Laryngeal and Vocal Changes During Vagus Nerve Stimulation in Epileptic Patients

Left vagus nerve stimulation (VNS) by means of an implanted electrode has proven to reduce seizure frequency in epileptic patients with medically refractory seizures. This technique is now widely applied over the world. Voice changes appear to be one of the major side effects. The morphodynamic changes in the larynx and the acoustic impacts have been analyzed in detail in 7 implanted patients. Basic vagus stimulation is well tolerated. Extra stimulation induces an adductory spasm of either the ipsilateral vocal fold or the vestibular fold. The result, when the patient phonates, consists of a slight increase of F0 as well as a moderate increase of random period perturbation, but there is no evidence for the occurrence of "bifurcations." Further, as the glottic closure remains sufficient, there is no increase in turbulent noise. The lack of increase in turbulent noise and the lack of "bifurcations" appears to clearly differentiate a spasmodic contraction of the vocal cord from a unilateral vocal fold paralysis.     

Mid-Basal-to-Ceiling Versus Mid-Ceiling-to-Basal Elicitation of Maximum Phonational Frequency Range

The purpose of this study was to investigate if there was an effect of task on the determination of maximum phonational frequency range (MPFR). Two tasks commonly used to elicit MPFR in clinical voice evaluations were compared. Normal adult females (n = 30) were examined. No statistically significant effect of task was found. Both tasks (mid-basal-to-ceiling and mid-ceiling-to-basal) were found to have a high positive correlation (0.89). Implications of the use on one task to determine maximum phonational frequency range are discussed, as is the possibility of a task effect on determination of other voice parameters.     

LIQUID CRYSTAL DISPLAY APPLICATIONS: Past,Present & Future

Abstract

At ALCOM's international symposium on 12 – 13 October, 1995, over 100 participants gathered in beautiful Cuyahoga Falls, Ohio, to discuss current developments in dynamics and defects in liquid crystals and to honour Professor Alfred Saupe on the occasion of his 70th birthday. ALCOM, the US National Science Foundation and Technology Center on Advanced liquid Crystalline Optical Materials, is a consortium of Kent State, Case Western Reserve and Akron Universities.     

Superlinearly Convergent Trust-Region Method without the Assumption of Positive-Definite Hessian

In this paper, we reinvestigate the trust-region method by reformulating its subproblem: the trust-region radius is guided by gradient information at the current iteration and is self-adaptively adjusted. A trust-region algorithm based on the proposed subproblem is proved to be globally convergent. Moreover, the superlinear convergence of the new algorithm is shown without the condition that the Hessian of the objective function at the solution be positive definite. Preliminary numerical results indicate that the performance of the new method is notable. The authors thank the Associate Editor and two anonymous referees for valuable comments and suggestions. This work was supported by the National Science Foundation of China, Grant 70302003. Communicated by T. Rapcsak     

Vocal Behavior and Vocal Loading Factors for Preschool Teachers at Work Studied with Binaural DAT Recordings

Preschool teachers are at risk for developing voice problems such as vocal fatigue and vocal nodules. The purpose of this report was to study preschool teachers' voice use during work. Ten healthy female preschool teachers working at daycare centers (DCC) served as subjects. A binaural recording technique was used. Two microphones were placed on both sides of the subject's head, at equal distance from the mouth, and a portable DAT recorder was attached to the subject's waist. Recordings were made of a standard reading passage before work (baseline) and of spontaneous speech during work. The recording technique allowed separate analyses of the level of the background noise, and of the subjects' voice sound pressure level, mean fundamental frequency, and total phonation time. Among the results, mean background noise level for the ten DCCs was 76.1 dBA (range 73.0-78.2), which is more than 20 dB higher than what is recommended where speech communication is important (50-55 dBA). The subjects spoke on an average of 9.1 dB louder (p < 0.0001), and with higher mean fundamental frequency (247 Hz) during work as compared to the baseline (202 Hz) (p < 0.0001). Mean phonation time for the group was 17%, which was considered high. It was concluded that preschool teachers do have a highly vocally demanding profession. Important steps to reduce the vocal loading for this occupation would be to decrease the background noise levels and include pauses so that preschool teachers can rest their voices.     

Fenchel-Lagrange Duality Versus Geometric Duality in Convex Optimization

We present a new duality theory to treat convex optimization problems and we prove that the geometric duality used by Scott and Jefferson in different papers during the last quarter of century is a special case of it. Moreover, weaker sufficient conditions to achieve strong duality are considered and optimality conditions are derived. Next, we apply our approach to some problems considered by Scott and Jefferson, determining their duals. We give weaker sufficient conditions to achieve strong duality and the corresponding optimality conditions. Finally, posynomial geometric programming is viewed also as a particular case of the duality approach that we present. Communicated by V. F. Demyanov The first author was supported in part by Gottlieb Daimler and Karl Benz Stiftung 02-48/99. The second author was supported in part by Karl und Ruth Mayer Stiftung.     

Optimality and Duality for a Class of Nondifferentiable Multiobjective Fractional Programming Problems

In this paper, we consider a class of nondifferentiable multiobjective fractional programs in which each component of the objective function contains a term involving the support function of a compact convex set. We establish necessary and sufficient optimality conditions and duality results for weakly efficient solutions of nondifferentiable multiobjective fractional programming problems. This work was supported by Grant R01-2003-000-10825-0 from the Basic Research Program of KOSEF.     

The Voice and Its Care: Survey Findings From Actors'' Perspectives

There is a need for research that would determine how the speech-language-voice pathologist could best be of service to actors who are experiencing vocal dysfunction or in furnishing preventive educational information. A questionnaire investigating interest and knowledge levels of vocal function and dysfunction was distributed to 543 subjects from the Pacific Northwest and British Columbia. A total of 345 questionnaires, including those completed by 79 professional actors, 73 amateur actors, 124 acting students, and 69 controls, were analyzed. Professional actors and amateur actors indicated the highest levels of interest in gaining further knowledge regarding the role of the speech-language pathologist (SLP) and the voice and vocal hygiene. Professional actors and amateur actors also reported higher perceived knowledge levels than the other groups in these areas, although very few claimed to have a thorough knowledge in the areas under investigation. Professional actors answered more knowledge-based questions correctly than amateur actors, acting students, and controls in the areas regarding the role of the SLP and voice and vocal hygiene. However, the professional actors' scores were not significantly higher than amateur actors in either area and were only significantly higher than acting students on the vocal hygiene items. Implications for a preventive approach to vocal health are discussed.     

Cancellation of Simulated Environmental Noise as a Tool for Measuring Vocal Performance During Noise Exposure

It can be difficult for the voice clinician to observe or measure how a patient uses his voice in a noisy environment. We consider here a novel method for obtaining this information in the laboratory. Worksite noise and filtered white noise were reproduced over high-fidelity loudspeakers. In this noise, 11 subjects read an instructional text of 1.5 to 2 minutes duration, as if addressing a group of people. Using channel estimation techniques, the site noise was suppressed from the recording, and the voice signal alone was recovered. The attainable noise rejection is limited only by the precision of the experimental setup, which includes the need for the subject to remain still so as not to perturb the estimated acoustic channel. This feasibility study, with 7 female and 4 male subjects, showed that small displacements of the speaker's body, even breathing, impose a practical limit on the attainable noise rejection. The noise rejection was typically 30 dB and maximally 40 dB down over the entire voice spectrum. Recordings thus processed were clean enough to permit voice analysis with the long-time average spectrum and the computerized phonetogram. The effects of site noise on voice sound pressure level, fundamental frequency, long-term average spectrum centroid, phonetogram area, and phonation time were much as expected, but with some interesting differences between females and males.