Zoom in: factors affecting vocal habits during online meetings, a prospective trial on 40 subjects.

PURPOSE: To identify factors that influence vocal habits during online meetings (OMs). METHODS: A prospective trial of forty participants without any known hearing or vocal cord disorders. Subjects participated in an OM divided into six randomly ordered sections, with alterations in audio/speaking equipment and language: the computer's speaker-microphone, a single earbud, two-earbuds or headphones; with/without video, native-language-speaking (Hebrew) versus second language-speaking (English). Each section included free speech, sustained phonation, and a standardized passage. Participants ranked their vocal-effort for each section. Three blinded raters independently scored the voice using the GRBAS scale, and acoustic analyses were performed. RESULTS: No significant difference in self-reported vocal effort was demonstrated between sections. Second-language speaking resulted in significantly increased intensity (p < 0.0001), frequency (p = 0.015), GRBAS (p = 0.008), and strain (p < 0.0001) scores. Using the computer's speaker/microphone resulted in significantly higher strain (p < 0.0001). Using headphones, single or two earbuds resulted in lower intensity and a lower strain score. No differences were detected between OMs with or without video. CONCLUSIONS: Using the computer's microphone/speaker or speaking in a second language during OMs, may result in vocal habits associated with vocal trauma.

The EyeControl-Med device, an alternative tool for communication in ventilated critically ill patients: A pilot study examining communication capabilities and delirium.

INTRODUCTION: Communication with ventilated patients in the Intensive care unit (ICU) is challenging. This may lead to anxiety and frustration, potentially contributing to the development of delirium. Various technologies, such as eye-tracking devices, have been employed to facilitate communication with varying grades of success. The EyeControl-Med device is a novel technology that delivers audio content and allows patients to interact by eye movements and could potentially allow for better communication in this setting. The aim of this exploratory concept study was to assess communication capabilities and delirium incidence using the EyeControl-Med device in critically ill patients unable to generate speech. MATERIAL AND METHODS: A single-arm pilot study of patients in a mixed ICU. Patients were approached for consent if they were invasively ventilated and/or tracheotomized, hence unable to generate speech, but had no severe cognitive or sensory impairment that could prevent proper usage. Patients underwent at least 3 sessions with the EyeControl-Med device administered by a speech-language pathologist. Communication and consciousness were assessed using the Loewenstein Communication Scale (LCS) tool during the first and last sessions. Delirium was assessed using a computerized CAM-ICU questionnaire. RESULTS: 15 patients were included, 40% of whom were diagnosed with COVID-19. All patients completed three to seven usage sessions. The mean LCS score improved by 19.3 points (p < 0.0001), with each of its five components showing significant improvements as well. The mean number of errors on the CAM-ICU questionnaire decreased from 6.5 to 2.5 (p = 0.0006), indicating a lower incidence of delirium. No adverse effects were observed. CONCLUSION: The EyeControl-Med device may facilitate communication and reduce the manifestations and duration of delirium in ventilated critically ill patients. Controlled studies are required to establish this effect.

The effect of listening experience on the discrimination of /ba/ and /pa/ in Hebrew-learning and Arabic-learning infants.

UNLABELLED: Infant speech discrimination can follow multiple trajectories depending on the language and the specific phonemes involved. Two understudied languages in terms of the development of infants' speech discrimination are Arabic and Hebrew. PURPOSE: The purpose of the present study was to examine the influence of listening experience with the native language on the discrimination of the voicing contrast /ba-pa/ in Arabic-learning infants whose native language includes only the phoneme /b/ and in Hebrew-learning infants whose native language includes both phonemes. METHOD: 128 Arabic-learning infants and Hebrew-learning infants, 4-to-6 and 10-to-12-month-old infants, were tested with the Visual Habituation Procedure. RESULTS: The results showed that 4-to-6-month-old infants discriminated between /ba-pa/ regardless of their native language and order of presentation. However, only 10-to-12-month-old infants learning Hebrew retained this ability. 10-to-12-month-old infants learning Arabic did not discriminate the change from /ba/ to /pa/ but showed a tendency for discriminating the change from /pa/ to /ba/. CONCLUSIONS: This is the first study to report on the reduced discrimination of /ba-pa/ in older infants learning Arabic. Our findings are consistent with the notion that experience with the native language changes discrimination abilities and alters sensitivity to non-native contrasts, thus providing evidence for 'top-down' processing in young infants. The directional asymmetry in older infants learning Arabic can be explained by assimilation of the non-native consonant /p/ to the native Arabic category /b/ as predicted by current speech perception models.