Amyotrophic lateral sclerosis(ALS)is a neuromuscular condition resulting from the progressive degeneration of motor neurons in the cortex,brainstem,and spinal cord.While the typical clinical phenotype of ALS involves ...Amyotrophic lateral sclerosis(ALS)is a neuromuscular condition resulting from the progressive degeneration of motor neurons in the cortex,brainstem,and spinal cord.While the typical clinical phenotype of ALS involves both upper and lower motor neurons,human and animal studies over the years have highlighted the potential spread to other motor and non-motor regions,expanding the phenotype of ALS.Although superoxide dismutase 1(SOD1)mutations represent a minority of ALS cases,the SOD1 gene remains a milestone in ALS research as it represents the first genetic target for personalized therapies.Despite numerous single case reports or case series exhibiting extramotor symptoms in patients with ALS mutations in SOD1(SOD1-ALS),no studies have comprehensively explored the full spectrum of extramotor neurological manifestations in this subpopulation.In this narrative review,we analyze and discuss the available literature on extrapyramidal and non-motor features during SOD1-ALS.The multifaceted expression of SOD1 could deepen our understanding of the pathogenic mechanisms,pointing towards a multidisciplinary approach for affected patients in light of new therapeutic strategies for SOD1-ALS.展开更多
Central venous catheter insertion in the internal jugular vein(IJV)is frequently performed in acute care settings,facilitated by its easy availability and increased use of ultrasound in healthcare settings.Despite the...Central venous catheter insertion in the internal jugular vein(IJV)is frequently performed in acute care settings,facilitated by its easy availability and increased use of ultrasound in healthcare settings.Despite the increased safety profile and insertion convenience,it has complications.Herein,we aim to inform readers about the existing literature on the plethora of complications with potentially disastrous consequences for patients undergoing IJV cannulation.展开更多
BACKGROUND We described a case of a patient with a meningioma in the posterior fossa presenting atypically with an isolated unilateral vocal cord palsy causing severe respiratory distress.This is of interest as the pa...BACKGROUND We described a case of a patient with a meningioma in the posterior fossa presenting atypically with an isolated unilateral vocal cord palsy causing severe respiratory distress.This is of interest as the patient had no other symptomatology,especially given the size of the mass,which would typically cause a pressure effect leading to neurological and auditory symptoms.CASE SUMMARY This case report described a 48-year-old male who was married with two children and employed as a car guard.He had a medical history of asthma for the past 10 years controlled with an as-needed beta 2 agonist metered dose inhaler.He initially presented to our facility with severe respiratory distress.He reported a 1-wk history of shortness of breath and wheezing that was not relieved by his bronchodilator.He had no constitutional symptoms or impairment of hearing.On clinical examination,the patient’s chest was“silent.”Our initial assessment was status asthmaticus with type 2 respiratory failure,based on the history of asthma,a“silent chest,”and the arterial blood gas results.CONCLUSION A posterior fossa meningioma of such a large size and with extensive infiltration rarely presents with an isolated unilateral vocal cord palsy.The patient’s chief presenting feature was severe respiratory distress,which combined with his background medical history of asthma,was misleading.Clinicians should thus consider meningioma as a differential diagnosis for a unilateral vocal cord palsy even without audiology involvement.展开更多
BACKGROUND Since its description in 1790 by Hunter,the nasogastric tube(NGT)is commonly used in any healthcare setting for alleviating gastrointestinal symptoms or enteral feeding.However,the risks associated with its...BACKGROUND Since its description in 1790 by Hunter,the nasogastric tube(NGT)is commonly used in any healthcare setting for alleviating gastrointestinal symptoms or enteral feeding.However,the risks associated with its placement are often underes-timated.Upper airway obstruction with a NGT is an uncommon but potentially life-threatening complication.NGT syndrome is characterized by the presence of an NGT,throat pain and vocal cord(VC)paralysis,usually bilateral.It is poten-tially life–threatening,and early diagnosis is the key to the prevention of fatal upper airway obstruction.However,fewer cases may have been reported than might have occurred,primarily due to the clinicians'unawareness.The lack of specific signs and symptoms and the inability to prove temporal relation with NGT insertion has made diagnosing the syndrome quite challenging.AIM To review and collate the data from the published case reports and case series to understand the possible risk factors,early warning signs and symptoms for timely detection to prevent the manifestation of the complete syndrome with life-threatening airway obstruction.METHODS We conducted a systematic search for this meta-summary from the database of PubMed,EMBASE,Reference Citation Analysis(https://www.referencecitation-analysis.com/)and Google scholar,from all the past studies till August 2023.The search terms included major MESH terms"Nasogastric tube","Intubation,Gastrointestinal","Vocal Cord Paralysis",and“Syndrome”.All the case reports and case series were evaluated,and the data were extracted for patient demographics,clinical symptomatology,diagnostic and therapeutic interventions,clinical course and outcomes.A datasheet for evaluation was further prepared.RESULTS Twenty-seven cases,from five case series and 13 case reports,of NGT syndrome were retrieved from our search.There was male predominance(17,62.96%),and age at presentation ranged from 28 to 86 years.Ten patients had diabetes mellitus(37.04%),and nine were hypertensive(33.33%).Only three(11.11%)patients were reported to be immunocompromised.The median time for developing symptoms after NGT insertion was 14.5 d(interquartile range 6.25-33.75 d).The most commonly reported reason for NGT insertion was acute stroke(10,37.01%)and the most commonly reported symptoms were stridor or wheezing 17(62.96%).In 77.78%of cases,bilateral VC were affected.The only treatment instituted in most patients(77.78%)was removing the NG tube.Most patients(62.96%)required tracheostomy for airway protection.But 8 of the 23 survivors recovered within five weeks and could be decannulated.Three patients were reported to have died.CONCLUSION NGT syndrome is an uncommon clinical complication of a very common clinical procedure.However,an under-reporting is possible because of misdiagnosis or lack of awareness among clinicians.Patients in early stages and with mild symptoms may be missed.Further,high variability in the presentation timing after NGT insertion makes diagnosis challenging.Early diagnosis and prompt removal of NGT may suffice in most patients,but a significant proportion of patients presenting with respiratory compromise may require tracheostomy for airway protection.展开更多
The purpose of the article is to explore the effects of Sichuan opera singing on music majors’vocal skills,focusing on three key aspects:pitch test,assessment of rhythmic perception,and emotional expression.Through a...The purpose of the article is to explore the effects of Sichuan opera singing on music majors’vocal skills,focusing on three key aspects:pitch test,assessment of rhythmic perception,and emotional expression.Through a quasi-experimental design,100 music majors were selected as research subjects and divided into an experimental group that received Sichuan opera singing instruction and a control group that received traditional vocal instruction.The results showed that compared with the control group,the experimental group receiving Sichuan opera singing teaching showed significant improvement in pitch mastery,rhythm perception,and emotional expression.展开更多
Signals within animals’vocal communication are considered functional referential and context-specific.Even in the absence of the context,receivers are expected to acquire the information of calls and respond specific...Signals within animals’vocal communication are considered functional referential and context-specific.Even in the absence of the context,receivers are expected to acquire the information of calls and respond specificallyWhereas the framework was supported by plenty of evidence,its exhaustivity in describing all animal vocalisations has been questioned.Here,we investigated the vocal repertoire of a cooperatively breeding species,Azure-winged Magpie(Cyanopica cyanus),to present evidence for referential signals.The results showed that Azure-winged Magpies had a relatively large vocal repertoire,consisting of twelve distinct calls.These calls were associated with the context including movement,begging for food,contact,vigilance against predators,etc.However,even the predator-specific alarm calls would induce various responses of receivers.This implies that multiple pieces of information are involved in the vocalisation,which could be utilised by the receiver to select an appropriate response based on the surroundings.Our study gives a detailed description of the context and function of the vocal repertoire in Azure-winged Magpies,laying the foundation for further investigation on the developmental mechanisms of bird vocalisations.This study also suggests that the referential signals of animal vocalisations may not be limited to the context-specific responses of receivers and need to be discussed from a broader perspective.展开更多
Predation is an important source of natural selection on prey species and has resulted in adaptations such as antipredator vocal signals,which can alert others to the presence of predators and solicit cooperative atta...Predation is an important source of natural selection on prey species and has resulted in adaptations such as antipredator vocal signals,which can alert others to the presence of predators and solicit cooperative attack.Although vocal alarm signals of birds have been well studied,they are poorly known in tropical African species.To address this lack of information,the antipredatory signals and responses of two lapwings(Wattled Lapwing Vanellus senegallus and Spur-winged Lapwing Vanellus spinosus)to potential predators were investigated using data collected from focal observation,distance measurements,focal recordings,and playback experiment.The lapwing calls elicited to predators were classified as alarm or mobbing calls based on whether the calls elicited alert behavior or attack from other lapwings.Discriminant linear analysis(DLA)was used to compare the time and frequency parameters of the call types measured in Raven PRO.Also,lapwings’responses to intruders,alert and start distance,time of day,and latency,as well as the effects of flock size and distance to cover were examined.About 48%of all calls was correctly classified by DLA.The best predictors of call type for the lapwings were maximum frequency and high frequency.Both alarm and mobbing calls were elicited by African Wattled Lapwings to dogs and humans.Mobbing calls were elicited to intruders by the Spur-winged Lapwings.Alert distance was positively associated with start distance,and differed between morning and evening in both lapwings.With scarce information from tropical Africa,this study put in perspective vocal and antipredator behavior of lapwing species in Africa.展开更多
The nest environment may limit the ability of nest-bound birds to hear sounds from the outside world.In vocal learning species,such as humans and songbirds,it is vital for young animals to hear the voices of conspecif...The nest environment may limit the ability of nest-bound birds to hear sounds from the outside world.In vocal learning species,such as humans and songbirds,it is vital for young animals to hear the voices of conspecific animals early in life.In songbirds,nest structure varies considerably across species,and the resulting impact on sound transmission may have consequences for vocal learning in nestlings.In this study,we tested the hypothesis that the nest environment attenuates song of Savannah Sparrows(Passerculus sandwichensis),grassland songbirds that build nests on the ground under cover of dense vegetation.We recorded live Savannah Sparrows singing at variable distances from 21 nests.We recorded songs using one microphone inside the nest(the typical position of a nestling)and another placed 1 m directly above the nest(a typical position of an adult).We found a substantial reduction in signal-to-noise ratio,where songs recorded inside the nest were an average of 11 dB lower than songs recorded directly above the nest.We estimate that the attenuation imposed by the nest reduced the maximum acoustic environment from 117.7 m(for recordings above the nest),to 78.6 m(for recordings within the nest),which is analogous to listening from a position 39.1 m farther away from the singer.Previous research estimated that song transmits up to 100 m in this species,so any adult male within 100 m of a young bird was previously considered a potential vocal tutor.By reducing the nestling acoustic environment from 100 m to 78.6 m,the number of male tutors available to nestlings is reduced by an average of 27%.Given the growing evidence that song learning begins very early in life,future research on vocal development should account for how the structural properties of the natal environment affect the songs that nestlings hear.展开更多
BACKGROUND Functional vocal cord disorders can be a differential diagnosis for postoperative upper airway obstruction requiring urgent intervention.However,this may be unfamiliar to anesthesiologists who would favor i...BACKGROUND Functional vocal cord disorders can be a differential diagnosis for postoperative upper airway obstruction requiring urgent intervention.However,this may be unfamiliar to anesthesiologists who would favor inappropriate airway intervention and increased morbidity.CASE SUMMARY A 61-year-old woman underwent cervical laminectomy,followed by laparoscopic cholecystectomy 10 mo later.Despite adequate reversal of neuromuscular blockade,the patient experienced repetitive respiratory difficulty with inspiratory stridor after extubation.After the second operation,the patient was diagnosed with paradoxical vocal fold motion(PVFM)by an otolaryngologist based on the clinical features and fiberoptic bronchoscopy results,and the patient was successfully treated.CONCLUSION PVFM should be considered a differential diagnosis if a patient presents with stridor after general anesthesia.展开更多
The Internet of Things(IoT)plays an essential role in the current and future generations of information,network,and communication development and applications.This research focuses on vocal tract visualization and mod...The Internet of Things(IoT)plays an essential role in the current and future generations of information,network,and communication development and applications.This research focuses on vocal tract visualization and modeling,which are critical issues in realizing inner vocal tract animation.That is applied in many fields,such as speech training,speech therapy,speech analysis and other speech production-related applications.This work constructed a geometric model by observation of Magnetic Resonance Imaging data,providing a new method to annotate and construct 3D vocal tract organs.The proposed method has two advantages compared with previous methods.Firstly it has a uniform construction protocol for all speech organs.Secondly,this method can build correspondent feature points between different speech organs.There are less than three control parameters can be used to describe every speech organ accurately,for which the accumulated contribution rate is more than 88%.By means of the reconfiguration,the model error is less than 1.0 mm.Regarding to the data from Chinese Magnetic resonance imaging(MRI),this is the first work of 3D vocal tract model.It will promote the theoretical research and development of the intelligent Internet of Things facing speech generation-related issues.展开更多
Background: Double-lumen endotracheal (DLT) is commonly used for one-lung ventilation and lung separation during thoracic surgery. There are case reports of medically induced laryngeal granulomas, mainly in patients a...Background: Double-lumen endotracheal (DLT) is commonly used for one-lung ventilation and lung separation during thoracic surgery. There are case reports of medically induced laryngeal granulomas, mainly in patients after single-lumen endotracheal (SLT) tube intubation and tracheotomy, and giant granulomas of the vocal cords due to double-lumen bronchial tube insertion have rarely been reported. Case presentation: A 49-year-old female patient underwent single-port thoracoscopy after DLT intubation as well as a wedge resection of the lower lobe of the left lung, which caused giant vocal process granulomas (VPGs) postoperatively. Based on a retrospective analysis of the general condition, current medical history, past medical history, and visual laryngoscopic observation of the vocal folds tissue, which ruled out preoperative vocal fold granuloma formation, we hypothesized that double-lumen bronchial catheter intubation may have been the primary cause of her vocal fold granuloma formation. Conclusions: Giant granuloma of the vocal folds after DLT insertion is a rare postoperative complication;therefore, if DLT intubation is to be performed, the anesthesiologist should choose an appropriate intubation plan and deal with it promptly to avoid the risk factors to ensure that the patient’s perioperative period is safe and smooth. In addition, if postoperative complications are encountered, they should be followed up and observed on time.展开更多
Surgical management of laryngeal paralysis varies depending on whether the vocal cords are in abduction, adduction or paramedian position. Various surgical techniques have been described including partial arytenoidect...Surgical management of laryngeal paralysis varies depending on whether the vocal cords are in abduction, adduction or paramedian position. Various surgical techniques have been described including partial arytenoidectomy which is reported to give good surgical results that are stable over time. The objective of the study was to analyze the surgical therapeutic elements of bilateral paralysis, especially to assess partial arytenoidectomy, one of the most performed techniques. This was a descriptive retrospective study of cases of bilateral immobility admitted between January 1<sup>st</sup> 2008 and March 31<sup>st</sup> 2018 and treated surgically. Socio-demographic and therapeutic data were collected. The survey involved 46 patients, with an equal number of male and female (23) with 50% of male patients and 23 patients were female, or a sex ratio of 1. The average age of the patients was 56 ± 17 years ranging between 14 and 89 years. Posterior partial arytenoidectomy was the most widely performed surgical technique (26 patients or 56.5%), followed by cordopexia or lateral-fixing of a vocal cord (19.6%) and posterior cordectomy (17.4%). Patients who received a partial arytenoidectomy and cordopexia had their vocal cords either in adduction or in the paramedian position. Those who received a posterior cordectomy had their vocal cords in adduction. 18 patients (39.13%) were taken to the operating theatre in less than 6 hours, 28 (60.9%) had no post-operative complications, and 9 patients received a surgical enlargement resumption. In post-operative follow-up, 11 patients suffered pulmonary aspiration corrected after speech therapy;26 patients (56.5%) did not. Partial arytenoidectomy remains the most performed surgical procedure in the management of closed bilateral laryngeal paralysis at the Mont-Godinne University Hospital. It allows a reliable and durable breathing function over time with less impact on the voice.展开更多
文摘Amyotrophic lateral sclerosis(ALS)is a neuromuscular condition resulting from the progressive degeneration of motor neurons in the cortex,brainstem,and spinal cord.While the typical clinical phenotype of ALS involves both upper and lower motor neurons,human and animal studies over the years have highlighted the potential spread to other motor and non-motor regions,expanding the phenotype of ALS.Although superoxide dismutase 1(SOD1)mutations represent a minority of ALS cases,the SOD1 gene remains a milestone in ALS research as it represents the first genetic target for personalized therapies.Despite numerous single case reports or case series exhibiting extramotor symptoms in patients with ALS mutations in SOD1(SOD1-ALS),no studies have comprehensively explored the full spectrum of extramotor neurological manifestations in this subpopulation.In this narrative review,we analyze and discuss the available literature on extrapyramidal and non-motor features during SOD1-ALS.The multifaceted expression of SOD1 could deepen our understanding of the pathogenic mechanisms,pointing towards a multidisciplinary approach for affected patients in light of new therapeutic strategies for SOD1-ALS.
文摘Central venous catheter insertion in the internal jugular vein(IJV)is frequently performed in acute care settings,facilitated by its easy availability and increased use of ultrasound in healthcare settings.Despite the increased safety profile and insertion convenience,it has complications.Herein,we aim to inform readers about the existing literature on the plethora of complications with potentially disastrous consequences for patients undergoing IJV cannulation.
文摘BACKGROUND We described a case of a patient with a meningioma in the posterior fossa presenting atypically with an isolated unilateral vocal cord palsy causing severe respiratory distress.This is of interest as the patient had no other symptomatology,especially given the size of the mass,which would typically cause a pressure effect leading to neurological and auditory symptoms.CASE SUMMARY This case report described a 48-year-old male who was married with two children and employed as a car guard.He had a medical history of asthma for the past 10 years controlled with an as-needed beta 2 agonist metered dose inhaler.He initially presented to our facility with severe respiratory distress.He reported a 1-wk history of shortness of breath and wheezing that was not relieved by his bronchodilator.He had no constitutional symptoms or impairment of hearing.On clinical examination,the patient’s chest was“silent.”Our initial assessment was status asthmaticus with type 2 respiratory failure,based on the history of asthma,a“silent chest,”and the arterial blood gas results.CONCLUSION A posterior fossa meningioma of such a large size and with extensive infiltration rarely presents with an isolated unilateral vocal cord palsy.The patient’s chief presenting feature was severe respiratory distress,which combined with his background medical history of asthma,was misleading.Clinicians should thus consider meningioma as a differential diagnosis for a unilateral vocal cord palsy even without audiology involvement.
文摘BACKGROUND Since its description in 1790 by Hunter,the nasogastric tube(NGT)is commonly used in any healthcare setting for alleviating gastrointestinal symptoms or enteral feeding.However,the risks associated with its placement are often underes-timated.Upper airway obstruction with a NGT is an uncommon but potentially life-threatening complication.NGT syndrome is characterized by the presence of an NGT,throat pain and vocal cord(VC)paralysis,usually bilateral.It is poten-tially life–threatening,and early diagnosis is the key to the prevention of fatal upper airway obstruction.However,fewer cases may have been reported than might have occurred,primarily due to the clinicians'unawareness.The lack of specific signs and symptoms and the inability to prove temporal relation with NGT insertion has made diagnosing the syndrome quite challenging.AIM To review and collate the data from the published case reports and case series to understand the possible risk factors,early warning signs and symptoms for timely detection to prevent the manifestation of the complete syndrome with life-threatening airway obstruction.METHODS We conducted a systematic search for this meta-summary from the database of PubMed,EMBASE,Reference Citation Analysis(https://www.referencecitation-analysis.com/)and Google scholar,from all the past studies till August 2023.The search terms included major MESH terms"Nasogastric tube","Intubation,Gastrointestinal","Vocal Cord Paralysis",and“Syndrome”.All the case reports and case series were evaluated,and the data were extracted for patient demographics,clinical symptomatology,diagnostic and therapeutic interventions,clinical course and outcomes.A datasheet for evaluation was further prepared.RESULTS Twenty-seven cases,from five case series and 13 case reports,of NGT syndrome were retrieved from our search.There was male predominance(17,62.96%),and age at presentation ranged from 28 to 86 years.Ten patients had diabetes mellitus(37.04%),and nine were hypertensive(33.33%).Only three(11.11%)patients were reported to be immunocompromised.The median time for developing symptoms after NGT insertion was 14.5 d(interquartile range 6.25-33.75 d).The most commonly reported reason for NGT insertion was acute stroke(10,37.01%)and the most commonly reported symptoms were stridor or wheezing 17(62.96%).In 77.78%of cases,bilateral VC were affected.The only treatment instituted in most patients(77.78%)was removing the NG tube.Most patients(62.96%)required tracheostomy for airway protection.But 8 of the 23 survivors recovered within five weeks and could be decannulated.Three patients were reported to have died.CONCLUSION NGT syndrome is an uncommon clinical complication of a very common clinical procedure.However,an under-reporting is possible because of misdiagnosis or lack of awareness among clinicians.Patients in early stages and with mild symptoms may be missed.Further,high variability in the presentation timing after NGT insertion makes diagnosis challenging.Early diagnosis and prompt removal of NGT may suffice in most patients,but a significant proportion of patients presenting with respiratory compromise may require tracheostomy for airway protection.
文摘The purpose of the article is to explore the effects of Sichuan opera singing on music majors’vocal skills,focusing on three key aspects:pitch test,assessment of rhythmic perception,and emotional expression.Through a quasi-experimental design,100 music majors were selected as research subjects and divided into an experimental group that received Sichuan opera singing instruction and a control group that received traditional vocal instruction.The results showed that compared with the control group,the experimental group receiving Sichuan opera singing teaching showed significant improvement in pitch mastery,rhythm perception,and emotional expression.
基金supported by the National Key Research and Development Program of China(2022YFC3202104)Natural Science Foundation of Jiangsu Province,China(BK20211151)。
文摘Signals within animals’vocal communication are considered functional referential and context-specific.Even in the absence of the context,receivers are expected to acquire the information of calls and respond specificallyWhereas the framework was supported by plenty of evidence,its exhaustivity in describing all animal vocalisations has been questioned.Here,we investigated the vocal repertoire of a cooperatively breeding species,Azure-winged Magpie(Cyanopica cyanus),to present evidence for referential signals.The results showed that Azure-winged Magpies had a relatively large vocal repertoire,consisting of twelve distinct calls.These calls were associated with the context including movement,begging for food,contact,vigilance against predators,etc.However,even the predator-specific alarm calls would induce various responses of receivers.This implies that multiple pieces of information are involved in the vocalisation,which could be utilised by the receiver to select an appropriate response based on the surroundings.Our study gives a detailed description of the context and function of the vocal repertoire in Azure-winged Magpies,laying the foundation for further investigation on the developmental mechanisms of bird vocalisations.This study also suggests that the referential signals of animal vocalisations may not be limited to the context-specific responses of receivers and need to be discussed from a broader perspective.
基金funding(No.217)from the A.P.Leventis Foundation Scholarship(to F.R.J).
文摘Predation is an important source of natural selection on prey species and has resulted in adaptations such as antipredator vocal signals,which can alert others to the presence of predators and solicit cooperative attack.Although vocal alarm signals of birds have been well studied,they are poorly known in tropical African species.To address this lack of information,the antipredatory signals and responses of two lapwings(Wattled Lapwing Vanellus senegallus and Spur-winged Lapwing Vanellus spinosus)to potential predators were investigated using data collected from focal observation,distance measurements,focal recordings,and playback experiment.The lapwing calls elicited to predators were classified as alarm or mobbing calls based on whether the calls elicited alert behavior or attack from other lapwings.Discriminant linear analysis(DLA)was used to compare the time and frequency parameters of the call types measured in Raven PRO.Also,lapwings’responses to intruders,alert and start distance,time of day,and latency,as well as the effects of flock size and distance to cover were examined.About 48%of all calls was correctly classified by DLA.The best predictors of call type for the lapwings were maximum frequency and high frequency.Both alarm and mobbing calls were elicited by African Wattled Lapwings to dogs and humans.Mobbing calls were elicited to intruders by the Spur-winged Lapwings.Alert distance was positively associated with start distance,and differed between morning and evening in both lapwings.With scarce information from tropical Africa,this study put in perspective vocal and antipredator behavior of lapwing species in Africa.
基金the Natural Sciences and Engineering Research Council of Canada(NSERC)for financial support through grants to D.J.M., D.R.N.,and A.E.M.N.the Animal Behaviour Society+1 种基金the American Ornithological Societythe Society of Canadian Ornithologists for research grants to S.L.D.
文摘The nest environment may limit the ability of nest-bound birds to hear sounds from the outside world.In vocal learning species,such as humans and songbirds,it is vital for young animals to hear the voices of conspecific animals early in life.In songbirds,nest structure varies considerably across species,and the resulting impact on sound transmission may have consequences for vocal learning in nestlings.In this study,we tested the hypothesis that the nest environment attenuates song of Savannah Sparrows(Passerculus sandwichensis),grassland songbirds that build nests on the ground under cover of dense vegetation.We recorded live Savannah Sparrows singing at variable distances from 21 nests.We recorded songs using one microphone inside the nest(the typical position of a nestling)and another placed 1 m directly above the nest(a typical position of an adult).We found a substantial reduction in signal-to-noise ratio,where songs recorded inside the nest were an average of 11 dB lower than songs recorded directly above the nest.We estimate that the attenuation imposed by the nest reduced the maximum acoustic environment from 117.7 m(for recordings above the nest),to 78.6 m(for recordings within the nest),which is analogous to listening from a position 39.1 m farther away from the singer.Previous research estimated that song transmits up to 100 m in this species,so any adult male within 100 m of a young bird was previously considered a potential vocal tutor.By reducing the nestling acoustic environment from 100 m to 78.6 m,the number of male tutors available to nestlings is reduced by an average of 27%.Given the growing evidence that song learning begins very early in life,future research on vocal development should account for how the structural properties of the natal environment affect the songs that nestlings hear.
文摘BACKGROUND Functional vocal cord disorders can be a differential diagnosis for postoperative upper airway obstruction requiring urgent intervention.However,this may be unfamiliar to anesthesiologists who would favor inappropriate airway intervention and increased morbidity.CASE SUMMARY A 61-year-old woman underwent cervical laminectomy,followed by laparoscopic cholecystectomy 10 mo later.Despite adequate reversal of neuromuscular blockade,the patient experienced repetitive respiratory difficulty with inspiratory stridor after extubation.After the second operation,the patient was diagnosed with paradoxical vocal fold motion(PVFM)by an otolaryngologist based on the clinical features and fiberoptic bronchoscopy results,and the patient was successfully treated.CONCLUSION PVFM should be considered a differential diagnosis if a patient presents with stridor after general anesthesia.
基金This work was supported by the Regional Innovation Cooperation Project of Sichuan Province(Grant No.2022YFQ0073).
文摘The Internet of Things(IoT)plays an essential role in the current and future generations of information,network,and communication development and applications.This research focuses on vocal tract visualization and modeling,which are critical issues in realizing inner vocal tract animation.That is applied in many fields,such as speech training,speech therapy,speech analysis and other speech production-related applications.This work constructed a geometric model by observation of Magnetic Resonance Imaging data,providing a new method to annotate and construct 3D vocal tract organs.The proposed method has two advantages compared with previous methods.Firstly it has a uniform construction protocol for all speech organs.Secondly,this method can build correspondent feature points between different speech organs.There are less than three control parameters can be used to describe every speech organ accurately,for which the accumulated contribution rate is more than 88%.By means of the reconfiguration,the model error is less than 1.0 mm.Regarding to the data from Chinese Magnetic resonance imaging(MRI),this is the first work of 3D vocal tract model.It will promote the theoretical research and development of the intelligent Internet of Things facing speech generation-related issues.
文摘Background: Double-lumen endotracheal (DLT) is commonly used for one-lung ventilation and lung separation during thoracic surgery. There are case reports of medically induced laryngeal granulomas, mainly in patients after single-lumen endotracheal (SLT) tube intubation and tracheotomy, and giant granulomas of the vocal cords due to double-lumen bronchial tube insertion have rarely been reported. Case presentation: A 49-year-old female patient underwent single-port thoracoscopy after DLT intubation as well as a wedge resection of the lower lobe of the left lung, which caused giant vocal process granulomas (VPGs) postoperatively. Based on a retrospective analysis of the general condition, current medical history, past medical history, and visual laryngoscopic observation of the vocal folds tissue, which ruled out preoperative vocal fold granuloma formation, we hypothesized that double-lumen bronchial catheter intubation may have been the primary cause of her vocal fold granuloma formation. Conclusions: Giant granuloma of the vocal folds after DLT insertion is a rare postoperative complication;therefore, if DLT intubation is to be performed, the anesthesiologist should choose an appropriate intubation plan and deal with it promptly to avoid the risk factors to ensure that the patient’s perioperative period is safe and smooth. In addition, if postoperative complications are encountered, they should be followed up and observed on time.
文摘Surgical management of laryngeal paralysis varies depending on whether the vocal cords are in abduction, adduction or paramedian position. Various surgical techniques have been described including partial arytenoidectomy which is reported to give good surgical results that are stable over time. The objective of the study was to analyze the surgical therapeutic elements of bilateral paralysis, especially to assess partial arytenoidectomy, one of the most performed techniques. This was a descriptive retrospective study of cases of bilateral immobility admitted between January 1<sup>st</sup> 2008 and March 31<sup>st</sup> 2018 and treated surgically. Socio-demographic and therapeutic data were collected. The survey involved 46 patients, with an equal number of male and female (23) with 50% of male patients and 23 patients were female, or a sex ratio of 1. The average age of the patients was 56 ± 17 years ranging between 14 and 89 years. Posterior partial arytenoidectomy was the most widely performed surgical technique (26 patients or 56.5%), followed by cordopexia or lateral-fixing of a vocal cord (19.6%) and posterior cordectomy (17.4%). Patients who received a partial arytenoidectomy and cordopexia had their vocal cords either in adduction or in the paramedian position. Those who received a posterior cordectomy had their vocal cords in adduction. 18 patients (39.13%) were taken to the operating theatre in less than 6 hours, 28 (60.9%) had no post-operative complications, and 9 patients received a surgical enlargement resumption. In post-operative follow-up, 11 patients suffered pulmonary aspiration corrected after speech therapy;26 patients (56.5%) did not. Partial arytenoidectomy remains the most performed surgical procedure in the management of closed bilateral laryngeal paralysis at the Mont-Godinne University Hospital. It allows a reliable and durable breathing function over time with less impact on the voice.
