Σάββατο 8 Οκτωβρίου 2016

The Effects of Humming on the Prephonatory Vocal Fold Motions Under High-Speed Digital Imaging in Nondysphonic Speakers

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Publication date: Available online 7 October 2016
Source:Journal of Voice
Author(s): Toshihiko Iwahashi, Makoto Ogawa, Kiyohito Hosokawa, Chieri Kato, Hidenori Inohara
ObjectivesThis study aimed to investigate whether humming affects the adductive motion of the vocal folds and transient glottal closure in the prephonatory adjustment phase of vocal onset using high-speed digital imaging (HSDI) and a motion analysis software program.MethodsTwenty normal healthy adults without any vocal abnormalities were enrolled. While a transnasal flexible fiberscope connected to a high-speed camera was inserted, each participant was asked to perform three phonatory tasks—natural /e:/ phonation, loud /e:/ phonation, and humming /m:/ phonation—and laryngeal HSDI movies (4000 frame/s) were recorded. On each HSDI movie, the duration of the prephonatory glottal closure was measured. In addition, using motion analysis, the changes in the angle between the bilateral vocal folds during vocal fold adduction and the average angular velocity in the ranges of 100%–80%, 80%–20%, and 20%–0% from all of the angular changes were analyzed.ResultsThe angular changes showed sigmoid and polynomial-like curves during the natural/humming and loud phonation, respectively, and the 80%–20% and 20%–0% average velocities were the highest during the natural/humming and loud phonation, respectively. The humming phonation decreased all of the average regional velocities, eliminated the transient prephonatory glottal closures observed during the natural and loud phonation, and induced a greater value for the minimal angle than the natural phonation.ConclusionsThe present study demonstrates that humming encourages easy vocal initiation by decelerating the vocal fold adductive motion throughout the prephonatory adjustment phase and alleviating transient prephonatory laryngeal closure, leading to gradual and smooth vocal fold positioning.



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Comparison of threshold estimation in infants with hearing loss or normal hearing using auditory steady-state response evoked by narrow band CE-chirps and auditory brainstem response evoked by tone pips.

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Comparison of threshold estimation in infants with hearing loss or normal hearing using auditory steady-state response evoked by narrow band CE-chirps and auditory brainstem response evoked by tone pips.

Int J Audiol. 2016 Oct 7;:1-7

Authors: Michel F, Jørgensen KF

Abstract
OBJECTIVE: The objective of this study is to compare air-conduction thresholds obtained with ASSR evoked by narrow band (NB) CE-chirps and ABR evoked by tone pips (tpABR) in infants with various degrees of hearing loss.
DESIGN: Thresholds were measured at 500, 1000, 2000 and 4000 Hz. Data on each participant were collected at the same day.
STUDY SAMPLE: Sixty-seven infants aged 4 d to 22 months (median age = 96 days), resulting in 57, 52, 87 and 56 ears for 500, 1000, 2000 and 4000 Hz, respectively.
RESULTS: Statistical analysis was performed for ears with hearing loss (HL) and showed a very strong correlation between tpABR and ASSR evoked by NB CE-chirps: 0.90 (n = 28), 0.90 (n = 28), 0.96 (n = 42) and 0.95 (n = 30) for 500, 1000, 2000 and 4000 Hz, respectively. At these frequencies, the mean difference between tpABR and ASSR was -3.6 dB (± 7.0), -5.2 dB (± 7.3), -3.9 dB (± 5.2) and -5.2 dB (± 4.7). Linear regression analysis indicated that the relationship was not influenced by the degree of hearing loss.
CONCLUSION: We propose that dB nHL to dB eHL correction values for ASSR evoked by NB CE-chirps should be 5 dB lower than values used for tpABR.

PMID: 27715342 [PubMed - as supplied by publisher]



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Epidemiology and risk factors for tinnitus after leisure noise exposure in Flemish young adults.

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Epidemiology and risk factors for tinnitus after leisure noise exposure in Flemish young adults.

Int J Audiol. 2016 Oct 7;:1-9

Authors: Degeest S, Keppler H, Corthals P, Clays E

Abstract
OBJECTIVE: Young people regularly expose themselves to leisure noise and are at risk of acquiring tinnitus. This study examined the prevalence of leisure noise-induced tinnitus among Flemish young adults as well as the relation with sociodemographic factors, health-related variables and attitudes and beliefs towards noise.
DESIGN: A self-administered questionnaire was used to evaluate the presence of noise-induced tinnitus, the amount of leisure noise and attitudes towards noise and hearing protection.
STUDY SAMPLE: 517 subjects between 18 and 30 years were included.
RESULTS: Temporary and chronic tinnitus occurred in 68.5% and 6.4% of the sample, respectively. Chronic tinnitus was more prevalent in male subjects and associated with more hearing-related symptoms. Furthermore, subjects with chronic tinnitus were more aware of the risks of noise and the importance of hearing protection. Finally, higher levels of leisure noise were independently associated with chronic tinnitus.
CONCLUSIONS: Tinnitus is observed frequently in young adults. Results also indicate that persons with chronic tinnitus were exposed to a higher noise dose during their lives. Longitudinal studies may be useful to evaluate whether the experience of chronic tinnitus has led to behavioural changes. These findings further underpin the importance of educating youth about the risks of leisure noise exposure.

PMID: 27715331 [PubMed - as supplied by publisher]



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Sudden sensorineural hearing loss: is there a relationship between routine haematological parameters and audiogram shapes?

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Sudden sensorineural hearing loss: is there a relationship between routine haematological parameters and audiogram shapes?

Int J Audiol. 2016 Oct 7;:1-6

Authors: Salvago P, Rizzo S, Bianco A, Martines F

Abstract
OBJECTIVE: To investigate the relationship between haematological routine parameters and audiogram shapes in patients affected by sudden sensorineural hearing loss (SSNHL).
DESIGN: A retrospective study. All patients were divided into four groups according to the audiometric curve and mean values of haematological parameters (haemoglobin, white blood cell, neutrophils and lymphocytes relative count, platelet count, haematocrit, prothrombin time, activated partial thromboplastin time, fibrinogen and neutrophil-to-lymphocite ratio) of each group were statistically compared. The prognostic role of blood profile and coagulation test was also examined.
STUDY SAMPLE: A cohort of 183 SSNHL patients without comorbidities.
RESULTS: With a 48.78% of complete hearing recovery, individuals affected by upsloping hearing loss presented a better prognosis instead of flat (18.36%), downsloping (19.23%) and anacusis (2.45%) groups (p = 0.0001). The multivariate analysis of complete blood count values revealed lower mean percentage of lymphocytes (p = 0.041) and higher platelet levels (p = 0.015) in case of downsloping hearing loss; with the exception of fibrinogen (p = 0.041), none of the main haematological parameters studied resulted associated with poorer prognosis.
CONCLUSIONS: Our work suggested a lack of association between haematological parameters and a defined audiometric picture in SSNHL patients; furthermore, only fibrinogen seems to influence the prognosis of this disease.

PMID: 27712131 [PubMed - as supplied by publisher]



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via IFTTT

Comparison of threshold estimation in infants with hearing loss or normal hearing using auditory steady-state response evoked by narrow band CE-chirps and auditory brainstem response evoked by tone pips.

Related Articles

Comparison of threshold estimation in infants with hearing loss or normal hearing using auditory steady-state response evoked by narrow band CE-chirps and auditory brainstem response evoked by tone pips.

Int J Audiol. 2016 Oct 7;:1-7

Authors: Michel F, Jørgensen KF

Abstract
OBJECTIVE: The objective of this study is to compare air-conduction thresholds obtained with ASSR evoked by narrow band (NB) CE-chirps and ABR evoked by tone pips (tpABR) in infants with various degrees of hearing loss.
DESIGN: Thresholds were measured at 500, 1000, 2000 and 4000 Hz. Data on each participant were collected at the same day.
STUDY SAMPLE: Sixty-seven infants aged 4 d to 22 months (median age = 96 days), resulting in 57, 52, 87 and 56 ears for 500, 1000, 2000 and 4000 Hz, respectively.
RESULTS: Statistical analysis was performed for ears with hearing loss (HL) and showed a very strong correlation between tpABR and ASSR evoked by NB CE-chirps: 0.90 (n = 28), 0.90 (n = 28), 0.96 (n = 42) and 0.95 (n = 30) for 500, 1000, 2000 and 4000 Hz, respectively. At these frequencies, the mean difference between tpABR and ASSR was -3.6 dB (± 7.0), -5.2 dB (± 7.3), -3.9 dB (± 5.2) and -5.2 dB (± 4.7). Linear regression analysis indicated that the relationship was not influenced by the degree of hearing loss.
CONCLUSION: We propose that dB nHL to dB eHL correction values for ASSR evoked by NB CE-chirps should be 5 dB lower than values used for tpABR.

PMID: 27715342 [PubMed - as supplied by publisher]



from #Audiology via ola Kala on Inoreader http://ift.tt/2dUEn4N
via IFTTT

Epidemiology and risk factors for tinnitus after leisure noise exposure in Flemish young adults.

Related Articles

Epidemiology and risk factors for tinnitus after leisure noise exposure in Flemish young adults.

Int J Audiol. 2016 Oct 7;:1-9

Authors: Degeest S, Keppler H, Corthals P, Clays E

Abstract
OBJECTIVE: Young people regularly expose themselves to leisure noise and are at risk of acquiring tinnitus. This study examined the prevalence of leisure noise-induced tinnitus among Flemish young adults as well as the relation with sociodemographic factors, health-related variables and attitudes and beliefs towards noise.
DESIGN: A self-administered questionnaire was used to evaluate the presence of noise-induced tinnitus, the amount of leisure noise and attitudes towards noise and hearing protection.
STUDY SAMPLE: 517 subjects between 18 and 30 years were included.
RESULTS: Temporary and chronic tinnitus occurred in 68.5% and 6.4% of the sample, respectively. Chronic tinnitus was more prevalent in male subjects and associated with more hearing-related symptoms. Furthermore, subjects with chronic tinnitus were more aware of the risks of noise and the importance of hearing protection. Finally, higher levels of leisure noise were independently associated with chronic tinnitus.
CONCLUSIONS: Tinnitus is observed frequently in young adults. Results also indicate that persons with chronic tinnitus were exposed to a higher noise dose during their lives. Longitudinal studies may be useful to evaluate whether the experience of chronic tinnitus has led to behavioural changes. These findings further underpin the importance of educating youth about the risks of leisure noise exposure.

PMID: 27715331 [PubMed - as supplied by publisher]



from #Audiology via ola Kala on Inoreader http://ift.tt/2dUFgdH
via IFTTT

Sudden sensorineural hearing loss: is there a relationship between routine haematological parameters and audiogram shapes?

Related Articles

Sudden sensorineural hearing loss: is there a relationship between routine haematological parameters and audiogram shapes?

Int J Audiol. 2016 Oct 7;:1-6

Authors: Salvago P, Rizzo S, Bianco A, Martines F

Abstract
OBJECTIVE: To investigate the relationship between haematological routine parameters and audiogram shapes in patients affected by sudden sensorineural hearing loss (SSNHL).
DESIGN: A retrospective study. All patients were divided into four groups according to the audiometric curve and mean values of haematological parameters (haemoglobin, white blood cell, neutrophils and lymphocytes relative count, platelet count, haematocrit, prothrombin time, activated partial thromboplastin time, fibrinogen and neutrophil-to-lymphocite ratio) of each group were statistically compared. The prognostic role of blood profile and coagulation test was also examined.
STUDY SAMPLE: A cohort of 183 SSNHL patients without comorbidities.
RESULTS: With a 48.78% of complete hearing recovery, individuals affected by upsloping hearing loss presented a better prognosis instead of flat (18.36%), downsloping (19.23%) and anacusis (2.45%) groups (p = 0.0001). The multivariate analysis of complete blood count values revealed lower mean percentage of lymphocytes (p = 0.041) and higher platelet levels (p = 0.015) in case of downsloping hearing loss; with the exception of fibrinogen (p = 0.041), none of the main haematological parameters studied resulted associated with poorer prognosis.
CONCLUSIONS: Our work suggested a lack of association between haematological parameters and a defined audiometric picture in SSNHL patients; furthermore, only fibrinogen seems to influence the prognosis of this disease.

PMID: 27712131 [PubMed - as supplied by publisher]



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