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1.
Proc Natl Acad Sci U S A ; 120(9): e2219394120, 2023 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-36802437

RESUMO

Vocal fatigue is a measurable form of performance fatigue resulting from overuse of the voice and is characterized by negative vocal adaptation. Vocal dose refers to cumulative exposure of the vocal fold tissue to vibration. Professionals with high vocal demands, such as singers and teachers, are especially prone to vocal fatigue. Failure to adjust habits can lead to compensatory lapses in vocal technique and an increased risk of vocal fold injury. Quantifying and recording vocal dose to inform individuals about potential overuse is an important step toward mitigating vocal fatigue. Previous work establishes vocal dosimetry methods, that is, processes to quantify vocal fold vibration dose but with bulky, wired devices that are not amenable to continuous use during natural daily activities; these previously reported systems also provide limited mechanisms for real-time user feedback. This study introduces a soft, wireless, skin-conformal technology that gently mounts on the upper chest to capture vibratory responses associated with vocalization in a manner that is immune to ambient noises. Pairing with a separate, wirelessly linked device supports haptic feedback to the user based on quantitative thresholds in vocal usage. A machine learning-based approach enables precise vocal dosimetry from the recorded data, to support personalized, real-time quantitation and feedback. These systems have strong potential to guide healthy behaviors in vocal use.


Assuntos
Canto , Distúrbios da Voz , Voz , Humanos , Retroalimentação , Distúrbios da Voz/etiologia , Voz/fisiologia , Prega Vocal/fisiologia
2.
J Speech Lang Hear Res ; 66(1): 126-153, 2023 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-36608288

RESUMO

PURPOSE: This study examined spontaneous, spoken-to-a-model, and two sung modes in speakers with Parkinson's disease (PD), speakers with cerebellar disease (CD), and healthy controls. Vocal performance was measured by intelligibility scores and listeners' perceptual ratings. METHOD: Participants included speakers with hypokinetic dysarthria secondary to PD, those with ataxic dysarthria secondary to CD, and healthy speakers. Participants produced utterances in four vocal modes: spontaneous speech, spoken-to-a-model, sung-to-a-model, and spontaneous singing. For spoken-to-a-model and sung-to-a-model modes, written material was provided the model. For spontaneous singing, participants sang songs that they endorsed as familiar. DEPENDENT VARIABLES: In Experiment I, listeners orthographically transcribed the audio samples of the first three vocal modes. In Experiment IIa, raters evaluated the accuracy of the pitch and rhythm of the spontaneous singing of familiar songs. Finally, familiar songs and sung-to-a-model utterances were rated on a competency scale by a second group of raters (Experiment IIb). RESULTS: Results showed increases in intelligibility during the spoken-to-a-model mode compared with the spontaneous mode in both PD and CD groups. Singing enhanced the vocal output of speakers with PD more than in speakers with CD, as measured by percent intelligibility. PD participants' pitch and rhythm accuracy and competency in singing familiar songs was rated more favorably than those produced by CD participants. CONCLUSIONS: The findings reveal a vocal task effect for spoken utterances in both groups. Sung exemplars, more impaired in CD, suggest a significant involvement of the cerebellum in singing. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.21809544.


Assuntos
Música , Doença de Parkinson , Canto , Ataxias Espinocerebelares , Humanos , Inteligibilidade da Fala , Doença de Parkinson/complicações , Disartria/etiologia , Ataxias Espinocerebelares/complicações
3.
Trends Hear ; 27: 23312165221148022, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36628453

RESUMO

Cochlear implants (CIs) are implantable medical devices that can partially restore hearing to people suffering from profound sensorineural hearing loss. While these devices provide good speech understanding in quiet, many CI users face difficulties when listening to music. Reasons include poor spatial specificity of electric stimulation, limited transmission of spectral and temporal fine structure of acoustic signals, and restrictions in the dynamic range that can be conveyed via electric stimulation of the auditory nerve. The coding strategies currently used in CIs are typically designed for speech rather than music. This work investigates the optimization of CI coding strategies to make singing music more accessible to CI users. The aim is to reduce the spectral complexity of music by selecting fewer bands for stimulation, attenuating the background instruments by strengthening a noise reduction algorithm, and optimizing the electric dynamic range through a back-end compressor. The optimizations were evaluated through both objective and perceptual measures of speech understanding and melody identification of singing voice with and without background instruments, as well as music appreciation questionnaires. Consistent with the objective measures, results gathered from the perceptual evaluations indicated that reducing the number of selected bands and optimizing the electric dynamic range significantly improved speech understanding in music. Moreover, results obtained from questionnaires show that the new music back-end compressor significantly improved music enjoyment. These results have potential as a new CI program for improved singing music perception.


Assuntos
Implante Coclear , Implantes Cocleares , Música , Canto , Percepção da Fala , Humanos , Implante Coclear/métodos , Percepção Auditiva/fisiologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-36674142

RESUMO

(1) Background: Individuals with pulmonary disease need intensive and consistent rehabilitation due to their high risk for serious illness and long-term complications. The purpose of this scoping review was to provide a comprehensive analysis of relevant research regarding the use of singing in pulmonary rehabilitation. (2) Methods: A systematic literature search was performed using the PsycINFO, CINAHL, PubMed, and Web of Science databases. A search for studies that employed singing in pulmonary rehabilitation for patients with pulmonary disease was conducted. (3) Results: Studies that met the selection criteria were summarized and analyzed. Twenty-seven studies were included in the final analysis. Results showed that research using singing in pulmonary rehabilitation generally employed an intervention with structured tasks and additional home practice or socialization time. However, the singing procedure in each intervention was not always specifically described and the findings were inconsistent. (4) Conclusions: Programmed singing interventions can support lung health and be an effective component of pulmonary rehabilitation. The therapeutic singing method in relation to respiratory exercises should be integrated into the main activity in the intervention. Overall, singing has physical and psychosocial effects, leading to improvements in symptoms, but more research is necessary to ensure that the respiratory needs of people with pulmonary disease are adequately met.


Assuntos
Pneumopatias , Canto , Humanos , Exercícios Respiratórios , Qualidade de Vida
5.
Acta Otolaryngol ; 143(1): 56-63, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36595463

RESUMO

BACKGROUND: The relation between the autonomic nervous system (ANS) and muscles of the vocal tract is of particular importance when considering the pathomechanism of a functional voice disorder. AIMS: The aim of this study was to record electrophysiological indicators from the ANS as well as the tone of the external laryngeal muscle and test whether together they could point to an enhanced risk of primary functional voice disorder. MATERIALS AND METHODS: The study material consisted of 81 people, 27 of whom were professional opera singers. None reported any voice complaints. The research comprised ENT and phoniatric examination, superficial electromyography (SEMG), and recording of physiological indicators (pulse rate, skin resistance). RESULTS: All subjects had a clear voice with no sign of vocal disability. Endoscopy revealed laryngeal hyperfunction in 26 people. SEMG revealed that the 26 had increased external laryngeal muscle tone during phonation, and this finding correlated with a change in certain electrophysiological indicators HRV, BVP, EDA. CONCLUSIONS: We conclude that anomalies in electrophysiological parameters in individuals with subclinical symptoms of functional voice disorder may be at risk of developing fully symptomatic hyperfunctional dysphonia in the future. Vocal training, which differentiates singers and non-singers, is known to have an effect on subclinical hyperfunctional dysphonia. SIGNIFICANCE: By measuring indicators of hyperfunctional dysphonia, it may be possible to take remedial action before symptomatic dysphonia develops.


Assuntos
Disfonia , Canto , Humanos , Disfonia/diagnóstico , Qualidade da Voz , Fonação , Músculos Laríngeos
6.
Public Health Nurs ; 40(2): 306-312, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36519942

RESUMO

OBJECTIVE: To confirm the factor structure of the Climate, Health, and Nursing Tool (CHANT) tool via confirmatory factor analysis. DESIGN AND SAMPLE: This is a cross-sectional analysis of voluntary, anonymous responses collected online in 2019, from a non-representative sample of 489 nurses from 12 nations with 95% of the respondents from the United States. MEASUREMENTS: A confirmatory factor analysis (CFA) was conducted to test a five-factor measurement model of the 22-item CHANT. Reliability was examined via Cronbach's α coefficient. RESULTS: The five CHANT subscales demonstrated acceptable reliability with Cronbach's α ranging from 0.67 to 0.91. The five-factor model of CHANT demonstrated good fit, x2 (199) = 582.747, p < .001, CFI = 0.94, RMSEA = 0.06, and SRMR = 0.04 with statistically significant item-factor loadings. CONCLUSION: CHANT is a reliable and robust instrument to measure nurses' awareness, concern, motivation, and home and work behaviors regarding climate change and health, and is ready to be utilized in research, policy, professional settings, and among educators.


Assuntos
Canto , Humanos , Psicometria , Estudos Transversais , Reprodutibilidade dos Testes , Análise Fatorial , Inquéritos e Questionários
7.
J Speech Lang Hear Res ; 66(1): 98-109, 2023 01 12.
Artigo em Inglês | MEDLINE | ID: mdl-36580552

RESUMO

PURPOSE: This study set out to quantify the fatigue-related changes in surface electromyographic (sEMG) activities of the perilaryngeal muscles following a vocal loading task. METHOD: Thirty-six young healthy participants (M age = 22.4 years) with normal voice performed karaoke singing for at least 100 min. Before the singing task, all participants underwent the sEMG measure and completed a Perceived Vocal Fatigue Score (P-VFS) questionnaire. After the singing task, all participants were immediately measured with the P-VFS again. Half of the participants were then measured for their sEMG immediately after their karaoke singing task, and the other half were given 20 min of rest before undertaking the sEMG measure. The P-VFS and the median frequency (MDF) of the sEMG signals collected from the suprahyoid, infrahyoid, and sternocleidomastoid muscles before and after the singing task were compared using a linear mixed-effects model. RESULTS: All participants reported a perceived vocal fatigue after singing, with a significantly increased P-VFS. Compared with the presinging baseline, the MDF of the sEMG signals in perilaryngeal muscles was significantly lower immediately after the singing task. Such a significant difference was also found after 20 min following the singing task. CONCLUSIONS: The MDF analysis of the sEMG signals could identify and quantify the performance vocal fatigue contributed by perilaryngeal muscles following a vocal loading task. The findings also showed that such fatigue in perilaryngeal muscles, as far as sEMG activities are concerned, can last for at least 20 min.


Assuntos
Canto , Distúrbios da Voz , Voz , Humanos , Adulto Jovem , Adulto , Músculos do Pescoço/fisiologia
8.
Cognition ; 230: 105307, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36272361

RESUMO

A central question in social cognition research is how people coordinate their bodily rhythms, and how important reciprocity of interaction is for interpersonal coordination. Previous research has primarily focused on interpersonal action coordination, which has been shown to be facilitated by mechanisms of prediction and mutual adaption. Recent research is beginning to show that people also coordinate their physiological rhythms (i.e., respiration, heart rhythms) when they engage in natural forms of social interaction, such as conversation, choir singing, and rituals. However, the mechanisms underlying interpersonal physiological synchronization remain obscure, and could provide insight into the dynamic mechanisms that underlie continuous and regulatory, rather than instrumental, joint actions. Using real-time biofeedback, we investigated whether people synchronize their respiration rhythms by forming a joint dynamical system through reciprocity of interaction, or by producing more predictable respiration rhythms. Our results show that people are more in-phase synchronized but less phase-locked when interacting bidirectionally versus unidirectionally (online), but there is no difference in synchronization during reciprocal interaction and when adapting unidirectionally (offline) to recordings of respiration signals that emerged during the reciprocal interaction. Moreover, the strength of synchronization is driven by the predictability of the respiration rhythms that emerge in the bidirectional interaction - specifically, the slowing of breathing rhythms and stability of breathing frequencies - rather than the online mutual adaptation itself. These results suggest that coordination is facilitated by the emergence of predictable breathing patterns, rather than reciprocity itself.


Assuntos
Canto , Humanos , Relações Interpessoais
9.
Cognition ; 230: 105311, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36332309

RESUMO

The notion that lifestyle factors, such as music-making activities, can affect cognitive functioning and reduce cognitive decline in aging is often referred to as the mental exercise hypothesis. One ubiquitous musical activity is choir singing. Like other musical activities, singing is hypothesized to impact cognitive and especially executive functions. Despite the commonness of choir singing, little is known about the extent to which singing can affect cognition in adulthood. In this cross-sectional group study, we examined the relationship between age and four auditory executive functions to test hypotheses about the relationship between the level of mental activity and cognitive functioning. We also examined pitch discrimination capabilities. A non-probabilistic sample of 147 cognitively healthy adults was recruited, which included 75 non-singers (mean age 52.5 ± 20.3; 20-98 years) and 72 singers (mean age 55.5 ± 19.2; 21-87 years). Tests of selective attention, processing speed, inhibitory control, and working memory were administered to all participants. Our main hypothesis was that executive functions and age would be negatively correlated, and that this relationship would be stronger in non-singers than singers, consistent with the differential preservation hypothesis. The alternative hypothesis - preserved differentiation - predicts that the difference between singers and non-singers in executive functions is unaffected by age. Our results reveal a detrimental effect of age on processing speed, selective attention, inhibitory control and working memory. The effect of singing was comparatively more limited, being positively associated only with frequency discrimination, processing speed, and, to some extent, inhibitory control. Evidence of differential preservation was limited to processing speed. We also found a circumscribed positive impact of age of onset and a negative impact of singing experience on cognitive functioning in singers. Together, these findings were interpreted as reflecting an age-related decline in executive function in cognitively healthy adults, with specific and limited positive impacts of singing, consistent with the preserved differentiation hypothesis, but not with the differential preservation hypothesis.


Assuntos
Envelhecimento Cognitivo , Música , Canto , Adulto , Humanos , Pessoa de Meia-Idade , Idoso , Estudos Transversais , Discriminação da Altura Tonal
10.
J Aging Stud ; 63: 101077, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36462921

RESUMO

This study explored the impact of participation in Voices in Motion (ViM), an intergenerational community choir program that involved persons with dementia, care partners, and high school students in Victoria, British Columbia, Canada. Data came from interviews with 23 duets, each consisting of a person with dementia and their care partner; additionally, five focus groups with 29 students across two ViM choirs were conducted. Choir rehearsals and concerts were also observed. The analysis revealed that those with dementia have an embodied ability to fully participate in the choir and perform songs despite cognitive decline and memory loss. Involvement in the choirs also facilitated the emergence of strong social relationships among participants while students reported gaining a deeper understanding of the everyday experiences of living with dementia. Through well-attended concerts and performances at public events, ViM also helped re-humanize persons living with dementia by challenging the narrative of decline and its associated stigma.


Assuntos
Demência , Música , Canto , Humanos , Estudantes , Colúmbia Britânica
11.
BMJ Open ; 12(12): e063420, 2022 12 13.
Artigo em Inglês | MEDLINE | ID: covidwho-2193767

RESUMO

INTRODUCTION: Postpartum depression (PPD) affects around one in seven women globally, with these women in need of non-pharmaceutical treatment strategies. There is a long history of the benefits of singing for maternal mental health, and promising research exists showing the clinical effectiveness of group singing. Group singing interventions are being scaled up to support new mothers in the United Kingdom, but we do not know if such an intervention may benefit women in different cultural contexts. This protocol focuses on exploring the feasibility of implementation and perceived impact of a 10-week group singing intervention for new mothers in Romania and Denmark eliciting signs of PPD. METHODS AND ANALYSIS: Data will be collected from up to 48 women with a score ≥10 on the Edinburgh Postnatal Depression Scale (EPDS) participating in a 10-week group singing intervention in Denmark or Romania, as well as a range of project stakeholders. The singing classes will take place in person and be facilitated by professional singing leaders. Feasibility of implementation will be analysed through qualitative data (eg, focus groups, interviews) and quantitative data (eg, the Feasibility of Intervention Measure). Perceived impact will be explored via surveys that include mental health measures (EPDS, Multidimensional Scale of Perceived Social Support, WHO Five Well-Being Index) from singing intervention participants (at weeks 1, 6, 10) and focus groups. Descriptive statistics, repeated measures analysis of variance and analysis of covariance will be used to analyse quantitative data. Framework method and thematic analysis will be used to analyse qualitative data. ETHICS AND DISSEMINATION: The national ethics committees in Romania (IRB-PH Protocol #2021-211217-012) and Denmark (case number 1-10-72-274-21) have approved the study, as has the Ethics Review Committee at the World Health Organization (ERC.0003714). All participants will be required to provide informed consent. Results will be disseminated by reports published by the WHO Regional Office for Europe, peer-reviewed publications and at conferences.


Assuntos
Depressão Pós-Parto , Canto , Feminino , Humanos , Depressão Pós-Parto/diagnóstico , Estudos de Viabilidade , Romênia , Dinamarca
12.
BMJ Open ; 12(12): e063420, 2022 12 13.
Artigo em Inglês | MEDLINE | ID: mdl-36523227

RESUMO

INTRODUCTION: Postpartum depression (PPD) affects around one in seven women globally, with these women in need of non-pharmaceutical treatment strategies. There is a long history of the benefits of singing for maternal mental health, and promising research exists showing the clinical effectiveness of group singing. Group singing interventions are being scaled up to support new mothers in the United Kingdom, but we do not know if such an intervention may benefit women in different cultural contexts. This protocol focuses on exploring the feasibility of implementation and perceived impact of a 10-week group singing intervention for new mothers in Romania and Denmark eliciting signs of PPD. METHODS AND ANALYSIS: Data will be collected from up to 48 women with a score ≥10 on the Edinburgh Postnatal Depression Scale (EPDS) participating in a 10-week group singing intervention in Denmark or Romania, as well as a range of project stakeholders. The singing classes will take place in person and be facilitated by professional singing leaders. Feasibility of implementation will be analysed through qualitative data (eg, focus groups, interviews) and quantitative data (eg, the Feasibility of Intervention Measure). Perceived impact will be explored via surveys that include mental health measures (EPDS, Multidimensional Scale of Perceived Social Support, WHO Five Well-Being Index) from singing intervention participants (at weeks 1, 6, 10) and focus groups. Descriptive statistics, repeated measures analysis of variance and analysis of covariance will be used to analyse quantitative data. Framework method and thematic analysis will be used to analyse qualitative data. ETHICS AND DISSEMINATION: The national ethics committees in Romania (IRB-PH Protocol #2021-211217-012) and Denmark (case number 1-10-72-274-21) have approved the study, as has the Ethics Review Committee at the World Health Organization (ERC.0003714). All participants will be required to provide informed consent. Results will be disseminated by reports published by the WHO Regional Office for Europe, peer-reviewed publications and at conferences.


Assuntos
Depressão Pós-Parto , Canto , Feminino , Humanos , Depressão Pós-Parto/diagnóstico , Estudos de Viabilidade , Romênia , Dinamarca
13.
Health Promot Int ; 37(6)2022 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-36482784

RESUMO

A mixed-methods concurrent identical design was implemented to explore the following research question: what are the emotional, social, and practical impacts of group singing for women from a regeneration area? Members of an all-female community choir based in an area of disadvantage participated in a focus group and survey. The most significant quantitative finding was an increase in the overall perceived level of health, which seemed linked to qualitative themes of 'positive emotions', 'redefining and reclaiming identity', 'choir as an extended family' and 'community interaction and impact'. Three themes arose from qualitative data: social impact, health and well-being aspects, and practical issues. Integrating qualitative and quantitative findings identified an overarching concept that 'choir participation may increase emotional and social health and well-being'. Group singing was found beneficial, with a potential to serve as a resource in cultivating resilience in individuals living in areas of disadvantage.


There is a growing body of evidence supporting the health and emotional, social, and psychological well-being benefits of group singing (Clift et al., 2008, 2010; Clift and Hancox, 2010; Reagon et al., 2016; Fancourt and Finn, 2019). This study explored the experience of group singing for a specific demographic: women from an area of disadvantage. Members of an all-female choir based in a council estate of Limerick participated in a focus group and completed a survey investigating the emotional, social and practical impacts of group singing. Gains were noted across all three categories, and participant feedback was overwhelmingly positive regarding the benefits of choir membership. There were two particularly noteworthy findings: the 'universality of singing' across various age groups and 'weariness of labels', a novel subtheme that emerged during the focus group.


Assuntos
Canto , Feminino , Humanos , Família Estendida
14.
J Acoust Soc Am ; 152(6): 3548, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36586864

RESUMO

A well-known concept of singing voice pedagogy is "formant tuning," where the lowest two vocal tract resonances ( fR1, fR2) are systematically tuned to harmonics of the laryngeal voice source to maximize the level of radiated sound. A comprehensive evaluation of this resonance tuning concept is still needed. Here, the effect of fR1, fR2 variation was systematically evaluated in silico across the entire fundamental frequency range of classical singing for three voice source characteristics with spectral slopes of -6, -12, and -18 dB/octave. Respective vocal tract transfer functions were generated with a previously introduced low-dimensional computational model, and resultant radiated sound levels were expressed in dB(A). Two distinct strategies for optimized sound output emerged for low vs high voices. At low pitches, spectral slope was the predominant factor for sound level increase, and resonance tuning only had a marginal effect. In contrast, resonance tuning strategies became more prevalent and voice source strength played an increasingly marginal role as fundamental frequency increased to the upper limits of the soprano range. This suggests that different voice classes (e.g., low male vs high female) likely have fundamentally different strategies for optimizing sound output, which has fundamental implications for pedagogical practice.


Assuntos
Canto , Voz , Masculino , Feminino , Humanos , Simulação por Computador , Som , Vibração
15.
Proc Natl Acad Sci U S A ; 119(45): e2116967119, 2022 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-36322755

RESUMO

Infant-directed singing is a culturally universal musical phenomenon known to promote the bonding of infants and caregivers. Entrainment is a widely observed physical phenomenon by which diverse physical systems adjust rhythmic activity through interaction. Here we show that the simple act of infant-directed singing entrains infant social visual behavior on subsecond timescales, increasing infants' looking to the eyes of a singing caregiver: as early as 2 months of age, and doubling in strength by 6 months, infants synchronize their eye-looking to the rhythm of infant-directed singing. Rhythmic entrainment also structures caregivers' own cueing, enhancing their visual display of social-communicative content: caregivers increase wide-eyed positive affect, reduce neutral facial affect, reduce eye motion, and reduce blinking, all in time with the rhythm of their singing and aligned in time with moments when infants increase their eye-looking. In addition, if the rhythm of infant-directed singing is experimentally disrupted-reducing its predictability-then infants' time-locked eye-looking is also disrupted. These results reveal generic processes of entrainment as a fundamental coupling mechanism by which the rhythm of infant-directed singing attunes infants to precisely timed social-communicative content and supports social learning and development.


Assuntos
Atenção , Comportamento do Lactente , Música , Canto , Humanos , Lactente , Comunicação , Fixação Ocular
16.
Int J Chron Obstruct Pulmon Dis ; 17: 2893-2904, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36407671

RESUMO

Background: Chronic obstructive pulmonary disease (COPD) is a chronic lung disease which feature is progressive airflow obstruction. Singing is a popular and convenient activity that requires people to manage their lung volumes and airflow actively. Despite the well-known benefits of singing to healthy people, the specific effect still remains unclear. Objective: To investigate the mental and psychological benefits of singing in patients with stable COPD. Search Methods: We used Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines (PRISMA) on randomized controlled trials (RCTs) including singing exercise as the main intervention in stable COPD. We searched 8 electronic databases, including Web of Science, PubMed, Embase, Cochrane Library, Clinical Trials.gov, and the Physical Therapy Evidence Database (PEDro), CNKI, and Wanfang Database from inception until May 2022. The searching languages was English or Chinese. Data extraction using standardized templates was performed by two independent reviewers. The quality of the studies was assessed using the PEDro scale. Data synthesis was performed with Revman 5.4. The pooled effect sizes are reported by MD and 95% CI. Results: Five RCTs involving 333 patients with stable COPD were included in this meta-analysis. Singing was regarded as the main intervention in the experimental group. Meta-analysis revealed that singing improves quality of life on Short Form 36 physical component summary (SF-36 PCS) (MD = 12.63, 95% CI: 5.52 to 19.73, P < 0.01) and respiratory muscle in maximal expiratory pressure (PEmax) (MD = 14.30, 95% CI: 0.87 to 27.73, P = 0.04) in patients with COPD. However, it has limited effects on Short Form 36 mental component summary (SF-36 MCS), lung function, exercise capability, and adverse mental state. Conclusion: Based on results of the meta-analysis, singing could be used to improve quality of life (SF-36 PCS) and respiratory muscles (PEmax) in patients with COPD.


Assuntos
Doença Pulmonar Obstrutiva Crônica , Canto , Humanos , Doença Pulmonar Obstrutiva Crônica/terapia , Doença Pulmonar Obstrutiva Crônica/tratamento farmacológico , Qualidade de Vida , Pulmão , Nível de Saúde
17.
Creat Nurs ; 28(4): 274-278, 2022 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-36411041

RESUMO

For every individual living with dementia, the experience is unique. When you meet one person living with dementia, you have simply met one person. Dementia will change many things about life-but not all at once and often over many years. For many people, social isolation and loneliness may emerge as mental health challenges occur. This is when creating supportive interconnections are particularly critical to build meaning and purpose. Giving Voice Chorus was created in 2014 to address social isolation for people living with dementia. Our choruses, and other like-minded ones throughout the United States and the world, support new networks for people living with dementia, as well as their family members and friends. This is a behind-the-scenes story of how Giving Voice Chorus and a strong collection of similar choruses help meet cultural, social, geographic, and community needs for people who are determined to continue vibrant, creative lives with memory loss. We explore how these choruses developed and the creative lifeline they provide for individuals and families. For health-care professionals and others seeking resources and referrals, Giving Voice Chorus is a beacon of light-establishing new supportive networks with hope and affirmation.


Assuntos
Demência , Canto , Humanos , Demência/psicologia , Família , Amigos , Emoções
18.
Sci Rep ; 12(1): 19702, 2022 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-36385631

RESUMO

Marine organisms inhabiting coastal waters are known to be driven by periodic cycles such as diel, tidal, and seasonal changes. Humpback whales (Megaptera novaeangliae) breed in shallow and warm coastal waters, with males singing complex songs during the breeding season. To investigate periodic variations in humpback whale singing activities, we conducted fixed passive acoustic monitoring in the Ogasawara (Bonin) Islands, Japan, from winter to spring during 2016-2018. The singing activity and individual number of singers were observed throughout the day and night using a very long baseline passive acoustic array. The occurrence of singers peaked before sunrise and in the evening and was reduced during the daytime. The frequency of song reception depended on the tidal phase. A generalised additive model demonstrated that the occurrence of singers increased during the flood tide and decreased during the ebb tide in the waters west of Chichijima Island. These results suggest that the singing behaviour of humpback whales in breeding areas is affected by the diel and tidal cycles. Male humpback whales may change their behaviour or singing location depending on the strength and direction of the tidal current, considering that the selection of a stable location is beneficial for singing whales.


Assuntos
Jubarte , Canto , Animais , Masculino , Japão , Vocalização Animal , Acústica , Cetáceos
19.
Sci Rep ; 12(1): 19370, 2022 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-36371478

RESUMO

When designing displays for the human senses, perceptual spaces are of great importance to give intuitive access to physical attributes. Similar to how perceptual spaces based on hue, saturation, and lightness were constructed for visual color, research has explored perceptual spaces for sounds of a given timbral family based on timbre, brightness, and pitch. To promote an embodied approach to the design of auditory displays, we introduce the Vowel-Type-Pitch (VTP) space, a cylindrical sound space based on human sung vowels, whose timbres can be synthesized by the composition of acoustic formants and can be categorically labeled. Vowels are arranged along the circular dimension, while voice type and pitch of the vowel correspond to the remaining two axes of the cylindrical VTP space. The decoupling and perceptual effectiveness of the three dimensions of the VTP space are tested through a vowel labeling experiment, whose results are visualized as maps on circular slices of the VTP cylinder. We discuss implications for the design of auditory and multi-sensory displays that account for human perceptual capabilities.


Assuntos
Canto , Percepção da Fala , Humanos , Espectrografia do Som , Som
20.
Metas enferm ; 25(9): 0684-0684, Nov. 2022. ilus
Artigo em Espanhol | IBECS | ID: ibc-213275

RESUMO

Nacido en Lisboa, con ascendencia andaluza, Ricardo Soler es enfermero y cantante. Comenzó su andadura musical en Operación Triunfo (2007) de Portugal, continuó ganando Tu cara me suena y ha participado en otros programas musicales de su país como Chamar a Música, Festival da Cancao o Eurovisión. Además de enfermero y cantante, también es actor de teatro musical como West Side Story, Robin Hood, Rapunzel o El Tiempo entre Costuras.(AU)


Assuntos
Humanos , Masculino , Canto , Enfermeiras e Enfermeiros , Escolha da Profissão , Música , Enfermagem , Pessoas Famosas , Serviços de Enfermagem , Portugal , Espanha
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