scholarly journals Multi Parametric Method for the Objective Acoustic Evaluation of the Voice Produced by Laryngectomy Patients

2021 ◽  
Vol 20 (3) ◽  
pp. 137-142
Author(s):  
Mahraz Kabache ◽  
Mhania Guerti
Keyword(s):  
Parametric Method ◽  
Acoustic Characteristics ◽  
Study Objective ◽  
Acoustic Evaluation ◽  
Speech Therapist ◽  
The One ◽  
Instrumental Approaches ◽  
The Voice ◽  
Nose And Throat

A reliable perceptive analysis implying several sessions of listening turns out to be consuming in time and in human resources, and therefore not allowing a regular use in clinical practice. At the level of the Ear, Nose and Throat (ENT) services the rehabilitative speech therapist is in charge of estimating by listening to the quality of the voice, which entraines a non reliable perceptive evaluation compared with the one that will be proposed in this work. In this study, objective instrumental approaches based on physical measures has been proposed. These approaches allowing the analysis and estimation of the acoustic characteristics of the voice of the patients having a total laryngectomy. The results are compared with those obtained in a healthy vocal speaker. The outcomes indicate that objective evaluations can provide a homogeneous database for a better interpretation of articulators and vocal dysfunctions.

scholarly journals Characteristics of Speech and Voice as Predictors of the Quality of Communication in Adults with Hypokinetic Dysarthria

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Ivana Arsenic ◽  
Nadica Jovanovic Simic ◽  
Mirjana Petrovic Lazic ◽  
Ivana Sehovic ◽  
Bojana Drljan
Keyword(s):  
Spectral Analysis ◽  
Regression Analysis ◽  
Significant Contribution ◽  
Voice Disorder ◽  
Self Assessment ◽  
Acoustic Characteristics ◽  
Hypokinetic Dysarthria ◽  
The Impact ◽  
The Voice

Abstract Hypokinetic dysarthria is characterized by a speech that gradually becomes monotonous, poorly modulated, quiet and ultimately unintelligible. The goal of this research is to determine the acoustic characteristics of voice and speech in adults with hypokinetic dysarthria and the impact of the altered voice on the quality of communication. The sample consisted of 30 elderly respondents of both genders with Parkinson’s disease and hypokinetic dysarthria. In order to conduct a spectral analysis, the voice of patients was recorded while they were reading phonetically balanced text. The respondents conducted a self-assessment of the degree of their own handicap caused by voice disorder and impact of the voice handicap by completing the Voice Handicap Index (VHI). Statistically significant differences were determined in the position of some formants in respondents compared to the values of formants in typical speakers for the following vowels: F1 of the vowel /I/ and F2 of the vowels /E/, /I/, /O/ and /U/. By examining the relation between the score achieved on the VHI instrument and the value of formants, the only statistically significant correlation was achieved between the formant F1 of the vowel /A/ and functional and emotional subscale. By regression analysis used to determine the predictor of the quality of communication, it was confirmed that F1 of the vowel /A/ has a statistically significant contribution to the explanation of the score achieved on functional and emotional subscale, by explaining 15% of the functional subscale (Beta=−0,393 (11,30 – 47,37)) and 10% of the emotional subscale (Beta=−0,363 (−0,052 – 0,000)).

scholarly journals Role of the speech therapist in the treatment of dysphagia in users with clinical discharge for COVID-19: A literature review

2020 ◽  
pp. 1-10
Author(s):  
Andrés Sanzana Leiva ◽  
David David Parra Reyes
Keyword(s):  
Experimental Studies ◽  
Level Of Evidence ◽  
Prolonged Intubation ◽  
Speech Pathologist ◽  
Quasi Experimental ◽  
Progressive Respiratory Failure ◽  
Speech Therapist ◽  
The One

The disease known as Covid-19 was declared a pandemic at the beginning of 2020, substantially attacking the respiratory system of those infected. The progressive respiratory failure generated by the disease even leads to death in severe stages of the disease. Due to this alteration some users may require mechanical ventilation. Much research links intubation to dysphagia. The Speech Therapist is the one who helps in the rehabilitation of swallowing disorders, the objective of this research was to review specialized literature to gather information on the Role of the Speech Pathologist in the Treatment of Dysphagia in High Clinic Users due to (Covid-19). A specific search was carried out in the databases PubMed, Science direct and in the Virtual Health Library (BSV). The key term Mesh “Covid-19” was used then the intersection boolean “AND” and the key term Mesh “Dysphagia” then the intersection boolean “OR” and the key term Mesh “Swallowing Disorder”. A total of 42 articles in distributed as follows: PubMed (14), ScienceDirect (7), BSV (21). In the present investigation only articles corresponding to experimental studies, quasi-experimental studies, case studies, bibliographic reviews were included, clinical trials, where the role of the speech therapist in the work of dysphagia in patients with clinical discharge after having had Covid-19 is observed. The results obtained relate prolonged intubation to dysphagia, although the articles found are not enough to make a generalization, added to the fact that the quality of the articles found does not have the expected level of evidence, despite that, the results found confirm the speech pathologist specializing in orofacial motor skills as a relevant actor both in the evaluation and in the intervention of users who have dysphagia due to prolonged intubation by Covid-19.

Indonesian Literature’s Position in World Literature

TEKNOSASTIK ◽  
2018 ◽  
Vol 14 (2) ◽  
pp. 1
Author(s):  
Dina Amelia
Keyword(s):  
World Literature ◽  
The Other ◽  
National Literature ◽  
Western World ◽  
The World ◽  
The One ◽  
The Voice

There are two most inevitable issues on national literature, in this case Indonesian literature. First is the translation and the second is the standard of world literature. Can one speak for the other as a representative? Why is this representation matter? Does translation embody the voice of the represented? Without translation Indonesian literature cannot gain its recognition in world literature, yet, translation conveys the voice of other. In the case of production, publication, or distribution of Indonesian Literature to the world, translation works can be very beneficial. The position of Indonesian literature is as a part of world literature. The concept that the Western world should be the one who represent the subaltern can be overcome as long as the subaltern performs as the active speaker. If the subaltern remains silent then it means it allows the “representation” by the Western.

Evaluation of the Properties of Humus Liquid of Earthworm Eisenia Foetida Obtained from Different Rachis

2017 ◽  
Vol 3 (02) ◽  
Author(s):  
Ramiro Remigio Gaibor Fernández ◽  
Abraham Adalberto Bayas Zamora ◽  
Galo Israel Muñoz Sánchez ◽  
Cristhian Adrián Rivas Santacruz
Keyword(s):  
Plant Growth ◽  
Fulvic Acids ◽  
Cattle Manure ◽  
Eisenia Foetida ◽  
Humic And Fulvic Acids ◽  
Livestock Manure ◽  
A Value ◽  
The One ◽  
Liquid Slurry

The objective of the present investigation was to evaluate the physical characteristics of the vermicompost and the quality of the purine of the red Californian (Eisenia foetida) using different substrates of feed for these worms. For this purpose, nine treatments were studied: 75% African palm rachis + 25% cattle manure, 50% African palm rachis + 50% cattle manure, 25% African palm rachis + 75% livestock manure, 50% manure of cattle, 50% of manure of cattle, 25% of manure of cattle, 50% of manure of cattle, 50% of manure of cattle, 50% of rach of coconut + 50% of manure of Livestock, 25% coccus rachis + 75% livestock manure. The substrate made up of 50% of rachis of coconut and 50% of livestock manure can be used in nurseries or nurseries for being the one that registered a value of pH 7.3 plus the closest to the neutral compared to the others, besides this (75% of oil palm rachis and 25% of cattle manure) showed a higher content of humic and fulvic acids (0.87 and 0.45 p / p, respectively), compounds that are important for agriculture by stimulating plant growth, in addition to this reflection 0.06% sulfur content, 4.0 ppm boron, 7.0 ppm copper, 47.5 ppm iron, 6.0 ppm manganese, with a presence of microorganisms of the species Trichoderma, Penicillium, Cladosporium sp. in amounts of 1.91x105 UFC / ml, however in this substrate was obtained between 13.3 and 43.5% less liquid slurry in Comparison with other treatments.

Contribution to a Magnetite Consumption in the Karviná Mine's Preparation Plant of the Lazy Plant / Příspěvek Ke Spotřebě Magnetitu Na Úpravně Dolu Karviná, Závodu Lazy

2012 ◽  
Vol 58 (2) ◽  
pp. 1-6
Author(s):  
Radim Pavlík ◽  
Vlastimil Řepka
Keyword(s):  
The One ◽  
Preparation Plant

Abstract In its introduction, this contribution deals with the usage of magnetite during the process of coal separation in the Karviná Mine's preparation plant of the Lazy Plant. Next it deals with the evaluation of quality of magnetite used in the preparation plant, losses of magnetite adhering to the products leaving the preparation plant, the recovery of a diluted suspension with focus on the efficiency of magnetite separation of the diluted suspension and the comparison of the magnetite consumption with the one in the ČSM preparation plant. In conclusions, the article presents options leading to the reduction of the magnetite consumption in the Karviná Mine's preparation plant of the Lazy plant. For comparison, the data of the ČSM Mine is stated here.

The concept of motivation for effective credit risk management

2020 ◽  
Vol 26 (11) ◽  
pp. 2567-2593
Author(s):  
M.V. Pomazanov
Keyword(s):  
Risk Management ◽  
Economic Modeling ◽  
Type I ◽  
Credit Risk Management ◽  
Curve Modeling ◽  
Business Functions ◽  
The Common ◽  
Lending Decisions ◽  
The One

Subject. The study addresses the improvement of risk management efficiency and the quality of lending decisions made by banks. Objectives. The aim is to present the bank management with a fair algorithm for risk management motivation on the one hand, and the credit management (business) on the other hand. Within the framework of the common goal to maximize risk-adjusted income from loans, this algorithm will provide guidelines for ‘risk management’ and ‘business’ functions on how to improve individual and overall efficiency. Methods. The study employs the discriminant analysis, type I and II errors, Lorentz curve modeling, statistical analysis, economic modeling. Results. The paper offers a mechanism for assessing the quality of risk management decisions as opposed to (or in support of) decisions of the lending business when approving transactions. The mechanism rests on the approach of stating type I and II errors and the corresponding classical metric of the Gini coefficient. On the ‘business’ side, the mechanism monitors the improvement or deterioration of the indicator of changes in losses in comparison with the market average. Conclusions. The study substantiates the stimulating ‘rules of the game’ between the ‘business’ and ‘risk management’ to improve the efficiency of the entire business, to optimize interactions within the framework of internal competition. It presents mathematical tools to calculate corresponding indicators of the efficiency of internally competing entities.

The Development of Agritourism in the Podkarpackie Voivodeship in the Light of International and National Conditions

2017 ◽  
Vol 13 ◽  
pp. 244-261
Author(s):  
Mariola Tracz ◽  
Małgorzata Bajgier-Kowalska ◽  
Radosław Uliszak
Keyword(s):  
Development Strategy ◽  
Current State ◽  
Central Statistical ◽  
Central Statistical Office ◽  
Tourism Resources ◽  
The One ◽  
The Impact ◽  
District Offices ◽  
Socio Economic Factors

Podkarpackie Voivodeship is one of the regions of Poland in which the number of agritourism entities is very high. Therefore tourism plays a significant role in its development strategy. The aim of the paper is to identify the current state of agritourism and the changes that have occurred in the region in the years 2000–2016. Specific objectives are to determine the distribution of agritourism farms and their offer, together with a comprehensive analysis of the environmental and socio-economic factors, as well as the impact of the Slovak-Ukrainian border. The report was developed on the statistical materials from the Polish Central Statistical Office, Podkarpackie Agricultural Advisory Centre in Boguchwała and data collected from municipalities and district offices that is published on their websites, as well as through interviews with 100 owners of agritourism farms in the Podkarpackie Voivodeship. The research has shown, on the one hand, the decline in the number of farms in the region and, on the other hand, the increase in the diversity of the tourist offer of these entities. Distribution of agritourism farms is closely linked to the attractiveness of natural environment and quality of secondary tourism resources. Traditional agritourism has not yet fully used its countryside, as well as cross-border advantages of its location.

Client characteristics and satisfaction with the quality of primary health-care services in Calabar, Nigeria

2020 ◽  
Vol 3 ◽  
pp. 1-8
Author(s):  
H. C. Okeke ◽  
P. Bassey ◽  
O. A. Oduwole ◽  
A. Adindu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Client Satisfaction ◽  
Demographic Characteristics ◽  
Care Providers ◽  
Client Characteristics ◽  
Study Objective ◽  
Primary Health

Different mix of clients visit primary health care (PHC) facilities, and the quality of services is critical even in rural communities. The study objective was to determine the relationship between socio-demographic characteristics and client satisfaction with the quality of PHC services in Calabar Municipality, Cross River State, Nigeria. Specifically to describe aspects of the health facilities that affect client satisfaction; determine the health-care providers’ attitude that influences client satisfaction; and determine the socio-demographic characteristics that influence client satisfaction with PHC services. A cross-sectional survey was adopted. Ten PHCs and 500 clients utilizing services in PHC centers in Calabar Municipality were randomly selected. Clients overall satisfaction with PHC services was high (80.8%). Divorced clients were less (75.0%) satisfied than the singles and the married counterparts (81%), respectively. Clients that were more literate as well as those with higher income were less satisfied, 68.0% and 50.0%, respectively, compared to the less educated and lower-income clients, 92.0% and 85.0% respectively. These differences in satisfaction were statistically significant (P = 0.001). Hence, it was shown that client characteristics such as income and literacy level show a significant negative relationship with the clients satisfaction with the quality of PHC services in Calabar Municipality.

A Study of Medical Board Peer Reviews in Nevada

2010 ◽  
Vol 96 (1) ◽  
pp. 20-29
Author(s):  
Jerry C. Calvanese
Keyword(s):  
Peer Review ◽  
Board Members ◽  
Study Objective ◽  
Clark County ◽  
Peer Reviews ◽  
Medical Examiners ◽  
Washoe County ◽  
Total Average Cost ◽  
Total Average

ABSTRACT Study Objective: The purpose of this study was to obtain data on various characteristics of peer reviews. These reviews were performed for the Nevada State Board of Medical Examiners (NSBME) to assess physician licensees' negligence and/or incompetence. It was hoped that this data could help identify and define certain characteristics of peer reviews. Methods: This study examined two years of data collected on peer reviews. The complaints were initially screened by a medical reviewer and/or a committee composed of Board members to assess the need for a peer review. Data was then collected from the peer reviews performed. The data included costs, specialty of the peer reviewer, location of the peer reviewer, and timeliness of the peer reviews. Results: During the two-year study, 102 peer reviews were evaluated. Sixty-nine percent of the peer-reviewed complaints originated from civil malpractice cases and 15% originated from complaints made by patients. Eighty percent of the complaint physicians were located in Clark County and 12% were located in Washoe County. Sixty-one percent of the physicians who performed the peer reviews were located in Washoe County and 24% were located in Clark County. Twelve percent of the complaint physicians were in practice in the state for 5 years or less, 40% from 6 to 10 years, 20% from 11 to 15 years, 16% from 16 to 20 years, and 13% were in practice 21 years or more. Forty-seven percent of the complaint physicians had three or less total complaints filed with the Board, 10% had four to six complaints, 17% had 7 to 10 complaints, and 26% had 11 or more complaints. The overall quality of peer reviews was judged to be good or excellent in 96% of the reviews. A finding of malpractice was found in 42% of the reviews ordered by the medical reviewer and in 15% ordered by the Investigative Committees. There was a finding of malpractice in 38% of the overall total of peer reviews. The total average cost of a peer review was $791. In 47% of the peer reviews requested, materials were sent from the Board to the peer reviewer within 60 days of the original request and 33% took more than 120 days for the request to be sent. In 48% of the reviews, the total time for the peer review to be performed by the peer reviewer was less than 60 days. Twenty seven percent of the peer reviews took more than 120 days to be returned. Conclusion: Further data is needed to draw meaningful conclusions from certain peer review characteristics reported in this study. However, useful data was obtained regarding timeliness in sending out peer review materials, total times for the peer reviews, and costs.

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