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Voice disorder

Ingo R Titze, Tobias Riede, Anil Palaparthi, Linda S Hynan, Amy Hamilton, Laura Toles, Ted Mau
Purpose: The purposes of this study are to introduce the concept of vocal priorities based on acoustic correlates, to develop an instrument to determine these vocal priorities, and to analyze the pattern of vocal priorities in patients with voice disorders. Method: Questions probing the importance of 5 vocal attributes (vocal clarity, loudness, mean speaking pitch, pitch range, vocal endurance) were generated from consensus conference involving speech-language pathologists, laryngologists, and voice scientists, as well as patient feedback...
December 4, 2018: Journal of Speech, Language, and Hearing Research: JSLHR
Adriane L Baylis, Lawrence D Shriberg
Purpose: Speech sound disorders and velopharyngeal dysfunction are frequent features of 22q11.2 deletion syndrome (22q). We report the first estimate of the prevalence of motor speech disorders (MSDs) in youth with 22q. Method: Seventeen children and adolescents with 22q completed an assessment protocol that included a conversational speech sample. Data reduction included phonetic transcription, perceptual speech ratings, prosody-voice coding, and acoustic analyses...
December 4, 2018: American Journal of Speech-language Pathology
Elizabeth U Grillo
PURPOSE: A voice evaluation typically involves aerodynamic and acoustic measures captured through repeated /pi/s. The current study addresses the need for a more functional utterance that better approximates connected speech. METHODS: Healthy voice users and patients with voice disorders produced repeated /pi/s and a phrase, "Pooh, pay Pia pea pie," into the Phonatory Aerodynamic System across two trials. RESULTS: In Experiment 1 with healthy voice users, subglottic pressure (Ps ), airflow, fundamental frequency (F0 ), and sound pressure level (SPL) demonstrated strong reliability for speech tasks and trials...
December 4, 2018: Logopedics, Phoniatrics, Vocology
Simon Portsmouth, David van Veenhuyzen, Roger Echols, Mitsuaki Machida, Juan Camilo Arjona Ferreira, Mari Ariyasu, Peter Tenke, Tsutae Den Nagata
BACKGROUND: Carbapenem-resistant Gram-negative bacteria represent the highest priority for addressing global antibiotic resistance. Cefiderocol (S-649266), a new siderophore cephalosporin, has broad activity against Enterobacteriaceae and non-fermenting bacteria, such as Pseudomonas aeruginosa and Acinetobacter baumannii, including carbapenem-resistant strains. We assessed the efficacy and safety of cefiderocol versus imipenem-cilastatin for the treatment of complicated urinary tract infection in patients at risk of multidrug-resistant Gram-negative infections...
December 2018: Lancet Infectious Diseases
Jessica Galgano, Spiro Pantazatos, Kachina Allen, Ted Yanagihara, Joy Hirsch
Previous studies in animals and humans suggest the periaqueductal grey region (PAG) is a final integration station between the brain and laryngeal musculature during phonation. To date, a limited number of functional magnetic neuroimaging (fMRI) studies have examined the functional connectivity of the PAG during volitional human phonation. An event-related, stimulus-induced, volitional movement paradigm was used to examine neural activity during sustained vocalization in neurologically healthy adults and was compared to controlled exhalation through the nose...
November 27, 2018: Brain Research
J Milovanovic, M Vukasinovic, A Jotic, H Vlajinac, A Milovanovic, B Pavlovic, B Banko, J Maksimovic
The aim of our study was to compare socio-demographic characteristics of vocal fold nodules, polyps and oedema. The study included patients diagnosed for the first time with vocal fold nodules, polyps and oedema at the Communication Disorders Care Center of Clinic for Otorhinolaryngology and Maxillofacial Surgery in Clinical Center of Serbia, Belgrade. Diagnosis was made on the basis of symptoms, clinical otorhinolaryngological and phoniatric examination and endovideolaryngostroboscopic findings. A self-administered questionnaire was used to collect the following data: socio-demographic status, exposure to occupational noise and air pollution, occupational voice demands, health habits, symptoms of the present voice problems and voice problems in the family...
October 2018: Acta Otorhinolaryngologica Italica
Jeremy Hornibrook, Tika Ormond, Margaret Maclagan
An extreme use of a voice feature with a lowered rough sound called vocal fry or creaky voice has become increasingly recognised in American, British and New Zealand English speaking young women. It is not regarded as an involuntary voice disorder, but rather as a volitional strategy. Intermittent vocal fry is recognised as a common voice feature, particularly at the end of a sentence. It occurs at the lowest range of a speaker's F0 (pitch). We present evidence that vocal fry use is increasing in young New Zealand women...
November 30, 2018: New Zealand Medical Journal
Rita A Maroun, Lisa A Thackeray, Nick Midgley
BACKGROUND: Adolescence is a key period of risk for the emergence of Major Depressive Disorder (MDD). The prescription of selective serotonin re-uptake inhibitors (SSRIs) for the treatment of depression in adolescents is an issue of worldwide controversy, and evidence regarding their safety and efficacy is inconclusive. In the UK, NICE guidelines have recently recommended offering SSRIs to adolescents alongside psychological therapy or on their own if therapy is refused. Thus, SSRIs are increasingly becoming a major component of treatment for adolescents...
November 28, 2018: BMC Psychiatry
Michal Icht
BACKGROUND: Individuals with intellectual disability (ID) often demonstrate speech impairments and reduced intelligibility. However, traditional treatment methods, which involve using repetitive verbal and non-verbal exercises, may not be fully suitable for this population. As adults with ID tend to lose interest and motivation facing the demands of a typical speech therapy session, other intervention methods are needed. The current study tested a novel intervention technique, Beatalk, based on practising vocally produced sounds and rhythms, imitating the sounds produced by rhythm machines in an a cappella musical context (i...
November 27, 2018: International Journal of Language & Communication Disorders
Pasquale Bottalico, Juliana Codino, Lady Catherine Cantor-Cutiva, Katherine Marks, Charles J Nudelman, Jean Skeffington, Rahul Shrivastav, Maria Cristina Jackson-Menaldi, Eric J Hunter, Adam D Rubin
INTRODUCTION: Computer analysis of voice recordings is an integral part of the evaluation and management of voice disorders. In many practices, voice samples are taken in rooms that are not sound attenuated and/or sound-proofed; further, the technology used is rarely consistent. This will likely affect the recordings, and therefore, their analyses. OBJECTIVES: The objective of this study is to compare various acoustic outcome measures taken from samples recorded in a sound-proofed booth to those recorded in more common clinic environments...
November 21, 2018: Journal of Voice: Official Journal of the Voice Foundation
Pedro Melo Pestana, Susana Vaz-Freitas, Maria Conceição Manso
INTRODUCTION: Fado is a genre of urban folk music from Portugal characterized by some particularities. Some indictions in the study point this population of singers to be at higher risk of developing voice disorders. AIM: This study aims to provide estimates of the prevalence of voice disorders in Fado singers, and to characterize the professional practice and the impact of voice disorders on their careers. METHODS: This is a cross sectional study based on a self-administered questionnaire split into six parts and 55 questions...
November 20, 2018: Journal of Voice: Official Journal of the Voice Foundation
Ali Ismail Swaid
Background: Congenital saccular cyst of the larynx is a very rare cause of respiratory obstruction in the neonatal period and in older children. It can be a potentially life-threatening condition. It can also present less dramatically later in childhood as a voice disorder. Early diagnosis and treatment are very important to avoid the high mortality associated with undiagnosed cases. Subjects and method: I report here two cases of laryngeal saccular cyst with different clinical scenarios...
2018: International Medical Case Reports Journal
Andrew D Palmer, Rachel K Bolognone, Skipp Thomsen, Deanna Britton, Joshua Schindler, Donna J Graville
OBJECTIVES: Expiratory muscle strength training (EMST) is a safe, effective intervention that can be performed at home and may be beneficial for individuals with voice and swallowing disorders. To date there have been few studies of EMST in the head and neck cancer population, and there are no previous reports of its use after supracricoid partial laryngectomy (SCPL). The current prospective clinical pilot study was undertaken to determine the safety and efficacy of a 4-week treatment program...
November 22, 2018: Annals of Otology, Rhinology, and Laryngology
Paulina Krasnodębska, Wiktor Krasnodębski, Agata Szkiełkowska
The work assessed the clinical utility of open quotients measured during laryngovideostroboscopy and electroglottography. Values of the parameters were analyzed according to clinical diagnosis. An algorithm based on direct and indirect mucosal wave measurement is presented, which allows for differentiation of voice disorders. The method developed for the objectification of glottal functions in various voice pathologies is characterized by high sensitivity and specificity.
June 20, 2018: Otolaryngologia Polska
Tolga Kırgezen, Ahmet Volkan Sünter, Özgür Yiğit, Ela Araz Server, Ebru Aytekin, Nezihe Akar, Nil Sayıner Çağlar
OBJECTIVES: To reveal and to compare the voice pathologies and the detectable laryngeal findings in different phases of rheumatoid arthritis (RA). STUDY DESIGN: Prospective clinical study. METHODS: Sixty-seven consecutive patients with RA, followed up at our Physical Therapy and Rehabilitation Clinic, were included in the study. Disease activity indices of patients were calculated with Disease Activity Score-28 Index. With Voice Handicap Index (VHI), patients answered 30 questions of functional, physical, and emotional aspects...
November 16, 2018: Journal of Voice: Official Journal of the Voice Foundation
Carly S Schiff, Karen B Zur, Lisa M Biggs, Jia Guo, Michael J Pitman
OBJECTIVES/HYPOTHESIS: Pediatricians are the first physicians to see a dysphonic child (DC), yet there are limited data on their proficiency in caring for them. The objective of this study was to understand how pediatricians' experience and their comfort in recognizing/diagnosing voice disorders affects their referral patterns and use of basic treatment options. STUDY DESIGN: Survey study. METHODS: A 13-question survey was sent to pediatricians in the Children's Hospital of Philadelphia's primary care network; 45/216 were returned...
November 19, 2018: Laryngoscope
Beata Świątkowska, Wojciech Hanke
BACKGROUND: The aim of the work is to present the epidemiological situation in the field of occupational diseases in Poland in 2016. MATERIAL AND METHODS: The cases of occupational diseases identified in accordance with the applicable case law system in Poland and reported to the Central Register of Occupational Diseases in 2016 were analyzed. The analysis includes nosologic units, their causative factors as well as gender and age of patients. Absolute numbers and incidence rates per 100 thousand employees were presented...
November 15, 2018: Medycyna Pracy
Naomi Nakamichi, Kouichi Takamoto, Hiroshi Nishimaru, Kumiko Fujiwara, Yusaku Takamura, Jumpei Matsumoto, Makoto Noguchi, Hisao Nishijo
Although motor training programs have been applied to childhood apraxia of speech (AOS), the neural mechanisms of articulation learning are not well understood. To this aim, we recorded cerebral hemodynamic activity in the left hemisphere of healthy subjects ( n = 15) during articulation learning. We used near-infrared spectroscopy (NIRS) while articulated voices were recorded and analyzed using spectrograms. The study consisted of two experimental sessions (modified and control sessions) in which participants were asked to repeat the articulation of the syllables "i-chi-ni" with and without an occlusal splint...
2018: Frontiers in Neurology
Huiyi Wu, John Soraghan, Anja Lowit, Gaetano Di Caterina
Acoustic analysis using signal processing tools can be used to extract voice features to distinguish whether a voice is pathological or healthy. The proposed work uses spectrogram of voice recordings from a voice database as the input to a Convolutional Neural Network (CNN) for automatic feature extraction and classification of disordered and normal voice. The novel classifier achieved 88.5%, 66.2% and 77.0% accuracy on training, validation and testing data set respectively on 482 normal and 482 organic dysphonia speech files...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Victoria S McKenna, Cara E Stepp
Excessive vocal effort is a common clinical voice symptom, yet the acoustical manifestation of vocal effort and how that is perceived by speakers and listeners has not been fully elucidated. Here, 26 vocally healthy adults increased vocal effort during the production of the utterance /ifi/, followed by self-ratings of effort on a 100 mm visual analog scale. Twenty inexperienced listeners assessed the speakers' vocal effort using the visual sort-and-rate method. Previously proposed acoustical correlates of vocal effort were calculated, including: mean sound pressure level (SPL), mean fundamental frequency ( f o ), relative fundamental frequency (RFF) offset cycle 10 and onset cycle 1, harmonics-to-noise ratio (HNR), cepstral peak prominence and its standard deviation (SD), and low-to-high (L/H) spectral ratio and its SD...
September 2018: Journal of the Acoustical Society of America
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