Perception of intonation in Mandarin Chinese.

PubMed

Yuan, Jiahong

2011-12-01

There is a tendency across languages to use a rising pitch contour to convey question intonation and a falling pitch contour to convey a statement. In a lexical tone language such as Mandarin Chinese, rising and falling pitch contours are also used to differentiate lexical meaning. How, then, does the multiplexing of the F(0) channel affect the perception of question and statement intonation in a lexical tone language? This study investigated the effects of lexical tones and focus on the perception of intonation in Mandarin Chinese. The results show that lexical tones and focus impact the perception of sentence intonation. Question intonation was easier for native speakers to identify on a sentence with a final falling tone and more difficult to identify on a sentence with a final rising tone, suggesting that tone identification intervenes in the mapping of F(0) contours to intonational categories and that tone and intonation interact at the phonological level. In contrast, there is no evidence that the interaction between focus and intonation goes beyond the psychoacoustic level. The results provide insights that will be useful for further research on tone and intonation interactions in both acoustic modeling studies and neurobiological studies. © 2011 Acoustical Society of America

Evidence for attractors in English intonation.

PubMed

Braun, Bettina; Kochanski, Greg; Grabe, Esther; Rosner, Burton S

2006-06-01

Although the pitch of the human voice is continuously variable, some linguists contend that intonation in speech is restricted to a small, limited set of patterns. This claim is tested by asking subjects to mimic a block of 100 randomly generated intonation contours and then to imitate themselves in several successive sessions. The produced f0 contours gradually converge towards a limited set of distinct, previously recognized basic English intonation patterns. These patterns are "attractors" in the space of possible intonation English contours. The convergence does not occur immediately. Seven of the ten participants show continued convergence toward their attractors after the first iteration. Subjects retain and use information beyond phonological contrasts, suggesting that intonational phonology is not a complete description of their mental representation of intonation.

Intonation and gender perception: applications for transgender speakers.

PubMed

Hancock, Adrienne; Colton, Lindsey; Douglas, Fiacre

2014-03-01

Intonation is commonly addressed in voice and communication feminization therapy, yet empirical evidence of gender differences for intonation is scarce and rarely do studies examine how it relates to gender perception of transgender speakers. This study examined intonation of 12 males, 12 females, six female-to-male, and 14 male-to-female transgender speakers describing a Norman Rockwell image. Several intonation measures were compared between biological gender groups, between perceived gender groups, and between male-to-female (MTF) speakers who were perceived as male, female, or ambiguous gender. Speakers with a larger percentage of utterances with upward intonation and a larger utterance semitone range were perceived as female by listeners, despite no significant differences between the actual intonation of the four gender groups. MTF speakers who do not pass as female appear to use less upward and more downward intonations than female and passing MTF speakers. Intonation has potential for use in transgender communication therapy because it can influence perception to some degree. Copyright © 2014 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

TEACHING OF INTONATION AND INFLECTIONS TO THE DEAF.

ERIC Educational Resources Information Center

DOLANDSKY, LADISLAV; AND OTHERS

RESEARCH WAS CONDUCTED IN THE DEVELOPMENT AND TESTING OF A SELF-MONITORING METHOD OF TEACHING PROPER INTONATION AND INFLECTION PATTERNS TO THE DEAF. THIS TEACHING METHOD INCLUDED USE OF A VISUAL DISPLAY WHICH IS BASED ON PITCH INFORMATION DERIVED FROM A LIVE SPEECH SIGNAL. FOUR PROFOUNDLY DEAF CHILDREN WERE THE SUBJECTS FOR THE EXPERIMENT. A…

Online processing of tone and intonation in Mandarin: Evidence from ERPs.

PubMed

Liu, Min; Chen, Yiya; Schiller, Niels O

2016-10-01

Event-related potentials (ERPs) were used to investigate the online processing of tone and intonation in Mandarin at the attentive stage. We examined the behavioral and electrophysiological responses of native Mandarin listeners to Mandarin sentences, which contrast in final tones (rising Tone2 or falling Tone4) and intonations (Question or Statement). A clear P300 effect was observed for question-statement contrast in sentences ending with Tone4, but no ERP effect was found for question-statement contrast in sentences ending with Tone2. Our results provide ERP evidence for the interaction of tone and intonation in Mandarin, confirming the findings with behavioral metalinguistic data that native Mandarin listeners can distinguish between question intonation and statement intonation when the intonation is associated with a final Tone4, but fail to do so when the intonation is associated with a final Tone2. Our study extended the understanding of online processing of tone and intonation (1) from the pre-attentive stage to the attentive stage and (2) within a larger domain (i.e. multi-word utterances) than a single word utterance. Copyright © 2016 Elsevier Ltd. All rights reserved.

Can Intonational Phrase Structure be Primed (like Syntactic Structure)?

PubMed Central

Tooley, Kristen M.; Konopka, Agnieszka E.; Watson, Duane G.

2013-01-01

In three experiments, we investigated whether intonational phrase structure can be primed. In all experiments, participants listened to sentences in which the presence and location of intonational phrase boundaries was manipulated such that the recording either included no intonational phrase boundaries, a boundary in a structurally dispreferred location, in a preferred location, or in both locations. In Experiment 1, participants repeated the sentences to test whether they would reproduce the prosodic structure they had just heard. Experiments 2 and 3 used a prime-target paradigm to evaluate whether the intonational phrase structure heard in the prime sentence might influence that of a novel target sentence. Experiment 1 showed that participants did repeat back sentences that they just heard with the original intonational phrase structure, yet Experiments 2 and 3 found that exposure to intonational phrase boundaries on prime trials did not influence how a novel target sentence was prosodically phrased. These results suggest that speakers may retain the intonational phrasing of a sentence, but this effect is not long-lived and does not generalize across unrelated sentences. Furthermore, these findings provide no evidence that intonational phrase structure is formulated during a planning stage that is separate from other sources of linguistic information. PMID:24188467

Polysyllabic Units in the Vocalizations of Children from 0 ; 6 to 1 ; 11: Intonation-Groups, Tones and Rhythms

ERIC Educational Resources Information Center

Snow, David

2007-01-01

Previous studies have suggested that intonation development in infants and toddlers reflects an interaction between physiological and linguistic influences. The immediate background research for this study, however, was based on vocalizations that were only one syllable in length. By extending the analysis to polysyllabic utterances, the present…

An Examination of the Intonation Tendencies of Wind Instrumentalists Based on Their Performance of Selected Harmonic Musical Intervals.

ERIC Educational Resources Information Center

Karrick, Brant

1998-01-01

Studies intonation trends of wind instrumentalists with regard to harmonic intervals, including factors such as tuning system, location, interval type, direction of deviation from equal temperament, and group. Compares the performance of two groups, professionals and advanced students. Reports findings and discusses similarities to and differences…

How Consciousness-Raising Affects Intonation and Facilitates Reading Comprehension

ERIC Educational Resources Information Center

Shariati, Mohammad

2007-01-01

This paper reports on an investigation about the relation between a student's conscious awareness of the structure of a sentence and the degree of his/her intonation accuracy as well as his/her reading comprehension. The research was done based on the hypothesis that: "if the students are made conscious of the infrastructure of lengthy…

Acoustical Measurements of Selected Intonation Contours of French.

ERIC Educational Resources Information Center

Howie, John M.

Recent studies of rising intonation contours in French, in particular the acoustical differences that serve to distinguish Yes/No questions from other rising intonations are reviewed. The preliminary results of a pilot study of rising intonations in French, in which average curves were obtained from spectrographic measurements of fundamental…

Experimental Evidence for the Role of Intonation in Evidential Marking.

PubMed

Vanrell, Maria Del Mar; Armstrong, Meghan E; Prieto, Pilar

2017-06-01

This paper investigates the role of intonation in the marking of directly-perceived information in Majorcan Catalan polar questions. We conducted a perception experiment in which a total of 72 participants were introduced to a set of twins who were exposed to different types of evidence for a given p(roposition). One twin inferred p based on direct sensory information (via one of the five senses), while the other had been told that p by a third party, that is, reported information. Participants listened to a set of discourse contexts that ended in critical stimuli with three attested combinations of particle/intonation in this variety of Catalan: (1) polar questions produced with a falling nuclear contour ¡H+L* L%; (2) polar questions headed with the particle que 'that' produced with ¡H+L* L%; and (3) polar questions headed with the particle que and produced with a rise-fall L+H* L%. After hearing the stimulus, participants had to decide which of the twins had uttered the question-the one who inferred a proposition ( p) based on direct sensory information or the one who had been told p by a third party. The results show that listeners very consistently associate the que + L+H* L% combination with inferences drawn from direct sensory evidence as opposed to reported evidence. This shows that particles may work in tandem with intonation to convey the information source. Importantly, we show that intonation is a part of grammar that may be recruited for evidential strategies.

The intonation of gapping and coordination in Japanese: evidence for intonational phrase and utterance.

PubMed

Kawahara, Shigeto; Shinya, Takahito

2008-01-01

In previous studies of Japanese intonational phonology, levels of prosodic constituents above the Major Phrase have not received much attention. This paper argues that at least two prosodic levels exist above the Major Phrase in Japanese. Through a detailed investigation of the intonation of gapping and coordination in Japanese, we argue that each syntactic clause projects its own Intonational Phrase, while an entire sentence constitutes one Utterance. We show that the Intonational Phrase is characterized by tonal lowering, creakiness and a pause in final position, as well as a distinctive large initial rise and pitch reset at its beginning. The Utterance defines a domain of declination, and it is signaled by an even larger initial rise, as well as a phrasal H tone at its right edge. Building on our empirical findings, we discuss several implications for the theory of intonational phonology. (c) 2007 S. Karger AG, Basel.

Effects of Timbre on College Woodwind Players' Intonational Performance and Perception.

ERIC Educational Resources Information Center

Ely, Mark C.

1992-01-01

Discusses a inquiry into the effects of timbre upon college woodwind players' intonational performance and perception. Reports little connection between students' ability to play in tune and to detect intonation problems. Concludes that timbre was significantly related to ability to detect intonation problems but not to the ability to play in…

The Development of Yes-No Question Intonation in Puerto Rican Spanish

ERIC Educational Resources Information Center

Armstrong, Meghan Elizabeth

2012-01-01

Intonational development has been an area of interest during the past four decades, from the perspectives of both production and perception. But relatively few conclusions have been made about how children acquire the intonational component of their grammar. To date, prior studies of intonational development have not included a fine-grained…

Use of intonation contours for speech recognition in noise by cochlear implant recipients.

PubMed

Meister, Hartmut; Landwehr, Markus; Pyschny, Verena; Grugel, Linda; Walger, Martin

2011-05-01

The corruption of intonation contours has detrimental effects on sentence-based speech recognition in normal-hearing listeners Binns and Culling [(2007). J. Acoust. Soc. Am. 122, 1765-1776]. This paper examines whether this finding also applies to cochlear implant (CI) recipients. The subjects' F0-discrimination and speech perception in the presence of noise were measured, using sentences with regular and inverted F0-contours. The results revealed that speech recognition for regular contours was significantly better than for inverted contours. This difference was related to the subjects' F0-discrimination providing further evidence that the perception of intonation patterns is important for the CI-mediated speech recognition in noise.

A note by any other name: Intonation context rapidly changes absolute note judgments.

PubMed

Van Hedger, Stephen C; Heald, Shannon L M; Uddin, Sophia; Nusbaum, Howard C

2018-04-30

Absolute pitch (AP) judgments, by definition, do not require a reference note, and thus might be viewed as context independent. Here, we specifically test whether short-term exposure to particular intonation contexts influences AP categorization on a rapid time scale and whether such context effects can change from moment to moment. In Experiment 1, participants heard duets in which a "lead" instrument always began before a "secondary" instrument. Both instruments independently varied on intonation (flat, in-tune, or sharp). Despite participants being instructed to judge only the intonation of the secondary instrument, we found that participants treated the lead instrument's intonation as "in-tune" and intonation judgments of the secondary instrument were relativized against this standard. In Experiment 2, participants heard a short antecedent context melody (flat, in-tune, or sharp) followed by an isolated target note (flat, in-tune, or sharp). Target note intonation judgments were once again relativized against the context melody's intonation, though only for notes that were experienced in the context or implied by the context key signature. Moreover, maximally contrastive intonation combinations of context and target engendered systematic note misclassifications. For example, a flat melody resulted in a greater likelihood of misclassifying a "sharp F-sharp" as a "G." These results highlight that both intonation and note category judgments among AP possessors are rapidly modified by the listening environment on the order of seconds, arguing against an invariant mental representation of the absolute pitches of notes. Implications for general auditory theories of perception are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Speech intonation and melodic contour recognition in children with cochlear implants and with normal hearing.

PubMed

See, Rachel L; Driscoll, Virginia D; Gfeller, Kate; Kliethermes, Stephanie; Oleson, Jacob

2013-04-01

Cochlear implant (CI) users have difficulty perceiving some intonation cues in speech and melodic contours because of poor frequency selectivity in the cochlear implant signal. To assess perceptual accuracy of normal hearing (NH) children and pediatric CI users on speech intonation (prosody), melodic contour, and pitch ranking, and to determine potential predictors of outcomes. Does perceptual accuracy for speech intonation or melodic contour differ as a function of auditory status (NH, CI), perceptual category (falling versus rising intonation/contour), pitch perception, or individual differences (e.g., age, hearing history)? NH and CI groups were tested on recognition of falling intonation/contour versus rising intonation/contour presented in both spoken and melodic (sung) conditions. Pitch ranking was also tested. Outcomes were correlated with variables of age, hearing history, HINT, and CNC scores. The CI group was significantly less accurate than the NH group in spoken (CI, M = 63.1%; NH, M = 82.1%) and melodic (CI, M = 61.6%; NH, M = 84.2%) conditions. The CI group was more accurate in recognizing rising contour in the melodic condition compared with rising intonation in the spoken condition. Pitch ranking was a significant predictor of outcome for both groups in falling intonation and rising melodic contour; age at testing and hearing history variables were not predictive of outcomes. Children with CIs were less accurate than NH children in perception of speech intonation, melodic contour, and pitch ranking. However, the larger pitch excursions of the melodic condition may assist in recognition of the rising inflection associated with the interrogative form.

Speech Intonation and Melodic Contour Recognition in Children with Cochlear Implants and with Normal Hearing

PubMed Central

See, Rachel L.; Driscoll, Virginia D.; Gfeller, Kate; Kliethermes, Stephanie; Oleson, Jacob

2013-01-01

Background Cochlear implant (CI) users have difficulty perceiving some intonation cues in speech and melodic contours because of poor frequency selectivity in the cochlear implant signal. Objectives To assess perceptual accuracy of normal hearing (NH) children and pediatric CI users on speech intonation (prosody), melodic contour, and pitch ranking, and to determine potential predictors of outcomes. Hypothesis Does perceptual accuracy for speech intonation or melodic contour differ as a function of auditory status (NH, CI), perceptual category (falling vs. rising intonation/contour), pitch perception, or individual differences (e.g., age, hearing history)? Method NH and CI groups were tested on recognition of falling intonation/contour vs. rising intonation/contour presented in both spoken and melodic (sung) conditions. Pitch ranking was also tested. Outcomes were correlated with variables of age, hearing history, HINT, and CNC scores. Results The CI group was significantly less accurate than the NH group in spoken (CI, M=63.1 %; NH, M=82.1%) and melodic (CI, M=61.6%; NH, M=84.2%) conditions. The CI group was more accurate in recognizing rising contour in the melodic condition compared with rising intonation in the spoken condition. Pitch ranking was a significant predictor of outcome for both groups in falling intonation and rising melodic contour; age at testing and hearing history variables were not predictive of outcomes. Conclusions Children with CIs were less accurate than NH children in perception of speech intonation, melodic contour, and pitch ranking. However, the larger pitch excursions of the melodic condition may assist in recognition of the rising inflection associated with the interrogative form. PMID:23442568

Characterizing Intonation Deficit in Motor Speech Disorders: An Autosegmental-Metrical Analysis of Spontaneous Speech in Hypokinetic Dysarthria, Ataxic Dysarthria, and Foreign Accent Syndrome

ERIC Educational Resources Information Center

Lowit, Anja; Kuschmann, Anja

2012-01-01

Purpose: The autosegmental-metrical (AM) framework represents an established methodology for intonational analysis in unimpaired speaker populations but has found little application in describing intonation in motor speech disorders (MSDs). This study compared the intonation patterns of unimpaired participants (CON) and those with Parkinson's…

An experimental test of the relationship between voice intonation and persuasion in the domain of health.

PubMed

Elbert, Sarah P; Dijkstra, Arie

2014-01-01

In the process of behaviour change, intonation of speech is an important aspect that may influence persuasion when auditory messages are used. In two experiments, we tested to what extent different levels of intonation are related to persuasion and whether for some recipients the threat posed by the message information might become too strong to face. In Study 1, 130 respondents listened to a health message with either a low, moderate or high level of intonation. In Study 2 (N = 143), the same manipulations of intonation were applied but half of the respondents were affirmed before they listened to the persuasive message. Intention to increase fruit and vegetable intake was used as a dependent variable. Both studies showed that high intonation led to a significant drop in intention among respondents who perceived their own health as good. After self-affirmation, persuasion was increased. A high level of intonation seems to induce self-regulatory defences in people who do not see the necessity to change their health behaviour, whereas people with poor perceived health might perceive potential to change. The use of a normal level of intonation in auditory health messages is recommended.

The Therapeutic Effect of Speechvive on Prosody in Parkinson's Disease

NASA Astrophysics Data System (ADS)

Kiefer, Brianna Rose

It is well known that physiological impairments secondary to Parkinson's Disease (PD) negatively impact speech production. Individuals with PD display vocal, prosodic, resonant, and articulatory abnormalities which reduce communicative effectiveness. Prosody is a broad term which refers to the alterations in pitch, duration, and loudness used by speakers to convey important linguistic and paralinguistic information during speech. Little is known about the prosodic abnormalities associated with PD relative to healthy older adults; however, it is well known that individuals with PD display impairments in their ability to modulate the acoustic cues (pitch, duration, intensity) associated with prosodic inflection in speech. Literature presently lacks sufficient evidence to support treatment paradigms commonly used to address dysprosody in PD. Thus, there is a significant need to develop and investigate potential evidence-based treatment paradigms for dysprosody associated with PD. The present study aimed to examine the potential treatment effects the SpeechVive device has on treating dysprosody in PD. Acoustic recordings were obtained from 15 individuals with PD during a reading task. Participants read the passage at the start of the study and 12 weeks later, after wearing the SpeechVive device for the intervening weeks. Main outcome measures examined productions of contrastive stress, intonation contours, rate, and patterns of pausing. The results revealed that participants increased vocal intensity levels during the production of stressed words and improved standard deviation of pitch during the productions of intonation contours. Lastly, the device was found to improve participants' abilities to pause relative to syntactic boundaries.

Gesture and intonation are “sister systems” of infant communication: Evidence from regression patterns of language development

PubMed Central

Snow, David P.

2016-01-01

This study investigates infants’ transition from nonverbal to verbal communication using evidence from regression patterns. As an example of regressions, prelinguistic infants learning American Sign Language (ASL) use pointing gestures to communicate. At the onset of single signs, however, these gestures disappear. Petitto (1987) attributed the regression to the children’s discovery that pointing has two functions, namely, deixis and linguistic pronouns. The 1:2 relation (1 form, 2 functions) violates the simple 1:1 pattern that infants are believed to expect. This kind of conflict, Petitto argued, explains the regression. Based on the additional observation that the regression coincided with the boundary between prelinguistic and linguistic communication, Petitto concluded that the prelinguistic and linguistic periods are autonomous. The purpose of the present study was to evaluate the 1:1 model and to determine whether it explains a previously reported regression of intonation in English. Background research showed that gestures and intonation have different forms but the same pragmatic meanings, a 2:1 form-function pattern that plausibly precipitates the regression. The hypothesis of the study was that gestures and intonation are closely related. Moreover, because gestures and intonation change in the opposite direction, the negative correlation between them indicates a robust inverse relationship. To test this prediction, speech samples of 29 infants (8 to 16 months) were analyzed acoustically and compared to parent-report data on several verbal and gestural scales. In support of the hypothesis, gestures alone were inversely correlated with intonation. In addition, the regression model explains nonlinearities stemming from different form-function configurations. However, the results failed to support the claim that regressions linked to early words or signs reflect autonomy. The discussion ends with a focus on the special role of intonation in children’s transition from “prelinguistic” communication to language. PMID:28729753

The Teaching of Intonation: Fundamental Research and Classroom Applications.

ERIC Educational Resources Information Center

de Bot, Kees; Mailfert, Kate

1982-01-01

Reports on research carried out in the Netherlands using visual feedback showing that training in perception of intonation resulted in statistically significant improvement in production of English intonation patterns. (Author/BK)

Question/statement judgments: an fMRI study of intonation processing.

PubMed

Doherty, Colin P; West, W Caroline; Dilley, Laura C; Shattuck-Hufnagel, Stefanie; Caplan, David

2004-10-01

We examined changes in fMRI BOLD signal associated with question/statement judgments in an event-related paradigm to investigate the neural basis of processing one aspect of intonation. Subjects made judgments about digitized recordings of three types of utterances: questions with rising intonation (RQ; e.g., "She was talking to her father?"), statements with a falling intonation (FS; e.g., "She was talking to her father."), and questions with a falling intonation and a word order change (FQ; e.g., "Was she talking to her father?"). Functional echo planar imaging (EPI) scans were collected from 11 normal subjects. There was increased BOLD activity in bilateral inferior frontal and temporal regions for RQ over either FQ or FS stimuli. The study provides data relevant to the location of regions responsive to intonationally marked illocutionary differences between questions and statements.

Issues in the study of intonation in language varieties.

PubMed

Warren, Paul

2005-01-01

Some key issues in the study of intonation in language varieties are presented and discussed with reference to recent research on the intonation of New Zealand English. The particular issues that are highlighted include the determination of the intonational phonological categories of a language variety, and the attribution of varietal differences as realizational differences between varieties or as systemic differences in the categories found to be present in each variety.

Analysis and synthesis of intonation using the Tilt model.

PubMed

Taylor, P

2000-03-01

This paper introduces the Tilt intonational model and describes how this model can be used to automatically analyze and synthesize intonation. In the model, intonation is represented as a linear sequence of events, which can be pitch accents or boundary tones. Each event is characterized by continuous parameters representing amplitude, duration, and tilt (a measure of the shape of the event). The paper describes an event detector, in effect an intonational recognition system, which produces a transcription of an utterance's intonation. The features and parameters of the event detector are discussed and performance figures are shown on a variety of read and spontaneous speaker independent conversational speech databases. Given the event locations, algorithms are described which produce an automatic analysis of each event in terms of the Tilt parameters. Synthesis algorithms are also presented which generate F0 contours from Tilt representations. The accuracy of these is shown by comparing synthetic F0 contours to real F0 contours. The paper concludes with an extensive discussion on linguistic representations of intonation and gives evidence that the Tilt model goes a long way to satisfying the desired goals of such a representation in that it has the right number of degrees of freedom to be able to describe and synthesize intonation accurately.

The use of phrase-level prosodic information in lexical segmentation: evidence from word-spotting experiments in Korean.

PubMed

Kim, Sahyang; Cho, Taehong

2009-05-01

This study investigated the role of phrase-level prosodic boundary information in word segmentation in Korean with two word-spotting experiments. In experiment 1, it was found that intonational cues alone helped listeners with lexical segmentation. Listeners paid more attention to local intonational cues (...H#L...) across the prosodic boundary than the intonational information within a prosodic phrase. The results imply that intonation patterns with high frequency are used, though not exclusively, in lexical segmentation. In experiment 2, final lengthening was added to see how multiple prosodic cues influence lexical segmentation. The results showed that listeners did not necessarily benefit from the presence of both intonational and final lengthening cues: Their performance was improved only when intonational information contained infrequent tonal patterns for boundary marking, showing only partially cumulative effects of prosodic cues. When the intonational information was optimal (frequent) for boundary marking, however, poorer performance was observed with final lengthening. This is arguably because the phrase-initial segmental allophonic cues for the accentual phrase were not matched with the prosodic cues for the intonational phrase. It is proposed that the asymmetrical use of multiple cues was due to interaction between prosodic and segmental information that are computed in parallel in lexical segmentation.

Musically tone-deaf individuals have difficulty discriminating intonation contours extracted from speech.

PubMed

Patel, Aniruddh D; Foxton, Jessica M; Griffiths, Timothy D

2005-12-01

Musically tone-deaf individuals have psychophysical deficits in detecting pitch changes, yet their discrimination of intonation contours in speech appears to be normal. One hypothesis for this dissociation is that intonation contours use coarse pitch contrasts which exceed the pitch-change detection thresholds of tone-deaf individuals (). We test this idea by presenting intonation contours for discrimination, both in the context of the original sentences in which they occur and in a "pure" form dissociated from any phonetic context. The pure form consists of gliding-pitch analogs of the original intonation contours which exactly follow their pattern of pitch and timing. If the spared intonation perception of tone-deaf individuals is due to the coarse pitch contrasts of intonation, then such individuals should discriminate the original sentences and the gliding-pitch analogs equally well. In contrast, we find that discrimination of the gliding-pitch analogs is severely degraded. Thus it appears that the dissociation between spoken and musical pitch perception in tone-deaf individuals is due to a deficit at a higher level than simple pitch-change detection.

Using Bona Adaptation to Improve Accent Defects as a Voice Training Method

ERIC Educational Resources Information Center

Aycan, Kivanc

2017-01-01

Purpose: In this research, it is observed that if solfeggio syllables, consonants, and vowels are spoken properly, voice intensity (accent), duration, pitch (high pitch-low pitch) and intonation (the ability to carry a musical voice) related to proper pitch level. In this study, it is observed that rhythmic structures do not form without…

Vocative intonation preferences are sensitive to politeness factors.

PubMed

Borràs-Comes, Joan; Sichel-Bazin, Raféu; Prieto, Pilar

2015-03-01

Although intonation has been traditionally associated with the expression of attitudes and intentions on the part of the speaker, little is known about whether sociopragmatic factors, such as power or social distance, or situational ones, like physical distance or insistence, can constrain the use and felicity of pitch contours. This article investigates the felicity conditions underlying the choice of three vocative pitch contours in Central Catalan by means of two experiments, namely a production experiment based on the Discourse Completion Task (320 vocative contours produced by 20 speakers), and an acceptability judgment task in which 72 listeners were asked to rate the appropriateness match between a set of vocative contours and a previous discourse context (3,456 responses). The results from the two experiments show that both situational and social politeness factors govern the choice of vocative intonation. Finally, the results are discussed in line with the traditional classification of politeness strategies defined by Brown and Levinson, in the sense that the three intonation contours can be linked to negative, positive, and bald on-record politeness strategies.

Telling in-tune from out-of-tune: widespread evidence for implicit absolute intonation.

PubMed

Van Hedger, Stephen C; Heald, Shannon L M; Huang, Alex; Rutstein, Brooke; Nusbaum, Howard C

2017-04-01

Absolute pitch (AP) is the rare ability to name or produce an isolated musical note without the aid of a reference note. One skill thought to be unique to AP possessors is the ability to provide absolute intonation judgments (e.g., classifying an isolated note as "in-tune" or "out-of-tune"). Recent work has suggested that absolute intonation perception among AP possessors is not crystallized in a critical period of development, but is dynamically maintained by the listening environment, in which the vast majority of Western music is tuned to a specific cultural standard. Given that all listeners of Western music are constantly exposed to this specific cultural tuning standard, our experiments address whether absolute intonation perception extends beyond AP possessors. We demonstrate that non-AP listeners are able to accurately judge the intonation of completely isolated notes. Both musicians and nonmusicians showed evidence for absolute intonation recognition when listening to familiar timbres (piano and violin). When testing unfamiliar timbres (triangle and inverted sine waves), only musicians showed weak evidence of absolute intonation recognition (Experiment 2). Overall, these results highlight a previously unknown similarity between AP and non-AP possessors' long-term musical note representations, including evidence of sensitivity to frequency.

Chironomic stylization of intonation.

PubMed

d'Alessandro, Christophe; Rilliard, Albert; Le Beux, Sylvain

2011-03-01

Intonation stylization is studied using "chironomy," i.e., the analogy between hand gestures and prosodic movements. An intonation mimicking paradigm is used. The task of the ten subjects is to copy the intonation pattern of sentences with the help of a stylus on a graphic tablet, using a system for real-time manual intonation modification. Gestural imitation is compared to vocal imitation of the same sentences (seven for a male speaker, seven for a female speaker). Distance measures between gestural copies, vocal imitations, and original sentences are computed for performance assessment. Perceptual testing is also used for assessing the quality of gestural copies. The perceptual difference between natural and stylized contours is measured using a mean opinion score paradigm for 15 subjects. The results indicate that intonation contours can be stylized with accuracy by chironomic imitation. The results of vocal imitation and chironomic imitation are comparable, but subjects show better imitation results in vocal imitation. The best stylized contours using chironomy seems perceptually indistinguishable or almost indistinguishable from natural contours, particularly for female speech. This indicates that chironomic stylization is effective, and that hand movements can be analogous to intonation movements. © 2011 Acoustical Society of America

At the edge of intonation: the interplay of utterance-final F0 movements and voiceless fricative sounds.

PubMed

Niebuhr, Oliver

2012-01-01

The paper is concerned with the 'edge of intonation' in a twofold sense. It focuses on utterance-final F0 movements and crosses the traditional segment-prosody divide by investigating the interplay of F0 and voiceless fricatives in speech production. An experiment was performed for German with four types of voiceless fricatives: /f/, /s/, /ʃ/ and /x/. They were elicited with scripted dialogues in the contexts of terminal falling statement and high rising question intonations. Acoustic analyses show that fricatives concluding the high rising question intonations had higher mean centres of gravity (CoGs), larger CoG ranges and higher noise energy levels than fricatives concluding the terminal falling statement intonations. The different spectral-energy patterns are suitable to induce percepts of a high 'aperiodic pitch' at the end of the questions and of a low 'aperiodic pitch' at the end of the statements. The results are discussed with regard to the possible existence of 'segmental intonation' and its implication for F0 truncation and the segment-prosody dichotomy, in which segments are the alleged troublemakers for the production and perception of intonation. Copyright © 2012 S. Karger AG, Basel.

Word Prosody and Intonation of Sgaw Karen

NASA Astrophysics Data System (ADS)

West, Luke Alexander

The prosodic, and specifically intonation, systems of Tibeto-Burman languages have received less attention in research than those of other families. This study investigates the word prosody and intonation of Sgaw Karen, a tonal Tibeto-Burman language of eastern Burma, and finds similarities to both closely related Tibeto-Burman languages and the more distant Sinitic languages like Mandarin. Sentences of varying lengths with controlled tonal environments were elicited from a total of 12 participants (5 male). In terms of word prosody, Sgaw Karen does not exhibit word stress cues, but does maintain a prosodic distinction between the more prominent major syllable and the phonologically reduced minor syllable. In terms of intonation, Sgaw Karen patterns like related Pwo Karen in its limited use of post-lexical tone, which is only present at Intonation Phrase (IP) boundaries. Unlike the intonation systems of Pwo Karen and Mandarin, however, Sgaw Karen exhibits downstep across its Accentual Phrases (AP), similarly to phenomena identified in Tibetan and Burmese.

A cross-linguistic fMRI study of perception of intonation and emotion in Chinese.

PubMed

Gandour, Jack; Wong, Donald; Dzemidzic, Mario; Lowe, Mark; Tong, Yunxia; Li, Xiaojian

2003-03-01

Conflicting data from neurobehavioral studies of the perception of intonation (linguistic) and emotion (affective) in spoken language highlight the need to further examine how functional attributes of prosodic stimuli are related to hemispheric differences in processing capacity. Because of similarities in their acoustic profiles, intonation and emotion permit us to assess to what extent hemispheric lateralization of speech prosody depends on functional instead of acoustical properties. To examine how the brain processes linguistic and affective prosody, an fMRI study was conducted using Chinese, a tone language in which both intonation and emotion may be signaled prosodically, in addition to lexical tones. Ten Chinese and 10 English subjects were asked to perform discrimination judgments of intonation (I: statement, question) and emotion (E: happy, angry, sad) presented in semantically neutral Chinese sentences. A baseline task required passive listening to the same speech stimuli (S). In direct between-group comparisons, the Chinese group showed left-sided frontoparietal activation for both intonation (I vs. S) and emotion (E vs. S) relative to baseline. When comparing intonation relative to emotion (I vs. E), the Chinese group demonstrated prefrontal activation bilaterally; parietal activation in the left hemisphere only. The reverse comparison (E vs. I), on the other hand, revealed that activation occurred in anterior and posterior prefrontal regions of the right hemisphere only. These findings show that some aspects of perceptual processing of emotion are dissociable from intonation, and, moreover, that they are mediated by the right hemisphere. Copyright 2003 Wiley-Liss, Inc.

A tutorial on the principles of harmonic intonation for trombonists

NASA Astrophysics Data System (ADS)

Keener, Michael Kenneth

A Tutorial on the Principles of Harmonic Intonation for Trombonists includes a manual containing background information, explanations of the principles of harmonic intonation, and printed musical examples for use in learning and practicing the concepts of harmonic intonation. An audio compact disk containing music files corresponding to the printed music completes the set. This tutorial is designed to allow performing musicians and students to practice intonation skills with the pitch-controlled music on the compact disc. The music on the CD was recorded in movable-comma just intonation, replicating performance parameters of wind, string, and vocal ensembles. The compact disc includes sixty tracks of ear-training exercises and interval studies with which to practice intonation perception and adjustment. Tuning notes and examples of equal-tempered intervals and just intervals are included on the CD. The intonation exercises consist of musical major scales, duets, trios, and quartet phrases to be referenced while playing the printed music. The CD tracks allow the performer to play scales in unison (or practice other harmonic intervals) or the missing part of the corresponding duet, trio, or quartet exercise. Instructions in the manual guide the user through a process that can help prepare musicians for more accurate musical ensemble performance. The contextual essay that accompanies the tutorial includes a description of the tutorial, a review of related literature, methodology of construction of the tutorial, evaluations and outcomes, conclusions and recommendations for further research, and a selected bibliography.

Perception of Paralinguistic Intonational Meaning in a Second Language

ERIC Educational Resources Information Center

Chen, Aoju

2009-01-01

Recent studies of paralinguistic intonational meaning show that languages differ systematically in how pitch range is used to signal meaning differences, contra previous claims. This poses an additional challenge to second language learners, who generally receive little tutoring on intonation. This study investigates learners' competence and…

Intonation Processing in Congenital Amusia: Discrimination, Identification and Imitation

ERIC Educational Resources Information Center

Liu, Fang; Patel, Aniruddh D.; Fourcin, Adrian; Stewart, Lauren

2010-01-01

This study investigated whether congenital amusia, a neuro-developmental disorder of musical perception, also has implications for speech intonation processing. In total, 16 British amusics and 16 matched controls completed five intonation perception tasks and two pitch threshold tasks. Compared with controls, amusics showed impaired performance…

Choral Intonation: More than Meets the Ear.

ERIC Educational Resources Information Center

Powell, Steven

1991-01-01

Considers some ways in which choral directors can help choristers improve intonation. Suggests music exercises for vertical and horizontal intonation and unified vowel formation. Also discusses physical factors, including tension, poor posture, and poor breath management, that influence how well a chorus stays in tune. Outlines relaxation and…

A Study of Intonation in the Soccer Results.

ERIC Educational Resources Information Center

Bonnet, G.

1980-01-01

Reports a study which illustrates that a listener can anticipate the score of the opposing team in sports match results from the variation in the announcer's intonation. Investigates how reliable this prediction is and what linguistic features it involves. Relates these findings to general problems in intonation contour interpretation. (PMJ)

Connecting Intonation Labels to Mathematical Descriptions of Fundamental Frequency

ERIC Educational Resources Information Center

Grabe, Esther; Kochanski, Greg; Coleman, John

2007-01-01

The mathematical models of intonation used in speech technology are often inaccessible to linguists. By the same token, phonological descriptions of intonation are rarely used by speech technologists, as they cannot be implemented directly in applications. Consequently, these research communities do not benefit much from each other's insights. In…

The Functions of Intonation.

ERIC Educational Resources Information Center

Brown, Gillian

1978-01-01

Intonation refers to the rise and fall of the pitch contour within a given tone group as distinguished from paralinguistic vocal features which refer to aspects like placement of contour in the pitch range of an individual, pitch span, loudness/softness, and features of voice quality. Intonation and paralinguistic vocal features perform at least…

Perception of English Intonation by English, Spanish, and Chinese Listeners

ERIC Educational Resources Information Center

Grabe, Esther; Rosner, Burton S.; Garcia-Albea, Jose E.; Zhou, Xiaolin

2003-01-01

Native language affects the perception of segmental phonetic structure, of stress, and of semantic and pragmatic effects of intonation. Similarly, native language might influence the perception of similarities and differences among intonation contours. To test this hypothesis, a cross-language experiment was conducted. An English utterance was…

[Perception of emotional intonation of noisy speech signal with different acoustic parameters by adults of different age and gender].

PubMed

Dmitrieva, E S; Gel'man, V Ia

2011-01-01

The listener-distinctive features of recognition of different emotional intonations (positive, negative and neutral) of male and female speakers in the presence or absence of background noise were studied in 49 adults aged 20-79 years. In all the listeners noise produced the most pronounced decrease in recognition accuracy for positive emotional intonation ("joy") as compared to other intonations, whereas it did not influence the recognition accuracy of "anger" in 65-79-year-old listeners. The higher emotion recognition rates of a noisy signal were observed for speech emotional intonations expressed by female speakers. Acoustic characteristics of noisy and clear speech signals underlying perception of speech emotional prosody were found for adult listeners of different age and gender.

Musically Tone-Deaf Individuals Have Difficulty Discriminating Intonation Contours Extracted from Speech

ERIC Educational Resources Information Center

Patel, Aniruddh D.; Foxton, Jessica M.; Griffiths, Timothy D.

2005-01-01

Musically tone-deaf individuals have psychophysical deficits in detecting pitch changes, yet their discrimination of intonation contours in speech appears to be normal. One hypothesis for this dissociation is that intonation contours use coarse pitch contrasts which exceed the pitch-change detection thresholds of tone-deaf individuals (Peretz &…

The Role of Syntactic Obligatoriness in the Production of Intonational Boundaries

ERIC Educational Resources Information Center

Watson, Duane; Breen, Mara; Gibson, Edward

2006-01-01

Researchers have hypothesized that words that are highly related semantically are more likely to occur within the same intonational phrase (F. zzaq;, 1988; E. O. Selkirk, 1984). D. Watson and E. Gibson (2004) proposed that semantic closeness can be captured by using the argument/adjunct distinction, such that intonational boundaries are more…

Do Individuals with High-Functioning Autism Who Speak a Tone Language Show Intonation Deficits?

ERIC Educational Resources Information Center

Chan, Kary K. L.; To, Carol K. S.

2016-01-01

This study investigated whether intonation deficits were observed in 19 Cantonese-speaking adults with high-functioning autism (HFA) when compared to 19 matched neurotypical (NT) controls. This study also investigated the use of sentence-final particles (SFPs) and their relationship with intonation in both groups. Standard deviations…

Absolute Interrogative Intonation Patterns in Buenos Aires Spanish

ERIC Educational Resources Information Center

Lee, Su Ar

2010-01-01

In Spanish, each uttered phrase, depending on its use, has one of a variety of intonation patterns. For example, a phrase such as "Maria viene manana" "Mary is coming tomorrow" can be used as a declarative or as an absolute interrogative (a yes/no question) depending on the intonation pattern that a speaker produces. …

Enseigner l'intonation: L'ordinateur a la rescousse (Teaching Intonation: The Computer to the Rescue).

ERIC Educational Resources Information Center

Canto-Knoerr, Helene

1992-01-01

A discussion of intonation instruction in second-language teaching looks at the role, objectives, and scope of such instruction; the tools teachers need to accomplish it (background in theory, practical guidelines, a method, appropriate research, and equipment); and the need for and possible design of related software. (MSE)

Phrase-Final Syllable Lengthening and Intonation in Early Child Speech.

ERIC Educational Resources Information Center

Snow, David

1994-01-01

To test opposing theories about the relationship between intonation and syllable timing, these boundary features were compared in a longitudinal study of 9 children's speech development between the mean ages of 16 and 25 months. Results suggest that young children acquire the skills that control intonation earlier than they do skills of final…

The Effects of Modified Melodic Intonation Therapy on Nonfluent Aphasia: A Pilot Study

ERIC Educational Resources Information Center

Conklyn, Dwyer; Novak, Eric; Boissy, Adrienne; Bethoux, Francois; Chemali, Kamal

2012-01-01

Objective: Positive results have been reported with melodic intonation therapy (MIT) in nonfluent aphasia patients with damage to their left-brain speech processes, using the patient's intact ability to sing to promote functional language. This pilot study sought to determine the immediate effects of introducing modified melodic intonation therapy…

Young Children's Intonational Marking of New, Given and Contrastive Referents

ERIC Educational Resources Information Center

Grünloh, Thomas; Lieven, Elena; Tomasello, Michael

2015-01-01

In the current study we investigate whether 2- and 3-year-old German children use intonation productively to mark the informational status of referents. Using a story-telling task, we compared children's and adults' intonational realization via pitch accent (H*, L* and de-accentuation) of New, Given, and Contrastive referents. Both children and…

The L2 Acquisition of Buenos Aires Spanish Intonation during a Study Abroad Semester

ERIC Educational Resources Information Center

Thornberry, Philip A.

2014-01-01

The present longitudinal study describes and categorizes the primary changes in L2 Spanish intonation over time by 11 learners studying abroad in Buenos Aires, Argentina for one academic semester. Via the autosegmental metrical model of analysis, this dissertation classifies intonational contours for absolute interrogatives and declarative…

Common and distinct neural substrates for the perception of speech rhythm and intonation.

PubMed

Zhang, Linjun; Shu, Hua; Zhou, Fengying; Wang, Xiaoyi; Li, Ping

2010-07-01

The present study examines the neural substrates for the perception of speech rhythm and intonation. Subjects listened passively to synthesized speech stimuli that contained no semantic and phonological information, in three conditions: (1) continuous speech stimuli with fixed syllable duration and fundamental frequency in the standard condition, (2) stimuli with varying vocalic durations of syllables in the speech rhythm condition, and (3) stimuli with varying fundamental frequency in the intonation condition. Compared to the standard condition, speech rhythm activated the right middle superior temporal gyrus (mSTG), whereas intonation activated the bilateral superior temporal gyrus and sulcus (STG/STS) and the right posterior STS. Conjunction analysis further revealed that rhythm and intonation activated a common area in the right mSTG but compared to speech rhythm, intonation elicited additional activations in the right anterior STS. Findings from the current study reveal that the right mSTG plays an important role in prosodic processing. Implications of our findings are discussed with respect to neurocognitive theories of auditory processing. (c) 2009 Wiley-Liss, Inc.

Prosodic analysis by rule

NASA Astrophysics Data System (ADS)

Lindsay, D.

1985-02-01

Research on the automatic computer analysis of intonation using linguistic knowledge is described. The use of computer programs to analyze and classify fundamental frequency (FO) contours, and work on the psychophysics of British English intonation and on the phonetics of FO contours are described. Results suggest that FO can be conveniently tracked to represent intonation through time, which can be subsequently used by a computer program as the basis for analysis. Nuclear intonation, where the intonational nucleus is the region of auditory prominence, or information focus, found in all spoken sentences was studied. The main mechanism behind such prominence is the perception of an extensive FO movement on the nuclear syllable. A classification of the nuclear contour shape is a classification of the sentence type, often into categories that cannot be readily determined from only the segmental phonemes of the utterance.

How Do Typically Developing Deaf Children and Deaf Children with Autism Spectrum Disorder Use the Face When Comprehending Emotional Facial Expressions in British Sign Language?

ERIC Educational Resources Information Center

Denmark, Tanya; Atkinson, Joanna; Campbell, Ruth; Swettenham, John

2014-01-01

Facial expressions in sign language carry a variety of communicative features. While emotion can modulate a spoken utterance through changes in intonation, duration and intensity, in sign language specific facial expressions presented concurrently with a manual sign perform this function. When deaf adult signers cannot see facial features, their…

Categorical perception of intonation contrasts: effects of listeners' language background.

PubMed

Liu, Chang; Rodriguez, Amanda

2012-06-01

Intonation perception of English speech was examined for English- and Chinese-native listeners. F0 contour was manipulated from falling to rising patterns for the final words of three sentences. Listener's task was to identify and discriminate the intonation of each sentence (question versus statement). English and Chinese listeners had significant differences in the identification functions such as the categorical boundary and the slope. In the discrimination functions, Chinese listeners showed greater peakedness than English peers. The cross-linguistic differences in intonation perception were similar to the previous findings in perception of lexical tones, likely due to listeners' language background differences.

The Perception of Prosodically Ambiguous Intonation Patterns by L2 English Learners and the Effects of Instruction

ERIC Educational Resources Information Center

Gokgoz Kurt, Burcu; Medlin, Julie; Tessarolo, Ashley

2014-01-01

Considering the contradictory research on explicit teaching of suprasegmentals, the present study aims to investigate the effects of explicit instruction of L2 English learners' perception of prosodically ambiguous intonation patterns, as well as the possible effects of reported musical familiarity on intonation acquisition. A control group and a…

Effects of Tone-Quality Changes on Intonation and Tone-Quality Ratings of High School and College Instrumentalists.

ERIC Educational Resources Information Center

Geringer, John M.; Worthy, Michael D.

1999-01-01

Investigates effects of variations in tone quality on listeners' perception of both tone quality and intonation. Indicates that more inexperienced instrumentalists rated stimuli that were "brighter" in quality as sharper in intonation, and those that were "darker" as flatter. Also, finds differences for brass versus woodwind instruments. (DSK)

The Relationship between the Perception and the Production of Intonation by Hearing-Impaired Children.

ERIC Educational Resources Information Center

Most, Tova; Frank, Yael

1991-01-01

Twenty-two hearing-impaired children (ages 9 to 13) with a hearing loss of 80 dB or greater completed 3 tasks of intonation perception and production. Acoustic analysis suggested a relationship between imitation and discrimination of intonation contours and a relationship between imitation and production of orally read sentences when a rising…

Intonation in Neurogenic Foreign Accent Syndrome

ERIC Educational Resources Information Center

Kuschmann, Anja; Lowit, Anja; Miller, Nick; Mennen, Ineke

2012-01-01

Foreign accent syndrome (FAS) is a motor speech disorder in which changes to segmental as well as suprasegmental aspects lead to the perception of a foreign accent in speech. This paper focuses on one suprasegmental aspect, namely that of intonation. It provides an in-depth analysis of the intonation system of four speakers with FAS with the aim…

Perceptual Learning of Intonation Contour Categories in Adults and 9- to 11-Year-Old Children: Adults Are More Narrow-Minded

ERIC Educational Resources Information Center

Kapatsinski, Vsevolod; Olejarczuk, Paul; Redford, Melissa A.

2017-01-01

We report on rapid perceptual learning of intonation contour categories in adults and 9- to 11-year-old children. Intonation contours are temporally extended patterns, whose perception requires temporal integration and therefore poses significant working memory challenges. Both children and adults form relatively abstract representations of…

Intonation development from five to thirteen.

PubMed

Wells, Bill; Peppé, Sue; Goulandris, Nata

2004-11-01

Research undertaken to date suggests that important developments in the understanding and use of intonation may take place after the age of 5;0. The present study aims to provide a more comprehensive account of these developments. A specially designed battery of prosodic tasks was administered to four groups of thirty children, from London (U.K.), with mean ages of 5;6, 8;7, 10;10 and 13;9. The tasks tap comprehension and production of functional aspects of intonation, in four communicative areas: CHUNKING (i.e. prosodic phrasing), AFFECT, INTERACTION and FOCUS. Results indicate that there is considerable variability among children within each age band on most tasks. The ability to produce intonation functionally is largely established in five-year-olds, though some specific functional contrasts are not mastered until C.A. 8;7. Aspects of intonation comprehension continue to develop up to C.A. 10;10, correlating with measures of expressive and receptive language development.

[Perception features of emotional intonation of short pseudowords].

PubMed

Dmitrieva, E S; Gel'man, V Ia; Zaĭtseva, K A; Orlov, A M

2012-01-01

Reaction time and recognition accuracy of speech emotional intonations in short meaningless words that differed only in one phoneme with background noise and without it were studied in 49 adults of 20-79 years old. The results were compared with the same parameters of emotional intonations in intelligent speech utterances under similar conditions. Perception of emotional intonations at different linguistic levels (phonological and lexico-semantic) was found to have both common features and certain peculiarities. Recognition characteristics of emotional intonations depending on gender and age of listeners appeared to be invariant with regard to linguistic levels of speech stimuli. Phonemic composition of pseudowords was found to influence the emotional perception, especially against the background noise. The most significant stimuli acoustic characteristic responsible for the perception of speech emotional prosody in short meaningless words under the two experimental conditions, i.e. with and without background noise, was the fundamental frequency variation.

The Effects of Age and Hearing Loss on Tasks of Perception and Production of Intonation.

ERIC Educational Resources Information Center

Most, Tova; Frank, Yael

1994-01-01

Hearing-impaired and normal hearing children in 2 age groups (5-6 years and 9-12 years) were observed for possible differences in their perception and production of intonation. Results indicated that imitation of intonation carried on nonsense syllables was not affected by age. Hearing-impaired subjects scored much lower than controls in imitating…

The Intonation-Syntax Interface in the Speech of Individuals with Parkinson's Disease

ERIC Educational Resources Information Center

MacPherson, Megan K.; Huber, Jessica E.; Snow, David P.

2011-01-01

Purpose: This study examined the effect of Parkinson's disease (PD) on the intonational marking of final and nonfinal syntactic boundaries and investigated whether the effect of PD on intonation was sex specific. Method: Eight women and 8 men with PD and 16 age- and sex-matched control participants read a passage at comfortable pitch, rate, and…

Intonation Features of the Expression of Emotions in Spanish: Preliminary Study for a Prosody Assessment Procedure

ERIC Educational Resources Information Center

Martinez-Castilla, Pastora; Peppe, Susan

2008-01-01

This study aimed to find out what intonation features reliably represent the emotions of "liking" as opposed to "disliking" in the Spanish language, with a view to designing a prosody assessment procedure for use with children with speech and language disorders. 18 intonationally different prosodic realisations (tokens) of one word (limon) were…

Focus Intonation in Bengali

ERIC Educational Resources Information Center

Hasan, Md. Kamrul

2015-01-01

This work attempts to investigate the role of prosody in the syntax of focus in Bangla. The aim of this study is to show the intonation pattern of Bangla in emphasis and focus. In order to do that, the author has looked at the pattern of focus without-i/o as well as with the same. Do they really pose any different focus intonation pattern from…

The Effects of Gesture and Movement Training on the Intonation of Children's Singing in Vocal Warm-Up Sessions

ERIC Educational Resources Information Center

Liao, Mei-Ying; Davidson, Jane W.

2016-01-01

The main purpose of the current study was to examine the effects of gesture and movement training for beginning children's choirs with regard to improving intonation. It was a between-subjects design with one independent variable Training Technique (TT). One dependent variable was measured: intonation in the singing of vocal pattern warm-up…

Intonation processing in congenital amusia: discrimination, identification and imitation.

PubMed

Liu, Fang; Patel, Aniruddh D; Fourcin, Adrian; Stewart, Lauren

2010-06-01

This study investigated whether congenital amusia, a neuro-developmental disorder of musical perception, also has implications for speech intonation processing. In total, 16 British amusics and 16 matched controls completed five intonation perception tasks and two pitch threshold tasks. Compared with controls, amusics showed impaired performance on discrimination, identification and imitation of statements and questions that were characterized primarily by pitch direction differences in the final word. This intonation-processing deficit in amusia was largely associated with a psychophysical pitch direction discrimination deficit. These findings suggest that amusia impacts upon one's language abilities in subtle ways, and support previous evidence that pitch processing in language and music involves shared mechanisms.

Identifying intrinsic constituents of focus through ``imitation via restoration.''

NASA Astrophysics Data System (ADS)

Xu, Yi; Xu, Ching X.; Sun, Xuejing

2003-04-01

In this study we test the hypothesis that although certain parts of an observed intonation may seem dispensable in perception tests, they nevertheless are consistently produced by speakers. We refer to all consistently produced parts of an intonation as its ``intrinsic constituents.'' To identify the intrinsic constituents, we developed an experimental paradigm called ``imitation via restoration.'' In this paradigm, the intonation under scrutiny is first recorded by a native speaker. Then words carrying a potential constituent of the intonation are replaced by a loud noise. During the experiment, the sentence containing the replacement noise is presented to the subjects together with the text. The subjects' task is to repeat the sentence in exactly the same way as they hear it. The consistency with which subjects restore the missing parts of the target intonation would therefore provide a reasonable indication as to which of them are truly intrinsic to the intonation. Our first such experiment was conducted on determining whether focus consists of only on-focus pitch range expansion or it also involves obligatory post-focus pitch range suppression. Eight native speakers of Beijing Mandarin participated as subjects. Preliminary results have provided supporting evidence for the dual-component hypothesis.

Perception of English intonation by English, Spanish, and Chinese listeners.

PubMed

Grabe, Esther; Rosner, Burton S; García-Albea, José E; Zhou, Xiaolin

2003-01-01

Native language affects the perception of segmental phonetic structure, of stress, and of semantic and pragmatic effects of intonation. Similarly, native language might influence the perception of similarities and differences among intonation contours. To test this hypothesis, a cross-language experiment was conducted. An English utterance was resynthesized with seven falling and four rising intonation contours. English, Iberian Spanish, and Chinese listeners then rated each pair of nonidentical stimuli for degree of difference. Multidimensional scaling of the results supported the hypothesis. The three groups of listeners produced statistically different perceptual configurations for the falling contours. All groups, however, perceptually separated the falling from the rising contours. This result suggested that the perception of intonation begins with the activation of universal auditory mechanisms that process the direction of relatively slow frequency modulations. A second experiment therefore employed frequency-modulated sine waves that duplicated the fundamental frequency contours of the speech stimuli. New groups of English, Spanish, and Chinese subjects yielded no cross-language differences between the perceptual configurations for these nonspeech stimuli. The perception of similarities and differences among intonation contours calls upon universal auditory mechanisms whose output is molded by experience with one's native language.

Acoustic and perceptual effects of overall F0 range in a lexical pitch accent distinction

NASA Astrophysics Data System (ADS)

Wade, Travis

2002-05-01

A speaker's overall fundamental frequency range is generally considered a variable, nonlinguistic element of intonation. This study examined the precision with which overall F0 is predictable based on previous intonational context and the extent to which it may be perceptually significant. Speakers of Tokyo Japanese produced pairs of sentences differing lexically only in the presence or absence of a single pitch accent as responses to visual and prerecorded speech cues presented in an interactive manner. F0 placement of high tones (previously observed to be relatively variable in pitch contours) was found to be consistent across speakers and uniformly dependent on the intonation of the different sentences used as cues. In a subsequent perception experiment, continuous manipulation of these same sentences between typical accented and typical non-accent-containing versions were presented to Japanese listeners for lexical identification. Results showed that listeners' perception was not significantly altered in compensation for artificial manipulation of preceding intonation. Implications are discussed within an autosegmental analysis of tone. The current results are consistent with the notion that pitch range (i.e., specific vertical locations of tonal peaks) does not simply vary gradiently across speakers and situations but constitutes a predictable part of the phonetic specification of tones.

Using Sarcasm to Compliment: Context, Intonation, and the Perception of Statements with a Negative Literal Meaning.

PubMed

Voyer, Daniel; Vu, Janie P

2016-06-01

The present study extended findings of contrast effects in an auditory sarcasm perception task manipulating context and tone of voice. In contrast to previous research that had used sarcastic and sincere statements with a positive literal meaning, the present experiment examined how statements with a negative literal meaning would affect the results. Eighty-four undergraduate students completed a task in which an ambiguous, positive, or negative computer-generated context spoken in a flat emotional tone was followed by a statement with a negative literal meaning spoken in a sincere or sarcastic tone of voice. Results for both the proportion of sarcastic responses and response time showed a significant context by tone interaction, reflecting relatively fast sarcastic responses for the situation in which sarcasm would turn the statement into a compliment (positive context, sarcastic intonation) and fast sincere responses when the literal insult was emphasized (negative context, sincere intonation). However, the ambiguous context produced a pattern of results modulated by the tone of voice that was similar to that observed when the context/intonation pairing could not be interpreted as a compliment or an insult (negative context/sarcastic intonation or positive context/sincere intonation). These findings add to the body of literature suggesting that situational contrast, context, and intonation influence how sarcasm is perceived while demonstrating the importance of the literal meaning in sarcasm perception. They can be interpreted in the context of models of sarcasm comprehension that postulate two stages of processing.

Improved Neural Processing Efficiency in a Chronic Aphasia Patient Following Melodic Intonation Therapy: A Neuropsychological and Functional MRI Study

PubMed Central

Tabei, Ken-ichi; Satoh, Masayuki; Nakano, Chizuru; Ito, Ai; Shimoji, Yasuo; Kida, Hirotaka; Sakuma, Hajime; Tomimoto, Hidekazu

2016-01-01

Melodic intonation therapy (MIT) is a treatment program for the rehabilitation of aphasic patients with speech production disorders. We report a case of severe chronic non-fluent aphasia unresponsive to several years of conventional therapy that showed a marked improvement following intensive 9-day training on the Japanese version of MIT (MIT-J). The purpose of this study was to verify the efficacy of MIT-J by functional assessment and examine associated changes in neural processing by functional magnetic resonance imaging. MIT improved language output and auditory comprehension, and decreased the response time for picture naming. Following MIT-J, an area of the right hemisphere was less activated on correct naming trials than compared with before training but similarly activated on incorrect trials. These results suggest that the aphasic symptoms of our patient were improved by increased neural processing efficiency and a concomitant decrease in cognitive load. PMID:27698650

Production and perception of speech intonation in pediatric cochlear implant recipients and individuals with normal hearing.

PubMed

Peng, Shu-Chen; Tomblin, J Bruce; Turner, Christopher W

2008-06-01

Current cochlear implant (CI) devices are limited in providing voice pitch information that is critical for listeners' recognition of prosodic contrasts of speech (e.g., intonation and lexical tones). As a result, mastery of the production and perception of such speech contrasts can be very challenging for prelingually deafened individuals who received a CI in their childhood (i.e., pediatric CI recipients). The purpose of this study was to investigate (a) pediatric CI recipients' mastery of the production and perception of speech intonation contrasts, in comparison with their age-matched peers with normal hearing (NH), and (b) the relationships between intonation production and perception in CI and NH individuals. Twenty-six pediatric CI recipients aged from 7.44 to 20.74 yrs and 17 age-matched individuals with NH participated. All CI users were prelingually deafened, and each of them received a CI between 1.48 and 6.34 yrs of age. Each participant performed an intonation production task and an intonation perception task. In the production task, 10 questions and 10 statements that were syntactically matched (e.g., "The girl is on the playground." versus "The girl is on the playground?") were elicited from each participant using interactive discourse involving pictures. These utterances were judged by a panel of eight adult listeners with NH in terms of utterance type accuracy (question versus statement) and contour appropriateness (on a five-point scale). In the perception task, each participant identified the speech intonation contrasts of natural utterances in a two-alternative forced-choice task. The results from the production task indicated that CI participants' scores for both utterance type accuracy and contour appropriateness were significantly lower than the scores of NH participants (both p < 0.001). The results from the perception task indicated that CI participants' identification accuracy was significantly lower than that of their NH peers (CI, 70.13% versus NH, 97.11%, p < 0.001). The Pearson correlation coefficients (r) between CI participants' performance levels in the production and perception tasks were approximately 0.65 (p = 0.001). As a group, pediatric CI recipients do not show mastery of speech intonation in their production or perception to the same extent as their NH peers. Pediatric CI recipients' performance levels in the production and perception of speech intonation contrasts are moderately correlated. Intersubject variability exists in pediatric CI recipients' mastery levels in the production and perception of speech intonation contrasts. These findings suggest the importance of addressing both aspects (production and perception) of speech intonation in the aural rehabilitation and speech intervention programs for prelingually deafened children and young adults who use a CI.

Perceptual Learning of Intonation Contour Categories in Adults and 9- to 11-Year-Old Children: Adults Are More Narrow-Minded.

PubMed

Kapatsinski, Vsevolod; Olejarczuk, Paul; Redford, Melissa A

2017-03-01

We report on rapid perceptual learning of intonation contour categories in adults and 9- to 11-year-old children. Intonation contours are temporally extended patterns, whose perception requires temporal integration and therefore poses significant working memory challenges. Both children and adults form relatively abstract representations of intonation contours: Previously encountered and novel exemplars are categorized together equally often, as long as distance from the prototype is controlled. However, age-related differences in categorization performance also exist. Given the same experience, adults form narrower categories than children. In addition, adults pay more attention to the end of the contour, while children appear to pay equal attention to the beginning and the end. The age range we examine appears to capture the tail-end of the developmental trajectory for learning intonation contour categories: There is a continuous effect of age on category breadth within the child group, but the oldest children (older than 10;3) are adult-like. Copyright © 2016 Cognitive Science Society, Inc.

The effects of a song-singing programme on the affective speaking intonation of people with traumatic brain injury.

PubMed

Baker, F; Wigram, T; Gold, C

2005-07-01

To examine changes in the relationship between intonation, voice range and mood following music therapy programmes in people with traumatic brain injury. Data from four case studies were pooled and effect size, ANOVA and correlation calculations were performed to evaluate the effectiveness of treatment. Subjects sang three self-selected songs for 15 sessions. Speaking fundamental frequency, fundamental frequency variability, slope, voice range and mood were analysed pre- and post-session. Immediate treatment effects were not found. Long-term improvements in affective intonation were found in three subjects, especially in fundamental frequency. Voice range improved over time and was positively correlated with the three intonation components. Mood scale data showed that immediate effects were in the negative direction whereas there weres increases in positive mood state in the longer-term. Findings suggest that, in the long-term, song singing can improve vocal range and mood and enhance the affective intonation styles of people with TBI.

Perceptual learning of intonation contour categories in adults and 9 to 11-year-old children: Adults are more narrow-minded

PubMed Central

Kapatsinski, Vsevolod; Olejarczuk, Paul; Redford, Melissa A.

2015-01-01

We report on rapid perceptual learning of intonation contour categories in adults and 9- to 11-year-old children. Intonation contours are temporally extended patterns whose perception requires temporal integration and therefore poses significant working memory challenges. Both children and adults form relatively abstract representations of intonation contours: previously encountered and novel exemplars are categorized together equally often, as long as distance from the prototype is controlled. However, age-related differences in categorization performance also exist. Given the same experience, adults form narrower categories than children. In addition, adults pay more attention to the end of the contour while children appear to pay equal attention to the beginning and the end. The age range we examine appears to capture the tail-end of the developmental trajectory for learning intonation contour categories: there is a continuous effect of age on category breadth within the child group, but the oldest children (older than 10;3) are adult-like. PMID:26901251

Testing a model of intonation in a tone language.

PubMed

Lindau, M

1986-09-01

Schematic fundamental frequency curves of simple statements and questions are generated for Hausa, a two-tone language of Nigeria, using a modified version of an intonational model developed by Gårding and Bruce [Nordic Prosody II, edited by T. Fretheim (Tapir, Trondheim, 1981), pp. 33-39]. In this model, rules for intonation and tones are separated. Intonation is represented as sloping grids of (near) parallel lines, inside which tones are placed. The tones are associated with turning points of the fundamental frequency contour. Local rules may also modify the exact placement of a tone within the grid. The continuous fundamental frequency contour is modeled by concatenating the tonal points using polynomial equations. Thus the final pitch contour is modeled as an interaction between global and local factors. The slope of the intonational grid lines depends at least on sentence type (statement or question), sentence length, and tone pattern. The model is tested by reference to data from nine speakers of Kano Hausa.

Prosodic structure shapes the temporal realization of intonation and manual gesture movements.

PubMed

Esteve-Gibert, Núria; Prieto, Pilar

2013-06-01

Previous work on the temporal coordination between gesture and speech found that the prominence in gesture coordinates with speech prominence. In this study, the authors investigated the anchoring regions in speech and pointing gesture that align with each other. The authors hypothesized that (a) in contrastive focus conditions, the gesture apex is anchored in the intonation peak and (b) the upcoming prosodic boundary influences the timing of gesture and intonation movements. Fifteen Catalan speakers pointed at a screen while pronouncing a target word with different metrical patterns in a contrastive focus condition and followed by a phrase boundary. A total of 702 co-speech deictic gestures were acoustically and gesturally analyzed. Intonation peaks and gesture apexes showed parallel behavior with respect to their position within the accented syllable: They occurred at the end of the accented syllable in non-phrase-final position, whereas they occurred well before the end of the accented syllable in phrase-final position. Crucially, the position of intonation peaks and gesture apexes was correlated and was bound by prosodic structure. The results refine the phonological synchronization rule (McNeill, 1992), showing that gesture apexes are anchored in intonation peaks and that gesture and prosodic movements are bound by prosodic phrasing.

The effect of talker and intonation variability on speech perception in noise in children with dyslexia

PubMed Central

Hazan, Valerie; Messaoud-Galusi, Souhila; Rosen, Stuart

2013-01-01

Purpose To determine whether children with dyslexia (DYS) are more affected than age-matched average readers (AR) by talker and intonation variability when perceiving speech in noise. Method Thirty-four DYS and 25 AR children were tested on their perception of consonants in naturally-produced consonant-vowel (CV) tokens in multi-talker babble. Twelve CVs were presented for identification in four conditions varying in the degree of talker and intonation variability. Consonant place (/bi/-/di/) and voicing (/bi/-/pi/) discrimination was investigated with the same conditions. Results DYS children made slightly more identification errors than AR children but only for conditions with variable intonation. Errors were more frequent for a subset of consonants, generally weakly-encoded for AR children, for tokens with intonation patterns (steady and rise-fall) that occur infrequently in connected discourse. In discrimination tasks, which have a greater memory and cognitive load, DYS children scored lower than AR children across all conditions. Conclusions Unusual intonation patterns had a disproportionate (but small) effect on consonant intelligibility in noise for DYS children but adding talker variability did not. DYS children do not appear to have a general problem in perceiving speech in degraded conditions, which makes it unlikely that they lack robust phonological representations. PMID:22761322

Perception of conversations: the importance of semantics and intonation in children's development.

PubMed

Keitel, Anne; Prinz, Wolfgang; Friederici, Angela D; von Hofsten, Claes; Daum, Moritz M

2013-10-01

In conversations, adults readily detect and anticipate the end of a speaker's turn. However, little is known about the development of this ability. We addressed two important aspects involved in the perception of conversational turn taking: semantic content and intonational form. The influence of semantics was investigated by testing prelinguistic and linguistic children. The influence of intonation was tested by presenting participants with videos of two dyadic conversations: one with normal intonation and one with flattened (removed) intonation. Children of four different age groups--two prelinguistic groups (6- and 12-month-olds) and two linguistic groups (24- and 36-month-olds)--and an adult group participated. Their eye movements were recorded, and the frequency of anticipated turns was analyzed. Our results show that (a) the anticipation of turns was reliable only in 3-year-olds and adults, with younger children shifting their gaze between speakers regardless of the turn taking, and (b) only 3-year-olds anticipated turns better if intonation was normal. These results indicate that children anticipate turns in conversations in a manner comparable (but not identical) to adults only after they have developed a sophisticated understanding of language. In contrast to adults, 3-year-olds rely more strongly on prosodic information during the perception of conversational turn taking. Copyright © 2013 Elsevier Inc. All rights reserved.

The development of intonation in young children with cochlear implants: A preliminary study of the influence of age at implantation and length of implant experience

PubMed Central

Snow, David; Ertmer, David

2010-01-01

This study describes the development of emerging intonation in six children who had received a cochlear implant (CI) before the age of three years. At the time their implant was activated, the children ranged in age from 11 to 37 months. Spontaneous longitudinal speech samples were recorded from 30-minute sessions in which the child interacted with his or her mother. Data were collected 2 months before activation of each child's CI and at monthly intervals after activation for 6 months. The findings were compared to the typical pattern of early intonation development in children with normal hearing (NH). The results suggested that young CI recipients progress through stages similar to those observed in children with NH. However, the intonation development of children with a CI reflects a marked interaction between chronological age at implantation and amount of CI experience. That is, after 2 months of CI-assisted hearing experience, the older children demonstrated a later stage of intonation development than younger children. These preliminary results support the idea that children acquire some foundations or prerequisites of intonation production through maturation, as measured by chronological age, even without robust auditory experience. PMID:20882119

The effect of talker and intonation variability on speech perception in noise in children with dyslexia.

PubMed

Hazan, Valerie; Messaoud-Galusi, Souhila; Rosen, Stuart

2013-02-01

In this study, the authors aimed to determine whether children with dyslexia (hereafter referred to as "DYS children") are more affected than children with average reading ability (hereafter referred to as "AR children") by talker and intonation variability when perceiving speech in noise. Thirty-four DYS and 25 AR children were tested on their perception of consonants in naturally produced CV tokens in multitalker babble. Twelve CVs were presented for identification in four conditions varying in the degree of talker and intonation variability. Consonant place (/bi/-/di/) and voicing (/bi/-/pi/) discrimination were investigated with the same conditions. DYS children made slightly more identification errors than AR children but only for conditions with variable intonation. Errors were more frequent for a subset of consonants, generally weakly encoded for AR children, for tokens with intonation patterns (steady and rise-fall) that occur infrequently in connected discourse. In discrimination tasks, which have a greater memory and cognitive load, DYS children scored lower than AR children across all conditions. Unusual intonation patterns had a disproportionate (but small) effect on consonant intelligibility in noise for DYS children, but adding talker variability did not. DYS children do not appear to have a general problem in perceiving speech in degraded conditions, which makes it unlikely that they lack robust phonological representations.

The effect of spectral smearing on the identification of pure F0 intonation contours in vocoder simulations of cochlear implants.

PubMed

van de Velde, Daan J; Dritsakis, Giorgos; Frijns, Johan H M; van Heuven, Vincent J; Schiller, Niels O

2015-03-01

Performance of cochlear implant (CI) users on linguistic intonation recognition is poorer than that of normal-hearing listeners, due to the limited spectral detail provided by the implant. A higher spectral resolution is provided by narrow rather than by broad filter slopes. The corresponding effect of the filter slope on the identification of linguistic intonation conveyed by pitch movements alone was tested using vocoder simulations. Re-synthesized intonation variants of naturally produced phrases were processed by a 15-channel noise vocoder using a narrow (40 dB/octave) and a broad (20 dB/octave) filter slope. There were three different intonation patterns (rise/fall/rise-fall), differentiated purely by pitch and each associated to a different meaning. In both slope conditions as well as a condition with unprocessed stimuli, 24 normally hearing Dutch adults listened to a phrase, indicating which of two meanings was associated to it (i.e. a counterbalanced selection of two of the three contours). As expected, performance for the unprocessed stimuli was better than for the vocoded stimuli. No overall difference between the filter conditions was found. These results are taken to indicate that neither the narrow (20 dB/octave) nor the shallow (40 dB/octave) slope provide enough spectral detail to identify pure F(0) intonation contours. For users of a certain class of CIs, results could imply that their intonation perception would not benefit from steeper slopes. For them, perception of pitch movements in language requires more extreme filter slopes, more electrodes, and/or additional (phonetic/contextual) cues.

Coincidence theory: Seeking a perceptual preference for just intonation, equal temperament, and Pythagorean intonation in excerpts for wind instruments

NASA Astrophysics Data System (ADS)

Long, Derle Ray

Coincidence theory states that when the components of harmony are in enhanced alignment the sound will be more consonant to the human auditory system. An objective method of examining the components of harmony is by investigating alignment of the mathematics of a particular sound or harmony. The study examined preference responses to excerpts tuned in just intonation, Pythagorean intonation, and equal temperament. Musical excerpts were presented in pairs and study subjects simply picked one version from the pair that they perceived as the most consonant. Results of the study revealed an overall preference for equal temperament in contradiction to coincidence theory. Several additional areas for research are suggested to further investigate the results of this study.

Perception of Melodic Contour and Intonation in Autism Spectrum Disorder: Evidence From Mandarin Speakers.

PubMed

Jiang, Jun; Liu, Fang; Wan, Xuan; Jiang, Cunmei

2015-07-01

Tone language experience benefits pitch processing in music and speech for typically developing individuals. No known studies have examined pitch processing in individuals with autism who speak a tone language. This study investigated discrimination and identification of melodic contour and speech intonation in a group of Mandarin-speaking individuals with high-functioning autism. Individuals with autism showed superior melodic contour identification but comparable contour discrimination relative to controls. In contrast, these individuals performed worse than controls on both discrimination and identification of speech intonation. These findings provide the first evidence for differential pitch processing in music and speech in tone language speakers with autism, suggesting that tone language experience may not compensate for speech intonation perception deficits in individuals with autism.

Intonation as an interface between language and affect.

PubMed

Grandjean, Didier; Bänziger, Tanja; Scherer, Klaus R

2006-01-01

The vocal expression of human emotions is embedded within language and the study of intonation has to take into account two interacting levels of information--emotional and semantic meaning. In addition to the discussion of this dual coding system, an extension of Brunswik's lens model is proposed. This model includes the influences of conventions, norms, and display rules (pull effects) and psychobiological mechanisms (push effects) on emotional vocalizations produced by the speaker (encoding) and the reciprocal influences of these two aspects on attributions made by the listener (decoding), allowing the dissociation and systematic study of the production and perception of intonation. Three empirical studies are described as examples of possibilities of dissociating these different phenomena at the behavioral and neurological levels in the study of intonation.

Melodic intonation in the rehabilitation of Romanian aphasics with bucco-lingual apraxia.

PubMed

Popovici, M; Mihăilescu, L

1992-01-01

The main objective of the present study was to assess the efficiency of the melodic intonation therapy (MIT) in the rehabilitation of Romanian aphasics. Eighty predominantly Broca aphasics used the melodic intonation therapy when no other therapy methods were very efficient. The speech therapist intonated the respective word, then together with the patient and finally let him continue alone. The control group counted 80 aphasics and it applied other therapy methods. Each patient, regardless of the group, was tested twice, before and after therapy. Since most of the patients displayed severe language disorders, and other therapy methods failed in rehabilitating them, MIT was considered an efficient method in the early stages of Broca aphasia with bucco-lingual apraxia.

Asking or Telling--Real-time Processing of Prosodically Distinguished Questions and Statements.

PubMed

Heeren, Willemijn F L; Bibyk, Sarah A; Gunlogson, Christine; Tanenhaus, Michael K

2015-12-01

We introduce a targeted language game approach using the visual world, eye-movement paradigm to assess when and how certain intonational contours affect the interpretation of utterances. We created a computer-based card game in which elliptical utterances such as "Got a candy" occurred with a nuclear contour most consistent with a yes-no question (H* H-H%) or a statement (L* L-L%). In Experiment I we explored how such contours are integrated online. In Experiment 2 we studied the expectations listeners have for how intonational contours signal intentions: do these reflect linguistic categories or rapid adaptation to the paradigm? Prosody had an immediate effect on interpretation, as indexed by the pattern and timing of fixations. Moreover, the association between different contours and intentions was quite robust in the absence of clear syntactic cues to sentence type, and was not due to rapid adaptation. Prosody had immediate effects on interpretation even though there was a construction-based bias to interpret "got a" as a question. Taken together, we believe this paradigm will provide further insights into how intonational contours and their phonetic realization interact with other cues to sentence type in online comprehension.

Typologizing native language influence on intonation in a second language: Three transfer phenomena in Japanese EFL learners

NASA Astrophysics Data System (ADS)

Albin, Aaron Lee

While a substantial body of research has accumulated regarding how intonation is acquired in a second language (L2), the topic has historically received relatively little attention from mainstream models of L2 phonology. As such, a unified theoretical framework suited to address unique acquisitional challenges specific to this domain of L2 knowledge (such as form-function mapping) has been lacking. The theoretical component of the dissertation makes progress on this front by taking up the issue of crosslinguistic transfer in L2 intonation. Using Mennen's (2015) L2 Intonation Learning theory as a point of departure, the available empirical studies are synthesized into a typology of the different possible ways two languages' intonation systems can mismatch as well as the concomitant implications for transfer. Next, the methodological component of the dissertation presents a framework for overcoming challenges in the analysis of L2 learners' intonation production due to the interlanguage mixing of their native and L2 systems. The proposed method involves first creating a stylization of the learner's intonation contour and then running queries to extract phonologically-relevant features of interest for a particular research question. A novel approach to stylization is also introduced that not only allows for transitions between adjacent pitch targets to have a nonlinear shape but also explicitly parametrizes and stores this nonlinearity for analysis. Finally, these two strands are integrated in a third, empirical component to the dissertation. Three kinds of intonation transfer, representing nodes from different branches of the typology, are examined in Japanese learners of English as a Foreign Language (EFL). For each kind of transfer, fourteen sentences were selected from a large L2 speech corpus (English Speech Database Read by Japanese Students), and productions of each sentence by approximately 20-30 learners were analyzed using the proposed method. Results suggest that the three examined kinds of transfer are stratified into a hierarchy of relative frequency, with some phenomena occurring much more pervasively than others. Together as a whole, the present dissertation lays the groundwork for future research on L2 intonation by not only generating empirical predictions to be tested but also providing the analytical tools for doing so.

A word by any other intonation: fMRI evidence for implicit memory traces for pitch contours of spoken words in adult brains.

PubMed

Inspector, Michael; Manor, David; Amir, Noam; Kushnir, Tamar; Karni, Avi

2013-01-01

Intonation may serve as a cue for facilitated recognition and processing of spoken words and it has been suggested that the pitch contour of spoken words is implicitly remembered. Thus, using the repetition suppression (RS) effect of BOLD-fMRI signals, we tested whether the same spoken words are differentially processed in language and auditory brain areas depending on whether or not they retain an arbitrary intonation pattern. Words were presented repeatedly in three blocks for passive and active listening tasks. There were three prosodic conditions in each of which a different set of words was used and specific task-irrelevant intonation changes were applied: (i) All words presented in a set flat monotonous pitch contour (ii) Each word had an arbitrary pitch contour that was set throughout the three repetitions. (iii) Each word had a different arbitrary pitch contour in each of its repetition. The repeated presentations of words with a set pitch contour, resulted in robust behavioral priming effects as well as in significant RS of the BOLD signals in primary auditory cortex (BA 41), temporal areas (BA 21 22) bilaterally and in Broca's area. However, changing the intonation of the same words on each successive repetition resulted in reduced behavioral priming and the abolition of RS effects. Intonation patterns are retained in memory even when the intonation is task-irrelevant. Implicit memory traces for the pitch contour of spoken words were reflected in facilitated neuronal processing in auditory and language associated areas. Thus, the results lend support for the notion that prosody and specifically pitch contour is strongly associated with the memory representation of spoken words.

The use of intonation for turn anticipation in observed conversations without visual signals as source of information

PubMed Central

Keitel, Anne; Daum, Moritz M.

2015-01-01

The anticipation of a speaker’s next turn is a key element of successful conversation. This can be achieved using a multitude of cues. In natural conversation, the most important cue for adults to anticipate the end of a turn (and therefore the beginning of the next turn) is the semantic and syntactic content. In addition, prosodic cues, such as intonation, or visual signals that occur before a speaker starts speaking (e.g., opening the mouth) help to identify the beginning and the end of a speaker’s turn. Early in life, prosodic cues seem to be more important than in adulthood. For example, it was previously shown that 3-year-old children anticipated more turns in observed conversations when intonation was available compared with when not, and this beneficial effect was present neither in younger children nor in adults (Keitel et al., 2013). In the present study, we investigated this effect in greater detail. Videos of conversations between puppets with either normal or flattened intonation were presented to children (1-year-olds and 3-year-olds) and adults. The use of puppets allowed the control of visual signals: the verbal signals (speech) started exactly at the same time as the visual signals (mouth opening). With respect to the children, our findings replicate the results of the previous study: 3-year-olds anticipated more turns with normal intonation than with flattened intonation, whereas 1-year-olds did not show this effect. In contrast to our previous findings, the adults showed the same intonation effect as the 3-year-olds. This suggests that adults’ cue use varies depending on the characteristics of a conversation. Our results further support the notion that the cues used to anticipate conversational turns differ in development. PMID:25713548

A Word by Any Other Intonation: FMRI Evidence for Implicit Memory Traces for Pitch Contours of Spoken Words in Adult Brains

PubMed Central

Inspector, Michael; Manor, David; Amir, Noam; Kushnir, Tamar; Karni, Avi

2013-01-01

Objectives Intonation may serve as a cue for facilitated recognition and processing of spoken words and it has been suggested that the pitch contour of spoken words is implicitly remembered. Thus, using the repetition suppression (RS) effect of BOLD-fMRI signals, we tested whether the same spoken words are differentially processed in language and auditory brain areas depending on whether or not they retain an arbitrary intonation pattern. Experimental design Words were presented repeatedly in three blocks for passive and active listening tasks. There were three prosodic conditions in each of which a different set of words was used and specific task-irrelevant intonation changes were applied: (i) All words presented in a set flat monotonous pitch contour (ii) Each word had an arbitrary pitch contour that was set throughout the three repetitions. (iii) Each word had a different arbitrary pitch contour in each of its repetition. Principal findings The repeated presentations of words with a set pitch contour, resulted in robust behavioral priming effects as well as in significant RS of the BOLD signals in primary auditory cortex (BA 41), temporal areas (BA 21 22) bilaterally and in Broca's area. However, changing the intonation of the same words on each successive repetition resulted in reduced behavioral priming and the abolition of RS effects. Conclusions Intonation patterns are retained in memory even when the intonation is task-irrelevant. Implicit memory traces for the pitch contour of spoken words were reflected in facilitated neuronal processing in auditory and language associated areas. Thus, the results lend support for the notion that prosody and specifically pitch contour is strongly associated with the memory representation of spoken words. PMID:24391713

Intonation processing deficits of emotional words among Mandarin Chinese speakers with congenital amusia: an ERP study.

PubMed

Lu, Xuejing; Ho, Hao Tam; Liu, Fang; Wu, Daxing; Thompson, William F

2015-01-01

Congenital amusia is a disorder that is known to affect the processing of musical pitch. Although individuals with amusia rarely show language deficits in daily life, a number of findings point to possible impairments in speech prosody that amusic individuals may compensate for by drawing on linguistic information. Using EEG, we investigated (1) whether the processing of speech prosody is impaired in amusia and (2) whether emotional linguistic information can compensate for this impairment. Twenty Chinese amusics and 22 matched controls were presented pairs of emotional words spoken with either statement or question intonation while their EEG was recorded. Their task was to judge whether the intonations were the same. Amusics exhibited impaired performance on the intonation-matching task for emotional linguistic information, as their performance was significantly worse than that of controls. EEG results showed a reduced N2 response to incongruent intonation pairs in amusics compared with controls, which likely reflects impaired conflict processing in amusia. However, our EEG results also indicated that amusics were intact in early sensory auditory processing, as revealed by a comparable N1 modulation in both groups. We propose that the impairment in discriminating speech intonation observed among amusic individuals may arise from an inability to access information extracted at early processing stages. This, in turn, could reflect a disconnection between low-level and high-level processing.

Intonation processing deficits of emotional words among Mandarin Chinese speakers with congenital amusia: an ERP study

PubMed Central

Lu, Xuejing; Ho, Hao Tam; Liu, Fang; Wu, Daxing; Thompson, William F.

2015-01-01

Background: Congenital amusia is a disorder that is known to affect the processing of musical pitch. Although individuals with amusia rarely show language deficits in daily life, a number of findings point to possible impairments in speech prosody that amusic individuals may compensate for by drawing on linguistic information. Using EEG, we investigated (1) whether the processing of speech prosody is impaired in amusia and (2) whether emotional linguistic information can compensate for this impairment. Method: Twenty Chinese amusics and 22 matched controls were presented pairs of emotional words spoken with either statement or question intonation while their EEG was recorded. Their task was to judge whether the intonations were the same. Results: Amusics exhibited impaired performance on the intonation-matching task for emotional linguistic information, as their performance was significantly worse than that of controls. EEG results showed a reduced N2 response to incongruent intonation pairs in amusics compared with controls, which likely reflects impaired conflict processing in amusia. However, our EEG results also indicated that amusics were intact in early sensory auditory processing, as revealed by a comparable N1 modulation in both groups. Conclusion: We propose that the impairment in discriminating speech intonation observed among amusic individuals may arise from an inability to access information extracted at early processing stages. This, in turn, could reflect a disconnection between low-level and high-level processing. PMID:25914659

Distinct frontal regions subserve evaluation of linguistic and emotional aspects of speech intonation.

PubMed

Wildgruber, D; Hertrich, I; Riecker, A; Erb, M; Anders, S; Grodd, W; Ackermann, H

2004-12-01

In addition to the propositional content of verbal utterances, significant linguistic and emotional information is conveyed by the tone of speech. To differentiate brain regions subserving processing of linguistic and affective aspects of intonation, discrimination of sentences differing in linguistic accentuation and emotional expressiveness was evaluated by functional magnetic resonance imaging. Both tasks yielded rightward lateralization of hemodynamic responses at the level of the dorsolateral frontal cortex as well as bilateral thalamic and temporal activation. Processing of linguistic and affective intonation, thus, seems to be supported by overlapping neural networks comprising partially right-sided brain regions. Comparison of hemodynamic activation during the two different tasks, however, revealed bilateral orbito-frontal responses restricted to the affective condition as opposed to activation of the left lateral inferior frontal gyrus confined to evaluation of linguistic intonation. These findings indicate that distinct frontal regions contribute to higher level processing of intonational information depending on its communicational function. In line with other components of language processing, discrimination of linguistic accentuation seems to be lateralized to the left inferior-lateral frontal region whereas bilateral orbito-frontal areas subserve evaluation of emotional expressiveness.

Auditory Perception, Suprasegmental Speech Processing, and Vocabulary Development in Chinese Preschoolers.

PubMed

Wang, Hsiao-Lan S; Chen, I-Chen; Chiang, Chun-Han; Lai, Ying-Hui; Tsao, Yu

2016-10-01

The current study examined the associations between basic auditory perception, speech prosodic processing, and vocabulary development in Chinese kindergartners, specifically, whether early basic auditory perception may be related to linguistic prosodic processing in Chinese Mandarin vocabulary acquisition. A series of language, auditory, and linguistic prosodic tests were given to 100 preschool children who had not yet learned how to read Chinese characters. The results suggested that lexical tone sensitivity and intonation production were significantly correlated with children's general vocabulary abilities. In particular, tone awareness was associated with comprehensive language development, whereas intonation production was associated with both comprehensive and expressive language development. Regression analyses revealed that tone sensitivity accounted for 36% of the unique variance in vocabulary development, whereas intonation production accounted for 6% of the variance in vocabulary development. Moreover, auditory frequency discrimination was significantly correlated with lexical tone sensitivity, syllable duration discrimination, and intonation production in Mandarin Chinese. Also it provided significant contributions to tone sensitivity and intonation production. Auditory frequency discrimination may indirectly affect early vocabulary development through Chinese speech prosody. © The Author(s) 2016.

Automating Content Analysis of Open-Ended Responses: Wordscores and Affective Intonation

PubMed Central

Baek, Young Min; Cappella, Joseph N.; Bindman, Alyssa

2014-01-01

This study presents automated methods for predicting valence and quantifying valenced thoughts of a text. First, it examines whether Wordscores, developed by Laver, Benoit, and Garry (2003), can be adapted to reliably predict the valence of open-ended responses in a survey about bioethical issues in genetics research, and then tests a complementary and novel technique for coding the number of valenced thoughts in open-ended responses, termed Affective Intonation. Results show that Wordscores successfully predicts the valence of brief and grammatically imperfect open-ended responses, and Affective Intonation achieves comparable performance to human coders when estimating number of valenced thoughts. Both Wordscores and Affective Intonation have promise as reliable, effective, and efficient methods when researchers content-analyze large amounts of textual data systematically. PMID:25558294

Intonation, Scientism, and "Archetypality".

ERIC Educational Resources Information Center

Vanderslice, Ralph

This paper reviews Philip Lieberman's "Intonation, Perception, and Language," (Research Monograph No. 38) Cambridge, Massachusetts, M.I.T. Press, 1967. The review is also scheduled to appear in the "Journal of Linguistics." (JD)

Nonnative Speakers' Perceptions of English "Nonlexical" Intonation Signals.

ERIC Educational Resources Information Center

Luthy, Melvin J.

1983-01-01

Native English speakers' and foreign students' perceptions of 14 English intonation signals, recorded free of verbal context, show foreign students may be misinterpreting or missing much information communicated with nonlexical signals. (Author/MSE)

Musical Intonation of Wind Instruments and Temperature

ERIC Educational Resources Information Center

Zendri, G.; Valdan, M.; Gratton, L. M.; Oss, S.

2015-01-01

Wind musical instruments are affected in their intonation by temperature. We show how to account for these effects in a simple experiment, and provide results in languages accessible to both physics and music professionals.

Musical intonation of wind instruments and temperature

NASA Astrophysics Data System (ADS)

Zendri, G.; Valdan, M.; Gratton, L. M.; Oss, S.

2015-05-01

Wind musical instruments are affected in their intonation by temperature. We show how to account for these effects in a simple experiment, and provide results in languages accessible to both physics and music professionals.

Visual and tactile information in double bass intonation control.

PubMed

Lage, Guilherme Menezes; Borém, Fausto; Vieira, Maurílio Nunes; Barreiros, João Pardal

2007-04-01

Traditionally, the teaching of intonation on the non-tempered orchestral strings (violin, viola, cello, and double bass) has resorted to the auditory and proprioceptive senses only. This study aims at understanding the role of visual and tactile information in the control of the non-tempered intonation of the acoustic double bass. Eight musicians played 11 trials of an atonal sequence of musical notes on two double basses of different sizes under different sensorial constraints. The accuracy of the played notes was analyzed by measuring their frequencies and comparing them with respective target values. The main finding was that the performance which integrated visual and tactile information was superior in relation to the other performances in the control of double bass intonation. This contradicts the traditional belief that proprioception and hearing are the most effective feedback information in the performance of stringed instruments.

Melodic Intonation Therapy: Shared Insights on How it is Done and Why it Might Help

PubMed Central

Norton, Andrea; Zipse, Lauryn; Marchina, Sarah; Schlaug, Gottfried

2009-01-01

For over 100 years, clinicians have noted that patients with nonfluent aphasia are capable of singing words that they cannot speak. Thus, the use of melody and rhythm has long been recommended for improving aphasic patients’ fluency, but it was not until 1973 that a music-based treatment (Melodic Intonation Therapy, (MIT)) was developed. Our ongoing investigation of MIT’s efficacy has provided valuable insight into this therapy’s effect on language recovery. Here we share those observations, our additions to the protocol that aim to enhance MIT’s benefit, and the rationale that supports them. PMID:19673819

Perception and production of rise-fall intonation in American English.

PubMed

Steppling, Mary L; Montgomery, Allen A

2002-04-01

At the segmental level, the rate of speaking affects the degree of physical undershoot of articulatory targets and the resulting perception. Little is known regarding evidence of these effects at the suprasegmental level, particularly in intonation. In this study, the effect of rate of speaking on fundamental frequency and on perceptual judgments of peak pitch in a rise-fall intonation pattern was investigated. First, speakers produced rise-fall intonations in sentence contexts at slow, normal, and fast speaking rates. Peak fundamental frequencies (F0) of the slow productions were significantly lower than those of the normal or fast productions. The mean normal rate production of the word Miami was used as a model for the target word in a series of subsequent perceptual experiments. Altering the duration of the target word to represent slow, normal, and fast rates of speaking did not affect listener judgment of peak pitch. Finally, the pitch of the target word was measured in a sentence context. No differences between peak pitch in isolation or in sentence context were found. It was concluded that the production and perception of this form of intonation was not subject to the effects of rate that are seen at the segmental level.

Processing F0 with cochlear implants: Modulation frequency discrimination and speech intonation recognition.

PubMed

Chatterjee, Monita; Peng, Shu-Chen

2008-01-01

Fundamental frequency (F0) processing by cochlear implant (CI) listeners was measured using a psychophysical task and a speech intonation recognition task. Listeners' Weber fractions for modulation frequency discrimination were measured using an adaptive, 3-interval, forced-choice paradigm: stimuli were presented through a custom research interface. In the speech intonation recognition task, listeners were asked to indicate whether resynthesized bisyllabic words, when presented in the free field through the listeners' everyday speech processor, were question-like or statement-like. The resynthesized tokens were systematically manipulated to have different initial-F0s to represent male vs. female voices, and different F0 contours (i.e. falling, flat, and rising) Although the CI listeners showed considerable variation in performance on both tasks, significant correlations were observed between the CI listeners' sensitivity to modulation frequency in the psychophysical task and their performance in intonation recognition. Consistent with their greater reliance on temporal cues, the CI listeners' performance in the intonation recognition task was significantly poorer with the higher initial-F0 stimuli than with the lower initial-F0 stimuli. Similar results were obtained with normal hearing listeners attending to noiseband-vocoded CI simulations with reduced spectral resolution.

Processing F0 with Cochlear Implants: Modulation Frequency Discrimination and Speech Intonation Recognition

PubMed Central

Chatterjee, Monita; Peng, Shu-Chen

2008-01-01

Fundamental frequency (F0) processing by cochlear implant (CI) listeners was measured using a psychophysical task and a speech intonation recognition task. Listeners’ Weber fractions for modulation frequency discrimination were measured using an adaptive, 3-interval, forced-choice paradigm: stimuli were presented through a custom research interface. In the speech intonation recognition task, listeners were asked to indicate whether resynthesized bisyllabic words, when presented in the free field through the listeners’ everyday speech processor, were question-like or statement-like. The resynthesized tokens were systematically manipulated to have different initial F0s to represent male vs. female voices, and different F0 contours (i.e., falling, flat, and rising) Although the CI listeners showed considerable variation in performance on both tasks, significant correlations were observed between the CI listeners’ sensitivity to modulation frequency in the psychophysical task and their performance in intonation recognition. Consistent with their greater reliance on temporal cues, the CI listeners’ performance in the intonation recognition task was significantly poorer with the higher initial-F0 stimuli than with the lower initial-F0 stimuli. Similar results were obtained with normal hearing listeners attending to noiseband-vocoded CI simulations with reduced spectral resolution. PMID:18093766

Perception of Intonation in Native and Non-Native Speakers of English.

ERIC Educational Resources Information Center

Berkovits, Rochele

1980-01-01

Indicates that native and nonnative speakers alike can make use of intonation if they explicitly listen for it, although prosodic features are generally ignored when other cues (semantic and pragmatic) are available. (Author/RL)

Intonation features of the expression of emotions in Spanish: preliminary study for a prosody assessment procedure.

PubMed

Martínez-Castilla, Pastora; Peppé, Susan

2008-01-01

This study aimed to find out what intonation features reliably represent the emotions of "liking" as opposed to "disliking" in the Spanish language, with a view to designing a prosody assessment procedure for use with children with speech and language disorders. 18 intonationally different prosodic realisations (tokens) of one word (limón) were recorded by one native Spanish speaker. The tokens were deemed representative of two categories of emotion: liking or disliking of the taste "lemon". 30 native Spanish speakers assigned them to the two categories and rated their expressiveness on a six-point scale. For all tokens except two, agreement between judges as to category was highly significant, some tokens attracting 100% agreement. The intonation contours most related to expressiveness levels were: for "liking", an inverted U form contour with exaggerated pitch peak within the tonic syllable; and for "disliking", a flat melodic contour with a slight fall.

The development of falling intonation in young children with cochlear implants: a 2-year longitudinal study.

PubMed

Snow, David P; Ertmer, David J

2013-07-01

This article describes the development of intonation in 12 cochlear implant (CI) recipients. In a previously reported study of the first year of CI use, children who were implanted late (after 24 months) acquired intonation more rapidly than the younger participants. The older children's advantage is plausibly owing to their greater maturity. However, children who were implanted early (before 25 months) did not have an advantage over the still younger control group of infants with normal hearing (NH), suggesting that the advantage requires a critical age of about 30 months. The younger CI-users reached this age in the second year of CI use. The results confirmed our expectation that even the younger CI recipients would acquire intonation more rapidly than infants with NH who had the same amount of robust hearing experience. Clinical implications are discussed in relation to the question of early versus late implantation.

[Influence of human personal features on acoustic correlates of speech emotional intonation characteristics].

PubMed

Dmitrieva, E S; Gel'man, V Ia; Zaĭtseva, K A; Orlov, A M

2009-01-01

Comparative study of acoustic correlates of emotional intonation was conducted on two types of speech material: sensible speech utterances and short meaningless words. The corpus of speech signals of different emotional intonations (happy, angry, frightened, sad and neutral) was created using the actor's method of simulation of emotions. Native Russian 20-70-year-old speakers (both professional actors and non-actors) participated in the study. In the corpus, the following characteristics were analyzed: mean values and standard deviations of the power, fundamental frequency, frequencies of the first and second formants, and utterance duration. Comparison of each emotional intonation with "neutral" utterances showed the greatest deviations of the fundamental frequency and frequencies of the first formant. The direction of these deviations was independent of the semantic content of speech utterance and its duration, age, gender, and being actor or non-actor, though the personal features of the speakers affected the absolute values of these frequencies.

The interaction of lexical tone, intonation and semantic context in on-line spoken word recognition: an ERP study on Cantonese Chinese.

PubMed

Kung, Carmen; Chwilla, Dorothee J; Schriefers, Herbert

2014-01-01

In two ERP experiments, we investigate the on-line interplay of lexical tone, intonation and semantic context during spoken word recognition in Cantonese Chinese. Experiment 1 shows that lexical tone and intonation interact immediately. Words with a low lexical tone at the end of questions (with a rising question intonation) lead to a processing conflict. This is reflected in a low accuracy in lexical identification and in a P600 effect compared to the same words at the end of a statement. Experiment 2 shows that a strongly biasing semantic context leads to much better lexical-identification performance for words with a low tone at the end of questions and to a disappearance of the P600 effect. These results support the claim that semantic context plays a major role in disentangling the tonal information from the intonational information, and thus, in resolving the on-line conflict between intonation and tone. However, the ERP data indicate that the introduction of a semantic context does not entirely eliminate on-line processing problems for words at the end of questions. This is revealed by the presence of an N400 effect for words with a low lexical tone and for words with a high-mid lexical tone at the end of questions. The ERP data thus show that, while semantic context helps in the eventual lexical identification, it makes the deviation of the contextually expected lexical tone from the actual acoustic signal more salient. © 2013 Published by Elsevier Ltd.

The Intonation-Syntax Interface in the Speech of Individuals with Parkinson’s Disease

PubMed Central

MacPherson, Megan K.; Huber, Jessica E.; Snow, David P.

2012-01-01

Purpose This study examined the effect of Parkinson’s disease (PD) on the intonational marking of final and nonfinal syntactic boundaries and investigated whether the effect of PD on intonation was sex-specific. Method Eight women and 8 men with PD and 16 age- and sex-matched control participants read a passage at comfortable pitch, rate, and loudness. Nuclear tones from final and nonfinal syntactic boundaries in clauses and lists were extracted. Measures of F0 were made on each tone contour. Results Individuals with PD demonstrated impaired differentiation of syntactic boundary finality/nonfinality with contour direction. They produced a lower proportion of falling contours in final boundaries and a higher proportion of falling contours in nonfinal boundaries than control participants. While not mediated by syntax, the effect of PD on F0 standard deviation (F0 SD) and pitch range (PRST) was sex-specific. Women with PD produced greater F0 SD and PRST than men with PD and women without PD. Men with PD produced lower PRST than men without PD. Conclusions Impaired intonational marking of syntactic boundaries likely contributes to dysprosody and reduced communicative effectiveness in PD. The effect of PD on intonation was sex-specific. The results were not fully explained by PD-related motor execution impairments. PMID:20699346

The impact of intonation and valence on objective and subjective attention capture by auditory alarms.

PubMed

Ljungberg, Jessica K; Parmentier, Fabrice

2012-10-01

The objective was to study the involuntary capture of attention by spoken words varying in intonation and valence. In studies of verbal alarms, the propensity of alarms to capture attention has been primarily assessed with the use of subjective ratings of their perceived urgency. Past studies suggest that such ratings vary with the alarms' spoken urgency and content. We measured attention capture by spoken words varying in valence (negative vs. neutral) and intonation (urgently vs. nonurgently spoken) through subjective ratings and behavioral measures. The key behavioral measure was the response latency to visual stimuli in the presence of spoken words breaking away from the periodical repetition of a tone. The results showed that all words captured attention relative to a baseline standard tone but that this effect was partly counteracted by a relative speeding of responses for urgently compared with nonurgently spoken words. Word valence did not affect behavioral performance. Rating data showed that both intonation and valence increased significantly perceived urgency and attention grabbing without any interaction. The data suggest a congruency between subjective ratings and behavioral performance with respect to spoken intonation but not valence. This study demonstrates the usefulness and feasibility of objective measures of attention capture to help design efficient alarm systems.

Accounting for the listener: comparing the production of contrastive intonation in typically-developing speakers and speakers with autism.

PubMed

Kaland, Constantijn; Swerts, Marc; Krahmer, Emiel

2013-09-01

The present research investigates what drives the prosodic marking of contrastive information. For example, a typically developing speaker of a Germanic language like Dutch generally refers to a pink car as a "PINK car" (accented words in capitals) when a previously mentioned car was red. The main question addressed in this paper is whether contrastive intonation is produced with respect to the speaker's or (also) the listener's perspective on the preceding discourse. Furthermore, this research investigates the production of contrastive intonation by typically developing speakers and speakers with autism. The latter group is investigated because people with autism are argued to have difficulties accounting for another person's mental state and exhibit difficulties in the production and perception of accentuation and pitch range. To this end, utterances with contrastive intonation are elicited from both groups and analyzed in terms of function and form of prosody using production and perception measures. Contrary to expectations, typically developing speakers and speakers with autism produce functionally similar contrastive intonation as both groups account for both their own and their listener's perspective. However, typically developing speakers use a larger pitch range and are perceived as speaking more dynamically than speakers with autism, suggesting differences in their use of prosodic form.

A comparison of speech intonation production and perception abilities of Farsi speaking cochlear implanted and normal hearing children.

PubMed

Moein, Narges; Khoddami, Seyyedeh Maryam; Shahbodaghi, Mohammad Rahim

2017-10-01

Cochlear implant prosthesis facilitates spoken language development and speech comprehension in children with severe-profound hearing loss. However, this prosthesis is limited in encoding information about fundamental frequency and pitch that are essentially for recognition of speech prosody. The purpose of the present study is to investigate the perception and production of intonation in cochlear implant children and comparison with normal hearing children. This study carried out on 25 cochlear implanted children and 50 children with normal hearing. First, using 10 action pictures statements and questions sentences were extracted. Fundamental frequency and pitch changes were identified using Praat software. Then, these sentences were judged by 7 adult listeners. In second stage 20 sentences were played for child and he/she determined whether it was in a question form or statement one. Performance of cochlear implanted children in perception and production of intonation was significantly lower than children with normal hearing. The difference between fundamental frequency and pitch changes in cochlear implanted children and children with normal hearing was significant (P < 0/05). Cochlear implanted children performance in perception and production of intonation has significant correlation with child's age surgery and duration of prosthesis use (P < 0/05). The findings of the current study show that cochlear prostheses have limited application in facilitating the perception and production of intonation in cochlear implanted children. It should be noted that the child's age at the surgery and duration of prosthesis's use is important in reduction of this limitation. According to these findings, speech and language pathologists should consider intervention of intonation in treatment program of cochlear implanted children. Copyright © 2017 Elsevier B.V. All rights reserved.

Current trends in stroke rehabilitation. A review with focus on brain plasticity.

PubMed

Johansson, B B

2011-03-01

Current understanding of brain plasticity has lead to new approaches in ischemic stroke rehabilitation. Stroke units that combine good medical and nursing care with task-oriented intense training in an environment that provides confidence, stimulation and motivation significantly improve outcome. Repetitive trans-cranial magnetic stimulation (rTMS), and trans-cranial direct current stimulation (tDCS) are applied in rehabilitation of motor function. The long-term effect, optimal way of stimulation and possibly efficacy in cognitive rehabilitation need evaluation. Methods based on multisensory integration of motor, cognitive, and perceptual processes including action observation, mental training, and virtual reality are being tested. Different approaches of intensive aphasia training are described. Recent data on intensive melodic intonation therapy indicate that even patients with very severe non-fluent aphasia can regain speech through homotopic white matter tract plasticity. Music therapy is applied in motor and cognitive rehabilitation. To avoid the confounding effect of spontaneous improvement, most trials are preformed ≥3 months post stroke. Randomized controlled trials starting earlier after strokes are needed. More attention should be given to stroke heterogeneity, cognitive rehabilitation, and social adjustment and to genetic differences, including the role of BDNF polymorphism in brain plasticity. © 2010 John Wiley & Sons A/S.

Working Papers in Linguistics 17.

ERIC Educational Resources Information Center

University of Trondheim Working Papers in Linguistics, 1993

1993-01-01

In this volume, five working papers are presented. "Accessing Contexts with Intonation" (Thorstein Fretheim) discusses the use of intonation as a tool for understanding the context of an utterance, particularly in combination with reference. Examples are offered in Norwegian. In "'Altsa' and 'Nemlig': Two Views of Causality"…

Prosody and Intonation of Western Cham

ERIC Educational Resources Information Center

Ueki, Kaori

2011-01-01

This dissertation investigates the prosodic and intonational characteristics of Western Cham (three letter code for International Organization for Standardization's ISO 639-3 code: [iso=cja]), an Austronesian language in the Chamic sub-group. I examine acoustic variables of prominence at word and postlexical levels: syllable duration, pitch…

Intonation and talker variability in the discrimination of Spanish lexical stress contrasts by Spanish, German and French listeners.

PubMed

Schwab, Sandra; Dellwo, Volker

2017-10-01

The perception of stress is highly influenced by listeners' native language. In this research, the authors examined the effect of intonation and talker variability (here: phonetic variability) in the discrimination of Spanish lexical stress contrasts by native Spanish (N = 17), German (N = 21), and French (N = 27) listeners. Participants listened to 216 trials containing three Spanish disyllabic words, where one word carried a different lexical stress to the others. The listeners' task was to identify the deviant word in each trial (Odd-One-Out task). The words in the trials were produced by either the same talker or by two different talkers, and carried the same or varying intonation patterns. The German listeners' performance was lower compared to the Spanish listeners but higher than that of the French listeners. French listeners performed above chance level with and without talker variability, and performed at chance level when intonation variability was introduced. Results are discussed in the context of the stress "deafness" hypothesis.

Pitch and Harmony in Gyorgy Ligeti's "Hamburg Concerto" and "Syzygy" for String Quartet

NASA Astrophysics Data System (ADS)

Corey, Charles

The analysis component of this dissertation focuses on intricate and complex pitch relationships in Gyorgy Ligeti's last work, the Hamburg Concerto. This piece uses two distinct tuning systems---twelve tone equal temperament and just intonation---throughout its seven movements. Often, these two systems are used simultaneously, creating complex harmonic relationships. This combination allows Ligeti to exploit the unique features of each system and explore their relationships to each other. Ligeti's just intonation in the Hamburg Concerto comes mainly from the five French horns, who are instructed to keep their hands out of the bell to allow the instrument to sound its exact harmonics. The horns themselves, however, are tuned to varying different fundamentals, creating a constantly changing series of just-intoned pitches anchored above an equal-tempered bass. This method of generating just-intoned intervals adds a second layer to the relationship between equal temperament and just intonation. This paper focuses on creating ways to understand this relationship, and describing the ramifications of these tunings as they unfold throughout the piece. Ligeti very carefully crafts this work in a way that creates a balance between the systems. Research done at the Paul Sacher Stiftung has uncovered a significant collection of errors in the published score. Clearing up these discrepancies allows for a much more accurate and more informed analysis. Throughout this dissertation, mistakes are corrected, and several aspects of the score are clarified. The tuning systems are described, and a likely tuning scheme for the horns is posited. (The analytical component of the dissertation delves into the many varying intervals which all fit into one interval class---a feature that is best explored when two distinct tuning systems are juxtaposed.) A language is created herein to better understand these pitch relationships that fit neither into equal temperament nor just intonation. The analysis clearly shows that very simple musical intervals turn out to be cornerstones of this piece, traceable throughout the entire Hamburg Concerto. The composition, Syzygy for string quartet, is written in just intonation. Through four movements, the relationships evoked by the titles (always groups of homonyms) are examined and illuminated.

Teaching tone and intonation with the Prosody Workstation using schematic versus veridical contours

NASA Astrophysics Data System (ADS)

Allen, George D.; Eulenberg, John B.

2004-05-01

Prosodic features of speech (e.g., intonation and rhythm) are often challenging for adults to learn. Most computerized teaching tools, developed to help learners mimic model prosodic patterns, display lines representing the veridical (actual) acoustic fundamental frequency and intensity of the model speech. However, a veridical display may not be optimal for this task. Instead, stereotypical representations (e.g., simplified level or slanting lines) may help by reducing the amount of potentially distracting information. The Prosody Workstation (PW) permits the prosodic contours of both models and users' responses to be displayed using either veridical or stereotypical contours. Users are informed by both visual displays and scores representing the degree of match of their utterance to the model. American English-speaking undergraduates are being studied learning the tone contours and rhythm of Chinese and Hausa utterances ranging in length from two to six syllables. Data include (a) accuracy of mimicking of the models' prosodic contours, measured by the PW; (b) quality of tonal and rhythmic production, judged by native speaker listeners; and (c) learners' perceptions of the ease of the task, measured by a questionnaire at the end of each session.

Imitative Production of Rising Speech Intonation in Pediatric Cochlear Implant Recipients

ERIC Educational Resources Information Center

Peng, Shu-Chen; Tomblin, J. Bruce; Spencer, Linda J.; Hurtig, Richard R.

2007-01-01

Purpose: This study investigated the acoustic characteristics of pediatric cochlear implant (CI) recipients' imitative production of rising speech intonation, in relation to the perceptual judgments by listeners with normal hearing (NH). Method: Recordings of a yes-no interrogative utterance imitated by 24 prelingually deafened children with a CI…

Phonetics and Phonology of Thematic Contrast in German

ERIC Educational Resources Information Center

Braun, Bettina

2006-01-01

It is acknowledged that contrast plays an important role in understanding discourse and information structure. While it is commonly assumed that contrast can be marked by intonation only, our understanding of the intonational realization of contrast is limited. For German there is mainly introspective evidence that the rising theme accent (or…

Segmental and Intonational Evidence for a Los Angeles Chicano Spanish Vernacular

ERIC Educational Resources Information Center

Andrade, Argelia

2012-01-01

This dissertation has two complementary objectives. First, the present study provides a contemporary reading of "hispanista" research about Mexican Spanish, including Chicano Spanish. In addition, this dissertation presents an overview and analysis of intonational findings of both Mexican Spanish (from the Los Altos region in Jalisco)…

English Intonation and Computerized Speech Synthesis. Technical Report No. 287.

ERIC Educational Resources Information Center

Levine, Arvin

This work treats some of the important issues encountered in an attempt to synthesize natural sounding English speech from arbitrary written text. Details of the systems that interact in producing speech are described. The principal systems dealt with are phonology (intonation), phonetics, syntax, semantics, and text-view (discourse). Technical…

Funktionale Satzperspektive und kommunikative Gliederung im Englischen (Functional Sentence Perspective and Communicative Classification in English)

ERIC Educational Resources Information Center

Lipka, Leonhard

1977-01-01

Sentence perspective is determined by communicative function. In English this especially involves word order and the subject, the passive voice, and intonation. Intonation in particular needs more attention in FL teaching and in the training of FL teachers. (Text is in German.) (IFS/WGA)

Intonation and Gesture as Bootstrapping Devices in Speaker Uncertainty

ERIC Educational Resources Information Center

Hübscher, Iris; Esteve-Gibert, Núria; Igualada, Alfonso; Prieto, Pilar

2017-01-01

This study investigates 3- to 5-year-old children's sensitivity to lexical, intonational and gestural information in the comprehension of speaker uncertainty. Most previous studies on children's understanding of speaker certainty and uncertainty across languages have focused on the comprehension of lexical markers, and little is known about the…

Intonational Meaning in Institutional Settings: The Role of Syntagmatic Relations

ERIC Educational Resources Information Center

Wichmann, Anne

2010-01-01

This paper addresses the power of intonation to convey interpersonal or attitudinal meaning. Speakers have been shown to accommodate to each other in the course of conversation, and this convergence may be perceived as a sign of empathy. Accommodation often involves paradigmatic choices--choosing the same words, gestures, regional accent or…

Auditory and Linguistic Processes in the Perception of Intonation Contours.

ERIC Educational Resources Information Center

Studdert-Kennedy, Michael; Hadding, Kerstin

By examining the relations among sections of the fundamental frequency contour used in judging an utterance as a question or statement, the experiment described in this report seeks a more detailed understanding of auditory-linguistic interaction in the perception of intonation contours. The perceptual process may be divided into stages (auditory,…

Production of Sentence-Final Intonation Contours by Hearing-Impaired Children.

ERIC Educational Resources Information Center

Allen, George D.; Arndorfer, Patricia M.

2000-01-01

This study compared the relationship between acoustic parameters and listeners' perceptions of intonation contours produced by 12 children (ages 7-14) either with severe-to-profound hearing impairments (HI) or normal-hearing (NH). The HI children's productions were generally similar to the NH children in that they used fundamental frequency,…

Intonation Miscues and Apprehension of Text.

ERIC Educational Resources Information Center

Flippo, Rona F.

Working on the theory that intonation miscues caused by confusion over punctuation and other phrase boundaries will make the apprehension of text more difficult than necessary for young developing readers, a study reviewed the research and literature relevant to the effects of location of punctuation, phrasing, and line breaks in text and on the…

Language-Specificity in the Perception of Paralinguistic Intonational Meaning

ERIC Educational Resources Information Center

Chen, Aoju; Gussenhoven, Carlos; Rietveld, Toni

2004-01-01

This study examines the perception of paralinguistic intonational meanings deriving from Ohala's Frequency Code (Experiment 1) and Gussenhoven's Effort Code (Experiment 2) in British English and Dutch. Native speakers of British English and Dutch listened to a number of stimuli in their native language and judged each stimulus on four semantic…

Perception of Melodic Contour and Intonation in Autism Spectrum Disorder: Evidence from Mandarin Speakers

ERIC Educational Resources Information Center

Jiang, Jun; Liu, Fang; Wan, Xuan; Jiang, Cunmei

2015-01-01

Tone language experience benefits pitch processing in music and speech for typically developing individuals. No known studies have examined pitch processing in individuals with autism who speak a tone language. This study investigated discrimination and identification of melodic contour and speech intonation in a group of Mandarin-speaking…

Correlation between Question Intonation and Focus of Interrogation--Evidence from French Dislocated Questions.

ERIC Educational Resources Information Center

Shen, Xiao-nan

This study explores the relationship between question intonation patterns in French using dislocated questions and question-focus (Q- focus). A dislocated question is defined as an interrogative sentence whose sequence is interrupted by the topicalization of a constituent at the left ("Toi, tu viens?"), at the right (Tu viens,…

The Intonation and Signaling of Declarative Questions in Manchego Peninsular Spanish

ERIC Educational Resources Information Center

Henriksen, Nicholas C.

2012-01-01

This paper is an experimental investigation on the tonal structure and phonetic signaling of declarative questions by speakers of Manchego Peninsular Spanish, a dialect of Spanish for which little experimental research on intonation is currently available. Analysis 1 examines the scaling and timing properties of final rises produced by 16 speakers…

Intonation Contrast in Cantonese Speakers with Hypokinetic Dysarthria Associated with Parkinson's Disease

ERIC Educational Resources Information Center

Ma, Joan K.-Y.; Whitehill, Tara L.; So, Susanne Y.-S.

2010-01-01

Purpose: Speech produced by individuals with hypokinetic dysarthria associated with Parkinson's disease (PD) is characterized by a number of features including impaired speech prosody. The purpose of this study was to investigate intonation contrasts produced by this group of speakers. Method: Speech materials with a question-statement contrast…

The Role of Intonation in Language Discrimination by Infants and Adults

ERIC Educational Resources Information Center

Vicenik, Chad Joseph

2011-01-01

It has been widely shown that infants and adults are capable of using only prosodic information to discriminate between languages. However, it remains unclear which aspects of prosody, either rhythm or intonation, listeners attend to for language discrimination. Previous researchers have suggested that rhythm, the duration and timing of speech…

Infants' Perception of the Intonation of Broad and Narrow Focus

ERIC Educational Resources Information Center

Butler, Joseph; Vigário, Marina; Frota, Sónia

2016-01-01

Infants perceive intonation contrasts early in development in contrast to lexical stress but similarly to lexical pitch accent. Previous studies have mostly focused on pitch height/direction contrasts; however, languages use a variety of pitch features to signal meaning, including differences in pitch timing. In this study, we investigate infants'…

A Comparative Study of Declarative Intonation in American English and Spanish.

ERIC Educational Resources Information Center

Delattre, Pierre; And Others

1962-01-01

A detailed, spectrographic analysis of two lectures, given by Diego Rivera and Margaret Mead, which were chosen for their realistic naturalness, permits a graphic presentation and description of the patterns of three types of intonation within the declarative sentence in Spanish and American English. They include a minor continuation (A), major…

In Tune or out of Tune: Are Different Instruments and Voice Heard Differently?

ERIC Educational Resources Information Center

Geringer, John M.; MacLeod, Rebecca B.; Sasanfar, Justine K.

2015-01-01

We studied music majors' perception of intonation in accompanied solo performances of trumpet, violin, and voice. We were interested in whether listeners would judge pitch deviations of equal magnitude in the three solo performances as equivalent in intonation. Participants were 150 graduate and undergraduate music majors drawn from two large…

Espousing melodic intonation therapy in aphasia rehabilitation: a case study.

PubMed

Goldfarb, R; Bader, E

1979-01-01

A program of Melodic Intonation Therapy (MIT) was adapted as a home training procedure to enable a severely affected aphasic adult to respond to 52 simple questions bearing relevance to his daily life. MIT involves embedding short phrases or sentences in a simple, non-distinct melody pattern. As the patient progresses through the program, the melodic aspect is faded and the program eventually leads to production of the target phrase or sentence in normal speech prosody. The present procedure consisted of three levels of training designed to advance the subject from an initial level of intoning responses in a simple melody to producing the responses in normal speech prosody. The subject's wife was trained to administer MIT both in the clinical and home settings. Considerable improvement was obtained in imitation and in context related responses to questions. These findings lend support to the proposal that the music dominance to the right hemisphere assists, and perhaps diminishes the language dominance of, the damaged left hemisphere. The limitations of use of Melodic Intonation Therapy were discussed.

Spatiotemporal frequency characteristics of cerebral oscillations during the perception of fundamental frequency contour changes in one-syllable intonation.

PubMed

Ueno, Sanae; Okumura, Eiichi; Remijn, Gerard B; Yoshimura, Yuko; Kikuchi, Mitsuru; Shitamichi, Kiyomi; Nagao, Kikuko; Mochiduki, Masayuki; Haruta, Yasuhiro; Hayashi, Norio; Munesue, Toshio; Tsubokawa, Tsunehisa; Oi, Manabu; Nakatani, Hideo; Higashida, Haruhiro; Minabe, Yoshio

2012-05-02

Accurate perception of fundamental frequency (F0) contour changes in the human voice is important for understanding a speaker's intonation, and consequently also his/her attitude. In this study, we investigated the neural processes involved in the perception of F0 contour changes in the Japanese one-syllable interjection "ne" in 21 native-Japanese listeners. A passive oddball paradigm was applied in which "ne" with a high falling F0 contour, used when urging a reaction from the listener, was randomly presented as a rare deviant among a frequent "ne" syllable with a flat F0 contour (i.e., meaningless intonation). We applied an adaptive spatial filtering method to the neuromagnetic time course recorded by whole-head magnetoencephalography (MEG) and estimated the spatiotemporal frequency dynamics of event-related cerebral oscillatory changes in the oddball paradigm. Our results demonstrated a significant elevation of beta band event-related desynchronization (ERD) in the right temporal and frontal areas, in time windows from 100 to 300 and from 300 to 500 ms after the onset of deviant stimuli (high falling F0 contour). This is the first study to reveal detailed spatiotemporal frequency characteristics of cerebral oscillations during the perception of intonational (not lexical) F0 contour changes in the human voice. The results further confirmed that the right hemisphere is associated with perception of intonational F0 contour information in the human voice, especially in early time windows. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

The effects of choir spacing and choir formation on the tuning accuracy and intonation tendencies of a mixed choir

NASA Astrophysics Data System (ADS)

Daugherty, James F.

2005-09-01

The tuning accuracy and intonation tendencies of a high school mixed choir (N=46) were measured from digital recordings obtained as the ensemble performed an a cappella motet under concert conditions in N=3 singer spacing configurations (close, lateral, circumambient) and N=2 choir formations (sectional and mixed). Methods of analysis were modeled on Howard's (2004) pitch-based measurements of the tuning accuracy of crowds of football fans. Results were discussed in terms of (a) previous studies on choir spacing (Daugherty, 1999, 2003) and self-to-other singer ratios (Ternstrm, 1995, 1999); (b) contributions of choir spacing to vocal/choral pedagogy; and (c) potential ramifications for the design and use of auditoria and portable standing risers for choral performances.

Intonation as an Encoder of Speaker Certainty: Information and Confirmation Yes-No Questions in Catalan

ERIC Educational Resources Information Center

Vanrell, Maria del Mar; Mascaro, Ignasi; Torres-Tamarit, Francesc; Prieto, Pilar

2013-01-01

Recent studies in the field of intonational phonology have shown that information-seeking questions can be distinguished from confirmation-seeking questions by prosodic means in a variety of languages (Armstrong, 2010, for Puerto Rican Spanish; Grice & Savino, 1997, for Bari Italian; Kugler, 2003, for Leipzig German; Mata & Santos, 2010, for…

The Spanish of Ponce, Puerto Rico: A Phonetic, Phonological, and Intonational Analysis

ERIC Educational Resources Information Center

Luna, Kenneth Vladimir

2010-01-01

This study investigates four aspects of Puerto Rican Spanish as represented in the Autonomous Municipality of Ponce: the behavior of coda /[alveolar flap]/, the behavior of /r/, the different realizations of coda /s/, and its intonational phonology. Previous studies on Puerto Rican Spanish report that coda /[alveolar flap]/ is normally realized as…

Demonstration of the Instantaneous Pitch Period Indicator in Classrooms of Deaf Children. Final Report.

ERIC Educational Resources Information Center

Dolansky, Ladislav; And Others

A visual rhythm-intonation-duration display called Instantaneous Pitch-period Indicator (Amplitude-Intonation, Duration) (IPPI-AID) was used in several classrooms in a school for the deaf to determine its usefulness as an electromechanical aid for classroom language instruction with speech/language materials. It was found in all classroom levels,…

Tonal Targets in Early Child English, Spanish, and Catalan

ERIC Educational Resources Information Center

Astruc, Lluisa; Payne, Elinor; Post, Brechtje; Vanrell, Maria del Mar; Prieto, Pilar

2013-01-01

This study analyses the scaling and alignment of low and high intonational targets in the speech of 27 children--nine English-speaking, nine Catalan-speaking and nine Spanish-speaking--between the ages of two and six years. We compared the intonational patterns of words controlled for number of syllables and stress position in the child speech to…

Cronkite, Collingwood, Cliches, and Caca.

ERIC Educational Resources Information Center

Weingartner, Charles

1978-01-01

This author views the CBS report "Is Anyone Out There Learning?" as an attack on education based solely on ill-informed cliches and anachronistic assumptions, piously intoned by commentators Walter Cronkite and Charles Collingwood. All articles in this journal issue comment on this television program. (SJL)

The perception of stress and intonation in children with a cochlear implant and a hearing aid.

PubMed

Hegarty, Lauren; Faulkner, Andrew

2013-11-01

This study investigated whether low frequency information from a hearing aid improved the perception of stress and intonation by English-speaking children with cochlear implants. As pitch information is limited for cochlear implant users, this study also investigated if users rely more on the cues of duration and amplitude to perceive stress and intonation. Nine children with bimodal stimulation (cochlear implant and hearing aid) participated in two experiments. The first measured the just audible change in F0 (pitch) and amplitude for a speech-like word 'baba'. The second experiment examined the children's ability to identify focus in natural and manipulated sentences. Overall, group results did not show a bimodal advantage in perceiving stress and intonation. However, the children were significantly better at perceiving focus in sentences with natural speech compared with manipulated speech in both the CI and bimodal conditions. The results suggest that in the absence of pitch cues, amplitude and duration cues are used to perceive stress and intonation. However, the majority of children only perceived amplitude changes greater than the changes typically found in speech, implying duration cues were the most valuable. Taken together the findings suggest that for children with cochlear implants, cues to F0 may not be essential for prosody perception and in the absence of cues to F0 and amplitude, duration may offer an alternative cue. Although a bimodal advantage was not demonstrated for all participants, it is recommended that if clinically appropriate, a contralateral hearing aid is fitted and trialled to exploit any residual hearing.

Effects of various electrode configurations on music perception, intonation and speaker gender identification.

PubMed

Landwehr, Markus; Fürstenberg, Dirk; Walger, Martin; von Wedel, Hasso; Meister, Hartmut

2014-01-01

Advances in speech coding strategies and electrode array designs for cochlear implants (CIs) predominantly aim at improving speech perception. Current efforts are also directed at transmitting appropriate cues of the fundamental frequency (F0) to the auditory nerve with respect to speech quality, prosody, and music perception. The aim of this study was to examine the effects of various electrode configurations and coding strategies on speech intonation identification, speaker gender identification, and music quality rating. In six MED-EL CI users electrodes were selectively deactivated in order to simulate different insertion depths and inter-electrode distances when using the high definition continuous interleaved sampling (HDCIS) and fine structure processing (FSP) speech coding strategies. Identification of intonation and speaker gender was determined and music quality rating was assessed. For intonation identification HDCIS was robust against the different electrode configurations, whereas fine structure processing showed significantly worse results when a short electrode depth was simulated. In contrast, speaker gender recognition was not affected by electrode configuration or speech coding strategy. Music quality rating was sensitive to electrode configuration. In conclusion, the three experiments revealed different outcomes, even though they all addressed the reception of F0 cues. Rapid changes in F0, as seen with intonation, were the most sensitive to electrode configurations and coding strategies. In contrast, electrode configurations and coding strategies did not show large effects when F0 information was available over a longer time period, as seen with speaker gender. Music quality relies on additional spectral cues other than F0, and was poorest when a shallow insertion was simulated.

Children's Development of Intonation during the First Year of Cochlear Implant Experience

ERIC Educational Resources Information Center

Snow, David P.; Ertmer, David J.

2012-01-01

This article describes the longitudinal development of intonation in 18 deaf children who received cochlear implants (CIs) before the age of 3 years and 12 infants with typical development (TD) who served as controls. At the time their implants were activated, the children with CIs ranged in age from 9 to 36 months. Cross-group comparisons were…

The Effect of Talker and Intonation Variability on Speech Perception in Noise in Children with Dyslexia

ERIC Educational Resources Information Center

Hazan, Valerie; Messaoud-Galusi, Souhila; Rosen, Stuart

2013-01-01

Purpose: In this study, the authors aimed to determine whether children with dyslexia (hereafter referred to as "DYS children") are more affected than children with average reading ability (hereafter referred to as "AR children") by talker and intonation variability when perceiving speech in noise. Method: Thirty-four DYS and 25 AR children were…

An Empirical Study on the Acquisition of English Rising Tone by Chinese EFL Learners

ERIC Educational Resources Information Center

Chen, Wenkai

2013-01-01

Intonation is the melody and soul of speech, and plays an important role in oral communication. Nevertheless, the acquisition of English intonation by Chinese EFL learners is far from being satisfactory. It is found by empirical study that the main problems existing in acquiring English rising tone are improper placement of nucleus stress, failure…

Improving Your American English Pronunciation: Intonation. Creativity: New Ideas in Language Teaching, No. 20.

ERIC Educational Resources Information Center

Gomes de Matos, F.; Short, A. Green

If the non-native teacher of English as a foreign language hopes to approach a high standard of oral competence in the language, he must cultivate some conscious perception and control of intonation. He can achieve this objective in various ways. Situations in which natural speech occurs would be ideal but few teachers have the opportunity for…

Role of Sentence-Final Particles and Prosody in Irony Comprehension in Cantonese-Speaking Children with and without Autism Spectrum Disorders

ERIC Educational Resources Information Center

Li, Jackie P. W.; Law, Thomas; Lam, Gary Y. H.; To, Carol K. S.

2013-01-01

English-speaking children with Autism Spectrum Disorders (ASD) are less capable of using prosodic cues such as intonation for irony comprehension. Prosodic cues, in particular intonation, in Cantonese are relatively restricted while sentence-final particles (SFPs) may be used for this pragmatic function. This study investigated the use of prosodic…

Processing melodic contour and speech intonation in congenital amusics with Mandarin Chinese.

PubMed

Jiang, Cunmei; Hamm, Jeff P; Lim, Vanessa K; Kirk, Ian J; Yang, Yufang

2010-07-01

Congenital amusia is a disorder in the perception and production of musical pitch. It has been suggested that early exposure to a tonal language may compensate for the pitch disorder (Peretz, 2008). If so, it is reasonable to expect that there would be different characterizations of pitch perception in music and speech in congenital amusics who speak a tonal language, such as Mandarin. In this study, a group of 11 adults with amusia whose first language was Mandarin were tested with melodic contour and speech intonation discrimination and identification tasks. The participants with amusia were impaired in discriminating and identifying melodic contour. These abnormalities were also detected in identifying both speech and non-linguistic analogue derived patterns for the Mandarin intonation tasks. In addition, there was an overall trend for the participants with amusia to show deficits with respect to controls in the intonation discrimination tasks for both speech and non-linguistic analogues. These findings suggest that the amusics' melodic pitch deficits may extend to the perception of speech, and could potentially result in some language deficits in those who speak a tonal language. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Intonation and emotion: influence of pitch levels and contour type on creating emotions.

PubMed

Rodero, Emma

2011-01-01

Intonation is a vehicle for communication, which sometimes contributes greater meaning than the semantic content of speech itself. This prosodic element lends the message linguistic and paralinguistic meaning, which carries a highly significant communicative value when conveying emotional states. For this reason, this article analyses the use of intonation as an instrument for arousing various sensations in the listener. The aim was to verify which elements of intonation are more decisive to generate a specific sensation. Experimental research is conducted, in which certain pitch patterns (pitch levels and contour type) are assigned different emotions (joy, anxiety, sadness, and calmness) and are then listened to and assessed using a questionnaire with a bipolar scale of opposed pairs, by a sample audience comprising 100 individuals. The main conclusion drawn is that, although both the variables analyzed--pitch level and contour type--are representative of expressing emotions, contour type is more decisive. In all the models analyzed, contour type has been highly significant and constitutes the variable that has been determined as the final component for recognizing various emotions. Copyright © 2011 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

Temporal and spatio-temporal vibrotactile displays for voice fundamental frequency: an initial evaluation of a new vibrotactile speech perception aid with normal-hearing and hearing-impaired individuals.

PubMed

Auer, E T; Bernstein, L E; Coulter, D C

1998-10-01

Four experiments were performed to evaluate a new wearable vibrotactile speech perception aid that extracts fundamental frequency (F0) and displays the extracted F0 as a single-channel temporal or an eight-channel spatio-temporal stimulus. Specifically, we investigated the perception of intonation (i.e., question versus statement) and emphatic stress (i.e., stress on the first, second, or third word) under Visual-Alone (VA), Visual-Tactile (VT), and Tactile-Alone (TA) conditions and compared performance using the temporal and spatio-temporal vibrotactile display. Subjects were adults with normal hearing in experiments I-III and adults with severe to profound hearing impairments in experiment IV. Both versions of the vibrotactile speech perception aid successfully conveyed intonation. Vibrotactile stress information was successfully conveyed, but vibrotactile stress information did not enhance performance in VT conditions beyond performance in VA conditions. In experiment III, which involved only intonation identification, a reliable advantage for the spatio-temporal display was obtained. Differences between subject groups were obtained for intonation identification, with more accurate VT performance by those with normal hearing. Possible effects of long-term hearing status are discussed.

The Efficacy and Timing of Melodic Intonation Therapy in Subacute Aphasia.

PubMed

van der Meulen, Ineke; van de Sandt-Koenderman, W Mieke E; Heijenbrok-Kal, Majanka H; Visch-Brink, Evy G; Ribbers, Gerard M

2014-07-01

Background Little is known about the efficacy of language production treatment in subacute severe nonfluent aphasia. Although Melodic Intonation Therapy (MIT) is a language production treatment for this disorder, until now MIT effect studies have focused on chronic aphasia. Purpose This study examines whether language production treatment with MIT is effective in subacute severe nonfluent aphasia. Methods A multicenter, randomized controlled trial was conducted in a waiting-list control design: patients were randomly allocated to the experimental group (MIT) or the control group (control intervention followed by delayed MIT). In both groups, therapy started at 2 to 3 months poststroke and was given intensively (5 h/wk) during 6 weeks. In a second therapy period, the control group received 6 weeks of intensive MIT. The experimental group resumed their regular treatment. Assessment was done at baseline (T1), after the first intervention period (T2), and after the second intervention period (T3). Efficacy was evaluated at T2. The impact of delaying MIT on therapy outcome was also examined. Results A total of 27 participants were included: n = 16 in the experimental group and n = 11 in the control group. A significant effect in favor of MIT on language repetition was observed for trained items, with mixed results for untrained items. After MIT there was a significant improvement in verbal communication but not after the control intervention. Finally, delaying MIT was related to less improvement in the repetition of trained material. Conclusions In these patients with subacute severe nonfluent aphasia, language production treatment with MIT was effective. Earlier treatment may lead to greater improvement. © The Author(s) 2014.

L2 English Intonation: Relations between Form-Meaning Associations, Access to Meaning, and L1 Transfer

ERIC Educational Resources Information Center

Ortega-Llebaria, Marta; Colantoni, Laura

2014-01-01

Although there is consistent evidence that higher levels of processing, such as learning the form-meaning associations specific to the second language (L2), are a source of difficulty in acquiring L2 speech, no study has addressed how these levels interact in shaping L2 perception and production of intonation. We examine the hypothesis of whether…

An Investigation of the Effects of the Use of SmartMusic Software by Brass Players on Intonation and Rhythmic Accuracy

ERIC Educational Resources Information Center

Flanigan, Glen Patrick

2008-01-01

The purpose of the present research study was to examine effects of the use of SmartMusic practice software on the intonation and rhythmic accuracy of brass players' musical performances. Twenty college brass players who served as participants in the four-week study were randomly assigned to one of two practice conditions. The WSM (With…

Dysprosody nonassociated with neurological diseases--a case report.

PubMed

Pinto, José Antonio; Corso, Renato José; Guilherme, Ana Cláudia Rocha; Pinho, Sílvia Rebelo; Nóbrega, Monica de Oliveira

2004-03-01

Dysprosody also known as pseudo-foreign dialect, is the rarest neurological speech disorder. It is characterized by alterations in intensity, in the timing of utterance segments, and in rhythm, cadency, and intonation of words. The terms refers to changes as to duration, fundamental frequency, and intensity of tonic and atonic syllables of the sentences spoken, which deprive an individual's particular speech of its characteristics. The cause of this disease is usually associated with neurological pathologies such as brain vascular accidents, cranioencephalic traumatisms, and brain tumors. The authors report a case of dysprosody attended to at the Núcleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo (NOSP). It is about a female patient with bilateral III degree Reinke's edema and normal neurological examinations that started presenting characteristics of the German dialect following a larynx microsurgery.

The limits of metrical segmentation: intonation modulates infants' extraction of embedded trochees.

PubMed

Zahner, Katharina; Schönhuber, Muna; Braun, Bettina

2016-11-01

We tested German nine-month-olds' reliance on pitch and metrical stress for segmentation. In a headturn-preference paradigm, infants were familiarized with trisyllabic words (weak-strong-weak (WSW) stress pattern) in sentence-contexts. The words were presented in one of three naturally occurring intonation conditions: one in which high pitch was aligned with the stressed syllable and two misalignment conditions (with high pitch preceding vs. following the stressed syllable). Infants were tested on the SW unit of the WSW carriers. Experiment 1 showed recognition only when the stressed syllable was high-pitched. Intonation of test items (similar vs. dissimilar to familiarization) had no influence (Experiment 2). Thus, German nine-month-olds perceive stressed syllables as word onsets only when high-pitched, although they already generalize over different pitch contours. Different mechanisms underlying this pattern of results are discussed.

The perception of intonation questions and statements in Cantonese.

PubMed

Ma, Joan K-Y; Ciocca, Valter; Whitehill, Tara L

2011-02-01

In tone languages there are potential conflicts in the perception of lexical tone and intonation, as both depend mainly on the differences in fundamental frequency (F0) patterns. The present study investigated the acoustic cues associated with the perception of sentences as questions or statements in Cantonese, as a function of the lexical tone in sentence final position. Cantonese listeners performed intonation identification tasks involving complete sentences, isolated final syllables, and sentences without the final syllable (carriers). Sensitivity (d' scores) were similar for complete sentences and final syllables but were significantly lower for carriers. Sensitivity was also affected by tone identity. These findings show that the perception of questions and statements relies primarily on the F0 characteristics of the final syllables (local F0 cues). A measure of response bias (c) provided evidence for a general bias toward the perception of statements. Logistic regression analyses showed that utterances were accurately classified as questions or statements by using average F0 and F0 interval. Average F0 of carriers (global F0 cue) was also found to be a reliable secondary cue. These findings suggest that the use of F0 cues for the perception of intonation question in tonal languages is likely to be language-specific.

Intonational Phrasing Is Constrained by Meaning, Not Balance

ERIC Educational Resources Information Center

Breen, Mara; Watson, Duane G.; Gibson, Edward

2011-01-01

This paper evaluates two classes of hypotheses about how people prosodically segment utterances: (1) meaning-based proposals, with a focus on Watson and Gibson's (2004) proposal, according to which speakers tend to produce boundaries before and after long constituents; and (2) balancing proposals, according to which speakers tend to produce…

Towards Real-Time Speech Emotion Recognition for Affective E-Learning

ERIC Educational Resources Information Center

Bahreini, Kiavash; Nadolski, Rob; Westera, Wim

2016-01-01

This paper presents the voice emotion recognition part of the FILTWAM framework for real-time emotion recognition in affective e-learning settings. FILTWAM (Framework for Improving Learning Through Webcams And Microphones) intends to offer timely and appropriate online feedback based upon learner's vocal intonations and facial expressions in order…

An experimental version of the MZT (speech-from-text) system with external F(sub 0) control

NASA Astrophysics Data System (ADS)

Nowak, Ignacy

1994-12-01

The version of a Polish speech from text system described in this article was developed using the speech-from-text system. The new system has additional functions which make it possible to enter commands in edited orthographic text to control the phrase component and accentuation parameters. This makes it possible to generate a series of modified intonation contours in the texts spoken by the system. The effects obtained are made easier to control by a graphic illustration of the base frequency pattern in phrases that were last 'spoken' by the system. This version of the system was designed as a test prototype which will help us expand and refine our set of rules for automatic generation of intonation contours, which in turn will enable the fully automated speech-from-text system to generate speech with a more varied and precisely formed fundamental frequency pattern.

Uncertainty Can Increase Explanatory Credibility

DTIC Science & Technology

2013-08-01

example, that you ask a friend what she thinks of a new restaurant that has opened up in her neighborhood. If she says, “It’s good!” her intonation ... intonation . Figure 2 If James does regular aerobic exercises then he strengthens his heart. But, James did not strengthen his heart. What, if anything...variance from the different materials or the perception that the interaction was staged. General Discussion We used a novel experimental methodology

Perception of suprasegmental features of speech by children with cochlear implants and children with hearing AIDS.

PubMed

Most, Tova; Peled, Miriam

2007-01-01

This study assessed perception of suprasegmental features of speech by 30 prelingual children with sensorineural hearing loss. Ten children had cochlear implants (CIs), and 20 children wore hearing aids (HA): 10 with severe hearing loss and 10 with profound hearing loss. Perception of intonation, syllable stress, word emphasis, and word pattern was assessed. Results revealed that the two HA groups significantly outperformed the CI group in perceiving both intonation and stress. Within each group, word pattern was perceived best, and then intonation and emphasis, with syllable stress perceived poorest. No significant correlation emerged between age at implantation and perception of the various suprasegmental features, possibly due to participants' relatively late age at implantation. Results indicated that CI use did not show an advantage over HA use in the perception of suprasegmental features of speech. Future research should continue to explore variables that might improve this perception.

Intonation and dialog context as constraints for speech recognition.

PubMed

Taylor, P; King, S; Isard, S; Wright, H

1998-01-01

This paper describes a way of using intonation and dialog context to improve the performance of an automatic speech recognition (ASR) system. Our experiments were run on the DCIEM Maptask corpus, a corpus of spontaneous task-oriented dialog speech. This corpus has been tagged according to a dialog analysis scheme that assigns each utterance to one of 12 "move types," such as "acknowledge," "query-yes/no" or "instruct." Most ASR systems use a bigram language model to constrain the possible sequences of words that might be recognized. Here we use a separate bigram language model for each move type. We show that when the "correct" move-specific language model is used for each utterance in the test set, the word error rate of the recognizer drops. Of course when the recognizer is run on previously unseen data, it cannot know in advance what move type the speaker has just produced. To determine the move type we use an intonation model combined with a dialog model that puts constraints on possible sequences of move types, as well as the speech recognizer likelihoods for the different move-specific models. In the full recognition system, the combination of automatic move type recognition with the move specific language models reduces the overall word error rate by a small but significant amount when compared with a baseline system that does not take intonation or dialog acts into account. Interestingly, the word error improvement is restricted to "initiating" move types, where word recognition is important. In "response" move types, where the important information is conveyed by the move type itself--for example, positive versus negative response--there is no word error improvement, but recognition of the response types themselves is good. The paper discusses the intonation model, the language models, and the dialog model in detail and describes the architecture in which they are combined.

Influence of Analogy Instruction for Pitch Variation on Perceptual Ratings of Other Speech Parameters

ERIC Educational Resources Information Center

Tse, Andy C. Y.; Wong, Andus W-K.; Ma, Estella P-M.; Whitehill, Tara L.; Masters, Rich S. W.

2013-01-01

Purpose: "Analogy" is the similarity of different concepts on which a comparison can be based. Recently, an analogy of "waves at sea" was shown to be effective in modulating fundamental frequency (F[subscript 0]) variation. Perceptions of intonation were not examined, as the primary aim of the work was to determine whether…

Factors affecting the perception of Korean-accented American English

NASA Astrophysics Data System (ADS)

Cho, Kwansun; Harris, John G.; Shrivastav, Rahul

2005-09-01

This experiment examines the relative contribution of two factors, intonation and articulation errors, on the perception of foreign accent in Korean-accented American English. Ten native speakers of Korean and ten native speakers of American English were asked to read ten English sentences. These sentences were then modified using high-quality speech resynthesis techniques [STRAIGHT Kawahara et al., Speech Commun. 27, 187-207 (1999)] to generate four sets of stimuli. In the first two sets of stimuli, the intonation patterns of the Korean speakers and American speakers were switched with one another. The articulatory errors for each speaker were not modified. In the final two sets, the sentences from the Korean and American speakers were resynthesized without any modifications. Fifteen listeners were asked to rate all the stimuli for the degree of foreign accent. Preliminary results show that, for native speakers of American English, articulation errors may play a greater role in the perception of foreign accent than errors in intonation patterns. [Work supported by KAIM.

Intonation and compensation of fretted string instruments

NASA Astrophysics Data System (ADS)

Varieschi, Gabriele; Gower, Christina

2011-04-01

We discuss theoretical and physical models that are useful for analyzing the intonation of musical instruments such as guitars and mandolins and can be used to improve the tuning on these instruments. The placement of frets on the fingerboard is designed according to mathematical rules and the assumption of an ideal string. The analysis becomes more complicated when we include the effects of deformation of the string and inharmonicity due to other string characteristics. As a consequence, perfect intonation of all the notes on the instrument cannot be achieved, but complex compensation procedures can be introduced to minimize the problem. To test the validity of these procedures, we performed extensive measurements using standard monochord sonometers and other acoustical devices, confirming the correctness of our theoretical models. These experimental activities can be integrated into acoustics courses and laboratories and can become a more advanced version of basic experiments with monochords and sonometers. This work was supported by a grant from the Frank R. Seaver College of Science and Engineering, Loyola Marymount University.

[Significance of auditory and kinesthetic feedback in vocal training of young professional singers (students)].

PubMed

Ciochină, Al D; Ciochină, Paula; Cobzeanu, M D; Burlui, Ada; Zaharia, D

2004-01-01

The study was to estimate the significance of auditory and kinesthetic feedback to an accurate control of fundamental frequency (F0) in 18 students beginning a professional singing education. The students sing an ascending and descending triad pattern covering their entire pitch range with and without making noise in legato and staccato and in a slow and fast tempo. F0 was measured by a computer program. The interval sizes between adjacent tones were determined and their departures from equally tempered tuning were calculated, the deviation from this tuning were used as a measure of the accuracy of intonation. Intonation accuracy was reduced by masking noise, by staccato as opposed to legato singing, and by fast as opposed to slow performance. The contribution of the auditory feedback to pitch control was not significantly improved after education, whereas the kinesthetic feedback circuit was improved in slow legato and slow staccato tasks. The results support the assumption that the kinesthetic feedback contributes substantially to intonation accuracy.

Children’s development of intonation during the first year of cochlear implant experience

PubMed Central

Snow, David P.; Ertmer, David J.

2012-01-01

This article describes the longitudinal development of intonation in 18 deaf children who received cochlear implants (CIs) before the age of three years and 12 infants with typical development (TD) who served as controls. At the time their implants were activated, the children with CIs ranged in age from 9 to 36 months. Cross-group comparisons were made when the children had equivalent amounts of robust hearing experience but different chronological ages. This paper reports the results for the 6-month period ending 9 months after activation of the child’s device for children with CIs, and the 6-month period ending at 12 months of age for TD infants. The findings were compared to a model of early intonation development in children with normal hearing. The results indicated that all groups progressed through 1 or more of the stages predicted by the normative model. At the end of the study period, however, children who had received a cochlear implant later than 24 months reached a more mature stage of intonation development than younger CI-recipients. Moreover, the older CI group reached the same stage of development as the TD infants who had 3 additional months of language listening experience. The findings suggest that the developmental advantage which older children had previously demonstrated shortly after activation of their CIs is maintained throughout most or all of the first year of cochlear implant use. PMID:21728834

Tone classification of syllable-segmented Thai speech based on multilayer perception

NASA Astrophysics Data System (ADS)

Satravaha, Nuttavudh; Klinkhachorn, Powsiri; Lass, Norman

2002-05-01

Thai is a monosyllabic tonal language that uses tone to convey lexical information about the meaning of a syllable. Thus to completely recognize a spoken Thai syllable, a speech recognition system not only has to recognize a base syllable but also must correctly identify a tone. Hence, tone classification of Thai speech is an essential part of a Thai speech recognition system. Thai has five distinctive tones (``mid,'' ``low,'' ``falling,'' ``high,'' and ``rising'') and each tone is represented by a single fundamental frequency (F0) pattern. However, several factors, including tonal coarticulation, stress, intonation, and speaker variability, affect the F0 pattern of a syllable in continuous Thai speech. In this study, an efficient method for tone classification of syllable-segmented Thai speech, which incorporates the effects of tonal coarticulation, stress, and intonation, as well as a method to perform automatic syllable segmentation, were developed. Acoustic parameters were used as the main discriminating parameters. The F0 contour of a segmented syllable was normalized by using a z-score transformation before being presented to a tone classifier. The proposed system was evaluated on 920 test utterances spoken by 8 speakers. A recognition rate of 91.36% was achieved by the proposed system.

Automatic measurement and representation of prosodic features

NASA Astrophysics Data System (ADS)

Ying, Goangshiuan Shawn

Effective measurement and representation of prosodic features of the acoustic signal for use in automatic speech recognition and understanding systems is the goal of this work. Prosodic features-stress, duration, and intonation-are variations of the acoustic signal whose domains are beyond the boundaries of each individual phonetic segment. Listeners perceive prosodic features through a complex combination of acoustic correlates such as intensity, duration, and fundamental frequency (F0). We have developed new tools to measure F0 and intensity features. We apply a probabilistic global error correction routine to an Average Magnitude Difference Function (AMDF) pitch detector. A new short-term frequency-domain Teager energy algorithm is used to measure the energy of a speech signal. We have conducted a series of experiments performing lexical stress detection on words in continuous English speech from two speech corpora. We have experimented with two different approaches, a segment-based approach and a rhythm unit-based approach, in lexical stress detection. The first approach uses pattern recognition with energy- and duration-based measurements as features to build Bayesian classifiers to detect the stress level of a vowel segment. In the second approach we define rhythm unit and use only the F0-based measurement and a scoring system to determine the stressed segment in the rhythm unit. A duration-based segmentation routine was developed to break polysyllabic words into rhythm units. The long-term goal of this work is to develop a system that can effectively detect the stress pattern for each word in continuous speech utterances. Stress information will be integrated as a constraint for pruning the word hypotheses in a word recognition system based on hidden Markov models.

Intonation as an encoder of speaker certainty: information and confirmation yes-no questions in Catalan.

PubMed

Vanrell, Maria del Mar; Mascaró, Ignasi; Torres-Tamarit, Francesc; Prieto, Pilar

2013-06-01

Recent studies in the field of intonational phonology have shown that information-seeking questions can be distinguished from confirmation-seeking questions by prosodic means in a variety of languages (Armstrong, 2010, for Puerto Rican Spanish; Grice & Savino, 1997, for Bari Italian; Kügler, 2003, for Leipzig German; Mata & Santos, 2010, for European Portuguese; Vanrell, Mascaró, Prieto, & Torres-Tamarit, 2010, for Catalan). However, all these studies have relied on production experiments and little is known about the perceptual relevance of these intonational cues. This paper explores whether Majorcan Catalan listeners distinguish information- and confirmation-seeking questions by means of two distinct nuclear falling pitch accents. Three behavioral tasks were conducted with 20 Majorcan Catalan subjects, namely a semantic congruity test, a rating test, and a classical categorical perception identification/discrimination test. The results show that a difference in pitch scaling on the leading H tone of the H+L* nuclear pitch accent is the main cue used by Majorcan Catalan listeners to distinguish confirmation questions from information-seeking questions. Thus, while a iH+L* pitch accent signals an information-seeking question (i.e., the speaker has no expectation about the nature of the answer), the H+L* pitch accent indicates that the speaker is asking about mutually shared information. We argue that these results have implications in representing the distinctions of tonal height in Catalan. The results also support the claim that phonological contrasts in intonation, together with other linguistic strategies, can signal the speakers' beliefs about the certainty of the proposition expressed.

Contribution of a contralateral hearing aid to perception of consonant voicing, intonation, and emotional state in adult cochlear implantees.

PubMed

Most, Tova; Gaon-Sivan, Gal; Shpak, Talma; Luntz, Michal

2012-01-01

Binaural hearing in cochlear implant (CI) users can be achieved either by bilateral implantation or bimodally with a contralateral hearing aid (HA). Binaural-bimodal hearing has the advantage of complementing the high-frequency electric information from the CI by low-frequency acoustic information from the HA. We examined the contribution of a contralateral HA in 25 adult implantees to their perception of fundamental frequency-cued speech characteristics (initial consonant voicing, intonation, and emotions). Testing with CI alone, HA alone, and bimodal hearing showed that all three characteristics were best perceived under the bimodal condition. Significant differences were recorded between bimodal and HA conditions in the initial voicing test, between bimodal and CI conditions in the intonation test, and between both bimodal and CI conditions and between bimodal and HA conditions in the emotion-in-speech test. These findings confirmed that such binaural-bimodal hearing enhances perception of these speech characteristics and suggest that implantees with residual hearing in the contralateral ear may benefit from a HA in that ear.

Psychoacoustic Factors in Musical Intonation: Beats, Interval Tuning, and Inharmonicity.

NASA Astrophysics Data System (ADS)

Keislar, Douglas Fleming

Three psychoacoustic experiments were conducted using musically experienced subjects. In the first two experiments, the interval tested was the perfect fifth F4-C5; in the final one it was the major third F4-A4. The beat rate was controlled by two different methods: (1) simply retuning the interval, and (2) frequency-shifting one partial of each pair of beating partials without changing the overall interval tuning. The second method introduces inharmonicity. In addition, two levels of beat amplitude were introduced by using either a complete spectrum of 16 equal-amplitude partials per note, or by deleting one partial from each pair of beating partials. The results of all three experiments indicate that, for these stimuli, beating does not contribute significantly to the percept of "out-of-tuneness," because it made no difference statistically whether the beat amplitude was maximal or minimal. By contrast, mistuning the interval was highly significant. For the fifths, frequency-shifting the appropriate partials had about as much effect on the perceived intonation as mistuning the interval. For thirds, this effect was weaker, presumably since there were fewer inharmonic partials and they were higher in the harmonic series. Subjects were less consistent in their judgments of thirds than of fifths, perhaps because the equal-tempered and just thirds differ noticeably, unlike fifths. Since it is unlikely that beats would be more audible in real musical situations than under these laboratory conditions, these results suggest that the perception of intonation in music is dependent on the actual interval tuning rather than the concomitant beat rate. If beating partials are unimportant vis-a-vis interval tuning, this strengthens the argument for a cultural basis for musical intonation and scales, as opposed to the acoustical basis set forth by Helmholtz and others.

Word segmentation in phonemically identical and prosodically different sequences using cochlear implants: A case study.

PubMed

Basirat, Anahita

2017-01-01

Cochlear implant (CI) users frequently achieve good speech understanding based on phoneme and word recognition. However, there is a significant variability between CI users in processing prosody. The aim of this study was to examine the abilities of an excellent CI user to segment continuous speech using intonational cues. A post-lingually deafened adult CI user and 22 normal hearing (NH) subjects segmented phonemically identical and prosodically different sequences in French such as 'l'affiche' (the poster) versus 'la fiche' (the sheet), both [lafiʃ]. All participants also completed a minimal pair discrimination task. Stimuli were presented in auditory-only and audiovisual presentation modalities. The performance of the CI user in the minimal pair discrimination task was 97% in the auditory-only and 100% in the audiovisual condition. In the segmentation task, contrary to the NH participants, the performance of the CI user did not differ from the chance level. Visual speech did not improve word segmentation. This result suggests that word segmentation based on intonational cues is challenging when using CIs even when phoneme/word recognition is very well rehabilitated. This finding points to the importance of the assessment of CI users' skills in prosody processing and the need for specific interventions focusing on this aspect of speech communication.

The Phonetics and Phonology of the Polish Calling Melodies.

PubMed

Arvaniti, Amalia; Żygis, Marzena; Jaskuła, Marek

2016-01-01

Two calling melodies of Polish were investigated, the routine call, used to call someone for an everyday reason, and the urgent call, which conveys disapproval of the addressee's actions. A Discourse Completion Task was used to elicit the two melodies from Polish speakers using twelve names from one to four syllables long; there were three names per syllable count, and speakers produced three tokens of each name with each melody. The results, based on eleven speakers, show that the routine calling melody consists of a low F0 stretch followed by a rise-fall-rise; the urgent calling melody, on the other hand, is a simple rise-fall. Systematic differences were found in the scaling and alignment of tonal targets: the routine call showed late alignment of the accentual pitch peak, and in most instances lower scaling of targets. The accented vowel was also affected, being overall louder in the urgent call. Based on the data and comparisons with other Polish melodies, we analyze the routine call as LH* !H-H% and the urgent call as H* L-L%. We discuss the results and our analysis in light of recent findings on calling melodies in other languages, and explore their repercussions for intonational phonology and the modeling of intonation. © 2017 S. Karger AG, Basel.

Intonation influences how children and adults interpret sarcasm.

PubMed

Glenwright, Melanie; Parackel, Jayanthi M; Cheung, Kristene R J; Nilsen, Elizabeth S

2014-03-01

Adults distinguish sarcasm from literal language according to intonation involving a reduction in fundamental frequency (F0). We examined whether children's and adults' interpretation of a sarcastic speaker's belief, attitude, and humor was affected by degree of F0 reduction by presenting five- to six-year-olds and adults with sarcastic and literal criticisms with a small, medium, or large mean F0 reduction. Children and adults were more accurate in attributing the speaker's belief and intent for sarcastic criticisms for large F0 reductions compared to small reductions. These results show that F0 reduction is a helpful cue to sarcasm interpretation for both children and adults.

The communicative functions of final rises in Finnish intonation.

PubMed

Ogden, Richard; Routarinne, Sara

2005-01-01

This paper considers the communicative function of final rises in Finnish conversational talk between pairs of teenage girls. Final rises are fairly common, occurring approximately twice a minute, predominantly on declaratives and in narrative sequences. We briefly consider the interplay between voice quality (known to be a marker of transition relevance) and rising intonation in Finnish. We argue that in narrative sequences, rising terminals manage two main interactional tasks: they provide a place for a coparticipant to mark recipiency, and they project more talk by the current speaker. Using a methodology which combines phonetic observation with conversation analysis, we demonstrate participants' orientation to these functions.

Advantage of bimodal fitting in prosody perception for children using a cochlear implant and a hearing aid.

PubMed

Straatman, L V; Rietveld, A C M; Beijen, J; Mylanus, E A M; Mens, L H M

2010-10-01

Cochlear implants are largely unable to encode voice pitch information, which hampers the perception of some prosodic cues, such as intonation. This study investigated whether children with a cochlear implant in one ear were better able to detect differences in intonation when a hearing aid was added in the other ear ("bimodal fitting"). Fourteen children with normal hearing and 19 children with bimodal fitting participated in two experiments. The first experiment assessed the just noticeable difference in F0, by presenting listeners with a naturally produced bisyllabic utterance with an artificially manipulated pitch accent. The second experiment assessed the ability to distinguish between questions and affirmations in Dutch words, again by using artificial manipulation of F0. For the implanted group, performance significantly improved in each experiment when the hearing aid was added. However, even with a hearing aid, the implanted group required exaggerated F0 excursions to perceive a pitch accent and to identify a question. These exaggerated excursions are close to the maximum excursions typically used by Dutch speakers. Nevertheless, the results of this study showed that compared to the implant only condition, bimodal fitting improved the perception of intonation.

Relative Salience of Speech Rhythm and Speech Rate on Perceived Foreign Accent in a Second Language.

PubMed

Polyanskaya, Leona; Ordin, Mikhail; Busa, Maria Grazia

2017-09-01

We investigated the independent contribution of speech rate and speech rhythm to perceived foreign accent. To address this issue we used a resynthesis technique that allows neutralizing segmental and tonal idiosyncrasies between identical sentences produced by French learners of English at different proficiency levels and maintaining the idiosyncrasies pertaining to prosodic timing patterns. We created stimuli that (1) preserved the idiosyncrasies in speech rhythm while controlling for the differences in speech rate between the utterances; (2) preserved the idiosyncrasies in speech rate while controlling for the differences in speech rhythm between the utterances; and (3) preserved the idiosyncrasies both in speech rate and speech rhythm. All the stimuli were created in intoned (with imposed intonational contour) and flat (with monotonized, constant F0) conditions. The original and the resynthesized sentences were rated by native speakers of English for degree of foreign accent. We found that both speech rate and speech rhythm influence the degree of perceived foreign accent, but the effect of speech rhythm is larger than that of speech rate. We also found that intonation enhances the perception of fine differences in rhythmic patterns but reduces the perceptual salience of fine differences in speech rate.

Fiches pratiques: Histoire de modes; Yamada-San et le Languedoc Roussillon; Les "ah!" de Cyrano; As-tu une bicyclette? (Practical Ideas: History of Fashion; Yamada-San and the Languedoc Roussillon; The "Ah!" of Cyrano; Do You Have a Bicycle?).

ERIC Educational Resources Information Center

Bourdet, Jean-Francois; And Others

1992-01-01

Four French language instructional activities are described, including an exercise in use of the subjunctive mode, based on an advertisement; a simulation for use in business French; an examination of intonation and meaning in conversation; and an exercise in forming questions. (MSE)

When pitch Accents Encode Speaker Commitment: Evidence from French Intonation.

PubMed

Michelas, Amandine; Portes, Cristel; Champagne-Lavau, Maud

2016-06-01

Recent studies on a variety of languages have shown that a speaker's commitment to the propositional content of his or her utterance can be encoded, among other strategies, by pitch accent types. Since prior research mainly relied on lexical-stress languages, our understanding of how speakers of a non-lexical-stress language encode speaker commitment is limited. This paper explores the contribution of the last pitch accent of an intonation phrase to convey speaker commitment in French, a language that has stress at the phrasal level as well as a restricted set of pitch accents. In a production experiment, participants had to produce sentences in two pragmatic contexts: unbiased questions (the speaker had no particular belief with respect to the expected answer) and negatively biased questions (the speaker believed the proposition to be false). Results revealed that negatively biased questions consistently exhibited an additional unaccented F0 peak in the preaccentual syllable (an H+!H* pitch accent) while unbiased questions were often realized with a rising pattern across the accented syllable (an H* pitch accent). These results provide evidence that pitch accent types in French can signal the speaker's belief about the certainty of the proposition expressed in French. It also has implications for the phonological model of French intonation.

Phonetic and phonological imitation of intonation in two varieties of Italian

PubMed Central

D’Imperio, Mariapaola; Cavone, Rossana; Petrone, Caterina

2014-01-01

The aim of this study was to test whether both phonetic and phonological representations of intonation can be rapidly modified when imitating utterances belonging to a different regional variety of the same language. Our main hypothesis was that tonal alignment, just as other phonetic features of speech, would be rapidly modified by Italian speakers when imitating pitch accents of a different (Southern) variety of Italian. In particular, we tested whether Bari Italian (BI) speakers would produce later peaks for their native rising L + H* (question pitch accent) in the process of imitating Neapolitan Italian (NI) rising L* + H accents. Also, we tested whether BI speakers are able to modify other phonetic properties (pitch level) as well as phonological characteristics (changes in tonal composition) of the same contour. In a follow-up study, we tested if the reverse was also true, i.e., whether NI speakers would produce earlier peaks within the L* + H accent in the process of imitating the L + H* of BI questions, despite the presence of a contrast between two rising accents in this variety. Our results show that phonetic detail of tonal alignment can be successfully modified by both BI and NI speakers when imitating a model speaker of the other variety. The hypothesis of a selective imitation process preventing alignment modifications in NI was hence not supported. Moreover the effect was significantly stronger for low frequency words. Participants were also able to imitate other phonetic cues, in that they modified global utterance pitch level. Concerning phonological convergence, speakers modified the tonal specification of the edge tones in order to resemble that of the other variety by either suppressing or increasing the presence of a final H%. Hence, our data show that intonation imitation leads to fast modification of both phonetic and phonological intonation representations including detail of tonal alignment and pitch scaling. PMID:25408676

The Effects of Rate of Deviation and Musical Context on Intonation Perception in Homophonic Four-Part Chorales.

NASA Astrophysics Data System (ADS)

Bell, Michael Stephen

Sixty-four trained musicians listened to four -bar excerpts of selected chorales by J. S. Bach, which were presented both in four-part texture (harmonic context) and as a single voice part (melodic context). These digitally synthesized examples were created by combining the first twelve partials, and all voice parts had the same generic timbre. A within-subjects design was used, so subjects heard each example in both contexts. Included in the thirty -two excerpts for each subject were four soprano, four alto, four tenor, and four bass parts as the target voices. The intonation of the target voice was varied such that the voice stayed in tune or changed by a half cent, two cents, or eight cents per second (a cent is 1/100 of a half step). Although direction of the deviation (sharp or flat) was not a significant factor in intonation perception, main effects for context (melodic vs. harmonic) and rate of deviation were highly significant, as was the interaction between rate of deviation and context. Specifically, selections that stayed in tune or changed only by half cents were not perceived differently; for larger deviations, the error was detected earlier and the intonation was judged to be worse in the harmonic contexts compared to the melodic contexts. Additionally, the direction of the error was correctly identified in the melodic context more often than the hamonic context only for the examples that mistuned at a rate of eight cents per second. Correct identification of the voice part that went out of tune in the four-part textures depended only on rate of deviation: the in tune excerpts (no voice going out of tune) and the eight cent deviations were correctly identified most often, the two cent deviations were next, and the half cent deviation excerpts were the least accurately identified.

Combined electric and acoustic hearing performance with Zebra® speech processor: speech reception, place, and temporal coding evaluation.

PubMed

Vaerenberg, Bart; Péan, Vincent; Lesbros, Guillaume; De Ceulaer, Geert; Schauwers, Karen; Daemers, Kristin; Gnansia, Dan; Govaerts, Paul J

2013-06-01

To assess the auditory performance of Digisonic(®) cochlear implant users with electric stimulation (ES) and electro-acoustic stimulation (EAS) with special attention to the processing of low-frequency temporal fine structure. Six patients implanted with a Digisonic(®) SP implant and showing low-frequency residual hearing were fitted with the Zebra(®) speech processor providing both electric and acoustic stimulation. Assessment consisted of monosyllabic speech identification tests in quiet and in noise at different presentation levels, and a pitch discrimination task using harmonic and disharmonic intonating complex sounds ( Vaerenberg et al., 2011 ). These tests investigate place and time coding through pitch discrimination. All tasks were performed with ES only and with EAS. Speech results in noise showed significant improvement with EAS when compared to ES. Whereas EAS did not yield better results in the harmonic intonation test, the improvements in the disharmonic intonation test were remarkable, suggesting better coding of pitch cues requiring phase locking. These results suggest that patients with residual hearing in the low-frequency range still have good phase-locking capacities, allowing them to process fine temporal information. ES relies mainly on place coding but provides poor low-frequency temporal coding, whereas EAS also provides temporal coding in the low-frequency range. Patients with residual phase-locking capacities can make use of these cues.

Identification of emotional intonation evaluated by fMRI.

PubMed

Wildgruber, D; Riecker, A; Hertrich, I; Erb, M; Grodd, W; Ethofer, T; Ackermann, H

2005-02-15

During acoustic communication among human beings, emotional information can be expressed both by the propositional content of verbal utterances and by the modulation of speech melody (affective prosody). It is well established that linguistic processing is bound predominantly to the left hemisphere of the brain. By contrast, the encoding of emotional intonation has been assumed to depend specifically upon right-sided cerebral structures. However, prior clinical and functional imaging studies yielded discrepant data with respect to interhemispheric lateralization and intrahemispheric localization of brain regions contributing to processing of affective prosody. In order to delineate the cerebral network engaged in the perception of emotional tone, functional magnetic resonance imaging (fMRI) was performed during recognition of prosodic expressions of five different basic emotions (happy, sad, angry, fearful, and disgusted) and during phonetic monitoring of the same stimuli. As compared to baseline at rest, both tasks yielded widespread bilateral hemodynamic responses within frontal, temporal, and parietal areas, the thalamus, and the cerebellum. A comparison of the respective activation maps, however, revealed comprehension of affective prosody to be bound to a distinct right-hemisphere pattern of activation, encompassing posterior superior temporal sulcus (Brodmann Area [BA] 22), dorsolateral (BA 44/45), and orbitobasal (BA 47) frontal areas. Activation within left-sided speech areas, in contrast, was observed during the phonetic task. These findings indicate that partially distinct cerebral networks subserve processing of phonetic and intonational information during speech perception.

Clinical assessment of pitch perception.

PubMed

Vaerenberg, Bart; Pascu, Alexandru; Del Bo, Luca; Schauwers, Karen; De Ceulaer, Geert; Daemers, Kristin; Coene, Martine; Govaerts, Paul J

2011-07-01

The perception of pitch has recently gained attention. At present, clinical audiologic tests to assess this are hardly available. This article reports on the development of a clinical test using harmonic intonation (HI) and disharmonic intonation (DI). Prospective collection of normative data and pilot study in hearing-impaired subjects. Tertiary referral center. Normative data were collected from 90 normal-hearing subjects recruited from 3 different language backgrounds. The pilot study was conducted on 18 hearing-impaired individuals who were selected into 3 pathologic groups: high-frequency hearing loss (HF), low-frequency hearing loss (LF), and cochlear implant users (CI). Normative data collection and exploratory diagnostics by means of the newly constructed HI/DI tests using intonation patterns to find the just noticeable difference (JND) for pitch discrimination in low-frequency harmonic complex sounds presented in a same-different task. JND for pitch discrimination using HI/DI tests in the hearing population and pathologic groups. Normative data are presented in 5 parameter statistics and box-and-whisker plots showing median JNDs of 2 (HI) and 3 Hz (DI). The results on both tests are statistically abnormal in LF and CI subjects, whereas they are not significantly abnormal in the HF group. The HI and DI tests allow the clinical assessment of low-frequency pitch perception. The data obtained in this study define the normal zone for both tests. Preliminary results indicate possible abnormal TFS perception in some hearing-impaired subjects.

Intonational meaning in institutional settings: the role of syntagmatic relations

NASA Astrophysics Data System (ADS)

Wichmann, Anne

2010-12-01

This paper addresses the power of intonation to convey interpersonal or attitudinal meaning. Speakers have been shown to accommodate to each other in the course of conversation, and this convergence may be perceived as a sign of empathy. Accommodation often involves paradigmatic choices—choosing the same words, gestures, regional accent or melodic pattern, but this paper suggests that affective meaning can also be conveyed syntagmatically through the relationship between prosodic features in successive utterances. The paper also addresses the use of prosody in situations of conflict, particularly in institutional settings. The requirement of the more powerful participant to exercise control may conflict with the expression of empathy. Situations are described where divergent rather than convergent behaviour is more successful both in keeping control and in maintaining rapport.

Voice and persuasion in a banking telemarketing context.

PubMed

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.

Neurobiological, Cognitive, and Emotional Mechanisms in Melodic Intonation Therapy

PubMed Central

Merrett, Dawn L.; Peretz, Isabelle; Wilson, Sarah J.

2014-01-01

Singing has been used in language rehabilitation for decades, yet controversy remains over its effectiveness and mechanisms of action. Melodic Intonation Therapy (MIT) is the most well-known singing-based therapy; however, speculation surrounds when and how it might improve outcomes in aphasia and other language disorders. While positive treatment effects have been variously attributed to different MIT components, including melody, rhythm, hand-tapping, and the choral nature of the singing, there is uncertainty about the components that are truly necessary and beneficial. Moreover, the mechanisms by which the components operate are not well understood. Within the literature to date, proposed mechanisms can be broadly grouped into four categories: (1) neuroplastic reorganization of language function, (2) activation of the mirror neuron system and multimodal integration, (3) utilization of shared or specific features of music and language, and (4) motivation and mood. In this paper, we review available evidence for each mechanism and propose that these mechanisms are not mutually exclusive, but rather represent different levels of explanation, reflecting the neurobiological, cognitive, and emotional effects of MIT. Thus, instead of competing, each of these mechanisms may contribute to language rehabilitation, with a better understanding of their relative roles and interactions allowing the design of protocols that maximize the effectiveness of singing therapy for aphasia. PMID:24917811

Detecting Abnormal Word Utterances in Children With Autism Spectrum Disorders: Machine-Learning-Based Voice Analysis Versus Speech Therapists.

PubMed

Nakai, Yasushi; Takiguchi, Tetsuya; Matsui, Gakuyo; Yamaoka, Noriko; Takada, Satoshi

2017-10-01

Abnormal prosody is often evident in the voice intonations of individuals with autism spectrum disorders. We compared a machine-learning-based voice analysis with human hearing judgments made by 10 speech therapists for classifying children with autism spectrum disorders ( n = 30) and typical development ( n = 51). Using stimuli limited to single-word utterances, machine-learning-based voice analysis was superior to speech therapist judgments. There was a significantly higher true-positive than false-negative rate for machine-learning-based voice analysis but not for speech therapists. Results are discussed in terms of some artificiality of clinician judgments based on single-word utterances, and the objectivity machine-learning-based voice analysis adds to judging abnormal prosody.

Speech Intelligibility and Prosody Production in Children with Cochlear Implants

PubMed Central

Chin, Steven B.; Bergeson, Tonya R.; Phan, Jennifer

2012-01-01

Objectives The purpose of the current study was to examine the relation between speech intelligibility and prosody production in children who use cochlear implants. Methods The Beginner's Intelligibility Test (BIT) and Prosodic Utterance Production (PUP) task were administered to 15 children who use cochlear implants and 10 children with normal hearing. Adult listeners with normal hearing judged the intelligibility of the words in the BIT sentences, identified the PUP sentences as one of four grammatical or emotional moods (i.e., declarative, interrogative, happy, or sad), and rated the PUP sentences according to how well they thought the child conveyed the designated mood. Results Percent correct scores were higher for intelligibility than for prosody and higher for children with normal hearing than for children with cochlear implants. Declarative sentences were most readily identified and received the highest ratings by adult listeners; interrogative sentences were least readily identified and received the lowest ratings. Correlations between intelligibility and all mood identification and rating scores except declarative were not significant. Discussion The findings suggest that the development of speech intelligibility progresses ahead of prosody in both children with cochlear implants and children with normal hearing; however, children with normal hearing still perform better than children with cochlear implants on measures of intelligibility and prosody even after accounting for hearing age. Problems with interrogative intonation may be related to more general restrictions on rising intonation, and the correlation results indicate that intelligibility and sentence intonation may be relatively dissociated at these ages. PMID:22717120

[Can music therapy for patients with neurological disorders?].

PubMed

Myskja, Audun

2004-12-16

Recent developments in brain research and in the field of music therapy have led to the development of music-based methods specifically aimed at relieving symptoms of Parkinson's disease and other neurologic disorders. Rhythmic auditory stimulation uses external rhythmic auditory cues from song, music or metronome to aid patients improving their walking functioning and has been shown to be effective both within sessions and as a result of training over time. Melodic intonation therapy and related vocal techniques can improve expressive dysphasia and aid rehabilitation of neurologic disorders, particularly Parkinson's disease, stroke and developmental disorders.

Sharpen Your Edge on Choral Competition.

ERIC Educational Resources Information Center

Morgan, John; Burrows, Bill

1981-01-01

The authors present choral contest/music festival performance tips which they have gleaned from adjudication sheets, judges' notes, and directors' comments. They include ideas on such topics as intonation, musical selections, rehearsal, balance, and staging. (SJL)

Intonation and expressivity: a single case study of classical western singing.

PubMed

Sundberg, Johan; Lã, Filipa M B; Himonides, Evangelos

2013-05-01

Previous studies have shown that singers tend to sharpen phrase-peak tones as compared with equally tempered tuning (ETT). Here we test the hypothesis that this can serve the purpose of musical expressivity. Data were drawn from earlier recordings, where a professional baritone sang excerpts as void of musical expression as he could (Neutral) and as expressive as in a concert (Concert). Fundamental frequency averaged over tones was examined and compared with ETT. Phrase-peak tones were sharper in excited examples, particularly in the Concert versions. These tones were flattened to ETT using the Melodyne software. The manipulated and original versions were presented pairwise to a musician panel that was asked to choose the more expressive version. By and large, the original versions were perceived as more expressive, thus supporting the common claim that intonation is a means for adding expressivity to a performance. Copyright © 2013 The Voice Foundation. All rights reserved.

Women use voice parameters to assess men's characteristics

PubMed Central

Bruckert, Laetitia; Liénard, Jean-Sylvain; Lacroix, André; Kreutzer, Michel; Leboucher, Gérard

2005-01-01

The purpose of this study was: (i) to provide additional evidence regarding the existence of human voice parameters, which could be reliable indicators of a speaker's physical characteristics and (ii) to examine the ability of listeners to judge voice pleasantness and a speaker's characteristics from speech samples. We recorded 26 men enunciating five vowels. Voices were played to 102 female judges who were asked to assess vocal attractiveness and speakers' age, height and weight. Statistical analyses were used to determine: (i) which physical component predicted which vocal component and (ii) which vocal component predicted which judgment. We found that men with low-frequency formants and small formant dispersion tended to be older, taller and tended to have a high level of testosterone. Female listeners were consistent in their pleasantness judgment and in their height, weight and age estimates. Pleasantness judgments were based mainly on intonation. Female listeners were able to correctly estimate age by using formant components. They were able to estimate weight but we could not explain which acoustic parameters they used. However, female listeners were not able to estimate height, possibly because they used intonation incorrectly. Our study confirms that in all mammal species examined thus far, including humans, formant components can provide a relatively accurate indication of a vocalizing individual's characteristics. Human listeners have the necessary information at their disposal; however, they do not necessarily use it. PMID:16519239

Japanese/Korean Linguistics, Volume 8.

ERIC Educational Resources Information Center

Silva, David J., Ed.

A collection of research in Japanese and Korean linguistics includes: "Repetition, Reformulation, and Definitions: Prosodic Indexes of Elaboration in Japanese" (Mieko Banno); "Projection of Talk Using Language, Intonation, Deictic and Iconic Gestures and Other Body Movements" (Keiko Emmett); "Turn-taking in Japanese…

Teaching Sentential Intonation through Proverbs

ERIC Educational Resources Information Center

Yurtbasi, Metin

2012-01-01

Suprasegmental elements such as "stress," "pitch," "juncture" and "linkers" are language universals that are uttered naturally in the mother tongue without prior training but need to be learned systematically in the target language. Among other techniques of "sentential pronunciation teaching" to…

Age-related changes to the production of linguistic prosody

NASA Astrophysics Data System (ADS)

Barnes, Daniel R.

The production of speech prosody (the rhythm, pausing, and intonation associated with natural speech) is critical to effective communication. The current study investigated the impact of age-related changes to physiology and cognition in relation to the production of two types of linguistic prosody: lexical stress and the disambiguation of syntactically ambiguous utterances. Analyses of the acoustic correlates of stress: speech intensity (or sound-pressure level; SPL), fundamental frequency (F0), key word/phrase duration, and pause duration revealed that both young and older adults effectively use these acoustic features to signal linguistic prosody, although the relative weighting of cues differed by group. Differences in F0 were attributed to age-related physiological changes in the laryngeal subsystem, while group differences in duration measures were attributed to relative task complexity and the cognitive-linguistic load of these respective tasks. The current study provides normative acoustic data for older adults which informs interpretation of clinical findings as well as research pertaining to dysprosody as the result of disease processes.

[A study of the phenomenon of voice intonation: analysis, usage and diagnosis].

PubMed

Kazanecka, E; Pawłowski, Z; Zółtowski, M

1997-01-01

The aim of this work was to study the average rise time (RT) and average flow rate (MRT) in utterance. Data were collected from 48 singers and 44 patients. The group of patients included cases of modulus vocale, polypus laryngis, paresis bilateralis, hemiparesis, and CA laryngis. Various characteristics of utterance were recorded synchronously: the frequency and intensity of the fundamental laryngeal tone were measured with a laryngophone, a microphone was used to monitor acoustic radiation from the mouth, and a pneumotrachometer was applied for the measurement of flow rate. The data were stored and analysed with the use of a computer. Results show that the analysis carried out in the study describes the distinctive characteristics of normal and pathologic utterance. The main findings are as follows: a) rise time (RT) decreases with increasing loudness and pitch of the sound and is also shorter in staccato than inlegato sounds; b) during the initial transient of staccato sounds, the average flow rate in the glottis increases with intensity and pitch of the sound; c) pre-fonation time (TPP) and air volume do not differentiate normal and pathologic utterance; d) in cases of voice pathology, the analysis of utterance described in this study can be used for the evaluation of therapy and rehabilitation.

Three Analogies.

ERIC Educational Resources Information Center

Bolinger, Dwight L.

Three examples are given of cases where differences between Spanish and English syntax and intonation patterns are taught best through direct translation. Grammatical difficulties caused by "gustar" are overcome through the use of translation using "appeal" rather than "please". Similarly, problems for native speakers of English arising with…

Perceiving Prosody from the Face and Voice: Distinguishing Statements from Echoic Questions in English.

ERIC Educational Resources Information Center

Srinivasan, Ravindra J.; Massaro, Dominic W.

2003-01-01

Examined the processing of potential auditory and visual cues that differentiate statements from echoic questions. Found that both auditory and visual cues reliably conveyed statement and question intonation, were successfully synthesized, and generalized to other utterances. (Author/VWL)

Semantic features of 'stepped' versus 'continuous' contours in German intonation.

PubMed

Dombrowski, Ernst

2013-01-01

This study analyses the meaning spaces of German pitch contours using two modes of melodic movement: continuous or in steps of sustained pitch. Both the continuous and stepped movements are represented by a set of five basic patterns, the latter being derived from the former. Thirty-six German native speakers judged the pattern sets on a 12-scale semantic differential. The semantic profiles confirm that stepped contours can be conceived of as stylized intonation, in a formal as well as in a functional sense. On the one hand, continuous (non-stylized) and stepped (stylized) contours are assigned different overall meanings (especially on the scales astonished - commonplace and interested - not interested). On the other hand, listeners organize the two contour sets in a similar fashion, which speaks in favour of parallel pattern inventories of continuous and stepped movement, respectively. However, the meaning space of the stylized patterns is affected by formal restrictions, for instance in the step transformation of continuous rises. © 2014 S. Karger AG, Basel.

Quantitative Evaluation of Musical Scale Tunings

ERIC Educational Resources Information Center

Hall, Donald E.

1974-01-01

The acoustical and mathematical basis of the problem of tuning the twelve-tone chromatic scale is reviewed. A quantitative measurement showing how well any tuning succeeds in providing just intonation for any specific piece of music is explained and applied to musical examples using a simple computer program. (DT)

Band II, Music: 5623.50.

ERIC Educational Resources Information Center

Silkebakken, Dennis L.

This quinmester course of easy-to-medium difficulty is recommended for pupils who have had band or have demonstrated satisfactory proficiency on an instrument. Emphasis for both musicianship and performance is placed on intonation, phrasing, sight-reading, and instrumental technical facility, as well as responsibility of the individual to the…

Age Trends in the Perception of Verbal Reinforcers

ERIC Educational Resources Information Center

Solomon, Daniel; Ali, Faizunisa A.

1972-01-01

Major findings of this study are that (a) there is an increasing tendency, with increasing age, to make differential use of different communication channels according to the aspect of meaning considered, and (b) the relative importance of intonation to perceptions of affective meaning increases with age. (Authors)

Dracula, the Vampire Lestat, and TESOL.

ERIC Educational Resources Information Center

Gee, James Paul

1988-01-01

Considers two aspects of knowing language, besides grammar and vocabulary, that are often understressed: 1) perspective taking (through rhythm and intonation) and 2) manipulation of language variation. This observation is discussed in relation to the contrast between incidental and intentional learning, and an argument is made for an intimate…

The Role of Phonetics in the Teaching of Foreign Languages in India

ERIC Educational Resources Information Center

Bansal, R. K.

1974-01-01

Oral work is considered the most effective way of laying the foundations for language proficiency. Recognition and production of vowels and consonants, use of a pronouncing dictionary, and practice in accent rhythm and intonation should all be included in a pronunciation course. (SC)

An Introduction to Descriptive Linguistics. Revised Edition.

ERIC Educational Resources Information Center

Gleason, H.A., Jr.

Beginning chapters of this volume define language and describe the sound, stress, and intonation systems of English. The body of the text explores extensively morphology, phonetics, phonemics, and the process of communication. Individual chapters detail such topics as morphemes, syntactic devices, grammatical systems, phonemic problems in language…

Is infant-directed speech interesting because it is surprising? - Linking properties of IDS to statistical learning and attention at the prosodic level.

PubMed

Räsänen, Okko; Kakouros, Sofoklis; Soderstrom, Melanie

2018-06-06

The exaggerated intonation and special rhythmic properties of infant-directed speech (IDS) have been hypothesized to attract infants' attention to the speech stream. However, there has been little work actually connecting the properties of IDS to models of attentional processing or perceptual learning. A number of such attention models suggest that surprising or novel perceptual inputs attract attention, where novelty can be operationalized as the statistical (un)predictability of the stimulus in the given context. Since prosodic patterns such as F0 contours are accessible to young infants who are also known to be adept statistical learners, the present paper investigates a hypothesis that F0 contours in IDS are less predictable than those in adult-directed speech (ADS), given previous exposure to both speaking styles, thereby potentially tapping into basic attentional mechanisms of the listeners in a similar manner that relative probabilities of other linguistic patterns are known to modulate attentional processing in infants and adults. Computational modeling analyses with naturalistic IDS and ADS speech from matched speakers and contexts show that IDS intonation has lower overall temporal predictability even when the F0 contours of both speaking styles are normalized to have equal means and variances. A closer analysis reveals that there is a tendency of IDS intonation to be less predictable at the end of short utterances, whereas ADS exhibits more stable average predictability patterns across the full extent of the utterances. The difference between IDS and ADS persists even when the proportion of IDS and ADS exposure is varied substantially, simulating different relative amounts of IDS heard in different family and cultural environments. Exposure to IDS is also found to be more efficient for predicting ADS intonation contours in new utterances than exposure to the equal amount of ADS speech. This indicates that the more variable prosodic contours of IDS also generalize to ADS, and may therefore enhance prosodic learning in infancy. Overall, the study suggests that one reason behind infant preference for IDS could be its higher information value at the prosodic level, as measured by the amount of surprisal in the F0 contours. This provides the first formal link between the properties of IDS and the models of attentional processing and statistical learning in the brain. However, this finding does not rule out the possibility that other differences between the IDS and ADS also play a role. Copyright © 2018 Elsevier B.V. All rights reserved.

Fiber optic sensing system

NASA Technical Reports Server (NTRS)

Adamovsky, Grigory (Inventor)

1991-01-01

A fiber optic interferometer utilizes a low coherence light emitting diode (LED) laser as a light source which is filtered and driven at two RF frequencies, high and low, that are specific to the initial length of the resonator chamber. A displacement of a reflecting mirror changes the length traveled by the nonreferencing signal. The low frequency light undergoes destructive interference which reduces the average intensity of the wave while the high frequency light undergoes constructive interference which increases the average intensity of the wave. The ratio of these two intensity measurements is proportional to the displacement incurred.

Aspects of the Teaching of Russian.

ERIC Educational Resources Information Center

Baker, Robert L.

The process of learning Russian should be no more difficult than the process of learning other languages although it may take somewhat longer. The phonetic system should not present major difficulties with respect to individual sounds, but intonation may be difficult because Russian pitch patterns represent different intentions and emotions than…

Palm Pilots: An Assessment Power Tool

ERIC Educational Resources Information Center

Lacina, Jan

2008-01-01

Struggling readers may regularly worry about reading at an appropriate speed and intonation. Fluency is a "hot" topic according to Jack Cassidy's annual reading survey published in "Reading Today," in which he interviews various literacy experts throughout the United States on the hot and not-so-hot reading topics. Fluency…

Phonotactic Acquisition in Healthy Preterm Infants

ERIC Educational Resources Information Center

Gonzalez-Gomez, Nayeli; Nazzi, Thierry

2012-01-01

Previous work has shown that preterm infants are at higher risk for cognitive/language delays than full-term infants. Recent studies, focusing on prosody (i.e. rhythm, intonation), have suggested that prosodic perception development in preterms is indexed by maturational rather than postnatal/listening age. However, because prosody is heard…

Pauses and Intonational Phrasing: ERP Studies in 5-Month-Old German Infants and Adults

ERIC Educational Resources Information Center

Mannel, Claudia; Friederici, Angela D.

2009-01-01

In language learning, infants are faced with the challenge of decomposing continuous speech into relevant units, such as syntactic clauses and words. Within the framework of prosodic bootstrapping, behavioral studies suggest infants approach this segmentation problem by relying on prosodic information, especially on acoustically marked…

Analyzing Multimodal Interaction within a Classroom Setting

ERIC Educational Resources Information Center

Moura, Heloisa

2006-01-01

Human interactions are multimodal in nature. From simple to complex forms of transferal of information, human beings draw on a multiplicity of communicative modes, such as intonation and gaze, to make sense of everyday experiences. Likewise, the learning process, either within traditional classrooms or Virtual Learning Environments, is shaped by…

Portuguese Basic Courses.

ERIC Educational Resources Information Center

Defense Language Inst., Washington, DC.

This basic course in Brazilian Portuguese consists of 75 lessons in six volumes. Volume I is in two parts, with the dialogs, questions and exercises presented in Portuguese in the first part, and the intonation patterns and English translations presented in the second. The general format follows the Defense Language Institute format, employing…

Efficacy of Accent Modification Training for International Medical Professionals

ERIC Educational Resources Information Center

Khurana, Poonam; Huang, Edgar

2013-01-01

International medical graduates (IMGs) comprise 26% of the U.S. physician work force. While IMGs bring all their knowledge and expertise, their pronunciation and intonation patterns often become a barrier in their ability to be understood. This breakdown in communication can affect physician-patient or physician-staff understanding and hence…

Anticipatory Effects of Intonation: Eye Movements during Instructed Visual Search

ERIC Educational Resources Information Center

Ito, Kiwako; Speer, Shari R.

2008-01-01

Three eye-tracking experiments investigated the role of pitch accents during online discourse comprehension. Participants faced a grid with ornaments, and followed prerecorded instructions such as "Next, hang the blue ball" to decorate holiday trees. Experiment 1 demonstrated a processing advantage for felicitous as compared to infelicitous uses…

The Unaccompanied Choral Rehearsal.

ERIC Educational Resources Information Center

Guelker-Cone, Leslie

1998-01-01

Contends that many choral programs suffer from a continued dependence on the piano for music learning and intonation. Provides suggestions that will help students develop sight-reading and singing skills that are not centered around the piano, such as creating a sight-reading system and having students read choral music immediately. (CMK)

Mother Goose in the ESL Classroom.

ERIC Educational Resources Information Center

Galeano, Karen

Mother Goose is well suited to use in the elementary ESL classroom for several reasons. The stories appeal to children's imagination, adhering to the principle that a good story should have surprise value, interesting characters, meaningful conflict, action, and realism. The natural rhythms help develop English intonation, and the stories…

Acting out: Using Drama with English Learners

ERIC Educational Resources Information Center

Bernal, Penny

2007-01-01

High school teacher Penny Bernal reflects on the success of using drama in her English Language Development classroom over the past ten years. She shares various steps for preparing a play as a means of promoting language learning and literacy, such as familiarizing students with language intonations through toning activities, practicing stage…

Phonetic Diversity, Statistical Learning, and Acquisition of Phonology

ERIC Educational Resources Information Center

Pierrehumbert, Janet B.

2003-01-01

In learning to perceive and produce speech, children master complex language-specific patterns. Daunting language-specific variation is found both in the segmental domain and in the domain of prosody and intonation. This article reviews the challenges posed by results in phonetic typology and sociolinguistics for the theory of language…

Similar Survival for Patients Undergoing Reduced-Intensity Total Body Irradiation (TBI) Versus Myeloablative TBI as Conditioning for Allogeneic Transplant in Acute Leukemia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mikell, John L., E-mail: jmikell@emory.edu; Waller, Edmund K.; Switchenko, Jeffrey M.

Purpose: Hematopoietic stem cell transplantation (HSCT) is the mainstay of treatment for adults with acute leukemia. Total body irradiation (TBI) remains an important part of the conditioning regimen for HCST. For those patients unable to tolerate myeloablative TBI (mTBI), reduced intensity TBI (riTBI) is commonly used. In this study we compared outcomes of patients undergoing mTBI with those of patients undergoing riTBI in our institution. Methods and Materials: We performed a retrospective review of all patients with acute leukemia who underwent TBI-based conditioning, using a prospectively acquired database of HSCT patients treated at our institution. Patient data including details ofmore » the transplantation procedure, disease status, Karnofsky performance status (KPS), response rates, toxicity, survival time, and time to progression were extracted. Patient outcomes for various radiation therapy regimens were examined. Descriptive statistical analysis was performed. Results: Between June 1985 and July 2012, 226 patients with acute leukemia underwent TBI as conditioning for HSCT. Of those patients, 180 had full radiation therapy data available; 83 had acute lymphoblastic leukemia and 94 had acute myelogenous leukemia; 45 patients received riTBI, and 135 received mTBI. Median overall survival (OS) was 13.7 months. Median relapse-free survival (RFS) for all patients was 10.2 months. Controlling for age, sex, KPS, disease status, and diagnosis, there were no significant differences in OS or RFS between patients who underwent riTBI and those who underwent mTBI (P=.402, P=.499, respectively). Median length of hospital stay was shorter for patients who received riTBI than for those who received mTBI (16 days vs 23 days, respectively; P<.001), and intensive care unit admissions were less frequent following riTBI than mTBI (2.22% vs 12.69%, respectively, P=.043). Nonrelapse survival rates were also similar (P=.186). Conclusions: No differences in OS or RFS were seen between all patients undergoing riTBI and those undergoing mTBI, despite older age and potential increased comorbidity of riTBI patients. riTBI regimens were associated with shorter length of hospital stay, fewer intensive care unit admissions, and similar rates of nonrelapse survival, which may reflect reduced toxicity. Prospective trials comparing riTBI and mTBI are warranted.« less

A One-Size Relationship Stance Does Not Fit All: Customisation of the Counselling Relationship

ERIC Educational Resources Information Center

Hatchett, Gregory T.

2008-01-01

Many counsellor education programs require students to undergo intensive training in basic interpersonal skills, such as reflection and summarisation. Not only has research failed to demonstrate the value of such skills in improving client outcomes, but the nondirective counselling philosophy upon which many of the programs are based may be…

Acoustic cue integration in speech intonation recognition with cochlear implants.

PubMed

Peng, Shu-Chen; Chatterjee, Monita; Lu, Nelson

2012-06-01

The present article reports on the perceptual weighting of prosodic cues in question-statement identification by adult cochlear implant (CI) listeners. Acoustic analyses of normal-hearing (NH) listeners' production of sentences spoken as questions or statements confirmed that in English the last bisyllabic word in a sentence carries the dominant cues (F0, duration, and intensity patterns) for the contrast. Furthermore, these analyses showed that the F0 contour is the primary cue for the question-statement contrast, with intensity and duration changes conveying important but less reliable information. On the basis of these acoustic findings, the authors examined adult CI listeners' performance in two question-statement identification tasks. In Task 1, 13 CI listeners' question-statement identification accuracy was measured using naturally uttered sentences matched for their syntactic structures. In Task 2, the same listeners' perceptual cue weighting in question-statement identification was assessed using resynthesized single-word stimuli, within which fundamental frequency (F0), intensity, and duration properties were systematically manipulated. Both tasks were also conducted with four NH listeners with full-spectrum and noise-band-vocoded stimuli. Perceptual cue weighting was assessed by comparing the estimated coefficients in logistic models fitted to the data. Of the 13 CI listeners, 7 achieved high performance levels in Task 1. The results of Task 2 indicated that multiple sources of acoustic cues for question-statement identification were utilized to different extents depending on the listening conditions (e.g., full spectrum vs. spectrally degraded) or the listeners' hearing and amplification status (e.g., CI vs. NH).

Precipitation, Convective Clouds, and Their Connections With Tropical Cyclone Intensity and Intensity Change

NASA Astrophysics Data System (ADS)

Ruan, Zhenxin; Wu, Qiaoyan

2018-01-01

In this paper, satellite-based precipitation, clouds with infrared (IR) brightness temperature (BT), and tropical cyclone (TC) data from 2000 to 2015 are used to explore the relationship between precipitation, convective cloud, and TC intensity change in the Western North Pacific Ocean. An IR BT of 208 K was chosen as a threshold for deep convection based on different diurnal cycles of IR BT. More precipitation and colder clouds with 208 K < IR BT < 240 K are found as storms intensify, while TC 24 h future intensity change is closely connected with very deep convective clouds with IR BT < 208 K. Intensifying TCs follow the occurrence of colder clouds with IR BT < 208 K with greater areal extents. As an indicator of very deep convective clouds, IR BT < 208 K is suggested to be a good predictor of TC intensity change. Based upon the 16 year analysis in the western North Pacific, TCs under the conditions that the mean temperature of very deep convective clouds is less than 201 K, and the coverage of this type of clouds is more than 27.4% within a radius of 300 km of the TC center, will more likely undergo rapid intensification after 24 h.

A system for the delivery of programmable, adaptive stimulation intensity envelopes for drop foot correction applications.

PubMed

Breen, P P; O'Keeffe, D T; Conway, R; Lyons, G M

2006-03-01

We describe the design of an intelligent drop foot stimulator unit for use in conjunction with a commercial neuromuscular electrical nerve stimulation (NMES) unit, the NT2000. The developed micro-controller unit interfaces to a personal computer (PC) and a graphical user interface (GUI) allows the clinician to graphically specify the shape of the stimulation intensity envelope required for a subject undergoing drop foot correction. The developed unit is based on the ADuC812S micro-controller evaluation board from Analog Devices and uses two force sensitive resistor (FSR) based foot-switches to control application of stimulus. The unit has the ability to display to the clinician how the stimulus intensity envelope is being delivered during walking using a data capture capability. The developed system has a built-in algorithm to dynamically adjust the delivery of stimulus to reflect changes both within the gait cycle and from cycle to cycle. Thus, adaptive control of stimulus intensity is achieved.

Effects of the Menstrual Cycle and Oral Contraception on Singers' Pitch Control

ERIC Educational Resources Information Center

La, Filipa M. B.; Sundberg, Johan; Howard, David M.; Sa-Couto, Pedro; Freitas, Adelaide

2012-01-01

Purpose: Difficulties with intonation and vibrato control during the menstrual cycle have been reported by singers; however, this phenomenon has not yet been systematically investigated. Method: A double-blind randomized placebo-controlled trial assessing effects of the menstrual cycle and use of a combined oral contraceptive pill (OCP) on pitch…

Interaction in Storytelling in Japanese Conversations: An Analysis of Story Recipients' Questions

ERIC Educational Resources Information Center

Koike, Chisato

2009-01-01

This study investigates how "unknowing" story recipients (C. Goodwin, 1979) use different types of questions in order to actively participate in storytelling and collaboratively construct a story when a storyteller is relaying his or her past experience, by examining grammar, intonation, gaze, body movements, and sequence organization in Japanese…

Brain Activity Varies with Modulation of Dynamic Pitch Variance in Sentence Melody

ERIC Educational Resources Information Center

Meyer, Martin; Steinhauer, Karsten; Alter, Kai; Friederici, Angela D.; von Cramon, D. Yves

2004-01-01

Fourteen native speakers of German heard normal sentences, sentences which were either lacking dynamic pitch variation (flattened speech), or comprised of intonation contour exclusively (degraded speech). Participants were to listen carefully to the sentences and to perform a rehearsal task. Passive listening to flattened speech compared to normal…

Following Navigation Instructions Presented Verbally or Spatially: Effects on Training, Retention and Transfer

DTIC Science & Technology

2009-01-01

to the specific sequence indicated for each experimental trial. Thus, there was a natural stress and intonation pattern within each isolated word but...Experimental Psychology: Human Perception and Performance, 5, 42–51. Healy, A. F. (2007). Transfer: Specificity and generality. In H. L. Roediger, III, Y

Children's Identification of Questions from Rising Terminal Pitch

ERIC Educational Resources Information Center

Saindon, Mathieu R.; Trehub, Sandra E.; Schellenberg, E. Glenn; van Lieshout, Pascal

2016-01-01

Young children are slow to master conventional intonation patterns in their "yes/no" questions, which may stem from imperfect understanding of the links between terminal pitch contours and pragmatic intentions. In Experiment 1, five to ten-year-old children and adults were required to judge utterances as questions or statements on the…

Teachers' Affective Presentation of Children's Books and Young Children's Display of Affective Engagement during Classroom Book Reading

ERIC Educational Resources Information Center

Moschovaki, Eleni; Meadows, Sara; Pellegrini, Anthony

2007-01-01

This study examines how teachers' use of affective strategies (voice intonation, dramatization, personal involvement comments) during the reading and discussion of books influence young children's affective reactions (dramatization, personal engagement, language play comments). Twenty kindergarten teachers read four books, two fiction and two…

Activating without Inhibiting: Left-Edge Boundary Tones and Syntactic Processing

ERIC Educational Resources Information Center

Roll, Mikael; Horne, Merle; Lindgren, Magnus

2011-01-01

Right-edge boundary tones have earlier been found to restrict syntactic processing by closing a clause for further integration of incoming words. The role of left-edge intonation, however, has received little attention to date. We show that Swedish left-edge boundary tones selectively facilitate the on-line processing of main clauses, the…

Sex Differences in the Accuracy of Intonation Perception: A Study of Oral Interpretation Students.

ERIC Educational Resources Information Center

Jensen, Marvin D.; Carlin, Phyllis Scott

1981-01-01

To determine whether gender differences exist in paralinguistic perception, 31 male and 59 female college students listened to an audiotape on which emotions were conveyed through ambiguous verbal statements and then indicated their perceptions of the conveyed emotions. Statistical analyses of the student responses in relation to students'…

Prosodic Structure Shapes the Temporal Realization of Intonation and Manual Gesture Movements

ERIC Educational Resources Information Center

Esteve-Gibert, Nuria; Prieto, Pilar

2013-01-01

Purpose: Previous work on the temporal coordination between gesture and speech found that the prominence in gesture coordinates with speech prominence. In this study, the authors investigated the anchoring regions in speech and pointing gesture that align with each other. The authors hypothesized that (a) in contrastive focus conditions, the…

The Role of Auditory Feedback in the Encoding of Paralinguistic Responses.

ERIC Educational Resources Information Center

Plazewski, Joseph G.; Allen, Vernon L.

Twenty college students participated in an examination of the role of auditory feedback in the encoding of paralinguistic affect by adults. A dependent measure indicating the accuracy of paralinguistic communication of affect was obtained by comparing the level of affect that encoders intended to produce with ratings of vocal intonations from…

Intonation Facilitates Contrast Resolution: Evidence from Japanese Adults and 6-Year Olds

ERIC Educational Resources Information Center

Ito, Kiwako; Jincho, Nobuyuki; Minai, Utako; Yamane, Naoto; Mazuka, Reiko

2012-01-01

Two eye-tracking experiments tested how pitch prominence on a prenominal adjective affects contrast resolution in Japanese adult and 6-year old listeners. Participants located two animals in succession on displays with multiple colored animals. In Experiment 1, adults' fixations to the contrastive target (pink cat [right arrow] GREEN cat) were…

Spectral Analysis of the Voice in Down Syndrome

ERIC Educational Resources Information Center

Albertini, G.; Bonassi, S.; Dall'Armi, V.; Giachetti, I.; Giaquinto, S.; Mignano, M.

2010-01-01

The voice quality of individuals with Down Syndrome (DS) is generally described as husky, monotonous and raucous. On the other hand, the voice of DS children is characterized by breathiness, roughness, and nasality and is typically low pitched. However, research on phonation and intonation in these participants is limited. The present study was…

Beginning to Disentangle the Prosody-Literacy Relationship: A Multi-Component Measure of Prosodic Sensitivity

ERIC Educational Resources Information Center

Holliman, A. J.; Williams, G. J.; Mundy, I. R.; Wood, C.; Hart, L.; Waldron, S.

2014-01-01

A growing number of studies now suggest that sensitivity to the rhythmic patterning of speech (prosody) is implicated in successful reading acquisition. However, recent evidence suggests that prosody is not a unitary construct and that the different components of prosody (stress, intonation, and timing) operating at different linguistic levels…

Victor of Aveyron: A Reappraisal in Light of More Recent Cases of Feral Speech.

ERIC Educational Resources Information Center

Lebrun, Yvan

1980-01-01

The language development of children who have experienced malnutrition and varying degrees of speech and sensory deprivation is examined. In language learning, such children attend only when directly addressed, cannot control pitch and intonation and lack an understanding of the relational linguistic material and the sociolinguistic rules of…

Reliability and Validity of Autism Assessments and Diagnosis Using Telemedicine?

DTIC Science & Technology

2009-09-01

intonation 67% 65% - 2 % ADOSa4: immediate echolalia 67% 65% -2 % ADOSa5: stereotyped language 71% 75% 4 % ADOSa6: contact gestures 86% 80% - 6 % ADOSa7...76% 91% 15% ADI35: reciprocal conversation 81% 76% -5% ADI33: stereotyped lang/ echolalia 76% 86% 10% ADI36: inappropriate questions 91% 91% No

The Functions of Immediate Echolalia in Autistic Children.

ERIC Educational Resources Information Center

Prizant, Barry M.; Duchan, Judith F.

1981-01-01

A multilevel analysis of verbal and nonverbal factors, response latency, and intonation, in four autistic boys (4 to 9 years old) revealed that immediate echolalia is far more than a meaningless behavior. Seven functional categories of echolalia were discovered and are discussed in reference to behavioral and linguistic features of each category.…

Just Imagine...Improving the Band Experience.

ERIC Educational Resources Information Center

Zerull, David S.

1992-01-01

Discusses the use of imagination as a tool to improve students' musicianship. Suggests that imagery can be used to teach intonation, tone color, sight-reading, and expression. Describes active listening in which the students must use musical memory and participate in musical expression to produce a certain sound that may be difficult to describe.…

Phonetic Influences on English and French Listeners' Assimilation of Mandarin Tones to Native Prosodic Categories

ERIC Educational Resources Information Center

So, Connie K.; Best, Catherine T.

2014-01-01

This study examined how native speakers of Australian English and French, nontone languages with different lexical stress properties, perceived Mandarin tones in a sentence environment according to their native sentence intonation categories (i-Categories) in connected speech. Results showed that both English and French speakers categorized…

Young Children's Understanding of Markedness in Non-Verbal Communication

ERIC Educational Resources Information Center

Liebal, Kristin; Carpenter, Malinda; Tomasello, Michael

2011-01-01

Speakers often anticipate how recipients will interpret their utterances. If they wish some other, less obvious interpretation, they may "mark" their utterance (e.g. with special intonations or facial expressions). We investigated whether two- and three-year-olds recognize when adults mark a non-verbal communicative act--in this case a pointing…

An Exploration of the Phonology of Lexical Chunks in L2 Speech

ERIC Educational Resources Information Center

Astruc, Lluïsa; Adinolfi, Lina

2015-01-01

It is widely accepted that pauses and correspondence with intonation units are among the phonological cues that identify lexical chunks (conventionalised multiword sequences) in spoken first and second language, although conclusive empirical evidence is scant. This article reports on an exploratory study which seeks to identify the main…

Teaching Vocal Canons: A Dare and a Chair

ERIC Educational Resources Information Center

Hess, Kenneth

2006-01-01

Many elementary vocal teachers experience a certain amount of trepidation about teaching students to sing in harmony. In the general music classroom, they face uncertain singers, inaccurate singers, and uninterested or defiant singers, as well as eager children who sing with appropriate head tone and good intonation. Often this colorful mix makes…

UNTAPPED RESOURCES OF NEGRO STUDENTS.

ERIC Educational Resources Information Center

LA BRANT, LOU

WHAT NEGRO STUDENTS BRING, AS WELL AS WHAT THEY DO NOT BRING, TO THE LEARNING EXPERIENCE SHOULD BE OF CONCERN TO TEACHERS. INTONATION AND A NONSTANDARD VOCABULARY ARE TWO DEVICES WHICH ENABLE NEGROES TO MAKE SUBTLE LANGUAGE DISTINCTIONS WHICH TESTS DO NOT MEASURE OR SAMPLE. FURTHER LANGUAGE SUBTLETIES EXIST IN THE CONNOTATIONS OF MANY COMMON…

Analysis of and Feedback on Phonetic Features in Pronunciation Training with a Virtual Teacher

ERIC Educational Resources Information Center

Engwall, Olov

2012-01-01

Pronunciation errors may be caused by several different deviations from the target, such as voicing, intonation, insertions or deletions of segments, or that the articulators are placed incorrectly. Computer-animated pronunciation teachers could potentially provide important assistance on correcting all these types of deviations, but they have an…

Managing Problems of Acceptability through High Rise-Fall Repetitions

ERIC Educational Resources Information Center

Benjamin, Trevor; Walker, Traci

2013-01-01

This article examines one of the ways in which matters of truth, appropriateness, and acceptability are raised and managed within the course of everyday conversation. Using the methodology of conversation analysis, we show that by repeating what another participant has said and doing so with a high rise-fall intonation contour, a speaker claims…

Teaching Socially Expressive Behaviors to Children with Autism through Video Modeling

ERIC Educational Resources Information Center

Charlop, Marjorie H.; Dennis, Brian; Carpenter, Michael H.; Greenberg, Alissa L.

2010-01-01

Children with autism often lack complex socially expressive skills that would allow them to engage others more successfully. In the present study, video modeling was used to promote appropriate verbal comments, intonation, gestures, and facial expressions during social interactions of three children with autism. In baseline, the children rarely…

Amusia results in abnormal brain activity following inappropriate intonation during speech comprehension.

PubMed

Jiang, Cunmei; Hamm, Jeff P; Lim, Vanessa K; Kirk, Ian J; Chen, Xuhai; Yang, Yufang

2012-01-01

Pitch processing is a critical ability on which humans' tonal musical experience depends, and which is also of paramount importance for decoding prosody in speech. Congenital amusia refers to deficits in the ability to properly process musical pitch, and recent evidence has suggested that this musical pitch disorder may impact upon the processing of speech sounds. Here we present the first electrophysiological evidence demonstrating that individuals with amusia who speak Mandarin Chinese are impaired in classifying prosody as appropriate or inappropriate during a speech comprehension task. When presented with inappropriate prosody stimuli, control participants elicited a larger P600 and smaller N100 relative to the appropriate condition. In contrast, amusics did not show significant differences between the appropriate and inappropriate conditions in either the N100 or the P600 component. This provides further evidence that the pitch perception deficits associated with amusia may also affect intonation processing during speech comprehension in those who speak a tonal language such as Mandarin, and suggests music and language share some cognitive and neural resources.

The effect of speaking rate on supersegmentals: An acoustic and perceptual analysis

NASA Astrophysics Data System (ADS)

Chiou, Hsin-Huei; Watson, Peter

2005-09-01

Rate manipulation has been used to study change in prosodic contrasts such as emphatic stress. Timing contrasts in stressed words are reduced or eliminated when speaking rate is increased. However, reports of intonation and rate change are mixed. Some studies have reported an increase of F0 movement [M. Steppling and A. Montgomery, J. Phonetics 64, 451-461 (2002)], and other reports have found that F0 movement is decreased at faster speaking rates [C. Fougeron and S. Jun, Percept. Psychophys. 26, 45-69 (1998)]. This study examined the effect of speaking rate on F0 and duration in sentences produced with emphatic stress in different sentential position and in declarative and interrogative forms. Essentially, durational contrasts were reduced at faster speaking rates and were more pronounced at slower speaking rates. Intonation, on the other hand, was more pronounced for the fast rate and somewhat reduced for the slow rate. A perceptual component will also be reported that examines a listener's ability to recognize stressed words and mode of sentence production (declarative and interrogative) at different speaking rates.

Amusia Results in Abnormal Brain Activity following Inappropriate Intonation during Speech Comprehension

PubMed Central

Jiang, Cunmei; Hamm, Jeff P.; Lim, Vanessa K.; Kirk, Ian J.; Chen, Xuhai; Yang, Yufang

2012-01-01

Pitch processing is a critical ability on which humans’ tonal musical experience depends, and which is also of paramount importance for decoding prosody in speech. Congenital amusia refers to deficits in the ability to properly process musical pitch, and recent evidence has suggested that this musical pitch disorder may impact upon the processing of speech sounds. Here we present the first electrophysiological evidence demonstrating that individuals with amusia who speak Mandarin Chinese are impaired in classifying prosody as appropriate or inappropriate during a speech comprehension task. When presented with inappropriate prosody stimuli, control participants elicited a larger P600 and smaller N100 relative to the appropriate condition. In contrast, amusics did not show significant differences between the appropriate and inappropriate conditions in either the N100 or the P600 component. This provides further evidence that the pitch perception deficits associated with amusia may also affect intonation processing during speech comprehension in those who speak a tonal language such as Mandarin, and suggests music and language share some cognitive and neural resources. PMID:22859982

Role of sentence-final particles and prosody in irony comprehension in Cantonese-speaking children with and without Autism Spectrum Disorders.

PubMed

Li, Jackie P W; Law, Thomas; Lam, Gary Y H; To, Carol K S

2013-01-01

English-speaking children with Autism Spectrum Disorders (ASD) are less capable of using prosodic cues such as intonation for irony comprehension. Prosodic cues, in particular intonation, in Cantonese are relatively restricted while sentence-final particles (SFPs) may be used for this pragmatic function. This study investigated the use of prosodic cues and SFPs in irony comprehension in Cantonese-speaking children with and without ASD. Thirteen children with ASD (8;3-12;9) were language-matched with 13 typically developing (TD) peers. By manipulating prosodic cues and SFPs, 16 stories with an ironic remark were constructed. Participants had to judge the speaker's belief and intention. Both groups performed similarly well in judging the speaker's belief. For the speaker's intention, the TD group relied more on SFPs. The ASD group performed significantly poorer and did not rely on either cue. SFPs may play a salient role in Cantonese irony comprehension. The differences between the two groups were discussed by considering the literature on theory of mind.

Effects of age on F0 discrimination and intonation perception in simulated electric and electroacoustic hearing.

PubMed

Souza, Pamela; Arehart, Kathryn; Miller, Christi Wise; Muralimanohar, Ramesh Kumar

2011-02-01

Recent research suggests that older listeners may have difficulty processing information related to the fundamental frequency (F0) of voiced speech. In this study, the focus was on the mechanisms that may underlie this reduced ability. We examined whether increased age resulted in decreased ability to perceive F0 using fine-structure cues provided by the harmonic structure of voiced speech sounds or cues provided by high-rate envelope fluctuations (periodicity). Younger listeners with normal hearing and older listeners with normal to near-normal hearing completed two tasks of F0 perception. In the first task (steady state F0), the fundamental frequency difference limen (F0DL) was measured adaptively for synthetic vowel stimuli. In the second task (time-varying F0), listeners relied on variations in F0 to judge intonation of synthetic diphthongs. For both tasks, three processing conditions were created: eight-channel vocoding that preserved periodicity cues to F0; a simulated electroacoustic stimulation condition, which consisted of high-frequency vocoder processing combined with a low-pass-filtered portion, and offered both periodicity and fine-structure cues to F0; and an unprocessed condition. F0 difference limens for steady state vowel sounds and the ability to discern rising and falling intonations were significantly worse in the older subjects compared with the younger subjects. For both older and younger listeners, scores were lowest for the vocoded condition, and there was no difference in scores between the unprocessed and electroacoustic simulation conditions. Older listeners had difficulty using periodicity cues to obtain information related to talker fundamental frequency. However, performance was improved by combining periodicity cues with (low frequency) acoustic information, and that strategy should be considered in individuals who are appropriate candidates for such processing. For cochlear implant candidates, this effect might be achieved by partial electrode insertion providing acoustic stimulation in the low frequencies or by the combination of a traditional implant in one ear and a hearing aid in the opposite ear.

Effect of body weight support variation on muscle activities during robot assisted gait: a dynamic simulation study.

PubMed

Hussain, Shahid; Jamwal, Prashant K; Ghayesh, Mergen H

2017-05-01

While body weight support (BWS) intonation is vital during conventional gait training of neurologically challenged subjects, it is important to evaluate its effect during robot assisted gait training. In the present research we have studied the effect of BWS intonation on muscle activities during robotic gait training using dynamic simulations. Two dimensional (2-D) musculoskeletal model of human gait was developed conjointly with another 2-D model of a robotic orthosis capable of actuating hip, knee and ankle joints simultaneously. The musculoskeletal model consists of eight major muscle groups namely; soleus (SOL), gastrocnemius (GAS), tibialis anterior (TA), hamstrings (HAM), vasti (VAS), gluteus maximus (GLU), uniarticular hip flexors (iliopsoas, IP), and Rectus Femoris (RF). BWS was provided at levels of 0, 20, 40 and 60% during the simulations. In order to obtain a feasible set of muscle activities during subsequent gait cycles, an inverse dynamics algorithm along with a quadratic minimization algorithm was implemented. The dynamic parameters of the robot assisted human gait such as joint angle trajectories, ground contact force (GCF), human limb joint torques and robot induced torques at different levels of BWS were derived. The patterns of muscle activities at variable BWS were derived and analysed. For most part of the gait cycle (GC) the muscle activation patterns are quite similar for all levels of BWS as is apparent from the mean of muscle activities for the complete GC. Effect of BWS variation during robot assisted gait on muscle activities was studied by developing dynamic simulation. It is expected that the proposed dynamic simulation approach will provide important inferences and information about the muscle function variations consequent upon a change in BWS during robot assisted gait. This information shall be quite important while investigating the influence of BWS intonation on neuromuscular parameters of interest during robotic gait training.

Prosodic skills in children with Down syndrome and in typically developing children.

PubMed

Zampini, Laura; Fasolo, Mirco; Spinelli, Maria; Zanchi, Paola; Suttora, Chiara; Salerni, Nicoletta

2016-01-01

Many studies have analysed language development in children with Down syndrome to understand better the nature of their linguistic delays and the reason why these delays, particularly those in the morphosyntactic area, seem greater than their cognitive impairment. However, the prosodic characteristics of language development in children with Down syndrome have been scarcely investigated. To analyse the prosodic skills of children with Down syndrome in the production of multi-word utterances. Data on the prosodic skills of these children were compared with data on typically developing children matched on developmental age and vocabulary size. Between-group differences and the relationships between prosodic and syntactic skills were investigated. The participants were nine children with Down syndrome (who ranged in chronological age from 45 to 63 months and had a mean developmental age of 30 months) and 12 30-month-old typically developing children. The children in both groups had a vocabulary size of approximately 450 words. The children's spontaneous productions were recorded during observations of mother-child play sessions. Data analyses showed that despite their morphosyntactic difficulties, children with Down syndrome were able to master some aspects of prosody in multi-word utterances. They were able to produce single intonation multi-word utterances on the same level as typically developing children. In addition, the intonation contour of their utterances was not negatively influenced by syntactic complexity, contrary to what occurred in typically developing children, although it has to be considered that the utterances produced by children with Down syndrome were less complex than those produced by children in the control group. However, children with Down syndrome appeared to be less able than typically developing children to use intonation to express the pragmatic interrogative function. The findings are discussed considering the effects of social experience on the utterance prosodic realization. © 2015 Royal College of Speech and Language Therapists.

What Oral Text Reading Fluency Can Reveal about Reading Comprehension

ERIC Educational Resources Information Center

Veenendaal, Nathalie J.; Groen, Margriet A.; Verhoeven, Ludo

2015-01-01

Text reading fluency--the ability to read quickly, accurately and with a natural intonation--has been proposed as a predictor of reading comprehension. In the current study, we examined the role of oral text reading fluency, defined as text reading rate and text reading prosody, as a contributor to reading comprehension outcomes in addition to…

Inadequate and Infrequent Are Not Alike: ERPs to Deviant Prosodic Patterns in Spoken Sentence Comprehension

ERIC Educational Resources Information Center

Mietz, Anja; Toepel, Ulrike; Ischebeck, Anja; Alter, Kai

2008-01-01

The current study on German investigates Event-Related brain Potentials (ERPs) for the perception of sentences with intonations which are infrequent (i.e. vocatives) or inadequate in daily conversation. These ERPs are compared to the processing correlates for sentences in which the syntax-to-prosody relations are congruent and used frequently…

Perception of Suprasegmental Features of Speech by Children with Cochlear Implants and Children with Hearing Aids

ERIC Educational Resources Information Center

Most, Tova; Peled, Miriam

2007-01-01

This study assessed perception of suprasegmental features of speech by 30 prelingual children with sensorineural hearing loss. Ten children had cochlear implants (CIs), and 20 children wore hearing aids (HA): 10 with severe hearing loss and 10 with profound hearing loss. Perception of intonation, syllable stress, word emphasis, and word pattern…

Advisor Influence Strategies: 10 Cross-Cultural Scenarios for Discussion and Self-Assessment (Instructor’s Manual)

DTIC Science & Technology

2010-09-01

perception that one has a coalition also can be used in lieu of bringing actual members of a “coalition” to the influence attempt. Coalition tactics... intonation and body language. E-32 Scenario Eight An Afghan National Police (ANP) team and their Police Mentor Team are on a routine patrol in

Advisor Influence Strategies: 10 Cross-Cultural Scenarios for Self-Assessment and Reflection

DTIC Science & Technology

2010-10-01

a meeting or the advisor may merely say that other people are “on board” with the advisor’s point of view. Thus, giving someone the perception that...Iraqis can judge the sincerity and authenticity of an advisor by his intonation and body language. D-34 Scenario Eight 1. Of the influence

The Effects of Computer-Assisted Pronunciation Readings on ESL Learners' Use of Pausing, Stress, Intonation, and Overall Comprehensibility

ERIC Educational Resources Information Center

Tanner, Mark W.; Landon, Melissa M.

2009-01-01

With research showing the benefits of pronunciation instruction aimed at suprasegmentals (Derwing, Munro, & Wiebe, 1997, 1998; Derwing & Rossiter, 2003; Hahn, 2004; McNerney and Mendelsohn, 1992), more materials are needed to provide learners opportunities for self-directed practice. A 13-week experimental study was performed with 75 ESL learners…

President Nixon’s Decision to Renounce the U.S. Offensive Biological Weapons Program

DTIC Science & Technology

2009-10-01

President’s decision. During the NSC deliberations, Nixon observed that the public perception of the BW issue was “very important.” In particular, it...important decisions,” Nixon intoned , “have been taken as an initiative toward peace. Mankind already carries in its own hands too many of the seeds of

Lexical Encoding of L2 Tones: The Role of L1 Stress, Pitch Accent and Intonation

ERIC Educational Resources Information Center

Braun, Bettina; Galts, Tobias; Kabak, Baris

2014-01-01

Native language prosodic structure is known to modulate the processing of non-native suprasegmental information. It has been shown that native speakers of French, a language without lexical stress, have difficulties storing non-native stress contrasts. We investigated whether the ability to store lexical tone (as in Mandarin Chinese) also depends…

Promoting Increased Pitch Variation in Oral Presentations with Transient Visual Feedback

ERIC Educational Resources Information Center

Hincks, Rebecca; Edlund, Jens

2009-01-01

This paper investigates learner response to a novel kind of intonation feedback generated from speech analysis. Instead of displays of pitch curves, our feedback is flashing lights that show how much pitch variation the speaker has produced. The variable used to generate the feedback is the standard deviation of fundamental frequency as measured…

A Computational Model of Word Segmentation from Continuous Speech Using Transitional Probabilities of Atomic Acoustic Events

ERIC Educational Resources Information Center

Rasanen, Okko

2011-01-01

Word segmentation from continuous speech is a difficult task that is faced by human infants when they start to learn their native language. Several studies indicate that infants might use several different cues to solve this problem, including intonation, linguistic stress, and transitional probabilities between subsequent speech sounds. In this…

THE ROLE OF APPLIED LINGUISTICS IN THE TEACHING OF FRENCH AND SPANISH.

ERIC Educational Resources Information Center

STEINER, FLORENCE

APPLIED LINGUISTICS CAN ASSIST TEACHERS OF FRENCH AND SPANISH IN DETECTING ERRORS IN PITCH, INTONATION, RHYTHM, WORD COMBINATION, AND SOUND REPRODUCTION, AS WELL AS IN ENABLING THEM TO DO A PROFESSIONAL JOB OF TEACHING STUDENTS MORE ACCURATE SPEECH HABITS. AS THE TEACHER CONCENTRATES ON THE SOUND OF THE LANGUAGE, HE MUST VALUE THE SIGNIFICANCE OF…

Intonational Rises and Dialog Acts in the Australian English Map Task.

ERIC Educational Resources Information Center

Fletcher, Janet; Stirling, Lesley; Mushin, Ilana; Wales, Roger

2002-01-01

Eight map task dialogs representative of general Australian English were coded for speaker turn and for dialog acts using a version of SWBD-DAMSL, a dialog act annotation scheme. High, low, simple, and complex rising tunes, and any corresponding dialog act codes were then compared. The Australian statement high rise (usually realized as a L…

Sensitivity to Visual Prosodic Cues in Signers and Nonsigners

ERIC Educational Resources Information Center

Brentari, Diane; Gonzalez, Carolina; Seidl, Amanda; Wilbur, Ronnie

2011-01-01

Three studies are presented in this paper that address how nonsigners perceive the visual prosodic cues in a sign language. In Study 1, adult American nonsigners and users of American Sign Language (ASL) were compared on their sensitivity to the visual cues in ASL Intonational Phrases. In Study 2, hearing, nonsigning American infants were tested…

Making a Good Sound on the Trumpet

ERIC Educational Resources Information Center

Dust, Thomas

2007-01-01

If trumpet players are having difficulty playing in tune, the problem may be related to tone. A properly resonant tone is important for developing the concept of intonation--in-tune playing--and for the student's aesthetic satisfaction. A poor tone must be remedied so that students can play in tune and progress satisfactorily with all aspects of…

Do Questions Get Infants Talking? Infant Vocal Responses to Questions and Declaratives in Maternal Speech

ERIC Educational Resources Information Center

Reimchen, Melissa; Soderstrom, Melanie

2017-01-01

Maternal questions play a crucial role in early language acquisition by virtue of their special grammatical, prosodic and lexical forms, and their abundance in the input. Infants are able to discriminate questions from other sentence types and produce rising intonations in their own requests. This study examined whether caregiver questions were…

Analyzing Discourse: Text and Talk. Georgetown University Round Table on Languages and Linguistics (Washington, D.C., 1981).

ERIC Educational Resources Information Center

Tannen, Deborah, Ed.

The Georgetown Round Table on discourse analysis dealt with the following aspects of the topic: Emerson's essay on language; oral remembering and narrative structures; persuasive discourse; social construction of topical cohesion; discourse as an interactional achievement; the place of intonation; topic as the unit of analysis in a criminal law…

Phonological and Phonetic Marking of Information Status in Foreign Accent Syndrome

ERIC Educational Resources Information Center

Kuschmann, Anja; Lowit, Anja

2012-01-01

Background: Foreign Accent Syndrome (FAS) is a motor speech disorder in which a variety of segmental and suprasegmental errors lead to the perception of a new accent in speech. Whilst changes in intonation have been identified to contribute considerably to the perceived alteration in accent, research has rarely focused on how these changes impact…

Constraining Second Language Word Order Optionality: Scrambling in Advanced English?German and Japanese?German Interlanguage

ERIC Educational Resources Information Center

Hopp, Holger

2005-01-01

This study documents knowledge of UG-mediated aspects of optionality in word order in the second language (L2) German of advanced English and Japanese speakers (n = 39). A bimodal grammaticality judgement task, which controlled for context and intonation, was administered to probe judgements on a set of scrambling, topicalization and remnant…

Experiences of the Breast Cancer Patients Undergoing Radiotherapy at a Public Hospital Peshawar Pakistan

PubMed Central

Habibullah, Gulzar; Gul, Raisa; Cassum, Shanaz; Elahi, Rehana

2018-01-01

Objective: This study aimed to explore the experiences of female breast cancer patients undergoing radiotherapy (RT) in a public hospital in Peshawar, Pakistan. Methods: This study employed a descriptive exploratory method. A purposive sample of 14 breast cancer women undergoing RT was selected for this study. Data were collected over the period of 5 months, using a semi-structured interview guide and conducting in-depth face-to-face interviews. These interviews were audio taped and transcribed by a bilingual transcriber. The translated version of the interview was coded, and the analysis was done manually. Results: Four main categories emerged from data analysis, which were: feelings and perceptions of the patients, their challenges, coping strategies, and teaching and informational needs. Conclusions: Women undergoing RT in this culture experience more intense psychological effects, as compared to the physical effects. Keeping in mind, the magnitude of the emotional stress experienced by the participants, recommendations for policy reforms, and training for female RT staff are suggested based on findings of this research. PMID:29607379

Combined high-intensity local treatment and systemic therapy in metastatic head and neck squamous cell carcinoma: An analysis of the National Cancer Data Base.

PubMed

Zumsteg, Zachary S; Luu, Michael; Yoshida, Emi J; Kim, Sungjin; Tighiouart, Mourad; David, John M; Shiao, Stephen L; Mita, Alain C; Scher, Kevin S; Sherman, Eric J; Lee, Nancy Y; Ho, Allen S

2017-12-01

There is increasing evidence that primary tumor ablation can improve survival for some cancer patients with distant metastases. This may be particularly applicable to head and neck squamous cell carcinoma (HNSCC) because of its tropism for locoregional progression. This study included patients with metastatic HNSCC undergoing systemic therapy identified in the National Cancer Data Base. High-intensity local treatment was defined as radiation doses ≥ 60 Gy or oncologic resection of the primary tumor. Multivariate Cox regression, propensity score matching, landmark analysis, and subgroup analysis were performed to account for imbalances in covariates, including adjustments for the number and location of metastatic sites in the subset of patients with this information available. In all, 3269 patients were included (median follow-up, 51.5 months). Patients undergoing systemic therapy with local treatment had improved survival in comparison with patients receiving systemic therapy alone in propensity score-matched cohorts (2-year overall survival, 34.2% vs 20.6%; P < .001). Improved survival was associated only with patients receiving high-intensity local treatment, whereas those receiving lower-intensity local treatment had survival similar to that of patients receiving systemic therapy without local treatment. The impact of high-intensity local therapy was time-dependent, with a stronger impact within the first 6 months after the diagnosis (adjusted hazard ratio [AHR], 0.255; 95% confidence interval [CI], 0.210-0.309; P < .001) in comparison with more than 6 months after the diagnosis (AHR, 0.622; 95% CI, 0.561-0.689; P < .001) in the multivariate analysis. A benefit was seen in all subgroups, in landmark analyses of 1-, 2-, and 3-year survivors, and when adjusting for the number and location of metastatic sites. Aggressive local treatment warrants prospective evaluation for select patients with metastatic HNSCC. Cancer 2017;123:4583-4593. © 2017 American Cancer Society. © 2017 American Cancer Society.

Judging Pain Intensity in Children with Autism Undergoing Venepuncture: The Influence of Facial Activity

ERIC Educational Resources Information Center

Messmer, Rosemary L.; Nader, Rami; Craig, Kenneth D.

2008-01-01

The biasing effect of pain sensitivity information and the impact of facial activity on observers' judgments of pain intensity of children with autism were examined. Observers received information that pain experience in children with autism is either the same as, more intense than, or less intense than children without autism. After viewing six…

Cantico Delle Creature: A microtonal original composition for soprano and string quartet to a text by St. Francis of Assisi, including analytical commentary

NASA Astrophysics Data System (ADS)

Sabol, Jason A.

Cantico delle Creature is an original piece of music for soprano and string quartet composed in 72 tone per octave equal temperament, dividing each semitone into six equal parts called twelfth-tones. This system of tuning makes it possible to combine just intonation and spectral principles based on the harmonic series with real imitation, modulation, and polyphony. Supplemental text discusses several aspects of microtonal structure and pedagogy, including the representation of the first 64 partials of the harmonic series in 72 tone equal temperament, performance of natural string harmonics, the relationship between interval size and vibration ratio, pitch to frequency conversion, and analysis of several passages in the musical score.

Virtual reality bringing a new reality to postthoracotomy lung cancer patients via a home-based exercise intervention targeting fatigue while undergoing adjuvant treatment.

PubMed

Hoffman, Amy J; Brintnall, Ruth Ann; Brown, Jean K; von Eye, Alexander; Jones, Lee W; Alderink, Gordon; Ritz-Holland, Deborah; Enter, Mark; Patzelt, Lawrence H; VanOtteren, Glenn M

2014-01-01

Little is known about rehabilitation for postthoracotomy non-small cell lung cancer (NSCLC) patients. This research uses a perceived self-efficacy-enhancing light-intensity exercise intervention targeting a priority symptom, cancer-related fatigue (CRF), for postthoracotomy NSCLC patients. This article reports on phase II of a 2-phase study. Phase I focused on initiation and tolerance of exercise during the 6 weeks immediately after thoracotomy, whereas phase II addressed maintenance of exercise for an additional 10 weeks including participants initiating and completing chemotherapy and/or radiation therapy. The objective of this study was to investigate the feasibility, acceptability, and preliminary efficacy of an exercise intervention for postthoracotomy NSCLC patients to include those initiating and completing adjuvant therapy. A single-arm design composed of 7 participants postthoracotomy for NSCLC performed light-intensity exercises using an efficacy-enhancing virtual-reality approach using the Nintendo Wii Fit Plus. Despite most participants undergoing chemotherapy and/or radiation therapy, participants adhered to the intervention at a rate of 88% with no adverse events while giving the intervention high acceptability scores on conclusion. Likewise, participants' CRF scores improved from initiation through the conclusion of the intervention with perceived self-efficacy for walking at a light intensity continuously for 60 minutes, improving significantly upon conclusion over presurgery values. Postthoracotomy NSCLC patients maintained exercise for an additional 10 weeks while undergoing adjuvant therapy showing rehabilitation potential because the exercise intervention was feasible, safe, well tolerated, and highly acceptable showing positive changes in CRF self-management. A randomized controlled trial is needed to further investigate these relationships.

Proceedings of the Annual Penn Linguistics Colloquium (21st, Philadelphia, Pennsylvania, February 22-23, 1997). University of Pennsylvania Working Papers in Linguistics, Volume 4, Number 2.

ERIC Educational Resources Information Center

Dimitriadis, Alexis, Ed.; Siegel, Laura, Ed.; Surek-Clark, Clarissa, Ed.; Williams, Alexander, Ed.

This issue contains the following articles: "The Pragmatics of Wh-Question Intonation in English" (Christine Bartels); "The Nature of Object Agreement in Hungarian" (Huba Bartos); "Voah Mei Daett Sei Deitsh: Developments in the Vowel System of Pennsylvania German" (David Bowie); "Event Time Properties"…

Awareness-Raising in the TEFL Phonology Classroom: Student Voices and Sociocultural and Psychological Considerations

ERIC Educational Resources Information Center

Zhang, Lawrence Jun

2004-01-01

This paper reports on two phases of a study of a group of advanced TEFL (teachers-of-English-as-a-foreign-language) students. To raise their awareness of the importance of discourse intonation while they were receiving teacher training, this study focuses on examining their sociocultural and psychological inclinations in the choice of phonological…

Perception of Suprasegmental Speech Features via Bimodal Stimulation: Cochlear Implant on One Ear and Hearing Aid on the Other

ERIC Educational Resources Information Center

Most, Tova; Harel, Tamar; Shpak, Talma; Luntz, Michal

2011-01-01

Purpose: The purpose of the study was to evaluate the contribution of acoustic hearing to the perception of suprasegmental features by adults who use a cochlear implant (CI) and a hearing aid (HA) in opposite ears. Method: 23 adults participated in this study. Perception of suprasegmental features--intonation, syllable stress, and word…

Computer Graphics Research Laboratory

DTIC Science & Technology

1994-01-31

loken language (words and contextually appropriate intonation marking topic and focus), fac %. iove- ments (lip shapes, emotions , gaze direction, head...content of speech (scrunching one’s lose when talking about something unpleasant), emotion (wrinkling one’s eyebrows with wov ry), personality...ng at the other person to see how she follows), look for information, express emotion (lookii , downward in case of sadness), or influence another

Contribution of a Contralateral Hearing Aid to Perception of Consonant Voicing, Intonation, and Emotional State in Adult Cochlear Implantees

ERIC Educational Resources Information Center

Most, Tova; Gaon-Sivan, Gal; Shpak, Talma; Luntz, Michal

2012-01-01

Binaural hearing in cochlear implant (CI) users can be achieved either by bilateral implantation or bimodally with a contralateral hearing aid (HA). Binaural-bimodal hearing has the advantage of complementing the high-frequency electric information from the CI by low-frequency acoustic information from the HA. We examined the contribution of a…

Mira y lee: Libro de lectura 1, nivel 1 (Look and Read: Reader 1, Level 1).

ERIC Educational Resources Information Center

Martinez, Emiliano; And Others

This reading textbook contains a series of stories designed to relate to the natural interest of the school child. Students learn about a Puerto Rican family living in New York. New vocabulary is introduced gradually for the student to memorize. Included are exercises in oral expression and comprehension, auditory discrimination, intonation,…

Discrimination of intonation contours by adolescents with cochlear implants.

PubMed

Holt, Colleen M; McDermott, Hugh J

2013-12-01

Differences in fundamental frequency (F0) contour peak alignment contribute to the perception of pitch accents in speech intonation. The present study assessed the discrimination of differences in F0 contour peak alignment by adolescent users of cochlear implants (CIs). In Experiment 1, subjects discriminated between rise-fall F0 contours located early in the syllable and those aligned late. Recorded utterances with manipulated F0 were used as stimuli and all subjects wore a unilateral CI. In Experiment 2, bilaterally-implanted subjects repeated Experiment 1 in the bilateral condition. Twenty-one CI users aged 12-21 years participated. A normally-hearing control group (n = 20) also completed Experiment 1. Listeners with normal hearing (NH) could discriminate between F0 peaks differing by 80 ms or more. Results varied among the CI users, with only four users displaying a pattern of results similar to that of the NH listeners. Sixteen CI users responded inconsistently or at chance levels (p > 0.05; binomial test). Ten CI users who were bilaterally implanted completed the tests in unilateral and bilateral listening conditions. Results suggest that CI users may have difficulty discriminating between F0 alignment and that use of bilateral implants did not provide an advantage to discrimination.

Enhancement of temporal periodicity cues in cochlear implants: Effects on prosodic perception and vowel identification

NASA Astrophysics Data System (ADS)

Green, Tim; Faulkner, Andrew; Rosen, Stuart; Macherey, Olivier

2005-07-01

Standard continuous interleaved sampling processing, and a modified processing strategy designed to enhance temporal cues to voice pitch, were compared on tests of intonation perception, and vowel perception, both in implant users and in acoustic simulations. In standard processing, 400 Hz low-pass envelopes modulated either pulse trains (implant users) or noise carriers (simulations). In the modified strategy, slow-rate envelope modulations, which convey dynamic spectral variation crucial for speech understanding, were extracted by low-pass filtering (32 Hz). In addition, during voiced speech, higher-rate temporal modulation in each channel was provided by 100% amplitude-modulation by a sawtooth-like wave form whose periodicity followed the fundamental frequency (F0) of the input. Channel levels were determined by the product of the lower- and higher-rate modulation components. Both in acoustic simulations and in implant users, the ability to use intonation information to identify sentences as question or statement was significantly better with modified processing. However, while there was no difference in vowel recognition in the acoustic simulation, implant users performed worse with modified processing both in vowel recognition and in formant frequency discrimination. It appears that, while enhancing pitch perception, modified processing harmed the transmission of spectral information.

How knowledge of the song influences the matching of "melodies" to rhythm sequences tapped in the right and left palms.

PubMed

O'Boyle, M W; Bormann, L; Harts, K

1990-12-01

Previous work by O'Boyle and Sanford (1988) has demonstrated that the right hemisphere (RH) is superior to the left hemisphere (LH) in the matching of tape-recorded melodies to rhythm sequences tapped in the palms of the hands. This asymmetrical advantage was attributed to a RH superiority in the perceptual processing of intonation as compared to the rhythm component of these musical stimuli. In the present study, subjects were taught that the monotone sound of two wooden drumsticks struck together in a specified rhythm actually represented non-melodic translations of songs with identifiable melodies. After such mental associations had been formed, these non-melodic stimuli (which produced no asymmetric performance in Exp. 2 of the O'Boyle and Sanford study), now produced a RH advantage that was comparable to that induced by the original melodies. This finding suggests that the physical presence of intonation and its subsequent perceptual analysis, are not necessarily critical to the RH advantage reported by O'Boyle and Sanford (1988). Rather, the asymmetry may be related to a superior ability of the RH to generate and/or manipulate echoic images in memory.

Prosodic domain-initial effects on the acoustic structure of vowels

NASA Astrophysics Data System (ADS)

Fox, Robert Allen; Jacewicz, Ewa; Salmons, Joseph

2003-10-01

In the process of language change, vowels tend to shift in ``chains,'' leading to reorganizations of entire vowel systems over time. A long research tradition has described such patterns, but little is understood about what factors motivate such shifts. Drawing data from changes in progress in American English dialects, the broad hypothesis is tested that changes in vowel systems are related to prosodic organization and stress patterns. Changes in vowels under greater prosodic prominence correlate directly with, and likely underlie, historical patterns of shift. This study examines acoustic characteristics of vowels at initial edges of prosodic domains [Fougeron and Keating, J. Acoust. Soc. Am. 101, 3728-3740 (1997)]. The investigation is restricted to three distinct prosodic levels: utterance (sentence-initial), phonological phrase (strong branch of a foot), and syllable (weak branch of a foot). The predicted changes in vowels /e/ and /ɛ/ in two American English dialects (from Ohio and Wisconsin) are examined along a set of acoustic parameters: duration, formant frequencies (including dynamic changes over time), and fundamental frequency (F0). In addition to traditional methodology which elicits list-like intonation, a design is adapted to examine prosodic patterns in more typical sentence intonations. [Work partially supported by NIDCD R03 DC005560-01.

Adaptation to spectrally-rotated speech.

PubMed

Green, Tim; Rosen, Stuart; Faulkner, Andrew; Paterson, Ruth

2013-08-01

Much recent interest surrounds listeners' abilities to adapt to various transformations that distort speech. An extreme example is spectral rotation, in which the spectrum of low-pass filtered speech is inverted around a center frequency (2 kHz here). Spectral shape and its dynamics are completely altered, rendering speech virtually unintelligible initially. However, intonation, rhythm, and contrasts in periodicity and aperiodicity are largely unaffected. Four normal hearing adults underwent 6 h of training with spectrally-rotated speech using Continuous Discourse Tracking. They and an untrained control group completed pre- and post-training speech perception tests, for which talkers differed from the training talker. Significantly improved recognition of spectrally-rotated sentences was observed for trained, but not untrained, participants. However, there were no significant improvements in the identification of medial vowels in /bVd/ syllables or intervocalic consonants. Additional tests were performed with speech materials manipulated so as to isolate the contribution of various speech features. These showed that preserving intonational contrasts did not contribute to the comprehension of spectrally-rotated speech after training, and suggested that improvements involved adaptation to altered spectral shape and dynamics, rather than just learning to focus on speech features relatively unaffected by the transformation.

Visual feedback for retuning to just intonation intervals

NASA Astrophysics Data System (ADS)

Ayers, R. Dean; Nordquist, Peter R.; Corn, Justin S.

2005-04-01

Musicians become used to equal temperament pitch intervals due to their widespread use in tuning pianos and other fixed-pitch instruments. For unaccompanied singing and some other performance situations, a more harmonious blending of sounds can be achieved by shifting to just intonation intervals. Lissajous figures provide immediate and striking visual feedback that emphasizes the frequency ratios and pitch intervals found among the first few members of a single harmonic series. Spirograph patterns (hypotrochoids) are also especially simple for ratios of small whole numbers, and their use for providing feedback to singers has been suggested previously [G. W. Barton, Jr., Am. J. Phys. 44(6), 593-594 (1976)]. A hybrid mixture of these methods for comparing two frequencies generates what appears to be a three dimensional Lissajous figure-a cylindrical wire mesh that rotates about its tilted vertical axis, with zero tilt yielding the familiar Lissajous figure. Sine wave inputs work best, but the sounds of flute, recorder, whistling, and a sung ``oo'' are good enough approximations to work well. This initial study compares the three modes of presentation in terms of the ease with which a singer can obtain a desired pattern and recognize its shape.

Trend in and Correlates of Undergoing Radiotherapy in Taiwanese Cancer Patients' Last Month of Life.

PubMed

Hung, Yen-Ni; Cheng, Skye Hung-Chun; Liu, Tsang-Wu; Chang, Wen-Cheng; Chen, Jen-Shi; Tang, Siew Tzuh

2016-09-01

A significant proportion of cancer patients at end of life (EOL) undergo radiotherapy, but this evidence is not from nationwide population-based studies. The aims of this population-based study were to investigate the trend in undergoing radiotherapy among Taiwanese cancer patients' last month of life (EOL radiotherapy) in 2001-2010 and to identify factors associated with EOL radiotherapy. This was a population-based retrospective cohort study analyzing data from Taiwan's national death registry, cancer registry, and National Health Insurance claims for EOL radiotherapy using multilevel generalized linear mixed modeling. Participants were Taiwanese cancer patients (N = 339,546) who died in 2001-2010. Overall, 8.59% (7.97%-9.85%) of patients underwent EOL radiotherapy with a decreasing trend over time. Correlates of EOL radiotherapy included male gender, younger age, residing in less urbanized areas, diagnosis of lung cancer, metastatic disease, death within two years of diagnosis, and without comorbidities. Cancer patients were more likely to undergo EOL radiotherapy if they received primary care from medical oncologists and pediatricians, in a nonprofit, teaching hospital with a larger case volume of terminally ill cancer patients, and greater EOL care intensity. Approximately one-tenth of Taiwanese cancer patients underwent EOL radiotherapy with a decreasing trend over time. Undergoing EOL radiotherapy was associated with demographics, disease characteristics, physician specialty, and primary hospital's characteristics and EOL care practice patterns. Clinical and financial interventions should target hospitals/physicians that tend to aggressively treat at-risk cancer patients at EOL to carefully evaluate the appropriateness and effectiveness of using EOL radiotherapy. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Factors Affecting Health-Related Quality of Life in Children Undergoing Curative Treatment for Cancer: A Review of the Literature.

PubMed

Momani, Tha'er G; Hathaway, Donna K; Mandrell, Belinda N

2016-01-01

Health-related quality of life (HRQoL) is an important measure to evaluate a child's reported treatment experience. Although there are numerous studies of HRQoL in children undergoing curative cancer treatment, there is limited literature on factors that influence this. To review published studies that describe the HRQoL and associated factors in children undergoing curative cancer treatment. Full-text publications in English from January 2005 to March 2013 were searched in PubMed, PsychINFO, and CINAHL for children ≤18 years of age undergoing curative cancer treatment. HRQoL-associated factors were categorized as cancer diagnosis, treatment, child, family, and community. Twenty-six studies met the inclusion criteria. The most frequently used generic and cancer-specific instruments were PedsQL (Pediatric Quality of Life Inventory) Generic and PedsQL Cancer, respectively. Cancer diagnosis and treatment were the most frequently identified variables; fewer studies measured family and community domains. Gender, treatment intensity, type of cancer treatments, time in treatment, and cancer diagnosis were correlated with HRQoL. Our study highlights the need to develop interventions based on diagnosis and treatment regimen to improve the HRQoL in children undergoing curative cancer treatment. © 2015 by Association of Pediatric Hematology/Oncology Nurses.

Predicting prolonged intensive care unit length of stay in patients undergoing coronary artery bypass surgery--development of an entirely preoperative scorecard.

PubMed

Herman, Christine; Karolak, Wojtek; Yip, Alexandra M; Buth, Karen J; Hassan, Ansar; Légaré, Jean-Francois

2009-10-01

We sought to develop a predictive model based exclusively on preoperative factors to identify patients at risk for PrlICULOS following coronary artery bypass grafting (CABG). Retrospective analysis was performed on patients undergoing isolated CABG at a single center between June 1998 and December 2002. PrlICULOS was defined as initial admission to ICU exceeding 72 h. A parsimonious risk-predictive model was constructed on the basis of preoperative factors, with subsequent internal validation. Of 3483 patients undergoing isolated CABG between June 1998 and December 2002, 411 (11.8%) experienced PrlICULOS. Overall in-hospital mortality was higher among these patients (14.4% vs. 1.2%, P

How do typically developing deaf children and deaf children with autism spectrum disorder use the face when comprehending emotional facial expressions in British sign language?

PubMed

Denmark, Tanya; Atkinson, Joanna; Campbell, Ruth; Swettenham, John

2014-10-01

Facial expressions in sign language carry a variety of communicative features. While emotion can modulate a spoken utterance through changes in intonation, duration and intensity, in sign language specific facial expressions presented concurrently with a manual sign perform this function. When deaf adult signers cannot see facial features, their ability to judge emotion in a signed utterance is impaired (Reilly et al. in Sign Lang Stud 75:113-118, 1992). We examined the role of the face in the comprehension of emotion in sign language in a group of typically developing (TD) deaf children and in a group of deaf children with autism spectrum disorder (ASD). We replicated Reilly et al.'s (Sign Lang Stud 75:113-118, 1992) adult results in the TD deaf signing children, confirming the importance of the face in understanding emotion in sign language. The ASD group performed more poorly on the emotion recognition task than the TD children. The deaf children with ASD showed a deficit in emotion recognition during sign language processing analogous to the deficit in vocal emotion recognition that has been observed in hearing children with ASD.

Developing a corpus of spoken language variability

NASA Astrophysics Data System (ADS)

Carmichael, Lesley; Wright, Richard; Wassink, Alicia Beckford

2003-10-01

We are developing a novel, searchable corpus as a research tool for investigating phonetic and phonological phenomena across various speech styles. Five speech styles have been well studied independently in previous work: reduced (casual), careful (hyperarticulated), citation (reading), Lombard effect (speech in noise), and ``motherese'' (child-directed speech). Few studies to date have collected a wide range of styles from a single set of speakers, and fewer yet have provided publicly available corpora. The pilot corpus includes recordings of (1) a set of speakers participating in a variety of tasks designed to elicit the five speech styles, and (2) casual peer conversations and wordlists to illustrate regional vowels. The data include high-quality recordings and time-aligned transcriptions linked to text files that can be queried. Initial measures drawn from the database provide comparison across speech styles along the following acoustic dimensions: MLU (changes in unit duration); relative intra-speaker intensity changes (mean and dynamic range); and intra-speaker pitch values (minimum, maximum, mean, range). The corpus design will allow for a variety of analyses requiring control of demographic and style factors, including hyperarticulation variety, disfluencies, intonation, discourse analysis, and detailed spectral measures.

The Shape of Nuclear Falls and Their Effect on the Perception of Pitch and Prominence: Peaks vs. Plateaux

ERIC Educational Resources Information Center

Knight, Rachael-Anne

2008-01-01

This article investigates the perceptual effect of a high plateau in the intonation contour. Plateaux are flat stretches of contour and have been observed associated with high tones in Standard Southern British (SSB) English. The hypothesis that plateaux may make the accents with which they are associated sound higher in pitch than sharp peaks of…

Computational Modeling of Emotions and Affect in Social-Cultural Interaction

DTIC Science & Technology

2013-10-02

acoustic and textual information sources. Second, a cross-lingual study was performed that shed light on how human perception and automatic recognition...speech is produced, a speaker’s pitch and intonational pattern, and word usage. Better feature representation and advanced approaches were used to...recognition performance, and improved our understanding of language/cultural impact on human perception of emotion and automatic classification. • Units

Medical Surveillance Monthly Report

DTIC Science & Technology

2016-12-01

sure to ultraviolet radiation is the major risk factor for NMSC, personal pro- tective measures such as wearing proper clothing, decreasing time in...tone and light-colored eyes and hair, and envi- ronmental factors, particularly exposure to solar ultraviolet (UV) radiation .4 In the U.S., the... radiation is well accepted as a risk factor as evidenced by observed patterns or the anatomic distributions of NMSCs, higher rates by latitude, higher

Punctuation and Intonation Effects on Clause and Sentence Wrap-Up: Evidence from Eye Movements

ERIC Educational Resources Information Center

Hirotani, Masako; Frazier, Lyn; Rayner, Keith

2006-01-01

Three eye movement studies examined the role of punctuation in reading. In Experiment 1, although a comma at the end of a clause facilitated overall reading times for the sentence, first pass times were longer at the end of comma-marked clauses than clauses without a comma (or the same material in clause medial position). The data supported the…

Relationships between Postsecondary Students' Instrumental Performance Fundamentals and Musical Independence: How Important are Tone, Intonation, Phrasing, Ensemble, Technique, Dynamics, Rhythm, History, Form, and Theory?

ERIC Educational Resources Information Center

Bobbett, Gordon C.; And Others

This study examines the relationships among a variety of secondary/postsecondary experiences and activities and postsecondary students' musical independence (MI). The paper reports on the impact of 10 Performance Fundamentals (PFs) on the postsecondary student's MI as measured by Colwell's Musical Achievement Test 3 (MAT3) and Musical Achievement…

USSR Report, Cybernetics Computers and Automation Technology

DTIC Science & Technology

1985-09-05

understand each other excellently, although in their speech they frequently omit, it would seem, needed words. However, the life experience of the...participants in a conversa- tion and their perception of voice intonations and gestures make it possible to fill in the missing elements of speech ...the Soviet Union. Comrade M. S. Gorbachev’s speech pointed out that microelectronics, computer technology, instrument building and the whole

Attention to Prosody (Intonation) and Content in Children with Autism and in Typical Children Using Spoken Sentences in a Computer Game

ERIC Educational Resources Information Center

Ploog, Bertram O.; Banerjee, Snigdha; Brooks, Patricia J.

2009-01-01

This study validated a video game paradigm to explore attention to prosodic and linguistic components of spoken sentences in nine moderate-to-low functioning children with autism and impaired verbal skills. Nine typically developing children were also included. The children listened to pre-recorded sentences varying with respect to content (e.g.,…

Effects of age on F0-discrimination and intonation perception in simulated electric and electro-acoustic hearing

PubMed Central

Souza, Pamela; Arehart, Kathryn; Miller, Christi Wise; Muralimanohar, Ramesh Kumar

2010-01-01

Objectives Recent research suggests that older listeners may have difficulty processing information related to the fundamental frequency (F0) of voiced speech. In this study, the focus was on the mechanisms that may underlie this reduced ability. We examined whether increased age resulted in decreased ability to perceive F0 using fine structure cues provided by the harmonic structure of voiced speech sounds and/or cues provided by high-rate envelope fluctuations (periodicity). Design Younger listeners with normal hearing and older listeners with normal to near-normal hearing completed two tasks of F0 perception. In the first task (steady-state F0), the fundamental frequency difference limen (F0DL) was measured adaptively for synthetic vowel stimuli. In the second task (time-varying F0), listeners relied on variations in F0 to judge intonation of synthetic diphthongs. For both tasks, three processing conditions were created: 8-channel vocoding which preserved periodicity cues to F0; a simulated electroacoustic stimulation condition, which consisted of high-frequency vocoder processing combined with a low-pass filtered portion, and offered both periodicity and fine-structure cues to F0; and an unprocessed condition. Results F0 difference limens for steady-state vowel sounds and the ability to discern rising and falling intonations were significantly worse in the older subjects compared to the younger subjects. For both older and younger listeners scores were lowest for the vocoded condition, and there was no difference in scores between the unprocessed and electroacoustic simulation conditions. Conclusions Older listeners had difficulty using periodicity cues to obtain information related to talker fundamental frequency. However, performance was improved by combining periodicity cues with (low-frequency) acoustic information, and that strategy should be considered in individuals who are appropriate candidates for such processing. For cochlear implant candidates, that effect might be achieved by partial electrode insertion providing acoustic stimulation in the low frequencies; or by the combination of a traditional implant in one ear and a hearing aid in the opposite ear. PMID:20739892

Exploratory Phase Transition-Based Switches Using Functional Oxides

DTIC Science & Technology

2011-02-02

TECHNICAL REPORT Abstract Vanadium dioxide ( VO2 ) undergoes a sharp metal-insulator transition (MIT) in the vicinity of room temperature and there is...18 The mechanisms governing metal-insulator transition (MIT) in vanadium dioxide ( VO2 ) is an intensively explored subject in condensed matter...textured vanadium dioxide films were grown on single crystal Al2O3 (0001) substrates by RF-sputtering from a VO2 target (99.5%, AJA International Inc

Verbal repetitions and echolalia in Alzheimer's discourse.

PubMed

Da Cruz, Fernanda Miranda

2010-11-01

This article reports on an investigation of echolalic repetition in Alzheimer's disease (AD). A qualitative analysis of data from spontaneous conversations with MHI, a woman with AD, is presented. The data come from the DALI Corpus, a corpus of spontaneous conversations involving subjects with AD. This study argues that echolalic effects can be explained through an analysis of their formal linguistic aspects, such as intonational-prosodic and enunciative-syntactic features. The analysis shows that the description of echolalic repetitions in these terms can help find parameters for the description of the linguistic and communicative characteristics of AD. This analysis even shows how a previous speech turn serves as a base for the elaboration of the next turn by the participant with AD. It also contributes to the understanding of echolalic productions in AD.

Vocal learning, prosody, and basal ganglia: don't underestimate their complexity.

PubMed

Ravignani, Andrea; Martins, Mauricio; Fitch, W Tecumseh

2014-12-01

Ackermann et al.'s arguments in the target article need sharpening and rethinking at both mechanistic and evolutionary levels. First, the authors' evolutionary arguments are inconsistent with recent evidence concerning nonhuman animal rhythmic abilities. Second, prosodic intonation conveys much more complex linguistic information than mere emotional expression. Finally, human adults' basal ganglia have a considerably wider role in speech modulation than Ackermann et al. surmise.

Status Report on Speech Research: A Report on the Status and Progress of Studies on the Nature of Speech, Instrumentation for Its Investigation, and Practical Applications, January-June 1987.

ERIC Educational Resources Information Center

O'Brien, Nancy, Ed.

One of a series of reports on the status of speech investigation, this collection of articles deals with topics including intonation and morphological knowledge. The titles of the articles and their authors are as follows: (1) "Integration and Segregation in Speech Perception" (Bruno H. Repp); (2) "Speech Perception Takes Precedence…

Relationships of a Circular Singer Arm Gesture to Acoustical and Perceptual Measures of Singing: A Motion Capture Study

ERIC Educational Resources Information Center

Brunkan, Melissa C.

2016-01-01

The purpose of this study was to validate previous research that suggests using movement in conjunction with singing tasks can affect intonation and perception of the task. Singers (N = 49) were video and audio recorded, using a motion capture system, while singing a phrase from a familiar song, first with no motion, and then while doing a low,…

An ERP study of vocal emotion processing in asymmetric Parkinson’s disease

PubMed Central

Garrido-Vásquez, Patricia; Pell, Marc D.; Paulmann, Silke; Strecker, Karl; Schwarz, Johannes; Kotz, Sonja A.

2013-01-01

Parkinson’s disease (PD) has been related to impaired processing of emotional speech intonation (emotional prosody). One distinctive feature of idiopathic PD is motor symptom asymmetry, with striatal dysfunction being strongest in the hemisphere contralateral to the most affected body side. It is still unclear whether this asymmetry may affect vocal emotion perception. Here, we tested 22 PD patients (10 with predominantly left-sided [LPD] and 12 with predominantly right-sided motor symptoms) and 22 healthy controls in an event-related potential study. Sentences conveying different emotional intonations were presented in lexical and pseudo-speech versions. Task varied between an explicit and an implicit instruction. Of specific interest was emotional salience detection from prosody, reflected in the P200 component. We predicted that patients with predominantly right-striatal dysfunction (LPD) would exhibit P200 alterations. Our results support this assumption. LPD patients showed enhanced P200 amplitudes, and specific deficits were observed for disgust prosody, explicit anger processing and implicit processing of happy prosody. Lexical speech was predominantly affected while the processing of pseudo-speech was largely intact. P200 amplitude in patients correlated significantly with left motor scores and asymmetry indices. The data suggest that emotional salience detection from prosody is affected by asymmetric neuronal degeneration in PD. PMID:22956665

Between fall and fall-rise: substance-function relations in German phrase-final intonation contours.

PubMed

Ambrazaitis, Gilbert

2005-01-01

This study investigates an intonation contour of German whose status has not been established yet: a globally falling contour with a slight rise at the very end of the phrase (FSR). The contour may be said to lie on a phonetic continuum between falling (F) and falling-rising (FR) contours. It is hypothesized that F, FR and FSR differ with respect to their communicative functions: F is terminal, FR is non-terminal, and FSR is pseudo-terminal, respectively. The hypotheses were tested in two steps. First, measurements in a labelled corpus of spontaneous speech provided the necessary background information on the phonetics of the contours. In the second step, the general hypothesis was approached in a perceptual experiment using the paradigm of a semantic differential: 49 listeners judged 17 systematically generated stimuli on nine semantic scales, such as 'impolite/polite'. The hypotheses were generally confirmed. Both F and FSR were associated with a conclusive statement, while FR was more likely to be judged as marking a question. FSR differs from F in that it does not express features such as categoricalness, dominance or impoliteness. The results are interpreted as an instance of the frequency code: the addition of a slight rise means avoidance of extremely low F(0); the functional consequence is a reduction of communicated dominance.

Neural correlates of early-closure garden-path processing: Effects of prosody and plausibility.

PubMed

den Ouden, Dirk-Bart; Dickey, Michael Walsh; Anderson, Catherine; Christianson, Kiel

2016-01-01

Functional magnetic resonance imaging (fMRI) was used to investigate neural correlates of early-closure garden-path sentence processing and use of extrasyntactic information to resolve temporary syntactic ambiguities. Sixteen participants performed an auditory picture verification task on sentences presented with natural versus flat intonation. Stimuli included sentences in which the garden-path interpretation was plausible, implausible because of a late pragmatic cue, or implausible because of a semantic mismatch between an optionally transitive verb and the following noun. Natural sentence intonation was correlated with left-hemisphere temporal activation, but also with activation that suggests the allocation of more resources to interpretation when natural prosody is provided. Garden-path processing was associated with upregulation in bilateral inferior parietal and right-hemisphere dorsolateral prefrontal and inferior frontal cortex, while differences between the strength and type of plausibility cues were also reflected in activation patterns. Region of interest (ROI) analyses in regions associated with complex syntactic processing are consistent with a role for posterior temporal cortex supporting access to verb argument structure. Furthermore, ROI analyses within left-hemisphere inferior frontal gyrus suggest a division of labour, with the anterior-ventral part primarily involved in syntactic-semantic mismatch detection, the central part supporting structural reanalysis, and the posterior-dorsal part showing a general structural complexity effect.

Sensitivity to visual prosodic cues in signers and nonsigners.

PubMed

Brentari, Diane; González, Carolina; Seidl, Amanda; Wilbur, Ronnie

2011-03-01

Three studies are presented in this paper that address how nonsigners perceive the visual prosodic cues in a sign language. In Study 1, adult American nonsigners and users of American Sign Language (ASL) were compared on their sensitivity to the visual cues in ASL Intonational Phrases. In Study 2, hearing, nonsigning American infants were tested using the same stimuli used in Study I to see whether maturity, exposure to gesture, or exposure to sign language is necessary to demonstrate this type of sensitivity. Study 3 addresses nonsigners' and signers' strategies for segmenting Prosodic Words in a sign language. Adult participants from six language groups (3 spoken languages and 3 sign languages) were tested.The results of these three studies indicate that nonsigners have a high degree of sensitivity to sign language prosodic cues at the Intonational Phrase level and the Prosodic Word level; these are attributed to modality or'channel' effects of the visual signal.There are also some differences between signers' and nonsigners' sensitivity; these differences are attributed to language experience or language-particular constraints.This work is useful in understanding the gestural competence of nonsigners and the ways in which this type of competence may contribute to the grammaticalization of these properties in a sign language.

Nonequilibrium transition induced by mass media in a model for social influence

NASA Astrophysics Data System (ADS)

González-Avella, J. C.; Cosenza, M. G.; Tucci, K.

2005-12-01

We study the effect of mass media, modeled as an applied external field, on a social system based on Axelrod’s model for the dissemination of culture. The numerical simulations show that the system undergoes a nonequilibrium phase transition between an ordered phase (homogeneous culture) specified by the mass media and a disordered (culturally fragmented) one. The critical boundary separating these phases is calculated on the parameter space of the system, given by the intensity of the mass media influence and the number of options per cultural attribute. Counterintuitively, mass media can induce cultural diversity when its intensity is above some threshold value. The nature of the phase transition changes from continuous to discontinuous at some critical value of the number of options.

Technology Sound not Technology Bound: The Risks of Over-Reliance on Modern Military Capabilities

DTIC Science & Technology

2009-02-19

OF A DIVISIVE AND DISTRUSTFUL ATMOSPHERE People express emotions, beliefs, and mood through body language, intonation , and subtle... perception of the situation provided by command and control PC is a threat to the tactical commander whose immersion in the situation is far more...accurate. That perception can, in many cases, become the catalyst for the abandonment of decentralized control and in turn lead to a tactical defeat

U.S. Airline Transport Pilot International Flight Language Experiences, Report 5: Language Experiences in Native English-Speaking Airspace/Airports

DTIC Science & Technology

2010-12-01

how these commu- nication exchanges affected their perceptions of safety, communications, workload, and situational awareness. The pilots’ answers to...the questions and discussions during the interviews were their perception of the situ- ations they encountered. Many stories were anecdotal, and some...rate, and accent, followed by pitch, expectation, intonation , and phraseology. Some accents were easier to understand, while the ones unfamiliar to

East Europe Report, Economic and Industrial Affairs, Number 2425.

DTIC Science & Technology

1983-07-21

the proper tightening of turn buckles, and proper quality repairs and maintenance of car traction systems in car depots and railroad plants . The...Improve the quality of planned engine repairs in depots and repair plants . In 1982 a damaged railroad car has had to be uncoupled in...tons) were applied. The tests were conducted on the press of the G. Dimitrov ZhPZ [Railroad Plant ] in Sofia. Table 1 shows the dependence between

Prosodic Transfer in Learner and Contact Varieties: Speech Rhythm and Intonation of Buenos Aires Spanish and L2 Castilian Spanish Produced by Italian Native Speakers

ERIC Educational Resources Information Center

Gabriel, Christoph; Kireva, Elena

2014-01-01

A remarkable example of Spanish-Italian contact is the Spanish variety spoken in Buenos Aires (Porteño), which is said to be prosodically "Italianized" due to migration-induced contact. The change in Porteño prosody has been interpreted as a result of transfer from the first language (L1) that occurred when Italian immigrants learned…

Assessment of pupillary influence in LASIK patients using a digital pupillometer and VQF 25 questionnaire.

PubMed

Andrade, Eduardo Marcelo Moron de; Chamon, Wallace

2013-10-01

Identify ideal profiles in patients undergoing to photorefractive laser surgery with the aid of an automated pupillometry and psychometric analysis of patients with visual function questionnaire (VQF 25). Seventy-seven patients undergoing photorefractive laser surgery laser (LASIK) were analyzed with the aid of an automated digital pupillometer based on an infrared camera coupled to the optical head of a videokeratography system. Patients underwent complete ophthalmic evaluation and documentation of the pupillary behavior under different intensities of illumination, simulating situations of everyday life. Visual quality function questionnaire, translated to Portuguese was assessed. All patients, regardless of pupillary change under varying conditions of illumination (scotopic, mesopic and photopic) showed improvement in all sub-groups of the VQF 25. Pupil diameter was not the primary determinant of patients' visual satisfaction. Despite digital pupillometer has proven to be a useful tool in documenting and understanding of pupil behavior, a set of factors such as psycho-social profile, preoperative ametropy and final residual ametropy, contributed decisively to determine the degree of satisfaction of patients undergoing LASIK.

[Understanding questions: a specific difficulty in children with pragmatic communication and language disorders].

PubMed

Monfort, I; Monfort, M

2010-03-03

The question-answer schema is the basis for communicative interaction and is therefore a fundamental aim of the work carried out with children with severe communication and language impairment. Answering questions requires basic skills that enable the listener to identify intonation and facial expression, as well as skills in interpreting intentions and in understanding linguistic content. Some questions can rest on contextual-social keys and others may be based on lexical or structural keys. Some questions, however, call for a more complex understanding, such as 'what' and 'who' questions. Here, we propose an analysis of the skills involved in understanding questions and the consequences on intervention strategies. Intervention in understanding questions should combine different approaches (cognitive, social, linguistic) depending on the type of question, the specific difficulties the child has and the context.

Declarative Intonation in Korean: AN Acoustical Study of F(o) Declination.

NASA Astrophysics Data System (ADS)

Ko, Do-Heung

This dissertation investigates some acoustic features of declarative intonation in standard Korean based on the hypothesis that fundamental frequency (F_0 ) declination can be syntactically determined. In the course of this study, the following major issues are addressed: (i) What is the relation between sentence length and F_0 contours? (ii) Is there any difference in F_0 patterns between male and female speakers? (iii) Is F_0 declination exclusively a surface structure phenomenon? (iv) Are F_0 contours of parentheticals independent from those of the main clause? (v) What is the effect of word order on variations in F_0 ?. Ten subjects (seven male and three female speakers of the Seoul dialect) read sentences with various types of syntactic structure. In order to analyze F _0 declination phenomena, a software program, DoReMi, and an Impulse Audio Digitizer were used with a Macintosh computer. After obtaining the results from the computer, the Visi-Pitch was also used to confirm some F_0 traces. Major results from this research may be summarized as follows: (i) The rate of declination is not affected by the length of the syntactic unit. Particularly, initial and final values are nearly constant in both progressively longer simplex sentences and expanded embedded sentences. (ii) F_0 contours for male and female subjects are strikingly similar except for the different ranges. (iii) The deletion site plays a certain role in the process of F_0 contours, suggesting that declination may be determined at an underlying or abstract level. (iv) As in English, a parenthetical phrase or clause in Korean has a separate F_0 pattern in its own right, and the parenthetical does not perturb the F_0 pattern of the main clause. (v) Sentences with word orders which are used most frequently in discourse have shown the standard pattern of F_0 declination while orders which are used less frequently have unpredictable F _0 patterns in general.

Recruitment to and pilot results of the PACES randomized trial of physical exercise during adjuvant chemotherapy for colon cancer.

PubMed

van Waart, Hanna; Stuiver, Martijn M; van Harten, Wim H; Geleijn, Edwin; de Maaker-Berkhof, Marianne; Schrama, Jolanda; Geenen, Maud M; Meerum Terwogt, Jetske M; van den Heiligenberg, Simone M; Hellendoorn-van Vreeswijk, Jeannette A J H; Sonke, Gabe S; Aaronson, Neil K

2018-01-01

We report the recruitment rate, reasons for and factors influencing non-participation, and descriptive results of a randomized controlled trial of two different exercise programs for patients with colon cancer undergoing adjuvant chemotherapy. Participants were randomized to a low-intensity, home-based program (Onco-Move), a moderate- to high-intensity, combined supervised resistance and aerobic exercise program (OnTrack), or Usual Care. Non-participants provided reasons for non-participation and were asked to complete a questionnaire assessing behavioral and attitudinal variables. Trial participants completed performance-based and self-reported outcome measures prior to randomization, at the end of chemotherapy, and at the 6-month follow-up. Twenty-three of 63 referred patients agreed to participate in the trial. All 40 non-participants provided reasons for non-participation. Forty-five percent of the non-participants completed the questionnaire. Those who did not want to exercise had higher fatigue scores at baseline and a more negative attitude toward exercise. Compliance to both programs was high and no adverse events occurred. On average, the colon cancer participants were able to maintain or improve their physical fitness levels and maintain or decrease their fatigue levels during chemotherapy and follow-up. Recruitment of patients with colon cancer to a physical exercise trial during adjuvant chemotherapy proved to be difficult, underscoring the need to develop more effective strategies to increase participation rates. Both home-based and supervised programs are safe and feasible in patients with colon cancer undergoing chemotherapy. Effectiveness needs to be established in a larger trial. Netherlands Trial Register - NTR2159.

Melodic Intonation Therapy in Chronic Aphasia: Evidence from a Pilot Randomized Controlled Trial

PubMed Central

Van Der Meulen, Ineke; Van De Sandt-Koenderman, Mieke W. M. E.; Heijenbrok, Majanka H.; Visch-Brink, Evy; Ribbers, Gerard M.

2016-01-01

Melodic Intonation Therapy (MIT) is a language production therapy for severely non-fluent aphasic patients using melodic intoning and rhythm to restore language. Although many studies have reported its beneficial effects on language production, randomized controlled trials (RCT) examining the efficacy of MIT are rare. In an earlier publication, we presented the results of an RCT on MIT in subacute aphasia and found that MIT was effective on trained and untrained items. Further, we observed a clear trend in improved functional language use after MIT: subacute aphasic patients receiving MIT improved considerably on language tasks measuring connected speech and daily life verbal communication. Here, we present the results of a pilot RCT on MIT in chronic aphasia and compare these to the results observed in subacute aphasia. We used a multicenter waiting-list RCT design. Patients with chronic (>1 year) post-stroke aphasia were randomly allocated to the experimental group (6 weeks MIT) or to the control group (6 weeks no intervention followed by 6 weeks MIT). Assessments were done at baseline (T1), after 6 weeks (T2), and 6 weeks later (T3). Efficacy was evaluated at T2 using univariable linear regression analyses. Outcome measures were chosen to examine several levels of therapy success: improvement on trained items, generalization to untrained items, and generalization to verbal communication. Of 17 included patients, 10 were allocated to the experimental condition and 7 to the control condition. MIT significantly improved repetition of trained items (β = 13.32, p = 0.02). This effect did not remain stable at follow-up assessment. In contrast to earlier studies, we found only a limited and temporary effect of MIT, without generalization to untrained material or to functional communication. The results further suggest that the effect of MIT in chronic aphasia is more restricted than its effect in earlier stages post stroke. This is in line with studies showing larger effects of aphasia therapy in earlier compared to later stages post stroke. The study was designed as an RCT, but was underpowered. The results therefore have to be interpreted cautiously and future larger studies are needed. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NTR 1961. PMID:27847473

Recruitment of Language-, Emotion- and Speech-Timing Associated Brain Regions for Expressing Emotional Prosody: Investigation of Functional Neuroanatomy with fMRI

PubMed Central

Mitchell, Rachel L. C.; Jazdzyk, Agnieszka; Stets, Manuela; Kotz, Sonja A.

2016-01-01

We aimed to progress understanding of prosodic emotion expression by establishing brain regions active when expressing specific emotions, those activated irrespective of the target emotion, and those whose activation intensity varied depending on individual performance. BOLD contrast data were acquired whilst participants spoke non-sense words in happy, angry or neutral tones, or performed jaw-movements. Emotion-specific analyses demonstrated that when expressing angry prosody, activated brain regions included the inferior frontal and superior temporal gyri, the insula, and the basal ganglia. When expressing happy prosody, the activated brain regions also included the superior temporal gyrus, insula, and basal ganglia, with additional activation in the anterior cingulate. Conjunction analysis confirmed that the superior temporal gyrus and basal ganglia were activated regardless of the specific emotion concerned. Nevertheless, disjunctive comparisons between the expression of angry and happy prosody established that anterior cingulate activity was significantly higher for angry prosody than for happy prosody production. Degree of inferior frontal gyrus activity correlated with the ability to express the target emotion through prosody. We conclude that expressing prosodic emotions (vs. neutral intonation) requires generic brain regions involved in comprehending numerous aspects of language, emotion-related processes such as experiencing emotions, and in the time-critical integration of speech information. PMID:27803656

Pitch contour matching and interactional alignment across turns: an acoustic investigation.

PubMed

Gorisch, Jan; Wells, Bill; Brown, Guy J

2012-03-01

In order to explore the influence of context on the phonetic design of talk-in-interaction, we investigated the pitch characteristics of short turns (insertions) that are produced by one speaker between turns from another speaker. We investigated the hypothesis that the speaker of the insertion designs her turn as a pitch match to the prior turn in order to align with the previous speaker's agenda, whereas non-matching displays that the speaker of the insertion is non-aligning, for example to initiate a new action. Data were taken from the AMI meeting corpus, focusing on the spontaneous talk of first-language English participants. Using sequential analysis, 177 insertions were classified as either aligning or non-aligning in accordance with definitions of these terms in the Conversation Analysis literature. The degree of similarity between the pitch contour of the insertion and that of the prior speaker's turn was measured, using a new technique that integrates normalized F0 and intensity information. The results showed that aligning insertions were significantly more similar to the immediately preceding turn, in terms of pitch contour, than were non-aligning insertions. This supports the view that choice of pitch contour is managed locally, rather than by reference to an intonational lexicon.

How We Manage Invasive Fungal Disease in Acute Myeloid Leukemia Patients with Glucose 6 Dehydrogenase Deficiency

PubMed Central

Sanna, Marco; Caocci, Giovanni; La Nasa, Giorgio

2017-01-01

Glucose-6-phosphate dehydrogenase (G6PD) represents a common human enzyme defect, particularly prevalent in the Mediterranean, African e Asian area, where malaria was or is still endemic. Recently, we identified G6PD deficiency as a risk factor for developing invasive fungal disease (IFD) and particularly Candida Sepsis in patients undergoing intensive chemotherapy for acute myeloid leukemia (AML), suggesting that there is an urgent need for strategies to properly manage this kind of patients at high risk of invasive mycoses. Here we propose our algorithm for correct identification, prophylaxis, and treatment of IFD in patients with G6PD deficiency undergoing intensive chemotherapy for AML. PMID:28894556

How We Manage Invasive Fungal Disease in Acute Myeloid Leukemia Patients with Glucose 6 Dehydrogenase Deficiency.

PubMed

Sanna, Marco; Caocci, Giovanni; La Nasa, Giorgio

2017-01-01

Glucose-6-phosphate dehydrogenase (G6PD) represents a common human enzyme defect, particularly prevalent in the Mediterranean, African e Asian area, where malaria was or is still endemic. Recently, we identified G6PD deficiency as a risk factor for developing invasive fungal disease (IFD) and particularly Candida Sepsis in patients undergoing intensive chemotherapy for acute myeloid leukemia (AML), suggesting that there is an urgent need for strategies to properly manage this kind of patients at high risk of invasive mycoses. Here we propose our algorithm for correct identification, prophylaxis, and treatment of IFD in patients with G6PD deficiency undergoing intensive chemotherapy for AML.

Postoperative Respiratory Exercises Reduce the Risk of Developing Pulmonary Complications in Patients Undergoing Lobectomy.

PubMed

Rodriguez-Larrad, Ana; Vellosillo-Ortega, Juan Manuel; Ruiz-Muneta, Carlos; Abecia-Inchaurregui, Luis Carlos; Seco, Jesús

2016-07-01

To evaluate the effects of an intensive postoperative physiotherapy program focused on respiratory exercises in patients undergoing lobectomy by open thoracotomy. Quasi-experimental study. Tertiary referral academic hospital. 208 patients undergoing lobectomy by open thoracotomy. Control group patients (n=102) received standard medical/nursing care, and experimental group patients (n=106) added to the standard clinical pathway a daily physiotherapy program focused on respiratory exercises until discharge. Analyzed outcomes were the frequency of postoperative pulmonary complications (PPCs) more amenable to physiotherapy (pneumonia, atelectasis and respiratory insufficiency) and length of hospital stay (LOS). Both groups were comparable regarding preoperative and surgical characteristics. Incidence of PPCs was 20.6% in control and 6.6% in experimental group (P=.003). Median (IQR) LOS in control group was 14 (7) days (Huber M estimator 14.21) and 12 (6) days (Huber M estimator 12.81) in experimental. Logistic regression model identified the evaluated physiotherapy program (P=.017; EXP [B] 95% CI 0.081-0.780) and % FEV1 (P=.042; EXP [B] 95% CI 0.941-0.999) as protective factors for the development of PPCs in patients undergoing lobectomy. Implementing a postoperative intensive physiotherapy program focused on respiratory exercises reduces the risk of PPCs and resultant LOS on patients undergoing lobectomy. Copyright © 2016 SEPAR. Published by Elsevier Espana. All rights reserved.

Predicting couple therapy outcomes based on speech acoustic features

PubMed Central

Nasir, Md; Baucom, Brian Robert; Narayanan, Shrikanth

2017-01-01

Automated assessment and prediction of marital outcome in couples therapy is a challenging task but promises to be a potentially useful tool for clinical psychologists. Computational approaches for inferring therapy outcomes using observable behavioral information obtained from conversations between spouses offer objective means for understanding relationship dynamics. In this work, we explore whether the acoustics of the spoken interactions of clinically distressed spouses provide information towards assessment of therapy outcomes. The therapy outcome prediction task in this work includes detecting whether there was a relationship improvement or not (posed as a binary classification) as well as discerning varying levels of improvement or decline in the relationship status (posed as a multiclass recognition task). We use each interlocutor’s acoustic speech signal characteristics such as vocal intonation and intensity, both independently and in relation to one another, as cues for predicting the therapy outcome. We also compare prediction performance with one obtained via standardized behavioral codes characterizing the relationship dynamics provided by human experts as features for automated classification. Our experiments, using data from a longitudinal clinical study of couples in distressed relations, showed that predictions of relationship outcomes obtained directly from vocal acoustics are comparable or superior to those obtained using human-rated behavioral codes as prediction features. In addition, combining direct signal-derived features with manually coded behavioral features improved the prediction performance in most cases, indicating the complementarity of relevant information captured by humans and machine algorithms. Additionally, considering the vocal properties of the interlocutors in relation to one another, rather than in isolation, showed to be important for improving the automatic prediction. This finding supports the notion that behavioral outcome, like many other behavioral aspects, is closely related to the dynamics and mutual influence of the interlocutors during their interaction and their resulting behavioral patterns. PMID:28934302

The role of music and song in human communication.

PubMed

Ujfalussy, J

1993-01-01

It is only on the higher level of abstraction and generalization that the two human branches of acoustic communication, speech and music are separated from each other. Speech is primarily adjusted to the conceptual-verbal symbols and representation of an objectified, static world. In the linguistic communication the main role is played by the elements of noise, the consonants. It has never been doubted that music is a kind of communication, the mediator of human relationships, but it has been a question what music wants to express. Since the Pythagoreans, some believe to find the key to interpreting its message in the commun quantifiable nature of the musical medium and the cosmos. Another historical tradition considered music as the direct expression of human emotions. Representants of the doctrine of imitation derived music from the intonation of speech and the text seems for many to be a support to "understand" music. Music separated from the primary source of sound phenomena and their direct sensual effect constructed a specific communication system. It possesses an inestimable potential richness of discrete pitches and times, colours and sound intensity. The infinite potentials of successive and simultaneous combinations are suitable for erecting the audible, dynamic models of human relations and types of behaviour, internal events and interactions, different situations. European polyphony established a strictly regulated, closed syntax of musical communication which comes close to conceptual precision. Its logic is based upon the natural potentials of the kinship of pitches and the human organ of hearing. The live, mobile network of the relations thus created is regulated by a further developed quasi-binary logic.(ABSTRACT TRUNCATED AT 250 WORDS)

The physics of musical scales: Theory and experiment

NASA Astrophysics Data System (ADS)

Durfee, Dallin S.; Colton, John S.

2015-10-01

The theory of musical scales involves mathematical ratios, harmonic resonators, beats, and human perception and provides an interesting application of the physics of waves and sound. We first review the history and physics of musical scales, with an emphasis on four historically important scales: twelve-tone equal temperament, Pythagorean, quarter-comma meantone, and Ptolemaic just intonation. We then present an easy way for students and teachers to directly experience the qualities of different scales using MIDI synthesis.

Analysis of Team Collaboration Across Decision-Making Domains to Empirically Evaluate a Model of Team Collaboration

DTIC Science & Technology

2009-06-01

PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Naval Postgraduate School,Graduate School of Operational and Information Sciences,1411 Cunningham Rd,Monterey...CA,93943 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM(S) 11...some cases, needing to listen to the audio for intonation; (5) in some cases we accessed subject matter experts to decipher jargon and understand

Common Premotor Regions for the Perception and Production of Prosody and Correlations with Empathy and Prosodic Ability

PubMed Central

Aziz-Zadeh, Lisa; Sheng, Tong; Gheytanchi, Anahita

2010-01-01

Background Prosody, the melody and intonation of speech, involves the rhythm, rate, pitch and voice quality to relay linguistic and emotional information from one individual to another. A significant component of human social communication depends upon interpreting and responding to another person's prosodic tone as well as one's own ability to produce prosodic speech. However there has been little work on whether the perception and production of prosody share common neural processes, and if so, how these might correlate with individual differences in social ability. Methods The aim of the present study was to determine the degree to which perception and production of prosody rely on shared neural systems. Using fMRI, neural activity during perception and production of a meaningless phrase in different prosodic intonations was measured. Regions of overlap for production and perception of prosody were found in premotor regions, in particular the left inferior frontal gyrus (IFG). Activity in these regions was further found to correlate with how high an individual scored on two different measures of affective empathy as well as a measure on prosodic production ability. Conclusions These data indicate, for the first time, that areas that are important for prosody production may also be utilized for prosody perception, as well as other aspects of social communication and social understanding, such as aspects of empathy and prosodic ability. PMID:20098696

The function of androgen/androgen receptor and insulin growth factor‑1/insulin growth factor‑1 receptor on the effects of Tribulus terrestris extracts in rats undergoing high intensity exercise.

PubMed

Wu, Yin; Yang, Hongfang; Wang, Xiaohui

2017-09-01

Our previous study demonstrated that treatment with Tribulus terrestris (TT) extracts (120 mg/kg) promoted the muscle weight gain and performance of rats undergoing high intensity exercise. The present study was designed to explore the mechanisms underlying the effect of treatment with TT extracts and the involvement of androgens, the androgen receptor (AR), insulin growth factor‑1 (IGF‑1) and the IGF‑1 receptor (IGF‑1R). A total of 32 Sprague‑Dawley rats were randomly divided into groups as follows: Control; TT, treated with TT extracts, E, high intensity exercise; E+TT, high intensity exercise plus TT treatment. The rats of the E and E+TT groups underwent high intensity exercise with a progressively increasing load for 5 weeks, and TT extracts were intragastrically administered in the TT and E+TT rats 30 min prior to training. TT extract composition was analyzed using ultra‑high performance liquid chromatography‑quadrupole‑time of flight mass spectrometry. Testosterone and IGF‑1 plasma levels and AR, IGF‑1R and myosin heavy chain (MHC) protein levels in muscles were determined by ELISA and western blotting, respectively. The saponins tigogenin and diosgenin comprised ~71.35% of the total peak area. Compared with the E group, TT extracts increased the testosterone and IGF‑1 plasma levels, and AR, IGF‑1R and MHC protein levels in the gastrocnemius of rats undergoing high intensity exercise, accompanied with increased body weight and gastrocnemius weight. In conclusion, the effect of TT extracts on the performance of high intensity exercise rats may be attributed to increased levels of circulating testosterone and IGF‑1 and increased AR and IGF‑1R protein expression levels in the gastrocnemius, resulting in increased muscle weight and increased MHC in the gastrocnemius. The present study provided preliminary evidence supporting the use of TT extracts as a dietary supplement for the promotion of skeletal muscle mass increase and the enhancement of athletic performance in humans performing high intensity exercise.

A Ratio-Analysis Method to the Dynamics of Excited State Proton Transfer: Pyranine in Water and Micelles.

PubMed

Sahu, Kalyanasis; Nandi, Nilanjana; Dolai, Suman; Bera, Avisek

2018-06-05

Emission spectrum of a fluorophore undergoing excited state proton transfer (ESPT) often exhibits two distinct bands each representing emissions from protonated and deprotonated forms. The relative contribution of the two bands, best represented by an emission intensity ratio (R) (intensity maximum of the protonated band / intensity maximum of the deprotonated band), is an important parameter which usually denotes feasibility or promptness of the ESPT process. However, the use of ratio is only limited to the interpretation of steady-state fluorescence spectra. Here, for the first time, we exploit the time-dependence of the ratio (R(t)), calculated from time-resolved emission spectra (TRES) at different times, to analyze ESPT dynamics. TRES at different times were fitted with a sum of two lognormal-functions representing each peaks and then, the peak intensity ratio, R(t) was calculated and further fitted with an analytical function. Recently, a time-resolved area-normalized emission spectra (TRANES)-based analysis was presented where the decay of protonated emission or the rise of deprotonated emission intensity conveniently accounts for the ESPT dynamics. We show that these two methods are equivalent but the new method provides more insights on the nature of the ESPT process.

Effectiveness of intense, activity-based physical therapy for individuals with spinal cord injury in promoting motor and sensory recovery: Is olfactory mucosa autograft a factor?

PubMed Central

Larson, Cathy A.; Dension, Paula M.

2013-01-01

Background/objectives Rehabilitation for individuals with spinal cord injury (SCI) is expanding to include intense, activity-based, out-patient physical therapy (PT). The study's primary purposes were to (i) examine the effectiveness of intense PT in promoting motor and sensory recovery in individuals with SCI and (ii) compare recovery for individuals who had an olfactory mucosa autograft (OMA) with individuals who did not have the OMA while both groups participated in the intense PT program. Methods Prospective, non-randomized, non-blinded, intervention study. Using the American Spinal Injury Association examination, motor and sensory scores for 23 (7 OMA, 6 matched control and 10 other) participants were recorded. Results Mean therapy dosage was 137.3 total hours. The participants’ total, upper and lower extremity motor scores improved significantly while sensory scores did not improve during the first 60 days and from initial to discharge examination. Incomplete SCI or paraplegia was associated with greater motor recovery. Five of 14 participants converted from motor-complete to motor-incomplete SCI. Individuals who had the OMA and participated in intense PT did not have greater sensory or greater magnitude or rate of motor recovery as compared with participants who had intense PT alone. Conclusion This study provides encouraging evidence as to the effectiveness of intense PT for individuals with SCI. Future research is needed to identify the optimal therapy dosage and specific therapeutic activities required to generate clinically meaningful recovery for individuals with SCI including those who elect to undergo a neural recovery/regenerative surgical procedure and those that elect intense therapy alone. PMID:23433335

Cell engineering: spearheading the next generation in healthcare.

PubMed

Jayasinghe, Suwan N

2008-09-01

Manipulating living mammalian cells present fascinating possibilities for a plethora of applications within our healthcare. These imply several possibilities in tissue engineering and regenerative medicine, to those of a therapeutic nature. The physical sciences are increasingly playing a pivotal role in this endeavour by both advancing existing cell engineering technology and pioneering new protocols for the creation of biologically viable structures. In this paper, the author introduces several direct needle/channel/orifice-based cell engineering protocols, currently undergoing intense investigation for a whole host of bio-applications. Hence, each protocol's advantages and disadvantages are clearly identified, whilst recognizing their future biological and engineering challenges. In conclusion, a few selected biotechnological applications present possibilities where these protocols could undergo focused exploration. Successful development of these bio-protocols sees the emergence of unique future strategies within a clinical environment having far-reaching consequences for our healthcare.

Population structuring of multi-copy, antigen-encoding genes in Plasmodium falciparum

PubMed Central

Artzy-Randrup, Yael; Rorick, Mary M; Day, Karen; Chen, Donald; Dobson, Andrew P; Pascual, Mercedes

2012-01-01

The coexistence of multiple independently circulating strains in pathogen populations that undergo sexual recombination is a central question of epidemiology with profound implications for control. An agent-based model is developed that extends earlier ‘strain theory’ by addressing the var gene family of Plasmodium falciparum. The model explicitly considers the extensive diversity of multi-copy genes that undergo antigenic variation via sequential, mutually exclusive expression. It tracks the dynamics of all unique var repertoires in a population of hosts, and shows that even under high levels of sexual recombination, strain competition mediated through cross-immunity structures the parasite population into a subset of coexisting dominant repertoires of var genes whose degree of antigenic overlap depends on transmission intensity. Empirical comparison of patterns of genetic variation at antigenic and neutral sites supports this role for immune selection in structuring parasite diversity. DOI: http://dx.doi.org/10.7554/eLife.00093.001 PMID:23251784

Photoresponsive Smart Coloration Electrochromic Supercapacitor.

PubMed

Yun, Tae Gwang; Kim, Donghyuk; Kim, Yong Ho; Park, Minkyu; Hyun, Seungmin; Han, Seung Min

2017-08-01

Electrochromic devices have been widely adopted in energy saving applications by taking advantage of the electrode coloration, but it is critical to develop a new electrochromic device that can undergo smart coloration and can have a wide spectrum in transmittance in response to input light intensity while also functioning as a rechargeable energy storage system. In this study, a photoresponsive electrochromic supercapacitor based on cellulose-nanofiber/Ag-nanowire/reduced-graphene-oxide/WO 3 -composite electrode that is capable of undergoing "smart" reversible coloration while simultaneously functioning as a reliable energy-storage device is developed. The fabricated device exhibits a high coloration efficiency of 64.8 cm 2 C -1 and electrochemical performance with specific capacitance of 406.0 F g -1 , energy/power densities of 40.6-47.8 Wh kg -1 and 6.8-16.9 kW kg -1 . The electrochromic supercapacitor exhibits excellent cycle reliability, where 75.0% and 94.1% of its coloration efficiency and electrochemical performance is retained, respectively, beyond 10 000 charge-discharge cycles. Cyclic fatigue tests show that the developed device is mechanically durable and suitable for wearable electronics applications. The smart electrochromic supercapacitor system is then integrated with a solar sensor to enable photoresponsive coloration where the transmittance changes in response to varying light intensity. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

A Philosophical Case for OPCON Transition on the Korean Peninsula

DTIC Science & Technology

2011-01-01

Korean state was the fault of external meddling and the first step toward civil war. It is a perception that to this day is a source of distrust for...North Korean press statement intoned this message: “It is the unchanging strategic design of the United States to cling more tightly to South Korea...a collapse or jus post bellum situation, the perception that South Korea is in charge will be vital to any reasonable prospect for success

Bull in a China Shop? General Curtis E. Lemay’s Military Advice to the President During the Cuban Missile Crisis

DTIC Science & Technology

2009-06-01

Recordings, Presidential Recordings, JFKL. Emphasis added. 4 intoned forcefully, “it’s going to lead right into war!” The general felt that any...invitation by the president for the service chiefs to comment on political factors, General LeMay spoke of the perceptions of American citizens and...suggest experiences strongly shape perceptions , and past events are most influential when experiences are firsthand, exert direct influence, and are

Effects of dopaminergic and subthalamic stimulation on musical performance.

PubMed

van Vugt, Floris T; Schüpbach, Michael; Altenmüller, Eckart; Bardinet, Eric; Yelnik, Jérôme; Hälbig, Thomas D

2013-05-01

Although subthalamic-deep brain stimulation (STN-DBS) is an efficient treatment for Parkinson's disease (PD), its effects on fine motor functions are not clear. We present the case of a professional violinist with PD treated with STN-DBS. DBS improved musical articulation, intonation and emotional expression and worsened timing relative to a timekeeper (metronome). The same effects were found for dopaminergic treatment. These results suggest that STN-DBS, mimicking the effects of dopaminergic stimulation, improves fine-tuned motor behaviour whilst impairing timing precision.

Intensive versus conventional glucose control in critically ill patients.

PubMed

Finfer, Simon; Chittock, Dean R; Su, Steve Yu-Shuo; Blair, Deborah; Foster, Denise; Dhingra, Vinay; Bellomo, Rinaldo; Cook, Deborah; Dodek, Peter; Henderson, William R; Hébert, Paul C; Heritier, Stephane; Heyland, Daren K; McArthur, Colin; McDonald, Ellen; Mitchell, Imogen; Myburgh, John A; Norton, Robyn; Potter, Julie; Robinson, Bruce G; Ronco, Juan J

2009-03-26

The optimal target range for blood glucose in critically ill patients remains unclear. Within 24 hours after admission to an intensive care unit (ICU), adults who were expected to require treatment in the ICU on 3 or more consecutive days were randomly assigned to undergo either intensive glucose control, with a target blood glucose range of 81 to 108 mg per deciliter (4.5 to 6.0 mmol per liter), or conventional glucose control, with a target of 180 mg or less per deciliter (10.0 mmol or less per liter). We defined the primary end point as death from any cause within 90 days after randomization. Of the 6104 patients who underwent randomization, 3054 were assigned to undergo intensive control and 3050 to undergo conventional control; data with regard to the primary outcome at day 90 were available for 3010 and 3012 patients, respectively. The two groups had similar characteristics at baseline. A total of 829 patients (27.5%) in the intensive-control group and 751 (24.9%) in the conventional-control group died (odds ratio for intensive control, 1.14; 95% confidence interval, 1.02 to 1.28; P=0.02). The treatment effect did not differ significantly between operative (surgical) patients and nonoperative (medical) patients (odds ratio for death in the intensive-control group, 1.31 and 1.07, respectively; P=0.10). Severe hypoglycemia (blood glucose level, < or = 40 mg per deciliter [2.2 mmol per liter]) was reported in 206 of 3016 patients (6.8%) in the intensive-control group and 15 of 3014 (0.5%) in the conventional-control group (P<0.001). There was no significant difference between the two treatment groups in the median number of days in the ICU (P=0.84) or hospital (P=0.86) or the median number of days of mechanical ventilation (P=0.56) or renal-replacement therapy (P=0.39). In this large, international, randomized trial, we found that intensive glucose control increased mortality among adults in the ICU: a blood glucose target of 180 mg or less per deciliter resulted in lower mortality than did a target of 81 to 108 mg per deciliter. (ClinicalTrials.gov number, NCT00220987.) 2009 Massachusetts Medical Society

Perception of affective and linguistic prosody: an ALE meta-analysis of neuroimaging studies

PubMed Central

Brown, Steven

2014-01-01

Prosody refers to the melodic and rhythmic aspects of speech. Two forms of prosody are typically distinguished: ‘affective prosody’ refers to the expression of emotion in speech, whereas ‘linguistic prosody’ relates to the intonation of sentences, including the specification of focus within sentences and stress within polysyllabic words. While these two processes are united by their use of vocal pitch modulation, they are functionally distinct. In order to examine the localization and lateralization of speech prosody in the brain, we performed two voxel-based meta-analyses of neuroimaging studies of the perception of affective and linguistic prosody. There was substantial sharing of brain activations between analyses, particularly in right-hemisphere auditory areas. However, a major point of divergence was observed in the inferior frontal gyrus: affective prosody was more likely to activate Brodmann area 47, while linguistic prosody was more likely to activate the ventral part of area 44. PMID:23934416

Clinical significance of repeat blood cultures during febrile neutropenia in adult acute myeloid leukaemia patients undergoing intensive chemotherapy.

PubMed

Kimura, Shun-Ichi; Gomyo, Ayumi; Hayakawa, Jin; Tamaki, Masaharu; Akahoshi, Yu; Harada, Naonori; Ugai, Tomotaka; Kusuda, Machiko; Kameda, Kazuaki; Wada, Hidenori; Ishihara, Yuko; Kawamura, Koji; Sakamoto, Kana; Sato, Miki; Terasako-Saito, Kiriko; Kikuchi, Misato; Nakasone, Hideki; Kako, Shinichi; Tanihara, Aki; Kanda, Yoshinobu

2017-10-01

We evaluated the clinical significance of repeat blood cultures in persistent and recurrent fever during neutropenia in adult acute myeloid leukaemia (AML) and myelodysplastic syndrome (MDS) patients undergoing intensive chemotherapy. We retrospectively reviewed the chemotherapy cycles at our centre between January 2007 and December 2015. Blood cultures obtained within three days after initial febrile neutropenia (FN) were defined as initial blood cultures and those obtained on or after day 4 were defined as repeat blood cultures. Overall, 321 chemotherapy cycles in 89 patients were subjected to review. FN was identified in 276 (86.0%) chemotherapy cycles. In persistent FN (134 episodes), the causative pathogens were detected by repeat blood cultures in seven episodes (5.2%), including only three episodes (2.2%) of new infection. Shaking chills and high body temperature were identified as significant predictors for bloodstream infection (BSI). In recurrent FN (85 episodes), the causative pathogens were detected in seven episodes (8.2%), and all of these were new organisms. The frequency of detecting new pathogens by repeat blood cultures in recurrent FN (7/85) was higher than that in persistent FN (3/134) (p = .0491). A history of recent BSI was identified as a significant predictor for BSI in recurrent FN. The diagnostic yield of repeat blood cultures for persistent FN was low in intensive chemotherapy for AML and MDS. The frequency of repeat blood cultures for persistent FN could be reduced based on predictors. On the other hand, blood cultures were considered to be essential in cases with recurrent FN.

The Utility of Routine Intensive Care Admission for Patients Undergoing Intracranial Neurosurgical Procedures: A Systematic Review.

PubMed

de Almeida, Cesar Cimonari; Boone, M Dustin; Laviv, Yosef; Kasper, Burkhard S; Chen, Clark C; Kasper, Ekkehard M

2018-02-01

Patients who have undergone intracranial neurosurgical procedures have traditionally been admitted to an intensive care unit (ICU) for close postoperative neurological observation. The purpose of this study was to systematically review the evidence for routine ICU admission in patients undergoing intracranial neurosurgical procedures and to evaluate the safety of alternative postoperative pathways. We were interested in identifying studies that examined selected patients who presented for elective, non-emergent intracranial surgery whose postoperative outcomes were compared as a function of ICU versus non-ICU admission. A systematic review was performed in July 2016 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist of the Medline database. The search strategy was created based on the following key words: "craniotomy," "neurosurgical procedure," and "intensive care unit." The nine articles that satisfied the inclusion criteria yielded a total of 2227 patients. Of these patients, 879 were observed in a non-ICU setting. The most frequent diagnoses were supratentorial brain tumors, followed by patients with cerebrovascular diseases and infratentorial brain tumors. Three percent (30/879) of the patients originally assigned to floor or intermediate care status were transferred to the ICU. The most frequently observed neurological complications leading to ICU transfer were delayed postoperative neurological recovery, seizures, worsening of neurological deficits, hemiparesis, and cranial nerves deficits. Our systematic review demonstrates that routine postoperative ICU admission may not benefit carefully selected patients who have undergone elective intracranial neurosurgical procedures. In addition, limiting routine ICU admission may result in significant cost savings.

Exercise and chemotherapy-induced amenorrhea.

PubMed

Mathis, Katlynn M; Sturgeon, Kathleen M; Winkels, Renate M; Wiskemann, Joachim; Williams, Nancy I; Schmitz, Kathryn

2018-07-01

Chemotherapy-induced amenorrhea (CIA) is the temporary or permanent loss of menses experienced by premenopausal women undergoing chemotherapy treatment for cancer. Two possible mechanisms through which chemotherapy induces CIA have been identified: systemic endothelial dysfunction, resulting in decreased blood flow to the ovaries, and increased oxidative stress within the ovaries, both of which are proposed to lead to apoptosis of follicles. Endothelial dysfunction in ovarian arteries in women undergoing or who have undergone chemotherapy treatment is characterized by prothrombotic changes and thickening of the vascular wall. These changes result in occlusion of the blood vessels. Oxidative stress is increased and antioxidants decreased in the ovaries secondary to chemotherapy drugs, specifically cyclophosphamide. It is hypothesized that low to moderate intensity aerobic exercise during chemotherapy may prevent these changes and lessen the risk for developing CIA in premenopausal women. Low to moderate intensity aerobic exercise has been shown to improve endothelial function and blood flow in patients with cardiovascular disease-a disease state characterized by endothelial dysfunction and for which patients who have undergone chemotherapy are at increased risk. In mice, moderate intensity aerobic exercise has been shown to decrease the amount of oxidative stress within the ovaries, and in humans, chronic aerobic exercise has been shown to increase antioxidant production systemically. This hypothesis should be tested in both a mouse model, using sedentary and exercising mice treated with chemotherapy drugs that commonly result in CIA, as well as a human model to determine the effects of low to moderate intensity aerobic exercise on ovarian function in premenopausal women undergoing chemotherapy. Copyright © 2018 Elsevier Ltd. All rights reserved.

Hybrid minimally invasive esophagectomy for cancer: impact on postoperative inflammatory and nutritional status.

PubMed

Scarpa, M; Cavallin, F; Saadeh, L M; Pinto, E; Alfieri, R; Cagol, M; Da Roit, A; Pizzolato, E; Noaro, G; Pozza, G; Castoro, C

2016-11-01

The purpose of this case-control study was to evaluate the impact of hybrid minimally invasive esophagectomy for cancer on surgical stress response and nutritional status. All 34 consecutive patients undergoing hybrid minimally invasive esophagectomy for cancer at our surgical unit between 2008 and 2013 were retrospectively compared with 34 patients undergoing esophagectomy with open gastric tubulization (open), matched for neoadjuvant therapy, pathological stage, gender and age. Demographic data, tumor features and postoperative course (including quality of life and systemic inflammatory and nutritional status) were compared. Postoperative course was similar in terms of complication rate. Length of stay in intensive care unit was shorter in patients undergoing hybrid minimally invasive esophagectomy (P = 0.002). In the first postoperative day, patients undergoing hybrid minimally invasive esophagectomy had lower C-reactive protein levels (P = 0.001) and white cell blood count (P = 0.05), and higher albumin serum level (P = 0.001). In this group, albumin remained higher also at third (P = 0.06) and seventh (P = 0.008) postoperative day, and C-reactive protein resulted lower at third post day (P = 0.04). Hybrid minimally invasive esophagectomy significantly improved the systemic inflammatory and catabolic response to surgical trauma, contributing to a shorter length of stay in intensive care unit. © 2015 International Society for Diseases of the Esophagus.

Socioeconomic Status and Physical Activity in Chinese Adults: A Report from a Community-Based Survey in Jiaxing, China.

PubMed

Chen, Mingling; Wu, Yikang; Narimatsu, Hiroto; Li, Xueqing; Wang, Chunmei; Luo, Jianyong; Zhao, Genming; Chen, Zhongwen; Xu, Wanghong

2015-01-01

This study examines the associations of socioeconomic status (SES) with intensity of different types of physical activity (PA) in Chinese adults, aimed at outlining and projecting socioeconomic disparities in PA among the population undergoing a rapid nutrition transition. A community-based survey was conducted among 3,567 residents aged 30-65 years old in Jiaxing, China, in 2010. SES and PA were assessed by a structured questionnaire. SES was assessed as socioeconomic index (SEI) score based on self-reported educational attainment, household income and occupation. Metabolic equivalents (METs) were calculated for each subject to quantify the total amount of PA from occupation, exercise, transportation and housework. Intensity of overall PA in this population was 165 MET-hours/week, in which energy expenditure in occupational PA accounted for 82%. Both types and intensity of PA were significantly different by SES: middle SES groups had higher intensity of occupational activities; lower SES subjects engaged in more household work; whereas higher SES subjects were more likely to exercise, more active during commuting and had longer sedentary time. All the three components of SES, education attainment, income and occupation, contributed to socioeconomic disparities in PA in this population. Our results suggest an overall insufficiency and socioeconomic inequalities in PA among Chinese adults in Jiaxing, a typical city experiencing a rapid urbanization in China. There is an urgent need to promote leisure-time activities in this population.

Impact of the viral respiratory season on postoperative outcomes in children undergoing cardiac surgery.

PubMed

Spaeder, Michael C; Carson, Kathryn A; Vricella, Luca A; Alejo, Diane E; Holmes, Kathryn W

2011-08-01

To compare postoperative outcomes in children undergoing cardiac surgery during the viral respiratory season and nonviral season at our institution. This was a retrospective cohort study and secondary matched case-control analysis. The setting was an urban academic tertiary-care children's hospital. The study was comprised of all patients <18 years of age who underwent cardiac surgery at Johns Hopkins Hospital from October 2002 through September 2007. Patients were stratified by season of surgery, complexity of cardiac disease, and presence or absence of viral respiratory infection. Measurements included patient characteristics and postoperative outcomes. The primary outcome was postoperative length of stay (LOS). A total of 744 patients were included in the analysis. There was no difference in baseline characteristics or outcomes, specifically, no difference in postoperative LOS, intensive care unit (ICU) LOS, and mortality, among patients by seasons of surgery. Patients with viral respiratory illness were more likely to have longer postoperative LOS (p < 0.01) and ICU LOS (p < 0.01) compared with matched controls. We identified no difference in postoperative outcomes based on season in patients undergoing cardiac surgery. Children with viral respiratory infection have significantly worse outcomes than matched controls, strengthening the call for universal administration of influenza vaccination and palivizumab to appropriate groups. Preoperative testing for respiratory viruses should be considered during the winter months for children undergoing elective cardiac surgery.

Combination of haloperidol, dexamethasone, and ondansetron reduces nausea and pain intensity and morphine consumption after laparoscopic sleeve gastrectomy.

PubMed

Benevides, Márcio Luiz; Oliveira, Sérgio de Souza; Aguilar-Nascimento, José Eduardo

2013-01-01

Postoperative nausea and vomiting (PONV) occur frequently after laparoscopic bariatric surgery. The combination of haloperidol, dexamethasone, and ondansetron may reduce these undesirable events. The aim of this study was to evaluate the intensity of nausea and pain, the number of vomiting episodes, and morphine consumption in postoperative (PO) obese patients undergoing laparoscopic sleeve gastrectomy (LSG). A clinical, randomized, controlled, double-blind study conducted with 90 patients with body mass index ≥ 35 kg.cm-2. Patients were divided into three groups of 30 individuals to receive ondansetron 8 mg (Group O); ondansetron 8 mg and dexamethasone 8 mg (Group OD); and ondansetron 8 mg, dexamethasone 8 mg, and haloperidol 2 mg (Group HDO). We evaluated the intensity of nausea and pain using the verbal numeric scale, cumulative number of vomiting episodes, and morphine consumption in the period of 0-2, 2-12, 12-24, and 24-36 hours postoperatively. Nausea intensity was lower in Group HDO compared to Group O (p = 0.001), pain intensity was lower in Group HDO compared to Group O (p = 0.046), and morphine consumption was lower in Group HDO compared to Group O (p = 0.037). There was no difference between groups regarding the number of vomiting episodes (p = 0.052). The combination of haloperidol, ondansetron, and dexamethasone reduced nausea and pain intensity and morphine consumption in postoperative obese patients undergoing LSG.

Strain Modulations as a Mechanism to Reduce Stress Relaxation in Laryngeal Tissues

PubMed Central

Hunter, Eric J.; Siegmund, Thomas; Chan, Roger W.

2014-01-01

Vocal fold tissues in animal and human species undergo deformation processes at several types of loading rates: a slow strain involved in vocal fold posturing (on the order of 1 Hz or so), cyclic and faster posturing often found in speech tasks or vocal embellishment (1–10 Hz), and shear strain associated with vocal fold vibration during phonation (100 Hz and higher). Relevant to these deformation patterns are the viscous properties of laryngeal tissues, which exhibit non-linear stress relaxation and recovery. In the current study, a large strain time-dependent constitutive model of human vocal fold tissue is used to investigate effects of phonatory posturing cyclic strain in the range of 1 Hz to 10 Hz. Tissue data for two subjects are considered and used to contrast the potential effects of age. Results suggest that modulation frequency and extent (amplitude), as well as the amount of vocal fold overall strain, all affect the change in stress relaxation with modulation added. Generally, the vocal fold cover reduces the rate of relaxation while the opposite is true for the vocal ligament. Further, higher modulation frequencies appear to reduce the rate of relaxation, primarily affecting the ligament. The potential benefits of cyclic strain, often found in vibrato (around 5 Hz modulation) and intonational inflection, are discussed in terms of vocal effort and vocal pitch maintenance. Additionally, elderly tissue appears to not exhibit these benefits to modulation. The exacerbating effect such modulations may have on certain voice disorders, such as muscle tension dysphonia, are explored. PMID:24614616

Strain modulations as a mechanism to reduce stress relaxation in laryngeal tissues.

PubMed

Hunter, Eric J; Siegmund, Thomas; Chan, Roger W

2014-01-01

Vocal fold tissues in animal and human species undergo deformation processes at several types of loading rates: a slow strain involved in vocal fold posturing (on the order of 1 Hz or so), cyclic and faster posturing often found in speech tasks or vocal embellishment (1-10 Hz), and shear strain associated with vocal fold vibration during phonation (100 Hz and higher). Relevant to these deformation patterns are the viscous properties of laryngeal tissues, which exhibit non-linear stress relaxation and recovery. In the current study, a large strain time-dependent constitutive model of human vocal fold tissue is used to investigate effects of phonatory posturing cyclic strain in the range of 1 Hz to 10 Hz. Tissue data for two subjects are considered and used to contrast the potential effects of age. Results suggest that modulation frequency and extent (amplitude), as well as the amount of vocal fold overall strain, all affect the change in stress relaxation with modulation added. Generally, the vocal fold cover reduces the rate of relaxation while the opposite is true for the vocal ligament. Further, higher modulation frequencies appear to reduce the rate of relaxation, primarily affecting the ligament. The potential benefits of cyclic strain, often found in vibrato (around 5 Hz modulation) and intonational inflection, are discussed in terms of vocal effort and vocal pitch maintenance. Additionally, elderly tissue appears to not exhibit these benefits to modulation. The exacerbating effect such modulations may have on certain voice disorders, such as muscle tension dysphonia, are explored.

Effect of leaving chronic oral foci untreated on infectious complications during intensive chemotherapy

PubMed Central

Schuurhuis, J M; Span, L F R; Stokman, M A; van Winkelhoff, A J; Vissink, A; Spijkervet, F K L

2016-01-01

Background: Leukaemic patients receiving intensive chemotherapy and patients undergoing autologous stem-cell transplantation (ASCT) are routinely screened for oral foci of infection to reduce infectious complications that could occur during therapy. In this prospective study we assessed the effect of leaving chronic oral foci of infection untreated on the development of infectious complications in intensively treated haematological patients. Methods: We included and prospectively evaluated all intensively treated leukaemic patients and patients undergoing ASCT who were referred to our medical centre between September 2012 and May 2014, and who matched the inclusion/exclusion criteria. Acute oral foci of infection were removed before chemotherapy or ASCT, whereas chronic oral foci were left untreated. Results: In total 28 leukaemic and 35 ASCT patients were included. Acute oral foci of infection were found in 2 leukaemic (7%) and 2 ASCT patients (6%), and chronic oral foci of infection in 24 leukaemic (86%) and 22 ASCT patients (63%). Positive blood cultures with microorganisms potentially originating from the oral cavity occurred in 7 patients during treatment, but were uneventful on development of infectious complications. Conclusions: Our prospective study supports the hypothesis that chronic oral foci of infection can be left untreated as this does not increase infectious complications during intensive chemotherapy. PMID:27002936

Factors affecting acute pain perception and analgesics consumption in patients undergoing bariatric surgery.

PubMed

Aceto, Paola; Lai, Carlo; Perilli, Valter; Sacco, Teresa; Modesti, Cristina; Raffaelli, Marco; Sollazzi, Liliana

2016-09-01

Previous studies performed in non-obese patients undergoing elective surgery have revealed that psychological factors may affect postoperative analgesic requirements. The aim of this observational prospective study was to investigate the extent to which psychopathological dimensions, including anxiety, depression and alexithymia, may influence postoperative pain intensity and analgesics consumption using patient-controlled analgesia (PCA) in patients undergoing bariatric surgery. 120 patients, aged 18-60years, with an ASA physical status I-II, undergoing gastric bypass were enrolled. Anxiety and depression Hamilton scales, and Toronto Alexithymia scale, were administered to patients on the day before surgery. General anesthesia was standardized. After awakening, a PCA pump with intravenous tramadol was immediately made available for a 36-hour postoperative analgesia. Visual analog scale at rest (VASr) and after coughing (VASi), and effective PCA requests number were postoperatively recorded. Pearson's correlations, Anova analyses and multiple linear regression were used for statistical purpose. Positive correlations were found between anxiety, depression, alexithymia and all pain indicators (p<0.01). Analyses of variance showed that anxious (p<0.001), depressed (p<0.001) and alexithymic (p<0.05) patients had high pain indicators. VASr and VASi were predicted by anxiety and depression (p<0.05), but not by alexithymia; effective PCA requests number was predicted by anxiety, depression and alexithymia (p<0.001). Obese patients with high depression, anxiety and alexithymia levels rated their pain as more intense and required a larger amount of tramadol. Pain perception intensity was predicted by anxiety and depression but not by alexithymia, whereas analgesics consumption was predicted by all the investigated psychopathological dimensions. Copyright © 2016. Published by Elsevier Inc.

Light illumination intensity dependence of photovoltaic parameter in polymer solar cells with ammonium heptamolybdate as hole extraction layer.

PubMed

Liu, Zhiyong; Niu, Shengli; Wang, Ning

2018-01-01

A low-temperature, solution-processed molybdenum oxide (MoO X ) layer and a facile method for polymer solar cells (PSCs) is developed. The PSCs based on a MoO X layer as the hole extraction layer (HEL) is a significant advance for achieving higher photovoltaic performance, especially under weaker light illumination intensity. Fourier transform infrared spectroscopy (FTIR) and X-ray photoelectron spectroscopy (XPS) measurements show that the (NH 4 ) 6 Mo 7 O 24 molecule decomposes and forms the molybdenum oxide (MoO X ) molecule when undergoing thermal annealing treatment. In this study, PSCs with the MoO X layer as the HEL exhibited better photovoltaic performance, especially under weak light illumination intensity (from 100 to 10mWcm -2 ) compared to poly(3,4-ethylenedioxythiophene):polystyrene sulfonate (PEDOT:PSS)-based PSCs. Analysis of the current density-voltage (J-V) characteristics at various light intensities provides information on the different recombination mechanisms in the PSCs with a MoO X and PEDOT:PSS layer as the HEL. That the slopes of the open-circuit voltage (V OC ) versus light illumination intensity plots are close to 1 unity (kT/q) reveals that bimolecular recombination is the dominant and weaker monomolecular recombination mechanism in open-circuit conditions. That the slopes of the short-circuit current density (J SC ) versus light illumination intensity plots are close to 1 reveals that the effective charge carrier transport and collection mechanism of the MoO X /indium tin oxide (ITO) anode is the weaker bimolecular recombination in short-circuit conditions. Our results indicate that MoO X is an alternative candidate for high-performance PSCs, especially under weak light illumination intensity. Copyright © 2017 Elsevier Inc. All rights reserved.

Chaotic Dynamics of a Josephson Junction with a Ratchet Potential and Current-Modulating Damping

NASA Astrophysics Data System (ADS)

Li, Fei; Li, Wenwu; Xu, Lan

2018-06-01

The chaotic dynamics of a Josephson junction with a ratchet potential and current-modulating damping are studied. Under the first-order approximation, we construct the general solution of the first-order equation whose boundedness condition contains the famous Melnikov chaotic criterion. Based on the general solution, the incomputability and unpredictability of the system's chaotic behavior are discussed. For the case beyond perturbation conditions, the evolution of stroboscopic Poincaré sections shows that the system undergoes a quasi-periodic transition to chaos with an increasing intensity of the rf-current. Through a suitable feedback controlling strategy, the chaos can be effectively suppressed and the intensity of the controller can vary in a large range. It is also found that the current between the two separated superconductors increases monotonously in some specific parameter spaces.

Computational Cardiac Anatomy Using MRI

PubMed Central

Beg, Mirza Faisal; Helm, Patrick A.; McVeigh, Elliot; Miller, Michael I.; Winslow, Raimond L.

2005-01-01

Ventricular geometry and fiber orientation may undergo global or local remodeling in cardiac disease. However, there are as yet no mathematical and computational methods for quantifying variation of geometry and fiber orientation or the nature of their remodeling in disease. Toward this goal, a landmark and image intensity-based large deformation diffeomorphic metric mapping (LDDMM) method to transform heart geometry into common coordinates for quantification of shape and form was developed. Two automated landmark placement methods for modeling tissue deformations expected in different cardiac pathologies are presented. The transformations, computed using the combined use of landmarks and image intensities, yields high-registration accuracy of heart anatomies even in the presence of significant variation of cardiac shape and form. Once heart anatomies have been registered, properties of tissue geometry and cardiac fiber orientation in corresponding regions of different hearts may be quantified. PMID:15508155

Chaotic Dynamics of a Josephson Junction with a Ratchet Potential and Current-Modulating Damping

NASA Astrophysics Data System (ADS)

Li, Fei; Li, Wenwu; Xu, Lan

2018-04-01

The chaotic dynamics of a Josephson junction with a ratchet potential and current-modulating damping are studied. Under the first-order approximation, we construct the general solution of the first-order equation whose boundedness condition contains the famous Melnikov chaotic criterion. Based on the general solution, the incomputability and unpredictability of the system's chaotic behavior are discussed. For the case beyond perturbation conditions, the evolution of stroboscopic Poincaré sections shows that the system undergoes a quasi-periodic transition to chaos with an increasing intensity of the rf-current. Through a suitable feedback controlling strategy, the chaos can be effectively suppressed and the intensity of the controller can vary in a large range. It is also found that the current between the two separated superconductors increases monotonously in some specific parameter spaces.

Nursing Care of Patients Undergoing Chemotherapy Desensitization: Part II.

PubMed

Jakel, Patricia; Carsten, Cynthia; Carino, Arvie; Braskett, Melinda

2016-04-01

Chemotherapy desensitization protocols are safe, but labor-intensive, processes that allow patients with cancer to receive medications even if they initially experienced severe hypersensitivity reactions. Part I of this column discussed the pathophysiology of hypersensitivity reactions and described the development of desensitization protocols in oncology settings. Part II incorporates the experiences of an academic medical center and provides a practical guide for the nursing care of patients undergoing chemotherapy desensitization.
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Use of hydrogel spacer for improved rectal dose-sparing in patients undergoing radical radiotherapy for localized prostate cancer: First Canadian experience

PubMed Central

Berlin, Alejandro; Di Tomasso, Anne; Ballantyne, Heather; Patterson, Susan; Lam, Tony; Sundaramurthy, Aravind; Helou, Joelle; Bayley, Andrew; Chung, Peter

2017-01-01

We describe the initial experience using a hydrogel spacer (SpaceOAR) to separate the prostate-rectum interspace in patients planned to undergo radical hypofractionated, image-guided, intensity-modulated radiotherapy (IG-IMRT). We depict and discuss the impact of SpaceOAR in the context of hypofractionated IG-IMRT, and the particular considerations for its applications in the Canadian setting. PMID:29257741

Melodic Intonation Therapy: Back to Basics for Future Research

PubMed Central

Zumbansen, Anna; Peretz, Isabelle; Hébert, Sylvie

2014-01-01

We present a critical review of the literature on melodic intonation therapy (MIT), one of the most formalized treatments used by speech-language therapist in Broca’s aphasia. We suggest basic clarifications to enhance the scientific support of this promising treatment. First, therapeutic protocols using singing as a speech facilitation technique are not necessarily MIT. The goal of MIT is to restore propositional speech. The rationale is that patients can learn a new way to speak through singing by using language-capable regions of the right cerebral hemisphere. Eventually, patients are supposed to use this way of speaking permanently but not to sing overtly. We argue that many treatment programs covered in systematic reviews on MIT’s efficacy do not match MIT’s therapeutic goal and rationale. Critically, we identified two main variations of MIT: the French thérapie mélodique et rythmée (TMR) that trains patients to use singing overtly as a facilitation technique in case of speech struggle and palliative versions of MIT that help patients with the most severe expressive deficits produce a limited set of useful, readymade phrases. Second, we distinguish between the immediate effect of singing on speech production and the long-term effect of the entire program on language recovery. Many results in the MIT literature can be explained by this temporal perspective. Finally, we propose that MIT can be viewed as a treatment of apraxia of speech more than aphasia. This issue should be explored in future experimental studies. PMID:24478754

Treating mineral metabolism disorders in patients undergoing long hemodialysis: a search for an optimal strategy.

PubMed

Jean, Guillaume; Vanel, Thierry; Terrat, Jean-Claude; Hurot, Jean-Marc; Lorriaux, Christie; Mayor, Brice; Chazot, Charles

2009-10-01

In hemodialysis (HD) patients, mineral metabolism (MM) disorders have been associated with an increased mortality rate. We report the evolution of MM parameters in a stable HD population undergoing long hemodialysis by performing an annual cross-sectional analysis for every year from 1994 to 2008. The therapeutic strategy has changed: the dialysate calcium concentration has decreased from a mean of 1.7 +/- 0.1 to 1.5 +/- 0.07 mmol/L and has been adapted to parathyroid hormone serum levels (from 1 to 1.75 mmol/L). The use of calcium-based and aluminum-based phosphate binders has decreased and they have been replaced by sevelamer; alfacalcidol has partly been replaced by native vitamin D. The percentage of patients with a parathyroid hormone serum level between 150 and 300 pg/mL has increased from 9% to 67% (P<0.001); the percentage of patients with phosphataemia between 1.15 and 1.78 mmol/L has increased from 39% to 84% (P<0.001). The percentage of those with albumin-corrected calcemia between 2.1 and 2.37 mmol/L has increased from 29% to 61% (P<0.001), and that of patients with a calcium-phosphorous product (Ca x P) level >4.4 mmol/L decreased from 8.8% to 2% (P=0.02). Although patients undergo long and intensive HD treatment, MM disorders are common. However, an appropriate strategy, mostly consisting of native vitamin D supplementation, progressive replacement of calcium-based phosphate binders with non-calcium-based ones, and individualization of dialysis session duration and dialysate calcium concentration, would result in a drastic improvement.

[Features of control of electromagnetic radiation emitted by personal computers].

PubMed

Pal'tsev, Iu P; Buzov, A L; Kol'chugin, Iu I

1996-01-01

Measurements of PC electromagnetic irradiation show that the main sources are PC blocks emitting the waves of certain frequencies. Use of wide-range detectors measuring field intensity in assessment of PC electromagnetic irradiation gives unreliable results. More precise measurements by selective devices are required. Thus, it is expedient to introduce a term "spectral density of field intensity" and its maximal allowable level. In this case a frequency spectrum of PC electromagnetic irradiation is divided into 4 ranges, one of which is subjected to calculation of field intensity for each harmonic frequency, and others undergo assessment of spectral density of field intensity.

Speech prosody perception in cochlear implant users with and without residual hearing.

PubMed

Marx, Mathieu; James, Christopher; Foxton, Jessica; Capber, Amandine; Fraysse, Bernard; Barone, Pascal; Deguine, Olivier

2015-01-01

The detection of fundamental frequency (F0) variations plays a prominent role in the perception of intonation. Cochlear implant (CI) users with residual hearing might have access to these F0 cues. The objective was to study if and how residual hearing facilitates speech prosody perception in CI users. The authors compared F0 difference limen (F0DL) and question/statement discrimination performance for 15 normal-hearing subjects (NHS) and two distinct groups of CI subjects, according to the presence or absence of acoustic residual hearing: one "combined group" (n = 11) with residual hearing and one CI-only group (n = 10) without any residual hearing. To assess the relative contribution of the different acoustic cues for intonation perception, the sensitivity index d' was calculated for three distinct auditory conditions: one condition with original recordings, one condition with a constant F0, and one with equalized duration and amplitude. In the original condition, combined subjects showed better question/statement discrimination than CI-only subjects, d' 2.44 (SE 0.3) and 0.91 (SE 0.25), respectively. Mean d' score of NHS was 3.3 (SE 0.06). When F0 variations were removed, the scores decreased significantly for combined subjects (d' = 0.66, SE 0.51) and NHS (d' = 0.4, SE 0.09). Duration and amplitude equalization affected the scores of CI-only subjects (mean d' = 0.34, SE 0.28) but did not influence the scores of combined subjects (d' = 2.7, SE 0.02) or NHS (d' = 3.3, SE 0.33). Mean F0DL was poorer in CI-only subjects (34%, SE 15) compared with combined subjects (8.8%, SE 1.4) and NHS (2.4%, SE 0.05). In CI subjects with residual hearing, intonation d' score was correlated with mean residual hearing level (r = -0.86, n = 11, p < 0.001) and mean F0DL (r = 0.84, n = 11, p < 0.001). Where CI subjects with residual hearing had thresholds better than 60 dB HL in the low frequencies, they displayed near-normal question/statement discrimination abilities. Normal listeners mainly relied on F0 variations which were the most effective prosodic cue. In comparison, CI subjects without any residual hearing had poorer F0 discrimination and showed a strong deficit in speech prosody perception. However, this CI-only group appeared to be able to make some use of amplitude and duration cues for statement/question discrimination.

Religiousness and preoperative anxiety: a correlational study.

PubMed

Kalkhoran, Masoomeh Aghamohammadi; Karimollahi, Mansoureh

2007-06-29

Major life changes are among factors that cause anxiety, and one of these changes is surgery. Emotional reactions to surgery have specific effects on the intensity and velocity as well as the process of physical disease. In addition, they can cause delay in patients recovery. This study is aimed at determining the relationship between religious beliefs and preoperative anxiety. This survey is a correlational study to assess the relationship between religious beliefs and preoperative anxiety of patients undergoing abdominal, orthopaedic, and gynaecologic surgery in educational hospitals. We used the convenience sampling method. The data collection instruments included a questionnaire containing the Spielberger State-Trait Anxiety Inventory (STAI), and another questionnaire formulated by the researcher with queries on religious beliefs and demographic characteristics as well as disease-related information. Analysis of the data was carried out with SPSS software using descriptive and inferential statistics. Results were arranged in three tables. The findings showed that almost all the subjects had high level of religiosity and moderate level of anxiety. In addition, there was an inverse relationship between religiosity and intensity of anxiety, though this was not statistically significant. The results of this study can be used as evidence for presenting religious counselling and spiritual interventions for individuals undergoing stress. Finally, based on the results of this study, the researcher suggested some recommendations for applying results and conducting further research.

Religiousness and preoperative anxiety: a correlational study

PubMed Central

Aghamohammadi Kalkhoran, Masoomeh; Karimollahi, Mansoureh

2007-01-01

Background Major life changes are among factors that cause anxiety, and one of these changes is surgery. Emotional reactions to surgery have specific effects on the intensity and velocity as well as the process of physical disease. In addition, they can cause delay in patients recovery. This study is aimed at determining the relationship between religious beliefs and preoperative anxiety. Methods This survey is a correlational study to assess the relationship between religious beliefs and preoperative anxiety of patients undergoing abdominal, orthopaedic, and gynaecologic surgery in educational hospitals. We used the convenience sampling method. The data collection instruments included a questionnaire containing the Spielberger State-Trait Anxiety Inventory (STAI), and another questionnaire formulated by the researcher with queries on religious beliefs and demographic characteristics as well as disease-related information. Analysis of the data was carried out with SPSS software using descriptive and inferential statistics. Results were arranged in three tables. Results The findings showed that almost all the subjects had high level of religiosity and moderate level of anxiety. In addition, there was an inverse relationship between religiosity and intensity of anxiety, though this was not statistically significant. Conclusion The results of this study can be used as evidence for presenting religious counselling and spiritual interventions for individuals undergoing stress. Finally, based on the results of this study, the researcher suggested some recommendations for applying results and conducting further research. PMID:17603897

Protocol, and practical challenges, for a randomised controlled trial comparing the impact of high intensity interval training against standard care before major abdominal surgery: study protocol for a randomised controlled trial.

PubMed

Woodfield, John; Zacharias, Matthew; Wilson, Genevieve; Munro, Fran; Thomas, Kate; Gray, Andrew; Baldi, James

2018-06-25

Risk factors, such as the number of pre-existing co-morbidities, the extent of the underlying pathology and the magnitude of the required operation, cannot be changed before surgery. It may, however, be possible to improve the cardiopulmonary fitness of the patient with an individualised exercise program. We are performing a randomised controlled trial (RCT) assessing the impact of High Intensity Interval Training (HIIT) on preoperative cardiopulmonary fitness and postoperative outcomes in patients undergoing major abdominal surgery. Consecutive eligible patients undergoing elective abdominal surgery are being randomised to HIIT or standard care in a 1:1 ratio. Participants allocated to HIIT will perform 14 exercise sessions on a stationary cycle ergometer, over a period of 4-6 weeks before surgery. The sessions, which are individualised, aim to start with ten repeated 1-min blocks of intense exercise with a target of reaching a heart rate exceeding 90% of the age predicted maximum, followed by 1 min of lower intensity cycling. As endurance improves, the duration of exercise is increased to achieve five 2-min intervals of high intensity exercise followed by 2 min of lower intensity cycling. Each training session lasts approximately 30 min. The primary endpoint, change in peak oxygen consumption (Peak VO 2 ) measured during cardiopulmonary exercise testing, is assessed at baseline and before surgery. Secondary endpoints include postoperative complications, length of hospital stay and three clinically validated scores: the surgical recovery scale; the postoperative morbidity survey; and the SF-36 quality of life score. The standard deviation for changes in Peak VO 2 will be assessed after the first 30 patients and will be used to calculate the required sample size. We want to assess if 14 sessions of HIIT is sufficient to improve Peak VO 2 by 2 mL/kg/min in patients undergoing major abdominal surgery and to explore the best clinical endpoint for a subsequent RCT designed to assess if improving Peak VO 2 will translate into improving clinical outcomes after surgery. Australian New Zealand Clinical Trials Registry, ACTRN12617000587303 . Registered on 26 April 2017.

A High-Throughput Real-Time Imaging Technique To Quantify NETosis and Distinguish Mechanisms of Cell Death in Human Neutrophils.

PubMed

Gupta, Sarthak; Chan, Diana W; Zaal, Kristien J; Kaplan, Mariana J

2018-01-15

Neutrophils play a key role in host defenses and have recently been implicated in the pathogenesis of autoimmune diseases by various mechanisms, including formation of neutrophil extracellular traps through a recently described distinct form of programmed cell death called NETosis. Techniques to assess and quantitate NETosis in an unbiased, reproducible, and efficient way are lacking, considerably limiting the advancement of research in this field. We optimized and validated, a new method to automatically quantify the percentage of neutrophils undergoing NETosis in real time using the IncuCyte ZOOM imaging platform and the membrane-permeability properties of two DNA dyes. Neutrophils undergoing NETosis induced by various physiological stimuli showed distinct changes, with a loss of multilobulated nuclei, as well as nuclear decondensation followed by membrane compromise, and were accurately counted by applying filters based on fluorescence intensity and nuclear size. Findings were confirmed and validated with the established method of immunofluorescence microscopy. The platform was also validated to rapidly assess and quantify the dose-dependent effect of inhibitors of NETosis. In addition, this method was able to distinguish among neutrophils undergoing NETosis, apoptosis, or necrosis based on distinct changes in nuclear morphology and membrane integrity. The IncuCyte ZOOM platform is a novel real-time assay that quantifies NETosis in a rapid, automated, and reproducible way, significantly optimizing the study of neutrophils. This platform is a powerful tool to assess neutrophil physiology and NETosis, as well as to swiftly develop and test novel neutrophil targets.

Communication of mechanically ventilated patients in intensive care units

PubMed Central

Martinho, Carina Isabel Ferreira; Rodrigues, Inês Tello Rato Milheiras

2016-01-01

Objective The aim of this study was to translate and culturally and linguistically adapt the Ease of Communication Scale and to assess the level of communication difficulties for patients undergoing mechanical ventilation with orotracheal intubation, relating these difficulties to clinical and sociodemographic variables. Methods This study had three stages: (1) cultural and linguistic adaptation of the Ease of Communication Scale; (2) preliminary assessment of its psychometric properties; and (3) observational, descriptive-correlational and cross-sectional study, conducted from March to August 2015, based on the Ease of Communication Scale - after extubation answers and clinical and sociodemographic variables of 31 adult patients who were extubated, clinically stable and admitted to five Portuguese intensive care units. Results Expert analysis showed high agreement on content (100%) and relevance (75%). The pretest scores showed a high acceptability regarding the completion of the instrument and its usefulness. The Ease of Communication Scale showed excellent internal consistency (0.951 Cronbach's alpha). The factor analysis explained approximately 81% of the total variance with two scale components. On average, the patients considered the communication experiences during intubation to be "quite hard" (2.99). No significant correlation was observed between the communication difficulties reported and the studied sociodemographic and clinical variables, except for the clinical variable "number of hours after extubation" (p < 0.05). Conclusion This study translated and adapted the first assessment instrument of communication difficulties for mechanically ventilated patients in intensive care units into European Portuguese. The preliminary scale validation suggested high reliability. Patients undergoing mechanical ventilation reported that communication during intubation was "quite hard", and these communication difficulties apparently existed regardless of the presence of other clinical and/or sociodemographic variables. PMID:27410408

ACR Appropriateness Criteria® Stage I Breast Cancer: Initial Workup and Surveillance for Local Recurrence and Distant Metastases in Asymptomatic Women.

PubMed

Moy, Linda; Bailey, Lisa; D'Orsi, Carl; Green, Edward D; Holbrook, Anna I; Lee, Su-Ju; Lourenco, Ana P; Mainiero, Martha B; Sepulveda, Karla A; Slanetz, Priscilla J; Trikha, Sunita; Yepes, Monica M; Newell, Mary S

2017-05-01

Women and health care professionals generally prefer intensive follow-up after a diagnosis of breast cancer. However, there are no survival differences between women who obtain intensive surveillance with imaging and laboratory studies compared with women who only undergo testing because of the development of symptoms or findings on clinical examinations. American Society of Clinical Oncology and National Comprehensive Cancer Network guidelines state that annual mammography is the only imaging examination that should be performed to detect a localized breast recurrence in asymptomatic patients; more imaging may be needed if the patient has locoregional symptoms (eg, palpable abnormality). Women with other risk factors that increase their lifetime risk for breast cancer may warrant evaluation with breast MRI. Furthermore, the quality of life is similar for women who undergo intensive surveillance compared with those who do not. There is little justification for imaging to detect or rule out metastasis in asymptomatic women with newly diagnosed stage I breast cancer. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

The evolving role of physical therapists in the long-term management of chronic low back pain: longitudinal care using assisted self-management strategies

PubMed Central

Beattie, Paul F.; Silfies, Sheri P.; Jordon, Max

2016-01-01

ABSTRACT Background Longitudinal studies have shown that the symptoms of chronic low back pain (CLBP) will follow an episodic trajectory characterized by periods of high and low pain intensity that can persist for many years. There is a growing belief that the contemporary approach of limiting physical therapy to short, but intense courses of treatment for (CLBP) may be sub-optimal because these limited “windows” of clinical care are not congruent with the natural history of this condition. Recent research has suggested that people with CLBP undergo substantial, and individualized long-term variations in the neural processing of nociception over time. This has led to the concept of a “unique biosignature of pain” that may explain much of the variation in a person’s clinical picture. These and other findings have led to the reconceptualization of CLBP as an individualized, and continually evolving condition that may be more suitably managed by empowering the patient toward self-management strategies that can be modified as needed over time by the PT. Objectives The purpose of this Master Class Paper is to describe an emerging approach for the treatment of CLBP that emphasizes the formation of a long-term therapeutic alliance between the patient and the PT with an emphasis on individualized, patient-preferred approaches for activity-based self-management as an alternative to the contemporary approach of short, intense episodes of care directed toward pain reduction. Conclusion Longitudinal care using assisted self-management strategies is more congruent with the natural history of CLBP than are traditional approaches for PT intervention. This approach may empower patients to undergo lifestyle changes that will favorably influence long-term outcomes; however additional research is needed. PMID:28001268

Pediatric neurocritical care: a neurology consultation model and implication for education and training.

PubMed

LaRovere, Kerri L; Graham, Robert J; Tasker, Robert C

2013-03-01

Pediatric neurocritical care is developing specialization within pediatric intensive care and pediatric neurology practice, and the evolving clinical expertise has relevance to training and education in both fields. We describe a model of service using a Neurology Consulting Team in the intensive care unit setting. Medical records were reviewed from a 32-month cohort of Neurology Consulting Team referrals. Six hundred eighty-nine (19%) of 3719 patients admitted to the intensive care unit were assessed by the team. The most common diagnostic categories were seizures, neurosurgical, cerebrovascular, or central nervous system infection. Fifty-seven percent (350 of 615 patients) required mechanical ventilation. Cohort mortality was 7% vs 2% for the general intensive care population (P < 0.01). The team provided 4592 initial and subsequent consultations; on average there were five to six new consultations per week. Each patient had a median of two (interquartile range, 1 to 6) consultations during admission. Three quarters of the cohort required neurodiagnostic investigation (1625 tests), with each patient undergoing a median of two (range, 0 to 3) studies. Taken together, the subset of pediatric intensive care unit patients undergoing neurology consultation, investigation, and management represents a significant practice experience for trainees, which has implications for future curriculum development in both pediatric critical care medicine and pediatric neurology. Copyright © 2013 Elsevier Inc. All rights reserved.

PRETREATMENT NUTRITIONAL STATUS AND LOCOREGIONAL FAILURE IN PATIENTS WITH HEAD AND NECK CANCER UNDERGOING DEFINITIVE CONCURRENT CHEMORADIATION THERAPY

PubMed Central

Platek, Mary E.; Reid, Mary E.; Wilding, Gregory E.; Jaggernauth, Wainwright; Rigual, Nestor R.; Hicks, Wesley L.; Popat, Saurin R.; Warren, Graham W.; Sullivan, Maureen; Thorstad, Wade L.; Khan, Mohamed K.; Loree, Thom R.; Singh, Anurag K.

2015-01-01

Background This study was carried out to determine if markers of nutritional status predict for locoregional failure following intensity-modulated radiation therapy (IMRT) with concurrent chemoradiotherapy (CCRT) for squamous cell carcinoma of the head and neck (SCCHN). Methods We performed a retrospective chart review of 78 patients with SCCHN who received definitive CCRT. We compared patient factors, tumor characteristics, and nutritional status indicators between patients with and without locoregional failure. Results Fifteen of 78 patients (19%) experienced locoregional failure. Median follow-up for live patients was 38 months. On univariate analysis, pretreatment percentage of ideal body weight (%IBW) (p < .01), pretreatment hemoglobin (p = .04), and treatment duration (p < .01) were significant predictors of failure. On multivariate analysis, pretreatment %IBW (p = .04) and treatment time (p < .01) remained statistically significant. Conclusions Although treatment time is an accepted risk factor for failure, differences in outcome for patients with head and neck cancer undergoing definitive CCRT based on pre-treatment %IBW should be examined further. PMID:21990220

Experiences of mothers of infants with congenital heart disease before, during, and after complex cardiac surgery.

PubMed

Harvey, Kayla A; Kovalesky, Andrea; Woods, Ronald K; Loan, Lori A

2013-01-01

Experiences of mothers of infants undergoing complex heart surgery were explored to build evidence-based family-centered interventions. Congenital heart disease is the most frequent birth defect in the United States and is common worldwide. Eight mothers recalled through journal entries their experiences of the days before, during, and after their infant's surgery and shared advice for other mothers. Colaizzi's phenomenological method was utilized for data analysis. A validation survey of seven additional mothers from a support group occurred via email. Six themes were identified and validated: Feeling Intense Fluctuating Emotion; Navigating the Medical World; Dealing with the Unknown; Facing the Possibility of My Baby Dying, Finding Meaning and Spiritual Connection, and the umbrella theme of Mothering Through It All. Through a clearer understanding of experiences as described by mothers, health-care providers may gain insight as to how to better support mothers of infants undergoing heart surgery. Copyright © 2013 Elsevier Inc. All rights reserved.

Juvenile Dermatomyositis: Key Roles of Muscle Magnetic Resonance Imaging and Early Aggressive Treatment.

PubMed

Corral-Magaña, O; Bauzá-Alonso, A F; Escudero-Góngora, M M; Lacruz, L; Martín-Santiago, A

2017-09-12

Juvenile dermatomyositis is a rare systemic connective tissue disease with onset during childhood. It presents clinically with proximal muscle weakness and characteristic skin involvement. Diagnosis is based on the Bohan and Peter criteria, though many authors are now substituting biopsy with muscle magnetic resonance imaging (MRI) for both diagnosis and follow-up. Without intensive early treatment, complications such as calcinosis cutis and lipodystrophy can develop in the chronic phases of the disease. Early recognition is therefore key to management. We present a series of 5 patients who were diagnosed with Juvenile dermatomyositis on muscle MRI without undergoing muscle biopsy and who received early treatment. We draw attention to the usefulness of muscle MRI for the diagnosis of muscle involvement and to the importance of early initiation of intensive treatment to prevent complications. Copyright © 2017 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

Temperature and excitation power influence on the velocity-selective optical pumping resonances of 133Cs atoms confined in an extremely thin cell

NASA Astrophysics Data System (ADS)

Vartanyan, T.; Polishchuk, V.; Sargsyan, A.; Krasteva, A.; Cartaleva, St.; Todorov, G.

2018-03-01

Linear and nonlinear absorption spectra of 133Cs vapor confined in an extremely thin cell were computed via iterations with respect to the resonance radiation intensity. When the incident radiation intensity is low, the transient polarization of the atoms that undergo frequent collisions with the cell walls leads to sub-Doppler features in the absorption spectra. Higher incident radiation intensities result in the appearance of velocity-selective optical pumping resonances. The theory developed agrees quantitatively with the experimental findings.

Intensity of antianginal therapy in patients referred for coronary angiography: a comparison of fee-for-service and health maintenance organization therapeutic strategies.

PubMed

Samuels, B A; Diamond, G A; Mahrer, P R; Denton, T A

2000-03-01

No formal criteria have been developed to guide medical therapy for angina prior to revascularization, and no comparisons have been made between health maintenance organization (HMO) and fee-for-service (FFS) hospitals with respect to angina treatment. Using a literature-based measure of medical intensity, we tested the hypothesis that there is no difference in anginal medical therapeutic intensity between HMO and FFS systems. For each antianginal drug, we developed a model from which an intensity score between 0 and 100 could be calculated. Average and maximal daily doses of drug were fit to a sigmoid curve such that they represented scores of 50 and 99, respectively. Overall intensity scores were obtained by weighted and unweighted averaging of three scores from nitrates, calcium-channel blockers, and beta blockers. This model was applied to 199 patients undergoing angiography at an FFS and an HMO hospital. HMO patients were taking more classes of antianginal drug (1.9 vs. 1.0, p < 0.001). Overall unweighted (17.7 vs. 11.7, p = 0.02) and weighted (27.3 vs. 16.9, p = 0.003) intensity scores for both HMO and FFS patients were low. HMO intensity scores for the use of beta blockers were greater than FFS scores (19.2 vs. 9.6, p = 0.002). The intensity scores for the use of nitrates and calcium blockers were similar. Models for the measurement of anginal medical therapy intensity can provide important information regarding medical therapy prior to revascularization. The overall intensity of medical therapy was low in both health care systems. These findings have important implications for patient management, guideline development, and national healthcare policy.

Comparison of Methods for Determining Aerobic Exercise Intensity Using Heart Rate in Acute Leukemia Patients Prior to Induction Chemotherapy

PubMed Central

Story, Christina; Bryant, Ashley Leak; Phillips, Brett; Bailey, Charlotte; Shields, Edgar W.; Battaglini, Claudio

2018-01-01

Introduction Cardiopulmonary exercise testing (CPET), the gold standard of cardiopulmonary evaluation, is used to determine VO2 levels at different aerobic exercise training intensities; however, it may not be feasible to conduct CPET in all clinical settings. Aims To compare the heart rate reserve (HRR) and percent of 220-age methods for prescribing cycle ergometry exercise intensity using heart rate (HR) against the HRs obtained during a CPET in adults undergoing treatment for acute leukemia (AL). Methods In this exploratory study, part of a larger randomized controlled trial, 14 adults with AL completed CPET on a cycle ergometer with indirect calorimetry within 96 hr of admission to a cancer hospital to determine VO2peak and HR corresponding to low (40% VO2peak), moderate (60% VO2peak), and high (75% VO2peak) exercise intensities. Analyses of variance were used to compare estimated HR for each intensity level using the HRR and percent of 220-age methods with HR determined via VO2peak. Results HR corresponding to low-intensity exercise differed significantly across all three methods (p ≤ .05). No significant differences were observed between HR estimated via the percent of 220-age method and determined via VO2peak at moderate (100 ± 8 and 113 ± 24 bpm, p = .122) or high intensities (125 ± 10 and 123 ± 25 bpm, p = .994). Conclusion In adults with AL, HR-based methods for defining aerobic exercise intensities should be used with caution. At low intensity, neither should be used, while at moderate and high intensities, the percent of 220-age equation might serve as an adequate substitute for CPET. PMID:26933148

Detecting cell death with optical coherence tomography and envelope statistics

NASA Astrophysics Data System (ADS)

Farhat, Golnaz; Yang, Victor X. D.; Czarnota, Gregory J.; Kolios, Michael C.

2011-02-01

Currently no standard clinical or preclinical noninvasive method exists to monitor cell death based on morphological changes at the cellular level. In our past work we have demonstrated that quantitative high frequency ultrasound imaging can detect cell death in vitro and in vivo. In this study we apply quantitative methods previously used with high frequency ultrasound to optical coherence tomography (OCT) to detect cell death. The ultimate goal of this work is to use these methods for optically-based clinical and preclinical cancer treatment monitoring. Optical coherence tomography data were acquired from acute myeloid leukemia cells undergoing three modes of cell death. Significant increases in integrated backscatter were observed for cells undergoing apoptosis and mitotic arrest, while necrotic cells induced a decrease. These changes appear to be linked to structural changes observed in histology obtained from the cell samples. Signal envelope statistics were analyzed from fittings of the generalized gamma distribution to histograms of envelope intensities. The parameters from this distribution demonstrated sensitivities to morphological changes in the cell samples. These results indicate that OCT integrated backscatter and first order envelope statistics can be used to detect and potentially differentiate between modes of cell death in vitro.

White Matter Integrity and Treatment-Based Change in Speech Performance in Minimally Verbal Children with Autism Spectrum Disorder.

PubMed

Chenausky, Karen; Kernbach, Julius; Norton, Andrea; Schlaug, Gottfried

2017-01-01

We investigated the relationship between imaging variables for two language/speech-motor tracts and speech fluency variables in 10 minimally verbal (MV) children with autism. Specifically, we tested whether measures of white matter integrity-fractional anisotropy (FA) of the arcuate fasciculus (AF) and frontal aslant tract (FAT)-were related to change in percent syllable-initial consonants correct, percent items responded to, and percent syllable insertion errors (from best baseline to post 25 treatment sessions). Twenty-three MV children with autism spectrum disorder (ASD) received Auditory-Motor Mapping Training (AMMT), an intonation-based treatment to improve fluency in spoken output, and we report on seven who received a matched control treatment. Ten of the AMMT participants were able to undergo a magnetic resonance imaging study at baseline; their performance on baseline speech production measures is compared to that of the other two groups. No baseline differences were found between groups. A canonical correlation analysis (CCA) relating FA values for left- and right-hemisphere AF and FAT to speech production measures showed that FA of the left AF and right FAT were the largest contributors to the synthetic independent imaging-related variable. Change in percent syllable-initial consonants correct and percent syllable-insertion errors were the largest contributors to the synthetic dependent fluency-related variable. Regression analyses showed that FA values in left AF significantly predicted change in percent syllable-initial consonants correct, no FA variables significantly predicted change in percent items responded to, and FA of right FAT significantly predicted change in percent syllable-insertion errors. Results are consistent with previously identified roles for the AF in mediating bidirectional mapping between articulation and acoustics, and the FAT in its relationship to speech initiation and fluency. They further suggest a division of labor between the hemispheres, implicating the left hemisphere in accuracy of speech production and the right hemisphere in fluency in this population. Changes in response rate are interpreted as stemming from factors other than the integrity of these two fiber tracts. This study is the first to document the existence of a subgroup of MV children who experience increases in syllable- insertion errors as their speech develops in response to therapy.

Pregnancy in chronic dialysis, late diagnosis, and other problems

NASA Astrophysics Data System (ADS)

Ramadani, S.; Nasution, A. T.; Nasution, S.; Lubis, H. R.

2018-03-01

The incidence of pregnancy in patients with chronic kidney disease (CKD) undergoing hemodialysis is rare. Forpregnant patients with CKD undergoing regular hemodialysis, the effects of renal disease on the fetus should be noted and require specific strategies. A 30-year-old woman had no menstruation for 4 months. Abdominal ultrasound showed single fetus within 16 weeks of pregnancy. She had previously been in regular hemodialysis twice a week since 2015, then the frequency of hemodialysis was increased to thrice a week for 4 hours/dialysis. During pregnancy, she was given erythropoiesis stimulating agent, controlled protein nutrition (0.6-1.5g/kg/day) and routine pregnancy controls to an obstetrician. After 31-32 weeks gestation, thebaby was born alive with low birth weight (1800g). Maintaining pregnancy in women with regular hemodialysis is still challenging and difficult. Prolonged/intensive dialysis during pregnancy results in longer gestational periods, higher fetal weights, and a higher likelihood of survival. Based on a dialysis guideline for pregnancy in CKD, hemodialysis is performed at least 20 hours/week to maintain pre-dialysis of BUN≤50mg/dl hemoglobin should be at least 10-11g/dL. We reported a case of pregnancy in dialysis CKD patient undergoing hemodialysis thricea week (4 hours/dialysis). The baby was born alive with low birth weight (1800 g).

Anxiety in women with breast cancer undergoing treatment: a systematic review.

PubMed

Lim, Chi Ching; Devi, M Kamala; Ang, Emily

2011-09-01

Breast cancer is one of the most common cancers worldwide, and anxiety is a psychological morbidity that is inevitable. Many researchers have investigated the prevalence and detrimental effects of anxiety in breast cancer treatment, but little is known about differences in anxiety level among women receiving different breast cancer treatments. A systematic review of all available literature was needed to attain better understanding of anxiety in patients undergoing treatment for breast cancer. This review aimed to determine the best available evidence on the level of anxiety among women with breast cancer who were undergoing cancer treatment(s), and the factor(s) contributing to anxiety in various treatment modalities. The search sought to gather data from published and unpublished studies conducted between 1990 and 2010. An initial search on CINAHL and Medline was done to identify relevant search terms. A search strategy was then developed, using MeSH headings and key words. The following databases were searched: CINAHL, PubMed, ScienceDirect, PsycINFO, Cochrane Database of Systematic Review, Scopus, Wiley InterScience and PsycARTICLES. All papers are quantitative papers (randomised controlled trials and descriptive studies) that examined anxiety level in women with breast cancer of stage 0 to stage IIIA, over and equal to 21 and below 65 years of age, who were undergoing/had undergone treatment restricted to chemotherapy, radiotherapy and/or surgery, and these quantitative papers have made correlations between women's anxiety levels and contributing factors. The Hospital Anxiety and Depression Scale and State-Trait Anxiety Inventory were the two tools most frequently used by these papers to quantify the anxiety level. Two reviewers independently assessed the eligibility of the papers for inclusion. Eighteen papers were selected based on relevance, and assessed for methodological quality using MAStARI. Ten research papers that met our methodological standard were included in the review. Both reviewers agreed on the papers to be included and excluded. Due to the methodological heterogeneity of the included papers, a meta-analysis was not possible. The studies were hence presented in narrative summary. Anxiety seems to be ubiquitous, presenting itself in all treatment types for breast cancer. Anxiety level in women who underwent chemotherapy was highest before the first chemotherapy infusion, mediated by age and trait anxiety. Radiotherapy regimes did not affect anxiety level in radiotherapy-treated patients, and most research concluded that anxiety level was higher among women who underwent mastectomy than those who underwent breast conservation therapy. The prevalence and intensity of anxiety have been shown to be pronounced among breast cancer women who were undergoing/had undergone one or more of the three treatments. Chemotherapy, as compared to other treatments, is shown to be associated with a higher anxiety level. With the prevalence, intensity and correlated factors of anxiety identified through this review, future research may investigate the interventions that could help alleviate anxiety among these patients. Anxiety is prevalent in women with breast cancer undergoing treatment, especially those undergoing chemotherapy. Healthcare professionals should pay greater attention to identify signs of anxiety in patients and design interventions to help alleviate it earlier. © 2011 The Authors. International Journal of Evidence-Based Healthcare © 2011 The Joanna Briggs Institute.

Structural changes of the regulatory proteins bound to the thin filaments in skeletal muscle contraction by X-ray fiber diffraction

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sugimoto, Yasunobu; Takezawa, Yasunori; Matsuo, Tatsuhito

2008-04-25

In order to clarify the structural changes related to the regulation mechanism in skeletal muscle contraction, the intensity changes of thin filament-based reflections were investigated by X-ray fiber diffraction. The time course and extent of intensity changes of the first to third order troponin (TN)-associated meridional reflections with a basic repeat of 38.4 nm were different for each of these reflections. The intensity of the first and second thin filament layer lines changed in a reciprocal manner both during initial activation and during the force generation process. The axial spacings of the TN-meridional reflections decreased by {approx}0.1% upon activation relativemore » to the relaxing state and increased by {approx}0.24% in the force generation state, in line with that of the 2.7-nm reflection. Ca{sup 2+}-binding to TN triggered the shortening and a change in the helical symmetry of the thin filaments. Modeling of the structural changes using the intensities of the thin filament-based reflections suggested that the conformation of the globular core domain of TN altered upon activation, undergoing additional conformational changes at the tension plateau. The tail domain of TN moved together with tropomyosin during contraction. The results indicate that the structural changes of regulatory proteins bound to the actin filaments occur in two steps, the first in response to the Ca{sup 2+}-binding and the second induced by actomyosin interaction.« less

Management of antiplatelet therapy in patients undergoing elective invasive procedures. Proposals from the French Working Group on perioperative haemostasis (GIHP) and the French Study Group on thrombosis and haemostasis (GFHT). In collaboration with the French Society for Anaesthesia and Intensive Care Medicine (SFAR).

PubMed

Godier, Anne; Fontana, Pierre; Motte, Serge; Steib, Annick; Bonhomme, Fanny; Schlumberger, Sylvie; Lecompte, Thomas; Rosencher, Nadia; Susen, Sophie; Vincentelli, André; Gruel, Yves; Albaladejo, Pierre; Collet, Jean-Philippe

2018-01-05

The French Working Group on Perioperative Haemostasis (GIHP) and the French Study Group on Haemostasis and Thrombosis (GFHT) in collaboration with the French Society for Anaesthesia and Intensive Care Medicine (SFAR) drafted up-to-date proposals for the management of antiplatelet therapy in patients undergoing elective invasive procedures. The proposals were discussed and validated by a vote; all proposals but one could be assigned with a high strength. The management of antiplatelet therapy is based on their indication and the procedure. The risk of bleeding related to the procedure can be divided into high, moderate and low categories depending on the possibility of performing the procedure in patients receiving antiplatelet agents (none, monotherapy and dual antiplatelet therapy respectively). If discontinuation of antiplatelet therapy is indicated before the procedure, a last intake of aspirin, clopidogrel, ticagrelor and prasugrel 3, 5, 5 and 7 days before surgery respectively is proposed. The thrombotic risk associated with discontinuation should be assessed according to each specific indication of antiplatelet therapy and is higher for patients receiving dual therapy for coronary artery disease (with further refinements based on a few well-accepted items) than for those receiving monotherapy for cardiovascular prevention, for secondary stroke prevention or for lower extremity arterial disease. These proposals also address the issue of the potential role of platelet functional tests and consider management of antiplatelet therapy for regional anaesthesia, including central neuraxial anaesthesia and peripheral nerve blocks, and for coronary artery surgery. Copyright © 2018 The Authors. Published by Elsevier Masson SAS.. All rights reserved.

Determinants of anxiety in patients with advanced somatic disease: differences and similarities between patients undergoing renal replacement therapies and patients suffering from cancer.

PubMed

Janiszewska, Justyna; Lichodziejewska-Niemierko, Monika; Gołębiewska, Justyna; Majkowicz, Mikołaj; Rutkowski, Bolesław

2013-10-01

Anxiety is the most frequent emotional reaction to the chronic somatic disease. However, little is known about anxiety and coping strategies in patients with end-stage renal disease (ESRD) undergoing renal replacement therapies (RRTs). The purpose of the study was to assess the intensity and determinants of anxiety in patients treated with different RRTs in comparison with end-stage breast cancer patients and healthy controls. The study involved (1) ESRD patients undergoing different RRTs: 32 renal transplant recipients, 31 maintenance haemodialysis and 21 chronic peritoneal dialysis patients, (2) women with end-stage breast cancer (n = 25) and (3) healthy persons (n = 55). We used State-Trait Anxiety Inventory, Scale of Personal Religiousness, Mental Adjustment to Cancer Scale, Rotterdam Symptom Checklist with reference to medical history. The data thus obtained were analysed using the analysis of variance, the Tukey's HSD post hoc test and Spearman's rank correlation coefficient. Both ESRD and breast cancer patients revealed higher level of anxiety state and trait than healthy controls; however, there was no statistically significant difference found between both findings. There was a tendency towards higher levels of anxiety state in breast cancer patients when compared to ESRD patients undergoing the RRT treatment and for both groups non-constructive coping strategies correlated with the levels of anxiety state. With ESRD patients undergoing RRTs, the intensity of anxiety state did not depend on the mode of treatment but on the correlation between the levels of anxiety and the general quality of their life, psychological condition and social activity. In patients with advanced somatic disease (ESRD and end-stage breast cancer), non-constructive strategies of coping with the disease require further evaluation and possibly psychological support.

Low-frequency pitch perception in children with cochlear implants in comparison to normal hearing peers.

PubMed

Dincer D'Alessandro, Hilal; Filipo, Roberto; Ballantyne, Deborah; Attanasio, Giuseppe; Bosco, Ersilia; Nicastri, Maria; Mancini, Patrizia

2015-11-01

The aim of the present study was to investigate the application of two new pitch perception tests in children with cochlear implants (CI) and to compare CI outcomes to normal hearing (NH) children, as well as investigating the effect of chronological age on performance. The tests were believed to be linked to the availability of Temporal Fine Structure (TFS) cues. 20 profoundly deaf children with CI (5-17 years) and 31 NH peers participated in the study. Harmonic Intonation (HI) and Disharmonic Intonation (DI) tests were used to measure low-frequency pitch perception. HI/DI outcomes were found poorer in children with CI. CI and NH groups showed a statistically significant difference (p < 0.001). HI scores were better than those of DI test (p < 0.001). Chronological age had a significant effect on DI performance in NH group (p < 0.05); children under the age of 8.5 years showed larger inter-subject-variability; however, the majority of NH children showed outcomes that were considered normal at adult-level. For the DI test, bimodal listeners had better performance than when listening with CI alone. HI/DI tests were applicable as clinical tools in the pediatric population. The majority of CI users showed abnormal outcomes on both tests confirming poor TFS processing in the hearing-impaired population. Findings indicated that the DI test provided more differential low-frequency pitch perception outcomes in that it reflected phase locking and TFS processing capacities of the ear, whereas HI test provided information of its place coding capacity as well.

Association between speech-language, general cognitive functioning and behaviour problems in individuals with Williams syndrome.

PubMed

Rossi, N F; Giacheti, C M

2017-07-01

Williams syndrome (WS) phenotype is described as unique and intriguing. The aim of this study was to investigate the associations between speech-language abilities, general cognitive functioning and behavioural problems in individuals with WS, considering age effects and speech-language characteristics of WS sub-groups. The study's participants were 26 individuals with WS and their parents. General cognitive functioning was assessed with the Wechsler Intelligence Scale. Peabody Picture Vocabulary Test, Token Test and the Cookie Theft Picture test were used as speech-language measures. Five speech-language characteristics were evaluated from a 30-min conversation (clichés, echolalia, perseverative speech, exaggerated prosody and monotone intonation). The Child Behaviour Checklist (CBCL 6-18) was used to assess behavioural problems. Higher single-word receptive vocabulary and narrative vocabulary were negatively associated with CBCL T-scores for Social Problems, Aggressive Behaviour and Total Problems. Speech rate was negatively associated with the CBCL Withdrawn/Depressed T-score. Monotone intonation was associated with shy behaviour, as well as exaggerated prosody with talkative behaviour. WS with perseverative speech and exaggerated prosody presented higher scores on Thought Problems. Echolalia was significantly associated with lower Verbal IQ. No significant association was found between IQ and behaviour problems. Age-associated effects were observed only for the Aggressive Behaviour scale. Associations reported in the present study may represent an insightful background for future predictive studies of speech-language, cognition and behaviour problems in WS. © 2017 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

A real-time dynamic-MLC control algorithm for delivering IMRT to targets undergoing 2D rigid motion in the beam's eye view.

PubMed

McMahon, Ryan; Berbeco, Ross; Nishioka, Seiko; Ishikawa, Masayori; Papiez, Lech

2008-09-01

An MLC control algorithm for delivering intensity modulated radiation therapy (IMRT) to targets that are undergoing two-dimensional (2D) rigid motion in the beam's eye view (BEV) is presented. The goal of this method is to deliver 3D-derived fluence maps over a moving patient anatomy. Target motion measured prior to delivery is first used to design a set of planned dynamic-MLC (DMLC) sliding-window leaf trajectories. During actual delivery, the algorithm relies on real-time feedback to compensate for target motion that does not agree with the motion measured during planning. The methodology is based on an existing one-dimensional (ID) algorithm that uses on-the-fly intensity calculations to appropriately adjust the DMLC leaf trajectories in real-time during exposure delivery [McMahon et al., Med. Phys. 34, 3211-3223 (2007)]. To extend the 1D algorithm's application to 2D target motion, a real-time leaf-pair shifting mechanism has been developed. Target motion that is orthogonal to leaf travel is tracked by appropriately shifting the positions of all MLC leaves. The performance of the tracking algorithm was tested for a single beam of a fractionated IMRT treatment, using a clinically derived intensity profile and a 2D target trajectory based on measured patient data. Comparisons were made between 2D tracking, 1D tracking, and no tracking. The impact of the tracking lag time and the frequency of real-time imaging were investigated. A study of the dependence of the algorithm's performance on the level of agreement between the motion measured during planning and delivery was also included. Results demonstrated that tracking both components of the 2D motion (i.e., parallel and orthogonal to leaf travel) results in delivered fluence profiles that are superior to those that track the component of motion that is parallel to leaf travel alone. Tracking lag time effects may lead to relatively large intensity delivery errors compared to the other sources of error investigated. However, the algorithm presented is robust in the sense that it does not rely on a high level of agreement between the target motion measured during treatment planning and delivery.

Efficacy of low-frequency low-intensity electrotherapy in the treatment of breast cancer-related lymphoedema: a cross-over randomized trial.

PubMed

Belmonte, Roser; Tejero, Marta; Ferrer, Montse; Muniesa, Josep Maria; Duarte, Esther; Cunillera, Oriol; Escalada, Ferran

2012-07-01

To compare the efficacy of low-frequency low-intensity electrotherapy and manual lymphatic drainage in the treatment of chronic upper limb breast cancer-related lymphoedema. Cross-over single-blind random clinical trial. Rehabilitation service. Thirty-six women with chronic upper limb breast cancer-related lymphoedema. Patients were randomized to undergo 10 sessions of manual lymphatic drainage followed by 10 sessions of low-frequency low-intensity electrotherapy or to undergo first low-frequency low-intensity electrotherapy followed by manual lymphatic drainage. There was a month of washout time between treatments. Each patient was examined just before and after each treatment. Researchers and outcome assessors were blinded for assigned treatment. Outcomes were lymphoedema volume, pain, heaviness and tightness, and health-related quality of life measured with the Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer version 4 (FACT-B+4). Carry-over, period and treatment effects were analysed. Treatment effect was assessed using paired t-test. Thirty patients finalized treatment. Comparing the changes in low-frequency low-intensity electrotherapy with manual lymphatic drainage changes, there were no significant differences. Low-frequency low-intensity electrotherapy did not reduce lymphoedema volume (mean of change = 19.77 mL, P = 0.36), but significant reductions were observed in pain, heaviness and tightness (mean of change = 13.1, 16.2 and 6.4 mm, respectively), and FACT-B+4 summaries improved significantly (Trial Outcome Index mean of change = 5.4, P = 0.015). Manual lymphatic drainage showed no significant changes in any of the outcomes Although there are no significant differences between treatment changes, the observed trend towards a better health-related quality of life is remarkable in low-frequency low-intensity electrotherapy.

Efficacy of low-frequency low-intensity electrotherapy in the treatment of breast cancer-related lymphoedema: a cross-over randomized trial

PubMed Central

Tejero, Marta; Ferrer, Montse; Muniesa, Josep M; Duarte, Esther; Cunillera, Oriol; Escalada, Ferran

2012-01-01

Objective: To compare the efficacy of low-frequency low-intensity electrotherapy and manual lymphatic drainage in the treatment of chronic upper limb breast cancer-related lymphoedema. Design: Cross-over single-blind random clinical trial. Setting: Rehabilitation service. Participants: Thirty-six women with chronic upper limb breast cancer-related lymphoedema. Methods: Patients were randomized to undergo 10 sessions of manual lymphatic drainage followed by 10 sessions of low-frequency low-intensity electrotherapy or to undergo first low-frequency low-intensity electrotherapy followed by manual lymphatic drainage. There was a month of washout time between treatments. Each patient was examined just before and after each treatment. Researchers and outcome assessors were blinded for assigned treatment. Measures: Outcomes were lymphoedema volume, pain, heaviness and tightness, and health-related quality of life measured with the Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer version 4 (FACT-B+4). Carry-over, period and treatment effects were analysed. Treatment effect was assessed using paired t-test. Results: Thirty patients finalized treatment. Comparing the changes in low-frequency low-intensity electrotherapy with manual lymphatic drainage changes, there were no significant differences. Low-frequency low-intensity electrotherapy did not reduce lymphoedema volume (mean of change = 19.77 mL, P = 0.36), but significant reductions were observed in pain, heaviness and tightness (mean of change = 13.1, 16.2 and 6.4 mm, respectively), and FACT-B+4 summaries improved significantly (Trial Outcome Index mean of change = 5.4, P = 0.015). Manual lymphatic drainage showed no significant changes in any of the outcomes Conclusion: Although there are no significant differences between treatment changes, the observed trend towards a better health-related quality of life is remarkable in low-frequency low-intensity electrotherapy. PMID:22172923

Perception of affective and linguistic prosody: an ALE meta-analysis of neuroimaging studies.

PubMed

Belyk, Michel; Brown, Steven

2014-09-01

Prosody refers to the melodic and rhythmic aspects of speech. Two forms of prosody are typically distinguished: 'affective prosody' refers to the expression of emotion in speech, whereas 'linguistic prosody' relates to the intonation of sentences, including the specification of focus within sentences and stress within polysyllabic words. While these two processes are united by their use of vocal pitch modulation, they are functionally distinct. In order to examine the localization and lateralization of speech prosody in the brain, we performed two voxel-based meta-analyses of neuroimaging studies of the perception of affective and linguistic prosody. There was substantial sharing of brain activations between analyses, particularly in right-hemisphere auditory areas. However, a major point of divergence was observed in the inferior frontal gyrus: affective prosody was more likely to activate Brodmann area 47, while linguistic prosody was more likely to activate the ventral part of area 44. © The Author (2013). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

Follow-up of colorectal cancer patients after resection with curative intent-the GILDA trial.

PubMed

Grossmann, Erik M; Johnson, Frank E; Virgo, Katherine S; Longo, Walter E; Fossati, Rolando

2004-01-01

Surgery remains the primary treatment of colorectal cancer. Data are lacking to delineate the optimal surveillance strategy following resection. A large-scale multi-center European study is underway to address this issue (Gruppo Italiano di Lavoro per la Diagnosi Anticipata-GILDA). Following primary surgery with curative intent, stratification, and randomization at GILDA headquarters, colon cancer patients are then assigned to a more intensive or less intensive surveillance regimen. Rectal cancer patients undergoing curative resection are similarly randomized, with their follow-up regimens placing more emphasis on detection of local recurrence. Target recruitment for the study will be 1500 patients to achieve a statistical power of 80% (assuming an alpha of 0.05 and a hazard-rate reduction of >24%). Since the trial opened in 1998, 985 patients have been randomized from 41 centers as of February 2004. There were 496 patients randomized to the less intensive regimens, and 489 randomized to the more intensive regimens. The mean duration of follow-up is 14 months. 75 relapses (15%) and 32 deaths (7%) had been observed in the two more intensive follow-up arms, while 64 relapses (13%) and 24 deaths (5%) had been observed in the two less intensive arms as of February 2004. This trial should provide the first evidence based on an adequately powered randomized trial to determine the optimal follow-up strategy for colorectal cancer patients. This trial is open to US centers, and recruitment continues.

"Dip-and-read" paper-based analytical devices using distance-based detection with color screening.

PubMed

Yamada, Kentaro; Citterio, Daniel; Henry, Charles S

2018-05-15

An improved paper-based analytical device (PAD) using color screening to enhance device performance is described. Current detection methods for PADs relying on the distance-based signalling motif can be slow due to the assay time being limited by capillary flow rates that wick fluid through the detection zone. For traditional distance-based detection motifs, analysis can take up to 45 min for a channel length of 5 cm. By using a color screening method, quantification with a distance-based PAD can be achieved in minutes through a "dip-and-read" approach. A colorimetric indicator line deposited onto a paper substrate using inkjet-printing undergoes a concentration-dependent colorimetric response for a given analyte. This color intensity-based response has been converted to a distance-based signal by overlaying a color filter with a continuous color intensity gradient matching the color of the developed indicator line. As a proof-of-concept, Ni quantification in welding fume was performed as a model assay. The results of multiple independent user testing gave mean absolute percentage error and average relative standard deviations of 10.5% and 11.2% respectively, which were an improvement over analysis based on simple visual color comparison with a read guide (12.2%, 14.9%). In addition to the analytical performance comparison, an interference study and a shelf life investigation were performed to further demonstrate practical utility. The developed system demonstrates an alternative detection approach for distance-based PADs enabling fast (∼10 min), quantitative, and straightforward assays.

Advances in Understanding Stimulus Responsive Phase Behavior of Intrinsically Disordered Protein Polymers.

PubMed

Ruff, Kiersten M; Roberts, Stefan; Chilkoti, Ashutosh; Pappu, Rohit V

2018-06-24

Proteins and synthetic polymers can undergo phase transitions in response to changes to intensive solution parameters such as temperature, proton chemical potentials (pH), and hydrostatic pressure. For proteins and protein-based polymers, the information required for stimulus responsive phase transitions is encoded in their amino acid sequence. Here, we review some of the key physical principles that govern the phase transitions of archetypal intrinsically disordered protein polymers (IDPPs). These are disordered proteins with highly repetitive amino acid sequences. Advances in recombinant technologies have enabled the design and synthesis of protein sequences of a variety of sequence complexities and lengths. We summarize insights that have been gleaned from the design and characterization of IDPPs that undergo thermo-responsive phase transitions and build on these insights to present a general framework for IDPPs with pH and pressure responsive phase behavior. In doing so, we connect the stimulus responsive phase behavior of IDPPs with repetitive sequences to the coil-to-globule transitions that these sequences undergo at the single chain level in response to changes in stimuli. The proposed framework and ongoing studies of stimulus responsive phase behavior of designed IDPPs have direct implications in bioengineering, where designing sequences with bespoke material properties broadens the spectrum of applications, and in biology and medicine for understanding the sequence-specific driving forces for the formation of protein-based membraneless organelles as well as biological matrices that act as scaffolds for cells and mediators of cell-to-cell communication. Copyright © 2018. Published by Elsevier Ltd.

Comparison of Adductor Canal Block Versus Local Infiltration Analgesia on Postoperative Pain and Functional Outcome after Total Knee Arthroplasty: A Randomized Controlled Trial

PubMed Central

Tanavalee, A; Ngarmukos, S; Amarase, C; Songthamwat, B; Boonshua, A

2018-01-01

Introduction: Total knee arthroplasty (TKA) is associated with intense postoperative pain for which effective analgesia is essential to facilitate early postoperative recovery. Adductor canal block (ACB) and local infiltration analgesia (LIA) have become increasingly involved in postoperative pain management after TKA. We aimed to compare their efficacy and outcomes in patients undergoing TKA. Materials and Methods: Sixty patients undergoing unilateral TKA were randomized to receive either postoperative single-injection ACB (Group A) or LIA (Group L) during the operation. All patients received spinal anaesthesia. Primary outcome was total morphine consumption over postoperative 24 hours. Visual analog pain scale, time to first and total dosage of rescue analgesia, performance-based evaluations [timed-up and go (TUG) test, quadriceps strength], side-effects, length of hospital stay and patient satisfaction were measured. Results: Fifty-seven patients were available for analysis. Median total morphine consumption over 24 and 48 postoperative hours of Group A were significantly less than Group L (6/10 mg vs 13/25 mg, p, 0.008 and 0.001, respectively). Similarly, Group A had significantly lower VAS at postoperative 6, 12 and 18 hours, VAS at ambulation on postoperative (POD) 1-3, better TUG tests on POD 2 and during POD 3 than those of Group L. However, quadriceps strength and patient satisfaction were not different between both groups. Conclusion: Patients undergoing TKA with single-injection ACB required less postoperative opioids than those with LIA. Furthermore, multimodal analgesia using ACB provided better postoperative analgesia, as well as performance-based activities, than those with LIA. PMID:29725506

Investigation of Comparative Mosquito Breeding in Dredged Material Disposal Sites Used in the Maintenance Dredging of the Atlantic Intra-Coastal Waterway in South Carolina.

DTIC Science & Technology

1978-01-01

rctary ditching equipment falls inton thc latter category. Equipment of this type cuts a ditch with a Srt-ating cutting head . As the marsh sod is removed...several years if the site is not further altered by dredging. * 89 W W W V W W W W W W W SITE DESIGNATION: WACCAMAW NECK (G-1O) Summary 151. This...Bionomics and embryology of the inland floodwater mosquito . .. .’. Univ. of Illinois Press. 2 11pp. S Jeane, G. S., II, and R. E. Pine. 1975

History of consolidation is prognostic in acute myeloid leukemia patients undergoing allogeneic hematopoietic cell transplantation in minimal residual disease-negative first complete remission.

PubMed

Rashidi, Armin; Linden, Michael A; DeFor, Todd E; Warlick, Erica; Bejanyan, Nelli; Yohe, Sophia; Weisdorf, Daniel J; Ustun, Celalettin

2017-10-01

Prognostic factors among acute myeloid leukemia (AML) patients undergoing allogeneic hematopoietic cell transplantation (allo-HCT) in minimal residual disease (MRD)-negative first complete remission (CR1) are unknown. We retrospectively attempted to answer the following question: In AML patients undergoing allo-HCT in MRD-negative CR1, does a history of prior consolidation provide additional prognostic information? The inclusion criteria were: (i) Age > 18 years, (ii) AML in CR1 after 1-2 cycles of intensive induction chemotherapy, with or without consolidation, (iii) Allo-HCT between 1/2003 and 4/2016 at our institution, (iv) Available standard-sensitivity 4-color flow cytometry results from a bone marrow aspiration at diagnosis and after completion of all previous chemotherapy within one month prior to HCT, (v) Flow cytometry-based MRD-negative status at the time of HCT. A history of prior consolidation was associated with favorable overall survival (Hazard Ratio [95% Confidence Interval]: 0.59 [0.35-0.99], P = .046), relapse-free survival (0.60 [0.37-0.96], P = .036), and relapse (0.50 [0.27-0.92], P = .025). Analysis of potential sources of bias was unrevealing. In AML patients undergoing allo-HCT in MRD-negative CR1, a history of prior consolidation was associated with favorable outcomes. If the path to pre-HCT MRD negativity includes consolidation, it may identify patients with improved prognosis following HCT in MRD-negative state. These results warrant validation in larger cohorts. © 2017 Wiley Periodicals, Inc.

PERVALE-S: a new cognitive task to assess deaf people's ability to perceive basic and social emotions.

PubMed

Mestre, José M; Larrán, Cristina; Herrero, Joaquín; Guil, Rocío; de la Torre, Gabriel G

2015-01-01

A poorly understood aspect of deaf people (DP) is how their emotional information is processed. Verbal ability is key to improve emotional knowledge in people. Nevertheless, DP are unable to distinguish intonation, intensity, and the rhythm of language due to lack of hearing. Some DP have acquired both lip-reading abilities and sign language, but others have developed only sign language. PERVALE-S was developed to assess the ability of DP to perceive both social and basic emotions. PERVALE-S presents different sets of visual images of a real deaf person expressing both basic and social emotions, according to the normative standard of emotional expressions in Spanish Sign Language. Emotional expression stimuli were presented at two different levels of intensity (1: low; and 2: high) because DP do not distinguish an object in the same way as hearing people (HP) do. Then, participants had to click on the more suitable emotional expression. PERVALE-S contains video instructions (given by a sign language interpreter) to improve DP's understanding about how to use the software. DP had to watch the videos before answering the items. To test PERVALE-S, a sample of 56 individuals was recruited (18 signers, 8 lip-readers, and 30 HP). Participants also performed a personality test (High School Personality Questionnaire adapted) and a fluid intelligence (Gf) measure (RAPM). Moreover, all deaf participants were rated by four teachers for the deaf. there were no significant differences between deaf and HP in performance in PERVALE-S. Confusion matrices revealed that embarrassment, envy, and jealousy were worse perceived. Age was just related to social-emotional tasks (but not in basic emotional tasks). Emotional perception ability was related mainly to warmth and consciousness, but negatively related to tension. Meanwhile, Gf was related to only social-emotional tasks. There were no gender differences.

PERVALE-S: a new cognitive task to assess deaf people’s ability to perceive basic and social emotions

PubMed Central

Mestre, José M.; Larrán, Cristina; Herrero, Joaquín; Guil, Rocío; de la Torre, Gabriel G.

2015-01-01

A poorly understood aspect of deaf people (DP) is how their emotional information is processed. Verbal ability is key to improve emotional knowledge in people. Nevertheless, DP are unable to distinguish intonation, intensity, and the rhythm of language due to lack of hearing. Some DP have acquired both lip-reading abilities and sign language, but others have developed only sign language. PERVALE-S was developed to assess the ability of DP to perceive both social and basic emotions. PERVALE-S presents different sets of visual images of a real deaf person expressing both basic and social emotions, according to the normative standard of emotional expressions in Spanish Sign Language. Emotional expression stimuli were presented at two different levels of intensity (1: low; and 2: high) because DP do not distinguish an object in the same way as hearing people (HP) do. Then, participants had to click on the more suitable emotional expression. PERVALE-S contains video instructions (given by a sign language interpreter) to improve DP’s understanding about how to use the software. DP had to watch the videos before answering the items. To test PERVALE-S, a sample of 56 individuals was recruited (18 signers, 8 lip-readers, and 30 HP). Participants also performed a personality test (High School Personality Questionnaire adapted) and a fluid intelligence (Gf) measure (RAPM). Moreover, all deaf participants were rated by four teachers for the deaf. Results: there were no significant differences between deaf and HP in performance in PERVALE-S. Confusion matrices revealed that embarrassment, envy, and jealousy were worse perceived. Age was just related to social-emotional tasks (but not in basic emotional tasks). Emotional perception ability was related mainly to warmth and consciousness, but negatively related to tension. Meanwhile, Gf was related to only social-emotional tasks. There were no gender differences. PMID:26300828

Pneumocephalus with BiPAP use after transsphenoidal surgery☆,☆☆,★

PubMed Central

Kopelovich, Jonathan C.; de la Garza, Gabriel O.; Greenlee, Jeremy D.W.; Graham, Scott M.; Udeh, Chiedozie I.; O'Brien, Erin K.

2013-01-01

While the benefits of continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP) for patients with obstructive sleep apnea are well described, reports in the literature of complications from its use are rare. A patient who received postoperative BiPAP after undergoing transsphenoidal craniopharyngioma resection developed severe pneumocephalus and unplanned intensive care unit admission. Although the pneumocephalus resolved with conservative management over two weeks, we propose caution in the use of CPAP postoperatively in patients undergoing procedures of the head and neck. PMID:22626688

DOE Office of Scientific and Technical Information (OSTI.GOV)

Shen, Z; Greskovich, J; Xia, P

Purpose: To generate virtual phantoms with clinically relevant deformation and use them to objectively evaluate geometric and dosimetric uncertainties of deformable image registration (DIR) algorithms. Methods: Ten lung cancer patients undergoing adaptive 3DCRT planning were selected. For each patient, a pair of planning CT (pCT) and replanning CT (rCT) were used as the basis for virtual phantom generation. Manually adjusted meshes were created for selected ROIs (e.g. PTV, lungs, spinal cord, esophagus, and heart) on pCT and rCT. The mesh vertices were input into a thin-plate spline algorithm to generate a reference displacement vector field (DVF). The reference DVF wasmore » used to deform pCT to generate a simulated replanning CT (srCT) that was closely matched to rCT. Three DIR algorithms (Demons, B-Spline, and intensity-based) were applied to these ten virtual phantoms. The images, ROIs, and doses were mapped from pCT to srCT using the DVFs computed by these three DIRs and compared to those mapped using the reference DVF. Results: The average Dice coefficients for selected ROIs were from 0.85 to 0.96 for Demons, from 0.86 to 0.97 for intensity-based, and from 0.76 to 0.95 for B-Spline. The average Hausdorff distances for selected ROIs were from 2.2 to 5.4 mm for Demons, from 2.3 to 6.8 mm for intensity-based, and from 2.4 to 11.4 mm for B-Spline. The average absolute dose errors for selected ROIs were from 0.2 to 0.6 Gy for Demons, from 0.1 to 0.5 Gy for intensity-based, and from 0.5 to 1.5 Gy for B-Spline. Conclusion: Virtual phantoms were modeled after patients with lung cancer and were clinically relevant for adaptive radiotherapy treatment replanning. Virtual phantoms with known DVFs serve as references and can provide a fair comparison when evaluating different DIRs. Demons and intensity-based DIRs were shown to have smaller geometric and dosimetric uncertainties than B-Spline. Z Shen: None; K Bzdusek: an employee of Philips Healthcare; J Greskovich: None; P Xia: received research grants from Philips Healthcare and Siemens Healthcare.« less

Hospital-Acquired Pneumonia in Patients Undergoing Coronary Artery Bypass Graft; Comparison of the Center for Disease Control Clinical Criteria With Physicians’ Judgment

PubMed Central

Baghban, Mahboubeh; Paknejad, Omalbanin; Yousefshahi, Fardin; Gohari Moghadam, Keivan; Bina, Payvand; Samimi Sadeh, Saghar

2014-01-01

Background: Following coronary artery bypass graft (CABG), patients are at high risk (3.2%-8.3%) for developing hospital-acquired pneumonia (HAP) with mortality rate of 24% to 50%. Some of routine features in patients undergoing CABG are similar to clinical criteria of Center of Disease Control (CDC) for diagnosis of pneumonia. This may lead to over-diagnosis of pneumonia in these patients. Objectives: This study aimed to assess the frequency of CDC criteria for diagnosis of pneumonia in patients undergoing CABG. Patients and Methods: This study was performed on CABG candidates admitted to post cardiac surgery Intensive Care Unit (ICU) in a six-month period. Patient’s records, Chest-X-Ray, and Laboratory tests were assessed for PNU1-CDC criteria for HAP diagnosis. At the same time, a physician who was unaware of the study protocol assessed the clinical diagnosis. Then the results were compared with CDC criteria-based diagnosis. Results: Of total 300 patients, 9 (3%) met CDC criteria for diagnosis of pneumonia while none of the cases were diagnosed as HAP according to the physicians’ clinical diagnosis. All nine patients were discharged with proper general condition and no need of antibiotic therapy. This study showed that loss of consciousness, tachypnea, dyspnea, PaO2 < 60 mm Hg, PaO2/FiO2 < 240, and local infiltration in 24 hours of operation were misleading features of CDC criteria, which were not considered in physicians’ clinical judgment to establish the diagnosis. Conclusions: Our findings suggest that in Post-CABG patients, physicians could judge the occurrence of HAP more accurately in comparison to making the diagnosis based on CDC criteria alone. Expert physician may intentionally do not take some of these criteria into account according the patients’ course of disease. Therefore, it is suggested that the value of these criteria in special group of patients like those undergoing CABG should be re-evaluated. PMID:25289379

Hospital-acquired pneumonia in patients undergoing coronary artery bypass graft; comparison of the center for disease control clinical criteria with physicians' judgment.

PubMed

Baghban, Mahboubeh; Paknejad, Omalbanin; Yousefshahi, Fardin; Gohari Moghadam, Keivan; Bina, Payvand; Samimi Sadeh, Saghar

2014-08-01

Following coronary artery bypass graft (CABG), patients are at high risk (3.2%-8.3%) for developing hospital-acquired pneumonia (HAP) with mortality rate of 24% to 50%. Some of routine features in patients undergoing CABG are similar to clinical criteria of Center of Disease Control (CDC) for diagnosis of pneumonia. This may lead to over-diagnosis of pneumonia in these patients. This study aimed to assess the frequency of CDC criteria for diagnosis of pneumonia in patients undergoing CABG. This study was performed on CABG candidates admitted to post cardiac surgery Intensive Care Unit (ICU) in a six-month period. Patient's records, Chest-X-Ray, and Laboratory tests were assessed for PNU1-CDC criteria for HAP diagnosis. At the same time, a physician who was unaware of the study protocol assessed the clinical diagnosis. Then the results were compared with CDC criteria-based diagnosis. Of total 300 patients, 9 (3%) met CDC criteria for diagnosis of pneumonia while none of the cases were diagnosed as HAP according to the physicians' clinical diagnosis. All nine patients were discharged with proper general condition and no need of antibiotic therapy. This study showed that loss of consciousness, tachypnea, dyspnea, PaO2 < 60 mm Hg, PaO2/FiO2 < 240, and local infiltration in 24 hours of operation were misleading features of CDC criteria, which were not considered in physicians' clinical judgment to establish the diagnosis. Our findings suggest that in Post-CABG patients, physicians could judge the occurrence of HAP more accurately in comparison to making the diagnosis based on CDC criteria alone. Expert physician may intentionally do not take some of these criteria into account according the patients' course of disease. Therefore, it is suggested that the value of these criteria in special group of patients like those undergoing CABG should be re-evaluated.

A fiber optic, ultraviolet light-emitting diode-based, two wavelength fluorometer for monitoring reactive adsorption

DOE Office of Scientific and Technical Information (OSTI.GOV)

Granz, Christopher D.; Whitten, James E., E-mail: James-Whitten@uml.edu; Schindler, Bryan J.

Construction and use of an ultraviolet light-emitting diode-based fluorometer for measuring photoluminescence (PL) from powder samples with a fiber optic probe is described. Fluorescence at two wavelengths is detected by miniature photomultiplier tubes, each equipped with a different band pass filter, whose outputs are analyzed by a microprocessor. Photoluminescent metal oxides and hydroxides, and other semiconducting nanoparticles, often undergo changes in their emission spectra upon exposure to reactive gases, and the ratio of the PL intensities at two wavelengths is diagnostic of adsorption. Use of this instrument for reactive gas sensing and gas filtration applications is illustrated by measuring changesmore » in the PL ratio for zirconium hydroxide and zinc oxide particles upon exposure to air containing low concentrations of sulfur dioxide.« less

Effect of magnesium ions on the structure of DNA thin films: an infrared spectroscopy study

PubMed Central

Serec, Kristina; Babić, Sanja Dolanski; Podgornik, Rudolf; Tomić, Silvia

2016-01-01

Utilizing Fourier transform infrared spectroscopy we have investigated the vibrational spectrum of thin dsDNA films in order to track the structural changes upon addition of magnesium ions. In the range of low magnesium concentration ([magnesium]/[phosphate] = [Mg]/[P] < 0.5), both the red shift and the intensity of asymmetric PO2 stretching band decrease, indicating an increase of magnesium-phosphate binding in the backbone region. Vibration characteristics of the A conformation of the dsDNA vanish, whereas those characterizing the B conformation become fully stabilized. In the crossover range with comparable Mg and intrinsic Na DNA ions ([Mg]/[P] ≈ 1) B conformation remains stable; vibrational spectra show moderate intensity changes and a prominent blue shift, indicating a reinforcement of the bonds and binding in both the phosphate and the base regions. The obtained results reflect the modified screening and local charge neutralization of the dsDNA backbone charge, thus consistently demonstrating that the added Mg ions interact with DNA via long-range electrostatic forces. At high Mg contents ([Mg]/[P] > 10), the vibrational spectra broaden and show a striking intensity rise, while the base stacking remains unaffected. We argue that at these extreme conditions, where a charge compensation by vicinal counterions reaches 92–94%, DNA may undergo a structural transition into a more compact form. PMID:27484473

Plant Light Measurement & Calculations.

ERIC Educational Resources Information Center

Hershey, David R.

1991-01-01

The differences between measuring light intensity for the human eye and for plant photosynthesis are discussed. Conversion factors needed to convert various units of light are provided. Photosynthetic efficiency and the electricity costs for plants to undergo photosynthesis using interior lighting are described. (KR)

Tracheotomy in the intensive care unit: Guidelines from a French expert panel: The French Intensive Care Society and the French Society of Anaesthesia and Intensive Care Medicine.

PubMed

Trouillet, Jean-Louis; Collange, Olivier; Belafia, Fouad; Blot, François; Capellier, Gilles; Cesareo, Eric; Constantin, Jean-Michel; Demoule, Alexandre; Diehl, Jean-Luc; Guinot, Pierre-Grégoire; Jegoux, Franck; L'Her, Erwan; Luyt, Charles-Edouard; Mahjoub, Yazine; Mayaux, Julien; Quintard, Hervé; Ravat, François; Vergez, Sébastien; Amour, Julien; Guillot, Max

2018-06-01

Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the grading of recommendations assessment, development and evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de réanimation de langue française) and the French Society of Anesthesia and Intensive Care Medicine (Société francaise d'anesthésie réanimation) with the participation of the French Emergency Medicine Association (Société française de médecine d'urgence), the French Society of Otorhinolaryngology. Sixteen experts and two coordinators agreed to consider questions concerning tracheotomy and its practical implementation. Five topics were defined: indications and contraindications for tracheotomy in intensive care, tracheotomy techniques in intensive care, modalities of tracheotomy in intensive care, management of patients undergoing tracheotomy in intensive care, and decannulation in intensive care. The summary made by the experts and the application of GRADE methodology led to the drawing up of 8 formal guidelines, 10 recommendations, and 3 treatment protocols. Among the 8 formal guidelines, 2 have a high level of proof (Grade 1±) and 6 a low level of proof (Grade 2±). For the 10 recommendations, GRADE methodology was not applicable and instead 10 expert opinions were produced. Copyright © 2018 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.

Acoustic Sources of Accent in Second Language Japanese Speech.

PubMed

Idemaru, Kaori; Wei, Peipei; Gubbins, Lucy

2018-05-01

This study reports an exploratory analysis of the acoustic characteristics of second language (L2) speech which give rise to the perception of a foreign accent. Japanese speech samples were collected from American English and Mandarin Chinese speakers ( n = 16 in each group) studying Japanese. The L2 participants and native speakers ( n = 10) provided speech samples modeling after six short sentences. Segmental (vowels and stops) and prosodic features (rhythm, tone, and fluency) were examined. Native Japanese listeners ( n = 10) rated the samples with regard to degrees of foreign accent. The analyses predicting accent ratings based on the acoustic measurements indicated that one of the prosodic features in particular, tone (defined as high and low patterns of pitch accent and intonation in this study), plays an important role in robustly predicting accent rating in L2 Japanese across the two first language (L1) backgrounds. These results were consistent with the prediction based on phonological and phonetic comparisons between Japanese and English, as well as Japanese and Mandarin Chinese. The results also revealed L1-specific predictors of perceived accent in Japanese. The findings of this study contribute to the growing literature that examines sources of perceived foreign accent.

Development of a computer-based clinical decision support tool for selecting appropriate rehabilitation interventions for injured workers.

PubMed

Gross, Douglas P; Zhang, Jing; Steenstra, Ivan; Barnsley, Susan; Haws, Calvin; Amell, Tyler; McIntosh, Greg; Cooper, Juliette; Zaiane, Osmar

2013-12-01

To develop a classification algorithm and accompanying computer-based clinical decision support tool to help categorize injured workers toward optimal rehabilitation interventions based on unique worker characteristics. Population-based historical cohort design. Data were extracted from a Canadian provincial workers' compensation database on all claimants undergoing work assessment between December 2009 and January 2011. Data were available on: (1) numerous personal, clinical, occupational, and social variables; (2) type of rehabilitation undertaken; and (3) outcomes following rehabilitation (receiving time loss benefits or undergoing repeat programs). Machine learning, concerned with the design of algorithms to discriminate between classes based on empirical data, was the foundation of our approach to build a classification system with multiple independent and dependent variables. The population included 8,611 unique claimants. Subjects were predominantly employed (85 %) males (64 %) with diagnoses of sprain/strain (44 %). Baseline clinician classification accuracy was high (ROC = 0.86) for selecting programs that lead to successful return-to-work. Classification performance for machine learning techniques outperformed the clinician baseline classification (ROC = 0.94). The final classifiers were multifactorial and included the variables: injury duration, occupation, job attachment status, work status, modified work availability, pain intensity rating, self-rated occupational disability, and 9 items from the SF-36 Health Survey. The use of machine learning classification techniques appears to have resulted in classification performance better than clinician decision-making. The final algorithm has been integrated into a computer-based clinical decision support tool that requires additional validation in a clinical sample.

Critical pathogenic steps to high risk Helicobacter pylori gastritis and gastric carcinogenesis

PubMed Central

Lee, Inchul

2014-01-01

Helicobacter pylori (H. pylori) gastritis may progress to high risk gastropathy and cancer. However, the pathological progression has not been characterized in detail. H. pylori induce persistent inflammatory infiltration. Neutrophils are unique in that they directly infiltrate into foveolar epithelium aiming the proliferative zone specifically. Neutrophilic proliferative zone foveolitis is a critical pathogenic step in H. pylori gastritis inducing intensive epithelial damage. Epithelial cells carrying accumulated genomic damage and mutations show the Malgun (clear) cell change, characterized by large clear nucleus and prominent nucleolus. Malgun cells further undergo atypical changes, showing nuclear folding, coarse chromatin, and multiple nucleoli. The atypical Malgun cell (AMC) change is a novel premalignant condition in high risk gastropathy, which may progress and undergo malignant transformation directly. The pathobiological significance of AMC in gastric carcinogenesis is reviewed. A new diagnosis system of gastritis is proposed based on the critical pathologic steps classifying low and high risk gastritis for separate treatment modality. It is suggested that the regulation of H. pylori-induced neutrophilic foveolitis might be a future therapeutic goal replacing bactericidal antibiotics approach. PMID:24914362

Critical pathogenic steps to high risk Helicobacter pylori gastritis and gastric carcinogenesis.

PubMed

Lee, Inchul

2014-06-07

Helicobacter pylori (H. pylori) gastritis may progress to high risk gastropathy and cancer. However, the pathological progression has not been characterized in detail. H. pylori induce persistent inflammatory infiltration. Neutrophils are unique in that they directly infiltrate into foveolar epithelium aiming the proliferative zone specifically. Neutrophilic proliferative zone foveolitis is a critical pathogenic step in H. pylori gastritis inducing intensive epithelial damage. Epithelial cells carrying accumulated genomic damage and mutations show the Malgun (clear) cell change, characterized by large clear nucleus and prominent nucleolus. Malgun cells further undergo atypical changes, showing nuclear folding, coarse chromatin, and multiple nucleoli. The atypical Malgun cell (AMC) change is a novel premalignant condition in high risk gastropathy, which may progress and undergo malignant transformation directly. The pathobiological significance of AMC in gastric carcinogenesis is reviewed. A new diagnosis system of gastritis is proposed based on the critical pathologic steps classifying low and high risk gastritis for separate treatment modality. It is suggested that the regulation of H. pylori-induced neutrophilic foveolitis might be a future therapeutic goal replacing bactericidal antibiotics approach.

Characterization of the transcriptome, nucleotide sequence polymorphism, and natural selection in the desert adapted mouse Peromyscus eremicus.

PubMed

MacManes, Matthew D; Eisen, Michael B

2014-01-01

As a direct result of intense heat and aridity, deserts are thought to be among the most harsh of environments, particularly for their mammalian inhabitants. Given that osmoregulation can be challenging for these animals, with failure resulting in death, strong selection should be observed on genes related to the maintenance of water and solute balance. One such animal, Peromyscus eremicus, is native to the desert regions of the southwest United States and may live its entire life without oral fluid intake. As a first step toward understanding the genetics that underlie this phenotype, we present a characterization of the P. eremicus transcriptome. We assay four tissues (kidney, liver, brain, testes) from a single individual and supplement this with population level renal transcriptome sequencing from 15 additional animals. We identified a set of transcripts undergoing both purifying and balancing selection based on estimates of Tajima's D. In addition, we used the branch-site test to identify a transcript-Slc2a9, likely related to desert osmoregulation-undergoing enhanced selection in P. eremicus relative to a set of related non-desert rodents.

Multicenter validation study of a transplantation-specific cytogenetics grouping scheme for patients with myelodysplastic syndromes.

PubMed

Armand, P; Deeg, H J; Kim, H T; Lee, H; Armistead, P; de Lima, M; Gupta, V; Soiffer, R J

2010-05-01

Cytogenetics is an important prognostic factor for patients with myelodysplastic syndromes (MDS). However, existing cytogenetics grouping schemes are based on patients treated with supportive care, and may not be optimal for patients undergoing allo-SCT. We proposed earlier an SCT-specific cytogenetics grouping scheme for patients with MDS and AML arising from MDS, based on an analysis of patients transplanted at the Dana-Farber Cancer Institute/Brigham and Women's Hospital. Under this scheme, abnormalities of chromosome 7 and complex karyotype are considered adverse risk, whereas all others are considered standard risk. In this retrospective study, we validated this scheme on an independent multicenter cohort of 546 patients. Adverse cytogenetics was the strongest prognostic factor for outcome in this cohort. The 4-year relapse-free survival and OS were 42 and 46%, respectively, in the standard-risk group, vs 21 and 23% in the adverse group (P<0.0001 for both comparisons). This grouping scheme retained its prognostic significance irrespective of patient age, disease type, earlier leukemogenic therapy and conditioning intensity. Therapy-related disease was not associated with increased mortality in this cohort, after taking cytogenetics into account. We propose that this SCT-specific cytogenetics grouping scheme be used for patients with MDS or AML arising from MDS who are considering or undergoing SCT.

Antiseptic use in the neonatal intensive care unit - a dilemma in clinical practice: An evidence based review

PubMed Central

Sathiyamurthy, Sundar; Banerjee, Jayanta; Godambe, Sunit V

2016-01-01

Infants in the neonatal intensive care unit are highly susceptible to healthcare associated infections (HAI), with a substantial impact on mortality, morbidity and healthcare costs. Effective skin disinfection with topical antiseptic agents is an important intervention in the prevention or reduction of HAI. A wide array of antiseptic preparations in varying concentrations and combinations has been used in neonatal units worldwide. In this article we have reviewed the current evidence of a preferred antiseptic of choice over other agents for topical skin disinfection in neonates. Chlorhexidine (CHG) appears to be a promising antiseptic agent; however there exists a significant concern regarding the safety of all agents used including CHG especially in preterm and very low birth weight infants. There is substantial evidence to support the use of CHG for umbilical cord cleansing and some evidence to support the use of topical emollients in reducing the mortality in infants born in developing countries. Well-designed large multicentre randomized clinical trials are urgently needed to guide us on the most appropriate and safe antiseptic to use in neonates undergoing intensive care, especially preterm infants. PMID:27170926

Chronic obstructive pulmonary disease exacerbation in the intensive care unit: clinical, functional and quality of life at discharge and 3 months of follow up.

PubMed

Viana, Renata Cristina Teixeira Pinto; Pincelli, Mariangela Pimentel; Pizzichini, Emílio; Silva, André Pacheco; Manes, Joice; Marconi, Tatiana Dias; Steidle, Leila John Marques

2017-01-01

The purpose of this study was to evaluate the clinical/functional aspects and quality of life of chronic obstructive pulmonary disease patients who were discharged after an intensive care unit admission for acute respiratory failure. This prospective study included chronic obstructive pulmonary disease patients who were admitted to two intensive care units between December of 2010 and August of 2011 and evaluated over three visits after discharge. Thirty patients were included, and 20 patients completed the three-month follow up. There was a significant improvement in the following: forced expiratory flow in one second (L) (1.1/1.4/1.4; p = 0.019), six-minute walk test (m) (- /232.8 /272.6; p = 0.04), BODE score (7.5/5.0/3.8; p = 0.001), cognition measured by the Mini Mental State Examination (21/23.5/23.5; p = 0.008) and quality of life measured by the total Saint George Respiratory Questionnaire score (63.3/56.8/51, p = 0.02). The mean difference in the total score was 12.3 (between visits 1 and three). Important clinical differences were observed for the symptom score (18.8), activities score (5.2) and impact score (14.3). The majority of participants (80%) reported they would be willing to undergo a new intensive care unit admission. Despite the disease severity, there was a significant clinical, functional and quality of life improvement at the end of the third month. Most patients would be willing to undergo a new intensive care unit admission.

North American Marriage: 1990

ERIC Educational Resources Information Center

Davids, Leo

1971-01-01

Two decades from mow, marriage will be very different from what it is today, a sociologist believes. Romantic love will have largely disappeared; there will be several kinds of marriage to choose from, and prospective parents will have to obtain licenses and undergo intensive training. (Author)

Sensitive and selective SERS probe for trivalent chromium detection using citrate attached gold nanoparticles.

PubMed

Ye, Yingjie; Liu, Honglin; Yang, Liangbao; Liu, Jinhuai

2012-10-21

In this article, we have demonstrated a sensitive and selective surface enhanced Raman spectroscopy (SERS) probe, based on citrate-capped gold nanoparticles (AuNPs), for trivalent chromium (Cr(3+)) detection. After introducing Tween 20 to a solution of citrate-capped AuNPs, the as-prepared Tween 20/citrate-AuNP probe could recognize Cr(3+) at a 50 × 10(-9) M level in an aqueous medium at a pH of 6.0. Tween 20 can stabilize the citrate-capped AuNPs against conditions of high ionic strength. Due to the chelation between Cr(3+) and citrate ions, AuNPs undergo aggregation. As a result, it formed several hot spots and provided a significant enhancement of the Raman signal intensity through electromagnetic (EM) field enhancements. A detailed mechanism for tremendous SERS intensity change had been discussed. The selectivity of this system toward Cr(3+) was 400-fold, remarkably greater than other metal ions.

Sudden bending of a cracked laminate

NASA Technical Reports Server (NTRS)

Sih, G. C.; Chen, E. P.

1981-01-01

The intensification of stresses near a through crack in the laminate that suddenly undergoes bending is investigated. A dynamic plate theory is developed which includes the effects of material inhomogeneity in the thickness direction and realistic crack edge stress singularity and distribution. Numerical examples indicate that (1) the crack moment intensity tends to decrease as the crack length to laminate thickness is increased, and (2) the average load intensity transmitted to a through crack can be reduced by making the inner layers to be stiffer than the outer layers.

Intense pumping and time- and frequency-resolved CARS for driving and tracking structural deformation and recovery of liquid nitromethane molecules

NASA Astrophysics Data System (ADS)

Wang, Chang; Wu, Hong-lin; Song, Yun-fei; He, Xing; Yang, Yan-qiang; Tan, Duo-wang

2015-11-01

A modified CARS technique with an intense nonresonant femtosecond laser is presented to drive the structural deformation of liquid nitromethane molecules and track their structural relaxation process. The CARS spectra reveal that the internal rotation of the molecule can couple with the CN symmetric stretching vibration and the molecules undergo ultrafast structural deformation of the CH3 groups from 'opened umbrella' to 'closed umbrella' shape, and then experience a structural recovery process within 720 fs.

Filter Enhances Fluorescent-Penetrant-Inspecting Borescope

NASA Technical Reports Server (NTRS)

Molina, Orlando G.

1990-01-01

Slip-on eyepiece for commercial ultraviolet-light borescope reduces both amount of short-wave ultraviolet light that reaches viewer's eye and apparent intensity of unwanted reflections of white light from surfaces undergoing inspection. Fits on stock eyepiece of borescope, which illuminates surface inspected with intense ultraviolet light. Surface, which is treated with fluorescent dye, emits bright-green visible light wherever dye penetrates - in cracks and voids. Eyepiece contains deep-yellow Wratten 15 (G) filter, which attenuates unwanted light strongly but passes yellow-green fluorescence so defects seen clearly.

Effect of plastic deformation on the magnetic properties and dislocation luminescence of isotopically enriched silicon {sup 29}Si:B

DOE Office of Scientific and Technical Information (OSTI.GOV)

Koplak, O. V.; Shteynman, E. A.; Tereschenko, A. N.

2015-09-15

A correlation between the temperature dependences of the D1-line intensity of dislocation luminescence and the magnetic moment of plastically deformed isotopically enriched crystals {sup 29}Si:B is found. It is established that the magnetic susceptibility of the deformed crystals obtained by integration of the spectra of electron spin resonance and the D1-line intensity undergo similar nonmonotonic variations with temperature varying in the range of 20–32 K.

Effect of Free-Stream Turbulence Intensity on Transonic Airfoil with Shock Wave

NASA Astrophysics Data System (ADS)

Lutsenko, I.; Serikbay, M.; Akiltayev, A.; Rojas-Solórzano, L. R.; Zhao, Y.

2017-09-01

Airplanes regularly operate switching between various flight modes such as take-off, climb, cruise, descend and landing. During these flight conditions the free-stream approaching the wings undergo fundamental changes. In transonic flow conditions, typically in the military or aerospace applications, existence of nonlinear and unsteady effects of the airflow stream significantly alters the performance of an airfoil. This paper presents the influence of free-stream turbulence intensity on transonic flow over an airfoil in the presence of a weak shock wave. In particular, NACA 0012 airfoil performance at Ma∞ = 0.7 is considered in terms of drag, lift, turbulence kinetic energy, and turbulence eddy dissipation parameters under the influence of varying angle of attacks and free-stream turbulence. The finite volume method in a commercial CFD package ANSYS-CFX is used to perform the numerical analysis of the flow. Mesh refinement using a mesh-adaption technique based on velocity gradient is presented for more accurate prediction of shocks and boundary layers. A Shear Stress Transport (SST) turbulence model is validated against experimental data available in the literature. Numerical simulations were performed, with free stream turbulence intensity ranging from low (1%), medium (5%) to high (10%) levels. Results revealed that drag and lift coefficients are approximately the same at every aforementioned value of turbulence intensity. However, turbulence kinetic energy and eddy dissipation contours vary as turbulence intensity changes, but their changes are disproportionally small, compared with values adopted for free-stream turbulence.

Correlation of pretreatment clinical parameters and PSA nadir after high-intensity focused ultrasound (HIFU) for localised prostate cancer.

PubMed

Ganzer, Roman; Bründl, Johannes; Koch, Daniel; Wieland, Wolf F; Burger, Maximilian; Blana, Andreas

2015-01-01

To determine which pretreatment clinical parameters were predictive of a low prostate-specific antigen (PSA) nadir following high-intensity focused ultrasound (HIFU) treatment. Retrospective study of patients with clinically localised prostate cancer undergoing HIFU at a single centre between December 1997 and September 2009. Whole-gland treatment was applied. Patients also included if they had previously undergone transurethral resection of the prostate (TURP). TURP was also conducted simultaneously to HIFU. Biochemical failure based on Phoenix definition (PSA nadir + 2). Univariate and multivariate analysis of pretreatment clinical parameters conducted to assess those factors predictive of a PSA nadir ≤0.2 and >0.2 ng/ml. Mean (SD) follow-up was 6.2 (2.8) years; median (range) was 6.3 (1.1-12.2) years. Kaplan-Meier estimate of biochemical disease-free survival rate at 8 years was 83 and 48 % for patients achieving a PSA nadir of ≤0.2 and >0.2 ng/ml, respectively. Prostate volume and incidental finding of cancer were significant predictors of low PSA nadir (≤0.2 ng/ml). Prostate volume and incidental finding of cancer could be predictors for oncologic success of HIFU based on post-treatment PSA nadir.

The association between the transfusion of small volumes of leucocyte-depleted red blood cells and outcomes in patients undergoing open-heart valve surgery.

PubMed

Zittermann, Armin; Koster, Andreas; Faraoni, David; Börgermann, Jochen; Schirmer, Uwe; Gummert, Jan F

2017-02-01

The relationship between the transfusion of red blood cell (RBC) units and outcomes in patients undergoing cardiac surgery is the subject of intense debates. In this study, we investigated the relationship between the transfusion of 1-2 leucocyte-depleted (LD) RBC units and outcomes in patients undergoing open-heart valve surgery. The investigation encompassed consecutive patients undergoing open-heart valve surgery at our institution between July 2009 and March 2015 who received no (RBC- group) or 1-2 units of LD RBC (RBC+ group). End-points were 30-day mortality (primary), the incidence of in-hospital major organ dysfunctions and 1-year mortality (secondary). Propensity score (PS)-adjusted statistical analysis was used to assess the effect of RBC transfusion on end-points. Thirty-day mortality rate was 0.2% (3/1485) in the RBC- group and 0.4% (6/1672) in the RBC+ group, with a PS-adjusted odds ratio (OR) for 30-day mortality of 1.00 (95% CI: 0.21-4.83;P = 0.99). The two groups showed no significant differences in PS-adjusted ORs for major complications, such as stroke, low cardiac output syndrome, thoracic wound infection and prolonged mechanical ventilation (>24 h). The PS-adjusted ORs for prolonged intensive care unit stay (>48 h) were, however, significantly higher in the RBC+ group (OR = 1.34 [95%CI: 1.04-1.72; P = 0.02]) than in the RBC- group. One-year mortality was comparable between groups (PS-adjusted hazard ratio for the RBC+ group: 0.85 [95% CI: 0.42-1.72; P = 0.65]). Our data do not provide evidence that in patients undergoing valve surgery with cardiopulmonary bypass, transfusion of 1-2 units of LD RBC increases operative mortality, the incidence of postoperative complications or 1-year mortality. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Red blood cell transfusion in infants and children - Current perspectives.

PubMed

Ali, Natasha

2018-06-01

Children routinely receive packed red blood transfusion when they are admitted in the intensive care unit or undergoing cardiac surgeries. These guidelines aim to summarize literature and provide transfusion triggers exclusively in infants and children. Copyright © 2017. Published by Elsevier B.V.

Clinical and economic effectiveness of percutaneous ventricular assist devices for high-risk patients undergoing percutaneous coronary intervention.

PubMed

Shah, Atman P; Retzer, Elizabeth M; Nathan, Sandeep; Paul, Jonathan D; Friant, Janet; Dill, Karin E; Thomas, Joseph L

2015-03-01

Comparative effectiveness research (CER) is taking a more prominent role in formalizing hospital treatment protocols and health-care coverage policies by having health-care providers consider the impact of new devices on costs and outcomes. CER balances the need for innovation with fiscal responsibility and evidence-based care. This study compared the clinical and economic impact of percutaneous ventricular assist devices (pVAD) with intraaortic balloon pumps for high-risk patients undergoing percutaneous coronary intervention (PCI). This study conducted a review of all comparative randomized control trials of the pVADS (Impella and TandemHeart) vs IABP for patients undergoing high-risk percutaneous coronary intervention (PCI). A retrospective analysis of the 2010 and 2011 Medicare MEDPAR data files was also performed to compare procedural costs and hospital length of stay (LOS). Readmission rates between the devices were also studied. Based on available trials, there is no significant clinical benefit with pVAD compared to IABP. Use of pVADs is associated with increased length of Intensive Care Unit stay and a total longer LOS. The incremental budget impact for pVADs was $33,957,839 for the United States hospital system (2010-2011). pVADs are not associated with improved clinical outcomes, reduced hospital length of stay, or reduced readmission rates. Management of high-risk PCI and cardiogenic shock patients with IABP is more cost effective than a routine use of pVADS. Use of IABP as initial therapy in high-risk PCI and cardiogenic shock patients may result in savings of up to $2.5 billion annually of incremental costs to the hospital system.

Application of asymmetric flow-field flow fractionation to the characterization of colloidal dispersions undergoing aggregation.

PubMed

Lattuada, Marco; Olivo, Carlos; Gauer, Cornelius; Storti, Giuseppe; Morbidelli, Massimo

2010-05-18

The characterization of complex colloidal dispersions is a relevant and challenging problem in colloidal science. In this work, we show how asymmetric flow-field flow fractionation (AF4) coupled to static light scattering can be used for this purpose. As an example of complex colloidal dispersions, we have chosen two systems undergoing aggregation. The first one is a conventional polystyrene latex undergoing reaction-limited aggregation, which leads to the formation of fractal clusters with well-known structure. The second one is a dispersion of elastomeric colloidal particles made of a polymer with a low glass transition temperature, which undergoes coalescence upon aggregation. Samples are withdrawn during aggregation at fixed times, fractionated with AF4 using a two-angle static light scattering unit as a detector. We have shown that from the analysis of the ratio between the intensities of the scattered light at the two angles the cluster size distribution can be recovered, without any need for calibration based on standard elution times, provided that the geometry and scattering properties of particles and clusters are known. The nonfractionated samples have been characterized also by conventional static and dynamic light scattering to determine their average radius of gyration and hydrodynamic radius. The size distribution of coalescing particles has been investigated also through image analysis of cryo-scanning electron microscopy (SEM) pictures. The average radius of gyration and the average hydrodynamic radius of the nonfractionated samples have been calculated and successfully compared to the values obtained from the size distributions measured by AF4. In addition, the data obtained are also in good agreement with calculations made with population balance equations.

Effects of a self-managed home-based walking intervention on psychosocial health outcomes for breast cancer patients receiving chemotherapy: a randomised controlled trial.

PubMed

Gokal, Kajal; Wallis, Deborah; Ahmed, Samreen; Boiangiu, Ion; Kancherla, Kiran; Munir, Fehmidah

2016-03-01

This study evaluated the effectiveness of a self-managed home-based moderate intensity walking intervention on psychosocial health outcomes among breast cancer patients undergoing chemotherapy. The randomised controlled trial compared a self-managed, home-based walking intervention to usual care alone among breast cancer patients receiving chemotherapy. Outcome measures included changes in self-report measures of anxiety, depression, fatigue, self-esteem, mood and physical activity. Fifty participants were randomised to either the intervention group (n = 25), who received 12 weeks of moderate intensity walking, or the control group (n = 25) mid-way through chemotherapy. Participants in the intervention group were provided with a pedometer and were asked to set goals and keep weekly diaries outlining the duration, intensity and exertion of their walking. Levels of psychosocial functioning and physical activity were assessed pre- and post-intervention in both groups. The intervention had positive effects on fatigue (F = 5.77, p = 0.02), self-esteem (F = 8.93, p ≤ 0.001), mood (F = 4.73, p = 0.03) and levels of physical activity (x (2) = 17.15, p = 0.0011) but not anxiety (F = 0.90, p = 0.35) and depression (F = 0.26, p = 0.60) as assessed using the HADS. We found an 80% adherence rate to completing the 12-week intervention and recording weekly logs. This self-managed, home-based intervention was beneficial for improving psychosocial well-being and levels of physical activity among breast cancer patients treated with chemotherapy. Current Controlled Trials ISRCTN50709297.

Age-related differences in recall for words using semantics and prosody.

PubMed

Sober, Jonathan D; VanWormer, Lisa A; Arruda, James E

2016-01-01

The positivity effect is a developmental shift seen in older adults to be increasingly influenced by positive information in areas such as memory, attention, and decision-making. This study is the first to examine the age-related differences of the positivity effect for emotional prosody. Participants heard a factorial combination of words that were semantically positive or negative said with either positive or negative intonation. Results showed a semantic positivity effect for older adults, and a prosody positivity effect for younger adults. Additionally, older adults showed a significant decrease in recall for semantically negative words said in an incongruent prosodically positive tone.

Obstetric outcomes in women with polycystic ovary syndrome and isolated polycystic ovaries undergoing in vitro fertilization: a retrospective cohort analysis.

PubMed

Wan, Hei Lok Tiffany; Hui, Pui Wah; Li, Hang Wun Raymond; Ng, Ernest Hung Yu

2015-03-01

This retrospective cohort study evaluated the obstetric outcomes in women with polycystic ovary syndrome (PCOS) and isolated polycystic ovaries (PCO) undergoing in vitro fertilization (IVF) treatment. We studied 104 women with PCOS, 184 with PCO and 576 age-matched controls undergoing the first IVF treatment cycle between 2002 and 2009. Obstetric outcomes and complications including gestational diabetes (GDM), gestational hypertension (GHT), gestational proteinuric hypertension (PET), intrauterine growth restriction (IUGR), gestation at delivery, baby's Apgar scores and admission to the neonatal intensive care unit (NICU) were reviewed. Among the 864 patients undergoing IVF treatment, there were 253 live births in total (25 live births in the PCOS group, 54 in the PCO group and 174 in the control group). The prevalence of obstetric complications (GDM, GHT, PET and IUGR) and the obstetric outcomes (gestation at delivery, birth weight, Apgar scores and NICU admissions) were comparable among the three groups. Adjustments for age and multiple pregnancies were made using multiple logistic regression and we found no statistically significant difference among the three groups. Patients with PCO ± PCOS do not have more adverse obstetric outcomes when compared with non-PCO patients undergoing IVF treatment.

Risk of fever and sepsis evaluations after routine immunizations in the neonatal intensive care unit.

PubMed

Navar-Boggan, A M; Halsey, N A; Golden, W C; Escobar, G J; Massolo, M; Klein, N P

2010-09-01

Premature infants can experience cardiorespiratory events such as apnea after immunization in the neonatal intensive care unit (NICU). These changes in clinical status may precipitate sepsis evaluations. This study evaluated whether sepsis evaluations are increased after immunizations in the NICU. We conducted a retrospective cohort study of infants older than 53 days who were vaccinated in the NICU at the KPMCP (Kaiser Permanente Medical Care Program). Chart reviews were carried out before and after all immunizations were administered and for all sepsis evaluations after age 53 days. The clinical characteristics of infants on the day before receiving a sepsis evaluation were compared between children undergoing post-immunization sepsis evaluations and children undergoing sepsis evaluation at other times. The incidence rate of sepsis evaluations in the post-immunization period was compared with the rate in a control time period not following immunization using Poisson regression. A total of 490 infants met the inclusion criteria. The rate of fever was increased in the 24 h period after vaccination (2.3%, P<0.05). The incidence rate of sepsis evaluations was 40% lower after immunization than during the control period, although this was not statistically significant (P=0.09). Infants undergoing a sepsis evaluation after immunization were more likely to have an apneic, bradycardic or moderate-to-severe cardiorespiratory event in the day before the evaluation than were infants undergoing sepsis evaluations at other times (P<0.05). Despite an increase in fever and cardiorespiratory events after immunization in the NICU, routine vaccination was not associated with increased risk of receiving sepsis evaluations. Providers may be deferring immunizations until infants are clinically stable, or may have a higher threshold for initiating sepsis evaluations after immunization than at other times.

Chronic obstructive pulmonary disease exacerbation in the intensive care unit: clinical, functional and quality of life at discharge and 3 months of follow up

PubMed Central

Viana, Renata Cristina Teixeira Pinto; Pincelli, Mariangela Pimentel; Pizzichini, Emílio; Silva, André Pacheco; Manes, Joice; Marconi, Tatiana Dias; Steidle, Leila John Marques

2017-01-01

Objective The purpose of this study was to evaluate the clinical/functional aspects and quality of life of chronic obstructive pulmonary disease patients who were discharged after an intensive care unit admission for acute respiratory failure. Methods This prospective study included chronic obstructive pulmonary disease patients who were admitted to two intensive care units between December of 2010 and August of 2011 and evaluated over three visits after discharge. Thirty patients were included, and 20 patients completed the three-month follow up. Results There was a significant improvement in the following: forced expiratory flow in one second (L) (1.1/1.4/1.4; p = 0.019), six-minute walk test (m) (- /232.8 /272.6; p = 0.04), BODE score (7.5/5.0/3.8; p = 0.001), cognition measured by the Mini Mental State Examination (21/23.5/23.5; p = 0.008) and quality of life measured by the total Saint George Respiratory Questionnaire score (63.3/56.8/51, p = 0.02). The mean difference in the total score was 12.3 (between visits 1 and three). Important clinical differences were observed for the symptom score (18.8), activities score (5.2) and impact score (14.3). The majority of participants (80%) reported they would be willing to undergo a new intensive care unit admission. Conclusion Despite the disease severity, there was a significant clinical, functional and quality of life improvement at the end of the third month. Most patients would be willing to undergo a new intensive care unit admission. PMID:28444072

Rapid Quantification of Low-Viscosity Acetyl-Triacylglycerols Using Electrospray Ionization Mass Spectrometry.

PubMed

Bansal, Sunil; Durrett, Timothy P

2016-09-01

Acetyl-triacylglycerols (acetyl-TAG) possess an sn-3 acetate group, which confers useful chemical and physical properties to these unusual triacylglycerols (TAG). Current methods for quantification of acetyl-TAG are time consuming and do not provide any information on the molecular species profile. Electrospray ionization mass spectrometry (ESI-MS)-based methods can overcome these drawbacks. However, the ESI-MS signal intensity for TAG depends on the aliphatic chain length and unsaturation index of the molecule. Therefore response factors for different molecular species need to be determined before any quantification. The effects of the chain length and the number of double-bonds of the sn-1/2 acyl groups on the signal intensity for the neutral loss of short chain length sn-3 groups were quantified using a series of synthesized sn-3 specific structured TAG. The signal intensity for the neutral loss of the sn-3 acyl group was found to negatively correlated with the aliphatic chain length and unsaturation index of the sn-1/2 acyl groups. The signal intensity of the neutral loss of the sn-3 acyl group was also negatively correlated with the size of that chain. Further, the position of the group undergoing neutral loss was also important, with the signal from an sn-2 acyl group much lower than that from one located at sn-3. Response factors obtained from these analyses were used to develop a method for the absolute quantification of acetyl-TAG. The increased sensitivity of this ESI-MS-based approach allowed successful quantification of acetyl-TAG in various biological settings, including the products of in vitro enzyme activity assays.

Preschoolers' real-time coordination of vocal and facial emotional information.

PubMed

Berman, Jared M J; Chambers, Craig G; Graham, Susan A

2016-02-01

An eye-tracking methodology was used to examine the time course of 3- and 5-year-olds' ability to link speech bearing different acoustic cues to emotion (i.e., happy-sounding, neutral, and sad-sounding intonation) to photographs of faces reflecting different emotional expressions. Analyses of saccadic eye movement patterns indicated that, for both 3- and 5-year-olds, sad-sounding speech triggered gaze shifts to a matching (sad-looking) face from the earliest moments of speech processing. However, it was not until approximately 800ms into a happy-sounding utterance that preschoolers began to use the emotional cues from speech to identify a matching (happy-looking) face. Complementary analyses based on conscious/controlled behaviors (children's explicit points toward the faces) indicated that 5-year-olds, but not 3-year-olds, could successfully match happy-sounding and sad-sounding vocal affect to a corresponding emotional face. Together, the findings clarify developmental patterns in preschoolers' implicit versus explicit ability to coordinate emotional cues across modalities and highlight preschoolers' greater sensitivity to sad-sounding speech as the auditory signal unfolds in time. Copyright © 2015 Elsevier Inc. All rights reserved.

Predicting the development of interrogative forms and functions in early years: a corpus-based study of Mandarin-speaking young children.

PubMed

Li, Hui; Jing, Mengguo; Wong, Eileen Chin Mei

2017-01-01

This study examined the development of and possible predictors of interrogative forms and functions in early childhood Mandarin. All the interrogatives drawn from the Early Child Mandarin Corpus (168 children 2;6, 3;6, 4;6, and 5;6) were analyzed. The main results indicated that (i) there were significant age effects in interrogative forms and functions, with the periods between the ages of 3;6 and 4;6 and between the ages of 2;6 and 3;6 being critical in the early acquisition of interrogative forms and functions, respectively; (ii) the form-function preference was verified, with wh-questions being primarily used to seek information (RfI), and intonation/echo and rhetorical questions being used to request action (RfA); (iii) more than half (59·5%) of the Mandarin interrogatives were used for RfI, whereas only 38·9% of them were used for RfA; and (iv) age, TV viewing time, and parent-child conversation time were the significant predictors of interrogative development.

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International Students and Their Experiences of Personal Development Planning

ERIC Educational Resources Information Center

Baker, Kate L.; Perkins, Joy; Comber, Darren P. M.

2014-01-01

Taught postgraduate students are a unique group, undergoing a short, intensive period of study. Many taught postgraduate students are international, engaging for the first time with new learning approaches, including Personal Development Planning (PDP). This article provides analysis of the views of international taught postgraduates about the…

Factors Leading to Persistent Postsurgical Pain in Adolescents Undergoing Spinal Fusion: An Integrative Literature Review.

PubMed

Perry, Mallory; Starkweather, Angela; Baumbauer, Kyle; Young, Erin

Adolescent idiopathic scoliosis (AIS) is the most common spinal deformity among children and adolescents and the most frequent reason for corrective spinal fusion (SF). Of the children and adolescents who undergo SF, a significant number will experience persistent postoperative pain (PPP). This integrative literature review was conducted to identify and synthesize perioperative factors that may contribute to risk of developing PPP. Articles which addressed PPP within the last 10years and primary research on postoperative pain outcomes in adolescents after SF were selected for review. 15 articles which met eligibility criteria were included. Preoperative pain intensity was the most significant factor identified in the development of PPP and increased postoperative pain. Social function and psychological factors also have role in the development of PPP. There were no theoretical models or frameworks for evaluating PPP incidence in adolescent with AIS after SF. Perioperative factors such as, preoperative pain, correction magnitude, pain coping, anxiety and social functioning are vital to understanding a child's risk of PPP following SF. There is a need for theoretically-based studies to assess PPP among children and adolescents with AIS after SF surgery. The Biobehavioral Pain Network (BPN) model was proposed, to encompass biological, social and psychological domains which may be responsible for incidence of PPP in children undergoing SF. Such a model can be used to systematically develop and evaluate personalized postoperative pain management strategies for this patient population. Copyright © 2017 Elsevier Inc. All rights reserved.

On the Theory of High-Power Ultrashort Pulse Propagation in Raman-Active Media

NASA Technical Reports Server (NTRS)

Belenov, E. M.; Isakov, V. A.; Kanavin, A. P.; Smetanin, I. V.

1996-01-01

The propagation of an intense femtosecond pulse in a Raman-active medium is analyzed. An analytic solution which describes in explicit form the evolution of the light pulse is derived. The field of an intense light wave undergoes a substantial transformation as the wave propagates through the medium. The nature of this transformation can change over time scales comparable to the period of the optical oscillations. As a result, the pulse of sufficiently high energy divides into stretched and compressed domains where the field decreases and increases respectively.

Deformable registration of CT and cone-beam CT with local intensity matching.

PubMed

Park, Seyoun; Plishker, William; Quon, Harry; Wong, John; Shekhar, Raj; Lee, Junghoon

2017-02-07

Cone-beam CT (CBCT) is a widely used intra-operative imaging modality in image-guided radiotherapy and surgery. A short scan followed by a filtered-backprojection is typically used for CBCT reconstruction. While data on the mid-plane (plane of source-detector rotation) is complete, off-mid-planes undergo different information deficiency and the computed reconstructions are approximate. This causes different reconstruction artifacts at off-mid-planes depending on slice locations, and therefore impedes accurate registration between CT and CBCT. In this paper, we propose a method to accurately register CT and CBCT by iteratively matching local CT and CBCT intensities. We correct CBCT intensities by matching local intensity histograms slice by slice in conjunction with intensity-based deformable registration. The correction-registration steps are repeated in an alternating way until the result image converges. We integrate the intensity matching into three different deformable registration methods, B-spline, demons, and optical flow that are widely used for CT-CBCT registration. All three registration methods were implemented on a graphics processing unit for efficient parallel computation. We tested the proposed methods on twenty five head and neck cancer cases and compared the performance with state-of-the-art registration methods. Normalized cross correlation (NCC), structural similarity index (SSIM), and target registration error (TRE) were computed to evaluate the registration performance. Our method produced overall NCC of 0.96, SSIM of 0.94, and TRE of 2.26 → 2.27 mm, outperforming existing methods by 9%, 12%, and 27%, respectively. Experimental results also show that our method performs consistently and is more accurate than existing algorithms, and also computationally efficient.

Deformable registration of CT and cone-beam CT with local intensity matching

NASA Astrophysics Data System (ADS)

Park, Seyoun; Plishker, William; Quon, Harry; Wong, John; Shekhar, Raj; Lee, Junghoon

2017-02-01

Cone-beam CT (CBCT) is a widely used intra-operative imaging modality in image-guided radiotherapy and surgery. A short scan followed by a filtered-backprojection is typically used for CBCT reconstruction. While data on the mid-plane (plane of source-detector rotation) is complete, off-mid-planes undergo different information deficiency and the computed reconstructions are approximate. This causes different reconstruction artifacts at off-mid-planes depending on slice locations, and therefore impedes accurate registration between CT and CBCT. In this paper, we propose a method to accurately register CT and CBCT by iteratively matching local CT and CBCT intensities. We correct CBCT intensities by matching local intensity histograms slice by slice in conjunction with intensity-based deformable registration. The correction-registration steps are repeated in an alternating way until the result image converges. We integrate the intensity matching into three different deformable registration methods, B-spline, demons, and optical flow that are widely used for CT-CBCT registration. All three registration methods were implemented on a graphics processing unit for efficient parallel computation. We tested the proposed methods on twenty five head and neck cancer cases and compared the performance with state-of-the-art registration methods. Normalized cross correlation (NCC), structural similarity index (SSIM), and target registration error (TRE) were computed to evaluate the registration performance. Our method produced overall NCC of 0.96, SSIM of 0.94, and TRE of 2.26 → 2.27 mm, outperforming existing methods by 9%, 12%, and 27%, respectively. Experimental results also show that our method performs consistently and is more accurate than existing algorithms, and also computationally efficient.

Pharmacokinetics of Imipenem/Cilastatin Burn Intensive Care Unit Patients Undergoing High-Dose Continuous Venovenous Hemofiltration.

PubMed

Boucher, Bradley A; Hudson, Joanna Q; Hill, David M; Swanson, Joseph M; Wood, G Christopher; Laizure, S Casey; Arnold-Ross, Angela; Hu, Zhe-Yi; Hickerson, William L

2016-12-01

High-dose continuous venovenous hemofiltration (CVVH) is a continuous renal replacement therapy (CRRT) used frequently in patients with burns. However, antibiotic dosing is based on inference from studies assessing substantially different methods of CRRT. To address this knowledge gap for imipenem/cilastatin (I/C), we evaluated the systemic and extracorporeal clearances (CLs) of I/C in patients with burns undergoing high-dose CVVH. Prospective clinical pharmacokinetic study. Ten adult patients with burns receiving I/C for a documented infection and requiring high-dose CVVH were studied. Blood and effluent samples for analysis of I/C concentrations were collected for up to 6 hours after the I/C infusion for calculation of I/C total CL (CL T otal ), CL by CVVH (CL HF ), half-life during CVVH, volume of distribution at steady state (Vd ss ), and the percentage of drug eliminated by CVVH. In this patient sample, the mean age was 50 ± 17 years, total body surface area burns was 23 ± 27%, and 80% were male. Nine patients were treated with high-dose CVVH for acute kidney injury and one patient for sepsis. The mean delivered CVVH dose was 52 ± 14 ml/kg/hour (range 32-74 ml/kg/hr). The imipenem CL HF was 3.27 ± 0.48 L/hour, which accounted for 23 ± 4% of the CL T otal (14.74 ± 4.75 L/hr). Cilastatin CL HF was 1.98 ± 0.56 L/hour, which accounted for 45 ± 19% of the CL T otal (5.16 + 2.44 L/hr). The imipenem and cilastatin half-lives were 1.77 ± 0.38 hours and 4.21 ± 2.31 hours, respectively. Imipenem and cilastatin Vd ss were 35.1 ± 10.3 and 32.8 ± 13.8 L, respectively. Efficient removal of I/C by high-dose CVVH, a high overall clearance, and a high volume of distribution in burn intensive care unit patients undergoing this CRRT method warrant aggressive dosing to treat serious infections effectively depending on the infection site and/or pathogen. © 2016 Pharmacotherapy Publications, Inc.

Severe infections in children with acute leukemia undergoing intensive chemotherapy can successfully be prevented by ciprofloxacin, voriconazole, or micafungin prophylaxis.

PubMed

Yeh, Ting-Chi; Liu, Hsi-Che; Hou, Jen-Yin; Chen, Kuan-Hao; Huang, Ting-Huan; Chang, Ching-Yi; Liang, Der-Cherng

2014-04-15

The purpose of the current study was to prevent bloodstream infection and invasive fungal infection (IFI) by administering prophylactic antibiotic and antifungal agents during intensive chemotherapy in patients being treated for acute leukemia. Prophylaxis treatment was administered during intensive chemotherapy in children with acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL) from January 1, 2010 to December 31, 2012. Oral ciprofloxacin (at a dose of 300 mg/m(2) /12 hours) was administered after chemotherapy when a patient with AML or ALL became neutropenic and > 7 days of neutropenia was expected. Voriconazole (at a dose of 4 mg/kg/12 hours) was initiated at the onset of neutropenia in patients with AML and after 7 days of neutropenia in patients with ALL. Micafungin (at a dose of 2 mg/kg/day) was substituted for voriconazole when patients with ALL received vincristine. Prophylaxis treatment was discontinued when the absolute neutrophil count recovered to > 100/μL. All episodes of bloodstream infection, IFI, febrile neutropenia, and intensive care unit stays related to severe infection occurring between January 1, 2005 and December 31, 2012 were recorded. During the preprophylaxis period, 62 children with ALL and 24 children with AML experienced a total of 44 episodes of bloodstream infection and 22 episodes of IFI. Seven patients died of severe infection. In contrast, in the prophylaxis period, 10 episodes of bloodstream infection occurred and no IFIs were reported to occur in 51 patients with ALL and 14 patients with AML. Moreover, no patient died of severe infection. Episodes of febrile neutropenia and intensive care unit stay were significantly reduced during the prophylaxis period. Prophylaxis with ciprofloxacin and voriconazole or micafungin was found to reduce the rates of bloodstream infection and IFI in children with acute leukemia undergoing intensive chemotherapy. © 2013 American Cancer Society.

Acid sphingomyelinase serum activity predicts mortality in intensive care unit patients after systemic inflammation: a prospective cohort study.

PubMed

Kott, Matthias; Elke, Gunnar; Reinicke, Maike; Winoto-Morbach, Supandi; Schädler, Dirk; Zick, Günther; Frerichs, Inéz; Weiler, Norbert; Schütze, Stefan

2014-01-01

Acid sphingomyelinase is involved in lipid signalling pathways and regulation of apoptosis by the generation of ceramide and plays an important role during the host response to infectious stimuli. It thus has the potential to be used as a novel diagnostic marker in the management of critically ill patients. The objective of our study was to evaluate acid sphingomyelinase serum activity (ASM) as a diagnostic and prognostic marker in a mixed intensive care unit population before, during, and after systemic inflammation. 40 patients admitted to the intensive care unit at risk for developing systemic inflammation (defined as systemic inflammatory response syndrome plus a significant procalcitonin [PCT] increase) were included. ASM was analysed on ICU admission, before (PCT before), during (PCT peak) and after (PCT low) onset of SIRS. Patients undergoing elective surgery served as control (N = 8). Receiver-operating characteristics curves were computed. ASM significantly increased after surgery in the eight control patients. Patients from the intensive care unit had significantly higher ASM on admission than control patients after surgery. 19 out of 40 patients admitted to the intensive care unit developed systemic inflammation and 21 did not, with no differences in ASM between these two groups on admission. In patients with SIRS and PCT peak, ASM between admission and PCT before was not different, but further increased at PCT peak in non-survivors and was significantly higher at PCT low compared to survivors. Survivors exhibited decreased ASM at PCT peak and PCT low. Receiver operating curve analysis on discrimination of ICU mortality showed an area under the curve of 0.79 for ASM at PCT low. In summary, ASM was generally higher in patients admitted to the intensive care unit compared to patients undergoing uncomplicated surgery. ASM did not indicate onset of systemic inflammation. In contrast to PCT however, it remained high in non-surviving ICU patients after systemic inflammation.

Acid Sphingomyelinase Serum Activity Predicts Mortality in Intensive Care Unit Patients after Systemic Inflammation: A Prospective Cohort Study

PubMed Central

Reinicke, Maike; Winoto-Morbach, Supandi; Schädler, Dirk; Zick, Günther; Frerichs, Inéz; Weiler, Norbert; Schütze, Stefan

2014-01-01

Introduction Acid sphingomyelinase is involved in lipid signalling pathways and regulation of apoptosis by the generation of ceramide and plays an important role during the host response to infectious stimuli. It thus has the potential to be used as a novel diagnostic marker in the management of critically ill patients. The objective of our study was to evaluate acid sphingomyelinase serum activity (ASM) as a diagnostic and prognostic marker in a mixed intensive care unit population before, during, and after systemic inflammation. Methods 40 patients admitted to the intensive care unit at risk for developing systemic inflammation (defined as systemic inflammatory response syndrome plus a significant procalcitonin [PCT] increase) were included. ASM was analysed on ICU admission, before (PCTbefore), during (PCTpeak) and after (PCTlow) onset of SIRS. Patients undergoing elective surgery served as control (N = 8). Receiver-operating characteristics curves were computed. Results ASM significantly increased after surgery in the eight control patients. Patients from the intensive care unit had significantly higher ASM on admission than control patients after surgery. 19 out of 40 patients admitted to the intensive care unit developed systemic inflammation and 21 did not, with no differences in ASM between these two groups on admission. In patients with SIRS and PCT peak, ASM between admission and PCTbefore was not different, but further increased at PCTpeak in non-survivors and was significantly higher at PCTlow compared to survivors. Survivors exhibited decreased ASM at PCTpeak and PCTlow. Receiver operating curve analysis on discrimination of ICU mortality showed an area under the curve of 0.79 for ASM at PCTlow. Conclusions In summary, ASM was generally higher in patients admitted to the intensive care unit compared to patients undergoing uncomplicated surgery. ASM did not indicate onset of systemic inflammation. In contrast to PCT however, it remained high in non-surviving ICU patients after systemic inflammation. PMID:25384060

Evidence of conformational exchange averaging in the thermal rotational spectrum of ethyl cyanoformate.

PubMed

True, Nancy S

2006-06-15

The Stark modulated low resolution microwave spectrum of ethyl cyanoformate between 21.5 and 24.0 GHz at 210, 300, and 358 K, which shows the J + 1 <-- J = 8 <-- 7 bands of three species, is compared to simulations based on electronic structure calculations at the MP2/6-311++G theory level. Calculations at this theory level reproduce the relative energies of the syn-anti and syn-gauche conformers, obtained in a previous study, and indicate that the barrier to conformer exchange is approximately 360 cm(-1) higher in energy than the syn-anti minimum. Simulated spectra of the eigenstates of the calculated O-ethyl torsional potential function reproduce the relative intensities and shapes of the lower and higher frequency bands which correspond to transitions of the syn-anti and syn-gauche conformers, respectively, but fail to reproduce the intense center band in the experimental spectra. A model incorporating exchange averaging reproduces the intensity of the center band and its temperature dependence. These simulations indicate that a large fraction of the thermal population at all three temperatures undergoes conformational exchange with an average energy specific rate constant, , of approximately 25 GHz. This model can explain anomalies present in rotational spectra of many other compounds composed of mixtures of conformers.

The Temporal Prediction of Stress in Speech and Its Relation to Musical Beat Perception.

PubMed

Beier, Eleonora J; Ferreira, Fernanda

2018-01-01

While rhythmic expectancies are thought to be at the base of beat perception in music, the extent to which stress patterns in speech are similarly represented and predicted during on-line language comprehension is debated. The temporal prediction of stress may be advantageous to speech processing, as stress patterns aid segmentation and mark new information in utterances. However, while linguistic stress patterns may be organized into hierarchical metrical structures similarly to musical meter, they do not typically present the same degree of periodicity. We review the theoretical background for the idea that stress patterns are predicted and address the following questions: First, what is the evidence that listeners can predict the temporal location of stress based on preceding rhythm? If they can, is it thanks to neural entrainment mechanisms similar to those utilized for musical beat perception? And lastly, what linguistic factors other than rhythm may account for the prediction of stress in natural speech? We conclude that while expectancies based on the periodic presentation of stresses are at play in some of the current literature, other processes are likely to affect the prediction of stress in more naturalistic, less isochronous speech. Specifically, aspects of prosody other than amplitude changes (e.g., intonation) as well as lexical, syntactic and information structural constraints on the realization of stress may all contribute to the probabilistic expectation of stress in speech.

Is Reading Instruction Evidence-Based? Analyzing Teaching Practices Using T-Patterns.

PubMed

Suárez, Natalia; Sánchez, Carmen R; Jiménez, Juan E; Anguera, M Teresa

2018-01-01

The main goal of this study was to analyze whether primary teachers use evidence-based reading instruction for primary-grade readers. The study sample consisted of six teachers whose teaching was recorded. The observation instrument used was developed ad hoc for this study. The recording instrument used was Match Vision Studio. The data analysis was performed using SAS, GT version 2.0 E, and THEME. The results indicated that the teaching practices used most frequently and for the longest duration were: feedback (i.e., correcting the student when reading); fluency (i.e., individual and group reading, both out loud and silently, with and without intonation); literal or inference comprehension exercises (i.e., summarizing, asking questions); and use of educational resources (i.e., stories, songs, poems). Later, we conducted analyses of T-Patterns that showed the sequence of instruction in detail. We can conclude that <50% of the teaching practices used by the majority of teachers were based on the recommendations of the National Reading Panel (NRP). Only one teacher followed best practices. The same was the case for instructional time spent on the five essential components of reading, with the exception of teacher E., who dedicated 70.31% of class time implementing best practices. Teaching practices (i.e., learners' activities) designed and implemented to exercise and master alphabetic knowledge and phonological awareness skills were used less frequently in the classroom.

Is Reading Instruction Evidence-Based? Analyzing Teaching Practices Using T-Patterns

PubMed Central

Suárez, Natalia; Sánchez, Carmen R.; Jiménez, Juan E.; Anguera, M. Teresa

2018-01-01

The main goal of this study was to analyze whether primary teachers use evidence-based reading instruction for primary-grade readers. The study sample consisted of six teachers whose teaching was recorded. The observation instrument used was developed ad hoc for this study. The recording instrument used was Match Vision Studio. The data analysis was performed using SAS, GT version 2.0 E, and THEME. The results indicated that the teaching practices used most frequently and for the longest duration were: feedback (i.e., correcting the student when reading); fluency (i.e., individual and group reading, both out loud and silently, with and without intonation); literal or inference comprehension exercises (i.e., summarizing, asking questions); and use of educational resources (i.e., stories, songs, poems). Later, we conducted analyses of T-Patterns that showed the sequence of instruction in detail. We can conclude that <50% of the teaching practices used by the majority of teachers were based on the recommendations of the National Reading Panel (NRP). Only one teacher followed best practices. The same was the case for instructional time spent on the five essential components of reading, with the exception of teacher E., who dedicated 70.31% of class time implementing best practices. Teaching practices (i.e., learners' activities) designed and implemented to exercise and master alphabetic knowledge and phonological awareness skills were used less frequently in the classroom. PMID:29449818

Ratiometric Imaging Using a Single Dye Enables Simultaneous Visualization of Rac1 and Cdc42 Activation.

PubMed

MacNevin, Christopher J; Toutchkine, Alexei; Marston, Daniel J; Hsu, Chia-Wen; Tsygankov, Denis; Li, Li; Liu, Bei; Qi, Timothy; Nguyen, Dan-Vinh; Hahn, Klaus M

2016-03-02

Biosensors that report endogenous protein activity in vivo can be based on environment-sensing fluorescent dyes. The dyes can be attached to reagents that bind selectively to a specific conformation of the targeted protein, such that binding leads to a fluorescence change. Dyes that are sufficiently bright for use at low, nonperturbing intracellular concentrations typically undergo changes in intensity rather than the shifts in excitation or emission maxima that would enable precise quantitation through ratiometric imaging. We report here mero199, an environment-sensing dye that undergoes a 33 nm solvent-dependent shift in excitation. The dye was used to generate a ratiometric biosensor of Cdc42 (CRIB199) without the need for additional fluorophores. CRIB199 was used in the same cell with a FRET sensor of Rac1 activation to simultaneously observe Cdc42 and Rac1 activity in cellular protrusions, indicating that Rac1 but not Cdc42 activity was reduced during tail retraction, and specific protrusions had reduced Cdc42 activity. A novel program (EdgeProps) used to correlate localized activation with cell edge dynamics indicated that Rac1 was specifically reduced during retraction.

Discovery of Ram-pressure Stripped Gas around an Elliptical Galaxy in Abell 2670

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sheen, Yun-Kyeong; Kim, Minjin; Smith, Rory

Studies of cluster galaxies are increasingly finding galaxies with spectacular one-sided tails of gas and young stars, suggestive of intense ram-pressure stripping. These so-called “jellyfish” galaxies typically have late-type morphology. In this paper, we present Multi Unit Spectroscopic Explorer (MUSE) observations of an elliptical galaxy in Abell 2670 with long tails of material visible in the optical spectra, as well as blobs with tadpole-like morphology. The spectra in the central part of the galaxy reveal a stellar component as well as ionized gas. The stellar component does not have significant rotation, while the ionized gas defines a clear star-forming gasmore » disk. We argue, based on deep optical images of the galaxy, that the gas was most likely acquired during a past wet merger. It is possible that the star-forming blobs are also remnants of the merger. In addition, the direction and kinematics of the one-sided ionized tails, combined with the tadpole morphology of the star-forming blobs, strongly suggests that the system is undergoing ram pressure from the intracluster medium. In summary, this paper presents the discovery of a post-merger elliptical galaxy undergoing ram-pressure stripping.« less

Discovery of Ram-pressure Stripped Gas around an Elliptical Galaxy in Abell 2670

NASA Astrophysics Data System (ADS)

Sheen, Yun-Kyeong; Smith, Rory; Jaffé, Yara; Kim, Minjin; Yi, Sukyoung K.; Duc, Pierre-Alain; Nantais, Julie; Candlish, Graeme; Demarco, Ricardo; Treister, Ezequiel

2017-05-01

Studies of cluster galaxies are increasingly finding galaxies with spectacular one-sided tails of gas and young stars, suggestive of intense ram-pressure stripping. These so-called “jellyfish” galaxies typically have late-type morphology. In this paper, we present Multi Unit Spectroscopic Explorer (MUSE) observations of an elliptical galaxy in Abell 2670 with long tails of material visible in the optical spectra, as well as blobs with tadpole-like morphology. The spectra in the central part of the galaxy reveal a stellar component as well as ionized gas. The stellar component does not have significant rotation, while the ionized gas defines a clear star-forming gas disk. We argue, based on deep optical images of the galaxy, that the gas was most likely acquired during a past wet merger. It is possible that the star-forming blobs are also remnants of the merger. In addition, the direction and kinematics of the one-sided ionized tails, combined with the tadpole morphology of the star-forming blobs, strongly suggests that the system is undergoing ram pressure from the intracluster medium. In summary, this paper presents the discovery of a post-merger elliptical galaxy undergoing ram-pressure stripping.

The electric field standing wave effect in infrared transflection spectroscopy

NASA Astrophysics Data System (ADS)

Mayerhöfer, Thomas G.; Popp, Jürgen

2018-02-01

We show that an electric field standing wave effect is responsible for the oscillations and the non-linear dependence of the absorbance on the layer thickness in thin layers on a reflective surface. This effect is connected to the occurrence of interference inside these layers. Consequently, the absorptance undergoes a maximum electric field intensity enhancement at spectral positions close to those where corresponding non-absorbing layers on a metal show minima in the reflectance. The effect leads to changes of peak maxima ratios with layer thickness and shows the same periodicity as oscillations in the peak positions. These peculiarities are fully based on and described by Maxwell's equations but cannot be understood and described if the strongly simplifying model centered on reflectance absorbance is employed.

Theory of time-resolved x-ray photoelectron diffraction from transient conformational molecules

NASA Astrophysics Data System (ADS)

Tsuru, Shota; Sako, Tokuei; Fujikawa, Takashi; Yagishita, Akira

2017-04-01

We formulate x-ray photoelectron diffraction (XPD) from molecules undergoing photochemical reactions induced by optical laser pulses, and then apply the formula to the simulation of time-dependent XPD profiles from both dissociating I2 molecules and bending C S2 molecules. The dependence of nuclear wave-packet motions on the intensity and shape of the optical laser pulses is examined. As a result, the XPD simulations based on such nuclear wave-packet calculations are observed to exhibit characteristic features, which are compared with the XPD profiles due to classical trajectories of nuclear motions. The present study provides a methodology toward creating "molecular movies" of ultrafast photochemical reactions by means of femtosecond XPD with x-ray free-electron lasers.

Remote Sensing of Parasitic Nematodes in Plants

NASA Technical Reports Server (NTRS)

Lawrence, Gary W.; King, Roger; Kelley, Amber T.; Vickery, John

2007-01-01

A method and apparatus for remote sensing of parasitic nematodes in plants, now undergoing development, is based on measurement of visible and infrared spectral reflectances of fields where the plants are growing. Initial development efforts have been concentrated on detecting reniform nematodes (Rotylenchulus reniformis) in cotton plants, because of the economic importance of cotton crops. The apparatus includes a hand-held spectroradiometer. The readings taken by the radiometer are processed to extract spectral reflectances at sixteen wavelengths between 451 and 949 nm that, taken together, have been found to be indicative of the presence of Rotylenchulus reniformis. The intensities of the spectral reflectances are used to estimate the population density of the nematodes in an area from which readings were taken.

Automatic detection of cardiovascular risk in CT attenuation correction maps in Rb-82 PET/CTs

NASA Astrophysics Data System (ADS)

Išgum, Ivana; de Vos, Bob D.; Wolterink, Jelmer M.; Dey, Damini; Berman, Daniel S.; Rubeaux, Mathieu; Leiner, Tim; Slomka, Piotr J.

2016-03-01

CT attenuation correction (CTAC) images acquired with PET/CT visualize coronary artery calcium (CAC) and enable CAC quantification. CAC scores acquired with CTAC have been suggested as a marker of cardiovascular disease (CVD). In this work, an algorithm previously developed for automatic CAC scoring in dedicated cardiac CT was applied to automatic CAC detection in CTAC. The study included 134 consecutive patients undergoing 82-Rb PET/CT. Low-dose rest CTAC scans were acquired (100 kV, 11 mAs, 1.4mm×1.4mm×3mm voxel size). An experienced observer defined the reference standard with the clinically used intensity level threshold for calcium identification (130 HU). Five scans were removed from analysis due to artifacts. The algorithm extracted potential CAC by intensity-based thresholding and 3D connected component labeling. Each candidate was described by location, size, shape and intensity features. An ensemble of extremely randomized decision trees was used to identify CAC. The data set was randomly divided into training and test sets. Automatically identified CAC was quantified using volume and Agatston scores. In 33 test scans, the system detected on average 469mm3/730mm3 (64%) of CAC with 36mm3 false positive volume per scan. The intraclass correlation coefficient for volume scores was 0.84. Each patient was assigned to one of four CVD risk categories based on the Agatston score (0-10, 11-100, 101-400, <400). The correct CVD category was assigned to 85% of patients (Cohen's linearly weighted κ0.82). Automatic detection of CVD risk based on CAC scoring in rest CTAC images is feasible. This may enable large scale studies evaluating clinical value of CAC scoring in CTAC data.

Family accommodation of anxiety symptoms in youth undergoing intensive multimodal treatment for anxiety disorders and obsessive-compulsive disorder: Nature, clinical correlates, and treatment response.

PubMed

La Buissonnière-Ariza, Valérie; Schneider, Sophie C; Højgaard, Davíð; Kay, Brian C; Riemann, Bradley C; Eken, Stephanie C; Lake, Peter; Nadeau, Joshua M; Storch, Eric A

2018-01-01

Family accommodation is associated with a range of clinical features including symptom severity, functional impairment, and treatment response. However, most previous studies in children and adolescents investigated family accommodation in samples of youth with obsessive-compulsive disorder (OCD) or anxiety disorders receiving non-intensive outpatient services. In this study, we aimed to investigate family accommodation of anxiety symptoms in a sample of youth with clinical anxiety levels undergoing an intensive multimodal intervention for anxiety disorders or OCD. We first assessed the internal consistency of the Family Accommodation Scale - Anxiety (FASA). We next examined family accommodation presentation and correlates. The FASA showed high internal consistency for all subscales and total score, and good item and subscale correlations with the total score. All parents reported at least mild accommodation, and the mean levels of family accommodation were particularly high. Child age, anxiety severity, and comorbid depressive symptoms predicted baseline accommodation. However, the association between anxiety severity and family accommodation no longer remained significant after adding the other factors to the model. In addition, family accommodation partially mediated the relationship between anxiety severity and functional impairment. Finally, post-treatment changes in family accommodation predicted changes in symptom severity and functional impairment. These findings suggest the FASA is an appropriate tool to assess family accommodation in intensive treatment samples. Further, they underline the importance of addressing family accommodation in this population given the particularly high levels of accommodating behaviors and the evidence for adverse outcomes associated with this feature. Copyright © 2017 Elsevier Inc. All rights reserved.

Off The Scale - Expansion or Development? A Small Town within a Metropolitan Zone as an Alternative Place of Residence

NASA Astrophysics Data System (ADS)

Wójtowicz-Wróbel, Agnieszka

2017-10-01

The goal of this paper is to point out the types of spatial changes that the small towns located in Krakow’s range of influence are currently undergoing, as well as what are the consequences of the various types of changes in these towns. The author asks the question whether the current changes seen in small towns that are under the influence of Krakow can be described as sustainable development - at the basis of which is the increasing of the quality of the functional and spatial structure of a town while preserving its qualities and character - or, on the contrary, that it is more appropriate to describe the changes in the spatial structure of towns as an expansion, which is related only to an increase in their surface area or an increase in the density of their built environment? An attempt has also been made to determine the cause of these changes. An analysis of a set of towns in terms of their accessibility in relation to Krakow, as well as the demographic changes in towns in recent years, has been carried out. This research was useful in determining the dynamic of urban changes or their stagnation. Afterwards, groups of towns with varying degrees of transformation (towns that have been intensively transformed, towns with a balanced degree of spatial changes and towns which remain on the side-lines) were established. In addition, various forms of changes were defined - ranging from cities which register an increase in attractiveness and the changes that it brings while preserving their qualities in accordance with the principles of sustainable development, to settlements which are losing their small-town character as a result of intensive change, at the same time undergoing unification both in terms of space and form of use. From among the groups of towns, example which most fully illustrate the varying degrees and character of the changes of small towns in the area of Krakow has been selected. Based on the research that has been conducted, we can state that small towns in the vicinity of Krakow are undergoing intensive changes and are an attractive alternative in terms of serving as a place of residence, for instance in comparison to the suburban zone of Krakow. However, it is necessary to channel the changes in small towns in a manner that would take advantage of the opportunities for spatial, social and economic development on the one hand, while at the same time causing the intensive changes in those areas to not lead to the loss of their uniqueness, identity and small-town character, as well as the qualities of both a given town and its surroundings on the other. The research that had been performed and the conclusions that were drawn from it can serve as comparative material for other types of small towns and for metropolitan areas.

Intensive care unit versus hospital floor: a comparative study of postoperative management of patients with adolescent idiopathic scoliosis.

PubMed

Shan, Le-Qun; Skaggs, David L; Lee, Christopher; Kissinger, Catherine; Myung, Karen S

2013-04-03

Patients undergoing posterior spinal instrumentation and fusion surgery for adolescent idiopathic scoliosis were admitted to the intensive care unit until two years ago, at which time we changed our protocol to admit these patients to the general hospital floor following a brief stay in a postanesthesia care unit. This study compared postoperative management on a hospital floor with that in the intensive care unit for patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion. A retrospective review of 124 consecutive patients with adolescent idiopathic scoliosis treated with spinal fusion from August 2007 to August 2010 was performed. Inclusion criteria were a diagnosis of adolescent idiopathic scoliosis and posterior spinal instrumentation and fusion surgery. Of 124 patients, sixty-six were managed postoperatively in the intensive care unit and fifty-eight, on the hospital floor. The mean age at the time of surgery was fourteen years. A mean of eleven vertebral levels (range, six to fifteen levels) were fused. No significant difference between the groups was found with respect to the mean age at the time of surgery, mean weight, mean preoperative and postoperative Cobb angles, and mean number of levels fused (p ≥ 0.12). However, the use of analgesic and antianxiety medication, number of postoperative blood tests, days of hospital stay, and number of physical therapy sessions were significantly decreased in the floor group compared with the intensive care unit group (p ≤ 0.05). No patient from the floor group had to be admitted to the intensive care unit. The mean charge was $33,121 for the floor group and $39,252 for the intensive care unit group (p < 0.001). Initial postoperative management of patients with adolescent idiopathic scoliosis following a posterior spinal instrumentation and fusion surgery on a general hospital floor, rather than in an intensive care unit, was associated with a shorter hospital stay, fewer blood tests, less analgesic and antianxiety medication usage, and fewer physical therapy sessions at this high-volume, academic, tertiary-care children's hospital. In addition to improved patient outcomes, there was a significant decrease of 16% in hospital charges for the group that did not go to the intensive care unit.

The level of unpleasantness of pain influences the choice of home treatment during medical abortion.

PubMed

Suhonen, Satu; Tikka, Marja; Kivinen, Seppo; Kauppila, Timo

2017-12-29

Background and aims Medical abortion is often performed at outpatient clinics or gynaecological wards. Yet, some women may stay at home during medical abortion. Pain has been reported to be one of the main side effects of the procedure. Methods We studied whether perceived abortion pain was related to the subjectively evaluated ability to stay at home during medical abortion. The size of the study group was 29 women. We also studied how well these women remembered the intensity and unpleasantness of the abortion pain in a control visit performed 3-6 weeks after abortion. Results Especially, the unpleasantness associated with the pain during abortion was an important predictor when women evaluated their ability to stay at home during medical abortion. In those women who might have been able to stay at home in their own view, midwives looking after these women at the outpatient clinic estimated the pain intensity and unpleasantness also about 50% lower than in those who were not able to stay home in their own view. There were no significant differences in intensity, unpleasantness in hindsight of menstruation pain, or the area of this pain in the pain drawings in those women who considered that they might have stayed at home during medical abortion when compared with those who did not. No difference was found in age, gestational age, magnitude of previous pregnancies, miscarriages, vaginal deliveries, induced abortions, Beck's Depression Index (BDI), Beck's Anxiety Index (BAI) or AUDIT scores between those who could have stayed at home or those who would not have been able to stay at home during abortion. Components of abortion pain decreased significantly during the second post-abortion day. The more deliveries the subject had experienced the less pain she had during abortion. Multiparous women reported less than a fourth of the pain magnitude of the nulliparous women during abortion. Parity explained both intensity and unpleasantness of abortion pain better than the expected ability to stay at home. The remembrance of the intensity or unpleasantness of abortion pain correlated with actual pain reported at the time of abortion. However, this remembrance did not correlate with the ability to stay at home during the medical abortion. Conclusions The unpleasantness of pain during and immediately after abortion was recalled, not as a measure of the pain itself, but as a deciding factor in their judgement of whether or not they would be able to undergo medical abortion at home. Abortion pain is an important factor in enhancing home-based management of medical abortions. Medical staff may be able to detect those women who do not cope at home during the process by observing the intensity of pain. Therefore, proper treatment of pain might reduce the need for hospital-based medical abortions. Implications These patients need better care and guidelines for the care of women undergoing medical abortions should include clear recommendations for analgesic treatments, at the least adequate doses of nonopioid analgesics such as paracetamol in combination with NSAIDs like ibuprofen or diclofenac.

Inpatient Consults and Complications During Primary Total Joint Arthroplasty in a Bundled Care Model.

PubMed

Baumgartner, Billy T; Karas, Vasili; Kildow, Beau J; Cunningham, Daniel J; Klement, Mitchell R; Green, Cindy L; Attarian, David E; Seyler, Thorsten M

2018-04-01

The Centers for Medicare and Medicaid Services (CMS) are implementing changes in hospital reimbursement models for total joint arthroplasty (TJA), moving to value-based bundled payments from the fee-for-service model. The purpose of this study is to identify consults and complications during the perioperative period that increase financial burden. We combined CMS payment data for inpatient, professional, and postoperative with retrospective review of patients undergoing primary TJA and developed profiles of patients included in the Comprehensive Care for Joint Replacement bundle undergoing TJA. Statistical comparison of episode inpatient events and payments was conducted. Multiple regression analysis was adjusted for length of stay, disposition, and Charlson-Deyo comorbidity profile. Median total payment was $21,577.36, which exceeded the median bundle target payment of $20,625.00. Adjusted analyses showed that psychiatry consults (increase of $73,123.32; P < .001), internal medicine consults ($5789.38; P ≤ .001), pulmonary embolism ($35,273.68; P < .001), intensive care unit admission ($14,078.37; P < .001), and deep vein thrombosis ($9471.26; P = .019) resulted in increased payments using multivariate analysis adjusted for length of stay, Charlson-Deyo comorbidities, and discharge disposition. Patients with inpatient complications such as pulmonary embolism and/or deep vein thrombosis, intensive care unit admission, and medical/psychiatric consultation exceeded the CMS target. Although study results showed typical complication rates, acute inpatient consultation significantly increased utilization beyond the CMS target even when adjusted for length of stay, patient comorbidities, and discharge. Needed medical care should continue to be a priority for inpatients, and allowance for individual outliers should be considered in policy discussions. Copyright © 2017 Elsevier Inc. All rights reserved.

Intrathecal morphine for analgesia in children undergoing selective dorsal rhizotomy.

PubMed

Dews, T E; Schubert, A; Fried, A; Ebrahim, Z; Oswalt, K; Paranandi, L

1996-03-01

Selective dorsal root rhizotomy is performed for relief of spasticity in children with cerebral palsy. Postoperative pain relief can be provided by intrathecal morphine administered at the time of the procedure. We sought to define an optimal dose of intrathecal morphine in children undergoing selective rhizotomy, through a randomized, double-blinded prospective trial. After institutional approval and parental written informed consent, 27 patients, ages 3-10 years, were randomized to receive 10, 20, or 30 micrograms.kg-1 (Groups A, B, and C, respectively) of preservative-free morphine administered intrathecally by the surgeon after dural closure. Postoperatively, vital signs, pulse oximetry, and pain intensity scores were recorded hourly for 24 hr. Supplemental intravenous morphine was administered postoperatively according to a predetermined schedule based on pain scores. There was considerable individual variability in the time to initial morphine dosing and cumulative supplemental morphine dose. Time to first supplemental morphine dose was not different between groups. When compared to Groups A and B, cumulative 6-hr supplemental morphine dose was significantly lower in Group C (38.6 +/- 47 micrograms versus 79.1 +/- 74 and 189.6 +/- 126 for Groups A and B, respectively). By 12 hr, cumulative supplemental morphine dose was similar in Groups A and C. Group B consistently had a higher supplemental dose requirement than Groups A and C at 6, 12, and 18 hr. By 24 hr, there was no difference in cumulative dose among groups. Postoperative pain scores and the incidence of respiratory events, nausea, vomiting and pruritus were comparable among groups. These data suggest that intrathecal morphine at 30 micrograms.kg-1 provides the most intense analgesia at 6 hr following selective dorsal root rhizotomy, but was otherwise comparable to the 10 micrograms.kg-1 dose.

A model to predict the risk of lethal nasopharyngeal necrosis after re-irradiation with intensity-modulated radiotherapy in nasopharyngeal carcinoma patients.

PubMed

Yu, Ya-Hui; Xia, Wei-Xiong; Shi, Jun-Li; Ma, Wen-Juan; Li, Yong; Ye, Yan-Fang; Liang, Hu; Ke, Liang-Ru; Lv, Xing; Yang, Jing; Xiang, Yan-Qun; Guo, Xiang

2016-06-29

For patients with nasopharyngeal carcinoma (NPC) who undergo re-irradiation with intensity-modulated radiotherapy (IMRT), lethal nasopharyngeal necrosis (LNN) is a severe late adverse event. The purpose of this study was to identify risk factors for LNN and develop a model to predict LNN after radical re-irradiation with IMRT in patients with recurrent NPC. Patients who underwent radical re-irradiation with IMRT for locally recurrent NPC between March 2001 and December 2011 and who had no evidence of distant metastasis were included in this study. Clinical characteristics, including recurrent carcinoma conditions and dosimetric features, were evaluated as candidate risk factors for LNN. Logistic regression analysis was used to identify independent risk factors and construct the predictive scoring model. Among 228 patients enrolled in this study, 204 were at risk of developing LNN based on risk analysis. Of the 204 patients treated, 31 (15.2%) developed LNN. Logistic regression analysis showed that female sex (P = 0.008), necrosis before re-irradiation (P = 0.008), accumulated total prescription dose to the gross tumor volume (GTV) ≥145.5 Gy (P = 0.043), and recurrent tumor volume ≥25.38 cm(3) (P = 0.009) were independent risk factors for LNN. A model to predict LNN was then constructed that included these four independent risk factors. A model that includes sex, necrosis before re-irradiation, accumulated total prescription dose to GTV, and recurrent tumor volume can effectively predict the risk of developing LNN in NPC patients who undergo radical re-irradiation with IMRT.

The AMIGO Clinical Study: Attrition Rates Among Military Beneficiaries Undergoing Intensive Group Outpatient Pre-Diabetes Care

DTIC Science & Technology

2013-11-11

or lactating  Patients with untreated hypothyroidism or previously diagnosed Cushing’s syndrome  Patients currently taking metformin or...screening  Age គ years old  Women who are currently (or within past 6-weeks) pregnant or lactating  Patients with untreated hypothyroidism or

EXPOSURE OF AMPHIBIANS TO SEMI-VOLATILE ORGANIC COMPOUNDS IN THE SIERRA NEVADA MOUNTAINS AND CALIFORNIA CASCADES: RELATIONSHIP BETWEEN TADPOLE TISSUE AND SEDIMENT CONCENTRATIONS

EPA Science Inventory

Pesticides and other semi-volatile organic compounds (SOCs) undergo regional and longrange atmospheric transport. One such example is the transport of current-use pesticides from the intensely cultivated Central Valley of California into the adjacent Sierra Nevada and Cascade Mou...