RESUMO
The growing rod technique is currently one of the most common procedures used in the management of early onset scoliosis. However, in order to preserve spine growth and control the deformity it requires frequent surgeries to distract the rods. Magnetically driven growing rods have recently been introduced with same treatment goal, but without the inconvenience of repeated surgical distractions. One of the limitations of this technical advance is an increase in radiation exposure due to the increase in distraction frequency compared to conventional growing rods. An improvement of the original technique is presented, proposing a solution to the inconvenience of multiple radiation exposure using ultrasound technology to control the distraction process of magnetically driven growing rods.
Assuntos
Imãs , Procedimentos Ortopédicos/métodos , Escoliose/cirurgia , Ultrassonografia de Intervenção , Pré-Escolar , Humanos , Masculino , Procedimentos Ortopédicos/instrumentação , Escoliose/diagnóstico por imagemRESUMO
The Mediterranean populations of maritime pine ( Pinus pinaster Ait.) are typically small and have a scattered distribution, being threatened by human activities and forest fires. In the framework of the genetic-resources conservation program of this species, a native multi-age stand located in a Mediterranean area (central Spain) was studied using three highly polymorphic nuclear microsatellites (SSRs). Spatial autocorrelation analysis was conducted using Moran's index in order to detect fine-scale structure in both natural regeneration and mature trees. The spatial pattern of seed flow based on dispersed progeny was studied using a highly reliable subset of parent-offspring matches obtained by means of parentage analysis and simulation-based calculation of statistical confidence. Maritime pine showed a fine-scale structure at the seedling stage. In natural regeneration, the autocorrelograms indicated a patch size of approximately 10 m. The fine-scale structure seems to be produced by a restricted seed gene flow. In fact, there was an excess of parent-offspring matches in a radius of 15 m from the parent trees. Pines with a heavy seed, such as P. pinaster, are expected to have a short dispersal distance, thus producing a fine-scale structure. However, the fine-scale structure did not persist in the mature trees. Within-population genetic structure in Mediterranean pines may be affected by a number of post-dispersal events (e.g. mortality due to the severity of the Mediterranean climate and animal-mediated secondary dispersal during the summer period). Thus, great alteration in the pattern produced by the initial seed rain and differences in genetic structure between tree cohorts are expected.
RESUMO
The purpose of this study was to describe the acoustic characteristics of Spanish vowels in subjects who had undergone a total laryngectomy and to compare the results with those obtained in a control group of subjects who spoke normally. Our results are discussed in relation to those obtained in previous studies with English-speaking laryngectomized patients. The comparison between English and Spanish, which diFfer widely in the size of their vowel inventories, will help us to determine specific or universal vowel production characteristics in these patients. Our second objective was to relate the acoustic properties of these vowels to the perceptual data obtained in our previous work (J. L. Miralles & T. Cervera, 1995). In that study, results indicated that vowels produced by alaryngeal speakers were well perceived in word context. Vowels were produced in CVCV word context by two groups of patients who had undergone laryngectomy: tracheoesophageal speakers (TES) and esophageal speakers. In addition a control group of normal talkers was included. Audio recordings of 24 Spanish words produced by each speaker were analyzed using CSL (Kay Elemetrics). Results showed that F1, F2, and vowel duration of alaryngeal speakers differ significantly from normal values. In general, laryngectomized patients produce vowels with higher formant frequencies and longer durations than the group of laryngeal subjects. Thus, the data indicate modifications either in the frequency or temporal domain, following the same tendency found in previous studies with English-speaking laryngectomized speakers.
Assuntos
Idioma , Laringectomia , Acústica da Fala , Percepção da Fala/fisiologia , Comportamento Verbal , Adulto , Humanos , Masculino , Fonética , Índice de Gravidade de Doença , Medida da Produção da Fala , Voz Esofágica , Distúrbios da Voz/diagnóstico , Distúrbios da Voz/epidemiologiaRESUMO
The MPEG-1 Layer 3 compression schema of audio signal, or commonly known as mp3, has caused a great impact in recent years as it has reached high compression rates while also conserving a high sound quality. Previous listening tests have shown that music and speech samples compressed at high bitrates are virtually indistinguishable from the original samples, but very little is known about how compression acoustically affects the voice signal. In Experiment 1 the spectral composition of original and compressed speech signals were analyzed by means of the Long-Term Average Spectrum using the Computerized Speech Laboratory (Kay Elemetrics Corp. (Pine Brook, NJ, USA)). In Experiment 2 a set of 29 voice parameters extracted by using the Multidimensional Voice Program of Kay are compared between original and compressed voices at different bitrates. Results show a high fidelity at high-bitrate compressions (128 and 160 kbit per second (kbps)) both in voice parameters and the amplitude-frequency spectrum. Compressions at 64 kbps or lower bitrates introduces substantial modifications in the voice signal, seriously altering parameters related with tremor, amplitude perturbation, noise, subharmonics and voice irregularities, likewise the signal spectrum is altered in its high frequency region.
Assuntos
Fonação/fisiologia , Qualidade da Voz , Voz , Adulto , Feminino , Humanos , Masculino , Acústica da Fala , Comportamento VerbalRESUMO
A correlational study of the reliability of acoustic voice parameters was made of 148 healthy adults. Acoustic analysis was performed with MDVP-Multi-Dimensional Voice Program implemented in a CSL-Computerized Speech Lab of Kay Elemetrics. A set of 29 voice parameters were obtained from two samples of sustained vowel /a/ recorded from each subject. General results separated by sex are showed and the test-retest reliability in each pair of measures was calculated. Data show a high intra-subject stability of Frequency Fundamental parameters; acceptable stability in parameters of Frequency and Amplitude Perturbation, Noise, Subharmonics and Voice irregularities; and a very low consistency in Tremor parameters. Parameters related with shimmer were more reliable than parameters related with jitter. According to results several conclusions are reported.
Assuntos
Acústica da Fala , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adulto , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Fumar/efeitos adversos , Fumar/epidemiologia , Distúrbios da Voz/etiologiaRESUMO
In this paper, we evaluate the speech intelligibility of two groups of Spanish-speaking people who have undergone laryngectomies: a group who used esophageal speech and a group who used tracheoesophageal (TES) prostheses. Audio recordings of 24 Spanish words produced by each talker were presented to a group of normal-hearing naive listeners who phonetically transcribed their responses. Listeners' responses were registered in confusion matrices. Results indicate that differences between these two groups of patients appear when we consider phoneme types. The difficulty in producing the voicing distinction appeared in both TES and esophageal talkers. This finding is consistent with studies of English-speaking laryngectomized patients. Considering manner of production, fricative consonants had the highest number of confusions with other phoneme class in the TES group, whereas in the esophageal group nasals resulted the highest number of confusions. However, ANOVA showed that differences between the two groups were not significant.
Assuntos
Laringectomia/efeitos adversos , Inteligibilidade da Fala , Voz Alaríngea , Voz Esofágica , Distúrbios da Voz/etiologia , Qualidade da Voz , Humanos , Laringe/cirurgia , Masculino , FonéticaRESUMO
The effects of L-asparaginase were evaluated on glucose-induced insulin release from isolated rat islets of Langerhans. Islets were obtained by enzymatic digestion of pancreas from Sprague-Dawley rats. The study of L-asparaginase effects on insulin secretion was performed in a static incubation of islets. Insulin secretion was measured at 60 min of incubation with different secretagogues with and without L-asparaginase. L-Asparaginase at concentrations from 310 to 5,000 U/ml could inhibit the glucose-induced insulin secretion in a dose-dependent manner. This effect was not recovered after incubation in the absence of the drug for another 2 h. The half-maximal inhibitory effect of the enzyme on insulin secretion was observed at L-asparaginase concentrations of 1,000 U/ml. Tolbutamide (200 microM) and ketoisocaproic acid (20 mM) did not induce insulin secretion in the presence of moderately high L-asparaginase concentrations. L-Asparaginase did not inhibit glucose-induced insulin secretion in the presence of isobutyl-methyl-xanthine (IBMX) (20 microM) or forskolin (20 microM). L-Asparaginase promoted a decrease in total c-AMP in isolated rat islets at concentrations from 500 to 1,500 U/ml when they were stimulated by glucose. If islets were treated with IBMX or forskolin, L-asparaginase did not inhibit the glucose-induced total c-AMP levels in islets.