitation technique available with primary focus on TEP.

  3. A fabricated forearm free flap with accompanying phonation tube for simultaneous reconstruction of a pharyngolaryngeal circumferential defect and voice loss: new surgical modification with functional phonation outcome.

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    Lee, Jehn-Chuan; Hsu, Wei-Ting; Yang, Cheng-Chien; Chang, Shih-Hsin

    2013-02-01

    Total pharyngolaryngectomy is potentially ablative surgery, resulting in compromise of some most basic functions of life, including speech and swallowing. Tracheoesophageal puncture is the gold standard for voice restoration. But it still has prosthesis-related problems. We designed a uniquely customized radial forearm free flap (RFFF), which also incorporated a region for phonation tube (PT) creation, for the dual purpose of circumferential laryngopharyngeal defect reconstruction and voice production. From August 2005 to September 2010, there were 18 male patients with late-stage hypopharyngeal cancer (HPC) or laryngeal cancer (LC) who received one-stage reconstruction with the fabricated RFFF-accompanying PT after total pharyngolaryngectomy. We recorded the phonation outcome of phonation efficacy (PE) and maximal phonation time (MPT) postoperatively within 1 month and at least 1 year after surgery. Nine patients suffered from HPC and the others suffered from LC. Twelve patients received concurrent chemoradiotherapy after surgery. The follow-up time was 12 to 56 months (mean 28.7 months). There was no significant variance in the PE (79.72%, SD=21.93% vs. 62.50%, SD=39.60%, respectively; p = 0.115) and MPT (2.58 seconds, SD=1.80 vs. 2.97 seconds, SD=3.96, respectively; p = 0.878) between the first and last follow-up points, even when the patients were grouped by radiotherapy status after surgery or by disease group. The phonation outcome in our experience was satisfactory and it tolerated postoperative radiotherapy during at least the 12-month follow-up period. Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.

  4. The Voice Handicap Index with Post-Laryngectomy Male Voices

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    Evans, Eryl; Carding, Paul; Drinnan, Michael

    2009-01-01

    Background: Surgical treatment for advanced laryngeal cancer involves complete removal of the larynx ("laryngectomy") and initial total loss of voice. Post-laryngectomy rehabilitation involves implementation of different means of "voicing" for these patients wherever possible. There is little information about laryngectomees'…

  5. Voice and speech outcomes with radial forearm free flap-accompanied phonation tube after total pharyngolaryngectomy of hypopharyngeal cancer.

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    Yang, Cheng-Chien; Lee, Jehn-Chuan; Wu, Kang-Chao; Chang, Shih-Hsin

    2011-08-01

    Radial forearm free flap (RFFF)-accompanied phonation tube (PT) for voice and speech restoration after pharyngolaryngectomy is promising, especially in phonation efficacy and intelligibility. It offers not only another safe surgical option but also a satisfactory result for such patients with advanced hypopharyngeal cancer. We use RFFF with RFFF-accompanied PT for one-stage reconstruction both for tissue defect and voice reconstruction in patients undergoing total pharyngolaryngectomy. Eight male patients with advanced hypopharyngeal cancer underwent total pharyngolaryngectomy. Voice restoration was done with RFFF-accompanied PT. Phonation outcomes and speech outcomes of the patients were evaluated and scored. The mean follow-up time was 13.7 months. All free flaps were successful without perioperative mortality. All the patients were able to produce sound. Phonation efficacy ranged from 70% to >90% postoperatively and 40% to >90% at the last follow-up. The speech intelligibility was graded as moderately good.

  6. Voice Disorders

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    Voice is the sound made by air passing from your lungs through your larynx, or voice box. In your larynx are your vocal cords, ... to make sound. For most of us, our voices play a big part in who we are, ...

  7. Every Voice

    Science.gov (United States)

    Patrick, Penny

    2008-01-01

    This article discusses how the author develops an approach that allows her students, who are part of the marginalized population, to learn the power of their own voices--not just their writing voices, but their oral voices as well. The author calls it "TWIST": Thoughts, Writing folder, Inquiring mind, Supplies, and Teamwork. It is where…

  8. Every Voice

    Science.gov (United States)

    Patrick, Penny

    2008-01-01

    This article discusses how the author develops an approach that allows her students, who are part of the marginalized population, to learn the power of their own voices--not just their writing voices, but their oral voices as well. The author calls it "TWIST": Thoughts, Writing folder, Inquiring mind, Supplies, and Teamwork. It is where…

  9. [Reinnervation of larynx in surgical treatment of invasive thyroidal gland cancer].

    Science.gov (United States)

    Palamarchuk, V A

    2013-10-01

    The possibilities and efficacy of performance of simultant operations for invasive thyroid gland cancer in initial neuropathic laryngeal stenosis and dysphonic syndrome, aimed at minimization of the residual volume of thyroid gland tissue and surgical laryngeal reinnervation, were studied. The results of laryngeal surgical reinnervation, in accordance to data of videolaryngoscopy, aerodynamical and spectral analysis of the voice, self estimation of the vocal disorders impact on the patients quality of life were analyzed. Postoperatively in all the patients the improvement of phonation and quality of life was noted. Primary neurorhaphia of recurrent laryngeal nerve secures restoration of normal or nearly normal talkative voice due to restoration of the tone and volume of m. cricoarytenoideus lateralis and m. thyroarytenoideus on the side of affection and may be effectively applied for correction of consequences of laryngeal neuropathic paralysis in surgical treatment of the thyroid gland cancer.

  10. Outcomes of the RESTOR-MV Trial (Randomized Evaluation of a Surgical Treatment for Off-Pump Repair of the Mitral Valve).

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    Grossi, Eugene A; Patel, Nirav; Woo, Y Joseph; Goldberg, Judith D; Schwartz, Charles F; Subramanian, Valavanur; Feldman, Ted; Bourge, Robert; Baumgartner, Norbert; Genco, Christopher; Goldman, Scott; Zenati, Marco; Wolfe, J Alan; Mishra, Yugal K; Trehan, Naresh; Mittal, Sanjay; Shang, Shulian; Mortier, Todd J; Schweich, Cyril J

    2010-12-07

    we sought to determine whether patients with functional mitral regurgitation (FMR) would benefit from ventricular reshaping by the Coapsys device (Myocor, Inc., Maple Grove, Minnesota). FMR occurs when ventricular remodeling impairs valve function. Coapsys is a ventricular shape change device placed without cardiopulmonary bypass to reduce FMR. It compresses the mitral annulus and reshapes the ventricle. We hypothesized that Coapsys for FMR would improve clinical outcomes compared with standard therapies. RESTOR-MV (Randomized Evaluation of a Surgical Treatment for Off-Pump Repair of the Mitral Valve) was a randomized, prospective, multicenter study of patients with FMR and coronary disease with core laboratory analysis. After enrollment, patients were stratified to the standard indicated surgery: either coronary artery bypass graft alone or coronary artery bypass graft with mitral valve repair. In each stratum, randomization was to either control (indicated surgery) or treatment (coronary artery bypass graft with Coapsys ventricular reshaping). the study was terminated when the sponsor failed to secure ongoing funding; 165 patients were randomized. Control and Coapsys both produced decreases in left ventricular (LV) end-diastolic dimension and MR at 2 years (p stroke, myocardial infarction, and valve reoperation) was significantly greater with Coapsys at 2 years (85% vs. 71%) (hazard ratio: 0.372; 95% confidence interval: 0.185 to 0.749; adjusted log-rank test; p = 0.019). analysis of RESTOR-MV indicates that patients with FMR requiring revascularization treated with ventricular reshaping rather than standard surgery had improved survival and a significant decrease in major adverse outcomes. This trial validates the concept of the ventricular reshaping strategy in this subset of patients with heart failure. (Randomized Evaluation of a Surgical Treatment for Off-Pump Repair of the Mitral Valve [RESTOR-MV]; NCT00120276). Published by Elsevier Inc. All rights

  11. Caffeinated soft drinks reduce bacterial prevalence in voice prosthetic biofilms

    NARCIS (Netherlands)

    Free, RH; Elving, GJ; Van der Mei, HC; Van Weissenbruch, R; Albers, FWJ; Busscher, HJ

    2000-01-01

    Laryngectomized patients use indwelling silicone rubber voice prostheses, placed in a surgically created fistula in between the trachea and the esophagus, for voice and speech rehabilitation. At the esophageal side, these voice prostheses rapidly become colonized by a thick biofilm consisting of a v

  12. Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Richmond Charlotte

    2010-07-01

    Full Text Available Abstract Background Because previous studies have suggested that motorized non-surgical spinal decompression can reduce chronic low back pain (LBP due to disc degeneration (discogenic low back pain and disc herniation, it has accordingly been hypothesized that the reduction of pressure on affected discs will facilitate their regeneration. The goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on computed tomography (CT scans. Methods A retrospective cohort study of adults with chronic LBP attributed to disc herniation and/or discogenic LBP who underwent a 6-week treatment protocol of motorized non-surgical spinal decompression via the DRX9000 with CT scans before and after treatment. The main outcomes were changes in pain as measured on a verbal rating scale from 0 to 10 during a flexion-extension range of motion evaluation and changes in disc height as measured on CT scans. Paired t-test or linear regression was used as appropriate with p Results We identified 30 patients with lumbar disc herniation with an average age of 65 years, body mass index of 29 kg/m2, 21 females and 9 males, and an average duration of LBP of 12.5 weeks. During treatment, low back pain decreased from 6.2 (SD 2.2 to 1.6 (2.3, p Conclusions Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height. The correlation of these variables suggests that pain reduction may be mediated, at least in part, through a restoration of disc height. A randomized controlled trial is needed to confirm these promising results. Clinical trial registration number NCT00828880

  13. Tracheostomy cannulas and voice prosthesis.

    Science.gov (United States)

    Kramp, Burkhard; Dommerich, Steffen

    2009-01-01

    Cannulas and voice prostheses are mechanical aids for patients who had to undergo tracheotomy or laryngectomy for different reasons. For better understanding of the function of those artificial devices, first the indications and particularities of the previous surgical intervention are described in the context of this review. Despite the established procedure of percutaneous dilatation tracheotomy e.g. in intensive care units, the application of epithelised tracheostomas has its own position, especially when airway obstruction is persistent (e.g. caused by traumata, inflammations, or tumors) and a longer artificial ventilation or special care of the patient are required. In order to keep the airways open after tracheotomy, tracheostomy cannulas of different materials with different functions are available. For each patient the most appropriate type of cannula must be found. Voice prostheses are meanwhile the device of choice for rapid and efficient voice rehabilitation after laryngectomy. Individual sizes and materials allow adaptation of the voice prostheses to the individual anatomical situation of the patients. The combined application of voice prostheses with HME (Head and Moisture Exchanger) allows a good vocal as well as pulmonary rehabilitation. Precondition for efficient voice prosthesis is the observation of certain surgical principles during laryngectomy. The duration of the prosthesis mainly depends on material properties and biofilms, mostly consisting of funguses and bacteries. The quality of voice with valve prosthesis is clearly superior to esophagus prosthesis or electro-laryngeal voice. Whenever possible, tracheostoma valves for free-hand speech should be applied. Physicians taking care of patients with speech prostheses after laryngectomy should know exactly what to do in case the device fails or gets lost.

  14. Keeping Your Voice Healthy

    Science.gov (United States)

    ... Find an ENT Doctor Near You Keeping Your Voice Healthy Keeping Your Voice Healthy Patient Health Information ... heavily voice-related. Key Steps for Keeping Your Voice Healthy Drink plenty of water. Moisture is good ...

  15. Accessory device fixation for voice rehabilitation in laryngectomised patients

    OpenAIRE

    2006-01-01

    Summary In most patients with advanced or recurrent laryngeal or hypopharyngeal cancer, total laryngectomy is indicated. This means the loss of the three main laryngeal functions: phonation; respiration; and the prevention of aspiration during deglutition. Laryngectomy patients have various options to restore phonation such as an esophageal voice, an electrolaryngeal voice or a tracheo-esophageal voice with a shunt valve. In the latter case a silicone rubber shunt valve is placed in the trach...

  16. Sound-Producing Voice Prostheses : 150 Years of Research

    NARCIS (Netherlands)

    Verkerke, G. J.; Thomson, S. L.; Yarmush, ML

    2014-01-01

    Advanced laryngeal cancer sometimes necessitates the removal of the complete larynx. This procedure involves suturing the trachea to an opening in the neck, the most disturbing consequence of which is the loss of voice. Since 1859, several devices have been developed for voice restoration, based mai

  17. Sound-producing voice prostheses: 150 years of research

    NARCIS (Netherlands)

    Verkerke, G.J.; Thomson, S.L.

    2014-01-01

    Advanced laryngeal cancer sometimes necessitates the removal of the complete larynx. This procedure involves suturing the trachea to an opening in the neck, the most disturbing consequence of which is the loss of voice. Since 1859, several devices have been developed for voice restoration, based mai

  18. The indwelling voice prosthesis for speech rehabilitation after total laryngectomy: a safe approach

    NARCIS (Netherlands)

    Balm, A.J.M.; van den Brekel, M.W.M.; Tan, I.B.; Hilgers, F.J.M.

    2011-01-01

    Primary prosthetic voice restoration by performing tracheoesophageal puncture (TEP) and immediate insertion of a voice prosthesis at the time of total laryngectomy (TLE) is presently the method of choice. This enables the easiest and most comfortable voice rehabilitation with the patient still under

  19. Tracheostomy cannulas and voice prosthesis

    OpenAIRE

    2011-01-01

    Cannulas and voice prostheses are mechanical aids for patients who had to undergo tracheotomy or laryngectomy for different reasons. For better understanding of the function of those artificial devices, first the indications and particularities of the previous surgical intervention are described in the context of this review. Despite the established procedure of percutaneous dilatation tracheotomy e.g. in intensive care units, the application of epithelised tracheostomas has its own position,...

  20. The clinical utility of vocal dosimetry for assessing voice rest.

    Science.gov (United States)

    Misono, Stephanie; Banks, Kathryn; Gaillard, Philippe; Goding, George S; Yueh, Bevan

    2015-01-01

    Voice rest is frequently recommended following surgical disruption of vocal fold epithelium, but patients report variable adherence to voice rest recommendations. The objective of this study was to assess the clinical utility of an ambulatory vocal dosimeter for measuring adherence to voice rest recommendations. Outcomes research. Part 1: To determine the utility of the dosimeter in nonclinical use, the relationship between self-reported voice use and dosimeter measurements was examined in normal subjects (n = 11) who prospectively logged voice use while wearing the dosimeter. Part 2: To determine clinical utility of the dosimeter, patients undergoing vocal fold surgery for which postoperative voice rest was recommended (n = 11) wore a dosimeter for 2 days prior to and 2 days after surgery. Phonation percent and sound level were compared at baseline and during voice rest. The dosimeter performed as hypothesized with both normal subjects and patients. A moderate correlation (r = 0.62) was noted between self-reported voice use and dosimeter measurements in normal subjects. In patients on voice rest, a statistically and clinically significant decrease was observed in measured voice use, both in phonation time (P = .002) and intensity of phonation (P = .004). Ambulatory vocal dosimetry may have clinical utility for assessing adherence to voice rest recommendations. This information will be useful for the design of future studies on voice rest. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

  1. A curative observation of surgical crown lengthening in split teeth restoration%牙冠延长术修复劈裂牙的疗效观察

    Institute of Scientific and Technical Information of China (English)

    高慧英

    2015-01-01

    Objective: To explore the clinical effect of surgical crown lengthening on restoration of broken teeth.Methods: Sixty-eight broken teeth in 62 patients were selected, and were randomly divided into group A and B, 31 patients per group, 36 broken teeth in group A and 32 broken teeth in group B. Patients in group A were given gingivectomy, and patients in group B were given crown lengthening surgery. Broken end and gingival margin of broken teeth before and after surgery were compared, including plaque index (PLI), sulcus bleeding in-dex (SBI), periodontal probing depth (PD), gomphiasis and repair effect.Results: All patients were successfully performed surgery according to plan, periodontal index after surgery were improved (P0.05). After operation, teeth mobility rate in group A was 25.00%, yet there was no tooth mobility in group B, and group A’s teeth mobility rate was higher than that in group B (P<0.05). Two groups’ effective rate of teeth restoration were both 100%, and satisfaction rate were 63.89% and 81.25% respectively in group A and group B.Conclusion: It has good effect of broken teeth restoration by crown lengthening surgery, the procedure can improve and maintain a healthy repaired result. If the indication right, can control the periodontal inlfammation.%目的:探讨牙冠延长术在劈裂牙修复中的临床应用效果。方法:选取62例患者共68颗劈裂牙,随机将其分为A、B2组各31例,A组劈裂牙36颗,B组劈裂牙32颗。A组予以牙龈切除术,B组予以牙冠延长术。比较2组术前及术后多时点患牙断端与龈缘情况,包括菌斑指数(PLI)、龈沟出血指数(SBI)、牙周探诊深度(PD)、牙齿松动度及修复效果等。结果:2组均按既定方案顺利完成手术,术后各时间点牙周指数均较术前改善,差异有统计学意义(均P<0.05),但2组间各时间点牙周指数相互比较,差异均无统计学意义(均P>0.05)

  2. In vitro evaluation of a double-membrane-based voice-producing element for laryngectomized patients

    NARCIS (Netherlands)

    Tack, Johannes W.; Rakhorst, Gerhard; van der Houwen, Eduard B.; Mahieu, Hans F.; Verkerke, Gijsbertus J.

    Background. A sound generator based on a double-membrane design that fits into a regular tracheoesophageal shunt valve may improve voice quality after total laryngectomy in patients rehabilitated with surgical voice prostheses. Methods. Voice-producing element (VPE) prototypes were manufactured

  3. Speaking and Nonspeaking Voice Professionals: Who Has the Better Voice?

    Science.gov (United States)

    Chitguppi, Chandala; Raj, Anoop; Meher, Ravi; Rathore, P K

    2017-04-18

    Voice professionals can be classified into two major subgroups: the primarily speaking and the primarily nonspeaking voice professionals. Nonspeaking voice professionals mainly include singers, whereas speaking voice professionals include the rest of the voice professionals. Although both of these groups have high vocal demands, it is currently unknown whether both groups show similar voice changes after their daily voice use. Comparison of these two subgroups of voice professionals has never been done before. This study aimed to compare the speaking voice of speaking and nonspeaking voice professionals with no obvious vocal fold pathology or voice-related complaints on the day of assessment. After obtaining relevant voice-related history, voice analysis and videostroboscopy were performed in 50 speaking and 50 nonspeaking voice professionals. Speaking voice professionals showed significantly higher incidence of voice-related complaints as compared with nonspeaking voice professionals. Voice analysis revealed that most acoustic parameters including fundamental frequency, jitter percent, and harmonic-to-noise ratio were significantly higher in speaking voice professionals, whereas videostroboscopy did not show any significant difference between the two groups. This is the first study of its kind to analyze the effect of daily voice use in the two subgroups of voice professionals with no obvious vocal fold pathology. We conclude that voice professionals should not be considered as a homogeneous group. The detrimental effects of excessive voice use were observed to occur more significantly in speaking voice professionals than in nonspeaking voice professionals. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  4. Leveraging voice

    DEFF Research Database (Denmark)

    Frølunde, Lisbeth

    2017-01-01

    researchers improve our practices and how could digital online video help offer more positive stories about research and higher education? How can academics in higher education be better to tell about our research, thereby reclaiming and leveraging our voice in a post-factual era? As higher education......This paper speculates on how researchers share research without diluting our credibility and how to make strategies for the future. It also calls for consideration of new traditions and practices for communicating knowledge to a wider audience across multiple media platforms. How might we...... continues to engage with digital and networked technologies it becomes increasingly relevant to question why and how academics could (re) position research knowledge in the digital and online media landscape of today and the future. The paper highlights methodological issues that arise in relation...

  5. Feeling voices.

    Directory of Open Access Journals (Sweden)

    Paolo Ammirante

    Full Text Available Two experiments investigated deaf individuals' ability to discriminate between same-sex talkers based on vibrotactile stimulation alone. Nineteen participants made same/different judgments on pairs of utterances presented to the lower back through voice coils embedded in a conforming chair. Discrimination of stimuli matched for F0, duration, and perceived magnitude was successful for pairs of spoken sentences in Experiment 1 (median percent correct = 83% and pairs of vowel utterances in Experiment 2 (median percent correct = 75%. Greater difference in spectral tilt between "different" pairs strongly predicted their discriminability in both experiments. The current findings support the hypothesis that discrimination of complex vibrotactile stimuli involves the cortical integration of spectral information filtered through frequency-tuned skin receptors.

  6. Effects of irradiation on alaryngeal voice of totally laryngectomized patients

    Energy Technology Data Exchange (ETDEWEB)

    Izdebski, K.; Fontanesi, J.; Ross, J.C.; Hetzler, D.

    1988-06-01

    The effects of radiation therapy on the ability of totally laryngectomized patients to produce voice and speech were examined using objective non-invasive methods. Moderate to severe losses were noted in patients producing voice with all types of alaryngeal modalities: tracheoesophageal, esophageal, and electrolaryngeal. Voice and speech losses were related to the impaired motility and vibratory capability of the esophageal wall and mucosa, to fibrosis of the submandibular region and to trismus. Tracheoesophageal and esophageal voice was recovered some weeks after completion of irradiation. No voice losses were observed in alaryngeal speakers who did not undergo voice restoration until after irradiation. All irradiated patients also showed various degrees of dysphagia during the treatment.

  7. Current status and future prospects in prosthetic voice rehabilitation following laryngectomy

    Directory of Open Access Journals (Sweden)

    Pawar Prashant

    2008-01-01

    Full Text Available Total laryngectomy or laryngopharyngectomy remains the procedure of choice for advanced-stage (UICC T3 and T4 laryngeal carcinoma around the world despite advances in conservative laryngeal surgery and radiotherapy. However, it has profound effects on respiration and deglutition, in addition to the most disabling effect-the loss of verbal communication. Successful voice restoration can be attained with any of three speech options, namely esophageal speech, electrolarynx, and tracheoesophageal (TO speech using an artificial valve. Although, no single method is considered the best for every patient, the tracheoesophageal puncture has become the preferred method in the past decade. Several types of voice prostheses have been produced since the first prosthesis was introduced in 1980 by Blom and Singer. However, eventually all prostheses are confronted by the same problem, i.e., the development of a biofilm, leading to deterioration and ultimately to dysfunction of the prostheses, necessitating replacement. This article attempts to sum up the historical background as well as the current state of surgical voice rehabilitation following laryngectomy; we review the recent major advances as well as the future prospects. Data was collected by conducting a computer-aided search of the MEDLINE and PubMed databases, supplemented by hand searches of key journals. Over 50 articles published in the last three decades on the topic have been reviewed, out of which about 20 were found to be of relevance for this article.

  8. Dimensionality in voice quality.

    Science.gov (United States)

    Bele, Irene Velsvik

    2007-05-01

    This study concerns speaking voice quality in a group of male teachers (n = 35) and male actors (n = 36), as the purpose was to investigate normal and supranormal voices. The goal was the development of a method of valid perceptual evaluation for normal to supranormal and resonant voices. The voices (text reading at two loudness levels) had been evaluated by 10 listeners, for 15 vocal characteristics using VA scales. In this investigation, the results of an exploratory factor analysis of the vocal characteristics used in this method are presented, reflecting four dimensions of major importance for normal and supranormal voices. Special emphasis is placed on the effects on voice quality of a change in the loudness variable, as two loudness levels are studied. Furthermore, the vocal characteristics Sonority and Ringing voice quality are paid special attention, as the essence of the term "resonant voice" was a basic issue throughout a doctoral dissertation where this study was included.

  9. Voice box (image)

    Science.gov (United States)

    The larynx, or voice box, is located in the neck and performs several important functions in the body. The larynx is involved in swallowing, breathing, and voice production. Sound is produced when the air which ...

  10. Voice and Aging

    Science.gov (United States)

    ... dramatic voice changes are those during childhood and adolescence. The larynx (or voice box) and vocal cord tissues do not fully mature until late teenage years. Hormone-related changes during adolescence are ...

  11. Voice and endocrinology

    OpenAIRE

    KVS Hari Kumar; Anurag Garg; Ajai Chandra, N. S.; Singh, S. P.; Rakesh Datta

    2016-01-01

    Voice is one of the advanced features of natural evolution that differentiates human beings from other primates. The human voice is capable of conveying the thoughts into spoken words along with a subtle emotion to the tone. This extraordinary character of the voice in expressing multiple emotions is the gift of God to the human beings and helps in effective interpersonal communication. Voice generation involves close interaction between cerebral signals and the peripheral apparatus consistin...

  12. DLMS Voice Data Entry.

    Science.gov (United States)

    1980-06-01

    between operator and computer displayed on ADM-3A 20c A-I Possible Hardware Configuration for a Multistation Cartographic VDES ...this program a Voice Recognition System (VRS) which can be used to explore the use of voice data entry ( VDE ) in the DIMS or other cartographic data...Multi-Station Cartographic Voice Data Entry System An engineering development model voice data entry system ( VDES ) could be most efficiently

  13. Writing with Voice

    Science.gov (United States)

    Kesler, Ted

    2012-01-01

    In this Teaching Tips article, the author argues for a dialogic conception of voice, based in the work of Mikhail Bakhtin. He demonstrates a dialogic view of voice in action, using two writing examples about the same topic from his daughter, a fifth-grade student. He then provides five practical tips for teaching a dialogic conception of voice in…

  14. Tips for Healthy Voices

    Science.gov (United States)

    ... social interaction as well as for most people’s occupation. Proper care and use of your voice will give you the best chance for having a healthy voice for your entire lifetime. Hoarseness or roughness in your voice is often ...

  15. Evaluation on the voice rehabilitation effect promoted by Akson therapy on cases following vocal cord polyp surgically removed%阿克森疗法对声带息肉术后嗓音功能恢复的主客观评估

    Institute of Scientific and Technical Information of China (English)

    陈闽琪; 陈舒华; 彭文静

    2015-01-01

    Objective To evaluate the voice rehabilitation effect promoted by Akson therapy on cases following vocal cord polyp surgically removed. Methods Sixty cases with vocal cord polyps, with their lesions removed microsurgically under self-retaining laryngoscope and diagnosed pathohistologically, were randomly divided into 2 groups following the surgery, with 30 patients in each group. Cases in treating group (TG) were given a post-operative voice rehabilitation therapy combined routine basic nursing and post-operative treatment procedures with Akson therapy for 3 months, while those in control group (CG) were only given routine treating program with basic nursing and post-operative treatment procedures. All these cases were followed up for one year after their operation. When following up period ended, they were examined to test such parameters as voice handicap index (VHI), GRBAS and maximum phonation time(MPT) for voice rehabilitation level evaluated both objectively and subjectively in a comparative way between these 2 groups. Results By the end of following up period, 18 patients in TG and 20 in CG were collected with full clinical information. As determined by both objective and subjective evaluating ways, there were significantly statistic significance in the therapeutic effect difference between TG and CG at the testing point one year following the operation, with much higher effective rate of TG than that of CG (P< 0.05). Conclusions Akson therapy is a much better voice rehabilitation therapy for voice recovery of patients following vocal cord polyp surgically removed. The voice function evaluating system, including VHI, GRBAS and MPT, can be used to assess patient's level of voice function both objectively and subjectively.%目的 评估阿克森疗法促进声带息肉术后患者嗓音功能恢复过程的效果.方法 支撑喉镜下显微手术切除声带息肉并经病理组织学确诊的患者60例,随机分为2组,每组30例. 治疗组患者术后在

  16. In-vitro evaluation of a double-membrane based voice-producing element for laryngectomized patients

    NARCIS (Netherlands)

    Tack, Johannes W.; Rakhorst, Gerhard; van der Houwen, Eduard B.; Mahieu, Hans F.; Verkerke, Gijsbertus Jacob

    2007-01-01

    Background: A sound generator based on a double-membrane design that fits into a regular tracheoesophageal shunt valve may improve voice quality after total laryngectomy in patients rehabilitated with surgical voice prostheses. - Methods: Voice-producing element (VPE) prototypes were manufactured

  17. Voice handicap in singers.

    Science.gov (United States)

    Murry, Thomas; Zschommler, Anne; Prokop, Jan

    2009-05-01

    The study aimed to determine the differences in responses to the Voice Handicap Index (VHI-10) between singers and nonsingers and to evaluate the ranked order differences of the VHI-10 statements for both groups. The VHI-10 was modified to include statements related to the singing voice for comparison to the original VHI-10. Thirty-five nonsingers with documented voice disorders responded to the VHI-10. A second group, consisting of 35 singers with voice complaints, responded to the VHI-10 with three statements added specifically addressing the singing voice. Data from both groups were analyzed in terms of overall subject self-rating of voice handicap and the rank order of statements from least to most important. The difference between the mean VHI-10 for the singers and nonsingers was not statistically significant, thus, supporting the validity of the VHI-10. However, the 10 statements were ranked differently in terms of their importance by both groups. In addition, when three statements related specifically to the singing voice were substituted in the original VHI-10, the singers judged their voice problem to be more severe than when using the original VHI-10. The type of statements used to assess self-perception of voice handicap may be related to the subject population. Singers with voice problems do not rate their voices to be more handicapped than nonsingers unless statements related specifically to singing are included.

  18. 38 CFR 21.3300 - Special restorative training.

    Science.gov (United States)

    2010-07-01

    ... for special restorative training purposes courses such as— (1) Speech and voice correction or retention, (2) Language retraining, (3) Speech (lip) reading, (4) Auditory training, (5) Braille reading and...

  19. Singing voice outcomes following singing voice therapy.

    Science.gov (United States)

    Dastolfo-Hromack, Christina; Thomas, Tracey L; Rosen, Clark A; Gartner-Schmidt, Jackie

    2016-11-01

    The objectives of this study were to describe singing voice therapy (SVT), describe referred patient characteristics, and document the outcomes of SVT. Retrospective. Records of patients receiving SVT between June 2008 and June 2013 were reviewed (n = 51). All diagnoses were included. Demographic information, number of SVT sessions, and symptom severity were retrieved from the medical record. Symptom severity was measured via the 10-item Singing Voice Handicap Index (SVHI-10). Treatment outcome was analyzed by diagnosis, history of previous training, and SVHI-10. SVHI-10 scores decreased following SVT (mean change = 11, 40% decrease) (P singing lessons (n = 10) also completed an average of three SVT sessions. Primary muscle tension dysphonia (MTD1) and benign vocal fold lesion (lesion) were the most common diagnoses. Most patients (60%) had previous vocal training. SVHI-10 decrease was not significantly different between MTD and lesion. This is the first outcome-based study of SVT in a disordered population. Diagnosis of MTD or lesion did not influence treatment outcomes. Duration of SVT was short (approximately three sessions). Voice care providers are encouraged to partner with a singing voice therapist to provide optimal care for the singing voice. This study supports the use of SVT as a tool for the treatment of singing voice disorders. 4 Laryngoscope, 126:2546-2551, 2016. © 2016 The American Laryngological, Rhinological and Otological Society, Inc.

  20. Clinical Voices - an update

    DEFF Research Database (Denmark)

    Fusaroli, Riccardo; Weed, Ethan

    Anomalous aspects of speech and voice, including pitch, fluency, and voice quality, are reported to characterise many mental disorders. However, it has proven difficult to quantify and explain this oddness of speech by employing traditional statistical methods. In this talk we will show how the t...... the temporal dynamics of the voice in Asperger's patients enable us to automatically reconstruct the diagnosis, and assess the Autism quotient score. We then generalise the findings to Danish and American children with autism....

  1. Effects of Medications on Voice

    Science.gov (United States)

    ... ENT Doctor Near You Effects of Medications on Voice Effects of Medications on Voice Patient Health Information ... entnet.org . Could Your Medication Be Affecting Your Voice? Some medications including prescription, over-the-counter, and ...

  2. 'Medical Tattoos' Help Hide Surgical Scars

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_161132.html 'Medical Tattoos' Help Hide Surgical Scars Pigments can restore more ... scars from cancer surgeries may benefit from "medical tattoos" that can help restore some of the skin's ...

  3. Effectiveness of voice rehabilitation on vocalisation in postlaryngectomy patients: a systematic review.

    Science.gov (United States)

    Xi, Shuxin

    2010-12-01

    , cohort studies and case-controlled studies, were considered for inclusion. Full copies of articles considered to meet the inclusion criteria were obtained for critical appraisal by two reviewers using the CASP (Critical Appraisal Skills Program) and McMaster scales. We utilised the 60% fulfilling of the evaluation scale items as the cut-off point and articles with a quality score less than 60% were excluded. Details of eligible trials were extracted and summarised by two reviewers independently using standardised data extraction tools developed by the Joanna Briggs Institute. Twenty-two articles were included in the review (Appendix I). Different voice rehabilitation methods for laryngectomees were investigated in the included studies including oesophageal voice, electrolarynx voice and surgical voice restoration. One cohort studies, five prospective studies, five retrospective studies and 11 descriptive studies were included. Because of the heterogeneity of included studies, meta-analysis was not possible. Therefore, the results were presented in narrative summary. The following main findings were identified: 1 At present, oesophageal speech, electrolarynx and tracheoesophageal were the commonly used voice rehabilitation methods with total laryngectomy patients. 2 Among these three methods, the success rate of electrolarynx and tracheoesophageal is much higher than oesophageal speech. 3 The intelligibility and speech quality of electrolarynx was lower than tracheoesophageal. 4 Patient satisfaction and self-assessed quality of life was better in tracheoesophageal group. 5 The objective index was similar between excellent tracheoesophageal and oesophageal speech patients. Conclusion  1 Electrolarynx is the easiest vocal rehabilitation method for total laryngectomy patients to use as it requires little training and does not limit the patients. But patients' satisfaction was lower because of the mechanical voice and noise. 2 Oesophageal speech is the hardest vocal

  4. Larynx cancer: quality of life and voice after treatment

    Directory of Open Access Journals (Sweden)

    Vaneli Colombo Rossi

    2014-10-01

    Full Text Available INTRODUCTION: Treatment for patients with larynx cancer often results in a negative impact on their physical, social and psychological functions. OBJECTIVE: To evaluate quality of life and voice in patients treated for advanced laryngeal cancer as a consequence of surgery or exclusive chemoradiation. METHODS: Retrospective cohort study with 30 patients free of disease: 10 total laryngectomy patients without production of esophageal speech (EVS; 10 Total laryngectomy patients with tracheoesophageal voice (TEV and 10 patients with laryngeal voice. Quality of life was measured by SF-36; Voice-Related Quality of Life (V-RQOL and Voice Handicap Index (VHI protocols, applied on the same day. RESULTS: The SF-36 demonstrated that patients who received chemoradiotherapy exclusively enjoyed a feature better quality of life than the group of TEV and EVS. In V-RQOL it was observed that the quality of life related to voice is lower than in the EVS. In the VHI group EVS presented higher scores for overall VHI, emotional, functional and organic. DISCUSSION: Quality of life and voice in patients treated with chemoradiotherapy was better than in patients treated surgically. CONCLUSION: The type of medical treatment selected in patients with laryngeal cancer can influence changes in quality of life and voice.

  5. Voiced Reading and Rhythm

    Institute of Scientific and Technical Information of China (English)

    詹艳萍

    2007-01-01

    Since voiced reading is an important way in learning English,rhythm is the most critical factor that enables to read beautifully.This article illustrates the relationship between rhythm and voiced reading,the importance of rhythm,and the methods to develop the sense of rhythm.

  6. Clinical Voices - an update

    DEFF Research Database (Denmark)

    Fusaroli, Riccardo; Weed, Ethan

    Anomalous aspects of speech and voice, including pitch, fluency, and voice quality, are reported to characterise many mental disorders. However, it has proven difficult to quantify and explain this oddness of speech by employing traditional statistical methods. In this talk we will show how...

  7. Borderline Space for Voice

    Science.gov (United States)

    Batchelor, Denise

    2012-01-01

    Being on the borderline as a student in higher education is not always negative, to do with marginalisation, exclusion and having a voice that is vulnerable. Paradoxically, being on the edge also has positive connections with integration, inclusion and having a voice that is strong. Alternative understandings of the concept of borderline space can…

  8. Voice and endocrinology

    Directory of Open Access Journals (Sweden)

    KVS Hari Kumar

    2016-01-01

    Full Text Available Voice is one of the advanced features of natural evolution that differentiates human beings from other primates. The human voice is capable of conveying the thoughts into spoken words along with a subtle emotion to the tone. This extraordinary character of the voice in expressing multiple emotions is the gift of God to the human beings and helps in effective interpersonal communication. Voice generation involves close interaction between cerebral signals and the peripheral apparatus consisting of the larynx, vocal cords, and trachea. The human voice is susceptible to the hormonal changes throughout life right from the puberty until senescence. Thyroid, gonadal and growth hormones have tremendous impact on the structure and function of the vocal apparatus. The alteration of voice is observed even in physiological states such as puberty and menstruation. Astute clinical observers make out the changes in the voice and refer the patients for endocrine evaluation. In this review, we shall discuss the hormonal influence on the voice apparatus in normal and endocrine disorders.

  9. Face the voice

    DEFF Research Database (Denmark)

    Lønstrup, Ansa

    2014-01-01

    will be based on a reception aesthetic and phenomenological approach, the latter as presented by Don Ihde in his book Listening and Voice. Phenomenologies of Sound , and my analytical sketches will be related to theoretical statements concerning the understanding of voice and media (Cavarero, Dolar, La...

  10. Voice integrated systems

    Science.gov (United States)

    Curran, P. Mike

    1977-01-01

    The program at Naval Air Development Center was initiated to determine the desirability of interactive voice systems for use in airborne weapon systems crew stations. A voice recognition and synthesis system (VRAS) was developed and incorporated into a human centrifuge. The speech recognition aspect of VRAS was developed using a voice command system (VCS) developed by Scope Electronics. The speech synthesis capability was supplied by a Votrax, VS-5, speech synthesis unit built by Vocal Interface. The effects of simulated flight on automatic speech recognition were determined by repeated trials in the VRAS-equipped centrifuge. The relationship of vibration, G, O2 mask, mission duration, and cockpit temperature and voice quality was determined. The results showed that: (1) voice quality degrades after 0.5 hours with an O2 mask; (2) voice quality degrades under high vibration; and (3) voice quality degrades under high levels of G. The voice quality studies are summarized. These results were obtained with a baseline of 80 percent recognition accuracy with VCS.

  11. Ontario's Student Voice Initiative

    Science.gov (United States)

    Courtney, Jean

    2014-01-01

    This article describes in some detail aspects of the Student Voice initiative funded and championed by Ontario's Ministry of Education since 2008. The project enables thousands of students to make their voices heard in meaningful ways and to participate in student-led research. Some students from grades 7 to 12 become members of the Student…

  12. EasyVoice: Integrating voice synthesis with Skype

    CERN Document Server

    Condado, Paulo A

    2007-01-01

    This paper presents EasyVoice, a system that integrates voice synthesis with Skype. EasyVoice allows a person with voice disabilities to talk with another person located anywhere in the world, removing an important obstacle that affect these people during a phone or VoIP-based conversation.

  13. Surgical treatment of familial adenomatous polyposis: ileoretal anastomosis or restorative proctolectomy? Tratamento cirúrgico da polipose adenomatosa familiar: anastomose íleo-retal ou bolsa ileal?

    Directory of Open Access Journals (Sweden)

    Fábio Guilherme Campos

    2009-12-01

    Full Text Available CONTEXT: Controversy regarding the best operative choice for familial adenomatous polyposis lays between the morbidity of restorative proctocolectomy and the supposed mortality due to rectal cancer after ileorectal anastomosis. OBJECTIVES: To evaluate operative complications and oncological outcome after ileorectal anastomosis and restorative proctocolectomy. METHODS: Charts from patients treated between 1977 and 2006 were retrospectively analyzed. Clinical and endoscopic data, results of treatment, pathological reports and information regarding early and late outcome were recorded. RESULTS: Eighty-eight patients - 41 men (46.6% and 47 women (53.4% - were assisted. At diagnosis, 53 patients (60.2% already had associated colorectal cancer. Operative complications occurred in 25 patients (29.0 %, being 17 (19.7% early and 8 (9.3% late complications. There were more complications after restorative proctocolectomy (48.1% compared to proctocolectomy with ileostomy (26.6% and ileorectal anastomosis (19.0% (P = 0,03. There was no operative mortality. During the follow-up of 36 ileorectal anastomosis, cancer developed in the rectal cuff in six patients (16,6%. Cumulative cancer risk after ileorectal anastomosis was 17.2% at 5 years, 24.1% at 10 years and 43.1% at 15 years of follow-up. Age-dependent cumulative risk started at 30 years (4.3%, went to 9.6% at 40 years, 20.9% at 40 years and 52% at 60 years. Among the 26 patients followed after restorative proctocolectomy, it was found cancer in the ileal pouch in 1 (3.8%. CONCLUSIONS: 1. Operative complications occurred in about one third of the patients, being more frequently after the confection of ileal reservoir; 2. greater age and previous colonic carcinoma were associated with the development of rectal cancer after ileorectal anastomosis; 3. patients treated by restorative proctocolectomy are not free from the risk of pouch degeneration; 4. the disease complexity and the various risk factors

  14. [Importance of voice quality evaluation in the assessment of treatment outcome after endolaryngeal microsurgery].

    Science.gov (United States)

    Siupsinskiene, Nora

    2002-01-01

    The aim of the study was to compare subjective and quantitative voice characteristics changes after endolaryngeal microsurgery with respect to different postoperative follow-up term. We evaluated 80 surgically-treated patients aged 14-81 years (mean 42.6+/-13.8 years) with benign vocal cord (VC) lesions (polyps, n=37; cysts, n=16; Reinke's edema, n=18; papilomata, n=9). Patients were evaluated three times - before operation, less than two weeks (mean 1.0+/-0.4) following the operation and more than two weeks (mean 6.5+/-3.9) following the operation. Control group consisted of 122 healthy voice patients. Subjective voice evaluation composed of experts assessment (GRBAS hoarseness scale, visual analogue scale (VAS) of voice quality) and patients self-evaluation (VAS, voice handicap index, and the impression of what repercussions the voice problem has on professional life and emotions). Seven quantitative voice parameters obtained from voice range profile, laryngostroboscopy and registering of maximum phonation time were analyzed as well as overall vocal dysfunction degree (VDD). The data of second postoperative examination were statistically significantly better compared to the first postoperative follow-up (pvoice (G=0) was found for 13.8% (11), quantitatively (VDD=0) for 22.5% (18) of patients, during the second - 63.8% (51) and 53.8% (43). The best results were for patients with vocal cords polyps. The complex voice assessment may be useful for evaluation of voice function recovery and efficacy of surgical treatment.

  15. Numerical simulation of self-sustained oscillation of a voice-producing element based on Navier-Stokes equations and the finite element method

    NARCIS (Netherlands)

    Vries, Martinus P. de; Hamburg, Marc C.; Schutte, Harm K.; Verkerke, Gijsbertus J.; Veldman, Arthur E.P.

    2003-01-01

    Surgical removal of the larynx results in radically reduced production of voice and speech. To improve voice quality a voice-producing element (VPE) is developed, based on the lip principle, called after the lips of a musician while playing a brass instrument. To optimize the VPE, a numerical model

  16. Voice Savers for Music Teachers

    Science.gov (United States)

    Cookman, Starr

    2012-01-01

    Music teachers are in a class all their own when it comes to voice use. These elite vocal athletes require stamina, strength, and flexibility from their voices day in, day out for hours at a time. Voice rehabilitation clinics and research show that music education ranks high among the professionals most commonly affected by voice problems.…

  17. Neural mechanisms for voice recognition

    NARCIS (Netherlands)

    Andics, A.V.; McQueen, J.M.; Petersson, K.M.; Gal, V.; Rudas, G.; Vidnyanszky, Z.

    2010-01-01

    We investigated neural mechanisms that support voice recognition in a training paradigm with fMRI. The same listeners were trained on different weeks to categorize the mid-regions of voice-morph continua as an individual's voice. Stimuli implicitly defined a voice-acoustics space, and training expli

  18. Voices from the Classroom: Educational Practice Can Inform Policy.

    Science.gov (United States)

    Flinders, David J.

    Educational policy discussions typically exclude the teacher's voice and ignore constraints of time, energy, and resources that challenge teachers and hinder policy implementation. The case studies presented in this monograph attempt to restore the teacher's perspective. Rather than analyzing policy shortfalls stemming from teacher "apathy" or…

  19. Aesthetic Surgical Crown Lengthening Procedure.

    Science.gov (United States)

    de Oliveira, Pablo Santos; Chiarelli, Fabio; Rodrigues, José A; Shibli, Jamil A; Zizzari, Vincenzo Luca; Piattelli, Adriano; Iezzi, Giovanna; Perrotti, Vittoria

    2015-01-01

    The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment.

  20. Aesthetic Surgical Crown Lengthening Procedure

    Science.gov (United States)

    de Oliveira, Pablo Santos; Chiarelli, Fabio; Rodrigues, José A.; Shibli, Jamil A.; Zizzari, Vincenzo Luca; Piattelli, Adriano; Iezzi, Giovanna; Perrotti, Vittoria

    2015-01-01

    The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most habitual surgical periodontal treatment. PMID:26609452

  1. Aesthetic Surgical Crown Lengthening Procedure

    Directory of Open Access Journals (Sweden)

    Pablo Santos de Oliveira

    2015-01-01

    Full Text Available The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey, crown lengthening is the most habitual surgical periodontal treatment.

  2. Dominant Voice in Hamlet

    Institute of Scientific and Technical Information of China (English)

    李丹

    2015-01-01

    <正>The Tragedy of Hamlet dramatizes the revenge Prince Hamlet exacts on his uncle Claudius for murdering King Hamlet,Claudius’s brother and Prince Hamlet’s father,and then succeeding to the throne and taking as his wife Gertrude,the old king’s widow and Prince Hamlet’s mother.This paper will discuss something about dominant voice in the play.Dominant voice is the major voice in the country,the society,or the whole world.Those people who have the power or

  3. [Tracheostomy cannulas and voice prostheses].

    Science.gov (United States)

    Kramp, B; Dommerich, S

    2009-05-01

    Tracheostomy cannulas and voice prosthesis are mechanical aids for patients, who for different reasons underwent either tracheostomies or laryngectomies. In this review, indications, surgical procedures, and consequencies of the preceeding surgical intervention are reported for a better understanding of the specific requirements for the artificial aids. In spite of the increasing number of percutaneous dilatation tracheostomies, e. g. in intensive care units, a classical tracheostomy with epithelialized connections between trachea and skin still represents the method of choice for all cases, in which a longer lasting access to the trachea is requested. Special tubes made of different materials, offering different physical qualities are used to keep the tracheostomy open and guarantee an easy access to the lower respiratory tract. For each individual patient the most adequate device must be found out. Voice prostheses allow a fast and effective vocal rehabilitation after laryngectomy. As many models are on the market with differences in terms of material, principle and design of the underlying valve mechanism, size etc., again, in each individual patient the most suitable prosthesis has to be chosen. In combination with special heat and moisture exchangers (HME), such prostheses not only allow a good vocal but also pulmonary rehabilitation. The duration of such prostheses depend on material properties but also on formation of biofilms (mostly consisting of bacteria and fungi) that can destroy the valve mechanism. Whenever possible, and additional valve mechanism covering the opening of the tracheostomy should be used in order to avoid the necessity to close this opening manually during phonation. Each doctor taking care of patients with speech prostheses after laryngectomy should know exactly what to do in case the device fails or gets lost.

  4. Leadership and Member Voice in Action Teams: Test of a Dynamic Phase Model.

    Science.gov (United States)

    Farh, Crystal I C; Chen, Gilad

    2017-08-24

    Voice is an important way that members contribute to effective team functioning. And yet, the existing literature provides divergent guidance as to how leaders can promote member voice in action teams-a dynamic team context where eliciting voice may be difficult, due to different task demands encountered in the preparation and action phases of task performance, among members who may have little history of working together. Drawing on the employee voice and team leadership literatures, we focus on three leader behaviors-directing, coaching, and supporting-and employ a functional leadership perspective to assess whether certain leader behaviors enhance voice in one phase of the performance episode versus the other. We also assess whether these leadership-voice relationships are further contingent on team members' prior familiarity with one another. Observation and survey data from 105 surgical team episodes revealed that leader directing promoted voice in both the preparation and action phases. Coaching also facilitated voice in both phases, especially in the action phase for more familiar teams. Surprisingly, supporting did not enhance voice in either phase, and in fact exhibited negative effects on voice in the preparation phase of more familiar teams. Theoretical and practical implications around how leaders can elicit voice in action teams are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. Abortion - surgical

    Science.gov (United States)

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

  6. 冠延长术在前牙桩核冠修复失败后的临床应用%Clinical application of the surgical crown lengthening after failure of the anterior teeth post crown restoration

    Institute of Scientific and Technical Information of China (English)

    彭蓓; 储雯; 季娟娟; 张婉丽; 杨杨; 王祥芸; 张晓渝

    2012-01-01

    20 subjects with tooth defect 3 nun below gingival margin underwent surgical crown lengthening SCL) after complete periodental non-surgical treatment. Probing depth(PD) and sulcus bleeding index(SBI) were measured before and after operation. PD decreased 2 weeks after operation (P 0.05). SBI decreased step by step 2-6 weeks after operation(f <0.05). 6 weeks after SCL gingival margin was stable, Dowel crown was restored and satisfied results were obtained.%纳入20例牙体缺损达龈下(≤3 mm)修复失败的前牙,经完善牙周基础治疗后行冠延长术,记录术前、术后2、4、6周牙周袋探诊深度(PD)、龈沟出血指数(SBI).PD值术后2周减小(p<0.05),术后2、4、6周间差异无显著性(p>0.05);SBI值术后减小,2周与术前、术后4、6周差异存在显著性(p<0.05).术后6周龈缘位置相对稳定,此时行桩核冠修复,成功率较高.牙冠延长术可提高残根的修复质量和效果.

  7. The Effect of Gingival and Alveolar Ridge Trimmed Surgical in Dental Restoration%牙龈与牙槽嵴修整手术在牙齿修复中的效果

    Institute of Scientific and Technical Information of China (English)

    梁凤林

    2015-01-01

    目的 分析牙龈与牙槽嵴修整手术在牙齿修复中的效果.方法 选取我院收治的60例行牙齿修复的患者作为观察对象,收治时间为2011年3月~2014年8月,随机分成两组,每组30例.对照组采取牙冠修复术,实验组在牙冠修复术前采取牙龈与牙槽嵴修整手术,比较两组患者治疗后的临床疗效及患者的满意度.结果 两组患者的满意度及总有效率的比较,差异有统计学意义(P<0.05).结论 对行牙齿修复的患者在牙冠修复术前采取牙龈与牙槽嵴修整手术,能够有效提高患者的满意度.%Objective To analyze results of the gingival and alveolar ridge trimmed surgical in dental restoration.Methods 60 patients admitted to our hospital treated by routine dental restoration as the observed object from March 2011 to August 2014. They were randomly divided into two groups,30 cases each. The control group took the crown prosthetics,and the experimental group taking the crown prosthetics gingival and alveolar ridge dressing operation. Two groups' efficacy and patient satisfaction were compared after treatment.Results Satisfaction and overal efficiency of the two groups had difference,and the difference was statisticaly significant(P<0.05).Conclusion sFor patients with dental restorations before taking the crown prosthetics took gingival and alveolar ridge repair surgery,can effectively improve patients' satisfaction.

  8. Ethnographic Voice Memo Narratives

    DEFF Research Database (Denmark)

    Rasmussen, Mette Apollo; Conradsen, Maria Bosse

    1800-01-01

    -based technique which actively involves actors in producing ethnography-based data concerning their everyday practice. With the help from smartphone technology it is possible to complement ethnography-based research methods when involving the actors and having them create small voice memo narratives. The voice...... memos create insights of actors‟ everyday practice, without the direct presence of a researcher and could be considered a step towards meeting the dilemmas of research in complex fieldwork settings....

  9. Strategies to decrease biofilm formation on voice prostheses

    NARCIS (Netherlands)

    Oosterhof, Jantje Jantina Hillechiena

    2008-01-01

    Laryngectomized patients lose their natural ability to speak as a result of rigorous anatomical changes after surgery. Due to the surgical resection of a laryngeal tumour, the larynx or voice box is taken out and the trachea is sutured in the neck. As a consequence the airflow through the

  10. Strategies to decrease biofilm formation on voice prostheses

    NARCIS (Netherlands)

    Oosterhof, Jantje Jantina Hillechiena

    2008-01-01

    Laryngectomized patients lose their natural ability to speak as a result of rigorous anatomical changes after surgery. Due to the surgical resection of a laryngeal tumour, the larynx or voice box is taken out and the trachea is sutured in the neck. As a consequence the airflow through the oropharynx

  11. Strategies to decrease biofilm formation on voice prostheses

    NARCIS (Netherlands)

    Oosterhof, Jantje Jantina Hillechiena

    2008-01-01

    Laryngectomized patients lose their natural ability to speak as a result of rigorous anatomical changes after surgery. Due to the surgical resection of a laryngeal tumour, the larynx or voice box is taken out and the trachea is sutured in the neck. As a consequence the airflow through the oropharynx

  12. Voice Matching Using Genetic Algorithm

    Directory of Open Access Journals (Sweden)

    Abhishek Bal

    2014-03-01

    Full Text Available In this paper, the use of Genetic Algorithm (GA for voice recognition is described. The practical application of Genetic Algorithm (GA to the solution of engineering problem is a rapidly emerging approach in the field of control engineering and signal processing. Genetic algorithms are useful for searching a space in multi-directional way from large spaces and poorly defined space. Voice is a signal of infinite information. Digital processing of voice signal is very important for automatic voice recognition technology. Nowadays, voice processing is very much important in security mechanism due to mimicry characteristic. So studying the voice feature extraction in voice processing is very necessary in military, hospital, telephone system, investigation bureau and etc. In order to extract valuable information from the voice signal, make decisions on the process, and obtain results, the data needs to be manipulated and analyzed. In this paper, if the instant voice is not matched with same person’s reference voices in the database, then Genetic Algorithm (GA is applied between two randomly chosen reference voices. Again the instant voice is compared with the result of Genetic Algorithm (GA which is used, including its three main steps: selection, crossover and mutation. We illustrate our approach with different sample of voices from human in our institution.

  13. Voice Outcome after Gore-Tex Medialization Thyroplasty.

    Science.gov (United States)

    Elnashar, Ismail; El-Anwar, Mohammad; Amer, Hazem; Quriba, Amal

    2015-07-01

    Introduction Although medialization thyroplasty utilizing Gore-Tex (Gore and Associates, Newark, Delaware, United States) has been discussed in the literature, few reports have assessed voice quality afterward, and they did not use a full assessment protocol. Objective To assess the improvement in voice quality after medialization thyroplasty utilizing Gore-Tex in patients with glottic insufficiency of variable etiology. Methods Eleven patients with glottic insufficiency of different etiologies that failed compensation were operated by type 1 thyroplasty utilizing Gore-Tex. Pre- and postoperative (1 week, 3 months, and 6 months) voice assessment was done and statistical analysis was performed on the results. Results In all postoperative assessments, there was significant improvement in the grade of dysphonia (p Gore-Tex medialization provides reliable results for both subjective and objective voice parameters. It leads to a satisfactory restoration of voice whatever the etiology of glottic incompetence is. This technique is relatively easy and does not lead to major complications. Further studies with larger number of patients and more extended periods of follow-up are still required to assess the long-term results of the technique regarding voice quality and implant extrusion.

  14. Voice Therapy Practices and Techniques: A Survey of Voice Clinicians.

    Science.gov (United States)

    Mueller, Peter B.; Larson, George W.

    1992-01-01

    Eighty-three voice disorder therapists' ratings of statements regarding voice therapy practices indicated that vocal nodules are the most frequent disorder treated; vocal abuse and hard glottal attack elimination, counseling, and relaxation were preferred treatment approaches; and voice therapy is more effective with adults than with children.…

  15. Voice in early glottic cancer compared to benign voice pathology

    NARCIS (Netherlands)

    Van Gogh, C. D. L.; Mahieu, H. F.; Kuik, D. J.; Rinkel, R. N. P. M.; Langendijk, J. A.; Verdonck-de Leeuw, I. M.

    2007-01-01

    The purpose of this study is to compare (Dutch) Voice Handicap Index (VHIvumc) scores from a selected group of patients with voice problems after treatment for early glottic cancer with patients with benign voice disorders and subjects from the normal population. The study included a group of 35 pat

  16. Effect of voice therapy in sulcus vocalis: A single case study

    Directory of Open Access Journals (Sweden)

    R. Rajasudhakar

    2016-02-01

    Full Text Available Background: Sulcus vocalis is a structural deformity of the vocal ligament. It is the focal invagination of the epithelium deeply attaching to the vocal ligament. There is a dearth of literature on the outcome of voice therapy in sulcus vocalis condition.Objective: The primary objective of this study was to document voice characteristics of sulcus vocalis and the secondary objective was to establish the efficacy of voice therapy in a patient with sulcus vocalis.Method: A trial of voice therapy was given to the client who was diagnosed as having sulcus vocalis. Boon’s facilitation techniques were used in voice therapy along with other techniques such as breath holding and push and pull approach prior to surgery. Acoustic, aerodynamic, perceptual, quantitative measures of voice quality and self-rating measurements were performed before and after voice therapy.Results: Improvement was noticed in 10/10 acoustic, 4/4 aerodynamic, perceptual, dysphonia severity index and voice handicap index scores, which hinted that voice therapy can be an option critically for clients with sulcus vocalis in the initial stage.Conclusion: Voice therapy showed promising improvement in the study and it must be recommended as the initial treatment option before any surgical management.

  17. The inner voice

    Directory of Open Access Journals (Sweden)

    Anthony James Ridgway

    2009-12-01

    Full Text Available The inner voice- we all know what it is because we all have it and use it when we are thinking or reading, for example. Little work has been done on it in our field, with the notable exception of Brian Tomlinson, but presumably it must be a cognitive phenomenon which is of great importance in thinking, language learning, and reading in a foreign language. The inner voice will be discussed as a cognitive psychological phenomenon associated with short-term memory, and distinguished from the inner ear. The process of speech recoding will be examined (the process of converting written language into the inner voice and the importance of developing the inner voice, as a means of both facilitating the production of a new language and enhancing the comprehension of a text in a foreign language, will be emphasized. Finally, ways of developing the inner voice in beginning and intermediate readers of a foreign language will be explored and recommended.

  18. Smartphone App for Voice Disorders

    Science.gov (United States)

    ... on. Feature: Taste, Smell, Hearing, Language, Voice, Balance Smartphone App for Voice Disorders Past Issues / Fall 2013 ... developed a mobile monitoring device that relies on smartphone technology to gather a week's worth of talking, ...

  19. Crown lengthening: a surgical flap approach.

    Science.gov (United States)

    Lundergan, W; Hughes, W R

    1996-09-01

    In many instances it is not possible to place a restoration margin without encroaching on the periodontal attachment apparatus. A surgical crown-lengthening procedure can provide a good solution to this common clinical problem. This article discusses indication and contraindication for surgical crown-lengthening procedures and presents an appropriate surgical technique.

  20. Surgical Assisting

    Science.gov (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  1. [Larynx cancer: quality of life and voice after treatment].

    Science.gov (United States)

    Rossi, Vaneli Colombo; Fernandes, Fernando Laffitte; Ferreira, Maria Augusta Aliperti; Bento, Lucas Ricci; Pereira, Pablo Soares Gomes; Chone, Carlos Takahiro

    2014-01-01

    Treatments for patients with laryngeal cancer often have an impact on physical, social, and psychological functions. To evaluate quality of life and voice in patients treated for advanced laryngeal cancer through surgery or exclusive chemoradiation. Retrospective cohort study with 30 patients free from disease: ten total laryngectomy patients without production of esophageal speech (ES); ten total laryngectomy patients with tracheoesophageal speech (TES), and ten with laryngeal speech. Quality of life was measured by SF-36, Voice-Related Quality of Life (V-RQOL), and Voice Handicap Index (VHI) protocols, applied on the same day. The SF-36 showed that patients who received exclusive chemoradiotherapy had better quality of life than the TES and ES groups. The V-RQOL showed that the voice-related quality of life was lower in the ES group. In the VHI, the ES group showed higher scores for overall, emotional, functional, and organic VHI. Quality of life and voice in patients treated with chemoradiotherapy was better than in patients treated surgically. The type of medical treatment used in patients with laryngeal cancer can bring changes in quality of life and voice. Copyright © 2014 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  2. Sustainable Consumer Voices

    DEFF Research Database (Denmark)

    Klitmøller, Anders; Rask, Morten; Jensen, Nevena

    2011-01-01

    Aiming to explore how user driven innovation can inform high level design strategies, an in-depth empirical study was carried out, based on data from 50 observations of private vehicle users. This paper reports the resulting 5 consumer voices: Technology Enthusiast, Environmentalist, Design Lover......, Pragmatist and Status Seeker. Expedient use of the voices in creating design strategies is discussed, thus contributing directly to the practice of high level design managers. The main academic contribution of this paper is demonstrating how applied anthropology can be used to generate insights...... into disruptive emergence of product service systems, where quantitative user analyses rely on historical continuation....

  3. VoiceRelay: voice key operation using visual basic.

    Science.gov (United States)

    Abrams, Lise; Jennings, David T

    2004-11-01

    Using a voice key is a popular method for recording vocal response times in a variety of language production tasks. This article describes a class module called VoiceRelay that can be easily utilized in Visual Basic programs for voice key operation. This software-based voice key offers the precision of traditional voice keys (although accuracy is system dependent), as well as the flexibility of volume and sensitivity control. However, VoiceRelay is a considerably less expensive alternative for recording vocal response times because it operates with existing PC hardware and does not require the purchase of external response boxes or additional experiment-generation software. A sample project demonstrating implementation of the VoiceRelay class module may be downloaded from the Psychonomic Society Web archive, www.psychonomic.org/archive.

  4. Voice application development for Android

    CERN Document Server

    McTear, Michael

    2013-01-01

    This book will give beginners an introduction to building voice-based applications on Android. It will begin by covering the basic concepts and will build up to creating a voice-based personal assistant. By the end of this book, you should be in a position to create your own voice-based applications on Android from scratch in next to no time.Voice Application Development for Android is for all those who are interested in speech technology and for those who, as owners of Android devices, are keen to experiment with developing voice apps for their devices. It will also be useful as a starting po

  5. 两种牙周术式对龈下残根桩核冠修复的疗效分析%Restorative effects of gingivectomy and surgical crown lengthening on subgingival residual roots

    Institute of Scientific and Technical Information of China (English)

    邓霞; 何陨

    2014-01-01

    目的:比较牙龈切除术与牙冠延长术应用于龈下残根的修复效果。方法选择龈下残根患牙32颗,分别采用牙龈切除术与牙冠延长术完全暴露断面,再行常规桩冠修复,通过术前、术后2周、6周及3个月复查观察患牙牙周探诊深度、出血指数、牙齿松动度,比较两组的临床疗效。结果术后2周牙冠延长术组患牙断缘均有效暴露,牙龈切除术组有4颗患牙因牙龈增生而排除,其余患牙术后2周、6周及3个月复查时龈袋深度、出血指数均比术前明显减少,牙冠延长术组的牙周指数均明显低于牙龈切除术组。结论在严格的适应证范围内,牙龈切除术与牙冠延长术应用于龈下残根均能暴露断缘,冠修复后效果后者的临床疗效优于前者。%Objective The effects of gingivectomy and surgical crown lengthening methods were compared on deep-seated subgingival residual roots. Methods Thirty-two teeth were selected and divided into A group (surgical crown lengthening group) and B group (gingivectomy group). Regular restoration of post-core crowns were performed after the teeth cross-section were completely exposed. The clinic effects were compared by measuring probing depth (PD), bleeding index (BI) and tooth mobility (TM) at the time of pre-operation, 2 weeks, 6 weeks and 3months after surgery. Results The cross-sections of the subgingival residual roots could be exposed effectively in both groups after periodontal surgery immediately. However, there were 4 residual roots be excluded because of the gum hyperplasia after 2 weeks of surgery. The periodontal index (PI) of the other teeth such as PD, BI and mobility degree (MD) decreased obviously at the time of 2 weeks, 6 weeks and 3 months after surgery, and the PI of A group were less than B group. Conclusion The cross-sections of the subgingival residual roots could be exposed by surgical crown lengthening and gingivectomy methods in the proper

  6. Sustainable Consumer Voices

    DEFF Research Database (Denmark)

    Klitmøller, Anders; Rask, Morten; Jensen, Nevena

    2011-01-01

    Aiming to explore how user driven innovation can inform high level design strategies, an in-depth empirical study was carried out, based on data from 50 observations of private vehicle users. This paper reports the resulting 5 consumer voices: Technology Enthusiast, Environmentalist, Design Lover...

  7. Voices of courage

    Directory of Open Access Journals (Sweden)

    Noraida Abdullah Karim

    2007-07-01

    Full Text Available In May 2007 the Women’s Commission for Refugee Women and Children1 presented its annual Voices of Courage awards to three displaced people who have dedicated their lives to promoting economic opportunities for refugee and displaced women and youth. These are their (edited testimonies.

  8. Listen to a voice

    DEFF Research Database (Denmark)

    Hølge-Hazelton, Bibi

    2001-01-01

    Listen to the voice of a young girl Lonnie, who was diagnosed with Type 1 diabetes at 16. Imagine that she is deeply involved in the social security system. She lives with her mother and two siblings in a working class part of a small town. She is at a special school for problematic youth, and he...

  9. Political animal voices

    NARCIS (Netherlands)

    Meijer, E.R.

    2017-01-01

    In this thesis, I develop a theory of political animal voices. The first part of the thesis focuses on non-human animal languages and forming interspecies worlds. I first investigate the relation between viewing language as exclusively human and seeing humans as categorically different from other

  10. Finding a Voice

    Science.gov (United States)

    Stuart, Shannon

    2012-01-01

    Schools have struggled for decades to provide expensive augmentative and alternative communication (AAC) resources for autistic students with communication challenges. Clunky voice output devices, often included in students' individualized education plans, cost about $8,000, a difficult expense to cover in hard times. However, mobile technology is…

  11. the Voice of Tomorrow

    Institute of Scientific and Technical Information of China (English)

    AlanBurdick

    2003-01-01

    Have you heard Mide? Coule be.Mike is a professional reader,and he's everywhere these days. On MapQuest, the Web-based map service,he'll read aloud whatever directions you ask for. If you like to have AOL or Yahoo! e-mail read aloud to you over the phone, that's Mike's voice you 're hearing. Soon

  12. What the voice reveals.

    NARCIS (Netherlands)

    Ko, Sei Jin

    2007-01-01

    Given that the voice is our main form of communication, we know surprisingly little about how it impacts judgment and behavior. Furthermore, the modern advancement in telecommunication systems, such as cellular phones, has meant that a large proportion of our everyday interactions are conducted voca

  13. The Inner Voice

    Science.gov (United States)

    Ridgway, Anthony James

    2009-01-01

    The inner voice- we all know what it is because we all have it and use it when we are thinking or reading, for example. Little work has been done on it in our field, with the notable exception of Brian Tomlinson, but presumably it must be a cognitive phenomenon which is of great importance in thinking, language learning, and reading in a foreign…

  14. Moving beyond Youth Voice

    Science.gov (United States)

    Serido, Joyce; Borden, Lynne M.; Perkins, Daniel F.

    2011-01-01

    This study combines research documenting the benefits of positive relationships between youth and caring adults on a young person's positive development with studies on youth voice to examine the mechanisms through which participation in youth programs contributes to positive developmental outcomes. Specifically, the study explores whether youth's…

  15. Bodies and Voices

    DEFF Research Database (Denmark)

    A wide-ranging collection of essays centred on readings of the body in contemporary literary and socio-anthropological discourse, from slavery and rape to female genital mutilation, from clothing, ocular pornography, voice, deformation and transmutation to the imprisoned, dismembered, remembered...

  16. Voices for Careers.

    Science.gov (United States)

    York, Edwin G.; Kapadia, Madhu

    Listed in this annotated bibliography are 502 cassette tapes of value to career exploration for Grade 7 through the adult level, whether as individualized instruction, small group study, or total class activity. Available to New Jersey educators at no charge, this Voices for Careers System is also available for duplication on request from the New…

  17. What the voice reveals

    NARCIS (Netherlands)

    Ko, Sei Jin

    2007-01-01

    Given that the voice is our main form of communication, we know surprisingly little about how it impacts judgment and behavior. Furthermore, the modern advancement in telecommunication systems, such as cellular phones, has meant that a large proportion of our everyday interactions are conducted voca

  18. Bodies and Voices

    DEFF Research Database (Denmark)

    A wide-ranging collection of essays centred on readings of the body in contemporary literary and socio-anthropological discourse, from slavery and rape to female genital mutilation, from clothing, ocular pornography, voice, deformation and transmutation to the imprisoned, dismembered, remembered...

  19. Changing trends in hair restoration surgery

    Directory of Open Access Journals (Sweden)

    Venkataram Mysore

    2006-01-01

    Full Text Available Androgenetic alopecia is an important and common cause for baldness. Despite recent advances, the drug therapy of this condition remains unsatisfactory. Surgical hair restoration is the only permanent method of treating this condition. Introduction of recent techniques such as follicular unit transplantation have improved the cosmetic results and patient satisfaction. This article discusses the latest trends in hair restoration surgery.

  20. Restoring forests

    DEFF Research Database (Denmark)

    Jacobs, Douglass F.; Oliet, Juan A.; Aronson, James

    2015-01-01

    of land requiring restoration implies the need for spatial prioritization of restoration efforts according to cost-benefit analyses that include ecological risks. To design resistant and resilient ecosystems that can adapt to emerging circumstances, an adaptive management approach is needed. Global change......, in particular, imparts a high degree of uncertainty about the future ecological and societal conditions of forest ecosystems to be restored, as well as their desired goods and services. We must also reconsider the suite of species incorporated into restoration with the aim of moving toward more stress resistant...... and competitive combinations in the longer term. Non-native species may serve an important role under some circumstances, e.g., to facilitate reintroduction of native species. Propagation and field establishment techniques must promote survival through seedling stress resistance and site preparation. An improved...

  1. April 16th : The World Voice Day

    NARCIS (Netherlands)

    Svec, Jan G.; Behlau, Mara

    2007-01-01

    Although the voice is used as an everyday basis of speech, most people realize its importance only when a voice problem arises. Increasing public awareness of the importance of the voice and alertness to voice problems are the main goals of the World Voice Day, which is celebrated yearly on April 16

  2. Risk factors for voice problems in teachers

    NARCIS (Netherlands)

    Kooijman, P. G. C.; de Jong, F. I. C. R. S.; Thomas, G.; Huinck, W.; Donders, R.; Graamans, K.; Schutte, H. K.

    2006-01-01

    In order to identify factors that are associated with voice problems and voice-related absenteeism in teachers, 1,878 questionnaires were analysed. The questionnaires inquired about personal data, voice complaints, voice-related absenteeism from work and conditions that may lead to voice complaints

  3. You're a What? Voice Actor

    Science.gov (United States)

    Liming, Drew

    2009-01-01

    This article talks about voice actors and features Tony Oliver, a professional voice actor. Voice actors help to bring one's favorite cartoon and video game characters to life. They also do voice-overs for radio and television commercials and movie trailers. These actors use the sound of their voice to sell a character's emotions--or an advertised…

  4. Risk factors for voice problems in teachers

    NARCIS (Netherlands)

    Kooijman, P. G. C.; de Jong, F. I. C. R. S.; Thomas, G.; Huinck, W.; Donders, R.; Graamans, K.; Schutte, H. K.

    2006-01-01

    In order to identify factors that are associated with voice problems and voice-related absenteeism in teachers, 1,878 questionnaires were analysed. The questionnaires inquired about personal data, voice complaints, voice-related absenteeism from work and conditions that may lead to voice complaints

  5. Risk factors for voice problems in teachers.

    NARCIS (Netherlands)

    Kooijman, P.G.C.; Jong, F.I.C.R.S. de; Thomas, G.; Huinck, W.J.; Donders, A.R.T.; Graamans, K.; Schutte, H.K.

    2006-01-01

    In order to identify factors that are associated with voice problems and voice-related absenteeism in teachers, 1,878 questionnaires were analysed. The questionnaires inquired about personal data, voice complaints, voice-related absenteeism from work and conditions that may lead to voice complaints

  6. [Use of standard protocols in the evaluation of voice disorders].

    Science.gov (United States)

    Arias, C; Bless, D M; Khidr, A

    1992-01-01

    The purpose of this paper is to present a protocol for the use of standard forms in the evaluation of laryngeal structure and function in patients with voice disorders. The forms are designed to cover all the essential parameters needed to reach an accurate descriptive diagnosis which allows us to have an appropriate therapy plan according to the individual's detailed observations. It also gives us a consistent standardized evaluation form to measure changes after therapy whether behavioral, medical or surgical, and to compare different observations across patients. Reporting observations in this consistent manner will make characteristic patterns of different vocal behaviors readily obvious to the researcher or the clinician and reduce the possibility of missing any important details. The protocols are: indirect laryngoscopy, video-stroboscopic-evaluation form, functional voice and auditory perceptual voice evaluation.

  7. Voice Outcome after Gore-Tex Medialization Thyroplasty

    Directory of Open Access Journals (Sweden)

    Elnashar, Ismail

    2015-02-01

    Full Text Available Introduction Although medialization thyroplasty utilizing Gore-Tex (Gore and Associates, Newark, Delaware, United States has been discussed in the literature, few reports have assessed voice quality afterward, and they did not use a full assessment protocol. Objective To assess the improvement in voice quality after medialization thyroplasty utilizing Gore-Tex in patients with glottic insufficiency of variable etiology. Methods Eleven patients with glottic insufficiency of different etiologies that failed compensation were operated by type 1 thyroplasty utilizing Gore-Tex. Pre- and postoperative (1 week, 3 months, and 6 months voice assessment was done and statistical analysis was performed on the results. Results In all postoperative assessments, there was significant improvement in the grade of dysphonia (p < 0.004 and highly significant reduction in the size of glottic gap and prolongation of maximum phonation time (p < 0.0001. The difference in voice parameters in the early (1 week and the late (3 and 6 months postoperative period was not significant. None of the patients developed stridor or shortness of breath necessitating tracheotomy, and there was no implant extrusion in any patient during the study period. Conclusion Gore-Tex medialization provides reliable results for both subjective and objective voice parameters. It leads to a satisfactory restoration of voice whatever the etiology of glottic incompetence is. This technique is relatively easy and does not lead to major complications. Further studies with larger number of patients and more extended periods of follow-up are still required to assess the long-term results of the technique regarding voice quality and implant extrusion.

  8. 再造鼓膜—耳道角与鼓膜锥度重塑的外科技术%Surgical techniques for restoration of the anterior tympanomeatal angle and conical shape of the reconstructed tympanic membrane in myringoplasty

    Institute of Scientific and Technical Information of China (English)

    孙建军; 闫智强; 林勇生; 刘娅; 于湛; 马晓瑜; 徐成波

    2012-01-01

    目的 探讨再造鼓膜-耳道角度及锥度重塑的外科技术,以利听力重建.方法 应用内-外植术式(underlay-overlay grafting)及颞筋膜-锤骨柄相嵌固定方法修复鼓膜大穿孔64例(耳),男性35例,女性29例,鼓膜穿孔病程≥3年.结果 术后随访8个月-3年,其中2年以上者45例.鼓膜一期愈合率95.3%(61例),内窥镜观察鼓膜形态及耳道角度满意者51例(79.7%),声阻抗测试结果示鼓膜声顺值>1.0ml 25例,≤1.0ml 20例.鼓室压曲线A型36例,B型3例,C型6例.纯音测听(PTA)较术前平均提高15dBHL.结论 应用内-外植法方法,结合筋膜剪口与锤骨柄相嵌处理,有助于恢复再造鼓膜-耳道角度与锥度,是修复鼓膜大穿孔并重塑其形态的重要技术.%Objective To review results of myringoplasty using a surgical technique to restore the anterior tympano-meatal angle as well as the shape of reconstructed tympanic membrane. Methods Myringoplasty was performed on 64 ears (35 males and 29 females) using an underlay/overlay graft technique, with a slit cut in the graft to accommodate the malleus handle. All patients had a history of otitis media of no less than 3 years. Patients were followed up for 8 months - 3 years. Results The reconstructed tympanic membrane healed in 95.3% (n=61) of the cases, with satisfying anterior tympanomeatal angle and tympanic membrane shape in 51 cases.. Acoustic impedance test in the 45 cases followed up for more than 2 years showed that static compliance value was > 1.0 ml in 25 cases, and < 1.0 ml in 20 cases. Tympanogram was with type A in 36 cases, type B in 3 cases, and type C in 6 cases. PTA on audiogram improved by 15 dB on average. Conclusion The underlay/overlay graft technique with a slit in the graft to accommodate the malleus handle used in this study appears to offer improved restoration of the anterior tympanomeatal angle and the shape of the reconstructed tympanic membrane in myringoplasty, which is considered an

  9. Aesthetic Surgical Crown Lengthening Procedure

    OpenAIRE

    2015-01-01

    The aim of this case report was to describe the surgical sequence of crown lengthening to apically reposition the dentogingival complex, in addition to an esthetic restorative procedure. Many different causes can be responsible for short clinical crown. In these cases, the correct execution of a restorative or prosthetic rehabilitation requires an increasing of the crown length. According to the 2003 American Academy of Periodontology (Practice Profile Survey), crown lengthening is the most h...

  10. Keyboard With Voice Output

    Science.gov (United States)

    Huber, W. C.

    1986-01-01

    Voice synthesizer tells what key is about to be depressed. Verbal feedback useful for blind operators or where dim light prevents sighted operator from seeing keyboard. Also used where operator is busy observing other things while keying data into control system. Used as training aid for touch typing, and to train blind operators to use both standard and braille keyboards. Concept adapted to such equipment as typewriters, computers, calculators, telephones, cash registers, and on/off controls.

  11. Gendered violence and restorative justice: the views of victim advocates.

    Science.gov (United States)

    Curtis-Fawley, Sarah; Daly, Kathleen

    2005-05-01

    The use of restorative justice for gendered violence has been debated in the feminist literature for some time. Critics warn that it is inappropriate because the process and outcomes are not sufficiently formal or stringent, and victims may be revictimized. Proponents assert that a restorative justice process may be better for victims than court because it holds offenders accountable and gives victims greater voice. This article presents what victim advocates in two Australian states think about using restorative justice for gendered violence. We find that although victim advocates have concerns and reservations about restorative justice, most saw positive elements.

  12. Why Is My Voice Changing? (For Teens)

    Science.gov (United States)

    ... Week of Healthy Breakfasts Shyness Why Is My Voice Changing? KidsHealth > For Teens > Why Is My Voice ... deeper than a girl's, though. What Causes My Voice to Change? At puberty, guys' bodies begin producing ...

  13. Common Problems That Can Affect Your Voice

    Science.gov (United States)

    ... near you Common Problems That Can Affect Your Voice Common Problems That Can Affect Your Voice Patient ... that traditionally accompany gastro esophageal reflux disease (GERD). Voice Misuse and Overuse Speaking is a physical task ...

  14. Surgical management of presbyopia

    Directory of Open Access Journals (Sweden)

    Torricelli AA

    2012-09-01

    Full Text Available André AM Torricelli, Jackson B Junior, Marcony R Santhiago, Samir J BecharaDivision of Ophthalmology, University of São Paulo Medical School, São Paulo, BrazilAbstract: Presbyopia, the gradual loss of accommodation that becomes clinically significant during the fifth decade of life, is a physiologic inevitability. Different technologies are being pursued to achieve surgical correction of this disability; however, a number of limitations have prevented widespread acceptance of surgical presbyopia correction, such as optical and visual distortion, induced corneal ectasia, haze, anisometropy with monovision, regression of effect, decline in uncorrected distance vision, and the inherent risks with invasive techniques, limiting the development of an ideal solution. The correction of the presbyopia and the restoration of accommodation are considered the final frontier of refractive surgery. The purpose of this paper is to provide an update about current procedures available for presbyopia correction, their advantages, and disadvantages.Keywords: presbyopia, surgical correction, treatment

  15. Treatment of aging vocal folds: surgical approaches.

    Science.gov (United States)

    Seino, Yutomo; Allen, Jacqui E

    2014-12-01

    Aging may affect the voice through either physiological or pathological changes. Globally society is aging and the working lifetime is extending. Increasing numbers of elderly will present with voice issues. This review examines current thinking regarding surgical treatment of the aging voice. The mainstay of surgical treatment remains injection laryngoplasty and medialization thyroplasty. In-office injection laryngoplasty is increasingly common. Data suggest that patients with vocal fold atrophy do not achieve as much benefit from augmentation treatments as other causes of glottal incompetence. In addition the timing of injection laryngoplasty may influence the rate of subsequent medialization thyroplasty. Disease-specific treatments can provide some benefit to voice, such as deep brain stimulation in Parkinson's disease. Novel treatments including growth factor therapy are entering clinical practice and will provide new options for the clinician in future. Voice disorders affect approximately 20% of the elderly population. Causes include neurologic, malignant, iatrogenic and benign vocal fold disorders. These should be ruled out before accepting dysphonia is age-related in nature. Treatment should be specific to recognized vocal disorders but may also address physiologic changes in the glottis. Injection laryngoplasty and thyroplasty remain effective options for treating glottal incompetence but novel therapies are showing promising results.

  16. Voice and silence in organizations

    Directory of Open Access Journals (Sweden)

    Moaşa, H.

    2011-01-01

    Full Text Available Unlike previous research on voice and silence, this article breaksthe distance between the two and declines to treat them as opposites. Voice and silence are interrelated and intertwined strategic forms ofcommunication which presuppose each other in such a way that the absence of one would minimize completely the other’s presence. Social actors are not voice, or silence. Social actors can have voice or silence, they can do both because they operate at multiple levels and deal with multiple issues at different moments in time.

  17. The impact of voice on speech realization

    OpenAIRE

    Jelka Breznik

    2014-01-01

    The study discusses spoken literary language and the impact of voice on speech realization. The voice consists of a sound made by a human being using the vocal folds for talking, singing, laughing, crying, screaming… The human voice is specifically the part of human sound production in which the vocal folds (vocal cords) are the primary sound source. Our voice is our instrument and identity card. How does the voice (voice tone) affect others and how do they respond, positively or negatively? ...

  18. ramic restorations

    Directory of Open Access Journals (Sweden)

    Ashish R Jain

    2013-01-01

    Full Text Available Rehabilitation of a patient with severely worn dentition after restoring the vertical dimension is a complex procedure and assessment of the vertical dimension is an important aspect in these cases. This clinical report describes the full mouth rehabilitation of a patient who was clinically monitored to evaluate the adaptation to a removable occlusal splint to restore vertical dimension for a period 1 month and provisional restorations to determine esthetic and functional outcome for a period of 3 months. It is necessary to recognizing that form follows function and that anterior teeth play a vital role in the maintenance of oral health. Confirmation of tolerance to changes in the vertical dimension of occlusion (VDO is of paramount importance. Articulated study casts and a diagnostic wax-up can provide important information for the evaluation of treatment options. Alteration of the VDO should be conservative and should not be changed without careful consideration.

  19. Restoring gingival harmony around single tooth implants.

    Science.gov (United States)

    Reikie, D F

    1995-07-01

    One of the biggest challenges to restoring a single tooth implant in the esthetic zone of the mouth is the creation of harmonious gingival contour around the restoration. Soft- or hard-tissue deficiencies of the edentulous space are the most common obstacles to achieving gingival symmetry around the proposed restoration. Numerous gingival and osseous grafting and regeneration techniques are available but may complicate treatment by increasing the number of surgical procedures and sites necessary. This article describes a technique for treating mild-to-moderate ridge defects without the required additional surgical procedures or a surgical donor site. Soft-tissue overcontouring is provided around the healing abutment by modification of the surgical flap at second-stage implant surgery. Subsequent gingivoplasty allows establishment of anatomic gingival architecture that surrounds the single implant prosthesis.

  20. 超声骨刀行冠延长术后纤维桩修复上颌前牙的临床应用%Clinical application of fiber posts in restoring maxillary anterior teeth after surgical crown lengthening by piezosurgery

    Institute of Scientific and Technical Information of China (English)

    李张维; 康成容; 吴妹娟; 王玉栋; 潘宣

    2015-01-01

    目的 观察保留冠折位于龈下的上颌前牙残根残冠,使用超声骨刀行冠延长术后纤维桩修复的临床疗效.方法 27例患者共32颗患牙,经完善的根管治疗后使用超声骨刀行冠延长术,术后6周复诊,采用纤维桩、双固化树脂水门汀及复合树脂材料恢复桩核,二氧化锆烤瓷冠修复.术后通过临床和X线片检查评估修复体的临床疗效.结果 27例患者的32颗患牙经过1~3年期间的随访检查,成功29颗(90.6%),失败3颗(9.4%).结论 超声骨刀应用于上颌前牙冠延长术,并联合纤维桩修复,可取得良好的治疗效果.%Objective To observe the clinical effects of fiber posts in restoring maxillary anterior teeth after surgical crown lengthening by piezosurgery. Methods After root canal therapy, 32 teeth from 27 patients were lengthened with piezosurgery. After 6 weeks, they were restored by fiber posts, dual cure resin cement, composite res-in material. And then, zirconia crowns were applied to restore them. The patients were observed the restoration effects by clinical results and X-ray. Results The 32 teeth from 27 patients were followed up for 1~3 years, with 29 teeth successfully restored (90.6%) and 3 teeth unsuccessfully restored (9.4%). Conclusion A satisfactory treatment ef-fects could be achieved by surgical crown lengthening with piezosurgery and fiber posts in restoring maxillary ante-rior teeth.

  1. Pedagogic Voice: Student Voice in Teaching and Engagement Pedagogies

    Science.gov (United States)

    Baroutsis, Aspa; McGregor, Glenda; Mills, Martin

    2016-01-01

    In this paper, we are concerned with the notion of "pedagogic voice" as it relates to the presence of student "voice" in teaching, learning and curriculum matters at an alternative, or second chance, school in Australia. This school draws upon many of the principles of democratic schooling via its utilisation of student voice…

  2. Vocal improvement after voice therapy in the treatment of benign vocal fold lesions.

    Science.gov (United States)

    Schindler, A; Mozzanica, F; Ginocchio, D; Maruzzi, P; Atac, M; Ottaviani, F

    2012-10-01

    Benign vocal fold lesions are common in the general population, and have important public health implications and impact on patient quality of life. Nowadays, phonomicrosurgery is the most common treatment of these lesions. Voice therapy is generally associated in order to minimize detrimental vocal behaviours that increase the stress at the mid-membranous vocal folds. Nonetheless, the most appropriate standard of care for treating benign vocal fold lesion has not been established. The aim of this study was to analyze voice changes in a group of dysphonic patients affected by benign vocal fold lesions, evaluated with a multidimensional protocol before and after voice therapy. Sixteen consecutive patients, 12 females and 4 males, with a mean age of 49.7 years were enrolled. Each subject had 10 voice therapy sessions with an experienced speech/language pathologist for a period of 1-2 months, and was evaluated before and at the end of voice therapy with a multidimensional protocol that included self-assessment measures and videostroboscopic, perceptual, aerodynamic and acoustic ratings. Videostroboscopic examination did not reveal resolution of the initial pathology in any case. No improvement was observed in aerodynamic and perceptual ratings. A clear and significant improvement was visible on Wilcoxon signed-rank test for the mean values of Jitt%, Noise to Harmonic Ratio (NHR) and Voice Handicap Index (VHI) scores. Even if it is possible that, for benign vocal fold lesions, only a minor improvement of voice quality can be achieved after voice therapy, rehabilitation treatment still seems useful as demonstrated by improvement in self-assessment measures. If voice therapy is provided as an initial treatment to the patients with benign vocal fold lesions, this may lead to an improvement in the perceived voice quality, making surgical intervention unnecessary. This is one of the first reports on the efficacy of voice therapy in the management of benign vocal fold

  3. Environmental Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Zeevaert, T.; Vanmarcke, H

    1998-07-01

    The objectives of SCK-CEN's programme on environmental restoration are (1) to optimize and validate models for the impact assessment from environmental, radioactive contaminations, including waste disposal or discharge; (2) to support the policy of national authorities for public health and radioactive waste management. Progress and achievements in 1997 are reported.

  4. Site Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Noynaert, L.; Bruggeman, A.; Cornelissen, R.; Massaut, V.; Rahier, A

    2001-04-01

    The objectives, the programme, and the achievements of the Site Restoration Department of SCK-CEN in 2000 are summarised. Main activities include the decommissioning of the BR3 PWR-reactor as well as other clean-up activities, projects on waste minimisation and activities related to the management of decommissioning projects. The department provides consultancy and services to external organisations.

  5. Restorative neuroscience

    DEFF Research Database (Denmark)

    Andres, Robert H; Meyer, Morten; Ducray, Angélique D

    2008-01-01

    There is increasing interest in the search for therapeutic options for diseases and injuries of the central nervous system (CNS), for which currently no effective treatment strategies are available. Replacement of damaged cells and restoration of function can be accomplished by transplantation of...

  6. Voice and Speech after Laryngectomy

    Science.gov (United States)

    Stajner-Katusic, Smiljka; Horga, Damir; Musura, Maja; Globlek, Dubravka

    2006-01-01

    The aim of the investigation is to compare voice and speech quality in alaryngeal patients using esophageal speech (ESOP, eight subjects), electroacoustical speech aid (EACA, six subjects) and tracheoesophageal voice prosthesis (TEVP, three subjects). The subjects reading a short story were recorded in the sound-proof booth and the speech samples…

  7. Voice Quality of Psychological Origin

    Science.gov (United States)

    Teixeira, Antonio; Nunes, Ana; Coimbra, Rosa Lidia; Lima, Rosa; Moutinho, Lurdes

    2008-01-01

    Variations in voice quality are essentially related to modifications of the glottal source parameters, such as: F[subscript 0], jitter, and shimmer. Voice quality is affected by prosody, emotional state, and vocal pathologies. Psychogenic vocal pathology is particularly interesting. In the present case study, the speaker naturally presented a…

  8. Voice handicap index in Swedish.

    Science.gov (United States)

    Ohlsson, Ann-Christine; Dotevall, Hans

    2009-01-01

    The objective of this study was to evaluate a Swedish version of the voice handicap index questionnaire (Sw-VHI). A total of 57 adult, dysphonic patients and 15 healthy controls completed the Sw-VHI and rated the degree of vocal fatigue and hoarseness on visual analogue scales. A perceptual voice evaluation was also performed. Test-retest reliability was analyzed in 38 subjects without voice complaints. Sw-VHI distinguished between dysphonic subjects and controls (P 0.84) and test-retest reliability (intraclass correlation coefficient >0.75) were good. Only moderate or weak correlations were found between Sw-VHI and the subjective and perceptual voice ratings. The data indicate that a difference above 13 points for the total Sw-VHI score and above 6 points for the Sw-VHI subscales is significant for an individual when comparing two different occasions. In conclusion, the Sw-VHI appears to be a robust instrument for assessment of the psycho-social impact of a voice disorder. However, Sw-VHI seems to, at least partly, capture different aspects of voice function to the subjective voice ratings and the perceptual voice evaluation.

  9. Enhancing Author's Voice through Scripting

    Science.gov (United States)

    Young, Chase J.; Rasinski, Timothy V.

    2011-01-01

    The authors suggest using scripting as a strategy to mentor and enhance author's voice in writing. Through gradual release, students use authentic literature as a model for writing with voice. The authors also propose possible extensions for independent practice, integration across content areas, and tips for evaluation.

  10. Voice, Schooling, Inequality, and Scale

    Science.gov (United States)

    Collins, James

    2013-01-01

    The rich studies in this collection show that the investigation of voice requires analysis of "recognition" across layered spatial-temporal and sociolinguistic scales. I argue that the concepts of voice, recognition, and scale provide insight into contemporary educational inequality and that their study benefits, in turn, from paying attention to…

  11. Voices in History

    Directory of Open Access Journals (Sweden)

    Ivan Leudar

    2001-06-01

    Full Text Available Experiences of “hearing voices” nowadays usually count as verbal hallucinations and they indicate serious mental illness. Some are first rank symptoms of schizophrenia, and the mass media, at least in Britain, tend to present them as antecedents of impulsive violence. They are, however, also found in other psychiatric conditions and epidemiological surveys reveal that even individuals with no need of psychiatric help can hear voices, sometimes following bereavement or abuse, but sometimes for no discernible reason. So do these experiences necessarily mean insanity and violence, and must they be thought of as pathogenic hallucinations; or are there other ways to understand them and live with them, and with what consequences?One way to make our thinking more flexible is to turn to history. We find that hearing voices was always an enigmatic experience, and the people who had it were rare. The gallery of voice hearers is, though, distinguished and it includes Galilei, Bunyan and St Teresa. Socrates heard a daemon who guided his actions, but in his time this did not signify madness, nor was it described as a hallucination. Yet in 19th century French psychological medicine the daemon became a hallucination and Socrates was retrospectively diagnosed as mentally ill. This paper examines the controversies which surrounded the experience at different points in history as well as the practice of retrospective psychiatry. The conclusion reached on the basis of the historical materials is that the experience and the ontological status it is ascribed are not trans-cultural or trans-historic but situated both in history and in the contemporary conflicts.

  12. Facing Sound - Voicing Art

    DEFF Research Database (Denmark)

    Lønstrup, Ansa

    2013-01-01

    This article is based on examples of contemporary audiovisual art, with a special focus on the Tony Oursler exhibition Face to Face at Aarhus Art Museum ARoS in Denmark in March-July 2012. My investigation involves a combination of qualitative interviews with visitors, observations of the audienc......´s interactions with the exhibition and the artwork in the museum space and short analyses of individual works of art based on reception aesthetics and phenomenology and inspired by newer writings on sound, voice and listening....

  13. Voice over IP Security

    CERN Document Server

    Keromytis, Angelos D

    2011-01-01

    Voice over IP (VoIP) and Internet Multimedia Subsystem technologies (IMS) are rapidly being adopted by consumers, enterprises, governments and militaries. These technologies offer higher flexibility and more features than traditional telephony (PSTN) infrastructures, as well as the potential for lower cost through equipment consolidation and, for the consumer market, new business models. However, VoIP systems also represent a higher complexity in terms of architecture, protocols and implementation, with a corresponding increase in the potential for misuse. In this book, the authors examine the

  14. Effects on vocal range and voice quality of singing voice training: the classically trained female voice.

    Science.gov (United States)

    Pabon, Peter; Stallinga, Rob; Södersten, Maria; Ternström, Sten

    2014-01-01

    A longitudinal study was performed on the acoustical effects of singing voice training under a given study program, using the voice range profile (VRP). Pretraining and posttraining recordings were made of students who participated in a 3-year bachelor singing study program. A questionnaire that included questions on optimal range, register use, classification, vocal health and hygiene, mixing technique, and training goals was used to rate and categorize self-assessed voice changes. Based on the responses, a subgroup of 10 classically trained female voices was selected, which was homogeneous enough for effects of training to be identified. The VRP perimeter contour was analyzed for effects of voice training. Also, a mapping within the VRP of voice quality, as expressed by the crest factor, was used to indicate the register boundaries and to monitor the acoustical consequences of the newly learned vocal technique of "mixed voice." VRPs were averaged across subjects. Findings were compared with the self-assessed vocal changes. Pre/post comparison of the average VRPs showed, in the midrange, (1) a decrease in the VRP area that was associated with the loud chest voice, (2) a reduction of the crest factor values, and (3) a reduction of maximum sound pressure level values. The students' self-evaluations of the voice changes appeared in some cases to contradict the VRP findings. VRPs of individual voices were seen to change over the course of a singing education. These changes were manifest also in the average group. High-resolution computerized recording, complemented with an acoustic register marker, allows a meaningful assessment of some effects of training, on an individual basis and for groups that comprise singers of a specific genre. It is argued that this kind of investigation is possible only within a focused training program, given by a faculty who has agreed on the goals. Copyright © 2014 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

  15. Prosthetic Rehabilitation of Maxillectomy Patient with Post-Surgical Obturator: A Case Report

    Directory of Open Access Journals (Sweden)

    Meena Kumari Mishra

    2015-07-01

    Full Text Available Case description: A 60 year old female patient presented to Department of Prosthodontics, CODS, BPKIHS, Dharan with a chief complain of loose obturator. History revealed that patient had undergone partial maxillectomy for squamous cell carcinoma 7 years back. The patient also has been wearing obturator which was loose when the patient reported to the department. On examination, the site of surgery was the maxillary right buccal sulcus area and a part of the hard palate including teeth number 11, 12, 13, 14, 15, 16, 17. The presented defect situation corresponded to a Class I situation (resection performed along the palatalmidline according to the Aramany classification of defects. The surgical site showed complete healing. A hollow-bulb obturator was fabricated for rehabilitation of the defect. Conclusion: The extensive surgical procedures necessary to eradicate cancer of the head and neck and to prevent local recurrence or regional metastasis often leave extremely large physical defects which present almost insurmountable surgical difficulties in restoring acceptable function or esthetics. The prosthesis rehabilitated the patient in terms of function by providing better masticatory efficiency, phonetics by adding resonance to the voice, hence improving the clarity of speech and also improved the esthetics of the patient. DOI: http://dx.doi.org/10.3126/jcmsn.v10i4.12976 JCMS Nepal 2014; 10(4:32-36

  16. Questioning Photovoice Research: Whose Voice?

    Science.gov (United States)

    Evans-Agnew, Robin A; Rosemberg, Marie-Anne S

    2016-07-01

    Photovoice is an important participatory research tool for advancing health equity. Our purpose is to critically review how participant voice is promoted through the photovoice process of taking and discussing photos and adding text/captions. PubMed, Scopus, PsycINFO, and Web of Science databases were searched from the years 2008 to 2014 using the keywords photovoice, photonovella, photovoice and social justice, and photovoice and participatory action research. Research articles were reviewed for how participant voice was (a) analyzed, (b) exhibited in community forums, and (c) disseminated through published manuscripts. Of 21 studies, 13 described participant voice in the data analysis, 14 described participants' control over exhibiting photo-texts, seven manuscripts included a comprehensive set of photo-texts, and none described participant input on choice of manuscript photo-texts. Photovoice designs vary in the advancement of participant voice, with the least advancement occurring in manuscript publication. Future photovoice researchers should expand approaches to advancing participant voice.

  17. Voice quality of psychological origin.

    Science.gov (United States)

    Teixeira, Antonio; Nunes, Ana; Coimbra, Rosa Lídia; Lima, Rosa; Moutinho, Lurdes

    2008-01-01

    Variations in voice quality are essentially related to modifications of the glottal source parameters, such as: F0, jitter, and shimmer. Voice quality is affected by prosody, emotional state, and vocal pathologies. Psychogenic vocal pathology is particularly interesting. In the present case study, the speaker naturally presented a ventricular band voice whereas in a controlled production he was able to use a more normal phonation process. A small corpus was recorded which included sustained vowels and short sentences in both registers. A normal speaker was also recorded in similar tasks. Annotation and extraction of parameters were made using Praat's voice report function. Application of the Hoarseness Diagram to sustained productions situates this case in the pseudo-glottic phonation region. Analysis of several different parameters related to F0, jitter, shimmer, and harmonicity revealed that the speaker with psychogenic voice was capable of controlling certain parameters (e.g. F0 maximum) but was unable to correct others such as shimmer.

  18. Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints.

    NARCIS (Netherlands)

    Kooijman, P.G.C.; Jong, F.I.C.R.S. de; Oudes, M.J.; Huinck, W.J.; Acht, H. van; Graamans, K.

    2005-01-01

    The aim of this study was to investigate the relationship between extrinsic laryngeal muscular hypertonicity and deviant body posture on the one hand and voice handicap and voice quality on the other hand in teachers with persistent voice complaints and a history of voice-related absenteeism. The st

  19. Pollination and Restoration

    National Research Council Canada - National Science Library

    Kingsley W. Dixon

    2009-01-01

    Pollination services underpin sustainability of restored ecosystems. Yet, outside of agri-environments, effective restoration of pollinator services in ecological restoration has received little attention...

  20. Tracheoesophageal voice following tubed free radial forearm flap reconstruction of the neopharynx.

    Science.gov (United States)

    Deschler, D G; Doherty, E T; Reed, C G; Anthony, J P; Singer, M I

    1994-12-01

    Tracheoesophageal voice restoration after laryngectomy is possible with a variety of neopharyngeal reconstructions. We have used the tubed radial forearm free flap for neopharyngeal reconstruction since 1991. Six patients have undergone voice restoration with the Blom-Singer prosthesis and were available for quantitative and qualitative speech analysis. These patients were compared to five laryngectomy patients with standard pharyngeal closures and similar voice restorations. The free flap patients produced similar loudness levels compared to the standards with soft speech (52.06 dB and 47.19 dB, respectively) and loud speech (62.66 dB and 60.91 dB, respectively). The free flap patients demonstrated adequate intelligibility, with fundamental frequencies comparable to standards (124.82 Hz and 135.66 Hz, respectively), although with increased jitter (5.00% versus 1.96%). No differences were statistically significant, but evaluation by trained and naive listeners demonstrated significant differences in voice quality. This quantitative and qualitative and qualitative analysis of tracheoesophageal speech after radial forearm free flap reconstruction of the neopharynx demonstrates that acceptable voice can be achieved, but with limitations.

  1. Bodies, Spaces, Voices, Silences

    Directory of Open Access Journals (Sweden)

    Donatella Mazzoleni

    2013-07-01

    Full Text Available A good architecture should not only allow functional, formal and technical quality for urban spaces, but also let the voice of the city be perceived, listened, enjoyed. Every city has got its specific sound identity, or “ISO” (R. O. Benenzon, made up of a complex texture of background noises and fluctuation of sound figures emerging and disappearing in a game of continuous fadings. For instance, the ISO of Naples is characterized by a spread need of hearing the sound return of one’s/others voices, by a hate of silence. Cities may fall ill: illness from noise, within super-crowded neighbourhoods, or illness from silence, in the forced isolation of peripheries. The proposal of an urban music therapy denotes an unpublished and innovative enlarged interdisciplinary research path, where architecture, music, medicine, psychology, communication science may converge, in order to work for rebalancing spaces and relation life of the urban collectivity, through the care of body and sound dimensions.

  2. Crossing Cultures with Multi-Voiced Journals

    Science.gov (United States)

    Styslinger, Mary E.; Whisenant, Alison

    2004-01-01

    In this article, the authors discuss the benefits of using multi-voiced journals as a teaching strategy in reading instruction. Multi-voiced journals, an adaptation of dual-voiced journals, encourage responses to reading in varied, cultured voices of characters. It is similar to reading journals in that they prod students to connect to the lives…

  3. Surgical correction of cleft lip and palate.

    Science.gov (United States)

    Jayaram, Rahul; Huppa, Christoph

    2012-01-01

    Surgical cleft repair aims to restore function of the oro-nasal sphincter and oro-nasal soft tissues and re-establish the complex relationship between perioral and perinasal muscle rings without compromising subsequent mid-facial growth and development. Here we review the surgical anatomy of this region, optimal timing for surgical repair and current thinking on the use of surgical adjuncts. In addition, an overview of current surgical techniques available for the repair of cleft lip, cleft palate and velopharyngeal insufficiency is presented. Finally, we briefly discuss nasal revision surgery and the use of osteotomy, including distraction osteogenesis in the cleft patient.

  4. [Speech and voice disorders in Parkinson's disease].

    Science.gov (United States)

    Martnez-Sánchez, Francisco

    2010-11-01

    To examine the voice, speech dysfunction and acoustic parameters typically associated with Parkinson's disease (PD), including the effects on respiration, phonation, articulation and prosody; the effect of treatment with the drug levodopa and deep brain stimulation of the subthalamic nucleus is also examined. One of the features of PD is the alteration of voice and speech. The motor deficits associated with PD adversely affect the major systems that govern speech motor control including respiration, phonation, and articulation. The speech deficits related to PD are often called hypokinetic dysarthria and can be characterized by monopitch, mono-loudness, reduced stress, imprecise consonants, and inappropriate silences. Numerous studies have documented these changes using a wide variety of acoustic measures. Acoustic correlates of PD have a potential to provide useful biomarkers and sensitive methods for the early detection of the onset, progression, and severity of disease states, as well as providing a means to objectively track symptomatic changes and to assess the efficacy of pharmacological and surgical treatments.

  5. Minimally invasive wire-guided balloon catheter puncture for voice prosthesis insertion.

    Science.gov (United States)

    Tobed Secall, Marc; Bores, Toni; Sambola, Ignacio; Lop, Joan; García Rica, Eduardo; Lluansi, Jordi

    2017-07-01

    Tracheoesophageal puncture is an effective and reliable method for voice restoration after total laryngectomy that may be performed as a primary or secondary procedure. We describe our technique for secondary tracheoesophageal puncture using a wire-guided balloon catheter in an office setting. A 72-year-old patient with a total laryngectomy performed 2 years ago was selected for wire-guided balloon catheter puncture and voice prosthesis insertion. Successful tracheoesophageal puncture placement was achieved without complications and the patient tolerated the procedure well. The voice result was satisfactory and immediate. We conclude that balloon catheter tracheoesophageal puncture can be a simple and safe option for secondary voice prosthesis insertion in total laryngectomy for selected patients. It can be performed in an office setting using only local anesthetic for secondary puncture. © 2017 Wiley Periodicals, Inc.

  6. Lexical frequency and voice assimilation.

    Science.gov (United States)

    Ernestus, Mirjam; Lahey, Mybeth; Verhees, Femke; Baayen, R Harald

    2006-08-01

    Acoustic duration and degree of vowel reduction are known to correlate with a word's frequency of occurrence. The present study broadens the research on the role of frequency in speech production to voice assimilation. The test case was regressive voice assimilation in Dutch. Clusters from a corpus of read speech were more often perceived as unassimilated in lower-frequency words and as either completely voiced (regressive assimilation) or, unexpectedly, as completely voiceless (progressive assimilation) in higher-frequency words. Frequency did not predict the voice classifications over and above important acoustic cues to voicing, suggesting that the frequency effects on the classifications were carried exclusively by the acoustic signal. The duration of the cluster and the period of glottal vibration during the cluster decreased while the duration of the release noises increased with frequency. This indicates that speakers reduce articulatory effort for higher-frequency words, with some acoustic cues signaling more voicing and others less voicing. A higher frequency leads not only to acoustic reduction but also to more assimilation.

  7. Procedures for restoring vestibular disorders

    OpenAIRE

    2005-01-01

    This paper will discuss therapeutic possibilities for disorders of the vestibular organs and the neurons involved, which confront ENT clinicians in everyday practice. Treatment of such disorders can be tackled either symptomatically or causally. The possible strategies for restoring the body's vestibular sense, visual function and co-ordination include medication, as well as physical and surgical procedures. Prophylactic or preventive measures are possible in some disorders which involve vert...

  8. Voice Habits and Behaviors: Voice Care Among Flamenco Singers.

    Science.gov (United States)

    Garzón García, Marina; Muñoz López, Juana; Y Mendoza Lara, Elvira

    2017-03-01

    The purpose of this study is to analyze the vocal behavior of flamenco singers, as compared with classical music singers, to establish a differential vocal profile of voice habits and behaviors in flamenco music. Bibliographic review was conducted, and the Singer's Vocal Habits Questionnaire, an experimental tool designed by the authors to gather data regarding hygiene behavior, drinking and smoking habits, type of practice, voice care, and symptomatology perceived in both the singing and the speaking voice, was administered. We interviewed 94 singers, divided into two groups: the flamenco experimental group (FEG, n = 48) and the classical control group (CCG, n = 46). Frequency analysis, a Likert scale, and discriminant and exploratory factor analysis were used to obtain a differential profile for each group. The FEG scored higher than the CCG in speaking voice symptomatology. The FEG scored significantly higher than the CCG in use of "inadequate vocal technique" when singing. Regarding voice habits, the FEG scored higher in "lack of practice and warm-up" and "environmental habits." A total of 92.6% of the subjects classified themselves correctly in each group. The Singer's Vocal Habits Questionnaire has proven effective in differentiating flamenco and classical singers. Flamenco singers are exposed to numerous vocal risk factors that make them more prone to vocal fatigue, mucosa dehydration, phonotrauma, and muscle stiffness than classical singers. Further research is needed in voice training in flamenco music, as a means to strengthen the voice and enable it to meet the requirements of this musical genre. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  9. Voices of the Unheard

    DEFF Research Database (Denmark)

    Matthiesen, Noomi Christine Linde

    2014-01-01

    . They were in two different classes at both schools, i.e. four classes in total. The families were followed for 18 months. Formal interviews were conducted with mothers and teachers, parent-teacher conferences were recorded, participant observations were conducted in classrooms and playgrounds, afterschool...... is that Somali diaspora parents (and with special focus on mothers as these where the parents who took most responsibility in the four cases of this research) have difficulty expressing their opinions as there are structural, historical and social dynamics that create conditions in which their voices...... are silenced, or at least restricted significantly, resulting in marginalizing consequences. The focus in each article is on here-and-now interactional dynamics but in order to understand these constitutive negotiations, it is argued that the analysis must be situated in a description of the constituted...

  10. Passing on power & voice

    DEFF Research Database (Denmark)

    Noer, Vibeke Røn; Nielsen, Cathrine Sand

    2014-01-01

    . The education lasts for 3,5 years and the landmark of the educational model is the continuously shifts between teaching in classroom and teaching in clinical practice. Clinical teaching takes place at approved clinical placement institutions in hospitals and in the social and health care services outside...... intention of gaining knowledge about other possible ways to perform the education. The class, named the E-class, followed what in the field was named ‘an experimental educational model based on experienced-based learning’ (Nielsen et al. 2011). The experiential educational model is argued as an experiment.......aspx Higher degree of student involvement in planning as well as teaching was in the field presented as a part of ‘the overall educational approach’. In the course ‘Acute, Critical Nursing & Terminal, Palliative Care’ this was transferred into an innovative pedagogy with intend to pass on power and voice...

  11. Voice stress analysis

    Science.gov (United States)

    Brenner, Malcolm; Shipp, Thomas

    1988-01-01

    In a study of the validity of eight candidate voice measures (fundamental frequency, amplitude, speech rate, frequency jitter, amplitude shimmer, Psychological Stress Evaluator scores, energy distribution, and the derived measure of the above measures) for determining psychological stress, 17 males age 21 to 35 were subjected to a tracking task on a microcomputer CRT while parameters of vocal production as well as heart rate were measured. Findings confirm those of earlier studies that increases in fundamental frequency, amplitude, and speech rate are found in speakers involved in extreme levels of stress. In addition, it was found that the same changes appear to occur in a regular fashion within a more subtle level of stress that may be characteristic, for example, of routine flying situations. None of the individual speech measures performed as robustly as did heart rate.

  12. Voice over IP

    OpenAIRE

    Mantula, Juha

    2006-01-01

    Tämä opinnäytetyö käsittelee Voice over Internet Protocol -tekniikkaa ja sen tuomia mahdollisuuksia yrityselämässä. Teoriaosa käsittelee VoIP:n kannalta tärkeitä pro-tokollia ja standardeja, VoIP:n ominaisuuksia sekä esittelee erilaisia puheohjelmia, jotka käyttävät VoIP-tekniikkaa hyväkseen. Empiirinen osuus tutkii Viestintä Ky Pitkärannan Skype-ohjelman käyttöä. Työn tarkoituksena on selvittää VoIP:n hyviä ja huonoja puolia ja sitä kuinka tek-niikkaa voidaan käyttää hyväksi päivittäisessä ...

  13. Voice and choice by delegation.

    Science.gov (United States)

    van de Bovenkamp, Hester; Vollaard, Hans; Trappenburg, Margo; Grit, Kor

    2013-02-01

    In many Western countries, options for citizens to influence public services are increased to improve the quality of services and democratize decision making. Possibilities to influence are often cast into Albert Hirschman's taxonomy of exit (choice), voice, and loyalty. In this article we identify delegation as an important addition to this framework. Delegation gives individuals the chance to practice exit/choice or voice without all the hard work that is usually involved in these options. Empirical research shows that not many people use their individual options of exit and voice, which could lead to inequality between users and nonusers. We identify delegation as a possible solution to this problem, using Dutch health care as a case study to explore this option. Notwithstanding various advantages, we show that voice and choice by delegation also entail problems of inequality and representativeness.

  14. The Christian voice in philosophy

    Directory of Open Access Journals (Sweden)

    Stuart Fowler

    1982-03-01

    Full Text Available In this paper the Rev. Stuart Fowler outlines a Christian voice in Philosophy and urges the Christian philosopher to investigate his position and his stance with integrity and honesty.

  15. Voice Force tulekul / Tõnu Ojala

    Index Scriptorium Estoniae

    Ojala, Tõnu, 1969-

    2005-01-01

    60. sünnipäeva tähistava Tallinna Tehnikaülikooli Akadeemilise Meeskoori juubelihooaja üritusest - a capella pop-gruppide festivalist Voice Force (kontserdid 12. nov. klubis Parlament ja 3. dets. Vene Kultuurikeskuses)

  16. Voice Force tulekul / Tõnu Ojala

    Index Scriptorium Estoniae

    Ojala, Tõnu, 1969-

    2005-01-01

    60. sünnipäeva tähistava Tallinna Tehnikaülikooli Akadeemilise Meeskoori juubelihooaja üritusest - a capella pop-gruppide festivalist Voice Force (kontserdid 12. nov. klubis Parlament ja 3. dets. Vene Kultuurikeskuses)

  17. Feature Extraction of Voice Segments Using Cepstral Analysis for Voice Regeneration

    OpenAIRE

    Banerjee, P. S.; Baisakhi Chakraborty; Jaya Banerjee

    2015-01-01

    Even though a lot of work has been done on areas of speech to text and vice versa or voice detection or similarity analysis of two voice samples but very less emphasis has be given to voice regeneration. General algorithms for distinct voice checking for two voice sources paved way for our endeavor in reconstructing the voice from the source voice samples provided. By utilizing these algorithms and putting further stress on the feature extraction part we tried to fabricate the source voice wi...

  18. Voice Simulation in Nursing Education.

    Science.gov (United States)

    Kepler, Britney B; Lee, Heeyoung; Kane, Irene; Mitchell, Ann M

    2016-01-01

    The goal of this study was to improve prelicensure nursing students' attitudes toward and self-efficacy related to delivering nursing care to patients with auditory hallucinations. Based on the Hearing Voices That Are Distressing curriculum, 87 participants were instructed to complete 3 tasks while wearing headphones delivering distressing voices. Comparing presimulation and postsimulation results, this study suggests that the simulation significantly improved attitudes toward patients with auditory hallucinations; however, self-efficacy related to caring for these patients remained largely unchanged.

  19. Work-related voice disorder

    OpenAIRE

    Paulo Eduardo Przysiezny; Luciana Tironi Sanson Przysiezny

    2015-01-01

    INTRODUCTION: Dysphonia is the main symptom of the disorders of oral communication. However, voice disorders also present with other symptoms such as difficulty in maintaining the voice (asthenia), vocal fatigue, variation in habitual vocal fundamental frequency, hoarseness, lack of vocal volume and projection, loss of vocal efficiency, and weakness when speaking. There are several proposals for the etiologic classification of dysphonia: functional, organofunctional, organic, and work-related...

  20. Voice Collection under Different Spectrum

    Directory of Open Access Journals (Sweden)

    Min Li

    2013-05-01

    Full Text Available According to the short-time Fourier transform theory and principle of digital filtering, this paper established a mathematical model called collection of voice signal collection at different spectrum. The voice signal was a non-stationary process, while the standard Fourier transform only applied to the periodic signal, transient signals or stationary random signal. Therefore, the standard Fourier transform could not be directly used for the speech signal. By controlling the input different types and parameters, this paper analyzed the collected original voice signal spectrum with the use of MATLAB software platform. At the same time, it realized the extraction, recording and playback of the speech signal at different frequencies. Therefore, the waveforms could be displayed obviously on the graphic user interface and voice effect could be more clearly. Meanwhile, the result was verified by the hardware platforms, which consisted of TMS320VC5509A [1] chip and TLV320AIC23 voice chip. The results showed that the extraction of voice signal under different spectrum model was scientific, rational and effective.

  1. The impact of voice on speech realization

    Directory of Open Access Journals (Sweden)

    Jelka Breznik

    2014-12-01

    Full Text Available The study discusses spoken literary language and the impact of voice on speech realization. The voice consists of a sound made by a human being using the vocal folds for talking, singing, laughing, crying, screaming… The human voice is specifically the part of human sound production in which the vocal folds (vocal cords are the primary sound source. Our voice is our instrument and identity card. How does the voice (voice tone affect others and how do they respond, positively or negatively? How important is voice (voice tone in communication process? The study presents how certain individuals perceive voice. The results of the research on the relationships between the spoken word, excellent speaker, voice and description / definition / identification of specific voices done by experts in the field of speech and voice as well as non-professionals are presented. The study encompasses two focus groups. One consists of amateurs (non-specialists in the field of speech or voice who have no knowledge in this field and the other consists of professionals who work with speech or language or voice. The questions were intensified from general to specific, directly related to the topic. The purpose of such a method of questioning was to create relaxed atmosphere, promote discussion, allow participants to interact, complement, and to set up self-listening and additional comments.

  2. Wendler glottoplasty and voice-therapy in male-to-female transsexuals: results in pre and post-surgery assessment.

    Science.gov (United States)

    Casado, Juan C; O'Connor, Carlos; Angulo, María S; Adrián, José A

    2016-01-01

    With the development of new ENT techniques, many male transsexuals who wish to become women usually request a surgical procedure to raise the fundamental frequency of the voice (feminization). The ENT specialist and the voice-therapist have to use an interdisciplinary approach to this growing social demand. The aim of this study was to show the results in a group of transsexual patients after Wendler's anterior synechiae, with additional voice-therapy treatment. Ten male transexulas who wish to become women patients who had Wendler glottoplasty and voice-therapy were assessed. The surgical procedure consisted of a de-epithelialization of the anterior third of both vocal folds; this area was sutured and the surface of both vocal folds was vaporised with laser diode. Pre- and postsurgery voice assessment consisted of measuring fundamental frequency (Fo) and maximum phonation time, administering the transgender self-assessment questionnaire (TSEQ) and obtaining perceptual voice assessment by inter-rater agreement. All the male transsexuals who wish to become women patients significantly increased their Fo (106 Hz on average) after the treatment. Furthermore, significant improvements were shown in self-reported satisfaction and in the degree of voice feminization. No improvements in the maximum phonation time were observed. Wendler glottoplasty is a surgical procedure to contribute to feminising the voice, with good medium-term results and without noteworthy medical complications. The increase in vocal tone was observed using several pre- and post-surgery control measures and voice therapy. Copyright © 2014 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

  3. Site Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Noynaert, L.; Bruggeman, A.; Cornelissen, R.; Massaut, V.; Rahier, A

    2002-04-01

    The objectives, the programme, and the achievements of SCK-CEN's Site Restoration Department for 2001 are described. Main activities include the decommissioning of the BR3 PWR-reactor as well as other clean-up activities, projects on waste minimisation and the management of spent fuel and the flow of dismantled materials and the recycling of materials from decommissioning activities based on the smelting of metallic materials in specialised foundries. The department provides consultancy and services to external organisations and performs R and D on new techniques including processes for the treatment of various waste components including the reprocessing of spent fuel, the treatment of tritium, the treatment of liquid alkali metals into cabonates through oxidation, the treatment of radioactive organic waste and the reconditioning of bituminised waste products.

  4. Surgical Navigation

    DEFF Research Database (Denmark)

    Azarmehr, Iman; Stokbro, Kasper; Bell, R. Bryan

    2017-01-01

    were identified in the field of traumatology. Treatment of complex orbital fractures was considerably improved by the use of SN compared with traditionally treated control groups. Conclusions: SN seems to be a very promising addition to the surgical toolkit. Planning details of the surgical procedure...... in a 3-dimensional virtual environment and execution with real-time guidance can significantly improve precision. Among factors to be considered are the financial investments necessary and the learning curve....

  5. Mechanics of human voice production and control

    Science.gov (United States)

    Zhang, Zhaoyan

    2016-01-01

    As the primary means of communication, voice plays an important role in daily life. Voice also conveys personal information such as social status, personal traits, and the emotional state of the speaker. Mechanically, voice production involves complex fluid-structure interaction within the glottis and its control by laryngeal muscle activation. An important goal of voice research is to establish a causal theory linking voice physiology and biomechanics to how speakers use and control voice to communicate meaning and personal information. Establishing such a causal theory has important implications for clinical voice management, voice training, and many speech technology applications. This paper provides a review of voice physiology and biomechanics, the physics of vocal fold vibration and sound production, and laryngeal muscular control of the fundamental frequency of voice, vocal intensity, and voice quality. Current efforts to develop mechanical and computational models of voice production are also critically reviewed. Finally, issues and future challenges in developing a causal theory of voice production and perception are discussed. PMID:27794319

  6. Restorative surgery of combined injuries of neurovascular structures of limbs

    Directory of Open Access Journals (Sweden)

    I. V. Pertsov

    2015-02-01

    Full Text Available Combined damage of neurovascular structures is complicate pathology and require repeated surgical interventions and often lead to permanent disability. Aim. To define the features of restorative surgical treatment of traumatic injuries of limbs neurovascular structures and to study the effect of regional hemodynamics on the nerve function restore. Methods and results. In 98 patients with combined trauma of the neurovascular structures microcirculation indicators were established with laser Doppler flowmetry and determine the degree of restoration of nerve function. Conclusion. Strong direct correlation between the degree of restoration of nerve function and microcirculation was detected, the correlation coefficient was +0.72 at t = 3,16 p<0,05. Careful surgical restoration of blood flow helps to improve microcirculation in the limbs, makes positive impact on the recovery of limb function.

  7. Native voice, self-concept and the moral case for personalized voice technology.

    Science.gov (United States)

    Nathanson, Esther

    2017-01-01

    Purpose (1) To explore the role of native voice and effects of voice loss on self-concept and identity, and survey the state of assistive voice technology; (2) to establish the moral case for developing personalized voice technology. Methods This narrative review examines published literature on the human significance of voice, the impact of voice loss on self-concept and identity, and the strengths and limitations of current voice technology. Based on the impact of voice loss on self and identity, and voice technology limitations, the moral case for personalized voice technology is developed. Results Given the richness of information conveyed by voice, loss of voice constrains expression of the self, but the full impact is poorly understood. Augmentative and alternative communication (AAC) devices facilitate communication but, despite advances in this field, voice output cannot yet express the unique nuances of individual voice. The ethical principles of autonomy, beneficence and equality of opportunity establish the moral responsibility to invest in accessible, cost-effective, personalized voice technology. Conclusions Although further research is needed to elucidate the full effects of voice loss on self-concept, identity and social functioning, current understanding of the profoundly negative impact of voice loss establishes the moral case for developing personalized voice technology. Implications for Rehabilitation Rehabilitation of voice-disordered patients should facilitate self-expression, interpersonal connectedness and social/occupational participation. Proactive questioning about the psychological and social experiences of patients with voice loss is a valuable entry point for rehabilitation planning. Personalized voice technology would enhance sense of self, communicative participation and autonomy and promote shared healthcare decision-making. Further research is needed to identify the best strategies to preserve and strengthen identity and sense of

  8. Children's Voice or Children's Voices? How Educational Research Can Be at the Heart of Schooling

    Science.gov (United States)

    Stern, Julian

    2015-01-01

    There are problems with considering children and young people in schools as quite separate individuals, and with considering them as members of a single collectivity. The tension is represented in the use of "voice" and "voices" in educational debates. Voices in dialogue, in contrast to "children's voice", are…

  9. Voice complaints, risk factors for voice problems and history of voice problems in relation to puberty in female student teachers.

    NARCIS (Netherlands)

    Thomas, G.; Jong, F.I.C.R.S. de; Kooijman, P.G.C.; Donders, A.R.T.; Cremers, C.W.R.J.

    2006-01-01

    The aim of the study was to estimate voice complaints, risk factors for voice complaints and history of voice problems in student teachers before they embarked on their professional teaching career. A cross-sectional questionnaire survey was performed among female student teachers. The response rate

  10. Voice complaints, risk factors for voice problems and history of voice problems in relation to puberty in female student teachers.

    NARCIS (Netherlands)

    Thomas, G.; Jong, F.I.C.R.S. de; Kooijman, P.G.C.; Donders, A.R.T.; Cremers, C.W.R.J.

    2006-01-01

    The aim of the study was to estimate voice complaints, risk factors for voice complaints and history of voice problems in student teachers before they embarked on their professional teaching career. A cross-sectional questionnaire survey was performed among female student teachers. The response rate

  11. Human voice recognition depends on language ability.

    Science.gov (United States)

    Perrachione, Tyler K; Del Tufo, Stephanie N; Gabrieli, John D E

    2011-07-29

    The ability to recognize people by their voice is an important social behavior. Individuals differ in how they pronounce words, and listeners may take advantage of language-specific knowledge of speech phonology to facilitate recognizing voices. Impaired phonological processing is characteristic of dyslexia and thought to be a basis for difficulty in learning to read. We tested voice-recognition abilities of dyslexic and control listeners for voices speaking listeners' native language or an unfamiliar language. Individuals with dyslexia exhibited impaired voice-recognition abilities compared with controls only for voices speaking their native language. These results demonstrate the importance of linguistic representations for voice recognition. Humans appear to identify voices by making comparisons between talkers' pronunciations of words and listeners' stored abstract representations of the sounds in those words.

  12. Quick Statistics about Voice, Speech, and Language

    Science.gov (United States)

    ... here Home » Health Info » Statistics and Epidemiology Quick Statistics About Voice, Speech, Language Voice, Speech, Language, and ... no 205. Hyattsville, MD: National Center for Health Statistics. 2015. Hoffman HJ, Li C-M, Losonczy K, ...

  13. Introduction: Textual and contextual voices of translation

    DEFF Research Database (Denmark)

    2017-01-01

    Voices – marks of the tangle of subjectivities involved in textual processes – constitute the very fabric of texts in general and translations in particular. The title of this book, Textual and Contextual Voices of Translation, refers both to textual voices, that is, the voices found within...... the translated texts, and to contextual voices, that is, the voices of those involved in shaping, commenting, or otherwise influencing the textual voices. The latter appear in prefaces, reviews, and other texts that surround the translated texts and provide them with a context. Our main claim is that studying...... both the textual and contextual voices helps us better understand and explain the complexity of both the translation process and the translation product. The dovetailed approach to translation research that is advocated in this book aims at highlighting the diversity of participants, power positions...

  14. Speaker's voice as a memory cue.

    Science.gov (United States)

    Campeanu, Sandra; Craik, Fergus I M; Alain, Claude

    2015-02-01

    Speaker's voice occupies a central role as the cornerstone of auditory social interaction. Here, we review the evidence suggesting that speaker's voice constitutes an integral context cue in auditory memory. Investigation into the nature of voice representation as a memory cue is essential to understanding auditory memory and the neural correlates which underlie it. Evidence from behavioral and electrophysiological studies suggest that while specific voice reinstatement (i.e., same speaker) often appears to facilitate word memory even without attention to voice at study, the presence of a partial benefit of similar voices between study and test is less clear. In terms of explicit memory experiments utilizing unfamiliar voices, encoding methods appear to play a pivotal role. Voice congruency effects have been found when voice is specifically attended at study (i.e., when relatively shallow, perceptual encoding takes place). These behavioral findings coincide with neural indices of memory performance such as the parietal old/new recollection effect and the late right frontal effect. The former distinguishes between correctly identified old words and correctly identified new words, and reflects voice congruency only when voice is attended at study. Characterization of the latter likely depends upon voice memory, rather than word memory. There is also evidence to suggest that voice effects can be found in implicit memory paradigms. However, the presence of voice effects appears to depend greatly on the task employed. Using a word identification task, perceptual similarity between study and test conditions is, like for explicit memory tests, crucial. In addition, the type of noise employed appears to have a differential effect. While voice effects have been observed when white noise is used at both study and test, using multi-talker babble does not confer the same results. In terms of neuroimaging research modulations, characterization of an implicit memory effect

  15. The impact of vocal hyperfunction on relative fundamental frequency during voicing offset and onset.

    Science.gov (United States)

    Stepp, Cara E; Hillman, Robert E; Heaton, James T

    2010-10-01

    This study tested the hypothesis that individuals with vocal hyperfunction would show decreases in relative fundamental frequency (RFF) surrounding a voiceless consonant. This retrospective study of 2 clinical databases used speech samples from 15 control participants and women with hyperfunction-related voice disorders: 82 prior to treatment (muscle tension dysphonia, n=22; vocal fold nodules, n=30; vocal fold polyps, N=30) and 18 before and after surgical removal of vocal fold nodules or polyps. Acoustic samples were analyzed with respect to the RFF at the offset and onset of voicing surrounding a voiceless consonant. Individuals with vocal hyperfunction in a large clinical sample showed significant lowering of offset and onset RFF compared with controls. Voicing offset and onset RFFs were not significantly changed by the removal of vocal fold lesions in the surgical group. Altered offset and onset RFF in patients with hyperfunction-related voice disorders can be interpreted as a by-product of heightened levels of laryngeal muscle tension. Measurement of RFF during voice offset and onset has potential for use as a simple, noninvasive measure of vocal hyperfunction.

  16. Voicing Consciousness: The Mind in Writing

    Science.gov (United States)

    Luce-Kapler, Rebecca; Catlin, Susan; Sumara, Dennis; Kocher, Philomene

    2011-01-01

    In this paper, the authors investigate the enduring power of voice as a concept in writing pedagogy. They argue that one can benefit from considering Elbow's assertion that both text and voice be considered as important aspects of written discourse. In particular, voice is a powerful metaphor for the material, social and historical nature of…

  17. Understanding the 'Anorexic Voice' in Anorexia Nervosa.

    Science.gov (United States)

    Pugh, Matthew; Waller, Glenn

    2016-07-20

    In common with individuals experiencing a number of disorders, people with anorexia nervosa report experiencing an internal 'voice'. The anorexic voice comments on the individual's eating, weight and shape and instructs the individual to restrict or compensate. However, the core characteristics of the anorexic voice are not known. This study aimed to develop a parsimonious model of the voice characteristics that are related to key features of eating disorder pathology and to determine whether patients with anorexia nervosa fall into groups with different voice experiences. The participants were 49 women with full diagnoses of anorexia nervosa. Each completed validated measures of the power and nature of their voice experience and of their responses to the voice. Different voice characteristics were associated with current body mass index, duration of disorder and eating cognitions. Two subgroups emerged, with 'weaker' and 'stronger' voice experiences. Those with stronger voices were characterized by having more negative eating attitudes, more severe compensatory behaviours, a longer duration of illness and a greater likelihood of having the binge-purge subtype of anorexia nervosa. The findings indicate that the anorexic voice is an important element of the psychopathology of anorexia nervosa. Addressing the anorexic voice might be helpful in enhancing outcomes of treatments for anorexia nervosa, but that conclusion might apply only to patients with more severe eating psychopathology. Copyright © 2016 John Wiley & Sons, Ltd.

  18. Voice and culture: A prospect theory approach

    NARCIS (Netherlands)

    Paddock, E.L.; Ko, Junsu; Cropanzano, R.; Bagger, J.; El Akremi, A.; Camerman, A.; Greguras, G. J.; Mladinic, A.; Moliner, C.; Nam, K.; Törnblom, K.; Van den Bos, Kees

    2015-01-01

    The present study examines the congruence of individuals' minimum preferred amounts of voice with the prospect theory value function across nine countries. Accounting for previously ignored minimum preferred amounts of voice and actual voice amounts integral to testing the steepness of gain and loss

  19. Finding Voice: Learning about Language and Power

    Science.gov (United States)

    Christensen, Linda

    2011-01-01

    Christensen discusses why teachers need to teach students "voice" in its social and political context, to show the intersection of voice and power, to encourage students to ask, "Whose voices get heard? Whose are marginalized?" As Christensen writes, "Once students begin to understand that Standard English is one language among many, we can help…

  20. Analyzing the mediated voice - a datasession

    DEFF Research Database (Denmark)

    Lawaetz, Anna

    Broadcasted voices are technologically manipulated. In order to achieve a certain autencity or sound of “reality” paradoxically the voices are filtered and trained in order to reach the listeners. This “mis-en-scene” is important knowledge when it comes to the development of a consistent method o...... of analysis of the mediated voice...

  1. Analyzing the mediated voice - a datasession

    DEFF Research Database (Denmark)

    Lawaetz, Anna

    Broadcasted voices are technologically manipulated. In order to achieve a certain autencity or sound of “reality” paradoxically the voices are filtered and trained in order to reach the listeners. This “mis-en-scene” is important knowledge when it comes to the development of a consistent method...... of analysis of the mediated voice...

  2. Voice and culture: A prospect theory approach

    NARCIS (Netherlands)

    Paddock, E.L.; Ko, Junsu; Cropanzano, R.; Bagger, J.; El Akremi, A.; Camerman, A.; Greguras, G. J.; Mladinic, A.; Moliner, C.; Nam, K.; Törnblom, K.; Van den Bos, Kees

    2015-01-01

    The present study examines the congruence of individuals' minimum preferred amounts of voice with the prospect theory value function across nine countries. Accounting for previously ignored minimum preferred amounts of voice and actual voice amounts integral to testing the steepness of gain and loss

  3. "Voice Forum" The Human Voice as Primary Instrument in Music Therapy

    DEFF Research Database (Denmark)

    Pedersen, Inge Nygaard; Storm, Sanne

    2009-01-01

    Aspects will be drawn on the human voice as tool for embodying our psychological and physiological state, and attempting integration of feelings. Presentations and dialogues on different methods and techniques in "Therapy related body-and voice work.", as well as the human voice as a tool for non...... for nonverbal orientation and information both to our selves and others. Focus on training on the voice instrument, the effect and impact of the human voice, and listening perspectives...

  4. Strategies to decrease biofilm formation on voice prostheses

    OpenAIRE

    2008-01-01

    Laryngectomized patients lose their natural ability to speak as a result of rigorous anatomical changes after surgery. Due to the surgical resection of a laryngeal tumour, the larynx or voice box is taken out and the trachea is sutured in the neck. As a consequence the airflow through the oropharynx, and so the ability to articulate and speak is lost (Fig. 1A). Luckily however, we do not necessarily need our vocal cords to produce sound, since sound is nothing more than a series of alternate ...

  5. Voice-Specialized Speech-Language Pathologist's Criteria for Discharge from Voice Therapy.

    Science.gov (United States)

    Gillespie, Amanda I; Gartner-Schmidt, Jackie

    2017-08-07

    No standard protocol exists to determine when a patient is ready and able to be discharged from voice therapy. The aim of the present study was to determine what factors speech-language pathologists (SLPs) deem most important when discharging a patient from voice therapy. A second aim was to determine if responses differed based on years of voice experience. Step 1: Seven voice-specialized SLPs generated a list of items thought to be relevant to voice therapy discharge. Step 2: Fifty voice-specialized SLPs rated each item on the list in terms of importance in determining discharge from voice therapy. Step 1: Four themes emerged-outcome measures, laryngeal appearance, SLP perceptions, and patient factors-as important items when determining discharge from voice therapy. Step 2: The top five most important criteria for discharge readiness were that the patient had to be able to (1) independently use a better voice (transfer), (2) function with his or her new voice production in activities of daily living (transfer), (3) differentiate between good and bad voice, (4) take responsibility for voice, and (5) sound better from baseline. Novice and experienced clinicians agreed between 94% and 97% concerning what was deemed "very important." SLPs agree that a patient's ability to use voice techniques in conversation and real-life situations outside of the therapy room are the most important determinants for voice therapy discharge. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  6. The development of the Spanish verb ir into auxiliary of voice

    DEFF Research Database (Denmark)

    Vinther, Thora

    2005-01-01

    spanish, syntax, grammaticalisation, past participle, passive voice, middle voice, language development......spanish, syntax, grammaticalisation, past participle, passive voice, middle voice, language development...

  7. Objective Voice Parameters in Colombian School Workers with Healthy Voices

    Directory of Open Access Journals (Sweden)

    Lady Catherine Cantor Cutiva

    2015-09-01

    Full Text Available Objectives: To characterize the objective voice parameters among school workers, and to identi­fy associated factors of three objective voice parameters, namely fundamental frequency, sound pressure level and maximum phonation time. Materials and methods: We conducted a cross-sectional study among 116 Colombian teachers and 20 Colombian non-teachers. After signing the informed consent form, participants filled out a questionnaire. Then, a voice sample was recorded and evaluated perceptually by a speech therapist and by objective voice analysis with praat software. Short-term environmental measurements of sound level, temperature, humi­dity, and reverberation time were conducted during visits at the workplaces, such as classrooms and offices. Linear regression analysis was used to determine associations between individual and work-related factors and objective voice parameters. Results: Compared with men, women had higher fundamental frequency (201 Hz for teachers and 209 for non-teachers vs. 120 Hz for teachers and 127 for non-teachers and sound pressure level (82 dB vs. 80 dB, and shorter maximum phonation time (around 14 seconds vs. around 16 seconds. Female teachers younger than 50 years of age evidenced a significant tendency to speak with lower fundamental frequen­cy and shorter mpt compared with female teachers older than 50 years of age. Female teachers had significantly higher fundamental frequency (66 Hz, higher sound pressure level (2 dB and short phonation time (2 seconds than male teachers. Conclusion: Female teachers younger than 50 years of age had significantly lower F0 and shorter mpt compared with those older than 50 years of age. The multivariate analysis showed that gender was a much more important determinant of variations in F0, spl and mpt than age and teaching occupation. Objectively measured temperature also contributed to the changes on spl among school workers.

  8. Playful Interaction with Voice Sensing Modular Robots

    DEFF Research Database (Denmark)

    Heesche, Bjarke; MacDonald, Ewen; Fogh, Rune

    2013-01-01

    This paper describes a voice sensor, suitable for modular robotic systems, which estimates the energy and fundamental frequency, F0, of the user’s voice. Through a number of example applications and tests with children, we observe how the voice sensor facilitates playful interaction between...... children and two different robot configurations. In future work, we will investigate if such a system can motivate children to improve voice control and explore how to extend the sensor to detect emotions in the user’s voice....

  9. VOICE QUALITY BEFORE AND AFTER THYROIDECTOMY

    Directory of Open Access Journals (Sweden)

    Dora CVELBAR

    2016-04-01

    Full Text Available Introduction: Voice disorders are a well-known complication which is often associated with thyroid gland diseases and because voice is still the basic mean of communication it is very important to maintain its quality healthy. Objectives: The aim of this study referred to questions whether there is a statistically significant difference between results of voice self-assessment, perceptual voice assessment and acoustic voice analysis before and after thyroidectomy and whether there are statistically significant correlations between variables of voice self-assessment, perceptual assessment and acoustic analysis before and after thyroidectomy. Methods: This scientific research included 12 participants aged between 41 and 76. Voice self-assessment was conducted with the help of Croatian version of Voice Handicap Index (VHI. Recorded reading samples were used for perceptual assessment and later evaluated by two clinical speech and language therapists. Recorded samples of phonation were used for acoustic analysis which was conducted with the help of acoustic program Praat. All of the data was processed through descriptive statistics and nonparametric statistical methods. Results: Results showed that there are statistically significant differences between results of voice self-assessments and results of acoustic analysis before and after thyroidectomy. Statistically significant correlations were found between variables of perceptual assessment and acoustic analysis. Conclusion: Obtained results indicate the importance of multidimensional, preoperative and postoperative assessment. This kind of assessment allows the clinician to describe all of the voice features and provides appropriate recommendation for further rehabilitation to the patient in order to optimize voice outcomes.

  10. Beyond Insularity: Releasing the Voices.

    Science.gov (United States)

    Greene, Maxine

    1993-01-01

    Aspects of English-as-a-Second-Language are discussed from the standpoint of a teacher-educator with a particular interest in philosophy, the arts, and humanities and what they signify for the schools. The idea of giving voice to all viewpoints and sociocultural circumstances is considered for content learning and heterogeneous grouping. (Contains…

  11. A voice and nothing more

    DEFF Research Database (Denmark)

    Mebus, Andreas Nozic Lindgren

    2012-01-01

    Andreas Mebus fokuserer herefter på et helt konkret aspekt af talen, nemlig ”stemmen” i sin artikel ”A voice and nothing more – en filosofisk udredning af stemmen”. Gennem Mladen Dolars teori om stemmen, redegør Mebus for de forskellige aspekter ved stemmen; som bærer af mening, som æstetisk...

  12. Voice, Citizenship, and Civic Action

    DEFF Research Database (Denmark)

    Tufte, Thomas

    2014-01-01

    In recent years the world has experienced a resurgence in practices of bottom-up communication for social change, a plethora of agency in which claims for voice and citizenship through massive civic action have conquered center stage in the public debate. This resurgence has sparked a series...

  13. FILTWAM and Voice Emotion Recognition

    NARCIS (Netherlands)

    Bahreini, Kiavash; Nadolski, Rob; Westera, Wim

    2014-01-01

    This paper introduces the voice emotion recognition part of our framework for improving learning through webcams and microphones (FILTWAM). This framework enables multimodal emotion recognition of learners during game-based learning. The main goal of this study is to validate the use of microphone d

  14. The Performing Voice of Radio

    DEFF Research Database (Denmark)

    Lawaetz, Anna

    The ongoing international development of opening media archives for researchers as well as for broader audiences calls for a closer discussion of the mediated voice and how to analyse it. Which parameters can be analysed and which parameters are not covered by the analysis? Furthermore, how do we...

  15. Voice and choice by delegation

    NARCIS (Netherlands)

    van de Bovenkamp, H.; Vollaard, H.; Trappenburg, M.; Grit, K

    2013-01-01

    In many Western countries, options for citizens to influence public services are increased to improve the quality of services and democratize decision making. Possibilities to influence are often cast into Albert Hirschman's taxonomy of exit (choice), voice, and loyalty. In this article we identify

  16. Work-related voice disorder

    Directory of Open Access Journals (Sweden)

    Paulo Eduardo Przysiezny

    2015-04-01

    Full Text Available INTRODUCTION: Dysphonia is the main symptom of the disorders of oral communication. However, voice disorders also present with other symptoms such as difficulty in maintaining the voice (asthenia, vocal fatigue, variation in habitual vocal fundamental frequency, hoarseness, lack of vocal volume and projection, loss of vocal efficiency, and weakness when speaking. There are several proposals for the etiologic classification of dysphonia: functional, organofunctional, organic, and work-related voice disorder (WRVD.OBJECTIVE: To conduct a literature review on WRVD and on the current Brazilian labor legislation.METHODS: This was a review article with bibliographical research conducted on the PubMed and Bireme databases, using the terms "work-related voice disorder", "occupational dysphonia", "dysphonia and labor legislation", and a review of labor and social security relevant laws.CONCLUSION: WRVD is a situation that frequently is listed as a reason for work absenteeism, functional rehabilitation, or for prolonged absence from work. Currently, forensic physicians have no comparative parameters to help with the analysis of vocal disorders. In certain situations WRVD may cause, work disability. This disorder may be labor-related, or be an adjuvant factor to work-related diseases.

  17. The Performing Voice of Radio

    DEFF Research Database (Denmark)

    Lawaetz, Anna

    The ongoing international development of opening media archives for researchers as well as for broader audiences calls for a closer discussion of the mediated voice and how to analyse it. Which parameters can be analysed and which parameters are not covered by the analysis? Furthermore, how do we...

  18. Adolescent Leadership: The Female Voice

    Science.gov (United States)

    Archard, Nicole

    2013-01-01

    This research investigated the female adolescent view of leadership by giving voice to student leaders through focus group discussions. The questions: What is leadership? Where/how was leadership taught?, and How was leadership practised? were explored within the context of girls' schools located in Australia, with one school located in South…

  19. FILTWAM and Voice Emotion Recognition

    NARCIS (Netherlands)

    Bahreini, Kiavash; Nadolski, Rob; Westera, Wim

    2014-01-01

    This paper introduces the voice emotion recognition part of our framework for improving learning through webcams and microphones (FILTWAM). This framework enables multimodal emotion recognition of learners during game-based learning. The main goal of this study is to validate the use of microphone

  20. Voicing children's critique and utopias

    DEFF Research Database (Denmark)

    Husted, Mia; Lind, Unni

    2016-01-01

    , designed to accommodate children's participation through graphic illustrations of young children's critique and utopias. The study is informed by a commitment to democratic participation and processes (Reason and Bradbury 2001, Gunnarsson et al. 2016). Ethical guidelines implied dialogues and discussions......, children's voice, critique and utopias, pedagogical work...

  1. Women's Voices in Experiential Education.

    Science.gov (United States)

    Warren, Karen, Ed.

    This book is a collection of feminist analyses of various topics in experiential education, particularly as it applies to outdoors and adventure education, as well as practical examples of how women's experiences can contribute to the field as a whole. Following an introduction, "The Quilt of Women's Voices" (Maya Angelou), the 25…

  2. Temporal voice areas exist in autism spectrum disorder but are dysfunctional for voice identity recognition

    Science.gov (United States)

    Borowiak, Kamila; von Kriegstein, Katharina

    2016-01-01

    The ability to recognise the identity of others is a key requirement for successful communication. Brain regions that respond selectively to voices exist in humans from early infancy on. Currently, it is unclear whether dysfunction of these voice-sensitive regions can explain voice identity recognition impairments. Here, we used two independent functional magnetic resonance imaging studies to investigate voice processing in a population that has been reported to have no voice-sensitive regions: autism spectrum disorder (ASD). Our results refute the earlier report that individuals with ASD have no responses in voice-sensitive regions: Passive listening to vocal, compared to non-vocal, sounds elicited typical responses in voice-sensitive regions in the high-functioning ASD group and controls. In contrast, the ASD group had a dysfunction in voice-sensitive regions during voice identity but not speech recognition in the right posterior superior temporal sulcus/gyrus (STS/STG)—a region implicated in processing complex spectrotemporal voice features and unfamiliar voices. The right anterior STS/STG correlated with voice identity recognition performance in controls but not in the ASD group. The findings suggest that right STS/STG dysfunction is critical for explaining voice recognition impairments in high-functioning ASD and show that ASD is not characterised by a general lack of voice-sensitive responses. PMID:27369067

  3. Surgical crown lengthening for function and esthetics.

    Science.gov (United States)

    Allen, E P

    1993-04-01

    Clinical crown lengthening is a useful procedure to provide tooth length for proper restoration of a tooth without compromising the periodontium or the retentive qualities of the restoration. It is also useful for enhancing maxillary anterior esthetics. Crown lengthening may be as simple as a limited removal of soft tissue or as complex as orthodontic extrusion followed by flap with osseous surgery on a tooth requiring endodontic therapy. Total treatment could thus involve endodontic, orthodontic, periodontic, and restorative procedures. Careful evaluation, case selection, treatment planning, and surgical treatment following the principles outlined in this article can achieve results that meet the functional and esthetic challenges of current dental practice.

  4. Surgical Vision: Google Glass and Surgery.

    Science.gov (United States)

    Chang, Johnny Yau Cheung; Tsui, Lok Yee; Yeung, Keith Siu Kay; Yip, Stefanie Wai Ying; Leung, Gilberto Ka Kit

    2016-08-01

    Google Glass is, in essence, a smartphone in the form of a pair of spectacles. It has a display system, a bone conduction "speaker," video camera, and connectivity via WiFi or Bluetooth technologies. It can also be controlled by voice command. Seizing Google Glass' capabilities as windows of opportunity, surgeons have been the first group of doctors trying to incorporate the technology into their daily practices. Experiences from different groups have demonstrated Google Glass' potential in improving perioperative care, intraoperative communication and documentation, surgical outcome as well as surgical training. On the other hand, the device has technical limitations, notably suboptimal image qualities and a short battery life. Its operational functions also bring forth concerns on the protection of patient privacy. Nonetheless, the technological advances that this device embodies hold promises in surgical innovations. Further studies are required, and surgeons should explore, investigate, and embrace similar technologies with keen and informed anticipation.

  5. The Hip Restoration Algorithm

    Science.gov (United States)

    Stubbs, Allston Julius; Atilla, Halis Atil

    2016-01-01

    Summary Background Despite the rapid advancement of imaging and arthroscopic techniques about the hip joint, missed diagnoses are still common. As a deep joint and compared to the shoulder and knee joints, localization of hip symptoms is difficult. Hip pathology is not easily isolated and is often related to intra and extra-articular abnormalities. In light of these diagnostic challenges, we recommend an algorithmic approach to effectively diagnoses and treat hip pain. Methods In this review, hip pain is evaluated from diagnosis to treatment in a clear decision model. First we discuss emergency hip situations followed by the differentiation of intra and extra-articular causes of the hip pain. We differentiate the intra-articular hip as arthritic and non-arthritic and extra-articular pain as surrounding or remote tissue generated. Further, extra-articular hip pain is evaluated according to pain location. Finally we summarize the surgical treatment approach with an algorithmic diagram. Conclusion Diagnosis of hip pathology is difficult because the etiologies of pain may be various. An algorithmic approach to hip restoration from diagnosis to rehabilitation is crucial to successfully identify and manage hip pathologies. Level of evidence: V. PMID:28066734

  6. Comparing acoustic and perceptual voice parameters in female teachers based on voice complaints

    Directory of Open Access Journals (Sweden)

    Maryam Faghani Abukeili

    2014-04-01

    Full Text Available Background and Aim: Teachers are a large group of professional voice users that several risk factors and voice demands causes various voice complaints among them. As the voice is multidimensional, the aim of this study was acoustic and perceptual measurement of teachers’ voice and comparing the findings between two groups with many and few voice complaints.Methods: Sixty female teachers of high school in Sari, north of Iran, were chosen by available sampling to participate in this cross-sectional study. According to a voice complaints questionnaire, 21 subjects located in few voice complaints and 31 in many voice complaints group. After a working day, subjects completed a voice self-assessment questionnaire. Also, teachers’voice were recorded during three tasks including sustained vowels /a/ and /i/, text reading and conversational speech. Acoustic parameters were analyzed by Praat software and 2 speech-language pathalogists performed auditory-perceptual assessment by GRBAS ( Grade, Roughness, Breathiness, Asthenia, Strain scale. Results: Comparing of the voice self-assessment between the two groups demonstrated statistically significant difference (p<0.05; however results of the acoustic and auditory-perceptual measurement did not show significant diffrence.Conclusion: Despite prevalent voice problems in teachers, there are various conditions in terms of complaints and assessments methods. In this study, only a remarkable deviation documented in the client-based assessments in many voice compliants group in comparison with few voice compliants, which would be probably related to different individual’s perception of voice problem between two groups. These results support paying attention to self-assessments in clinical process of voice problems.

  7. The Role of Occupational Voice Demand and Patient-Rated Impairment in Predicting Voice Therapy Adherence.

    Science.gov (United States)

    Ebersole, Barbara; Soni, Resha S; Moran, Kathleen; Lango, Miriam; Devarajan, Karthik; Jamal, Nausheen

    2017-07-11

    Examine the relationship among the severity of patient-perceived voice impairment, perceptual dysphonia severity, occupational voice demand, and voice therapy adherence. Identify clinical predictors of increased risk for therapy nonadherence. A retrospective cohort study of patients presenting with a chief complaint of persistent dysphonia at an interdisciplinary voice center was done. The Voice Handicap Index-10 (VHI-10) and the Voice-Related Quality of Life (V-RQOL) survey scores, clinician rating of dysphonia severity using the Grade score from the Grade, Roughness Breathiness, Asthenia, and Strain scale, occupational voice demand, and patient demographics were tested for associations with therapy adherence, defined as completion of the treatment plan. Classification and Regression Tree (CART) analysis was performed to establish thresholds for nonadherence risk. Of 166 patients evaluated, 111 were recommended for voice therapy. The therapy nonadherence rate was 56%. Occupational voice demand category, VHI-10, and V-RQOL scores were the only factors significantly correlated with therapy adherence (P occupational voice demand are significantly more likely to be nonadherent with therapy than those with high occupational voice demand (P 40 is a significant cutoff point for predicting therapy nonadherence (P Occupational voice demand and patient perception of impairment are significantly and independently correlated with therapy adherence. A VHI-10 score of ≤9 or a V-RQOL score of >40 is a significant cutoff point for predicting nonadherence risk. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  8. Proof of Concept of a Tracheoesophageal Voice Prosthesis Insufflator for Speech Production After Total Laryngectomy.

    Science.gov (United States)

    Starmer, Heather; Taylor, Russell H; Noureldine, Salem I; Richmon, Jeremy D

    2017-07-01

    There may have a variety of reasons why patients are unable to produce tracheoesophageal speech after total laryngectomy (TL) including poor pulmonary reserve or other comorbidities that prevent adequate stoma occlusion and intratracheal pressure to voice. Other patients find it difficult, uncomfortable, or socially awkward to manually occlude the stoma with the finger or thumb. The study aimed to assess the feasibility of achieving TE speech with a prototype TE voice prosthesis insufflator (TEVPI). We prospectively assessed the feasibility of achieving TE speech with a commercially available continuous positive airway pressure device in six TL patients. The intervention is the use of a prototype TEVPI. A battery of acoustic and perceptual metrics were obtained and compared between TEVPI speech and standard tracheoesophageal voice prosthesis (TEVP) speech. Voicing was accomplished with the TEVPI in five of six participants. On average, the duration of phonation with TEVPI was shorter, not as loud, and perceived to be more difficult to produce compared to TEVP speech. The TEVPI is a feasible, hands-free solution for restoring speech after TL. Although the current model produced inferior acoustic metrics compared with standard TEVP speech, further modification and refinement of the device has the potential to produce much improved speech. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  9. Perturbation Measures of Voice: A Comparative Study between Multi-Dimensional Voice Program and Praat

    National Research Council Canada - National Science Library

    Maryn, Youri; Corthals, Paul; De Bodt, Marc; Van Cauwenberge, Paul; Deliyski, Dimitar

    2009-01-01

    .... In the present study, perturbation measures provided by two computer systems (a purpose-built professional voice analysis apparatus and a personal computer-based system for acoustic voice assessment...

  10. [The smokers voice self assessment based on Voice Handicap Index (VHI)].

    Science.gov (United States)

    Wiskirska-Woźnica, Bozena; Wojnowski, Waldemar

    2009-01-01

    Complex voice assessment due to European Laryngeal Society proposals (2000) contains voice self estimation based on the Polish version of the Voice Handicap Index (VHI). This study focuses on the relation between voice handicap and smoking in dysphonic patients, who are using voice professionally. Thirty outpatient (25 female and 5 male, aged 40 to 55 years) voice department attendees suffering from professional dysphonia took part in this study. All patients after phoniatric examination completed the Polish version of the Voice Handicap Index (VHI). The questions concern functional, emotional and physical complains due to dysphonia. Most of smokers did not complain of dysphonia related problems comparing to non smokers. Even the scores of functional and emotional scales of VHI in smokers shown better results (less handicap) than in nonsmokers. Smoking does not affect patients handicap due to dysphonia measured in the Voice Handicap Index.

  11. Qos and Voice Over IP

    Directory of Open Access Journals (Sweden)

    Adrian GHENCEA

    Full Text Available As Voice over Internet Protocol (VoIP technology matures, companies are increasingly adopting it to cut costs, improve efficiency and enhance customer service. Using the Internet as an existing network for integrating data and telecom systems through intelligent VoIP, a range of benefits results: lower long distance costs, cost cuts in cabling processes and more flexible telephony management. However, as voice over IP services grow in popularity, major threats arise: this rapid growth leads to traffic congestion, security is jeopardizedand the poor quality of calls affects communication. The objective of this article is to present all the elements that can affect voicequality in a VoIP network and to provide methods for solving them. A detailed analysis to minimize the impact of implementation of QoS will be made, and at the end solutions to management strategies will be proposed.

  12. Effect of Religiosity on Voice.

    Science.gov (United States)

    Hamdan, Abdul-Latif; Khneisser, Gebran; Dowli, Alex; Ziade, Georges; Tamim, Hani

    2017-04-01

    The aim of this study was to examine the relationship between religiosity and phonatory behavior. A total of 186 participants participated in a survey that included four sections: demographic data, extent of religiosity, history of dysphonia, phonatory behavior and laryngeal manipulation, in addition to the Voice Handicap Index (VHI-10). There was no significant association between the prevalence of phonatory symptoms and any of the religiosity questions. There was no significant association between phonatory behavior, history of laryngeal manipulation and any of the religiosity questions. There was also no significant association between the score of the Voice Handicap Index and any of the five religiosity questions. There is no association between religiosity and prevalence of phonatory disturbances, phonotraumatic behavior and/or history of laryngeal manipulation.

  13. Surgical strategy for mild ischemic mitral insufficiency

    Institute of Scientific and Technical Information of China (English)

    GU Cheng-xiong; WEI Hua; YU Yang

    2010-01-01

    @@ To the Editor: We read with the interest the article by FAN Hong-guang and colleagues~1 having obtained outstanding early and long-term clinical outcomes of left ventricular restoration for the patients with postinfarction ventricular aneurysm and low left ventricular ejection fraction (LVEF) of mean 37.7%. We would like to comment on surgical strategy for mild ischemic mitral insufficiency.

  14. Voice disorders in mucosal leishmaniasis.

    Directory of Open Access Journals (Sweden)

    Ana Cristina Nunes Ruas

    Full Text Available INTRODUCTION: Leishmaniasis is considered as one of the six most important infectious diseases because of its high detection coefficient and ability to produce deformities. In most cases, mucosal leishmaniasis (ML occurs as a consequence of cutaneous leishmaniasis. If left untreated, mucosal lesions can leave sequelae, interfering in the swallowing, breathing, voice and speech processes and requiring rehabilitation. OBJECTIVE: To describe the anatomical characteristics and voice quality of ML patients. MATERIALS AND METHODS: A descriptive transversal study was conducted in a cohort of ML patients treated at the Laboratory for Leishmaniasis Surveillance of the Evandro Chagas National Institute of Infectious Diseases-Fiocruz, between 2010 and 2013. The patients were submitted to otorhinolaryngologic clinical examination by endoscopy of the upper airways and digestive tract and to speech-language assessment through directed anamnesis, auditory perception, phonation times and vocal acoustic analysis. The variables of interest were epidemiologic (sex and age and clinic (lesion location, associated symptoms and voice quality. RESULTS: 26 patients under ML treatment and monitored by speech therapists were studied. 21 (81% were male and five (19% female, with ages ranging from 15 to 78 years (54.5+15.0 years. The lesions were distributed in the following structures 88.5% nasal, 38.5% oral, 34.6% pharyngeal and 19.2% laryngeal, with some patients presenting lesions in more than one anatomic site. The main complaint was nasal obstruction (73.1%, followed by dysphonia (38.5%, odynophagia (30.8% and dysphagia (26.9%. 23 patients (84.6% presented voice quality perturbations. Dysphonia was significantly associated to lesions in the larynx, pharynx and oral cavity. CONCLUSION: We observed that vocal quality perturbations are frequent in patients with mucosal leishmaniasis, even without laryngeal lesions; they are probably associated to disorders of some

  15. WHEEL CHAIR USING VOICE RECOGNITION

    OpenAIRE

    Manish Kumar Yadav*; Rajat Kumar; Santosh Yadav; Ravindra Prajapati; Prof. Kshirsagar

    2016-01-01

    The wide spread prevalence of lost limbs and sensing system is of major concern in present day due to wars, accident, age and health problems. This Omni-directional wheelchair was designed for the less able elderly to move more flexibly in narrow spaces, such as elevators or small aisle. The wheelchair is developed to help disabled patients by using speech recognition system to control the movement of wheelchair in different directions by using voice commands and also the simple movement of t...

  16. English Spoken Language & Voice Quality

    OpenAIRE

    Folsberg, Jens; Nielsen, Charlotte; Brusokaite, Giedre; Beinkamp, Line; Bach Jensen, Niels; Aalbæk Jensen, Sandra

    2013-01-01

    This project investigates the way language and accents are depicted in animated features and how linguistic stereotypes can be used in the process of character construction. In order to look into that, examples from four movies, produced by two studios, have been selected; the American Disney studios being represented by The Lion King (1994) and Up (2009), and the Japanese Studio Ghibli being represented by Ponyo (2008) and Howl's Moving Castle (2004). Voice qualities and specific accents ...

  17. The voice of the voiceless

    Directory of Open Access Journals (Sweden)

    Carlos Morales

    2014-12-01

    Full Text Available Women’s voice, these are stories of a group of women and their partners who lived part of a particular historical period agriculture during the twentieth century, the hacienda. The present work attempts to reflect their everyday life, reinterpreted from nowadays as a reflection of collective memory, in the big farms where they grew by putting in scene their roles in juxtaposition to the roles of male tradition.

  18. Nerve Transfers to Restore Shoulder Function.

    Science.gov (United States)

    Leechavengvongs, Somsak; Malungpaishorpe, Kanchai; Uerpairojkit, Chairoj; Ng, Chye Yew; Witoonchart, Kiat

    2016-05-01

    The restoration of shoulder function after brachial plexus injury represents a significant challenge facing the peripheral nerve surgeons. This is owing to a combination of the complex biomechanics of the shoulder girdle, the multitude of muscles and nerves that could be potentially injured, and a limited number of donor options. In general, nerve transfer is favored over tendon transfer, because the biomechanics of the musculotendinous units are not altered. This article summarizes the surgical techniques and clinical results of nerve transfers for restoration of shoulder function.

  19. Voice congruency facilitates word recognition.

    Directory of Open Access Journals (Sweden)

    Sandra Campeanu

    Full Text Available Behavioral studies of spoken word memory have shown that context congruency facilitates both word and source recognition, though the level at which context exerts its influence remains equivocal. We measured event-related potentials (ERPs while participants performed both types of recognition task with words spoken in four voices. Two voice parameters (i.e., gender and accent varied between speakers, with the possibility that none, one or two of these parameters was congruent between study and test. Results indicated that reinstating the study voice at test facilitated both word and source recognition, compared to similar or no context congruency at test. Behavioral effects were paralleled by two ERP modulations. First, in the word recognition test, the left parietal old/new effect showed a positive deflection reflective of context congruency between study and test words. Namely, the same speaker condition provided the most positive deflection of all correctly identified old words. In the source recognition test, a right frontal positivity was found for the same speaker condition compared to the different speaker conditions, regardless of response success. Taken together, the results of this study suggest that the benefit of context congruency is reflected behaviorally and in ERP modulations traditionally associated with recognition memory.

  20. Voices in (and around the Museum: Introduction

    Directory of Open Access Journals (Sweden)

    Ruth Holt

    2012-08-01

    Full Text Available The voice already plays an important role in contemporary art. This introductory paper summarises a series of four sessions in which speakers explored the place of the voice in the museum context. It became clear that the voice not only offered richness in interpretation of and response to other museum artefacts but was itself an artefact meriting conservation  and interpretation.

  1. Speak Up! But don't strain your voice

    Science.gov (United States)

    ... Disorders Speak Up! But don't strain your voice Past Issues / Fall 2008 Table of Contents For ... Javascript on. A clinical trial at the NIDCD Voice Center gave Sherdina Jones tools to limit voice ...

  2. Familiarity and Voice Representation: From Acoustic-Based Representation to Voice Averages

    Directory of Open Access Journals (Sweden)

    Maureen Fontaine

    2017-07-01

    Full Text Available The ability to recognize an individual from their voice is a widespread ability with a long evolutionary history. Yet, the perceptual representation of familiar voices is ill-defined. In two experiments, we explored the neuropsychological processes involved in the perception of voice identity. We specifically explored the hypothesis that familiar voices (trained-to-familiar (Experiment 1, and famous voices (Experiment 2 are represented as a whole complex pattern, well approximated by the average of multiple utterances produced by a single speaker. In experiment 1, participants learned three voices over several sessions, and performed a three-alternative forced-choice identification task on original voice samples and several “speaker averages,” created by morphing across varying numbers of different vowels (e.g., [a] and [i] produced by the same speaker. In experiment 2, the same participants performed the same task on voice samples produced by familiar speakers. The two experiments showed that for famous voices, but not for trained-to-familiar voices, identification performance increased and response times decreased as a function of the number of utterances in the averages. This study sheds light on the perceptual representation of familiar voices, and demonstrates the power of average in recognizing familiar voices. The speaker average captures the unique characteristics of a speaker, and thus retains the information essential for recognition; it acts as a prototype of the speaker.

  3. Speaking up in groups: a cross-level study of group voice climate and voice.

    Science.gov (United States)

    Morrison, Elizabeth Wolfe; Wheeler-Smith, Sara L; Kamdar, Dishan

    2011-01-01

    Despite a growing body of research on employee voice—defined as the discretionary communication of ideas, suggestions, or opinions intended to improve organizational or unit functioning—the effects of shared or collective-level cognitions have received scant attention. There has also been relatively little research on voice within work groups. Our goal in this study was to address these important gaps by focusing on the effects of group-level beliefs about voice (i.e., group voice climate) on individual voice behavior within work groups. We conducted a cross-level investigation of voice behavior within 42 groups of engineers from a large chemical company. Consistent with our hypotheses, group voice climate was highly predictive of voice and explained variance beyond the effects of individual-level identification and satisfaction, and procedural justice climate. Also consistent with predictions, the effect of identification on voice was stronger in groups with favorable voice climates. These findings provide evidence that voice is shaped not just by individual attitudes and perceptions of the work context, as past research has shown, but also by group-level beliefs. The results also highlight the importance of broadening our conceptual models of voice to include shared cognitions and of conducting additional cross-level research on voice.

  4. Test-Retest Reliability of the Dual-Microphone Voice Range Profile.

    Science.gov (United States)

    Printz, Trine; Sorensen, Jesper Roed; Godballe, Christian; Grøntved, Ågot Møller

    2017-05-16

    The voice range profile (VRP) measures vocal intensity and fundamental frequency. Phonosurgical and logopedic treatment outcome studies using the VRP report voice improvements of 3-6 semitones (ST) in ST range and 4-7 decibels (dB) in sound pressure level range after treatment. These small improvements stress the importance of reliable measurements. The aim was to evaluate the test-retest reliability of the dual-microphone computerized VRP on participants with healthy voices. This is a prospective test-retest reliability study. Dual-microphone VRPs were repeated twice on healthy participants (n = 37) with an interval of 6-37 days. Voice frequency and intensity (minimum, maximum, and ranges) were assessed in combination with the area of the VRP. Correlations between VRP parameters were high (r > 0.60). However, in the retest, a statistically significant increase in voice frequency range (1.4 ST [95% confidence interval {CI}: 0.8-2.1 ST], P VRP (148 cells [95% CI: 87-210 cells], P VRP is well below the differences seen after surgical or logopedic intervention, even when measuring in non-sound-treated rooms. There is a need for studies regarding inter-examiner reliability with a longer interval between test and retest before the assessment is fully reliable for clinical application. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  5. The Performing Voice of the Audiobook

    DEFF Research Database (Denmark)

    Pedersen, Birgitte Stougaard; Have, Iben

    2014-01-01

    will be based on a reception aesthetic and phenomenological approach, the latter as presented by Don Ihde in his book Listening and Voice. Phenomenologies of Sound , and my analytical sketches will be related to theoretical statements concerning the understanding of voice and media (Cavarero, Dolar, La......Belle, Neumark). Finally, the article will discuss the specific artistic combination and our auditory experience of mediated human voices and sculpturally projected faces in an art museum context under the general conditions of the societal panophonia of disembodied and mediated voices, as promoted by Steven...

  6. Methods of Translating the English passive voice

    Institute of Scientific and Technical Information of China (English)

    张李丽

    2009-01-01

    @@ 一、Comparisons between Voices in English and Chinese In English as in many other languages,the passive voice is the form of a transitive verb whose grammatical sabjOct serves as the patient,receiving the action of the verb.The passive voice is typically contrasted with the active voice,which is the form of a transitive verb whose subject serves as the agent,performing the action of the verb.The subject of a verb in the passive voice corresponds to the object of the same verb in the active voice.English's passive voice is periphrastic;that is,it does not have a one-word form.Rather,it is formed using a form of the auxiliary verb be together with a verb's past participle.The passive voice is widely used in English when it is unnecessary,undesirable,or impossible to ilame the agent of an action,or when the passive voice is needed to link the text better.

  7. Prevalence of voice disorders among future teachers.

    Science.gov (United States)

    Simberg, S; Laine, A; Sala, E; Rönnemaa, A M

    2000-06-01

    An epidemiological study was conducted in order to find out the prevalence of voice disorders among students studying to be teachers. Vocal symptoms were inquired of 226 students. Their voices were assessed perceptually by a speech therapist and those who had abnormal voice quality or reported several vocal symptoms were referred to a clinical examination by a laryngologist. The results showed that 20% of this population reported two or more vocal symptoms during the previous year and that 19% had an organic voice disorder. This reinforces the need for clinical evaluation of students with vocal symptoms and more vocal training in the teacher education programs.

  8. Restorative dentistry for children.

    Science.gov (United States)

    Donly, Kevin J

    2013-01-01

    This article discusses contemporary pediatric restorative dentistry. Indications and contraindications for the choice of different restorative materials in different clinical situations, including the risk assessment of the patient, are presented. The specific use of glass ionomer cement or resin-modified glass ionomer cement, resin-based composite, and stainless steel crowns is discussed so that preparation design and restoration placement is understood.

  9. Global Ecosystem Restoration Index

    DEFF Research Database (Denmark)

    Fernandez, Miguel; Garcia, Monica; Fernandez, Nestor

    2015-01-01

    The Global ecosystem restoration index (GERI) is a composite index that integrates structural and functional aspects of the ecosystem restoration process. These elements are evaluated through a window that looks into a baseline for degraded ecosystems with the objective to assess restoration...

  10. Influence of classroom acoustics on the voice levels of teachers with and without voice problems: a field study

    DEFF Research Database (Denmark)

    Pelegrin Garcia, David; Lyberg-Åhlander, Viveka; Rydell, Roland

    2010-01-01

    Many teachers suffer from voice problems and classroom acoustics has been considered as one of the potential hazards for this. The present study examines how classroom acoustics interacts with the voices of 14 teachers without voice problems and 13 teachers with voice problems. The assessment...... of Reverberation Time and Voice Support were measured in the 30 empty classrooms of the study. An empirical model shows that the measured voice levels depended on the activity noise levels and the voice support. Teachers with and without voice problems were differently affected by the voice support...... of the classroom. The results thus suggest that teachers with voice problems are more aware of classroom acoustic conditions than their healthy colleagues and make use of the more supportive rooms to lower their voice levels. This behavior may result from an adaptation process of the teachers with voice problems...

  11. Linking restoration ecology with coastal dune restoration

    Science.gov (United States)

    Lithgow, D.; Martínez, M. L.; Gallego-Fernández, J. B.; Hesp, P. A.; Flores, P.; Gachuz, S.; Rodríguez-Revelo, N.; Jiménez-Orocio, O.; Mendoza-González, G.; Álvarez-Molina, L. L.

    2013-10-01

    Restoration and preservation of coastal dunes is urgently needed because of the increasingly rapid loss and degradation of these ecosystems because of many human activities. These activities alter natural processes and coastal dynamics, eliminate topographic variability, fragment, degrade or eliminate habitats, reduce diversity and threaten endemic species. The actions of coastal dune restoration that are already taking place span contrasting activities that range from revegetating and stabilizing the mobile substrate, to removing plant cover and increasing substrate mobility. Our goal was to review how the relative progress of the actions of coastal dune restoration has been assessed, according to the ecosystem attributes outlined by the Society of Ecological Restoration: namely, integrity, health and sustainability and that are derived from the ecological theory of succession. We reviewed the peer reviewed literature published since 1988 that is listed in the ISI Web of Science journals as well as additional references, such as key books. We exclusively focused on large coastal dune systems (such as transgressive and parabolic dunefields) located on natural or seminatural coasts. We found 150 articles that included "coastal dune", "restoration" and "revegetation" in areas such as title, keywords and abstract. From these, 67 dealt specifically with coastal dune restoration. Most of the studies were performed in the USA, The Netherlands and South Africa, during the last two decades. Restoration success has been assessed directly and indirectly by measuring one or a few ecosystem variables. Some ecosystem attributes have been monitored more frequently (ecosystem integrity) than others (ecosystem health and sustainability). Finally, it is important to consider that ecological succession is a desirable approach in restoration actions. Natural dynamics and disturbances should be considered as part of the restored system, to improve ecosystem integrity, health and

  12. The design of a digital voice data compression technique for orbiter voice channels

    Science.gov (United States)

    1975-01-01

    Voice bandwidth compression techniques were investigated to anticipate link margin difficulties in the shuttle S-band communication system. It was felt that by reducing the data rate on each voice channel from the baseline 24 (or 32) Kbps to 8 Kbps, additional margin could be obtained. The feasibility of such an alternate voice transmission system was studied. Several factors of prime importance that were addressed are: (1) achieving high quality voice at 8 Kbps; (2) performance in the presence of the anticipated shuttle cabin environmental noise; (3) performance in the presence of the anticipated channel error statistics; and (4) minimal increase in size, weight, and power over the current baseline voice processor.

  13. The perio-esthetic-restorative approach for anterior rehabilitation.

    Science.gov (United States)

    Tomar, Nitin; Bansal, Tushika; Bhandari, Marisha; Sharma, Anamika

    2013-07-01

    Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Procedures including the crown lengthening surgery, furcation treatment and mucogingival therapy and tooth restoration are essential treatment regimens requiring multifaceted expertise. The interplay of periodontics and restorative dentistry is present at many fronts including the response of the gingival tissue to the restorative preparations. Dental restorations and periodontal health are inseparably interrelated. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. The different surgical procedures used for crown lengthening are gingivectomy/gingivoplasty, apically positioned flap with or without osseous resection and orthodontic extrusion. The paper presents crown lengthening of severely mutilated teeth to increase the clinical crown height for adequate restoration.

  14. The perio-esthetic-restorative approach for anterior rehabilitation

    Directory of Open Access Journals (Sweden)

    Nitin Tomar

    2013-01-01

    Full Text Available Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Procedures including the crown lengthening surgery, furcation treatment and mucogingival therapy and tooth restoration are essential treatment regimens requiring multifaceted expertise. The interplay of periodontics and restorative dentistry is present at many fronts including the response of the gingival tissue to the restorative preparations. Dental restorations and periodontal health are inseparably interrelated. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. The different surgical procedures used for crown lengthening are gingivectomy/gingivoplasty, apically positioned flap with or without osseous resection and orthodontic extrusion. The paper presents crown lengthening of severely mutilated teeth to increase the clinical crown height for adequate restoration.

  15. The perio-esthetic-restorative approach for anterior rehabilitation

    Science.gov (United States)

    Tomar, Nitin; Bansal, Tushika; Bhandari, Marisha; Sharma, Anamika

    2013-01-01

    Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Procedures including the crown lengthening surgery, furcation treatment and mucogingival therapy and tooth restoration are essential treatment regimens requiring multifaceted expertise. The interplay of periodontics and restorative dentistry is present at many fronts including the response of the gingival tissue to the restorative preparations. Dental restorations and periodontal health are inseparably interrelated. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. The different surgical procedures used for crown lengthening are gingivectomy/gingivoplasty, apically positioned flap with or without osseous resection and orthodontic extrusion. The paper presents crown lengthening of severely mutilated teeth to increase the clinical crown height for adequate restoration. PMID:24174740

  16. Restoring the incisal edge.

    Science.gov (United States)

    Terry, Douglas A

    2005-01-01

    Restorative dentistry evolves with each development of new material and innovative technique. Selection of improved restorative materials that simulate the physical properties and other characteristics of natural teeth, in combination with restorative techniques such as the proximal adaptation and incremental layering, provide the framework that ensures the optimal development of an esthetic restoration. These advanced placement techniques offer benefits such as enhanced chromatic integration, polychromatism, ideal anatomical form and function, optimal proximal contact, improved marginal integrity and longer lasting directly placed composite restorations. The purpose of this article is to give the reader a better understanding of the complex restorative challenge in achieving true harmonization of the primary parameters in esthetics (that is, color, shape and texture) represented by the replacement of a single anterior tooth. The case presented demonstrates the restoration of a Class IV fracture integrating basic adhesive principles with these placement techniques and a recently developed nanoparticle hybrid composite resin system (Premise, Kerr/Sybron, Orange, CA). The clinical presentation describes preoperative considerations, tooth preparation, development of the body layer, internal characterization with tints, development of the artificial enamel layer, shaping and contouring, and polishing of a Class IV composite restoration. The clinical significance is that anterior tooth fractures can be predictably restored using contemporary small particle hybrid composite resin systems with the aforementioned restorative techniques. These placement techniques when used with proper attention to preparation design, adhesive protocol and finishing and polishing procedures, allow the clinician to successfully restore form, function and esthetics to the single anterior tooth replacement.

  17. [Surgical treatment of paralytic lagophthalmos].

    Science.gov (United States)

    Schrom, T; Bast, F

    2010-03-01

    Impairment of the peripheral or central part of the facial nerve causes an ipsilateral peripheral facial nerve paresis. It is quite a common syndrome and affects 20-35 persons per 100,000 per year in Western Europe and the United States. A possible complication of facial palsy is paralytic lagophthalmos with aesthetic and functional impairment for the patient. Beside primary nerve reconstructive procedures plastic-reconstructive procedures play a major role in correcting paralytic lagophthalmos. The eyebrow, upper and lower lids, medial and lateral lid angle as well as the lacrimal system need to be seen as functional units and can be corrected with local surgical procedures. Restoration of eye closure is the most important goal in treating the affected eye. Due to the significant aesthetic limitations and resultant psychological stress for the patient cosmetic aspects must be included in the surgical concept.

  18. Muscular tension and body posture in relation to voice handicap and voice quality in teachers with persistent voice complaints.

    Science.gov (United States)

    Kooijman, P G C; de Jong, F I C R S; Oudes, M J; Huinck, W; van Acht, H; Graamans, K

    2005-01-01

    The aim of this study was to investigate the relationship between extrinsic laryngeal muscular hypertonicity and deviant body posture on the one hand and voice handicap and voice quality on the other hand in teachers with persistent voice complaints and a history of voice-related absenteeism. The study group consisted of 25 female teachers. A voice therapist assessed extrinsic laryngeal muscular tension and a physical therapist assessed body posture. The assessed parameters were clustered in categories. The parameters in the different categories represent the same function. Further a tension/posture index was created, which is the summation of the different parameters. The different parameters and the index were related to the Voice Handicap Index (VHI) and the Dysphonia Severity Index (DSI). The scores of the VHI and the individual parameters differ significantly except for the posterior weight bearing and tension of the sternocleidomastoid muscle. There was also a significant difference between the individual parameters and the DSI, except for tension of the cricothyroid muscle and posterior weight bearing. The score of the tension/posture index correlates significantly with both the VHI and the DSI. In a linear regression analysis, the combination of hypertonicity of the sternocleidomastoid, the geniohyoid muscles and posterior weight bearing is the most important predictor for a high voice handicap. The combination of hypertonicity of the geniohyoid muscle, posterior weight bearing, high position of the hyoid bone, hypertonicity of the cricothyroid muscle and anteroposition of the head is the most important predictor for a low DSI score. The results of this study show the higher the score of the index, the higher the score of the voice handicap and the worse the voice quality is. Moreover, the results are indicative for the importance of assessment of muscular tension and body posture in the diagnosis of voice disorders.

  19. Using the Voice to Design Ceramics

    DEFF Research Database (Denmark)

    Hansen, Flemming Tvede; Jensen, Kristoffer

    2011-01-01

    SoundShaping, a system to create ceramics from the human voice. Based on a generic audio feature extraction system, and the principal component analysis to ensure that the pertinent information in the voice is used, a 3D shape is created using simple geometric rules. This shape is output to a 3D printer...

  20. The Voice of Conscience in Rousseau's Emile

    Science.gov (United States)

    Kodelja, Zdenko

    2015-01-01

    According to Rousseau, conscience and conscience alone can elevate human beings to a level above that of animals. It is conscience, understood as infallible judge of good and bad, which makes man like God. Conscience itself is, in this context, understood as divine, as an "immortal and celestial voice". Therefore, if the voice of…

  1. Why Is My Voice Changing? (For Teens)

    Science.gov (United States)

    ... enter puberty earlier or later than others. How Deep Will My Voice Get? How deep a guy's voice gets depends on his genes: ... of Use Notice of Nondiscrimination Visit the Nemours Web site. Note: All information on TeensHealth® is for ...

  2. Gender in voice perception in autism.

    NARCIS (Netherlands)

    Groen, W.B.; Orsouw, L van; Zwiers, M.; Swinkels, S.; Gaag, R.J. van der; Buitelaar, J.K.

    2008-01-01

    Deficits in the perception of social stimuli may contribute to the characteristic impairments in social interaction in high functioning autism (HFA). Although the cortical processing of voice is abnormal in HFA, it is unclear whether this gives rise to impairments in the perception of voice gender.

  3. Speaking with the voice of authority

    CERN Multimedia

    2002-01-01

    GPB Consulting has developed a scientific approach to voice coaching. A digital recording of the voice is sent to a lab in Switzerland and analyzed by a computer programme designed by a doctor of psychology and linguistics and a scientist at CERN (1 page).

  4. The Voice of Conscience in Rousseau's Emile

    Science.gov (United States)

    Kodelja, Zdenko

    2015-01-01

    According to Rousseau, conscience and conscience alone can elevate human beings to a level above that of animals. It is conscience, understood as infallible judge of good and bad, which makes man like God. Conscience itself is, in this context, understood as divine, as an "immortal and celestial voice". Therefore, if the voice of…

  5. Epidemiology of voice problems in Dutch teachers

    NARCIS (Netherlands)

    de Jong, F. I. C. R. S.; Kooijman, P. G. C.; Thomas, G.; Huinck, W. J.; Graamans, K.; Schutte, H. K.

    2006-01-01

    In order to assess voice complaints and absence from work due to voice problems among teachers of primary and secondary education, as well as among a control group, 2,117 questionnaires were analysed. The total group consisted of 1,878 teachers and 239 controls. Female teachers more frequently repor

  6. Voice Deviations and Coexisting Communication Disorders.

    Science.gov (United States)

    St. Louis, Kenneth O.; And Others

    1992-01-01

    This study examined the coexistence of other communicative disorders with voice disorders in about 3,400 children in grades 1-12 at 100 sites throughout the United States. The majority of voice-disordered children had coexisting articulation deviations and also differed from controls on two language measures and mean pure-tone hearing thresholds.…

  7. Using the Voice to Design Ceramics

    DEFF Research Database (Denmark)

    Hansen, Flemming Tvede; Jensen, Kristoffer

    2011-01-01

    SoundShaping, a system to create ceramics from the human voice. Based on a generic audio feature extraction system, and the principal component analysis to ensure that the pertinent information in the voice is used, a 3D shape is created using simple geometric rules. This shape is output to a 3D printer...

  8. Epidemiology of voice problems in Dutch teachers.

    NARCIS (Netherlands)

    Jong, F.I.C.R.S. de; Kooijman, P.G.C.; Thomas, G.; Huinck, W.J.; Graamans, K.; Schutte, H.K.

    2006-01-01

    In order to assess voice complaints and absence from work due to voice problems among teachers of primary and secondary education, as well as among a control group, 2,117 questionnaires were analysed. The total group consisted of 1,878 teachers and 239 controls. Female teachers more frequently repor

  9. Epidemiology of voice problems in Dutch teachers

    NARCIS (Netherlands)

    de Jong, F. I. C. R. S.; Kooijman, P. G. C.; Thomas, G.; Huinck, W. J.; Graamans, K.; Schutte, H. K.

    2006-01-01

    In order to assess voice complaints and absence from work due to voice problems among teachers of primary and secondary education, as well as among a control group, 2,117 questionnaires were analysed. The total group consisted of 1,878 teachers and 239 controls. Female teachers more frequently repor

  10. Predictors of Choral Directors' Voice Handicap

    Science.gov (United States)

    Schwartz, Sandra

    2013-01-01

    Vocal demands of teaching are considerable and these challenges are greater for choral directors who depend on the voice as a musical and instructive instrument. The purpose of this study was to (1) examine choral directors' vocal condition using a modified Voice Handicap Index (VHI), and (2) determine the extent to which the major variables…

  11. Gender in Voice Perception in Autism

    Science.gov (United States)

    Groen, Wouter B.; van Orsouw, Linda; Zwiers, Marcel; Swinkels, Sophie; van der Gaag, Rutger Jan; Buitelaar, Jan K.

    2008-01-01

    Deficits in the perception of social stimuli may contribute to the characteristic impairments in social interaction in high functioning autism (HFA). Although the cortical processing of voice is abnormal in HFA, it is unclear whether this gives rise to impairments in the perception of voice gender. About 20 children with HFA and 20 matched…

  12. Voice Recognition: A New Assessment Tool?

    Science.gov (United States)

    Jones, Darla

    2005-01-01

    This article presents the results of a study conducted in Anchorage, Alaska, that evaluated the accuracy and efficiency of using voice recognition (VR) technology to collect oral reading fluency data for classroom-based assessments. The primary research question was as follows: Is voice recognition technology a valid and reliable alternative to…

  13. Two Factors Related to Effective Voice Interpreting.

    Science.gov (United States)

    Hurwitz, T. Alan

    1986-01-01

    Thirty-two interpreters for the deaf were measured on accuracy and quality of voice interpreting of the same story in two different sign language types: Pidgin Signed English and American Sign Language. Results indicated that previous experience interpreting was significantly related to the effectiveness of voice interpreting both languages.…

  14. Student Voice and the Common Core

    Science.gov (United States)

    Yonezawa, Susan

    2015-01-01

    Common Core proponents and detractors debate its merits, but students have voiced their opinion for years. Using a decade's worth of data gathered through design-research on youth voice, this article discusses what high school students have long described as more ideal learning environments for themselves--and how remarkably similar the Common…

  15. Student Voice and the Common Core

    Science.gov (United States)

    Yonezawa, Susan

    2015-01-01

    Common Core proponents and detractors debate its merits, but students have voiced their opinion for years. Using a decade's worth of data gathered through design-research on youth voice, this article discusses what high school students have long described as more ideal learning environments for themselves--and how remarkably similar the Common…

  16. Voices from Around the Globe

    Directory of Open Access Journals (Sweden)

    Birgit Schreiber

    2017-07-01

    Full Text Available JSAA has been seeking to provide an opportunity for Student Affairs professionals and higher education scholars from around the globe to share their research and experiences of student services and student affairs programmes from their respective regional and institutional contexts. This has been given a specific platform with the guest-edited issue “Voices from Around the Globe” which is the result of a collaboration with the International Association of Student Affairs and Services (IASAS, and particularly with the guest editors, Kathleen Callahan and Chinedu Mba.

  17. Improving Quality of Voice Conversion Systems

    Science.gov (United States)

    Farhid, M.; Tinati, M. A.

    New improvement scheme for voice conversion are proposed in this paper. We take Human factor cepstral coefficients (HFCC), a modification of MFCC that uses the known relationship between center frequency and critical bandwidth from human psychoacoustics to decouple filter bandwidth from filter spacing, as the basic feature. We propose U/V (Unvoiced/Voiced) decision rule such that two sets of codebooks are used to capture the difference between unvoiced and voiced segments of the source speaker. Moreover, we apply three schemes to refine the synthesized voice, including pitch refinement, energy equalization, and frame concatenation. The acceptable performance of the voice conversion system can be verified through ABX listening test and MOS grad.

  18. Romantic Voice in Three Contemporary Ghazals

    Directory of Open Access Journals (Sweden)

    فرّخ لطیف نژاد

    2014-01-01

    Full Text Available In linguistics, the relation between syntax and thought is expressed by verbs and their relationship with subjects, objects and predicates. This link, in turn, creates grammatical voices such as active, passive and so on. Grammatical voice indicates the writer's attitudes towards and viewpoints on a subject and reflects his/her mental and spiritual state. Grammatical voice can be employed to compare the moods of different poets. In this article, we seek to examine and compare the grammatical voice in three ghazals by Ebtehaj, Naderpour and Farrokhzad and relate it to the School Romanticism using statistical analysis. These ghazals are an imitation of one of Sa’di's poems. Results indicate that in the chosen poem the active voice is used more because of the conversation taking place between the lover and the beloved. Farrokhzad has used newer language strategies in her poem as compared with the other two.

  19. Voice Quality Estimation in Wireless Networks

    Directory of Open Access Journals (Sweden)

    Petr Zach

    2015-01-01

    Full Text Available This article deals with the impact of Wireless (Wi-Fi networks on the perceived quality of voice services. The Quality of Service (QoS metrics must be monitored in the computer network during the voice data transmission to ensure proper voice service quality the end-user has paid for, especially in the wireless networks. In addition to the QoS, research area called Quality of Experience (QoE provides metrics and methods for quality evaluation from the end-user’s perspective. This article focuses on a QoE estimation of Voice over IP (VoIP calls in the wireless networks using network simulator. Results contribute to voice quality estimation based on characteristics of the wireless network and location of a wireless client.

  20. Voice pedagogy-what do we need?

    Science.gov (United States)

    Gill, Brian P; Herbst, Christian T

    2016-12-01

    The final keynote panel of the 10th Pan-European Voice Conference (PEVOC) was concerned with the topic 'Voice pedagogy-what do we need?' In this communication the panel discussion is summarized, and the authors provide a deepening discussion on one of the key questions, addressing the roles and tasks of people working with voice students. In particular, a distinction is made between (1) voice building (derived from the German term 'Stimmbildung'), primarily comprising the functional and physiological aspects of singing; (2) coaching, mostly concerned with performance skills; and (3) singing voice rehabilitation. Both public and private educators are encouraged to apply this distinction to their curricula, in order to arrive at more efficient singing teaching and to reduce the risk of vocal injury to the singers concerned.

  1. LABORATORY VOICE DATA ENTRY SYSTEM.

    Energy Technology Data Exchange (ETDEWEB)

    PRAISSMAN,J.L.SUTHERLAND,J.C.

    2003-04-01

    We have assembled a system using a personal computer workstation equipped with standard office software, an audio system, speech recognition software and an inexpensive radio-based wireless microphone that permits laboratory workers to enter or modify data while performing other work. Speech recognition permits users to enter data while their hands are holding equipment or they are otherwise unable to operate a keyboard. The wireless microphone allows unencumbered movement around the laboratory without a ''tether'' that might interfere with equipment or experimental procedures. To evaluate the potential of voice data entry in a laboratory environment, we developed a prototype relational database that records the disposal of radionuclides and/or hazardous chemicals Current regulations in our laboratory require that each such item being discarded must be inventoried and documents must be prepared that summarize the contents of each container used for disposal. Using voice commands, the user enters items into the database as each is discarded. Subsequently, the program prepares the required documentation.

  2. Procedures for restoring vestibular disorders

    Directory of Open Access Journals (Sweden)

    Walther, Leif Erik

    2005-09-01

    Full Text Available This paper will discuss therapeutic possibilities for disorders of the vestibular organs and the neurons involved, which confront ENT clinicians in everyday practice. Treatment of such disorders can be tackled either symptomatically or causally. The possible strategies for restoring the body's vestibular sense, visual function and co-ordination include medication, as well as physical and surgical procedures. Prophylactic or preventive measures are possible in some disorders which involve vertigo (bilateral vestibulopathy, kinetosis, height vertigo, vestibular disorders when diving (Tables 1 and 2. Glucocorticoid and training therapy encourage the compensation of unilateral vestibular loss. In the case of a bilateral vestibular loss, it is important to treat the underlying disease (e.g. Cogan's disease. Although balance training does improve the patient's sense of balance, it will not restore it completely.In the case of Meniere's disease, there are a number of medications available to either treat bouts or to act as a prophylactic (e.g. dimenhydrinate or betahistine. In addition, there are non-ablative (sacculotomy as well as ablative surgical procedures (e.g. labyrinthectomy, neurectomy of the vestibular nerve. In everyday practice, it has become common to proceed with low risk therapies initially. The physical treatment of mild postural vertigo can be carried out quickly and easily in outpatients (repositioning or liberatory maneuvers. In very rare cases it may be necessary to carry out a semicircular canal occlusion. Isolated disturbances of the otolith function or an involvement of the otolith can be found in roughly 50% of labyrinth disturbances. A specific surgical procedure to selectively block the otolith organs is currently being studied. When an external perilymph fistula involving loss of perilymph is suspected, an exploratory tympanotomy involving also the round and oval window niches must be carried out. A traumatic rupture of the

  3. Restoring the worn dentition.

    Science.gov (United States)

    Ibsen, R L; Ouellet, D F

    1992-01-01

    Strong dental materials and dental porcelains are providing dentists with restorative opportunities that are more conservative because they require less destruction of healthy tooth structure and yield a more esthetic result. In cases of severe wear due to attrition, abrasion, and erosion, this process can be stopped, restoring the esthetics and function by using proper techniques and materials. The case report described in this article demonstrates the conservative restoration of severe wear due to attrition and erosion. Teeth were lengthened, wear was restored, and further wear was ceased by using a combination of bonded porcelain, a heat, light, and self-cure resin system, and a new glass-ionomer restorative material. The result was a strong, durable restoration (that required no anesthesia) with high esthetics.

  4. Watershed Restoration Project

    Energy Technology Data Exchange (ETDEWEB)

    Julie Thompson; Betsy Macfarlan

    2007-09-27

    In 2003, the U.S. Department of Energy issued the Eastern Nevada Landscape Coalition (ENLC) funding to implement ecological restoration in Gleason Creek and Smith Valley Watersheds. This project was made possible by congressionally directed funding that was provided through the US Department of Energy, Energy Efficiency and Renewable Energy, Office of the Biomass Program. The Ely District Bureau of Land Management (Ely BLM) manages these watersheds and considers them priority areas within the Ely BLM district. These three entities collaborated to address the issues and concerns of Gleason Creek and Smith Valley and prepared a restoration plan to improve the watersheds’ ecological health and resiliency. The restoration process began with watershed-scale vegetation assessments and state and transition models to focus on restoration sites. Design and implementation of restoration treatments ensued and were completed in January 2007. This report describes the restoration process ENLC undertook from planning to implementation of two watersheds in semi-arid Eastern Nevada.

  5. Surgical management of large scalp infantile hemangiomas

    Directory of Open Access Journals (Sweden)

    Imad S Khan

    2014-01-01

    Full Text Available Background: Infantile Hemangiomas (IH are the most common benign tumor of infancy, occurring in over 10% of newborns. While most IHs involute and never require intervention, some scalp IHs may cause severe cosmetic deformity and threaten tissue integrity that requires surgical excision. Case Description: We present our experience with two infants who presented with large scalp IH. After vascular imaging, the patients underwent surgical resection of the IH and primary wound closure with excellent cosmetic outcome. We detail the surgical management of these cases and review the relevant literature. Conclusion: In some cases the IHs leave behind fibro-fatty residuum causing contour deformity. Surgery is often required for very large lesions causing extensive anatomical and/or functional disruption. The goal of surgical intervention is to restore normal anatomic contour and shape while minimizing the size of the permanent scar.

  6. Sonorous Voice and Feminist Teaching: Lessons from Cavarero

    Science.gov (United States)

    Forrest, Michelle

    2015-01-01

    I claim that Adriana Cavarero's concept of sonorous voice is significant in feminist teaching because, as she argues, dominant concepts of voice refer to voice in semantic terms thereby discounting voice in sonorous terms. This process of "devocalization", spanning the history of Western philosophy, devalues the uniqueness embodied in…

  7. 14 CFR 23.1457 - Cockpit voice recorders.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Cockpit voice recorders. 23.1457 Section 23... Equipment § 23.1457 Cockpit voice recorders. (a) Each cockpit voice recorder required by the operating rules... cockpit-mounted area microphone, located in the best position for recording voice...

  8. Parent Trigger Laws and the Promise of Parental Voice

    Science.gov (United States)

    Smith, William C.; Rowland, Julie

    2014-01-01

    Parent trigger laws have gained momentum nationally under the premise that they will increase local authority by amplifying parental voice in the decision to turn around "failing" schools. Using Hirschman's exit, voice, and loyalty framework we create two conceptual models of voice and evaluate the promise of voice in California, home of…

  9. Sonorous Voice and Feminist Teaching: Lessons from Cavarero

    Science.gov (United States)

    Forrest, Michelle

    2015-01-01

    I claim that Adriana Cavarero's concept of sonorous voice is significant in feminist teaching because, as she argues, dominant concepts of voice refer to voice in semantic terms thereby discounting voice in sonorous terms. This process of "devocalization", spanning the history of Western philosophy, devalues the uniqueness embodied in…

  10. Parent Trigger Laws and the Promise of Parental Voice

    Science.gov (United States)

    Smith, William C.; Rowland, Julie

    2014-01-01

    Parent trigger laws have gained momentum nationally under the premise that they will increase local authority by amplifying parental voice in the decision to turn around "failing" schools. Using Hirschman's exit, voice, and loyalty framework we create two conceptual models of voice and evaluate the promise of voice in California,…

  11. Teachers’ voice use in teaching environment. Aspects on speakers’ comfort

    DEFF Research Database (Denmark)

    Lyberg-Åhlander, Viveka; Rydell, Roland; Löfqvist, Anders;

    2015-01-01

    Teachers have high occupational voice demands. The voice load of teachers is both environmental and individual. Little is known about the teachers’ own view of the contribution from the environment and about the teachers’ voice use at their work-place. Aim: The purpose was to investigate the voic...

  12. Use of interdisciplinary team approach in establishing esthetic restorative dentistry.

    Science.gov (United States)

    Almog, Dov M; Meitner, Sean W; Even-Hen, Neer; Grant, Joshua P; Soltys, James L

    2005-01-01

    Managing crown lengthening in cases of attrition (wear or loss of tooth substance) and achieving desired esthetic outcomes, especially in the esthetic zone, is challenging. This case report presents an interdisciplinary approach to case management. Concomitant use of digital imaging, along with model wax-ups and surgical guide, were used to enhance patient acceptance during treatment planning and to facilitate communication and treatment implementation among dental professionals and laboratory technicians. Resulting surgical template was used for crown lengthening to apically position the gingival zenith (margin) to a predetermined level, crown preps and final restorations, respectively, ultimately improving esthetics and patient satisfaction. Supplementing esthetic treatment planning with digital imaging, model wax-ups and a surgical template allows a dentist to carry information into the mouth and incorporate it into the surgical procedure, crown preps, temps and, ultimately, the final restoration.

  13. Voice-related Quality of Life in laryngectomees: assessment using the VHI and V-RQOL symptom scales.

    Science.gov (United States)

    Kazi, R; De Cordova, J; Singh, A; Venkitaraman, R; Nutting, C M; Clarke, P; Rhys-Evans, P; Harrington, K J

    2007-11-01

    The primary purpose of this study was to investigate the effect of the voice impairment across the physical, emotional, and functional domains in patients using valved speech following total laryngectomy with the help of two symptom specific scales. The study design used was a cross-sectional cohort. The setting was the Head and Neck Oncology Unit of a tertiary referral centre. Subjects were 54 patients who had undergone total laryngectomy. Two voice-specific questionnaires, the Voice-Related Quality of Life (V-RQOL-short form) Measure, and the Voice Handicap Index (VHI-long form) were used. The main outcome measure was patient perception of the voice following total laryngectomy in response to specific questions correlated with sociodemographic/treatment factors. Responses were received from 40 males and 14 females (response rate of 85.7%) with a median age of 63.4 years (range: 37-84). The V-RQOL overall analysis showed that 3 patients (5.6%) scored "excellent," 29 patients (53.7%) "fair to good," 14 patients (25.9%) "poor to fair," and 8 patients (14.8%) "poor." Analysis of the VHI revealed that 20 patients (37.0%) had a minimal handicap, 20 patients (37.0%) a moderate handicap, and 14 patients (25.9%) had a serious voice handicap. The individual domain or subscale scores for the VHI revealed a mean (SD) functional score of 15.8 (7.7), a physical score of 13.6 (7.2), and finally an emotional score of 11.6 (8.9). Functional aspects of the voice were significantly affected by age, radiotherapy, and chemotherapy (Spearman rho, P=0.01; Mann-Whitney, P=0.04 and P=0.01). The physical aspects of the voice were significantly affected by age and chemotherapy (Spearman rho, P=0.004; Mann-Whitney, P=0.04). Only age significantly affected the emotional aspects of the voice (Spearman rho, P=0.002). We found a strong correlation (Spearman rho, PVHI questionnaires. Our study revealed that the V-RQOL and VHI scores in our series of patients following voice restoration in

  14. Functionalization of polydimethylsiloxane membranes to be used in the production of voice prostheses

    Directory of Open Access Journals (Sweden)

    Paula Ferreira, Álvaro Carvalho, Tiago Ruivo Correia, Bernardo Paiva Antunes, Ilídio Joaquim Correia and Patrícia Alves

    2013-01-01

    Full Text Available The voice is produced by the vibration of vocal cords which are located in the larynx. Therefore, one of the major consequences for patients subjected to laryngectomy is losing their voice. In these cases, a synthetic one-way valve set (voice prosthesis can be implanted in order to allow restoration of speech. Most voice prostheses are produced with silicone-based materials such as polydimethylsiloxane (PDMS. This material has excellent properties, such as optical transparency, chemical and biological inertness, non-toxicity, permeability to gases and excellent mechanical resistance that are fundamental for its application in the biomedical field. However, PDMS is very hydrophobic and this property causes protein adsorption which is followed by microbial adhesion and biofilm formation. To overcome these problems, surface modification of materials has been proposed in this study. A commercial silicone elastomer, SylgardTM 184 was used to prepare membranes whose surface was modified by grafting 2-hydroxyethylmethacrylate and methacrylic acid by low-pressure plasma treatment. The hydrophilicity, hydrophobic recovery and surface energy of the produced materials were determined. Furthermore, the cytotoxicity and antibacterial activity of the materials were also assessed. The results obtained revealed that the PDMS surface modification performed did not affect the material's biocompatibility, but decreased their hydrophobic character and bacterial adhesion and growth on its surface.

  15. VOT and the perception of voicing

    Science.gov (United States)

    Remez, Robert E.

    2001-05-01

    In explaining the ability to distinguish phonemes, linguists have described the dimension of voicing. Acoustic analyses have identified many correlates of the voicing contrast in initial, medial, and final consonants within syllables, and these in turn have motivated studies of the perceptual resolution of voicing. The framing conceptualization articulated by Lisker and Abramson 40 years ago in physiological, phonetic, and perceptual studies has been widely influential, and research on voicing now adopts their perspective without reservation. Their original survey included languages with two voicing categories (Dutch, Puerto Rican Spanish, Hungarian, Tamil, Cantonese, English), three voicing categories (Eastern Armenian, Thai, Korean), and four voicing categories (Hindi, Marathi). Perceptual studies inspired by this work have also ranged widely, including tests with different languages and with listeners of several species. The profound value of the analyses of Lisker and Abramson is evident in the empirical traction provided by the concept of VOT in research on the every important perceptual question about speech and language in our era. Some of these classic perceptual investigations will be reviewed. [Research supported by NIH (DC00308).

  16. Simultaneous face and voice processing in schizophrenia.

    Science.gov (United States)

    Liu, Taosheng; Pinheiro, Ana P; Zhao, Zhongxin; Nestor, Paul G; McCarley, Robert W; Niznikiewicz, Margaret

    2016-05-15

    While several studies have consistently demonstrated abnormalities in the unisensory processing of face and voice in schizophrenia (SZ), the extent of abnormalities in the simultaneous processing of both types of information remains unclear. To address this issue, we used event-related potentials (ERP) methodology to probe the multisensory integration of face and non-semantic sounds in schizophrenia. EEG was recorded from 18 schizophrenia patients and 19 healthy control (HC) subjects in three conditions: neutral faces (visual condition-VIS); neutral non-semantic sounds (auditory condition-AUD); neutral faces presented simultaneously with neutral non-semantic sounds (audiovisual condition-AUDVIS). When compared with HC, the schizophrenia group showed less negative N170 to both face and face-voice stimuli; later P270 peak latency in the multimodal condition of face-voice relative to unimodal condition of face (the reverse was true in HC); reduced P400 amplitude and earlier P400 peak latency in the face but not in the voice-face condition. Thus, the analysis of ERP components suggests that deficits in the encoding of facial information extend to multimodal face-voice stimuli and that delays exist in feature extraction from multimodal face-voice stimuli in schizophrenia. In contrast, categorization processes seem to benefit from the presentation of simultaneous face-voice information. Timepoint by timepoint tests of multimodal integration did not suggest impairment in the initial stages of processing in schizophrenia.

  17. The Role of Listener Experience on Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) Ratings of Postthyroidectomy Voice

    Science.gov (United States)

    Helou, Leah B.; Solomon, Nancy Pearl; Henry, Leonard R.; Coppit, George L.; Howard, Robin S.; Stojadinovic, Alexander

    2010-01-01

    Purpose: To determine whether experienced and inexperienced listeners rate postthyroidectomy voice samples similarly using the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V). Method: Prospective observational study of voice quality ratings of randomized and blinded voice samples was performed. Twenty-one postthyroidectomy patients'…

  18. Voice

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    A simulated mission named Mars500 ended on Nov. 4, 2011. Six volunteer astronauts from Russia, Europe and China had been living inside steel tubes for 520 days, meant to mirror the confinement and stress that a real voyage to Mars would entail.

  19. Voices

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Xu Weihua: 'I Suggest Legalizing the Regulation That Men and Women Retire at me Same Age.' 徐维华:“我建议将男女享有同等退休年龄写入法律。” During a recent working conference, Xu Weihua, deputy-director of the Center for Women's Law and Legal Services of Peking University, said," In addition to the difficulties in finding employment, Chinese women also suffer from gender discrimination, as they must retire earlier than men. I suggest legalizing the regulation that men and women retire at the same age.

  20. Voice

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    The Super Bowl is the annual championship game of the NFL, the highest level of professional American football in the United States. On Feb. 6, 2012, the 46th Super Bowl was held in Indianapolis. The New York Giants beat the New England Patriots, and won the trophy.

  1. Voice

    Institute of Scientific and Technical Information of China (English)

    JENNIFER; LIM

    1999-01-01

    ON July 11 an exciting sceneunfolded in the Beijing ConcertHall:Jiang Ying,professor ofthe Central Conservatory of Music(CCM),praised by the Chinese Vocal music circleas a person of authority in the European

  2. Unvoiced/voiced classification and voiced harmonic parameters estimation using the third-order statistics

    Institute of Scientific and Technical Information of China (English)

    YING Na; ZHAO Xiao-hui; DONG Jing

    2007-01-01

    Unvoiced/voiced classification of speech is a challenging problem especially under conditions of low signal-to-noise ratio or the non-white-stationary noise environment. To solve this problem, an algorithm for speech classification, and a technique for the estimation of pairwise magnitude frequency in voiced speech are proposed. By using third order spectrum of speech signal to remove noise, in this algorithm the least spectrum difference to get refined pitch and the max harmonic number is given. And this algorithm utilizes spectral envelope to estimate signal-to-noise ratio of speech harmonics. Speech classification, voicing probability, and harmonic parameters of the voiced frame can be obtained.Simulation results indicate that the proposed algorithm, under complicated background noise, especially Gaussian noise, can effectively classify speech in high accuracy for voicing probability and the voiced parameters.

  3. Telling stories and hearing voices: narrative work with voice hearers in acute care.

    Science.gov (United States)

    Place, C; Foxcroft, R; Shaw, J

    2011-11-01

    Mental health nurses do not always feel at ease talking in detail with voice hearers about their experiences. Using the approach of Romme and Escher, a project was developed to support staff on an acute inpatient ward to explore voice hearing with patients. Romme and Escher suggest that a person's own understanding of their voices and their meaning is the key to recovery. Working together, the nurse helps voice hearers construct a narrative that tells the story of their voices. Examples from the narratives show how they can help increase understanding of a person's voices, and how the mental health nurse in acute care can realistically offer therapeutic interventions that may help a person towards recovery.

  4. Unfamiliar voice identification: Effect of post-event information on accuracy and voice ratings

    Directory of Open Access Journals (Sweden)

    Harriet Mary Jessica Smith

    2014-04-01

    Full Text Available This study addressed the effect of misleading post-event information (PEI on voice ratings, identification accuracy, and confidence, as well as the link between verbal recall and accuracy. Participants listened to a dialogue between male and female targets, then read misleading information about voice pitch. Participants engaged in verbal recall, rated voices on a feature checklist, and made a lineup decision. Accuracy rates were low, especially on target-absent lineups. Confidence and accuracy were unrelated, but the number of facts recalled about the voice predicted later lineup accuracy. There was a main effect of misinformation on ratings of target voice pitch, but there was no effect on identification accuracy or confidence ratings. As voice lineup evidence from earwitnesses is used in courts, the findings have potential applied relevance.

  5. Teachers’ voice use in teaching environment. Aspects on speakers’ comfort

    OpenAIRE

    Lyberg-Åhlander, Viveka; Rydell, Roland; Löfqvist, Anders; Garcia, David Pelegrin; Brunskog, Jonas

    2015-01-01

    Teachers have high occupational voice demands. The voice load of teachers is both environmental and individual. Little is known about the teachers’ own view of the contribution from the environment and about the teachers’ voice use at their work-place. Aim: The purpose was to investigate the voice use and prevalence of voice problems in teachers and to explore their ratings of vocally loading aspects of their working environment. Method: A questionnaire-survey in 467 teachers aiming to explor...

  6. Space-Based Voice over IP Networks

    Science.gov (United States)

    Nguyen, Sam P.; Okino, Clayton; Walsh, William; Clare, Loren

    2007-01-01

    In human space exploration missions (e.g. a return to the Moon and for future missions to Mars), there will be a need to provide voice communications services. In this work we focus on the performance of Voice over IP (VoIP) techniques applied to space networks, where long range latencies, simplex links, and significant bit error rates occur. Link layer and network layer overhead issues are examined. Finally, we provide some discussion on issues related to voice conferencing in the space network environment.

  7. Perception of Paralinguistic Traits in Synthesized Voices

    DEFF Research Database (Denmark)

    Baird, Alice Emily; Hasse Jørgensen, Stina; Parada-Cabaleiro, Emilia

    the paralinguistic traits of the synthesized voice. Using a corpus of 13 synthesized voices, constructed from acoustic concatenative speech synthesis, we assessed the response of 23 listeners from differing cultural backgrounds. Evaluating if the perception shifts from the known ground–truths, we asked listeners...... to assigned traits of age, gender, accent origin, and human–likeness. Results present a difference in perception for age and human–likeness across voices, and a general agreement across listeners for both gender and accent origin. Connections found between age, gender and human–likeness call for further...

  8. [Complex voice assessment--Polish version of the Voice Handicap Index (VHI)].

    Science.gov (United States)

    Pruszewicz, Antoni; Obrebowski, Andrzej; Wiskirska-Woźnica, Bozena; Wojnowski, Waldemar

    2004-01-01

    The aim of this work was to present own modification of Jacobson's The Voice Handicap Index, the self-estimation scale of the voice as a one part of the complex voice evaluation. The VHI contains three groups of questions of physical, emotional and functional subscales, which specify complaints during phonation scored in 4 points (0-4). The presented our own modification of the VHI may be useful in everyday clinical practice.

  9. Shifting voices with participant roles: Voice qualities and speech registers in Mesoamerica

    OpenAIRE

    Sicoli, M.

    2010-01-01

    Although an increasing number of sociolinguistic researchers consider functions of voice qualities as stylistic features, few studies consider cases where voice qualities serve as the primary signs of speech registers. This article addresses this gap through the presentation of a case study of Lachixio Zapotec speech registers indexed though falsetto, breathy, creaky, modal, and whispered voice qualities. I describe the system of contrastive speech registers in Lachixio Zapotec and then track...

  10. Mediatization: a concept, multiple voices

    Directory of Open Access Journals (Sweden)

    Pedro Gilberto GOMES

    2016-12-01

    Full Text Available Mediatization has become increasingly a key concept, fundamental, essential to describe the present and the history of media and communicative change taking place. Thus, it became part of a whole, one can not see them as a separate sphere. In this perspective, the media coverage is used as a concept to describe the process of expansion of the different technical means and consider the interrelationships between the communicative change, means and sociocultural change. However, although many researchers use the concept of mediatization, each gives you the meaning that best suits your needs. Thus, the concept of media coverage is treated with multiple voices. This paper discusses this problem and present a preliminary pre-position on the matter.

  11. Giving the Customer a Voice

    DEFF Research Database (Denmark)

    Van der Hoven, Christopher; Michea, Adela; Varnes, Claus

    ” (Deszca et al, 2010, p613). Therefore, in situations where traditional techniques - interviews and focus groups - are ineffective, the question is which market research techniques are appropriate, particularly for developing breakthrough products? To investigate this, an attempt was made to access...... their knowledge, repertory grid technique was used. This psychology based method particularly seeks out tacit knowledge by using indepth interviews. In this case the interviews were conducted with professionals from leading market research agencies in two countries. The resulting data provided two unique insights...... the voice of the customer (VoC) through market research is well documented (Davis, 1993; Mullins and Sutherland, 1998; Cooper et al., 2002; Flint, 2002; Davilla et al., 2006; Cooper and Edgett, 2008; Cooper and Dreher, 2010; Goffin and Mitchell, 2010). However, not all research methods are well received...

  12. Voice Technology Using Personal Computers.

    Science.gov (United States)

    1987-01-01

    PROGRA -.. NDC -A85 -AiSG 743 VOICE TECNOLOGY USING PERSONAL COMPUTE3SI(U) alit FORCE 212 INST OF TECH MRIGJ4T-PATTERSON RFB ON G L TALBOT 1987...Inline( $2E/$C6/$06/ Int24Err $Ol/$50/$89/$F8/$2E/$A2/ Int24ErrCode /$58/$BO/$OO/$89/$EC/$5D/$CF); - 150 - i..r - l. .. { Turbo: PUSH BP save...caller’s stack frame MOV BP,SP Set up this procedure’s stack frame PUSH BP ? Inline: MOV BYTE CS:[INT24Err],I Set INT24Err to True PUSH AX MOV AX,DI Get INT

  13. Toponymic Restoration in Irkutsk

    Directory of Open Access Journals (Sweden)

    Alexander Snarsky

    2016-10-01

    Full Text Available The article analyzes the discussion on restoration of historical names of public spaces in Irkutsk. It also reviews different approaches to the problem that appeared in the historical science and publicism. The author says about the necessity of a strictly historical approach to the toponymic restoration.

  14. Guiding Restoration Principles

    Science.gov (United States)

    2004-12-01

    restoration of important ecosystem functions requires reintegrating landscapes or restorating the func- tional aspects of landscapes ( Risser 1992...51-64. Risser , P. G. 1992. Landscape ecology approach to ecosystem rehabilitation. Pages 37-46 in M. L. Wali (ed.), Ecosystem Rehabilitation

  15. Validation and Adaptation of the Singing Voice Handicap Index for Egyptian Singing Voice.

    Science.gov (United States)

    Abou-Elsaad, Tamer; Baz, Hemmat; Afsah, Omayma; Abo-Elsoud, Hend

    2017-01-01

    Measuring the severity of a voice disorder is difficult. This can be achieved by both subjective and objective measures. The Voice Handicap Index is the most known and used self-rating tool for voice disorders. The Classical Singing Handicap Index (CSHI) is a self-administered questionnaire measuring the impact of vocal deviation on the quality of life of singers. The objective of this study was to develop an Arabic version of the CSHI and to test its validity and reliability in Egyptian singers with different singing styles with normal voice and with voice disorders. The interpreted version was administered to 70 Egyptian singers including artistic singers (classical and popular) and specialized singers (Quran reciters and priests) who were divided into 40 asymptomatic singers (control group) and 30 singers with voice disorders. Participants' responses were statistically analyzed to assess the validity and reliability, and to compare the patient group with the control group. Quran reciters, patients with no previous professional training, and patients with vocal fold lesions demonstrated the highest scores. The Arabic version of CSHI is found to be a reliable, valid, and sensitive self-assessment tool that can be used in the clinical practice for the evaluation of the impact of voice disorders on singing voice. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  16. Voice-controlled Debugging of Spreadsheets

    CERN Document Server

    Flood, Derek

    2008-01-01

    Developments in Mobile Computing are putting pressure on the software industry to research new modes of interaction that do not rely on the traditional keyboard and mouse combination. Computer users suffering from Repetitive Strain Injury also seek an alternative to keyboard and mouse devices to reduce suffering in wrist and finger joints. Voice-control is an alternative approach to spreadsheet development and debugging that has been researched and used successfully in other domains. While voice-control technology for spreadsheets is available its effectiveness has not been investigated. This study is the first to compare the performance of a set of expert spreadsheet developers that debugged a spreadsheet using voice-control technology and another set that debugged the same spreadsheet using keyboard and mouse. The study showed that voice, despite its advantages, proved to be slower and less accurate. However, it also revealed ways in which the technology might be improved to redress this imbalance.

  17. Voice quality variations in English sentences

    Science.gov (United States)

    Epstein, Melissa

    2002-05-01

    This study examines the predictability of changes in voice quality at the sentence level in English. Sentence-level effects can only be isolated once the effects of linguistic factors (e.g., glottalization before a glottalized consonant), social or dialectal, and individual factors have been eliminated. In this study, these effects were controlled by obtaining a baseline value for each measurement for each word of the corpus. Voice quality variations were tracked using quantitative measurements derived from the LF model of the glottal source, and also qualitative descriptions of the waveforms. Preliminary results indicate that there are consistent voice quality differences at the sentence level and that pitch contours and sentence accent also produce predictable effects on voice quality.

  18. Voice Recognition in Face-Blind Patients.

    Science.gov (United States)

    Liu, Ran R; Pancaroglu, Raika; Hills, Charlotte S; Duchaine, Brad; Barton, Jason J S

    2016-04-01

    Right or bilateral anterior temporal damage can impair face recognition, but whether this is an associative variant of prosopagnosia or part of a multimodal disorder of person recognition is an unsettled question, with implications for cognitive and neuroanatomic models of person recognition. We assessed voice perception and short-term recognition of recently heard voices in 10 subjects with impaired face recognition acquired after cerebral lesions. All 4 subjects with apperceptive prosopagnosia due to lesions limited to fusiform cortex had intact voice discrimination and recognition. One subject with bilateral fusiform and anterior temporal lesions had a combined apperceptive prosopagnosia and apperceptive phonagnosia, the first such described case. Deficits indicating a multimodal syndrome of person recognition were found only in 2 subjects with bilateral anterior temporal lesions. All 3 subjects with right anterior temporal lesions had normal voice perception and recognition, 2 of whom performed normally on perceptual discrimination of faces. This confirms that such lesions can cause a modality-specific associative prosopagnosia.

  19. Micro-surgical endodontics.

    Science.gov (United States)

    Eliyas, S; Vere, J; Ali, Z; Harris, I

    2014-02-01

    Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis, appropriate case selection, the quality of the surgical skills, and the application of the most appropriate haemostatic agents and biomaterials. This article describes the armamentarium and technical procedures involved in performing micro-surgical endodontics to a high standard.

  20. Surgical innovation as sui generis surgical research.

    Science.gov (United States)

    Lotz, Mianna

    2013-12-01

    Successful innovative 'leaps' in surgical technique have the potential to contribute exponentially to surgical advancement, and thereby to improved health outcomes for patients. Such innovative leaps often occur relatively spontaneously, without substantial forethought, planning, or preparation. This feature of surgical innovation raises special challenges for ensuring sufficient evaluation and regulatory oversight of new interventions that have not been the subject of controlled investigatory exploration and review. It is this feature in particular that makes early-stage surgical innovation especially resistant to classification as 'research', with all of the attendant methodological and ethical obligations--of planning, regulation, monitoring, reporting, and publication--associated with such a classification. This paper proposes conceptual and ethical grounds for a restricted definition according to which innovation in surgical technique is classified as a form of sui generis surgical 'research', where the explicit goal of adopting such a definition is to bring about needed improvements in knowledge transfer and thereby benefit current and future patients.

  1. Using dysphonic voice to characterize speaker's biometry

    OpenAIRE

    Gómez Vilda, Pedro; San Segundo, Eugenia; Mazaira Fernández, Luis Miguel; Álvarez Marquina, Agustín; Rodellar Biarge, M. Victoria

    2015-01-01

    Phonation distortion leaves relevant marks in a speaker's biometric profile. Dysphonic voice production may be used for biometrical speaker characterization. In the present paper phonation features derived from the glottal source (GS) parameterization, after vocal tract inversion, is proposed for dysphonic voice characterization in Speaker Verification tasks. The glottal source derived parameters are matched in a forensic evaluation framework defining a distance-based metric specification. Th...

  2. Voice Biometrics for Information Assurance Applications

    Science.gov (United States)

    2007-11-02

    verification capability). Approach #2: The individual speaker selects a test phrase (our approach) — In the NRL voice biomet - rics system, the...templates must be issued to all users. Approach #2: Unprocessed speech waveforms (our approach) — If the fingerprint-matching biomet - rics method stores...is that the amount of data to be stored is larger compared to the previous approach. The minimum amount of information we need to perform voice biomet

  3. Voice processing in monkey and human brains.

    Science.gov (United States)

    Scott, Sophie K

    2008-09-01

    Studies in humans have indicated that the anterior superior temporal sulcus has an important role in the processing of information about human voices, especially the identification of talkers from their voice. A new study using functional magnetic resonance imaging (fMRI) with macaques provides strong evidence that anterior auditory fields, part of the auditory 'what' pathway, preferentially respond to changes in the identity of conspecifics, rather than specific vocalizations from the same individual.

  4. Surgical and Prosthetic Rehabilitation of Combination Syndrome

    Directory of Open Access Journals (Sweden)

    Paolo Carlino

    2014-01-01

    Full Text Available The aim of this report is to analyze the clinical symptoms, ethologic factors, and prosthetic rehabilitation in a case of Combination Syndrome (CS. The treatment of CS can be conventional or surgical, with or without the bone reconstruction of maxilla. The correct prosthetic treatment helps this kind of patients to restore the physiologic occlusion plane to allow a correct masticatory and aesthetic function. Management of this kind of patients can be a challenge for a dental practitioner.

  5. Silence and Voicing Accumulations in Italian Primary School Teachers With and Without Voice Disorders.

    Science.gov (United States)

    Bottalico, Pasquale; Graetzer, Simone; Astolfi, Arianna; Hunter, Eric J

    2017-03-01

    The relationship between the silence and voicing accumulations of primary school teachers and the teachers' clinical status was examined to determine whether more voicing accumulations and fewer silence accumulations were measured for the vocally unhealthy subjects than for the healthy subjects, which would imply more vocal loading and fewer short-term recovery moments. Twenty-six Italian primary school teachers were allocated by clinicians to three groups: (1) with organic voice disorders, (2) with subjectively mild organic alteration or functional voice symptoms, and (3) normal voice quality and physiology. Continuous silence and voicing periods were measured with the APM3200 during the teachers' 4-hour workdays. The accumulations were grouped into seven time intervals, ranging from 0.03-0.9 to 3.16-10 seconds, according to Italian prosody. The effects of group on silence and voicing accumulations were evaluated. Regarding silence accumulations, Group 1 accumulated higher values in intervals between 0.1 and 3.15 seconds than other groups, whereas Groups 2 and 3 did not differ from each other. Voicing accumulations between 0.17 and 3.15 seconds were higher for subjects with a structural disorder. A higher time dose was accumulated by these subjects (40.6%) than other subjects (Group 2, 31.9%; Group 3, 32.3%). Although previous research has suggested that a rest period of a few seconds may produce some vocal fatigue recovery, these results indicate that periods shorter than 3.16 seconds may not have an observable effect on recovery. The results provide insight into how vocal fatigue and vocal recovery may relate to voice disorders in occupational voice users. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  6. Voice Use Among Music Theory Teachers: A Voice Dosimetry and Self-Assessment Study.

    Science.gov (United States)

    Schiller, Isabel S; Morsomme, Dominique; Remacle, Angélique

    2017-07-25

    This study aimed (1) to investigate music theory teachers' professional and extra-professional vocal loading and background noise exposure, (2) to determine the correlation between vocal loading and background noise, and (3) to determine the correlation between vocal loading and self-evaluation data. Using voice dosimetry, 13 music theory teachers were monitored for one workweek. The parameters analyzed were voice sound pressure level (SPL), fundamental frequency (F0), phonation time, vocal loading index (VLI), and noise SPL. Spearman correlation was used to correlate vocal loading parameters (voice SPL, F0, and phonation time) and noise SPL. Each day, the subjects self-assessed their voice using visual analog scales. VLI and self-evaluation data were correlated using Spearman correlation. Vocal loading parameters and noise SPL were significantly higher in the professional than in the extra-professional environment. Voice SPL, phonation time, and female subjects' F0 correlated positively with noise SPL. VLI correlated with self-assessed voice quality, vocal fatigue, and amount of singing and speaking voice produced. Teaching music theory is a profession with high vocal demands. More background noise is associated with increased vocal loading and may indirectly increase the risk for voice disorders. Correlations between VLI and self-assessments suggest that these teachers are well aware of their vocal demands and feel their effect on voice quality and vocal fatigue. Visual analog scales seem to represent a useful tool for subjective vocal loading assessment and associated symptoms in these professional voice users. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  7. Wavelet adaptation for automatic voice disorders sorting.

    Science.gov (United States)

    Erfanian Saeedi, Nafise; Almasganj, Farshad

    2013-07-01

    Early diagnosis of voice disorders and abnormalities by means of digital speech processing is a subject of interest for many researchers. Various methods are introduced in the literature, some of which are able to extensively discriminate pathological voices from normal ones. Voice disorders sorting, on the other hand, has received less attention due to the complexity of the problem. Although, previous publications show satisfactory results in classifying one type of disordered voice from normal cases, or two different types of abnormalities from each other, no comprehensive approach for automatic sorting of vocal abnormalities has been offered yet. In this paper, a solution for this problem is suggested. We create a powerful wavelet feature extraction approach, in which, instead of standard wavelets, adaptive wavelets are generated and applied to the voice signals. Orthogonal wavelets are parameterized via lattice structure and then, the optimal parameters are investigated through an iterative process, using the genetic algorithm (GA). GA is guided by the classifier results. Based on the generated wavelet, a wavelet-filterbank is constructed and the voice signals are decomposed to compute eight energy-based features. A support vector machine (SVM) then classifies the signals using the extracted features. Experimental results show that six various types of vocal disorders: paralysis, nodules, polyps, edema, spasmodic dysphonia and keratosis are fully sorted via the proposed method. This could be a successful step toward sorting a larger number of abnormalities associated with the vocal system. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Voice Quality in Mobile Telecommunication System

    Directory of Open Access Journals (Sweden)

    Evaldas Stankevičius

    2013-05-01

    Full Text Available The article deals with methods measuring the quality of voice transmitted over the mobile network as well as related problem, algorithms and options. It presents the created voice quality measurement system and discusses its adequacy as well as efficiency. Besides, the author presents the results of system application under the optimal hardware configuration. Under almost ideal conditions, the system evaluates the voice quality with MOS 3.85 average estimate; while the standardized TEMS Investigation 9.0 has 4.05 average MOS estimate. Next, the article presents the discussion of voice quality predictor implementation and investigates the predictor using nonlinear and linear prediction methods of voice quality dependence on the mobile network settings. Nonlinear prediction using artificial neural network resulted in the correlation coefficient of 0.62. While the linear prediction method using the least mean squares resulted in the correlation coefficient of 0.57. The analytical expression of voice quality features from the three network parameters: BER, C / I, RSSI is given as well.Article in Lithuanian

  9. Personality as a predictor of the value of voice.

    Science.gov (United States)

    Avery, Derek R

    2003-09-01

    The opportunity for workers to provide input, also known as voice, has received extensive study. The contrasting relational and instrumental theories of voice have stimulated research investigating why people value voice. However, researchers have yet to assess individual differences in the actual value that people place on voice. This consideration is particularly important because the effect of voice on perceived procedural fairness varies according to the value of voice. This laboratory study is an examination of the Big Five (extraversion, agreeableness, openness to experience, neuroticism, and conscientiousness; L. Goldberg, 1992) and core self-evaluations (neuroticism, self-esteem, self-efficacy, and locus of control; T. Judge, E. Locke, & C. Durham, 1997) as predictors of the value of voice for 96 undergraduates. Although both the Big Five and core self-evaluations accounted for significant variance in the value of voice, only 2 individual components (extraversion and self-efficacy) significantly predicted the value of voice.

  10. Updating signal typing in voice: addition of type 4 signals.

    Science.gov (United States)

    Sprecher, Alicia; Olszewski, Aleksandra; Jiang, Jack J; Zhang, Yu

    2010-06-01

    The addition of a fourth type of voice to Titze's voice classification scheme is proposed. This fourth voice type is characterized by primarily stochastic noise behavior and is therefore unsuitable for both perturbation and correlation dimension analysis. Forty voice samples were classified into the proposed four types using narrowband spectrograms. Acoustic, perceptual, and correlation dimension analyses were completed for all voice samples. Perturbation measures tended to increase with voice type. Based on reliability cutoffs, the type 1 and type 2 voices were considered suitable for perturbation analysis. Measures of unreliability were higher for type 3 and 4 voices. Correlation dimension analyses increased significantly with signal type as indicated by a one-way analysis of variance. Notably, correlation dimension analysis could not quantify the type 4 voices. The proposed fourth voice type represents a subset of voices dominated by noise behavior. Current measures capable of evaluating type 4 voices provide only qualitative data (spectrograms, perceptual analysis, and an infinite correlation dimension). Type 4 voices are highly complex and the development of objective measures capable of analyzing these voices remains a topic of future investigation.

  11. Voicing Others’ Voices: Spotlighting the Researcher as Narrator

    Directory of Open Access Journals (Sweden)

    Dan O’SULLIVAN

    2015-12-01

    Full Text Available As qualitative research undertakings are not independent of the researcher, the “indissoluble interrelationship between interpreter and interpretation” (Thomas & James, 2006, p. 782 renders it necessary for researchers to understand that their text is a representation, a version of the truth that is the product of writerly choices, and that it is discursive. Endlessly creative, artistic and political, as there is no single interpretative truth, the interpretative process facilitates the refashioning of representations, the remaking of choices and the probing of discourses. As a consequence of the particularity of any researcher’s account, issues pertaining to researcher identity and authorial stance always remain central to research endeavours (Kamler & Thomson, 2006, p. 68; Denzin & Lincoln 2011, pp. 14-15. Therefore, researchers are encouraged to be reflexive about their analyses and research accounts (Elliott, 2005, p. 152, as reflexivity helps spotlight the role of the researcher as narrator. In turn, spotlighting the researcher as narrator foregrounds a range of complex issues about voice, representation and interpretive authority (Chase, 2005, p. 657; Genishi & Glupczynski, 2006, p. 671; Eisenhart, 2006. In essence, therefore, this paper is reflective of the challenges of “doing” qualitative research in educational settings. Its particular focus-the shaping of beginning primary teachers’ identities, in Ireland, throughout the course of their initial year of occupational experience, post-graduation- endeavours to highlight issues pertaining to the researcher as narrator (O’Sullivan, 2014.

  12. 'Inner voices': the cerebral representation of emotional voice cues described in literary texts.

    Science.gov (United States)

    Brück, Carolin; Kreifelts, Benjamin; Gößling-Arnold, Christina; Wertheimer, Jürgen; Wildgruber, Dirk

    2014-11-01

    While non-verbal affective voice cues are generally recognized as a crucial behavioral guide in any day-to-day conversation their role as a powerful source of information may extend well beyond close-up personal interactions and include other modes of communication such as written discourse or literature as well. Building on the assumption that similarities between the different 'modes' of voice cues may not only be limited to their functional role but may also include cerebral mechanisms engaged in the decoding process, the present functional magnetic resonance imaging study aimed at exploring brain responses associated with processing emotional voice signals described in literary texts. Emphasis was placed on evaluating 'voice' sensitive as well as task- and emotion-related modulations of brain activation frequently associated with the decoding of acoustic vocal cues. Obtained findings suggest that several similarities emerge with respect to the perception of acoustic voice signals: results identify the superior temporal, lateral and medial frontal cortex as well as the posterior cingulate cortex and cerebellum to contribute to the decoding process, with similarities to acoustic voice perception reflected in a 'voice'-cue preference of temporal voice areas as well as an emotion-related modulation of the medial frontal cortex and a task-modulated response of the lateral frontal cortex.

  13. Student Voice as a Contested Practice: Power and Participation in Two Student Voice Projects

    Science.gov (United States)

    Robinson, Carol; Taylor, Carol

    2013-01-01

    This article applies theoretical understandings of power relations within student voice work to two empirical examples of school-based student voice projects. The article builds on and refines theoretical understandings of power and participation developed in previous articles written by the authors. The first article argued that at the heart of…

  14. Evaluation of Voice Disorders: Dysphonia Severity Index and Voice Handicap Index

    NARCIS (Netherlands)

    M.M. Hakkesteegt (Marieke)

    2009-01-01

    textabstractThe voice is arguable still the most important tool of communication despite the growing importance of e-mails and text messaging (SMS) in daily contact. Indeed in modern society people are probably even more dependent on their voice than in the rural societies of old. Approximately one

  15. The Passive Voice and Teaching the Passive Voice to Chinese-speaking Learners

    Institute of Scientific and Technical Information of China (English)

    潘若芸

    2004-01-01

    The most significant functions of the passive voice for writing are identified with particular referenceto Chinese students.The use of the passive as a carefully controlled stylistic tool,and the appropriate use of theagentless passive are considered foundational to the teaching of the passive voice for writing purposes.Some potentialproblems will be also identified.

  16. Variation of voice quality features and aspects of voice training in males and females

    NARCIS (Netherlands)

    Sulter, Arend Marten

    1996-01-01

    The aim of this study is to assess information on voice quality features and to ascertain the variability of these features in specified groups. Groups were created based on gender and status of vocal training, in order to study the influence of these grouping variables on selected voice quality fea

  17. Voices We Want to Hear and Voices We Don't.

    Science.gov (United States)

    Johnston, Peter H.; Nicholls, John G.

    1995-01-01

    This article discusses theories about knowledge and schooling and describes democratic classrooms. Students need empowerment to have a voice in curriculum design and governance. Schools that foster student voice must establish conditions for democratic talk in class. Students must be taught to respect others; they cannot be allowed to denigrate…

  18. Comparison of post menopausal voice changes across professional and non-professional users of the voice

    Directory of Open Access Journals (Sweden)

    Pallavi Vishwas Sovani

    2010-12-01

    Full Text Available Menopause effects a permanent change in certain body functions, one of them being voice. Moreover, if the voice is used continuously as a part of one’s occupation, this may further impact postmenopausal voice changes. The present study investigated the impact of menopause and professional voice use, and their interaction effect, on the voice. 92 women were classified into reproductive (52 and postmenopausal (40. Each group was divided into Level II (teachers and Level IV (clerks of Koufman and Isaacson’s (1991 classification. Acoustic parameters were analyzed using the VisiPitch III software. Aerodynamic parameters were manually calculated. The VHI (Voice Handicap Index was also included to improve the face validity of the study. Results suggest that Fo, SFo and MPT reduce post menopause while NHR and VTI increase. Some changes are accelerated in teachers as compared to clerks while some are decelerated. VHI scores of teachers are significantly greater than clerks, though not significantly different across menopause. Thus the presence or absence of voice use in one’s profession differentially affects postmenopausal changes. The study has implications in improving the condition of teachers in India, developing norms for menopausal changes and modifying allowable limits for voice recognition systems in future.

  19. Native Tongue, Captive Voice: The Representation of the Aboriginal "Voice" in Colonial South Australia.

    Science.gov (United States)

    Foster, Robert; Muhlhausler, Peter

    1996-01-01

    Examines the way in which the Aboriginal "voice" was represented in colonial South Australia, particularly in the form of pidgin English. The first part of the article focuses on the first decade of settlement; the second part examines the period between 1860 and the turn of the century. Findings indicate that the Aboriginal voice in South…

  20. Biomechanical models of damage and healing processes for voice health

    DEFF Research Database (Denmark)

    Granados Corsellas, Alba; Brunskog, Jonas; Jacobsen, Finn

    2013-01-01

    In voice-loading occupations employees are required to use their voice for continuous and large periods of time, which might lead to voice problems. In this work anomalous vocal-fold vibrations due to long-time high voice-load are investigated. Laryngeal endoscopic high-speed images within...... the vocal-fold plane are available. This data is used to improve existing continuum biomechanical models of the vocal-folds by analyzing the injury processes. The project is expected to result in methods that objectively demonstrate the impact of high voice-load on voice. A detailed description...

  1. CCNA Voice Study Guide, Exam 640-460

    CERN Document Server

    Froehlich, Andrew

    2010-01-01

    The ultimate guide to the new CCNA voice network administrator certification exam. The new CCNA Voice exam tests candidates on their ability to implement a Cisco VoIP solution. Network administrators of voice systems will appreciate that the CCNA Voice Study Guide focuses completely on the information required by the exam. Along with hands-on labs and an objective map showing where each objective is covered, this guide includes a CD with the Sybex Test Engine, flashcards, and entire book in PDF format.: The new CCNA Voice certification will be valuable for administrators of voice network syste

  2. FLEXIBLE FIBREOPTIC LARYNGOSCOPY VERSUS SIMPLE VOICE ASSESSMENT IN A ROUTINE CLINICAL SETTING TO PREDICT VOCAL CORD PARALYSIS AFTER THYROID SURGERY

    Directory of Open Access Journals (Sweden)

    BP Sah

    2014-06-01

    Full Text Available Backgrounds: Thyroid disease has a high prevalence in the general population, with a female predominance. Thyroidectomy is a very frequently performed surgical procedure for the treatment of benign and malignant nodules. The intricate and delicate anatomical structures for voice production lie in proximity to the thyroid gland and are vulnerable during operations on the thyroid. Aims and objectives: To find predictive value of vocal cord palsy as observed by simple voice assessment following thyroid surgery using flexible fibreoptic laryngoscopy as gold standard. Materials and Method: This was a prospective observational study. 42 diagnosed cases of thyroid swelling that were undergone different modalities of thyroidectomy from February 2009 to January 2010were enrolled in study. Age, sex, geographical distribution, vocal cord status and post operative voice changes at 5th and 30th days were recorded and analyzed. Results: Age range was 15 to 63 yrs. Female to male ratio was 5:1. Sensitivity, specificity, positive predictive value, negative predictive value of subjective and objective voice change to predict vocal cord palsy at 5 th postoperative day were 70% and 80%, 75% and 81.3%, 46.67% and 57.14%, 88.89% and 92.85% respectively, at 30 th postoperative day were 71.42% and 85.71%, 88. 57% and 85.71%, 55% and 54.54%, 93.93% and 96.77% respectively. Conclusions: Prediction of postoperative vocal cord palsy could not be done with simple voice assessment.

  3. Challenges of ecological restoration

    DEFF Research Database (Denmark)

    Halme, Panu; Allen, Katherine A.; Aunins, Ainars

    2013-01-01

    on Biological Diversity. Several northern countries are now taking up this challenge by restoring forest biodiversity with increasing intensity. The ecology and biodiversity of boreal forests are relatively well understood making them a good model for restoration activities in many other forest ecosystems. Here......The alarming rate of ecosystem degradation has raised the need for ecological restoration throughout different biomes and continents. North European forests may appear as one of the least vulnerable ecosystems from a global perspective, since forest cover is not rapidly decreasing and many...... ecosystem services remain at high level. However, extensive areas of northern forests are heavily exploited and have lost a major part of their biodiversity value. There is a strong requirement to restore these areas towards a more natural condition in order to meet the targets of the Convention...

  4. Restoration of ailing wetlands.

    Directory of Open Access Journals (Sweden)

    Oswald J Schmitz

    2012-01-01

    Full Text Available It is widely held that humankind's destructive tendencies when exploiting natural resources leads to irreparable harm to the environment. Yet, this thinking runs counter to evidence that many ecological systems damaged by severe natural environmental disturbances (e.g., hurricanes can restore themselves via processes of natural recovery. The emerging field of restoration ecology is capitalizing on the natural restorative tendencies of ecological systems to build a science of repairing the harm inflicted by humans on natural environment. Evidence for this, for example, comes from a new meta-analysis of 124 studies that synthesizes recovery of impacted wetlands worldwide. While it may take up to two human generations to see full recovery, there is promise, given human will, to restore many damaged wetlands worldwide.

  5. Science of landscape restoration

    CSIR Research Space (South Africa)

    De Wet, Benita

    2011-11-01

    Full Text Available Over the last two decades the ecological restoration of industrial land has developed into a specialist science combined with highly sophisticated management activities. A prime example of this approach is a unique partnership between the CSIR...

  6. Employee voice and private sector workplace outcomes in Britain, 1980-2004

    OpenAIRE

    2009-01-01

    Non-union direct voice has replaced union representative voice as the primary avenue for employee voice in the British private sector. This paper provides a framework for examining the relationship between employee voice and workplace outcomes that explains this development. As exit-voice theory predicts, voice is associated with lower voluntary turnover, especially in the case of union voice. Union voice is also associated with greater workplace conflict and poorer productivity. Non-union vo...

  7. Image restoration scale space

    Science.gov (United States)

    Alvarez, Luis; Mazorra, L.; Santana, F.

    1995-09-01

    We present a study of some image resoration techniques based on partial differential equations. We study separately the denoising problem and the restoration of discontinuities. We analyze the capabilities of the differential operators to restore images. In particular, we analyze a number of models present in the literature, and we present comparative results. Finally, we present a model based in the combination of the anisotropic diffusion of Alvarez, Lions, and Morel and the shock filters of Osher and Rudin.

  8. Restoring primary anterior teeth.

    Science.gov (United States)

    Waggoner, William F

    2002-01-01

    A variety of esthetic restorative materials are available for restoring primary incisors. Knowledge of the specific strengths, weakness, and properties of each material will enhance the clinician's ability to make the best choice of selection for each individual situation. Intracoronal restorations of primary teeth may utilize resin composites, glass ionomer cements, resin-modified ionomers, or polyacid-modified resins. Each has distinct advantages and disadvantages and the clinical conditions of placement may be a strong determining factor as to which material is utilized. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded onto the tooth, which generally are a resin material, and those crowns that are luted onto the tooth and are some type of stainless steel crown. However, due to lack of supporting clinical data, none of the crowns can be said to be superior to the others under all circumstances. Though caries in the mandibular region is rare, restorative solutions for mandibular incisors are needed. Neither stainless steel crowns nor celluloid crown forms are made specifically for mandibular incisors. Many options exist to repair carious primary incisors, but there is insufficient controlled, clinical data to suggest that one type of restoration is superior to another. This does not discount the fact that dentists have been using many of these crowns for years with much success. Operator preferences, esthetic demands by parents, the child's behavior, and moisture and hemorrhage control are all variables which affect the decision and ultimate outcome of whatever restorative treatment is chosen.

  9. Restoration in South Africa

    CSIR Research Space (South Africa)

    Blignaut, J

    2010-01-01

    Full Text Available is restoration? Our human population continues to grow at an unprecedented rate, demanding ever-increasing amounts of goods and services from the natural ecosystems upon which we depend. No part of the planet has been left untouched, and many areas.... Another selection criterion was the need for historic data and a restoration history. In each of the cases the ASSET Research team collaborates with partners, that include the Working for Water programme, Flower Valley, the Ostrich Business Chamber...

  10. Implicit multisensory associations influence voice recognition.

    Directory of Open Access Journals (Sweden)

    Katharina von Kriegstein

    2006-10-01

    Full Text Available Natural objects provide partially redundant information to the brain through different sensory modalities. For example, voices and faces both give information about the speech content, age, and gender of a person. Thanks to this redundancy, multimodal recognition is fast, robust, and automatic. In unimodal perception, however, only part of the information about an object is available. Here, we addressed whether, even under conditions of unimodal sensory input, crossmodal neural circuits that have been shaped by previous associative learning become activated and underpin a performance benefit. We measured brain activity with functional magnetic resonance imaging before, while, and after participants learned to associate either sensory redundant stimuli, i.e. voices and faces, or arbitrary multimodal combinations, i.e. voices and written names, ring tones, and cell phones or brand names of these cell phones. After learning, participants were better at recognizing unimodal auditory voices that had been paired with faces than those paired with written names, and association of voices with faces resulted in an increased functional coupling between voice and face areas. No such effects were observed for ring tones that had been paired with cell phones or names. These findings demonstrate that brief exposure to ecologically valid and sensory redundant stimulus pairs, such as voices and faces, induces specific multisensory associations. Consistent with predictive coding theories, associative representations become thereafter available for unimodal perception and facilitate object recognition. These data suggest that for natural objects effective predictive signals can be generated across sensory systems and proceed by optimization of functional connectivity between specialized cortical sensory modules.

  11. Facing sound – voicing art

    Directory of Open Access Journals (Sweden)

    Ansa Lønstrup

    2013-12-01

    Full Text Available This article is based on examples of contemporary audiovisual art with a primary focus on the Tony Oursler solo exhibition Face to Face in Aarhus Art Museum ARoS, 2012. My investigation involves a combination of qualitative interviews with visitors, observations of the audience’s interactions with the exhibition and the artwork in the museum space, and short analyses of individual works of art based on reception aesthetics, phenomenology, and newer writings on sound, voice and listening. The focus of the investigation is the quality and possible perspectives of the interaction with audiovisual works of art, articulating and sounding out their own ‘voices’. This methodological combination has been chosen to transgress the dichotomy between the aesthetic or hermeneutic artwork ‘text’ analysis and cultural theory, which focuses on the context understood as the framing, the cultural acts and agendas around the aesthetic ‘text’. The article will include experiences with another exhibition, David Lynch: The Air is on Fire (Fondation Cartier pour l’art contemporain, Paris, 2007 and Kunstforeningen Gl. Strand, Copenhagen, 2010- 2011. The two exhibitions are fundamentally different in their integration of sound. My field of interest concerns the exploration of sound as artistic material in audiovisual combinations and those audiovisual works of art that might cause a change in the participatory strategy of the art museum towards the audience.

  12. Inspiratory Phonation in Baby Voice.

    Science.gov (United States)

    Wermke, Kathleen; Haschemi, Asin Ahmad; Hesse, Volker; Robb, Michael P

    2017-05-18

    This study aimed to evaluate the developmental occurrence of inspiratory phonations (IPs) in the spontaneous cries of healthy infants across the first 10 weeks of life. This is a populational retrospective study. The spontaneous crying of 17 healthy infants (10 were male) was retrospectively investigated. Sound files of spontaneously uttered cries that were repeatedly recorded once per week for across the first 10 weeks of life were retrospectively analyzed. Frequency spectra and waveforms were used to identify the occurrence of IPs and to measure the duration and fundamental frequency (fo) of each instance of IP. A consistent number of IPs were identified across the 10-week period. All infants were observed to produce IPs in their spontaneous cries, although the frequency of occurrence was not consistent across infants. A marked sex difference was observed with female infants producing a higher number of IPs compared to males. The duration and fo of IPs did not differ significantly across the 10 weeks or between sexes. The production of IPs is a regularly occurring phenomenon in healthy, normally developing infants' spontaneous crying. The proportional difference in the production of IPs between female and male infants, observed for the first time here, is postulated to be linked to sex-based differences (including steroidal hormones) in respiratory anatomy and physiology. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  13. Nonsurgical gingival displacement in restorative dentistry.

    Science.gov (United States)

    Thomas, Manuel S; Joseph, Robin Mathai; Parolia, Abhishek

    2011-06-01

    Gingival displacement is critical for obtaining accurate impressions for the fabrication of fixed restorations, especially when the finish line is at or just within the gingival sulcus. Displacement of the gingival tissue is also important when dealing with the restoration of cervical lesions due to their proximity to the periodontal tissue. The methods of gingival tissue displacement can be broadly classified as nonsurgical and surgical techniques, with nonsurgical being the more commonly practiced method. Dentists must alter their armamentarium and gingival displacement techniques to meet specific demands and obtain predictable results. Hence, the purpose of this article is to describe the different means by which nonsurgical gingival displacement can be achieved effectively under a variety of clinical situations.

  14. Surgical-orthodontic correction of a Class III dentofacial deformity

    Directory of Open Access Journals (Sweden)

    Raghu Devanna

    2010-01-01

    Full Text Available This case report describes the surgical-orthodontic treatment of a 26-year-old post-pubertal male patient with a Class III dentofacial deformity. In the pre-surgical orthodontic phase of treatment, a reverse overjet of 5.5 mm was created and arch compatibility was obtained. A mandibualr set back with BSSO was performed during surgery to restore ideal overjet, overbite, occlusion and optimal esthetics. After 1 year of treatment, the results remained stable.

  15. Surgical-orthodontic correction of a Class III dentofacial deformity

    OpenAIRE

    Raghu Devanna; Neelima Kakkirala

    2010-01-01

    This case report describes the surgical-orthodontic treatment of a 26-year-old post-pubertal male patient with a Class III dentofacial deformity. In the pre-surgical orthodontic phase of treatment, a reverse overjet of 5.5 mm was created and arch compatibility was obtained. A mandibualr set back with BSSO was performed during surgery to restore ideal overjet, overbite, occlusion and optimal esthetics. After 1 year of treatment, the results remained stable.

  16. Lumbar disk. Surgical tricks for safeguarding the "root's ecology".

    Science.gov (United States)

    de Divitiis, E; Spaziante, R; Cappabianca, P; Donzelli, R

    1984-07-01

    Restoration of a physiologic periradicular environment is a fundamental step toward improving the results of surgical procedures on the herniated lumbar disk. Combined with the preservation of periradicular fat (or free transplant of subcutaneous fat), reconstruction of the yellow ligament, recreating the interlaminar plane, may act as a barrier against postoperative adhesions. An operative technique is described that is aimed toward preserving the yellow ligament with the purpose of reconstructing it at the end of the surgical procedure on the root.

  17. How dentists diagnose and treat defective restorations: evidence from the dental practice-based research network

    DEFF Research Database (Denmark)

    Gordan, Valeria V; Garvan, Cynthia W; Richman, Joshua S;

    2009-01-01

    not intervene surgically when the restoration in the scenario was amalgam. Dentists participating in a solo or small private practice (SPP) chose surgical intervention more often than dentists participating in large group practices (LGP) or in public health practices (PHP) (p

  18. Hernia Surgical Mesh Implants

    Science.gov (United States)

    ... Prosthetics Hernia Surgical Mesh Implants Hernia Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine) ...

  19. Urogynecologic Surgical Mesh Implants

    Science.gov (United States)

    ... Prosthetics Urogynecologic Surgical Mesh Implants Urogynecologic Surgical Mesh Implants Share Tweet Linkedin Pin it More sharing options ... majority of tissue used to produce these mesh implants are from a pig (porcine) or cow (bovine). ...

  20. American Pediatric Surgical Association

    Science.gov (United States)

    American Pediatric Surgical Association Search for: Login Resources + For Members For Professionals For Training Program Directors For Media For ... Surgical Outcomes Surveys & Results Publications Continuing Education + ExPERT Pediatric Surgery NaT Annual Meeting CME MOC Requirements Residents / ...

  1. Optimizing surgical f

    Directory of Open Access Journals (Sweden)

    Sabry Mohamed Amin

    2016-07-01

    Conclusions: In our study both dexmedetomidine and esmolol were effective in reducing MABP, and lowering the heart rate providing dry surgical field and ensured good surgical condition during cochlear implant surgery in pediatric patients.

  2. Abortion - surgical - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000658.htm Abortion - surgical - aftercare To use the sharing features on ... please enable JavaScript. You have had a surgical abortion. This is a procedure that ends pregnancy by ...

  3. Vocal effort and voice handicap among teachers.

    Science.gov (United States)

    Sampaio, Márcio Cardoso; dos Reis, Eduardo José Farias Borges; Carvalho, Fernando Martins; Porto, Lauro Antonio; Araújo, Tânia Maria

    2012-11-01

    The relationship between voice handicap and professional vocal effort was investigated among teachers in a cross-sectional study of census nature on 4496 teachers within the public elementary education network in Salvador, Bahia, Brazil. Voice handicap (the outcome of interest) was evaluated using the Voice Handicap Index 10. The main exposure, the lifetime vocal effort index, was obtained as the product of the number of years working as a teacher multiplied by the mean weekly working hours. The prevalence of voice handicap was 28.8% among teachers with high professional vocal effort and 21.3% among those with acceptable vocal effort, thus yielding a crude prevalence ratio (PR) of 1.36 (95% confidence interval [CI]=1.14-1.61). In the final logistic model, the prevalence of voice handicap was statistically associated with the professional vocal effort index (PR=1.47; 95% CI=1.19-1.82), adjusted according to sex, microphone availability in the classroom, excessive noise, pressure from the school management, heartburn, and rhinitis.

  4. Ecosystem Restoration: A Manager's Perspective

    Science.gov (United States)

    James G. Kenna; Gilpin R., Jr. Robinson; Bill Pell; Michael A. Thompson; Joe McNeel

    1999-01-01

    Elements of ecological restoration underlie much of what we think of as ecosystem management, and restoration projects on federal lands represent some of the most exciting, challenging, and convincing demonstrations of applied ecosystem management. The Society for Ecological Restoration defined restoration as "the process of reestablishing to the extent possible...

  5. A Unique Wavelet Steganography Based Voice Biometric Protection Scheme

    Directory of Open Access Journals (Sweden)

    Sanjaypande M. B

    2013-03-01

    Full Text Available Voice biometric is an easy and cost effective biometric technique which requires minimalistic hardware and software complexity. General voice biometric needs a voice phrase by user which is processed with Mel Filter and Vector Quantized features are extracted. Vector quantization reduces the codebook size but decreases the accuracy of recognition. Therefore we propose a voice biometric system where voice file's non quantized code books are matched with spoken phrase. In order to ensure security to such direct voice sample we embed the voice file in a randomly selected image using DWT technique. Imposters are exposed to only images and are unaware of the voice files. We show that the technique produces better efficiency in comparison to VQ based technique.

  6. Practical applications of interactive voice technologies: Some accomplishments and prospects

    Science.gov (United States)

    Grady, Michael W.; Hicklin, M. B.; Porter, J. E.

    1977-01-01

    A technology assessment of the application of computers and electronics to complex systems is presented. Three existing systems which utilize voice technology (speech recognition and speech generation) are described. Future directions in voice technology are also described.

  7. Artificial 'Voice Box' Implant Helps Cancer Patient Speak

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_162873.html Artificial 'Voice Box' Implant Helps Cancer Patient Speak New device ... WEDNESDAY, Jan. 4, 2017 (HealthDay News) -- An artificial "voice box" has provided long-term relief for a ...

  8. Clinical value of acoustic voice measures: a retrospective study.

    Science.gov (United States)

    Werth, Katrin; Voigt, Daniel; Döllinger, Michael; Eysholdt, Ulrich; Lohscheller, Jörg

    2010-08-01

    Within this study a retrospective analysis of clinical voice perturbation measures, Dysphonia Severity Index and subjective perceived hoarseness was performed to determine their value under clinical aspects. The study included the data of 580 healthy and 1,700 pathologic voices, which were investigated under the following aspects. The relevant parameters were identified and their interrelation determined. Group differences between healthy and pathologic voices were figured out and investigated if voice quality measures allowed an automatic diagnosis of voice disorders. The analysis revealed significant changes between the clinical groups, which indicate the diagnostic relevance of voice quality measures. However, an individual diagnosis of the underlying voice disorder failed due to a vast spread of the parameter values within the respective groups. Classification accuracies of 75-90% were achieved. The high misclassification rate of up to 25% implied that in voice disorder diagnosis, the individual interpretation of the parameter values has to be done carefully.

  9. Functionality of Voice Teaching in Tertiary Institutions and Remedial Measures

    Directory of Open Access Journals (Sweden)

    Iruoma Amaka Ugoo-Okonkwo

    2013-07-01

    Full Text Available Voice as a musical instrument invariably refers to singing and this instrument of expression and interpretation is taught like any other musical instrument. The purpose of the research therefore was focused on the views of voice teachers with regard to their teaching techniques and the problems associated with the subject. The research was carried out in two Universities and one College of Education. To determine how voice is done in the schools, twenty voice teachers’ perception and methodology of teaching were noted and analysed from the structured questionnaire they responded to. Interview and direct observations were done to cross-check the responses and arrive at a conclusion on how voice is done in the schools. The investigation revealed the state of voice teaching in schools, the problems experienced by students during voice teaching and remedial measures to be taken especially the therapy against voice strain.  

  10. [Idiopathic Progressive Subglottic Stenosis: Surgical Techniques].

    Science.gov (United States)

    Hoetzenecker, K; Schweiger, T; Klepetko, W

    2016-09-01

    Idiopathic subglottic stenosis is a disease characterized by slow, progressive scarring and constriction of the subglottic airway. It almost always occurs in females between the 3rd and 5th decade of life. Symptoms are frequently misinterpreted as asthma and patients are referred for endoscopic evaluation only when asthma medications fail to alleviate their symptoms. Treatment options can be divided into endoscopic and open surgical techniques. Microlaryngoscopic scar reduction by laser followed by balloon dilation usually delivers good short-term results. However, the majority of patients will experience restenosis within a short period of time. Open surgical correction techniques are based on a complete removal of the affected airway segment. This must be combined with various extended resection techniques in patients with advanced stenosis. Depending on the extent and severity of the stenosis the following surgical techniques are required: standard cricotracheal resection (Grillo's technique), cricoplasty with dorsal and lateral mucosaplasty, or a combination of resection and enlargement techniques using rib cartilage grafts. In experienced centres, success rates of over 95 % are reported with good functional outcome of voice and deglutition.

  11. The Glasgow Voice Memory Test: Assessing the ability to memorize and recognize unfamiliar voices.

    Science.gov (United States)

    Aglieri, Virginia; Watson, Rebecca; Pernet, Cyril; Latinus, Marianne; Garrido, Lúcia; Belin, Pascal

    2017-02-01

    One thousand one hundred and twenty subjects as well as a developmental phonagnosic subject (KH) along with age-matched controls performed the Glasgow Voice Memory Test, which assesses the ability to encode and immediately recognize, through an old/new judgment, both unfamiliar voices (delivered as vowels, making language requirements minimal) and bell sounds. The inclusion of non-vocal stimuli allows the detection of significant dissociations between the two categories (vocal vs. non-vocal stimuli). The distributions of accuracy and sensitivity scores (d') reflected a wide range of individual differences in voice recognition performance in the population. As expected, KH showed a dissociation between the recognition of voices and bell sounds, her performance being significantly poorer than matched controls for voices but not for bells. By providing normative data of a large sample and by testing a developmental phonagnosic subject, we demonstrated that the Glasgow Voice Memory Test, available online and accessible from all over the world, can be a valid screening tool (~5 min) for a preliminary detection of potential cases of phonagnosia and of "super recognizers" for voices.

  12. Secure voice-based authentication for mobile devices: vaulted voice verification

    Science.gov (United States)

    Johnson, R. C.; Scheirer, Walter J.; Boult, Terrance E.

    2013-05-01

    As the use of biometrics becomes more wide-spread, the privacy concerns that stem from the use of biometrics are becoming more apparent. As the usage of mobile devices grows, so does the desire to implement biometric identification into such devices. A large majority of mobile devices being used are mobile phones. While work is being done to implement different types of biometrics into mobile phones, such as photo based biometrics, voice is a more natural choice. The idea of voice as a biometric identifier has been around a long time. One of the major concerns with using voice as an identifier is the instability of voice. We have developed a protocol that addresses those instabilities and preserves privacy. This paper describes a novel protocol that allows a user to authenticate using voice on a mobile/remote device without compromising their privacy. We first discuss the Vaulted Verification protocol, which has recently been introduced in research literature, and then describe its limitations. We then introduce a novel adaptation and extension of the Vaulted Verification protocol to voice, dubbed Vaulted Voice Verification (V3). Following that we show a performance evaluation and then conclude with a discussion of security and future work.

  13. Comparison of Voice Perceptual Charactheristics between Speech - Language Pathologists', Dysphonic and Normal Voiced Adult's View

    Directory of Open Access Journals (Sweden)

    Seyyedeh Maryam khoddami

    2010-06-01

    Full Text Available Background and Aim: In recent years, several tools for assessment of quality of patient life have been designed especially for dysphonics. Nowadays, we have useful assessments in health system that are refered for numerous clinical decisions. In this way, this investigation compares clinician and patient perception in dysphonic and normal voiced for first time.Methods: This study was carried out on 30 dysphonic and 30 subjects with normal voice. Their age, sex and job were same. In two groups, Consensus Auditory – Perceptual Evaluation of Voice (CAPE-V was used for evaluation of clinician perception and Voice Handicap Index - 30 (VHI-30 for assessment of patient perception. After collecting data, they were analyzed by Mann- witney and Wilcoxon tests.Results: The research revealed that mean of total and each section score of VHI-30 have significant difference between dysphonic and control group (p<0.01. Comparison of total and every parameter score of CAPE-V and speed also indicated significant difference between two groups (p<0.01. Study of reliability shows weak reliability (r=0.34 between clinician and patient perception of voice in dysphonics.Conclusion: Dysphonic patients percept their voice problem different and severe rather than clinicians that shows physical, psychological and social affects of dysphonia. This research confirms that patient – based assessment of voice is necessary to be part of common assessments of dysphonia.

  14. Why Voice Matters: Culture and Politics After Neoliberalism

    OpenAIRE

    Couldry, Nick

    2010-01-01

    For more than thirty years neoliberalism has declared that market functioning trumps all other social, political and economic values. In this book, Nick Couldry passionately argues for voice, the effective opportunity for people to speak and be heard on what affects their lives, as the only value that can truly challenge neoliberal politics. But having voice is not enough: we need to know our voice matters. Insisting that the answer goes much deeper than simply calling for 'more voices', whet...

  15. Objective Voice Parameters and Self-Perceived Handicap in Dysphonia

    OpenAIRE

    Hummel, Christina; Scharf, Manuela; Schützenberger, Anne; Graessel, Elmar; Rosanowski, Frank

    2013-01-01

    Objective: This study focuses on the relation between objective voice quality and the self-perception of a voice handicap. Patients and Methods: The study group consisted of 86 German-speaking patients (51 women, 35 men) suffering from benign dysphonia. The test persons completed the German version of the Voice-Related Quality of Life (V-RQOL) Questionnaire without prior information about their diagnosis and underwent voice analysis with the Dysphonia Severity Index (DSI) being the parameter ...

  16. Computer-enhanced thoracoscopic thymectomy with the Zeus telemanipulation surgical system.

    Science.gov (United States)

    Berman, Marius; Stamler, Alon; Vidne, Bernardo A; Saute, Milton

    2003-09-01

    Recent years have witnessed important progress in the use of minimally invasive robotic-enhanced surgical systems in cardiac and general thoracic interventions. We report the first-ever successful use of the Zeus robotic surgical system (Computer Motion, Inc, Goleta, CA) for the excision of an anterior mediastinal mass. Proper positioning of the thoracic ports for the robotic arms to permit a wide range of movement, is the key to the application of the system for intrathoracic cage operations. Other advantages of the system include three-dimensional voice controlled imaging, low-heat surgical field, and good exposure of the structures.

  17. METHODS FOR QUALITY ENHANCEMENT OF USER VOICE SIGNAL IN VOICE AUTHENTICATION SYSTEMS

    Directory of Open Access Journals (Sweden)

    O. N. Faizulaieva

    2014-03-01

    Full Text Available The reasonability for the usage of computer systems user voice in the authentication process is proved. The scientific task for improving the signal/noise ratio of the user voice signal in the authentication system is considered. The object of study is the process of input and output of the voice signal of authentication system user in computer systems and networks. Methods and means for input and extraction of voice signal against external interference signals are researched. Methods for quality enhancement of user voice signal in voice authentication systems are suggested. As modern computer facilities, including mobile ones, have two-channel audio card, the usage of two microphones is proposed in the voice signal input system of authentication system. Meanwhile, the task of forming a lobe of microphone array in a desired area of voice signal registration (100 Hz to 8 kHz is solved. The usage of directional properties of the proposed microphone array gives the possibility to have the influence of external interference signals two or three times less in the frequency range from 4 to 8 kHz. The possibilities for implementation of space-time processing of the recorded signals using constant and adaptive weighting factors are investigated. The simulation results of the proposed system for input and extraction of signals during digital processing of narrowband signals are presented. The proposed solutions make it possible to improve the value of the signal/noise ratio of the useful signals recorded up to 10, ..., 20 dB under the influence of external interference signals in the frequency range from 4 to 8 kHz. The results may be useful to specialists working in the field of voice recognition and speaker’s discrimination.

  18. Effects of Voice on Emotional Arousal

    Directory of Open Access Journals (Sweden)

    Psyche eLoui

    2013-10-01

    Full Text Available Music is a powerful medium capable of eliciting a broad range of emotions. Although the relationship between language and music is well documented, relatively little is known about the effects of lyrics and the voice on the emotional processing of music and on listeners’ preferences. In the present study, we investigated the effects of vocals in music on participants’ perceived valence and arousal in songs. Participants (N = 50 made valence and arousal ratings for familiar songs that were presented with and without the voice. We observed robust effects of vocal content on perceived arousal. Furthermore, we found that the effect of the voice on enhancing arousal ratings is independent of familiarity of the song and differs across genders and age: females were more influenced by vocals than males; furthermore these gender effects were enhanced among older adults. Results highlight the effects of gender and aging in emotion perception and are discussed in terms of the social roles of music.

  19. Jordanian teachers' perceptions of voice handicap.

    Science.gov (United States)

    Marie, Basem S; Natour, Yaser S; Haj-Tas, Maisa A

    2014-07-01

    This study aimed to investigate if Jordanian school teachers perceive their voice as handicapped using the Voice Handicap Index (VHI)-Arab. The effect of teachers' age, gender, years of teaching, class taught, and education level on VHI was examined. A total of 289 teachers and a control group of 100 participants took part in the study. The teachers' group differed significantly from the control group in the physical, emotional, and functional subscales and the total score of the VHI-Arab. There was no significant difference among teachers in any of the three VHI subscales or total regarding gender, age, years of teaching experience, education level, and classes taught. Jordanian teachers have a strong perception of voice handicap. Thus, preventive and treatment vocal programs are strongly advised.

  20. [Psychological classification of functional voice disorders].

    Science.gov (United States)

    Kiese-Himmel, C; Kruse, E

    1997-01-01

    In an explorative study the classification of a collective of patients with different voice disorders by discriminant and cluster analysis was tried. 21 variables, obtained from 128 patients with various diagnoses of voice disorders, were used. A first discriminant analysis on the basis of diagnoses-groups permitted no differentiation. A subsequent hierarchical cluster analysis indicated a four-cluster-solution. The clusters showed only little association with the phoniatric diagnoses. Cluster 1 is characterized by patients with non-organic voice disorders. Cluster 2 is marked by emotional unstable patients with organic dysphonia. Cluster 3 consists of patients with psychosomatic dysphonia by laryngeal contact granuloma, and cluster 4 contains emotional stable patients suffering from organic dysphonia and from spasmodic dysphonia. Thirteen psychological variables discriminated the clusters significantly: Anxiety about appearing in public, emotionality (neuroticism), life satisfaction, aggressiveness, anxiety, about physical injuries, extraversion.

  1. The electronic cry: Voice and gender in electroacoustic music

    NARCIS (Netherlands)

    Bosma, H.M.

    2013-01-01

    The voice provides an entrance to discuss gender and related fundamental issues in electroacoustic music that are relevant as well in other musical genres and outside of music per se: the role of the female voice; the use of language versus non-verbal vocal sounds; the relation of voice, embodiment

  2. Speaking comfort and voice use of teachers in classrooms

    DEFF Research Database (Denmark)

    Brunskog, Jonas; Pelegrin Garcia, David

    2010-01-01

    Teachers suffer from voice problems more often than the rest of the population, as a consequence of the intensive use of their voices during teaching. Noise and classroom acoustics have been defined as hazards eventually leading to voice problems. In order to make a good classroom acoustic design...

  3. 14 CFR 27.1457 - Cockpit voice recorders.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Cockpit voice recorders. 27.1457 Section 27... AIRWORTHINESS STANDARDS: NORMAL CATEGORY ROTORCRAFT Equipment Safety Equipment § 27.1457 Cockpit voice recorders. (a) Each cockpit voice recorder required by the operating rules of this chapter must be approved,...

  4. 14 CFR 125.227 - Cockpit voice recorders.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Cockpit voice recorders. 125.227 Section... Requirements § 125.227 Cockpit voice recorders. (a) No certificate holder may operate a large turbine engine... cockpit voice recorder is installed in that airplane and is operated continuously from the start of...

  5. 14 CFR 29.1457 - Cockpit voice recorders.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Cockpit voice recorders. 29.1457 Section 29... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Equipment Miscellaneous Equipment § 29.1457 Cockpit voice recorders. (a) Each cockpit voice recorder required by the operating rules of this chapter must be...

  6. 14 CFR 129.24 - Cockpit voice recorders.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Cockpit voice recorders. 129.24 Section 129... § 129.24 Cockpit voice recorders. No person may operate an aircraft under this part that is registered in the United States unless it is equipped with an approved cockpit voice recorder that meets...

  7. 14 CFR 25.1457 - Cockpit voice recorders.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Cockpit voice recorders. 25.1457 Section 25... AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY AIRPLANES Equipment Miscellaneous Equipment § 25.1457 Cockpit voice recorders. (a) Each cockpit voice recorder required by the operating rules of this chapter must be...

  8. A voice-producing Prosthesis for Laryngectomized Patients

    NARCIS (Netherlands)

    Tack, J. W.; Marres, H. A. M.; Meeuwis, C. A.; van der Houwen, E. B.; Rakhorst, G.; Verkerke, G. J.

    2009-01-01

    Despite state of the art tracheo-esophageal (TE) voice-rehabilitation after laryn-gectomy, some patients are unable to produce voice of sufficient quality, because of hypotonicity or atonicity of their pharyngo-esophageal (PE) segment. Furthermore, the TE voice is low pitched, which presents a probl

  9. Original Knowledge, Gender and the Word's Mythology: Voicing the Doctorate

    Science.gov (United States)

    Carter, Susan

    2012-01-01

    Using mythology as a generative matrix, this article investigates the relationship between knowledge, words, embodiment and gender as they play out in academic writing's voice and, in particular, in doctoral voice. The doctoral thesis is defensive, a performance seeking admittance into discipline scholarship. Yet in finding its scholarly voice,…

  10. A voice-producing Prosthesis for Laryngectomized Patients

    NARCIS (Netherlands)

    Tack, J. W.; Marres, H. A. M.; Meeuwis, C. A.; van der Houwen, E. B.; Rakhorst, G.; Verkerke, G. J.

    2009-01-01

    Despite state of the art tracheo-esophageal (TE) voice-rehabilitation after laryn-gectomy, some patients are unable to produce voice of sufficient quality, because of hypotonicity or atonicity of their pharyngo-esophageal (PE) segment. Furthermore, the TE voice is low pitched, which presents a

  11. SURVEY AND RESTORATION

    Directory of Open Access Journals (Sweden)

    C. Mileto

    2017-05-01

    Full Text Available In addition to the technological evolution over the last two centuries, survey has experienced two main conceptual leaps: the introduction of photography as a tool for an indiscriminate register for reality, and the shift from autographic to allographic survey, phenomena which can generate a distancing effect within the restoration process. Besides, this text presents the relationship between survey in its numerous forms and technologies (manual and semi-manual to more complex ones like scanner-laser and the restoration of the building, either for establishing a diagnosis, operating or valorizating, illustrating it with examples developed by the authors, as well as the criteria to be applied when documenting a building to be restored, irrespective of the means and technology available in each case.

  12. The voice handicap of student-teachers and risk factors perceived to have a negative influence on the voice.

    Science.gov (United States)

    Thomas, George; Kooijman, Piet G C; Donders, A Rogier T; Cremers, W R J; de Jong, Felix I C R S

    2007-05-01

    A cross-sectional questionnaire survey was performed. The objectives of the study were to assess the psychosocial impact of current voice complaints as perceived by student-teachers with voice complaints in comparison with student-teachers without voice complaints, and to observe the pattern of risk factors in relation to their voice handicap. Subjects in the general population without a voice-demanding profession were selected as a reference group for limited comparison with the total group of student-teachers (future professional voice users). The respondents to the questionnaires were anonymous. Among the student-teachers, 17.2% reported current voice complaints in comparison with 9.7% of the reference group, and the odds ratio was 1.94, which showed the relative risk. Student-teachers had significantly greater total Voice Handicap Index (VHI) scores than the reference group (P = 0.034). The VHI subscale scores were not significantly different (P > 0.05). Student-teachers who reported current voice complaints had a significantly higher total VHI and subscale scores than student teachers without voice complaints (P VHI scores greater than the 75th percentile. These persons may be neglecting their voice handicap and probably represent the false-negative cases in the estimation of voice complaints. Logistic regression analysis of each of the given risk factors with the VHI as the independent variable showed that the perceived negative influence of the given risk factors on their voices was significantly greater with increasing VHI scores across the VHI range. A significant correlation was observed between the number of perceived risk factors and increasing VHI scores across the VHI range. An increased awareness of risk factors in relation to their voice handicap would serve to motivate student-teachers to change factors that contributed to their voice problem. Attention to all risk factors, which the subjects perceive to be a risk, would aid in effective management

  13. Power flow in normal human voice production

    Science.gov (United States)

    Krane, Michael

    2016-11-01

    The principal mechanisms of energy utilization in voicing are quantified using a simplified model, in order to better define voice efficiency. A control volume analysis of energy utilization in phonation is presented to identify the energy transfer mechanisms in terms of their function. Conversion of subglottal airstream potential energy into useful work done (vocal fold vibration, flow work, sound radiation), and into heat (sound radiation absorbed by the lungs, glottal jet dissipation) are described. An approximate numerical model is used to compute the contributions of each of these mechanisms, as a function of subglottal pressure, for normal phonation. Acknowledge support of NIH Grant 2R01DC005642-10A1.

  14. Voice-Controlled Artificial Handspeak System

    Directory of Open Access Journals (Sweden)

    Carlo Fonda

    2014-01-01

    Full Text Available A man-machine interaction project is described which aims to establish an automated voice to sign language translator for communication with the deaf using integrated open technologies. The first prototype consists of a robotic hand designed with OpenSCAD and manufactured with a low-cost 3D printer ─which smoothly reproduces the alphabet of the sign language controlled by voice only. The core automation comprises an Arduino UNO controller used to activate a set of servo motors that follow instructions from a Raspberry Pi mini-computer having installed the open source speech recognition engine Julius. We discuss its features, limitations and possible future developments.

  15. Surgical Lasers In Gynecology

    Science.gov (United States)

    Schellhas, Helmut F.; Barnes, Alfonso E.

    1982-12-01

    Multipurpose surgical CO2 lasers marketed in the USA have been developed to be applicable to a variety of surgical procedures in many surgical fields. They are all suited for endoscopic surgical procedures and can be fitted to all standard surgical microscopes. They all can adjust the focal length of the laser beam to the different standard focal lengths of the surgical microscope which for instance in laryngoscopy is 400 mm and in colposcopy 300 mm. One laser instrument can even change the spot size in a given focal distance which is very advantageous for some microsurgical procedures (Merrimack Laboratories 820). All multipurpose surgical CO2 laser systems provide a multi-articulated surgical arm for free-hand surgery. The surgical arms are cumbersome to use but they are adapted to the surgeons needs with ingenuity. The practicality of the multi-articulated surgical arms depends mostly on the distance of the handpiece from the surgical console which now is also overbridged by the laser tube in most surgical laser system. The spot size of the beam is variable in most handpieces by interchangeable lenses which modify the focal distance of the beam and the power density. Another common feature in all systems is a coaxial He-Ne pilot light which provides a red spot which unfortunately becomes invisible in a bleeding surgical field. Most surgical laser systems have a spacial mode of TEM 00 which is essential for incisional surgery. The continuous mode of beam delivery is used for incisional surgery and also for most endoscopic procedures.

  16. The surgical treatment of chronic recurrent hematogenous osteomyelitis in children

    Directory of Open Access Journals (Sweden)

    Sukhrob Zayniev

    2013-04-01

    Full Text Available The results of surgical treatment of 178 patients with chronic recurrent osteomyelitis of the tube bones have been analyzed. It has been proposed the tactic of surgical treatment consisting of the tear of tissues for a distance of the diaphysis of the affected bone, cautious periosteum exfoliation from the bone, longitudinal osteotomy, sequestrnecrectomy with full restoration structure of intramedullary canal along the whole length, lavage and ultrasound cavitation with antiseptic solution. The performed surgical tactic secured the most radical sanation of the osteomyelitic focus and improved the treatment results of this severe pathology.

  17. [New direct restorative materials].

    Science.gov (United States)

    Hickel, R; Dasch, W; Janda, R; Tyas, M; Anusavice, K

    1999-04-01

    People worldwide have become increasingly aware of the potential adverse effects on the environment, of pollution control and of toxic effects of food, drugs and biomaterials. Amalgam and its potential toxic side effects (still scientifically unproven) continue to be discussed with increasing controversy by the media in some countries. Consequently, new direct restorative materials are now being explored by dentists, materials scientists and patients who are searching for the so-called 'amalgam substitute' or 'amalgam alternative'. From a critical point of view some of the new direct restorative materials are good with respect in aesthetics, but all material characteristics must be considered, such as mechanical properties, biological effects, and longterm clinical behaviour.

  18. Voice, Genre, and Intentionality: An Integrated Methods Study of Voice Criteria in the Evaluation of Secondary Students' Writing

    Science.gov (United States)

    Jeffery, Jill V.

    2010-01-01

    "Voice" is widely considered to be a feature of effective writing. It's no surprise, then, that voice criteria frequently appear on rubrics used to score student essays in large-scale writing assessments. However, composition theorists hold vastly different views regarding voice and how it should be applied in the evaluation of student writing, if…

  19. The voice handicap of student-teachers and risk factors perceived to have a negative influence on the voice.

    NARCIS (Netherlands)

    Thomas, G.; Kooijman, P.G.C.; Donders, A.R.T.; Cremers, C.W.R.J.; Jong, F.I.C.R.S. de

    2007-01-01

    A cross-sectional questionnaire survey was performed. The objectives of the study were to assess the psychosocial impact of current voice complaints as perceived by student-teachers with voice complaints in comparison with student-teachers without voice complaints, and to observe the pattern of risk

  20. The relation of vocal fold lesions and voice quality to voice handicap and psychosomatic well-being

    NARCIS (Netherlands)

    Smits, R.; Marres, H.A.; Jong, F. de

    2012-01-01

    BACKGROUND: Voice disorders have a multifactorial genesis and may be present in various ways. They can cause a significant communication handicap and impaired quality of life. OBJECTIVE: To assess the effect of vocal fold lesions and voice quality on voice handicap and psychosomatic well-being. METH

  1. Voice problems of future speech-language pathologists.

    Science.gov (United States)

    Gottliebson, Renee Ogle; Lee, Linda; Weinrich, Barbara; Sanders, Jessica

    2007-11-01

    Students training to be educators frequently exhibit voice disorders prior to employment. To date, there exist no similar studies of future speech-language pathologists (SLPs). The study is designed as a prospective, nonrandomized survey. The objective of this study is to determine the voice problems of first year graduate students training to be SLPs. Participants were 104 first year graduate students majoring in speech-language pathology at two universities. The Quick Screen for Voice was administered. Participants who failed completed a questionnaire regarding voice problems, medical history, daily habits, and voice use. When responses further indicated voice-related problems, endoscopic examination was completed. Fourteen percent (N=15) of the participants failed the screening by demonstrating two or more abnormal voice characteristics. These included persistent glottal fry (present in all who failed), low habitual pitch, juvenile resonance, hoarse, breathy, or strained phonation, abnormally low pitch on sustained vowels, and voice breaks during the frequency range. Twelve percent (N=12) failed both the screening and follow-up questionnaire. Responses included self-reported dysphonia, medical history with voice-related side effects, difficulty with excessive voice use, and voice problems occurring daily or weekly. Endoscopic evaluation showed one participant with bilateral vocal nodules. The results suggest that voice problems among future SLPs (12%) are more common than the 3-9% reported in the general population and similar to the 11% previously reported for teachers. However, future SLP voice problems are less frequent than those reported among education majors (21%) and all college students (17%). Faculty should identify students with voice problems and emphasize optimal voice use in classroom and clinical settings.

  2. Voice Activated Cockpit Management Systems: Voice-Flight NexGen Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Speaking to the cockpit as a method of system management in flight can become an effective interaction method, since voice communication is very efficient. Automated...

  3. Scientific Bases of Human-Machine Communication by Voice

    Science.gov (United States)

    Schafer, Ronald W.

    1995-10-01

    The scientific bases for human-machine communication by voice are in the fields of psychology, linguistics, acoustics, signal processing, computer science, and integrated circuit technology. The purpose of this paper is to highlight the basic scientific and technological issues in human-machine communication by voice and to point out areas of future research opportunity. The discussion is organized around the following major issues in implementing human-machine voice communication systems: (i) hardware/software implementation of the system, (ii) speech synthesis for voice output, (iii) speech recognition and understanding for voice input, and (iv) usability factors related to how humans interact with machines.

  4. Exploring the feasibility of smart phone microphone for measurement of acoustic voice parameters and voice pathology screening.

    Science.gov (United States)

    Uloza, Virgilijus; Padervinskis, Evaldas; Vegiene, Aurelija; Pribuisiene, Ruta; Saferis, Viktoras; Vaiciukynas, Evaldas; Gelzinis, Adas; Verikas, Antanas

    2015-11-01

    The objective of this study is to evaluate the reliability of acoustic voice parameters obtained using smart phone (SP) microphones and investigate the utility of use of SP voice recordings for voice screening. Voice samples of sustained vowel/a/obtained from 118 subjects (34 normal and 84 pathological voices) were recorded simultaneously through two microphones: oral AKG Perception 220 microphone and SP Samsung Galaxy Note3 microphone. Acoustic voice signal data were measured for fundamental frequency, jitter and shimmer, normalized noise energy (NNE), signal to noise ratio and harmonic to noise ratio using Dr. Speech software. Discriminant analysis-based Correct Classification Rate (CCR) and Random Forest Classifier (RFC) based Equal Error Rate (EER) were used to evaluate the feasibility of acoustic voice parameters classifying normal and pathological voice classes. Lithuanian version of Glottal Function Index (LT_GFI) questionnaire was utilized for self-assessment of the severity of voice disorder. The correlations of acoustic voice parameters obtained with two types of microphones were statistically significant and strong (r = 0.73-1.0) for the entire measurements. When classifying into normal/pathological voice classes, the Oral-NNE revealed the CCR of 73.7% and the pair of SP-NNE and SP-shimmer parameters revealed CCR of 79.5%. However, fusion of the results obtained from SP voice recordings and GFI data provided the CCR of 84.60% and RFC revealed the EER of 7.9%, respectively. In conclusion, measurements of acoustic voice parameters using SP microphone were shown to be reliable in clinical settings demonstrating high CCR and low EER when distinguishing normal and pathological voice classes, and validated the suitability of the SP microphone signal for the task of automatic voice analysis and screening.

  5. Evaluation of an Intelligent Assistive Technology for Voice Navigation of Spreadsheets

    CERN Document Server

    Flood, Derek; Caffery, Fergal Mc; Bishop, Brian

    2008-01-01

    An integral part of spreadsheet auditing is navigation. For sufferers of Repetitive Strain Injury who need to use voice recognition technology this navigation can be highly problematic. To counter this the authors have developed an intelligent voice navigation system, iVoice, which replicates common spreadsheet auditing behaviours through simple voice commands. This paper outlines the iVoice system and summarizes the results of a study to evaluate iVoice when compared to a leading voice recognition technology.

  6. [Influence of implant restoration on traditional restoration idea].

    Science.gov (United States)

    Liu, H C

    2016-01-01

    Implant restoration affected the traditional restoration idea. Artificial implant restoration has a profound influence on the design of dental restoration. Implant supported prostheses have not only changed the method of oral rehabilitation, but also integrated revolutionary concept with the traditional treatment protocol. By using implants, posterior missing molars can be effectively restored and thus eliminating the disadvantages of traditional removable partial denture for Kennedy classification Ⅰ, Ⅱ partically edentulous dentition. Full edentulous arch can also be restored with implant fixed denture which provide much better oral health related quality of life compared with the traditional complete denture. It is useful to master the theory and skills of artificial implant restoration, and to provide a reference for the restoration of oral physiological function.

  7. Computational Modeling of Fluid–Structure–Acoustics Interaction during Voice Production

    Science.gov (United States)

    Jiang, Weili; Zheng, Xudong; Xue, Qian

    2017-01-01

    The paper presented a three-dimensional, first-principle based fluid–structure–acoustics interaction computer model of voice production, which employed a more realistic human laryngeal and vocal tract geometries. Self-sustained vibrations, important convergent–divergent vibration pattern of the vocal folds, and entrainment of the two dominant vibratory modes were captured. Voice quality-associated parameters including the frequency, open quotient, skewness quotient, and flow rate of the glottal flow waveform were found to be well within the normal physiological ranges. The analogy between the vocal tract and a quarter-wave resonator was demonstrated. The acoustic perturbed flux and pressure inside the glottis were found to be at the same order with their incompressible counterparts, suggesting strong source–filter interactions during voice production. Such high fidelity computational model will be useful for investigating a variety of pathological conditions that involve complex vibrations, such as vocal fold paralysis, vocal nodules, and vocal polyps. The model is also an important step toward a patient-specific surgical planning tool that can serve as a no-risk trial and error platform for different procedures, such as injection of biomaterials and thyroplastic medialization. PMID:28243588

  8. Contemporary management of voice and swallowing disorders in patients with advanced lung cancer.

    Science.gov (United States)

    Brady, Grainne C; Carding, Paul N; Bhosle, Jaishree; Roe, Justin W G

    2015-06-01

    Advanced lung cancer can cause changes to swallowing and communication function. Direct tumour invasion, dyspnoea and deconditioning can all impact on swallowing function and communication. Cancer treatment, if administered, may cause or compound symptoms. In this study, the nature of swallowing and communication difficulties in patients with advanced lung cancer will be discussed, and management options including medical management, speech and language therapy (SLT) intervention, and surgical interventions will be considered. Advanced lung cancer can result in voice and swallowing difficulties, which can increase symptom burden and significantly impact on quality of life (QOL). There is a growing evidence base to support the use of injection laryngoplasty under local anaesthetic to offer immediate improvement in voice, swallowing and overall QOL. There is limited literature on the nature and extent of voice and swallowing impairment in patients with lung cancer. Well designed studies with robust and sensitive multidimensional dysphagia and dysphonia assessments are required. Outcome studies examining interventions with clearly defined treatment goals are required. These studies should include both functional and patient-reported outcome measures to develop the evidence base and to ensure that interventions are both timely and appropriate.

  9. The Sound of Voice: Voice-Based Categorization of Speakers' Sexual Orientation within and across Languages.

    Science.gov (United States)

    Sulpizio, Simone; Fasoli, Fabio; Maass, Anne; Paladino, Maria Paola; Vespignani, Francesco; Eyssel, Friederike; Bentler, Dominik

    2015-01-01

    Empirical research had initially shown that English listeners are able to identify the speakers' sexual orientation based on voice cues alone. However, the accuracy of this voice-based categorization, as well as its generalizability to other languages (language-dependency) and to non-native speakers (language-specificity), has been questioned recently. Consequently, we address these open issues in 5 experiments: First, we tested whether Italian and German listeners are able to correctly identify sexual orientation of same-language male speakers. Then, participants of both nationalities listened to voice samples and rated the sexual orientation of both Italian and German male speakers. We found that listeners were unable to identify the speakers' sexual orientation correctly. However, speakers were consistently categorized as either heterosexual or gay on the basis of how they sounded. Moreover, a similar pattern of results emerged when listeners judged the sexual orientation of speakers of their own and of the foreign language. Overall, this research suggests that voice-based categorization of sexual orientation reflects the listeners' expectations of how gay voices sound rather than being an accurate detector of the speakers' actual sexual identity. Results are discussed with regard to accuracy, acoustic features of voices, language dependency and language specificity.

  10. The Sound of Voice: Voice-Based Categorization of Speakers’ Sexual Orientation within and across Languages

    Science.gov (United States)

    Maass, Anne; Paladino, Maria Paola; Vespignani, Francesco; Eyssel, Friederike; Bentler, Dominik

    2015-01-01

    Empirical research had initially shown that English listeners are able to identify the speakers' sexual orientation based on voice cues alone. However, the accuracy of this voice-based categorization, as well as its generalizability to other languages (language-dependency) and to non-native speakers (language-specificity), has been questioned recently. Consequently, we address these open issues in 5 experiments: First, we tested whether Italian and German listeners are able to correctly identify sexual orientation of same-language male speakers. Then, participants of both nationalities listened to voice samples and rated the sexual orientation of both Italian and German male speakers. We found that listeners were unable to identify the speakers' sexual orientation correctly. However, speakers were consistently categorized as either heterosexual or gay on the basis of how they sounded. Moreover, a similar pattern of results emerged when listeners judged the sexual orientation of speakers of their own and of the foreign language. Overall, this research suggests that voice-based categorization of sexual orientation reflects the listeners' expectations of how gay voices sound rather than being an accurate detector of the speakers' actual sexual identity. Results are discussed with regard to accuracy, acoustic features of voices, language dependency and language specificity. PMID:26132820

  11. Perceiving a stranger's voice as being one's own: a 'rubber voice' illusion?

    Directory of Open Access Journals (Sweden)

    Zane Z Zheng

    Full Text Available We describe an illusion in which a stranger's voice, when presented as the auditory concomitant of a participant's own speech, is perceived as a modified version of their own voice. When the congruence between utterance and feedback breaks down, the illusion is also broken. Compared to a baseline condition in which participants heard their own voice as feedback, hearing a stranger's voice induced robust changes in the fundamental frequency (F0 of their production. Moreover, the shift in F0 appears to be feedback dependent, since shift patterns depended reliably on the relationship between the participant's own F0 and the stranger-voice F0. The shift in F0 was evident both when the illusion was present and after it was broken, suggesting that auditory feedback from production may be used separately for self-recognition and for vocal motor control. Our findings indicate that self-recognition of voices, like other body attributes, is malleable and context dependent.

  12. Changes after voice therapy in objective and subjective voice measurements of pediatric patients with vocal nodules.

    Science.gov (United States)

    Tezcaner, Ciler Zahide; Karatayli Ozgursoy, Selmin; Ozgursoy, Selmin Karatayli; Sati, Isil; Dursun, Gursel

    2009-12-01

    The aim of this study was to analyze the efficiency of the voice therapy in children with vocal nodules by using the acoustic analysis and subjective assessment. Thirty-nine patients with vocal fold nodules, aged between 7 and 14, were included in the study. Each subject had voice therapy led by an experienced voice therapist once a week. All diagnostic and follow-up workouts were performed before the voice therapy and after the third or the sixth month. Transoral and/or transnasal videostroboscopic examination and acoustic analysis were achieved using multi-dimensional voice program (MDVP) and subjective analysis with GRBAS scale. As for the perceptual assessment, the difference was significant for four parameters out of five. A significant improvement was found in the acoustic analysis parameters of jitter, shimmer, and noise-to-harmonic ratio. The voice therapy which was planned according to patients' needs, age, compliance and response to therapy had positive effects on pediatric patients with vocal nodules. Acoustic analysis and GRBAS may be used successfully in the follow-up of pediatric vocal nodule treatment.

  13. The Sound of Voice: Voice-Based Categorization of Speakers' Sexual Orientation within and across Languages.

    Directory of Open Access Journals (Sweden)

    Simone Sulpizio

    Full Text Available Empirical research had initially shown that English listeners are able to identify the speakers' sexual orientation based on voice cues alone. However, the accuracy of this voice-based categorization, as well as its generalizability to other languages (language-dependency and to non-native speakers (language-specificity, has been questioned recently. Consequently, we address these open issues in 5 experiments: First, we tested whether Italian and German listeners are able to correctly identify sexual orientation of same-language male speakers. Then, participants of both nationalities listened to voice samples and rated the sexual orientation of both Italian and German male speakers. We found that listeners were unable to identify the speakers' sexual orientation correctly. However, speakers were consistently categorized as either heterosexual or gay on the basis of how they sounded. Moreover, a similar pattern of results emerged when listeners judged the sexual orientation of speakers of their own and of the foreign language. Overall, this research suggests that voice-based categorization of sexual orientation reflects the listeners' expectations of how gay voices sound rather than being an accurate detector of the speakers' actual sexual identity. Results are discussed with regard to accuracy, acoustic features of voices, language dependency and language specificity.

  14. Estill Voice Training and voice quality control in contemporary commercial singing: an exploratory study.

    Science.gov (United States)

    Fantini, Marco; Fussi, Franco; Crosetti, Erika; Succo, Giovanni

    2016-09-30

    Estill Voice Training (EVT) is a widely known programme for developing vocal skills based on partitioning the process of vocal production in order to reach control of specific structures in the vocal mechanism. The present retrospective small-scale exploratory study aims at reporting preliminary data about the efficacy of EVT - in terms of voice quality control on a specific vocal exercise - in contemporary commercial singers with a Certificate of Figure Proficiency (CFP). Thirty-five contemporary commercial singers (professional or semi-professional pop and rock singers) with no vocal complaints were recruited. The experimental group was composed of twenty singers who studied EVT and had a CFP. The control group was composed of fifteen singers who studied in Italian contemporary popular music institutions but were not familiar with EVT. Voice quality control was assessed through acoustic and perceptual analysis on a specific vocal exercise requiring sound pitch, perturbation and spectral energy distribution control. The acoustic analysis showed some significant differences between the two groups of singers both in sound perturbation control and spectral energy distribution control, suggesting a higher voice quality control ability for the experimental group. The perceptual evaluation confirmed a higher ability for the experimental group to produce recognizable voice qualities in this specific task. The reported preliminary results seem to suggest EVT as an effective educational system for developing voice quality control ability in contemporary commercial singers.

  15. Assessing efficacy of voice treatments: a guideline.

    Science.gov (United States)

    Dejonckere, P H

    2000-01-01

    The proposal of this guideline or basic protocol is an attempt to reach better agreement and uniformity concerning the methodology for functional assessment of pathological voices. The purpose is to allow relevant comparisons with the literature when presenting/publishing the results of voice treatment, e.g. a phonosurgical technique, or a new/improved instrument or procedure for investigating the pathological voice. Meta-analyses of results of voice treatments are generally limited--and even impossible--due to the major diversity in assessing functional outcomes. A minimal, multidimensional set of basic measurements is proposed, suitable for all "common" dysphonias: it includes 5 different approaches: perception (grade, roughness, breathiness), videostroboscopy (closure, regularity, mucosal wave and symmetry), acoustics (jitter, shimmer, Fo-range and softest intensity), aerodynamics (phonation quotient), and self rating by the patient. The protocol is elaborated on the base of an exhaustive review of the literature, the experience of the Committee members, and of plenary discussions within the European Laryngological Society. Instrumentation is kept to a minimum, but considered essential for professionals performing phonosurgery.

  16. Youth Voice and the Llano Grande Center

    Science.gov (United States)

    Guajardo, Francisco; Perez, Delia; Guajardo, Miguel A.; Davila, Eric; Ozuna, Juan; Saenz, Maribel; Casaperalta, Nadia

    2006-01-01

    The Llano Grande Center is a non-profit education and community development organization founded in the mid-1990s by youth and teachers out of a public high school classroom in a rural South Texas (USA) community. The Center was created, in large part, to cultivate youth voices as important elements of curriculum development and teacher training…

  17. Voices from CCPIT Sub-Councils

    Institute of Scientific and Technical Information of China (English)

    Yan Manman

    2010-01-01

    @@ All the branches and headquarters comprise the huge and crisscross network of CCPIT system.At the National CCPIT Work Meeting on January 16-17,2010,50 CCPIT local sub-councils,22 CCPIT industrial sub-councils,16CCPIT overseas offices voiced their views on how CCPIT can be built as a worldwide top class trade promotion agency.

  18. The Child's Voice in School Choice.

    Science.gov (United States)

    Carroll, Steven; Walford, Geoffrey

    1997-01-01

    Explores the diverse roles that British children play in choosing a secondary school in England, based on interviews with parents drawn from contrasting socioeconomic areas. Some families actively "play the market;" others are relatively passive. Although the child's voice was more influential with "passive" families and played…

  19. Developing Voice through the Language Arts

    Science.gov (United States)

    Henn-Reinke, Kathryn; Chesner, Geralyn A.

    2006-01-01

    This book shows prospective teachers how to use the language arts to connect diverse students to the world around them and help them develop their own literate voices. It considers the integrated nature of the primary language arts--reading, writing, listening, speaking, viewing, and visually representing. The authors encourage preservice and…

  20. Voice Onset Time in Parkinson Disease

    Science.gov (United States)

    Fischer, Emily; Goberman, Alexander M.

    2010-01-01

    Research has found that speaking rate has an effect on voice onset time (VOT). Given that Parkinson disease (PD) affects speaking rate, the purpose of this study was to examine VOT with the effect of rate removed (VOT ratio), along with the traditional VOT measure, in individuals with PD. VOT and VOT ratio were examined in 9 individuals with PD…

  1. Every Voice Matters: The Importance of Advocacy

    Science.gov (United States)

    Royea, Amber J.; Appl, Dolores J.

    2009-01-01

    Over the years parents, professionals, and politicians have come together to advocate on behalf of children's rights. Advocacy can occur individually, collectively, or a combination of both. Although some advocacy efforts are more successful than others, it is the process of the advocacy and voices behind it that matter most. In this guest…

  2. Ambivalences: Voices of Indonesian Academic Discourse Gatekeepers

    Science.gov (United States)

    Basthomi, Yazid

    2012-01-01

    This article presents voices of academic discourse gatekeepers in the Indonesian context. It reports on results of an attempt to re-read (re-analyze and re-interpret) the transcripts of interviews with Indonesian journal editors/reviewers in the area of English Language Teaching (ELT). The interviews were made with five editors/reviewers of two…

  3. Teaching Listening: Voices from the Field

    Science.gov (United States)

    Ashcraft, Nikki, Ed.; Tran, Anh, Ed.

    2010-01-01

    Listening is the most important of the four language skills and is used most often in everyday communication. Teachers need innovative ways to address the particular listening problems emerging in their own contexts. "Teaching Listening: Voices From the Field" shares successful practices employed by teachers at different levels of education around…

  4. Parental Voices and Controversies in Autism

    Science.gov (United States)

    Langan, Mary

    2011-01-01

    Parents of children with autism have played a prominent role in controversies surrounding this condition. Parental voices were critical in challenging the "refrigerator mother" theory and more recently have attracted public attention for claims that autism may be caused by childhood vaccinations and that "unorthodox biomedical" treatments may…

  5. Women’s Voice in Mass Media

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    IN May of 1996, Women’s Media Monitoring Network was set up in Beijing. The organization was established on the commemorative convention for the 10th anniversary of The Capital Female Journalists Association, aiming to open women’s eyes and discover their voice in mass media. Just one year after its establishment, the Network aroused extensive attention from

  6. Vanishing voices from Russia & Eastern Europe

    NARCIS (Netherlands)

    de Graaf, T.

    2016-01-01

    These recordings were digitised as part of the Endangered Archives Programme (EAP) project EAP347: ‘Vanishing voices from the Uralic world: sound recordings for archives in Russia (in particular Udmurtia), Estonia, Finland and Hungary’. The project digitised sound collections from the Uralic speakin

  7. Using Student Voices to Guide Instruction

    Science.gov (United States)

    Elliott-Johns, Susan E.; Booth, David; Rowsell, Jennifer; Puig, Enrique; Paterson, Jane

    2012-01-01

    A collaborative team of five international teacher educators/researchers examine the importance of student voice for authentic discourse and instructional design in contemporary classrooms. Excerpts from their perspectives on teaching, research, and innovative programs are woven together and include suggested Actions/Reflections for the reader.…

  8. Woman Helps Patients Find Their Voices

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    THE director of the China Revocalization Association sat opposite me, talking with ease and fluency. Her voice was clear and I couldn’t believe that she was once rendered mute after an operation to remove her vocal cords because of throat cancer.

  9. Voice Onset Time in Parkinson Disease

    Science.gov (United States)

    Fischer, Emily; Goberman, Alexander M.

    2010-01-01

    Research has found that speaking rate has an effect on voice onset time (VOT). Given that Parkinson disease (PD) affects speaking rate, the purpose of this study was to examine VOT with the effect of rate removed (VOT ratio), along with the traditional VOT measure, in individuals with PD. VOT and VOT ratio were examined in 9 individuals with PD…

  10. Find Your Voice: Eliminate Classroom Phobias

    Science.gov (United States)

    Miranda, Michael V.

    2007-01-01

    The academically underprepared community college student may also be psychosocially underprepared for college, a condition contributing to the development of classroom-specific social phobia and to the high attrition rate at community colleges. The "Find Your Voice Program" uses individual and group cognitive-behavioral techniques to develop…

  11. Homework: Voices from EFL Teachers and Learners

    Science.gov (United States)

    Amiryousefi, Mohammad

    2016-01-01

    Previous studies have mainly focused on homework in courses such as math and physics with little attention to homework in EFL (English as a foreign language) classes. The main purpose of the study reported in this paper was to give a voice to both EFL teachers and learners with regard to English homework. To this end, 8 EFL teachers and 19 EFL…

  12. Voice, dialogicality and identity construction in textual ...

    African Journals Online (AJOL)

    Kate H

    “They came there as workers”: Voice, dialogicality and identity .... Lonmin employs approximately 28,000 people, most of whom are ... How do Lonmin, Nzuza, Mtshamba and Magidiwana construct themselves ... or are affected by, the company's activities; (ii) the environment; and (iii) the company's ..... back to the mountain.

  13. Classroom Noise and Teachers' Voice Production

    Science.gov (United States)

    Rantala, Leena M.; Hakala, Suvi; Holmqvist, Sofia; Sala, Eeva

    2015-01-01

    Purpose: The aim of this study was to research the associations between noise (ambient and activity noise) and objective metrics of teachers' voices in real working environments (i.e., classrooms). Method: Thirty-two female and 8 male teachers from 14 elementary schools were randomly selected for the study. Ambient noise was measured during breaks…

  14. Voices of Disability on the Radio

    Science.gov (United States)

    O'Malley, Mary Pat

    2008-01-01

    Background: While much commentary exists in relation to the portrayal of disabled people in the media, very little research examines the talk itself in any detail. This paper examines the how people with communication disabilities and disabled people are dealt with in the talk of a radio programme about disability. Aims: To show how the voices of…

  15. The value of visualizing tone of voice.

    Science.gov (United States)

    Pullin, Graham; Cook, Andrew

    2013-10-01

    Whilst most of us have an innate feeling for tone of voice, it is an elusive quality that even phoneticians struggle to describe with sufficient subtlety. For people who cannot speak themselves this can have particularly profound repercussions. Augmentative communication often involves text-to-speech, a technology that only supports a basic choice of prosody based on punctuation. Given how inherently difficult it is to talk about more nuanced tone of voice, there is a risk that its absence from current devices goes unremarked and unchallenged. Looking ahead optimistically to more expressive communication aids, their design will need to involve more subtle interactions with tone of voice-interactions that the people using them can understand and engage with. Interaction design can play a role in making tone of voice visible, tangible, and accessible. Two projects that have already catalysed interdisciplinary debate in this area, Six Speaking Chairs and Speech Hedge, are introduced together with responses. A broader role for design is advocated, as a means to opening up speech technology research to a wider range of disciplinary perspectives, and also to the contributions and influence of people who use it in their everyday lives.

  16. Voice Blogging and L2 Speaking Performance

    Science.gov (United States)

    Hsu, Hsiu-Chen

    2016-01-01

    This paper reports on an exploratory study that investigated the effect of extensive speaking practice on the development of L2 speaking complexity, accuracy, and fluency in voice blogging. The participants were 30 college EFL (English as a foreign language) learners in Taiwan. As a supplement to the insufficient speaking practice in class, each…

  17. Voice over IP in Wireless Heterogeneous Networks

    DEFF Research Database (Denmark)

    Fathi, Hanane; Chakraborty, Shyam; Prasad, Ramjee

    The convergence of different types of traffic has preceded the convergence of systems and services in a wireless heterogeneous network. Voice and data traffic are usually treated separate in both 2G and 2.5G wireless networks. With advances in packet switching technology and especially with the d...... and to the discruption caused by the user mobility during the session. Voice over IP in Wireless Hetetrogeneous Networks thus investigates and proposes cross-layer techniques for realizing time-efficient control mechanisms for VoIP: signaling, mobility and security.......The convergence of different types of traffic has preceded the convergence of systems and services in a wireless heterogeneous network. Voice and data traffic are usually treated separate in both 2G and 2.5G wireless networks. With advances in packet switching technology and especially....... The focus of Voice over IP in Wierless Heterogeneous Networks is on mechanisms that affect the VoIP user satisfaction  while not explicitly involved in the media session. This relates to the extra delays introduced by the security and the signaling protocols used to set up an authorized VoIP session...

  18. Delay related issues in integrated voice and data networks

    Science.gov (United States)

    Gruber, J. G.

    1981-06-01

    The described investigation is concerned with the problem of transmitting voice with data in a computer communications network. The motivations for considering mixed voice and data traffic in such a shared network environment include the advent of new voice related applications with the technology now existing to economically support them, and the desire to plan for and design future integrated networks for reasons of economy and flexibility. Attention is given to the problem of variable delays in a shared network environment handling voice traffic. Previous work in packetized voice, as well as various approaches to integrated voice and data transmission, are reviewed. These approaches may be regarded as enhanced versions of circuit, packet, and hybrid switching. The impact of network interfacing and delay considerations for voice traffic is discussed.

  19. Varieties of Voice-Hearing: Psychics and the Psychosis Continuum.

    Science.gov (United States)

    Powers, Albert R; Kelley, Megan S; Corlett, Philip R

    2017-01-01

    Hearing voices that are not present is a prominent symptom of serious mental illness. However, these experiences may be common in the non-help-seeking population, leading some to propose the existence of a continuum of psychosis from health to disease. Thus far, research on this continuum has focused on what is impaired in help-seeking groups. Here we focus on protective factors in non-help-seeking voice-hearers. We introduce a new study population: clairaudient psychics who receive daily auditory messages. We conducted phenomenological interviews with these subjects, as well as with patients diagnosed with a psychotic disorder who hear voices, people with a diagnosis of a psychotic disorder who do not hear voices, and matched control subjects (without voices or a diagnosis). We found the hallucinatory experiences of psychic voice-hearers to be very similar to those of patients who were diagnosed. We employed techniques from forensic psychiatry to conclude that the psychics were not malingering. Critically, we found that this sample of non-help-seeking voice hearers were able to control the onset and offset of their voices, that they were less distressed by their voice-hearing experiences and that, the first time they admitted to voice-hearing, the reception by others was much more likely to be positive. Patients had much more negative voice-hearing experiences, were more likely to receive a negative reaction when sharing their voices with others for the first time, and this was subsequently more disruptive to their social relationships. We predict that this sub-population of healthy voice-hearers may have much to teach us about the neurobiology, cognitive psychology and ultimately the treatment of voices that are distressing. © The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  20. Manual of Surgical Instruments

    Directory of Open Access Journals (Sweden)

    Olga Lidia Sánchez Sarría

    2014-10-01

    Full Text Available Surgical instruments are the group of tools used in surgical procedures. They are very expensive and sophisticated. Consequently, a standardized and meticulous care is essential; they should go through the decontamination, cleaning and sterilization process. These instruments are designed in order to provide surgeons with tools that help them to perform a basic surgical procedure; there are multiple variations and the design depends on their function. This paper aims at showing all surgical instruments that can be used in an operating room during surgery and are not generally included in the medical literature.

  1. Voice recognition software for clinical use.

    Science.gov (United States)

    Korn, K

    1998-11-01

    The current generation voice recognition products truly offer the promise of voice recognition systems, that are financially and operationally acceptable for use in a health care facility. Although the initial capital outlay for the purchase of such equipment may be substantial, the long-term benefit is felt to outweigh the expense. The ability to utilize computer equipment for educational purposes and information management alone helps to rationalize the cost. In addition, it is important to remember that the Internet has become a substantial source of information which provides another functional use for this equipment. Although one can readily see the implication for such a program in clinical practice, other uses for the program should not be overlooked. Uses far beyond the writing of clinic notes and correspondence can be easily envisioned. Utilization of voice recognition software offers clinical practices the ability to produce quality printed records in a timely and cost-effective manner. After learning procedures for the selected product and appropriately formatting word processing software and printers, printed progress notes should be able to be produced in less time than traditional dictation and transcription methods. Although certain procedures and practices may need to be altered, or may preclude optimal utilization of this type of system, many advantages are apparent. It is recommended that facilities consider utilization of Voice Recognition products such as Dragon Systems Naturally Speaking Software, or at least consider a trial of this method with one of the limited-feature products, if current dictation practices are unsatisfactory or excessively costly. Free downloadable trial software or single user software can provide a reduced-cost method for trial evaluation of such products if a major commitment is not felt to be desired. A list of voice recognition software manufacturer web sites may be accessed through the following: http

  2. Papahanaumokuakea - Laysan Island Restoration 2010

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Goal of the Laysan Island Restoration is to restore Laysan to a "Pristine" state which would require minimal monitoring and habitat for Endemic Endangered...

  3. Management of Limited Interocclusal Distance with the Aid of a Modified Surgical Guide: A Clinical Report

    Directory of Open Access Journals (Sweden)

    Farideh Geramipanah

    2017-08-01

    Full Text Available In completely edentulous patients, limited interarch distance can compromise conventional prosthetic fabrication. Bone reduction through various surgical procedures has been recommended to restore an acceptable interarch distance. In such circumstances, a surgical guide built on a mounted cast can be used to minimize and control the amount of bone reduction performed. In the present report, an innovative method of fabrication of surgical guide has been described.Keywords: Osteotomy; Stents; Dental Articulators; Denture, Complete

  4. A review of surgical methods (excluding hair transplantation and their role in hair loss management today

    Directory of Open Access Journals (Sweden)

    Sandeep S Sattur

    2011-01-01

    Full Text Available There is more than one way to manage hair loss surgically. Apart from hair transplantation, there are other techniques which have been used by many to treat baldness. This article attempts to review the surgical methodology and philosophy that have acted as guiding lights in the approach to surgical treatment of baldness over the years and reviews the current role of other techniques in the armamentarium of hair restoration surgeons today.

  5. Advances and challenges in hair restoration of curly Afrocentric hair.

    Science.gov (United States)

    Rogers, Nicole E; Callender, Valerie D

    2014-04-01

    Although the biochemical composition of hair is similar among racial and ethnic groups, the hair structure between them varies, and individuals with curly hair pose specific challenges and special considerations when a surgical option for alopecia is considered. Hair restoration in this population should therefore be approached with knowledge on the clinical characteristics of curly hair, hair grooming techniques that may influence the management, unique indications for the procedure, surgical instrumentation used, and the complications that may arise. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. Surgical ethics and the challenge of surgical innovation.

    Science.gov (United States)

    Angelos, Peter

    2014-12-01

    Surgical ethics as a specific discipline is relatively new to many. Surgical ethics focuses on the ethical issues that are particularly important to the care of surgical patients. Informed consent for surgical procedures, the level of responsibility that surgeons feel for their patients' outcomes, and the management of surgical innovation are specific issues that are important in surgical ethics and are different from other areas of medicine. The future of surgical progress is dependent on surgical innovation, yet the nature of surgical innovation raises specific concerns that challenge the professionalism of surgeons. These concerns will be considered in the following pages.

  7. Preferences for very low and very high voice pitch in humans.

    Directory of Open Access Journals (Sweden)

    Daniel E Re

    Full Text Available Manipulations of voice pitch have been shown to alter attractiveness ratings, but whether preferences extend to very low or very high voice pitch is unknown. Here, we manipulated voice pitch in averaged men's and women's voices by 2 Hz intervals to create a range of male and female voices speaking monopthong vowel sounds and spanning a range of frequencies from normal to very low and very high pitch. With these voices, we used the method of constant stimuli to measure preferences for voice. Nineteen university students (ages: 20-25 participated in three experiments. On average, men preferred high-pitched women's voices to low-pitched women's voices across all frequencies tested. On average, women preferred men's voices lowered in pitch, but did not prefer very low men's voices. The results of this study may reflect selection pressures for men's and women's voices, and shed light on a perceptual link between voice pitch and vocal attractiveness.

  8. Adaptive wiener image restoration kernel

    Science.gov (United States)

    Yuan, Ding

    2007-06-05

    A method and device for restoration of electro-optical image data using an adaptive Wiener filter begins with constructing imaging system Optical Transfer Function, and the Fourier Transformations of the noise and the image. A spatial representation of the imaged object is restored by spatial convolution of the image using a Wiener restoration kernel.

  9. Restoring proximal caries lesions conservatively with tunnel restorations

    Directory of Open Access Journals (Sweden)

    Chu CH

    2013-07-01

    Full Text Available Chun-Hung Chu1, May L Mei,1 Chloe Cheung,1 Romesh P Nalliah2 1Faculty of Dentistry, The University of Hong Kong, Hong Kong, People's Republic of China; 2Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA, USA Abstract: The tunnel restoration has been suggested as a conservative alternative to the conventional box preparation for treating proximal caries. The main advantage of tunnel restoration over the conventional box or slot preparation includes being more conservative and increasing tooth integrity and strength by preserving the marginal ridge. However, tunnel restoration is technique-sensitive and can be particularly challenging for inexperienced restorative dentists. Recent advances in technology, such as the contemporary design of dental handpieces with advanced light-emitting diode (LED and handheld comfort, offer operative dentists better vision, illumination, and maneuverability. The use of magnifying loupes also enhances the visibility of the preparation. The advent of digital radiographic imaging has improved dental imaging and reduced radiation. The new generation of restorative materials has improved mechanical properties. Tunnel restoration can be an option to restore proximal caries if the dentist performs proper case selection and pays attention to the details of the restorative procedures. This paper describes the clinical technique of tunnel restoration and reviews the studies of tunnel restorations. Keywords: operative, practice, tunnel preparation, composite, amalgam, glass ionomer

  10. Relativistic Linear Restoring Force

    Science.gov (United States)

    Clark, D.; Franklin, J.; Mann, N.

    2012-01-01

    We consider two different forms for a relativistic version of a linear restoring force. The pair comes from taking Hooke's law to be the force appearing on the right-hand side of the relativistic expressions: d"p"/d"t" or d"p"/d["tau"]. Either formulation recovers Hooke's law in the non-relativistic limit. In addition to these two forces, we…

  11. Recognizing surgical patterns

    NARCIS (Netherlands)

    Bouarfa, L.

    2012-01-01

    In the Netherlands, each year over 1700 patients die from preventable surgical errors. Numerous initiatives to improve surgical practice have had some impact, but problems persist. Despite the introduction of checklists and protocols, patient safety in surgery remains a continuing challenge. This is

  12. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  13. Does insecure attachment mediate the relationship between trauma and voice-hearing in psychosis?

    Science.gov (United States)

    Pilton, Marie; Bucci, Sandra; McManus, James; Hayward, Mark; Emsley, Richard; Berry, Katherine

    2016-12-30

    This study extends existing research and theoretical developments by exploring the potential mediating role of insecure attachment within the relationship between trauma and voice-hearing. Fifty-five voice hearers with a psychosis-related diagnosis completed comprehensive assessments of childhood trauma, adult attachment, voice-related severity and distress, beliefs about voices and relationships with voices. Anxious attachment was significantly associated with the voice-hearing dimensions examined. More sophisticated analysis showed that anxious attachment mediated the relationship between childhood sexual and emotional abuse and voice-related severity and distress, voice-malevolence, voice-omnipotence, voice-resistance and hearer-dependence. Anxious attachment also mediated the relationship between childhood physical neglect and voice-related severity and distress and hearer-dependence. Furthermore, consistent with previous research, the relationship between anxious attachment and voice-related distress was mediated by voice-malevolence, voice-omnipotence and voice-resistance. We propose a model whereby anxious attachment mediates the well-established relationship between trauma and voice-hearing. In turn, negative beliefs about voices may mediate the association between anxious attachment and voice-related distress. Findings presented here highlight the need to assess and formulate the impact of attachment patterns upon the voice-hearing experience in psychosis and the potential to alleviate voice-related distress by fostering secure attachments to therapists or significant others.

  14. Nonlinear acoustic analysis in the evaluation of occupational voice disorders

    Directory of Open Access Journals (Sweden)

    Ewa Niebudek-Bogusz

    2013-02-01

    Full Text Available Background: Over recent years numerous papers have stressed that production of voice is subjected to the nonlinear processes, which cause aperiodic vibrations of vocal folds. These vibrations cannot always be characterized by means of conventional acoustic parameters, such as measurements of frequency and amplitude perturbations. Thus, special attention has recently been paid to nonlinear acoustic methods. The aim of this study was to assess the applicability of nonlinear cepstral analysis, including the evaluation of mel cepstral coefficients (MFCC, in diagnosing occupational voice disorders. Material and methods: The study involved 275 voice samples of pathologic voice (sustained vowel "a" and four standardized sentences registered in female teachers with the occupation-related benign vocal fold masses (BVFM, such as vocal nodules, polyps, and 200 voice samples of normal voices from the control group of females. The mean age of patients and controls was similar (45 vs. 43 years. Voice samples from both groups were analyzed, including MFCC evaluation. Results: MFCC classification using the Sammon Mapping and Support Vector Machines yielded a considerable accuracy of the test. Voice pathologies were detected in 475 registered voice samples: for vowel "a" with 86% sensitivity and 90% specificity, and for the examined sentences the corresponding values varied between 87% and 100%, respectively. Conclusions: Nonlinear voice analysis with application of mel cepstral coefficients could be a useful and objective tool for confirming occupational-related lesions of the glottis. Further studies addressing this problem are being carried out. Med Pr 2013;64(1:29–35

  15. Matching Speaking to Singing Voices and the Influence of Content.

    Science.gov (United States)

    Peynircioğlu, Zehra F; Rabinovitz, Brian E; Repice, Juliana

    2017-03-01

    We tested whether speaking voices of unfamiliar people could be matched to their singing voices, and, if so, whether the content of the utterances would influence this matching performance. Our hypothesis was that enough acoustic features would remain the same between speaking and singing voices such that their identification as belonging to the same or different individuals would be possible even upon a single hearing. We also hypothesized that the contents of the utterances would influence this identification process such that voices uttering words would be easier to match than those uttering vowels. We used a within-participant design with blocked stimuli that were counterbalanced using a Latin square design. In one block, mode (speaking vs singing) was manipulated while content was held constant; in another block, content (word vs syllable) was manipulated while mode was held constant, and in the control block, both mode and content were held constant. Participants indicated whether the voices in any given pair of utterances belonged to the same person or to different people. Cross-mode matching was above chance level, although mode-congruent performance was better. Further, only speaking voices were easier to match when uttering words. We can identify speaking and singing voices as the same or different even on just a single hearing. However, content interacts with mode such that words benefit matching of speaking voices but not of singing voices. Results are discussed within an attentional framework. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  16. The singer's voice range profile: female professional opera soloists.

    Science.gov (United States)

    Lamarche, Anick; Ternström, Sten; Pabon, Peter

    2010-07-01

    This work concerns the collection of 30 voice range profiles (VRPs) of female operatic voice. We address the questions: Is there a need for a singer's protocol in VRP acquisition? Are physiological measurements sufficient or should the measurement of performance capabilities also be included? Can we address the female singing voice in general or is there a case for categorizing voices when studying phonetographic data? Subjects performed a series of structured tasks involving both standard speech voice protocols and additional singing tasks. Singers also completed an extensive questionnaire. Physiological VRPs differ from performance VRPs. Two new VRP metrics, the voice area above a defined level threshold and the dynamic range independent from the fundamental frequency (F(0)), were found to be useful in the analysis of singer VRPs. Task design had no effect on performance VRP outcomes. Voice category differences were mainly attributable to phonation frequency-based information. Results support the clinical importance of addressing the vocal instrument as it is used in performance. Equally important is the elaboration of a protocol suitable for the singing voice. The given context and instructions can be more important than task design for performance VRPs. Yet, for physiological VRP recordings, task design remains critical. Both types of VRPs are suggested for a singer's voice evaluation. Copyright (c) 2010 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

  17. Changes of some functional speech disorders after surgical correction of skeletal anterior open bite.

    Science.gov (United States)

    Knez Ambrožič, Mojca; Hočevar Boltežar, Irena; Ihan Hren, Nataša

    2015-09-01

    Skeletal anterior open bite (AOB) or apertognathism is characterized by the absence of contact of the anterior teeth and affects articulation parameters, chewing, biting and voice quality. The treatment of AOB consists of orthognatic surgical procedures. The aim of this study was to evaluate the effects of treatment on voice quality, articulation and nasality in speech with respect to skeletal changes. The study was prospective; 15 patients with AOB were evaluated before and after surgery. Lateral cephalometric x-ray parameters (facial angle, interincisal distance, Wits appraisal) were measured to determine skeletal changes. Before surgery, nine patients still had articulation disorders despite speech therapy during childhood. The voice quality parameters were determined by acoustic analysis of the vowel sound /a/ (fundamental frequency-F0, jitter, shimmer). Spectral analysis of vowels /a/, /e/, /i/, /o/, /u/ was carried out by determining the mean frequency of the first (F1) and second (F2) formants. Nasality in speech was expressed as the ratio between the nasal and the oral sound energies during speech samples. After surgery, normalizations of facial skeletal parameters were observed in all patients, but no statistically significant changes in articulation and voice quality parameters occurred despite subjective observations of easier articulation. Any deterioration in velopharyngeal insufficiency was absent in all of the patients. In conclusion, the surgical treatment of skeletal AOB does not lead to deterioration in voice, resonance and articulation qualities. Despite surgical correction of the unfavourable skeletal situation of the speech apparatus, the pre-existing articulation disorder cannot improve without professional intervention.

  18. A cyber-physical management system for delivering and monitoring surgical instruments in the OR.

    Science.gov (United States)

    Li, Yu-Ting; Jacob, Mithun; Akingba, George; Wachs, Juan P

    2013-08-01

    The standard practice in the operating room (OR) is having a surgical technician deliver surgical instruments to the surgeon quickly and inexpensively, as required. This human "in the loop" system may result in mistakes (eg, missing information, ambiguity of instructions, and delays). Errors can be reduced or eliminated by integrating information technology (IT) and cybernetics into the OR. Gesture and voice automatic acquisition, processing, and interpretation allow interaction with these new systems without disturbing the normal flow of surgery. This article describes the development of a cyber-physical management system (CPS), including a robotic scrub nurse, to support surgeons by passing surgical instruments during surgery as required and recording counts of surgical instruments into a personal health record (PHR). The robot used responds to hand signals and voice messages detected through sophisticated computer vision and data mining techniques. The CPS was tested during a mock surgery in the OR. The in situ experiment showed that the robot recognized hand gestures reliably (with an accuracy of 97%), it can retrieve instruments as close as 25 mm, and the total delivery time was less than 3 s on average. This online health tool allows the exchange of clinical and surgical information to electronic medical record-based and PHR-based applications among different hospitals, regardless of the style viewer. The CPS has the potential to be adopted in the OR to handle surgical instruments and track them in a safe and accurate manner, releasing the human scrub tech from these tasks.

  19. Through the looking glass: self-reassuring meta-cognitive capacityand its relationship with the thematic content of voicesand nature of the voice/voice-hearer relationship

    Directory of Open Access Journals (Sweden)

    Charlotte eConnor

    2013-05-01

    Full Text Available AbstractAimsTo examine the self-critical thoughts and self-reassuring meta-cognitive capacity of those who hear voices and explore whether they are associated with the theme of voice content and appraisals of voice power and voice expressed emotion. MethodA cross-sectional design was used, combining semi-structured interviews and self-report measures. Data on symptomatology, self-critical thoughts and self-reassuring meta-cognitive capacity, thematic voice content and appraisals of voice power and expressed emotion were collected from 74 voice-hearers in Birmingham, UK. Results Common themes of voice content reflected issues of shame, control and affiliation. Controlling content was the most prevalent theme, however, no significant predictor of this theme was found; shaming thematic voice content linked with reduced capacity to self-reassure following self-critical thoughts. Voice-hearers with the greatest level of self-critical thoughts appraised their voices as powerful and high in voice expressed emotion ConclusionsFindings suggest that voice-hearers self-critical thoughts are reflected in the type of relationship they have with their voice. However, access to self-reassuring meta-cognitive capacity may serve as a protective factor for those who hear voices, resulting in more benign voice content. These findings highlight the importance of this specific meta-cognitive capacity and will inform future therapeutic interventions for the management of voices in this vulnerable group.

  20. Management of periodontal destruction caused by overhanging dental restoration

    Directory of Open Access Journals (Sweden)

    Misnova Misnova

    2016-06-01

    Full Text Available Periodontal tissue inflammations are occasionally caused by positions of restoration margins, particularly if they are placed subgingivally. A 44-year old male was referred to the Dental and Mouth Hospital of Dentistry Faculty Hasanuddin University with the chief complaint of severe pain at right posterior maxillary. Clinical examinations demonstrate a 7-mm periodontal pocket at buccal aspect of 16 teeth with tooth mobility °2. Overhanging dental composite restorations of Class V were detected at the subgingival areas of 15, 16, and 17. Radiographic results show vertically and horizontally alveolar bone loss. This case report is aimed to describe the management of periodontal tissue destruction as a result of overhanging dental composite restorations. Scaling and root planing were conducted as the initial therapy. The periodontal surgery was performed a week after the initial therapy. A full-thickness flap design with sulcular incision from 14 to 18 was made before the pocket curretage and necrotic tissue debridement along with restoration recontouring. The flap was sutured with simple suture technique. Periodontal dressing was packed for a week. Antibiotics, analgetics and antiinflammatory drugs were prescribed per orally. There was no history of pain a week after the surgical procedure. Tooth mobility was decreased to °1 and the periodontal pocket was reduced to 3 mm. Overhanging dental restorations may lead to periodontal tissue destruction. The subgingivally placement of those restorations should consider the health of periodontal tissues.

  1. Low Vocal Pitch Preference Drives First Impressions Irrespective of Context in Male Voices but Not in Female Voices.

    Science.gov (United States)

    Tsantani, Maria S; Belin, Pascal; Paterson, Helena M; McAleer, Phil

    2016-08-01

    Vocal pitch has been found to influence judgments of perceived trustworthiness and dominance from a novel voice. However, the majority of findings arise from using only male voices and in context-specific scenarios. In two experiments, we first explore the influence of average vocal pitch on first-impression judgments of perceived trustworthiness and dominance, before establishing the existence of an overall preference for high or low pitch across genders. In Experiment 1, pairs of high- and low-pitched temporally reversed recordings of male and female vocal utterances were presented in a two-alternative forced-choice task. Results revealed a tendency to select the low-pitched voice over the high-pitched voice as more trustworthy, for both genders, and more dominant, for male voices only. Experiment 2 tested an overall preference for low-pitched voices, and whether judgments were modulated by speech content, using forward and reversed speech to manipulate context. Results revealed an overall preference for low pitch, irrespective of direction of speech, in male voices only. No such overall preference was found for female voices. We propose that an overall preference for low pitch is a default prior in male voices irrespective of context, whereas pitch preferences in female voices are more context- and situation-dependent. The present study confirms the important role of vocal pitch in the formation of first-impression personality judgments and advances understanding of the impact of context on pitch preferences across genders.

  2. Voice parameters and videonasolaryngoscopy in children with vocal nodules: a longitudinal study, before and after voice therapy.

    Science.gov (United States)

    Valadez, Victor; Ysunza, Antonio; Ocharan-Hernandez, Esther; Garrido-Bustamante, Norma; Sanchez-Valerio, Araceli; Pamplona, Ma C

    2012-09-01

    Vocal Nodules (VN) are a functional voice disorder associated with voice misuse and abuse in children. There are few reports addressing vocal parameters in children with VN, especially after a period of vocal rehabilitation. The purpose of this study is to describe measurements of vocal parameters including Fundamental Frequency (FF), Shimmer (S), and Jitter (J), videonasolaryngoscopy examination and clinical perceptual assessment, before and after voice therapy in children with VN. Voice therapy was provided using visual support through Speech-Viewer software. Twenty patients with VN were studied. An acoustical analysis of voice was performed and compared with data from subjects from a control group matched by age and gender. Also, clinical perceptual assessment of voice and videonasolaryngoscopy were performed to all patients with VN. After a period of voice therapy, provided with visual support using Speech Viewer-III (SV-III-IBM) software, new acoustical analyses, perceptual assessments and videonasolaryngoscopies were performed. Before the onset of voice therapy, there was a significant difference (ptherapy period, a significant improvement (pvocal nodules were no longer discernible on the vocal folds in any of the cases. SV-III software seems to be a safe and reliable method for providing voice therapy in children with VN. Acoustic voice parameters, perceptual data and videonasolaryngoscopy were significantly improved after the speech therapy period was completed. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  3. Voice hearing: a secondary analysis of talk by people who hear voices.

    Science.gov (United States)

    Jones, Malcolm; Coffey, Michael

    2012-02-01

    Unitary explanations of mental illness symptoms appear to be inadequate when faced with everyday experiences of living with these conditions. In particular, the experience of voice hearing is not sufficiently accounted for by biomedical explanations. This paper revisits data collected from a sample of people who hear voices to perform a secondary analysis with the aim of examining the explanatory devices deployed by individuals in their accounts of voice hearing. Secondary analysis is the use of existing data, collected for a previous study, in order to explore a research question distinct from the original inquiry. In this study, we subjected these data to a thematic analysis. People who hear voices make use of standard psychiatric explanations about the experience in their accounts. However, the accounts paint a more complex picture and show that people also impute personal meaning to the experience. This in turn implicates both personal and social identity; that is, how the person is known to themselves and to others. We suggest that this knowledge can inform a more thoughtful engagement with the experiences of voice hearing by mental health nurses. © 2011 The Authors; International Journal of Mental Health Nursing © 2011 Australian College of Mental Health Nurses Inc.

  4. Voice F0 responses to pitch-shifted voice feedback during English speech.

    Science.gov (United States)

    Chen, Stephanie H; Liu, Hanjun; Xu, Yi; Larson, Charles R

    2007-02-01

    Previous studies have demonstrated that motor control of segmental features of speech rely to some extent on sensory feedback. Control of voice fundamental frequency (F0) has been shown to be modulated by perturbations in voice pitch feedback during various phonatory tasks and in Mandarin speech. The present study was designed to determine if voice Fo is modulated in a task-dependent manner during production of suprasegmental features of English speech. English speakers received pitch-modulated voice feedback (+/-50, 100, and 200 cents, 200 ms duration) during a sustained vowel task and a speech task. Response magnitudes during speech (mean 31.5 cents) were larger than during the vowels (mean 21.6 cents), response magnitudes increased as a function of stimulus magnitude during speech but not vowels, and responses to downward pitch-shift stimuli were larger than those to upward stimuli. Response latencies were shorter in speech (mean 122 ms) compared to vowels (mean 154 ms). These findings support previous research suggesting the audio vocal system is involved in the control of suprasegmental features of English speech by correcting for errors between voice pitch feedback and the desired F0.

  5. Voice-to-Phoneme Conversion Algorithms for Voice-Tag Applications in Embedded Platforms

    Directory of Open Access Journals (Sweden)

    Yan Ming Cheng

    2008-08-01

    Full Text Available We describe two voice-to-phoneme conversion algorithms for speaker-independent voice-tag creation specifically targeted at applications on embedded platforms. These algorithms (batch mode and sequential are compared in speech recognition experiments where they are first applied in a same-language context in which both acoustic model training and voice-tag creation and application are performed on the same language. Then, their performance is tested in a cross-language setting where the acoustic models are trained on a particular source language while the voice-tags are created and applied on a different target language. In the same-language environment, both algorithms either perform comparably to or significantly better than the baseline where utterances are manually transcribed by a phonetician. In the cross-language context, the voice-tag performances vary depending on the source-target language pair, with the variation reflecting predicted phonological similarity between the source and target languages. Among the most similar languages, performance nears that of the native-trained models and surpasses the native reference baseline.

  6. Ageing Voices: The Effect of Changes in Voice Parameters on ASR Performance

    Directory of Open Access Journals (Sweden)

    Ravichander Vipperla

    2010-01-01

    Full Text Available With ageing, human voices undergo several changes which are typically characterized by increased hoarseness and changes in articulation patterns. In this study, we have examined the effect on Automatic Speech Recognition (ASR and found that the Word Error Rates (WER on older voices is 10% absolute higher compared to those of adult voices. Subsequently, we compared several voice source parameters including fundamental frequency, jitter, shimmer, harmonicity, and cepstral peak prominence of adult and older males. Several of these parameters show statistically significant difference for the two groups. However, artificially increasing jitter and shimmer measures do not effect the ASR accuracies significantly. Artificially lowering the fundamental frequency degrades the ASR performance marginally but this drop in performance can be overcome to some extent using Vocal Tract Length Normalisation (VTLN. Overall, we observe that the changes in the voice source parameters do not have a significant impact on ASR performance. Comparison of the likelihood scores of all the phonemes for the two age groups show that there is a systematic mismatch in the acoustic space of the two age groups. Comparison of the phoneme recognition rates show that mid vowels, nasals, and phonemes that depend on the ability to create constrictions with tongue tip for articulation are more affected by ageing than other phonemes.

  7. Using the Voice to Design Ceramics

    DEFF Research Database (Denmark)

    Tvede Hansen, Flemming; Jensen, Kristoffer

    2011-01-01

    Digital technology makes new possibilities in ceramic craft. This project is about how experiential knowledge that the craftsmen gains in a direct physical and tactile interaction with a responding material can be transformed and utilized in the use of digital technologies. The project presents...... SoundShaping, a system to create ceramics from the human voice. Based on a generic audio feature extraction system, and the principal component analysis to ensure that the pertinent information in the voice is used, a 3D shape is created using simple geometric rules. This shape is output to a 3D printer...... to make ceramic results. The system demonstrates the close connection between digital technology and craft practice....

  8. Speech enhancement on smartphone voice recording

    Science.gov (United States)

    Tris Atmaja, Bagus; Nur Farid, Mifta; Arifianto, Dhany

    2016-11-01

    Speech enhancement is challenging task in audio signal processing to enhance the quality of targeted speech signal while suppress other noises. In the beginning, the speech enhancement algorithm growth rapidly from spectral subtraction, Wiener filtering, spectral amplitude MMSE estimator to Non-negative Matrix Factorization (NMF). Smartphone as revolutionary device now is being used in all aspect of life including journalism; personally and professionally. Although many smartphones have two microphones (main and rear) the only main microphone is widely used for voice recording. This is why the NMF algorithm widely used for this purpose of speech enhancement. This paper evaluate speech enhancement on smartphone voice recording by using some algorithms mentioned previously. We also extend the NMF algorithm to Kulback-Leibler NMF with supervised separation. The last algorithm shows improved result compared to others by spectrogram and PESQ score evaluation.

  9. Voice disorders in children with classic galactosemia.

    Science.gov (United States)

    Potter, Nancy L

    2011-04-01

    Children with classic galactosemia are at risk for motor speech disorders resulting from disruptions in motor planning and programming (childhood apraxia of speech or CAS) or motor execution (dysarthria). In the present study of 33 children with classic galactosemia, 21% were diagnosed with CAS, 3% with ataxic dysarthria, and 3% with mixed CAS-dysarthria. Voice disorders due to laryngeal insufficiency were common in children with dysarthria and co-occurred with CAS. Most (58%) of the children with classic galactosemia had decreased respiratory-phonatory support for speech, and 33% had disturbed vocal quality that was indicative of cerebellar dysfunction. Three children, two diagnosed with CAS and one not diagnosed with a motor speech disorder, had vocal tremors. Treatment of voice dysfunction in neurogenic speech disorders is discussed.

  10. Experiences with Voice to Design Ceramics

    DEFF Research Database (Denmark)

    Hansen, Flemming Tvede; Jensen, Kristoffer

    2013-01-01

    This article presents SoundShaping, a system to create ceramics from the human voice and thus how digital technology makes new possibilities in ceramic craft. The article is about how experiential knowledge that the craftsmen gains in a direct physical and tactile interaction with a responding ma....... The shape is output to a 3D printer to make ceramic results. The system demonstrates the close connection between digital technology and craft practice. Several experiments and reflections demonstrate the validity of this work....... material can be transformed and utilized in the use of digital technologies. SoundShaping is based on a generic audio feature extraction system and the principal component analysis to ensure that the pertinent information in the voice is used. Moreover, 3D shape is created using simple geometric rules...

  11. Superior voice timbre processing in musicians.

    Science.gov (United States)

    Chartrand, Jean-Pierre; Belin, Pascal

    2006-09-25

    After several years of exposure to musical instrument practice, musicians acquire a great expertise in processing auditory features like tonal pitch or timbre. Here we compared the performance of musicians and non-musicians in two timbre discrimination tasks: one using instrumental timbres, the other using voices. Both accuracy (d-prime) and reaction time measures were obtained. The results indicate that the musicians performed better than the non-musicians at both tasks. The musicians also took more time to respond at both tasks. One interpretation of this result is that the expertise musicians acquired with instrumental timbres during their training transferred to timbres of voice. The musician participants may also have used different cognitive strategies during the experiment. Higher response times found in musicians can be explained by a longer verbal-auditory memory and the use of a strategy to further process auditory features.

  12. Voice and Narrative in L1 Writing

    DEFF Research Database (Denmark)

    Krogh, Ellen; Piekut, Anke

    2015-01-01

    This paper investigates issues of voice and narrative in L1 writing. Three branches of research are initial-ly discussed: research on narratives as resources for identity work, research on writer identity and voice as an essential aspect of identity, and research on Bildung in L1 writing....... Subsequently, two empirical investigations of L1 writing in a Danish upper secondary school are presented. The first study is based on longitudinal interview data and analyses one student’s experience as an L1 writer in the transition from lower secondary to upper secondary school. A high-achieving student...... in lower secondary L1, she found that her previous writing strategies were not rewarded in upper secondary school. In the second empiri-cal study, two upper-secondary exam papers are investigated, with a focus on their approaches to exam genres and their use of narrative resources to address issues...

  13. Secure voice for mobile satellite applications

    Science.gov (United States)

    Vaisnys, Arvydas; Berner, Jeff

    The initial system studies are described which were performed at JPL on secure voice for mobile satellite applications. Some options are examined for adapting existing Secure Telephone Unit III (STU-III) secure telephone equipment for use over a digital mobile satellite link, as well as for the evolution of a dedicated secure voice mobile earth terminal (MET). The work has included some lab and field testing of prototype equipment. The work is part of an ongoing study at JPL for the National Communications System (NCS) on the use of mobile satellites for emergency communications. The purpose of the overall task is to identify and enable the technologies which will allow the NCS to use mobile satellite services for its National Security Emergency Preparedness (NSEP) communications needs. Various other government agencies will also contribute to a mobile satellite user base, and for some of these, secure communications will be an essential feature.

  14. Voice-Controlled Artificial Handspeak System

    Directory of Open Access Journals (Sweden)

    Jonathan Gatti

    2014-04-01

    Full Text Available A man-machine interaction project is described whic h aims to establish an automated voice to sign language translator for communication with the deaf using integrated open technologies. The first prototype consists of a robotic hand designed with OpenSCAD and manufactured with a low-cost 3D printer which smoothly reproduces the alphabet of the sign language controlled by voice only. The core automation comprises an Arduino UNO controller used to activate a set of servo motors that follow instructions from a Raspberry Pi mini-computer havi ng installed the open source speech recognition eng ine Julius. We discuss its features, limitations and po ssible future developmen

  15. Secure voice for mobile satellite applications

    Science.gov (United States)

    Vaisnys, Arvydas; Berner, Jeff

    1990-01-01

    The initial system studies are described which were performed at JPL on secure voice for mobile satellite applications. Some options are examined for adapting existing Secure Telephone Unit III (STU-III) secure telephone equipment for use over a digital mobile satellite link, as well as for the evolution of a dedicated secure voice mobile earth terminal (MET). The work has included some lab and field testing of prototype equipment. The work is part of an ongoing study at JPL for the National Communications System (NCS) on the use of mobile satellites for emergency communications. The purpose of the overall task is to identify and enable the technologies which will allow the NCS to use mobile satellite services for its National Security Emergency Preparedness (NSEP) communications needs. Various other government agencies will also contribute to a mobile satellite user base, and for some of these, secure communications will be an essential feature.

  16. Is our knowledge of voice and silence in organizations growing?

    DEFF Research Database (Denmark)

    Knoll, Michael; Wegge, Jürgen; Unterrainer, Christine

    2016-01-01

    This article has three objectives. Firstly, we seek to demonstrate the relevance of voice and silence – that is, whether employees contribute or withhold information, ideas, views and/or concerns at work – for the sustainable development of individuals, organizations and societies. Our second...... objective is to identify emerging (and enduring) issues – conceptual, theoretical and methodological – that have not yet been adequately addressed in voice and silence research. These issues include the relationship between voice and silence, how they may manifest in organizations, their manifold...... integrative approach to the nature of silence and voice and their antecedents and consequences. These opportunities include a multi-level model specifying elements and processes leading to individual and collective voice and silence, approaches to voice and silence that have received little attention...

  17. Speaking comfort and voice use of teachers in classrooms

    DEFF Research Database (Denmark)

    Brunskog, Jonas; Pelegrin Garcia, David

    2010-01-01

    Teachers suffer from voice problems more often than the rest of the population, as a consequence of the intensive use of their voices during teaching. Noise and classroom acoustics have been defined as hazards eventually leading to voice problems. In order to make a good classroom acoustic design...... to preserve the teachers’ voices and maximize their comfort, it is necessary to understand the underlaying relationship between classroom acoustics and teachers’ voice production. This paper presents a brief summary of investigations looking into this relationship. A pilot study, carried out in different...... located at various distances, in rooms with very different acoustics. A field study in schools of southern Sweden found out that teachers with and without voice problems, during actual teaching, are affected differently by the support of the classroom. A last laboratory experiment was carried out...

  18. Voice and persuasion in a banking telemarketing context.

    Science.gov (United States)

    Chebat, Jean-Charles; El Hedhli, Kamel; Gélinas-Chebat, Claire; Boivin, Robert

    2007-04-01

    Voice has been neglected in research on advertising and persuasion. The present study examined the influence of voice and sex on the credibility of the voice source in a banking telemarketing context as well as with regards to the attitude toward the advertisement, and subjects' behavioral intention. An experiment using voices of a man and a woman was conducted. A recorded mock-telemarketing message consisted of an advertisement for an ATM card offered by a Canadian bank. Subjects were undergraduate students (N=399; 71.6% women, 28.4% men; M age=26.5 yr., SD = 7.4). They completed a questionnaire after hearing the message in telemarketing conditions. Analysis indicated a moderate intensity, an unmarked intonation, and a fast speech rate are associated with a more credible source than the other combinations. Sex was not a significant moderator in the relationship between voice characteristics and source credibility. Voice characteristics significantly affected attitudes toward the advertisement and behavioral intention.

  19. Voice and Speech Quality Perception Assessment and Evaluation

    CERN Document Server

    Jekosch, Ute

    2005-01-01

    Foundations of Voice and Speech Quality Perception starts out with the fundamental question of: "How do listeners perceive voice and speech quality and how can these processes be modeled?" Any quantitative answers require measurements. This is natural for physical quantities but harder to imagine for perceptual measurands. This book approaches the problem by actually identifying major perceptual dimensions of voice and speech quality perception, defining units wherever possible and offering paradigms to position these dimensions into a structural skeleton of perceptual speech and voice quality. The emphasis is placed on voice and speech quality assessment of systems in artificial scenarios. Many scientific fields are involved. This book bridges the gap between two quite diverse fields, engineering and humanities, and establishes the new research area of Voice and Speech Quality Perception.

  20. Text and Voice: Complements, Substitutes or Both?

    OpenAIRE

    Andersson, Kjetil; Foros, Øystein; Steen, Frode

    2006-01-01

    Text messaging has become an important revenue component for European and Asian mobile operators. We develop a simple model of demand for mobile services incorporating the existence of call externalities and network effects. We show that when incoming messages and calls stimulate outgoing communications, services that are perceived as substitutes, such as mobile text and voice, may evolve into complements in terms of the price effect when the network size becomes large. We esti...

  1. Experiences with Voice to Design Ceramics

    DEFF Research Database (Denmark)

    Hansen, Flemming Tvede; Jensen, Kristoffer

    2013-01-01

    This article presents SoundShaping, a system to create ceramics from the human voice and thus how digital technology makes new possibilities in ceramic craft. The article is about how experiential knowledge that the craftsmen gains in a direct physical and tactile interaction with a responding....... The shape is output to a 3D printer to make ceramic results. The system demonstrates the close connection between digital technology and craft practice. Several experiments and reflections demonstrate the validity of this work....

  2. Experiences with voice to design ceramics

    DEFF Research Database (Denmark)

    Hansen, Flemming Tvede; Jensen, Kristoffer

    2014-01-01

    This article presents SoundShaping, a system to create ceramics from the human voice and thus how digital technology makes new possibilities in ceramic craft. The article is about how experiential knowledge that the craftsmen gains in a direct physical and tactile interaction with a responding....... The shape is output to a 3D printer to make ceramic results. The system demonstrates the close connection between digital technology and craft practice. Several experiments and reflections demonstrate the validity of this work....

  3. Protocol Software for a Packet Voice Terminal

    Science.gov (United States)

    1983-11-16

    III satellite. The PVTs with their attached telephone instrument serve as the interface with the voice user. The PVTs prepare speech for transmission...through a packet network by digitizing the speech, preparing speech data packets, and sending speech data messages. The PVT handles the speech coming...TOTALKin. Thes Foori alControle wilno trani speech message s unlTreessin ithas note rcenie s speehdfr ao sufficentpo toefl erAcofitt cdng atei t pfres

  4. Second Language Inner Voice and Identity

    Science.gov (United States)

    Shigematsu, Brandon Kenji

    2010-01-01

    This study investigates the phenomena of second language (L2, hereafter) inner voice for three Japanese-American English bilinguals who had long-term exposure to the L2 in naturalistic contexts, that is, by living and/or working or studying in the U.S. American English learners of L2 Japanese were included in the study as well, although only one…

  5. Effect of tonsillectomy on the adult voice.

    LENUS (Irish Health Repository)

    Heffernan, Colleen B

    2012-02-01

    OBJECTIVES AND HYPOTHESIS: Anecdotal evidence suggests that tonsillectomy has no deleterious consequences on a person\\'s voice under normal vocal demand. However, whether the enlarged dimensions of the oropharynx after tonsillectomy impair the quality of a professional voice user remains unclear. Therefore, we designed a study to determine whether adult tonsillectomy altered the resonance characteristics of the vocal tract in any way and whether these changes were transient or permanent. STUDY DESIGN: This is a prospective observational study with full institutional ethical approval. METHODS: All adult patients presenting for tonsillectomy for recurrent tonsillitis in our institution were recruited. Their voice was recorded preoperatively, postoperatively, and at 4 weeks postoperatively. The values of the first four formants were calculated in all recordings. The oropharyngeal dimensions were measured preoperatively and postoperatively. Tonsillar weights and volumes were also measured. RESULTS: The first formant was noted to rise postoperatively. The average value of F2 and F3 did not alter postoperatively or at 4 weeks. However, it was noted that the fourth formant was not universally present preoperatively but was present in all patients postoperatively and at 4 weeks. CONCLUSIONS: Altering the dimensions of the oropharynx after tonsillectomy causes the first formant to rise but has no effect on the third and fourth formants. However, the fourth formant appears in patients who previously did not demonstrate it. The fourth formant was present in a greater proportion of male patients preoperatively than female patients, but it was universally present postoperatively and at 4 weeks in both sexes. This suggests that increasing the horizontal dimensions of the oropharynx has a nontransient effect on the higher order formants of the voice.

  6. Voice disorders in children with classic galactosemia

    OpenAIRE

    2010-01-01

    Children with classic galactosemia are at risk for motor speech disorders resulting from disruptions in motor planning and programming (childhood apraxia of speech or CAS) or motor execution (dysarthria). In the present study of 33 children with classic galactosemia, 21% were diagnosed with CAS, 3% with ataxic dysarthria, and 3% with mixed CAS-dysarthria. Voice disorders due to laryngeal insufficiency were common in children with dysarthria and co-occurred with CAS. Most (58%) of the children...

  7. Surgical ethics: surgical virtue and more.

    Science.gov (United States)

    Vercler, Christian J

    2015-01-01

    The encounter between a patient and her surgeon is unique for several reasons. The surgeon inflicts pain upon a patient for the patient's own good. An operative intervention is irreducibly personal, such that the decisions about and performance of operations are inseparable from the idiosyncrasies of the individual surgeon. Furthermore, there is a chasm of knowledge between the patient and surgeon that is difficult to cross. Hence, training in the discipline of surgery includes the inculcation of certain virtues and practices to safeguard against abuses of this relationship and to make sure that the best interests of the patient are prioritized. The stories in this issue are evidence that in contemporary practice this is not quite enough, as surgeons reflect on instances they felt were ethically challenging. Common themes include the difficulty in communicating surgical uncertainty, patient-surgeon relationships, ethical issues in surgical training, and the impact of the technological imperative on caring for dying patients.

  8. VOICE OVER INTERNET PROTOCOL (VOIP: FUTURE POTENTIAL

    Directory of Open Access Journals (Sweden)

    Deepti Kumari

    2015-10-01

    Full Text Available VoIP (voice over IP delivers standard voice over telephone services over Internet Protocol (IP. VoIP is the technology of digitizing sound, compressing it, breaking it up into data packets, and sending it over an IP (internet protocol network where it is reassembled, decompressed, and converted back into an analog wave form. Gateways are the key component required to facilitate IP Telephony. A gateway is used to bridge the traditional circuit switched PSTN with the packet switched Internet. The paper covers software, hardware and protocol requirements followed by weighing the VoIP advantages such as low cost, portability, free and advanced features, bandwidth efficiency, call recording and monitoring against the VoIP disadvantages such as power dependency, quality of voice and service, security, and reliability. With ever increasing internet penetration and better broadband connectivity, VoIP is going to expand further with businesses already using VoIP standalone or in a hybrid format, although our focus and scope here remains VoIP. Mobile VoIP, an infant with less than 4% market share, has so far been focusing on increasing active subscriptions without a sustainable revenue model, but has the potential and is going to see tussle with static VoIP for space in days ahead.

  9. Exploring Academic Voice in Multimodal Quantitative Texts

    Directory of Open Access Journals (Sweden)

    Robert Prince

    2014-10-01

    Full Text Available Research on students’ academic literacies practices has tended to focus on the written mode in order to understand the academic conventions necessary to access Higher Education. However, the representation of quantitative information can be a challenge to many students. Quantitative information can be represented through a range of modes (such as writing, visuals and numbers and different information graphics (such as tables, charts, graphs. This paper focuses on the semiotic aspects of graphic representation in academic work, using student and published data from the Health Science, and an information graphic from the social domain as a counterpoint to explore aspects about agency and choice in academic voice in multimodal texts. It explores voice in terms of three aspects which work across modes, namely authorial engagement, citation and modality. The work of different modes and their inter-relations in quantitative texts is established, as is the use of sources in citation. We also look at the ways in which credibility and validity are established through modality. This exploration reveals that there is a complex interplay of modes in the construction of academic voice, which are largely tacit. This has implications for the way we think about and teach writing and text-making in quantitative disciplines in Higher Education.

  10. Improving Speaker Recognition by Biometric Voice Deconstruction

    Directory of Open Access Journals (Sweden)

    Luis Miguel eMazaira-Fernández

    2015-09-01

    Full Text Available Person identification, especially in critical environments, has always been a subject of great interest. However, it has gained a new dimension in a world threatened by a new kind of terrorism that uses social networks (e.g. YouTube to broadcast its message. In this new scenario, classical identification methods (such fingerprints or face recognition have been forcedly replaced by alternative biometric characteristics such as voice, as sometimes this is the only feature available. Through the present paper, a new methodology to characterize speakers will be shown. This methodology is benefiting from the advances achieved during the last years in understanding and modelling voice production. The paper hypothesizes that a gender dependent characterization of speakers combined with the use of a new set of biometric parameters extracted from the components resulting from the deconstruction of the voice into its glottal source and vocal tract estimates, will enhance recognition rates when compared to classical approaches. A general description about the main hypothesis and the methodology followed to extract gender-dependent extended biometric parameters are given. Experimental validation is carried out both on a highly controlled acoustic condition database, and on a mobile phone network recorded under non-controlled acoustic conditions.

  11. Voice over Internet Protocol (VOIP: Future Potential

    Directory of Open Access Journals (Sweden)

    Ms. Deepti

    2014-11-01

    Full Text Available VoIP (voice over IP delivers standard voice over telephone services over Internet Protocol (IP. VoIP is the technology of digitizing sound, compressing it, breaking it up into data packets, and sending it over an IP (internet protocol network where it is reassembled, decompressed, and converted back into an analog wave form. Gateways are the key component required to facilitate IP Telephony. A gateway is used to bridge the traditional circuit switched PSTN with the packet switched Internet. The paper covers software, hardware and protocol requirements followed by weighing the VoIP advantages such as low cost, portability, free and advanced features, bandwidth efficiency, call recording and monitoring against the VoIP disadvantages such as power dependency, quality of voice and service, security, and reliability. With ever increasing internet penetration and better broadband connectivity, VoIP is going to expand further with businesses already using VoIP standalone or in a hybrid format, although our focus and scope here remains VoIP. Mobile VoIP, an infant with less than 4% market share, has so far been focusing on increasing active subscriptions without a sustainable revenue model, but has the potential and is going to see tussle with static VoIP for space in days ahead.

  12. Improving Speaker Recognition by Biometric Voice Deconstruction.

    Science.gov (United States)

    Mazaira-Fernandez, Luis Miguel; Álvarez-Marquina, Agustín; Gómez-Vilda, Pedro

    2015-01-01

    Person identification, especially in critical environments, has always been a subject of great interest. However, it has gained a new dimension in a world threatened by a new kind of terrorism that uses social networks (e.g., YouTube) to broadcast its message. In this new scenario, classical identification methods (such as fingerprints or face recognition) have been forcedly replaced by alternative biometric characteristics such as voice, as sometimes this is the only feature available. The present study benefits from the advances achieved during last years in understanding and modeling voice production. The paper hypothesizes that a gender-dependent characterization of speakers combined with the use of a set of features derived from the components, resulting from the deconstruction of the voice into its glottal source and vocal tract estimates, will enhance recognition rates when compared to classical approaches. A general description about the main hypothesis and the methodology followed to extract the gender-dependent extended biometric parameters is given. Experimental validation is carried out both on a highly controlled acoustic condition database, and on a mobile phone network recorded under non-controlled acoustic conditions.

  13. Multiscale Surgical Telerobots

    Energy Technology Data Exchange (ETDEWEB)

    Miles, R R; Seward, K P; Benett, W J; Tendick, F; Bentley, L; Stephan, P L

    2002-01-23

    A project was undertaken to improve robotic surgical tools for telerobotic minimally invasive surgery. The major objectives were to reduce the size of the tools to permit new surgical procedures in confined spaces such as the heart and to improve control of surgical tools by locating positional sensors and actuators at the end effector rather than external to the patient as is currently the state of the technology. A new compact end-effector with wrist-like flexibility was designed. Positional sensors based on MEMS microfabrication techniques were designed.

  14. Separation of Singing Voice from Music Accompaniment for Monaural Recordings

    Science.gov (United States)

    2005-09-01

    singing voice is a key step for applications such as karaoke [43] and currently it remains labor-intensive work. Automating this process therefore will be...copyright issues. On the other hand some modern commercial karaoke compact disks (CDs) are recorded with multiplex technology in which singing voice...extracted. We extracted 10 songs from karaoke CDs obtained from [1] to construct a database for singing voice detection. These songs are sampled at 16

  15. Building Domain Specific Languages for Voice Recognition Applications

    Directory of Open Access Journals (Sweden)

    Cristian IONITA

    2008-01-01

    Full Text Available This paper presents a method of implementing the voice recognition for the control of software applications. The solutions proposed are based on transforming a subset of the natural language in commands recognized by the application using a formal language defined by the means of a context free grammar. At the end of the paper is presented the modality of integration of voice recognition and of voice synthesis for the Romanian language in Windows applications.

  16. [Training strategies of the spontaneous voice in the reeducation of the speech voice].

    Science.gov (United States)

    Charpy, N

    2006-01-01

    Rehabilitation cannot by definition be spontaneous, it must approach it by exercises which it proposes. It is the objective of the various strategies exposed here. The strategic points of the rehabilitation of the vocal spontaneousness of the spoken voice are: The articulatory precession of the vowels related to the pre-phonatory inspiratory impulse, the reduction of the dimension of a voluntary movement adapted to an automatic movement, the points of rocking of the singing voice towards the spoken voice, the slip of vocalization towards the prosody, the projected prosodic counting, the simple expressions whose dynamic model is known socially of all, the reading with under text of transcriptions of interview of famous authors. It is in this step and this progression that one can ensure oneself of a vocal recovery reaching the spontaneousness which the word needs to be and remain alive.

  17. Voice amplification for primary school teachers with voice disorders: A randomized clinical trial

    Directory of Open Access Journals (Sweden)

    Roberto Bovo

    2013-06-01

    Full Text Available Objectives: Several studies have demonstrated a high prevalence of voice disorders in teachers, together with the personal, professional and economical consequences of the problem. Good primary prevention should be based on 3 aspects: 1 amelioration of classroom acoustics, 2 voice care programs for future professional voice users, including teachers and 3 classroom or portable amplification systems. The aim of the study was to assess the benefit obtained from the use of portable amplification systems by female primary school teachers in their occupational setting. Materials and Methods: Forty female primary school teachers attended a course about professional voice care, which comprised two theoretical lectures, each 60 min long. Thereafter, they were randomized into 2 groups: the teachers of the first group were asked to use a portable vocal amplifier for 3 months, till the end of school-year. The other 20 teachers were part of the control group, matched for age and years of employment. All subjects had a grade 1 of dysphonia with no significant organic lesion of the vocal folds. Results: Most teachers of the experimental group used the amplifier consistently for the whole duration of the experiment and found it very useful in reducing the symptoms of vocal fatigue. In fact, after 3 months, Voice Handicap Index (VHI scores in "course + amplifier" group demonstrated a significant amelioration (p = 0.003. The perceptual grade of dysphonia also improved significantly (p = 0.0005. The same parameters changed favourably also in the "course only" group, but the results were not statistically significant (p = 0.4 for VHI and p = 0.03 for perceptual grade. Conclusions: In teachers, and particularly in those with a constitutional weak voice and/or those who are prone to vocal fold pathology, vocal amplifiers may be an effective and low-cost intervention to decrease potentially damaging vocal loads and may represent a necessary form of prevention.

  18. Smartphones Offer New Opportunities in Clinical Voice Research.

    Science.gov (United States)

    Manfredi, C; Lebacq, J; Cantarella, G; Schoentgen, J; Orlandi, S; Bandini, A; DeJonckere, P H

    2017-01-01

    Smartphone technology provides new opportunities for recording standardized voice samples of patients and sending the files by e-mail to the voice laboratory. This drastically improves the collection of baseline data, as used in research on efficiency of voice treatments. However, the basic requirement is the suitability of smartphones for recording and digitizing pathologic voices (mainly characterized by period perturbations and noise) without significant distortion. In this experiment, two smartphones (a very inexpensive one and a high-level one) were tested and compared with direct microphone recordings in a soundproof room. The voice stimuli consisted in synthesized deviant voice samples (median of fundamental frequency: 120 and 200 Hz) with three levels of jitter and three levels of added noise. All voice samples were analyzed using PRAAT software. The results show high correlations between jitter, shimmer, and noise-to-harmonics ratio measured on the recordings via both smartphones, the microphone, and measured directly on the sound files from the synthesizer. Smartphones thus appear adequate for reliable recording and digitizing of pathologic voices. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  19. Association between birth control pills and voice quality.

    Science.gov (United States)

    Amir, Ofer; Kishon-Rabin, Liat

    2004-06-01

    The objective was to extend our knowledge of the effect of birth control pills on voice quality in women based on various acoustic measures. A longitudinal comparative study of 14 healthy young women over a 36- to 45-day period. Voices of seven women who used birth control pills and seven women who did not were recorded repeatedly approximately 20 times. Voice samples were analyzed acoustically, using an extended set of frequency perturbation parameters (jitter, relative average perturbation, pitch period perturbation quotient), amplitude perturbation parameters (shimmer, amplitude average perturbation quotient), and noise indices (noise-to-harmonics ratio, voice turbulence index). Voice quality and stability were found to be better among the women who used birth control pills. Lower values were found for all acoustic measures with the exception of voice turbulence index. Results also provided preliminary indication for vocal changes associated with the days preceding ovulation. In contrast to the traditional view of oral contraceptives as a risk factor for voice quality, and in keeping with the authors' previous work, the data in the present study showed that not only did oral contraceptives have no adverse effect on voice quality but, in effect, most acoustic measures showed improved voice quality among women who used the birth control pill. The differences in the noise indices between groups may also shed light on the nature of the effect of sex hormones on vocal fold activity. It was suggested that hormonal fluctuations may have more of an effect on vocal fold regulation of vibration than on glottal adduction.

  20. Voice Recognition Technology: Has It Come of Age?

    Directory of Open Access Journals (Sweden)

    Joseph R. Zumalt

    2005-12-01

    Full Text Available Voice recognition software allows computer users to bypass their keyboards and use their voices to enter text. While the library literature is somewhat silent about voice recognition technology, the medical and legal communities have reported some success using it. Voice recognition software was tested for dictation accuracy and usability within an agriculture library at the University of Illinois. Dragon NaturallySpeaking 8.0 was found to be more accurate than speech recognition within Microsoft Office 2003. Helpful Web sites and a short history regarding this breakthrough technology are included.