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1.
J Acoust Soc Am ; 155(3): 1641-1654, 2024 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-38426841

RESUMO

The measurement of the pressure field radiated by a sound source has many applications in the fields of noise control and loudspeaker system design. In this paper, the radiation mode method is used to measure the field radiated by a complex acoustic source whose surface impedance is arbitrary and does not correspond to the Neumann boundary condition used for the calculation of radiation modes. The most effective radiation modes are used as test functions to calculate a pressure expansion around the source under test, an expansion that matches the measured pressure at a limited number of points close to the source. This expansion is then used to calculate the radiated pressure at a greater distance at unmeasured locations. In a first step, numerical simulations are performed to evaluate the method's most influential parameters. Then, measurements are performed in a semi-anechoic room on two real sources of increasing complexity. Obtained results show that the radiation mode method allows an accurate evaluation of the pressure field radiated by the test object over a fairly wide frequency band (between 100 Hz and 2 kHz) even for complex sources.

2.
BMC Geriatr ; 23(1): 558, 2023 09 13.
Artigo em Inglês | MEDLINE | ID: mdl-37704950

RESUMO

BACKGROUND: Low mobility during an acute care medical hospitalization is frequent and associated with adverse outcomes, particularly among older patients. Better understanding barriers and facilitators to improve mobility during hospitalization could help develop effective interventions. The goal of this study was to assess barriers and facilitators to older medical patients' hospital mobility, from the point of view of patients and clinicians, to develop a framework applicable in clinical practice. METHODS: We conducted a qualitative study in one university and two non-university hospitals of two different language and cultural regions of Switzerland, including 13 focus groups (FGs; five with patients, eight with clinicians). We included 24 adults aged 60 years or older hospitalized on an acute general internal medicine ward of one of the three participating hospitals during the previous years, and 34 clinicians (15 physicians, nine nurses/nursing assistants, 10 physiotherapists) working on those wards. The FG guides included open-ended questions exploring mobility experiences, expectations, barriers and facilitators to mobility, consequences of low mobility and knowledge on mobility. We applied an inductive thematic analysis. RESULTS: We identified four themes of barriers and facilitators to mobility: 1) patient-related factors; 2) clinician-related factors; 3) social interactions; and 4) non-human factors. Clinician-related factors were only mentioned in clinician FGs. Otherwise, subthemes identified from patient and clinician FGs were similar and codes broadly overlapped. Subthemes included motivation, knowledge, expectations, mental and physical state (theme 1); process, knowledge - skills, mental state - motivation (theme 2); interpersonal relationships, support (theme 3); hospital setting - organization (theme 4). CONCLUSIONS: From patients' and clinicians' perspectives, a broad spectrum of human and structural factors influences mobility of older patients hospitalized on an acute general internal medicine ward. New factors included privacy issues and role perception. Many of those factors are potentially actionable without additional staff resources. This study is a first step in participatory research to improve mobility of older medical inpatients.


Assuntos
Hospitais , Limitação da Mobilidade , Humanos , Pesquisa Qualitativa , Pacientes Internados , Hospitalização
3.
Adv Ther ; 39(11): 5244-5258, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36121611

RESUMO

INTRODUCTION: Smoking prevalence is twice as high among patients admitted to hospital because of the acute condition of aneurysmal subarachnoid hemorrhage (aSAH) as in the general population. Smoking cessation may improve the prognosis of aSAH, but nicotine replacement therapy (NRT) administered at the time of aSAH remains controversial because of potential adverse effects such as cerebral vasospasm. We investigated the international practice of NRT use for aSAH among neurosurgeons. METHODS: The online SurveyMonkey software was used to administer a 15-question, 5-min online questionnaire. An invitation link was sent to those 1425 of 1988 members of the European Association of Neurosurgical Societies (EANS) who agreed to participate in surveys to assess treatment strategies for withdrawal of tobacco smoking during aSAH. Factors contributing to physicians' posture towards NRT were assessed. RESULTS: A total of 158 physicians from 50 nations participated in the survey (response rate 11.1%); 68.4% (108) were affiliated with university hospitals and 67.7% (107) practiced at high-volume neurovascular centers with at least 30 treated aSAH cases per year. Overall, 55.7% (88) of physicians offered NRT to smokers with aSAH, 22.1% (35) offered non-NRT support including non-nicotine medication and counselling, while the remaining 22.1% (35) did not actively support smoking cessation. When smoking was not possible, 42.4% (67) of physicians expected better clinical outcomes when prescribing NRT instead of nicotine deprivation, 36.1% (57) were uncertain, 13.9% (22) assumed unaffected outcomes, and 7.6% (12) assumed worse outcomes. Only 22.8% (36) physicians had access to a local smoking cessation team in their practice, of whom half expected better outcomes with NRT as compared to deprivation. CONCLUSIONS: A small majority of the surveyed physicians of the EANS offered NRT to support smoking cessation in hospitalized patients with aSAH. However, less than half believed that NRT could positively impact clinical outcome as compared to deprivation. This survey demonstrated the lack of consensus regarding use of NRT for hospitalized smokers with aSAH.


Assuntos
Abandono do Hábito de Fumar , Hemorragia Subaracnóidea , Humanos , Nicotina/efeitos adversos , Fumantes , Hemorragia Subaracnóidea/complicações , Hemorragia Subaracnóidea/tratamento farmacológico , Inquéritos e Questionários , Dispositivos para o Abandono do Uso de Tabaco
4.
J Neural Eng ; 16(1): 016023, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30523898

RESUMO

The performance of cochlear implant (CI) listeners is limited by several factors among which the lack of spatial selectivity of the electrical stimulation. Recently, many studies have explored the use of multipolar strategies where several electrodes are stimulated simultaneously to focus the electrical field in a restricted region of the cochlea. OBJECTIVE: These strategies are based on several assumptions concerning the electrical properties of the inner ear that need validation. The first, often implicit, assumption is that the medium is purely resistive and that the current waveforms produced by several electrodes sum linearly. The second assumption relates to the estimation of the contribution of each electrode to the overall electrical field. These individual contributions are usually obtained by stimulating each electrode and measuring the resulting voltage with the other inactive electrodes (i.e. the impedance matrix). However, measuring the voltage on active electrodes (i.e. the diagonal of the matrix) is not straightforward because of the polarization of the electrode-fluid interface. In existing multipolar strategies, the diagonal terms of the matrix are therefore inferred using linear extrapolation from measurements made at neighboring electrodes. APPROACH: In experiment 1, several impedance measurements were carried out in vitro and in eight CI users using sinusoidal and pulsatile waveforms to test the resistivity and linearity hypotheses. In experiment 2, we used an equivalent electrical model including a constant phase element in order to isolate the polarization component of the contact impedance. MAIN RESULTS: In experiment 1, high-resolution voltage recordings (1.1 MHz sampling) showed the resistivity assumption to be valid at 46.4 kHz, the highest frequency tested. However, these measures also revealed the presence of parasitic capacitive effects at high frequency that could be deleterious to multipolar strategies. Experiment 2 showed that the electrical model provides a better account of the high-resolution impedance measurements than previous approaches in the CI field that used resistor-capacitance circuit models. SIGNIFICANCE: These results validate the main hypotheses underlying the use of multipolar stimulation but also suggest possible modifications to their implementation, including the use of an impedance model and the modification of the electrical pulse waveform.


Assuntos
Surdez/fisiopatologia , Surdez/terapia , Orelha Interna/fisiopatologia , Impedância Elétrica/uso terapêutico , Terapia por Estimulação Elétrica/métodos , Eletrodos Implantados , Adulto , Idoso , Idoso de 80 Anos ou mais , Implantes Cocleares , Estimulação Elétrica/instrumentação , Estimulação Elétrica/métodos , Terapia por Estimulação Elétrica/instrumentação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
6.
Proc Natl Acad Sci U S A ; 110(38): 15360-4, 2013 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-24003145

RESUMO

Acoustic communication is widespread in animals. According to the sensory drive hypothesis [Endler JA (1993) Philos Trans R Soc Lond B Biol Sci 340(1292):215-225], communication signals and perceptual systems have coevolved. A clear illustration of this is the evolution of the tetrapod middle ear, adapted to life on land. Here we report the discovery of a bone conduction-mediated stimulation of the ear by wave propagation in Sechellophryne gardineri, one of the world's smallest terrestrial tetrapods, which lacks a middle ear yet produces acoustic signals. Based on X-ray synchrotron holotomography, we measured the biomechanical properties of the otic tissues and modeled the acoustic propagation. Our models show how bone conduction enhanced by the resonating role of the mouth allows these seemingly deaf frogs to communicate effectively without a middle ear.


Assuntos
Anuros/fisiologia , Condução Óssea/fisiologia , Orelha Interna/anatomia & histologia , Audição/fisiologia , Modelos Biológicos , Animais , Fenômenos Biomecânicos , Boca/anatomia & histologia , Boca/fisiologia , Síncrotrons , Vocalização Animal/fisiologia
7.
J Acoust Soc Am ; 129(1): 154-64, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21302998

RESUMO

This article presents the experimental implementation and results of a hybrid passive/active absorber (smart foam) made up from the combination of a passive absorbent (foam) and a curved polyvinylidene fluoride (PVDF) film actuator bonded to the rear surface of the foam. Various smart foam prototypes were built and tested in active absorption experiments conducted in an impedance tube under plane wave propagation condition at frequencies between 100 and 1500 Hz. Three control cases were tested. The first case used a fixed controller derived in the frequency domain from estimations of the primary disturbance at a directive microphone position in the tube and the transfer function between the control PVDF and the directive microphone. The two other cases used an adaptive time-domain feedforward controller to absorb either a single-frequency incident wave or a broadband incident wave. The non-linearity of the smart foams and the causality constraint were identified to be important factors influencing active control performance. The effectiveness of the various smart foam prototypes is discussed in terms of the active and passive absorption coefficients as well as the control voltage of the PVDF actuator normalized by the incident sound pressure.


Assuntos
Acústica , Ruído/prevenção & controle , Resinas Sintéticas , Triazinas , Absorção , Acústica/instrumentação , Módulo de Elasticidade , Teste de Materiais , Membranas Artificiais , Dinâmica não Linear , Polivinil , Porosidade , Pressão , Fatores de Tempo , Transdutores , Vibração , Viscosidade
8.
J Acoust Soc Am ; 127(1): 256-63, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20058971

RESUMO

This paper evaluates the potential of the field separation method (FSM) for performing subwoofer measurements in a small test room with poor absorbing properties, as is commonly available. The FSM requires the knowledge of both acoustic pressure and velocity fields on a closed surface surrounding the tested source. Pressures and velocities, measured using a p-p probe on a half-sphere mesh, are collected under various conditions: in a room with variable reverberation time (6.4-0.6 s) and with four measurement half-sphere radii. The measured data are expanded on spherical harmonics, separating outward and inward propagation. The pressure field reflected by walls of the surrounding room is then subtracted from the measured field to estimate the pressure field that would have been radiated under free-field conditions. Theoretical frequency response of the subwoofer is computed using an analytical formulation derived from an extended Thiele and Small model of the membrane motion, coupled to a boundary element model for computing the radiated pressure while taking into account the actual subwoofer geometry. Measurement and simulation results show a good agreement. The effects of the measurement distance, the measurement point number, and the room reverberation time on the separation process are then discussed.

9.
J Acoust Soc Am ; 128(6): 3478-88, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21218880

RESUMO

Sound directivity control is made possible by a compact array of independent loudspeakers operating at the same frequency range. The drivers are usually distributed over a sphere-like frame according to a Platonic solid geometry to obtain a highly symmetrical configuration. The radiation pattern of spherical loudspeaker arrays has been predicted from the surface velocity pattern by approximating the drivers membranes as rigid vibrating spherical caps, although a rigorous assessment of this model has not been provided so far. Many aspects concerning compact array electromechanics remain unclear, such as the effects on the acoustical performance of the drivers interaction inside the array cavity, or the fact that voltages rather than velocities are controlled in practice. This work presents a detailed investigation of the electromechanical behavior of spherical loudspeaker arrays. Simulation results are shown to agree with laser vibrometer measurements and experimental sound power data obtained for a 12-driver spherical array prototype at low frequencies, whereas the non-rigid body motion and the first cavity eigenfrequency yield a discrepancy between theoretical and experimental results at high frequencies. Finally, although the internal acoustic coupling affects the drivers vibration in the low-frequency range, it does not play an important role on the radiated sound power.


Assuntos
Acústica/instrumentação , Amplificadores Eletrônicos , Modelos Teóricos , Processamento de Sinais Assistido por Computador , Algoritmos , Simulação por Computador , Desenho de Equipamento , Membranas Artificiais , Movimento (Física) , Pressão , Som
10.
J Acoust Soc Am ; 126(6): 2873-85, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20000900

RESUMO

The "smart foam" concept and design originate from the combination of the passive dissipation capability of foam in the medium and high frequency ranges and the active absorption ability of piezoelectric actuator (generally polyvinylidene fluoride) in the low frequency range. This results into a passive/active absorption control device that can efficiently operate over a broad range of frequencies. In this paper, a full three dimensional finite element model of smart foam is presented including its experimental validation. The modeling tool uses quadratic poroelastic elements, as well as elastic, fluid, and piezoelectric elements. The weak integral formulation of the different media involved is presented with the associated coupling conditions. A simplified orthotropic model of poroelastic media is presented. To validate the developed model, a prototype of a smart foam has been realized and its passive absorption and radiation measured in an impedance tube and compared to predictions. The experimental validation demonstrates the validity of the model. This modeling tool constitutes a general platform to simulate and optimize various configurations of smart foams.

11.
J Acoust Soc Am ; 123(6): 4186-98, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18537370

RESUMO

This study investigated the dimensions underlying perceived differences between loudspeakers. Listeners compared the sound reproduction of 12 loudspeakers in a room, using three musical excerpts. For the loudspeakers to be compared one just after the other in exactly the same conditions, the sounds radiated by the loudspeakers were recorded in a listening room, and the recorded sounds were submitted to paired comparisons using headphones. The resulting perceptual dissimilarities were analyzed by using a multidimensional scaling technique, revealing two main perceptual dimensions used by listeners to discriminate the loudspeakers. These dimensions were identical for the three musical excerpts. As the signals heard by listeners were directly accessible, they were used to define acoustical attributes describing the perceptual dimensions. Instead of arbitrarily choosing one acoustical analysis to define these attributes, several analyses were compared. The temporal, spectral, and time-frequency domains were investigated, and different auditory models were tested. These auditory models allowed the best description of the differences perceived by listeners, and were used to define two acoustical attributes describing our perceptual dimensions: the bass/treble balance and the medium emergence.


Assuntos
Acústica/instrumentação , Amplificadores Eletrônicos , Percepção Auditiva , Audição/fisiologia , Testes Auditivos , Humanos , Modelos Biológicos
12.
J Acoust Soc Am ; 123(1): 77-87, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18177140

RESUMO

Comparison of loudspeakers is a major concern during design or product selection. There are several standards for the measurement of loudspeaker characteristics, but none of them provides hints for a rigorous comparison between devices. In this study, different ways of evaluating acoustical dissimilarity between loudspeakers were compared. Several methods of signal analysis were used, and for each method a metric evaluating the dissimilarity between two signals was defined. The correlation between the different dissimilarity evaluations over a significant panel of loudspeakers led to identified classes of measurements. A specific aspect of this work is that measurements were performed in a standard listening environment, rather than in an anechoic or reverberant one. It allowed the use of the recorded signals for a simple listening test, providing a perceptual metric which was compared to the acoustical ones. It also allowed the introduction of auditory models in the computation of some acoustical metrics, so defining a new class of measurements which gave results close to the perceptual ones.


Assuntos
Acústica , Amplificadores Eletrônicos , Percepção Auditiva , Percepção da Altura Sonora , Acústica/instrumentação , Humanos , Psicofísica/métodos , Detecção de Sinal Psicológico
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