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1.
J Acoust Soc Am ; 149(1): 457, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33514179

RESUMO

No agreed-upon method currently exists for objective measurement of perceived voice quality. This paper describes validation of a psychoacoustic model designed to fill this gap. This model includes parameters to characterize the harmonic and inharmonic voice sources, vocal tract transfer function, fundamental frequency, and amplitude of the voice, which together serve to completely quantify the integral sound of a target voice sample. In experiment 1, 200 voices with and without diagnosed vocal pathology were fit with the model using analysis-by-synthesis. The resulting synthetic voice samples were not distinguishable from the original voice tokens, suggesting that the model has all the parameters it needs to fully quantify voice quality. In experiment 2 parameters that model the harmonic voice source were removed one by one, and the voice tokens were re-synthesized with the reduced model. In every case the lower-dimensional models provided worse perceptual matches to the quality of the natural tokens than did the original set, indicating that the psychoacoustic model cannot be reduced in dimensionality without loss of fit to the data. Results confirm that this model can be validly applied to quantify voice quality in clinical and research applications.


Assuntos
Psicoacústica , Distúrbios da Voz , Voz , Feminino , Humanos , Masculino , Fala , Acústica da Fala , Qualidade da Voz
2.
J Voice ; 34(5): 808.e1-808.e13, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31196689

RESUMO

OBJECTIVES/HYPOTHESES: Charismatic leaders use vocal behavior to persuade their audience, achieve goals, arouse emotional states, and convey personality traits and leadership status. This study investigates voice fundamental frequency (f0) and sound pressure level (SPL) in female and male French, Italian, Brazilian, and American politicians to determine which acoustic parameters are related to cross-gender and cross-cultural common vocal abilities, and which derive from culture-, gender-, and language-specific vocal strategies used to adapt vocal behavior to listeners' culture-related expectations. STUDY DESIGN: Speech corpora were collected for two formal communicative contexts (leaders address followers or other leaders) and one informal communicative context (dyadic interaction), based on the persuasive goals inherent in each context and on the relative status of the listeners and speakers. Leaders' acoustic voice profiles were created to show differences in f0 and SPL manipulation with respect to speakers' gender and language in each communicative context. RESULTS: Cross-gender and cross-language similarities in manipulation of average f0 and in f0 and SPL ranges occurred in all communicative contexts. Patterns of f0 manipulation were shared across genders and cultures, suggesting this dimension might be biologically based and is exploited by leaders to convey dominance. Ranges for f0 and SPL seemed to be affected by the communicative context, being wider or narrower depending on the persuasive goal. Results also showed language- and speaker-specific differences in the acoustic manipulation of f0 and SPL over time. CONCLUSIONS: These findings are consistent with the idea that specific charismatic leaders' vocal behaviors depend on a fine combination of vocal abilities that are shared across cultures and genders, combined with culturally- and linguistically-filtered vocal strategies.


Assuntos
Fala , Voz , Brasil , Feminino , Humanos , Idioma , Masculino , Som , Acústica da Fala
3.
J Speech Lang Hear Res ; 59(5): 994-1001, 2016 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-27626612

RESUMO

Purpose: The question of what type of utterance-a sustained vowel or continuous speech-is best for voice quality analysis has been extensively studied but with equivocal results. This study examines whether previously reported differences derive from the articulatory and prosodic factors occurring in continuous speech versus sustained phonation. Method: Speakers with voice disorders sustained vowels and read sentences. Vowel samples were excerpted from the steadiest portion of each vowel in the sentences. In addition to sustained and excerpted vowels, a 3rd set of stimuli was created by shortening sustained vowel productions to match the duration of vowels excerpted from continuous speech. Acoustic measures were made on the stimuli, and listeners judged the severity of vocal quality deviation. Results: Sustained vowels and those extracted from continuous speech contain essentially the same acoustic and perceptual information about vocal quality deviation. Conclusions: Perceived and/or measured differences between continuous speech and sustained vowels derive largely from voice source variability across segmental and prosodic contexts and not from variations in vocal fold vibration in the quasisteady portion of the vowels. Approaches to voice quality assessment by using continuous speech samples average across utterances and may not adequately quantify the variability they are intended to assess.


Assuntos
Fonação , Fala , Qualidade da Voz , Adulto , Análise de Variância , Feminino , Humanos , Masculino , Espectrografia do Som , Adulto Jovem
4.
Acta Acust United Acust ; 102(2): 209-213, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27134616

RESUMO

Experiments using animal and human larynx models are often conducted without a vocal tract. While it is often assumed that the absence of a vocal tract has only small effects on vocal fold vibration, it is not actually known how sound production and quality are affected. In this study, the validity of using data obtained in the absence of a vocal tract for voice perception studies was investigated. Using a two-layer self-oscillating physical model, three series of voice stimuli were created: one produced with conditions of left-right symmetric vocal fold stiffness, and two with left-right asymmetries in vocal fold body stiffness. Each series included a set of stimuli created with a physical vocal tract, and a second set created without a physical vocal tract. Stimuli were re-synthesized to equalize the mean F0 for each series and normalized for amplitude. Listeners were asked to evaluate the three series in a sort-and-rate task. Multidimensional scaling analysis was applied to examine the perceptual interaction between the voice source and the vocal tract resonances. The results showed that the presence or absence of a vocal tract can significantly affect perception of voice quality changes due to parametric changes in vocal fold properties, except when the parametric changes in vocal fold properties produced an abrupt shift in vocal fold vibratory pattern resulting in a salient quality change.

5.
J Acoust Soc Am ; 139(3): 1404-10, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27036277

RESUMO

A psychoacoustic model of the voice source spectrum is proposed. The model is characterized by four spectral slope parameters: the difference in amplitude between the first two harmonics (H1-H2), the second and fourth harmonics (H2-H4), the fourth harmonic and the harmonic nearest 2 kHz in frequency (H4-2 kHz), and the harmonic nearest 2 kHz and that nearest 5 kHz (2 kHz-5 kHz). As a step toward model validation, experiments were conducted to establish the acoustic and perceptual independence of these parameters. In experiment 1, the model was fit to a large number of voice sources. Results showed that parameters are predictable from one another, but that these relationships are due to overall spectral roll-off. Two additional experiments addressed the perceptual independence of the source parameters. Listener sensitivity to H1-H2, H2-H4, and H4-2 kHz did not change as a function of the slope of an adjacent component, suggesting that sensitivity to these components is robust. Listener sensitivity to changes in spectral slope from 2 kHz to 5 kHz depended on complex interactions between spectral slope, spectral noise levels, and H4-2 kHz. It is concluded that the four parameters represent non-redundant acoustic and perceptual aspects of voice quality.


Assuntos
Acústica , Modelos Teóricos , Acústica da Fala , Qualidade da Voz , Adulto , Feminino , Humanos , Masculino , Psicoacústica , Espectrografia do Som , Medida da Produção da Fala , Adulto Jovem
6.
J Acoust Soc Am ; 138(1): 1-10, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26233000

RESUMO

Models of the voice source differ in their fits to natural voices, but it is unclear which differences in fit are perceptually salient. This study examined the relationship between the fit of five voice source models to 40 natural voices, and the degree of perceptual match among stimuli synthesized with each of the modeled sources. Listeners completed a visual sort-and-rate task to compare versions of each voice created with the different source models, and the results were analyzed using multidimensional scaling. Neither fits to pulse shapes nor fits to landmark points on the pulses predicted observed differences in quality. Further, the source models fit the opening phase of the glottal pulses better than they fit the closing phase, but at the same time similarity in quality was better predicted by the timing and amplitude of the negative peak of the flow derivative (part of the closing phase) than by the timing and/or amplitude of peak glottal opening. Results indicate that simply knowing how (or how well) a particular source model fits or does not fit a target source pulse in the time domain provides little insight into what aspects of the voice source are important to listeners.


Assuntos
Percepção Auditiva/fisiologia , Qualidade da Voz/fisiologia , Estimulação Acústica , Adolescente , Adulto , Glote/fisiologia , Humanos , Pessoa de Meia-Idade , Modelos Biológicos , Localização de Som/fisiologia , Espectrografia do Som , Adulto Jovem
7.
Loquens ; 1(1)2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27135054

RESUMO

At present, two important questions about voice remain unanswered: When voice quality changes, what physiological alteration caused this change, and if a change to the voice production system occurs, what change in perceived quality can be expected? We argue that these questions can only be answered by an integrated model of voice linking production and perception, and we describe steps towards the development of such a model. Preliminary evidence in support of this approach is also presented. We conclude that development of such a model should be a priority for scientists interested in voice, to explain what physical condition(s) might underlie a given voice quality, or what voice quality might result from a specific physical configuration.

8.
J Acoust Soc Am ; 133(3): 1656-66, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23464035

RESUMO

Because voice signals result from vocal fold vibration, perceptually meaningful vibratory measures should quantify those aspects of vibration that correspond to differences in voice quality. In this study, glottal area waveforms were extracted from high-speed videoendoscopy of the vocal folds. Principal component analysis was applied to these waveforms to investigate the factors that vary with voice quality. Results showed that the first principal component derived from tokens without glottal gaps was significantly (p < 0.01) associated with the open quotient (OQ). The alternating-current (AC) measure had a significant effect (p < 0.01) on the first principal component among tokens exhibiting glottal gaps. A measure AC/OQ, defined as the ratio of AC to OQ, was proposed to combine both amplitude and temporal characteristics of the glottal area waveform for both complete and incomplete glottal closures. Analyses of "glide" phonations in which quality varied continuously from breathy to pressed showed that the AC/OQ measure was able to characterize the corresponding continuum of glottal area waveform variation, regardless of the presence or absence of glottal gaps.


Assuntos
Glote/anatomia & histologia , Glote/fisiologia , Fonação , Acústica da Fala , Qualidade da Voz , Fenômenos Biomecânicos , Feminino , Humanos , Laringoscopia , Modelos Lineares , Masculino , Análise de Componente Principal , Fatores de Tempo , Vibração , Gravação em Vídeo , Prega Vocal/anatomia & histologia , Prega Vocal/fisiologia
9.
J Acoust Soc Am ; 133(1): 453-62, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23297917

RESUMO

At present, it is not well understood how changes in vocal fold biomechanics correspond to changes in voice quality. Understanding such cross-domain links from physiology to acoustics to perception in the "speech chain" is of both theoretical and clinical importance. This study investigates links between changes in body layer stiffness, which is regulated primarily by the thyroarytenoid muscle, and the consequent changes in acoustics and voice quality under left-right symmetric and asymmetric stiffness conditions. Voice samples were generated using three series of two-layer physical vocal fold models, which differed only in body stiffness. Differences in perceived voice quality in each series were then measured in a "sort and rate" listening experiment. The results showed that increasing body stiffness better maintained vocal fold adductory position, thereby exciting more high-order harmonics, differences that listeners readily perceived. Changes to the degree of left-right stiffness mismatch and the resulting left-right vibratory asymmetry did not produce perceptually significant differences in quality unless the stiffness mismatch was large enough to cause a change in vibratory mode. This suggests that a vibration pattern with left-right asymmetry does not necessarily result in a salient deviation in voice quality, and thus may not always be of clinical significance.


Assuntos
Acústica , Modelos Anatômicos , Fonação , Acústica da Fala , Percepção da Fala , Prega Vocal/fisiologia , Qualidade da Voz , Fenômenos Biomecânicos , Elasticidade , Feminino , Humanos , Modelos Lineares , Masculino , Pressão , Processamento de Sinais Assistido por Computador , Espectrografia do Som , Vibração , Prega Vocal/anatomia & histologia
10.
J Acoust Soc Am ; 132(4): 2625-32, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23039455

RESUMO

Increases in open quotient are widely assumed to cause changes in the amplitude of the first harmonic relative to the second (H1*-H2*), which in turn correspond to increases in perceived vocal breathiness. Empirical support for these assumptions is rather limited, and reported relationships among these three descriptive levels have been variable. This study examined the empirical relationship among H1*-H2*, the glottal open quotient (OQ), and glottal area waveform skewness, measured synchronously from audio recordings and high-speed video images of the larynges of six phonetically knowledgeable, vocally healthy speakers who varied fundamental frequency and voice qualities quasi-orthogonally. Across speakers and voice qualities, OQ, the asymmetry coefficient, and fundamental frequency accounted for an average of 74% of the variance in H1*-H2*. However, analyses of individual speakers showed large differences in the strategies used to produce the same intended voice qualities. Thus, H1*-H2* can be predicted with good overall accuracy, but its relationship to phonatory characteristics appears to be speaker dependent.


Assuntos
Glote/fisiologia , Fonação , Fonética , Acústica da Fala , Qualidade da Voz , Fenômenos Biomecânicos , Feminino , Glote/anatomia & histologia , Humanos , Laringoscopia , Modelos Lineares , Masculino , Medida da Produção da Fala , Fatores de Tempo , Gravação em Vídeo
11.
J Acoust Soc Am ; 131(1): 492-500, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22280610

RESUMO

Although the amount of inharmonic energy (noise) present in a human voice is an important determinant of vocal quality, little is known about the perceptual interaction between harmonic and inharmonic aspects of the voice source. This paper reports three experiments investigating this issue. Results indicate that perception of the harmonic slope and of noise levels are both influenced by complex interactions between the spectral shape and relative levels of harmonic and noise energy in the voice source. Just-noticeable differences (JNDs) for the noise-to-harmonics ratio (NHR) varied significantly with the NHR and harmonic spectral slope, but NHR had no effect on JNDs for NHR when harmonic slopes were steepest, and harmonic slope had no effect when NHRs were highest. Perception of changes in the harmonic source slope depended on NHR and on the harmonic source slope: JNDs increased when spectra rolled off steeply, with this effect in turn depending on NHR. Finally, all effects were modulated by the shape of the noise spectrum. It thus appears that, beyond masking, understanding perception of individual parameters requires knowledge of the acoustic context in which they function, consistent with the view that voices are integral patterns that resist decomposition.


Assuntos
Ruído , Qualidade da Voz/fisiologia , Estimulação Acústica , Análise de Variância , Percepção Auditiva/fisiologia , Simulação por Computador , Limiar Diferencial/fisiologia , Feminino , Humanos , Masculino , Fonética , Projetos Piloto , Razão Sinal-Ruído , Espectrografia do Som
12.
J Speech Lang Hear Res ; 54(3): 803-12, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21081673

RESUMO

PURPOSE: Interrater disagreements in ratings of quality plague the study of voice. This study compared 2 methods for handling this variability. METHOD: Listeners provided multiple breathiness ratings for 2 sets of pathological voices, one including 20 male and 20 female voices unselected for quality and one including 20 breathy female voices. Ratings for each listener were averaged together, mean ratings were z transformed, and the likelihood that 2 listeners would agree exactly in their ratings was calculated as a function of averaging and standardizing condition. Data were also multidimensionally scaled to examine similarities among listeners in perceptual strategy. Results were compared with parallel analyses of existing breathiness ratings of the same voices gathered using a method-of-adjustment task. RESULTS: Three-way interactions between the mean rating for a voice, standardization condition, and the number of voices averaged together were observed, but no main effect of averaging condition emerged. Multidimensional scaling revealed significant residual differences in perceptual strategy across listeners after averaging and standardizing. Ratings from the method-of-adjustment task showed both high agreement levels and consistent perceptual strategies across listeners, as theoretically predicted. CONCLUSION: Averaging multiple ratings and standardizing the mean are inadequate in addressing variations in voice quality perception.


Assuntos
Disfonia/diagnóstico , Psicometria , Testes de Discriminação da Fala , Percepção da Fala , Qualidade da Voz , Adolescente , Adulto , Feminino , Humanos , Masculino , Variações Dependentes do Observador , Psicometria/métodos , Psicometria/normas , Psicometria/estatística & dados numéricos , Mecânica Respiratória , Acústica da Fala , Testes de Discriminação da Fala/métodos , Testes de Discriminação da Fala/normas , Testes de Discriminação da Fala/estatística & dados numéricos , Adulto Jovem
13.
Behav Res Methods ; 42(4): 1030-41, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21139170

RESUMO

Voice quality is an important perceptual cue in many disciplines, but knowledge of its nature is limited by a poor understanding of the relevant psychoacoustics. This article (aimed at researchers studying voice, speech, and vocal behavior) describes the UCLA voice synthesizer, software for voice analysis and synthesis designed to test hypotheses about the relationship between acoustic parameters and voice quality perception. The synthesizer provides experimenters with a useful tool for creating and modeling voice signals. In particular, it offers an integrated approach to voice analysis and synthesis and allows easy, precise, spectral-domain manipulations of the harmonic voice source. The synthesizer operates in near real time, using a parsimonious set of acoustic parameters for the voice source and vocal tract that a user can modify to accurately copy the quality of most normal and pathological voices. The software, user's manual, and audio files may be downloaded from http://brm.psychonomic-journals.org/content/supplemental. Future updates may be downloaded from www.surgery.medsch.ucla.edu/glottalaffairs/.


Assuntos
Espectrografia do Som , Interface para o Reconhecimento da Fala , Qualidade da Voz , Sinais (Psicologia) , Fala
14.
J Phon ; 38(4): 588-593, 2010 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-21152109

RESUMO

Little is known about how listeners judge phonemic versus allophonic (or freely varying) versus post-lexical variations in voice quality, or about which acoustic attributes serve as perceptual cues in specific contexts. To address this issue, native speakers of Gujarati, Thai, and English discriminated among pairs of voices that differed only in the relative amplitudes of the first versus second harmonics (H1-H2). Results indicate that speakers of Gujarati (which contrasts H1-H2 phonemically) were more sensitive to changes than are speakers of Thai or English. Further, sensitivity was not affected by the overall source spectral slope for Gujarati speakers, unlike Thai and English speakers, who were most sensitive when the spectrum fell away steeply. In combination with previous findings from Mandarin speakers, these results suggest a continuum of sensitivity to H1-H2. In Gujarati, the independence of sensitivity and spectral context is consistent with use of H1-H2 as a cue to the language's phonemic phonation contrast. Speakers of Mandarin, in which creaky phonation occurs in conjunction with the low dipping Tone 3, apparently also learn to hear these contrasts, but sensitivity is conditioned by spectral context. Finally, for Thai and English speakers, who vary phonation only post-lexically, sensitivity is both lower and contextually-determined, reflecting the smaller role of H1-H2 in these languages.

15.
J Acoust Soc Am ; 128(4): 2085-9, 2010 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-20968379

RESUMO

Little is known about the perceptual importance of changes in the shape of the source spectrum, although many measures have been proposed and correlations with different vocal qualities (breathiness, roughness, nasality, strain...) have frequently been reported. This study investigated just-noticeable differences in the relative amplitudes of the first two harmonics (H1-H2) for speakers of Mandarin and English. Listeners heard pairs of vowels that differed only in the amplitude of the first harmonic and judged whether or not the voice tokens were identical in voice quality. Across voices and listeners, just-noticeable-differences averaged 3.18 dB. This value is small relative to the range of values across voices, indicating that H1-H2 is a perceptually valid acoustic measure of vocal quality. For both groups of listeners, differences in the amplitude of the first harmonic were easier to detect when the source spectral slope was steeply falling so that F0 dominated the spectrum. Mandarin speakers were significantly more sensitive (by about 1 dB) to differences in first harmonic amplitudes than were English speakers. Two explanations for these results are possible: Mandarin speakers may have learned to hear changes in harmonic amplitudes due to changes in voice quality that are correlated with the tones of Mandarin; or Mandarin speakers' experience with tonal contrasts may increase their sensitivity to small differences in the amplitude of F0 (which is also the first harmonic).


Assuntos
Vias Auditivas/fisiologia , Fonética , Percepção da Altura Sonora , Detecção de Sinal Psicológico , Acústica da Fala , Voz , Estimulação Acústica , Adulto , Audiometria , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Multilinguismo , Mascaramento Perceptivo , Espectrografia do Som , Qualidade da Voz , Adulto Jovem
16.
Ann Otol Rhinol Laryngol ; 119(1): 37-41, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20128185

RESUMO

OBJECTIVES: Tracheoesophageal puncture (TEP) for postlaryngectomy speech is increasingly being performed as an office-based procedure. We review our experience with office-based TEP and compare outcomes with those of operating room-based TEP. Our hypothesis was that office-based TEP results in improved prosthesis sizing, reducing the number of visits dedicated to prosthesis resizing. METHODS: A retrospective chart review was performed of all patients who underwent secondary TEP at our institution from 2001 to 2008. The primary dependent measure was the change in the length of the voice prosthesis. We also evaluated the number of visits made to the speech-language pathologist for resizing before a stable prosthesis length was achieved, and the number of days between voice prosthesis placement and the date a stable prosthesis length was observed. RESULTS: Thirty-one patients were included in this study. There was a significant difference in prosthesis length change between patients who had office-based TEP and patients who had operating room-based TEP (p < 0.001). In addition, the office-based cohort required fewer visits to the speech-language pathologist for TEP adjustments before a stable TEP length was achieved (p < 0.001). CONCLUSIONS: Voice prosthesis sizing was better in patients who had office-based TEP than in patients who had operating room-based TEP. This outcome is likely due to the lesser degree of swelling of the tracheoesophageal party wall in the office-based procedure.


Assuntos
Implantação de Prótese/métodos , Idoso , Idoso de 80 Anos ou mais , Assistência Ambulatorial , Esôfago/cirurgia , Feminino , Humanos , Laringe Artificial , Masculino , Pessoa de Meia-Idade , Ajuste de Prótese , Estudos Retrospectivos , Traqueia/cirurgia
17.
Am J Speech Lang Pathol ; 18(2): 124-32, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-18930908

RESUMO

PURPOSE: This article presents the development of the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) following a consensus conference on perceptual voice quality measurement sponsored by the American Speech-Language-Hearing Association's Special Interest Division 3, Voice and Voice Disorders. The CAPE-V protocol and recording form were designed to promote a standardized approach to evaluating and documenting auditory-perceptual judgments of vocal quality. METHOD: A summary of the consensus conference proceedings and the factors considered by the authors in developing this instrument are included. CONCLUSION: The CAPE-V form and instructions, included as appendices to this article, enable clinicians to document perceived voice quality deviations following a standard (i.e., consistent and specified) protocol.


Assuntos
Distúrbios da Voz/diagnóstico , American Speech-Language-Hearing Association , Percepção Auditiva , Protocolos Clínicos , Humanos , Psicoacústica , Medida da Produção da Fala , Estados Unidos , Qualidade da Voz
18.
J Acoust Soc Am ; 122(4): 2354-64, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17902870

RESUMO

Modeling sources of listener variability in voice quality assessment is the first step in developing reliable, valid protocols for measuring quality, and provides insight into the reasons that listeners disagree in their quality assessments. This study examined the adequacy of one such model by quantifying the contributions of four factors to interrater variability: instability of listeners' internal standards for different qualities, difficulties isolating individual attributes in voice patterns, scale resolution, and the magnitude of the attribute being measured. One hundred twenty listeners in six experiments assessed vocal quality in tasks that differed in scale resolution, in the presence/absence of comparison stimuli, and in the extent to which the comparison stimuli (if present) matched the target voices. These factors accounted for 84.2% of the variance in the likelihood that listeners would agree exactly in their assessments. Providing listeners with comparison stimuli that matched the target voices doubled the likelihood that they would agree exactly. Listeners also agreed significantly better when assessing quality on continuous versus six-point scales. These results indicate that interrater variability is an issue of task design, not of listener unreliability.


Assuntos
Julgamento , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adulto , Auxiliares de Comunicação para Pessoas com Deficiência , Aprendizagem por Discriminação , Feminino , Humanos , Funções Verossimilhança , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Curva ROC , Espectrografia do Som , Distúrbios da Voz/psicologia
19.
J Speech Lang Hear Res ; 50(3): 595-610, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17538103

RESUMO

PURPOSE: Many researchers have studied the acoustics, physiology, and perceptual characteristics of the voice source, but despite significant attention, it remains unclear which aspects of the source should be quantified and how measurements should be made. In this study, the authors examined the relationships among a number of existing measures of the glottal source spectrum, along with the association of these measures to overall spectral shapes and to glottal pulse shapes, to determine which measures of the source best capture information about the shapes of glottal pulses and glottal source spectra. METHOD: Seventy-eight different measures of source spectral shapes were made on the voices of 70 speakers. Principal components analysis was applied to measurement data, and the resulting factors were compared with factors similarly derived from oral speech spectra and glottal pulses. RESULTS: Results revealed high levels of duplication and overlap among existing measures of source spectral slope. Further, existing measures were not well aligned with patterns of spectral variability. In particular, existing spectral measures do not appear to model the higher frequency parts of the source spectrum adequately. CONCLUSION: The failure of existing measures to adequately quantify spectral variability may explain why results of studies examining the perceptual importance of spectral slope have not produced consistent results. Because variability in the speech signal is often perceptually salient, these results suggest that most existing measures of source spectral slope are unlikely to be good predictors of voice quality.


Assuntos
Glote/fisiologia , Fonação/fisiologia , Fala/fisiologia , Qualidade da Voz , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Acústica da Fala , Percepção da Fala , Medida da Produção da Fala , Fatores de Tempo
20.
J Prosthet Dent ; 96(1): 13-24, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16872926

RESUMO

STATEMENT OF PROBLEM: While surgical restoration of mandibular resections has advanced dramatically with free-flap techniques, oral function and patient perceptions of function, as well as treatment outcomes, often indicate significant impairment. PURPOSE: This longitudinal prospective study was designed to determine whether conventional prostheses (CP) or implant-supported prostheses (IP) and current surgical reconstructive procedures restore patients' oral functions and quality of life to their status prior to segmental mandibulectomy with immediate fibula free-flap reconstruction. Study design and implementation, characteristics of the study sample, treatment completion rates, and selected presurgical and postsurgical functional and perceptual outcomes are presented. MATERIAL AND METHODS: Forty-six subjects were enrolled. Longitudinal evaluations of medical and dental histories, oromaxillofacial examinations, questionnaires, and sensory and functional tests were planned before and after surgery and after CP and IP treatment. Sample characteristics are described with descriptive statistics and comparisons of subject responses to questionnaire items at entry and postsurgical intervals were made with Fisher exact tests (alpha=.05). RESULTS: Conventional prostheses were completed in 33 of 46 subjects, and 16 of 33 CP subjects were treated with IP. Reasons for noncompletion of IP were recurrent/metastatic disease (16), refusal of implant therapy (7), lost to follow-up (4), treatment with a reconstruction plate (1), excessive radiation at implant sites (1), and death (1). All 16 recurrences/metastases occurred within 13 months of surgery. Only 3 of the 58 implants placed in 17 participants were considered failures. One failed due to lack of integration 31 weeks following placement, and 2 were buried due to unacceptable positioning for prosthetic restoration during denture fabrication. The remaining 55 implants were successful at final evaluation, ranging from 58 to 123 weeks following implant placement (mean duration=78.9 +/- 16.0 weeks). CONCLUSIONS: While 72% (33/46) of the subjects enrolled were able and willing to complete treatment with CP, only 35% (16/46) completed IP treatment. Careful consideration must be given to selection of the type of prosthetic rehabilitation and the timing of implant placement if an IP is planned.


Assuntos
Prótese Dentária Fixada por Implante , Prótese Total Inferior , Prótese Parcial Removível , Mandíbula/cirurgia , Neoplasias Bucais/reabilitação , Procedimentos Cirúrgicos Bucais , Adulto , Idoso , Idoso de 80 Anos ou mais , Implantação Dentária Endóssea , Falha de Restauração Dentária , Humanos , Mastigação , Pessoa de Meia-Idade , Neoplasias Bucais/radioterapia , Neoplasias Bucais/cirurgia , Estudos Prospectivos , Qualidade de Vida , Procedimentos de Cirurgia Plástica , Retalhos Cirúrgicos , Inquéritos e Questionários , Resultado do Tratamento
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