Objective： To evaluate the speech function on repairing defects of maxilla and palate with temporalis muscle flap after benign or malignant turmor resection. Methods： The lateral cephalogram and speech intelligibili...Objective： To evaluate the speech function on repairing defects of maxilla and palate with temporalis muscle flap after benign or malignant turmor resection. Methods： The lateral cephalogram and speech intelligibility were detected in 19 cases with the operations of repairing defects of maxilla and palate by temporalis muscle flap, and their recovery of the speech function were analyzed. Results： Among the 19 patients, there were 15 cases （78.00%） with complete velopharynx, 3 cases （15.80%） with mafiginal velopharynx, and 1 case （5.26%） with insufficient velopharynx. The average speech intelligibility was 94.3%, close to the normal speech intelligibility. Conclusion： The operation of repairing defects of maxilla and palate with temporalis muscle flap can reconstruct the phonatory structure, preserve the palate function and restore the speech function after operation.展开更多
Based on the framework of Halliday's theory of interpersonal function, this study intends to analyze the dialogues in the film The King's Speech from the three aspects of mood type, modal operator and vocative...Based on the framework of Halliday's theory of interpersonal function, this study intends to analyze the dialogues in the film The King's Speech from the three aspects of mood type, modal operator and vocative address by adopting both quantitative and qualitative methods. The significances of successful realizations of interpersonal function to the role characterization, plot development and thematic construction in the film are also demonstrated, thus deepening the understanding and appreciation of the film.展开更多
Alport syndrome is an X-linked syndrome that results in nephritis, renal failure, sensorineural hearing loss, and eye deficits. As a result of sensorineural hearing loss, these individuals are likely to experience dif...Alport syndrome is an X-linked syndrome that results in nephritis, renal failure, sensorineural hearing loss, and eye deficits. As a result of sensorineural hearing loss, these individuals are likely to experience difficulties in the area of speech and language. While studies in the past have examined the speech and language characteristics of children with syndromic sensorineural hearing loss, to our knowledge there are no previous studies to have documented the speech and language characteristics of these children on a long-term basis. The current study addresses this limitation by reporting speech, language, hearing, and function of twin brothers with X-linked Alport syndrome across a seven-year period.Information was collected by examining the medical records of the participants as well as through a verbal interview with the participants' guardian. Results revealed that the participants' hearing abilities gradually deteriorated over the seven-year period which affected their speech and language development as well. The kidney function tests revealed significant presence of hematuria(blood in the urine) as well as proteinuria(protein in the urine) suggesting chronic kidney dysfunction. This longitudinal study demonstrates the functional relationship between the kidneys and the cochlea, although they appear to be independent of one another. As individuals with Alport syndrome exhibit systemic complications, interdisciplinary collaboration is essential among health care providers including audiologists, speech-language pathologists,nephrologists, and ophthalmologist to promote evidence-based practice.展开更多
This paper attempts to conduct a comparative study on Obama’s two speeches—his second inaugural address and his commencement speech in The Ohio State University in 2013 based on Halliday’s theory of Interpersonal F...This paper attempts to conduct a comparative study on Obama’s two speeches—his second inaugural address and his commencement speech in The Ohio State University in 2013 based on Halliday’s theory of Interpersonal Function.The author finds that mood,modality and personal pronouns are the major language means used to realize the interpersonal function;in his two speeches,Obama makes different choices of those resources,and different choices indicate different attitudes and intentions.展开更多
鉴于训练和测试阶段存在不同的噪声或混响环境,并且由于真实数据的稀缺会降低语音声源到达方向(Direction of Arrival, DOA)的分类准确性,因此提出一种基于核函数领域自适应的机器学习DOA分类算法。通过优化结构风险函数和减小域之间的...鉴于训练和测试阶段存在不同的噪声或混响环境,并且由于真实数据的稀缺会降低语音声源到达方向(Direction of Arrival, DOA)的分类准确性,因此提出一种基于核函数领域自适应的机器学习DOA分类算法。通过优化结构风险函数和减小域之间的条件分布差异,实现对训练数据的适应性学习,从而提升测试数据的分类准确率。实验结果证明在中小型数据集中,新算法在各种声学条件下均明显优于对比的深度学习算法。展开更多
BACKGROUND Extramedullary myelinolysis is a rare demyelinating disease, often caused by rapid increases in serum sodium concentration in patients with hyponatremia.Clinical manifestations are neuropsychiatric symptoms...BACKGROUND Extramedullary myelinolysis is a rare demyelinating disease, often caused by rapid increases in serum sodium concentration in patients with hyponatremia.Clinical manifestations are neuropsychiatric symptoms, limb weakness, and dysarthria. Because of its poor prognosis and high disability rate, it poses a huge burden on the global economy, societies, and families. This article reports rehabilitation in a patient with pituitary dysfunction combined with extramedullary myelinolysis.CASE SUMMARY A 27-year-old Chinese man developed anorexia, vomiting, and limb weakness and was diagnosed with pituitary insufficiency. He had low serum sodium, slow movement, muscle weakness, and muscle tone abnormalities after sodium supplementation, involuntary limb shaking, ataxia, and dysarthria. According to the symptoms and signs and imaging reports, he was diagnosed with extramedullary myelinolysis. After treatment with hormone therapy and neurotrophic drugs, motor and speech function did not improve, so he was treated in the rehabilitation department for 4 wk. The patient's physical status was improved substantially during his stay at the rehabilitation department.CONCLUSION Patients with extramedullary myelinolysis who actively participate in rehabilitation intervention can significantly improve their activities of daily living.展开更多
目的探讨计算机辅助执行功能训练联合言语训练的康复效果。方法采用随机数字表法将纳入的150例脑卒中后构音障碍患者分为语言训练组、计算机组和联合组各50例。语言训练组行言语-语言疗法干预,计算机组接受计算机辅助执行功能训练,联合...目的探讨计算机辅助执行功能训练联合言语训练的康复效果。方法采用随机数字表法将纳入的150例脑卒中后构音障碍患者分为语言训练组、计算机组和联合组各50例。语言训练组行言语-语言疗法干预,计算机组接受计算机辅助执行功能训练,联合组进行言语-语言疗法和计算机辅助执行功能训练联合干预。比较3组疗效和治疗前后Frenchay构音障碍评价量表分级、言语功能、声学指标含最长发声时间(MPT)、音调、音量和平均发声气流量变化,采用卒中生存质量量表(stroke-specific qualley of life,SS-QOL)评价治疗前后患者生活质量变化。结果联合组治疗总有效率显著高于语言训练组和计算机组(96.00%vs.74.00%/76.00%,P<0.05)。3组患者治疗后Frenchay构音障碍评价量表分级、言语功能分级显著改善,MPT显著延长,SS-QOL评分显著提高(P<0.05)。联合组患者治疗后言语功能分级、MPT、SS-QOL评分显著优于语言训练组和计算机组(P<0.05)。结论计算机辅助执行功能训练联合言语-语言疗法能够显著提高脑卒中后构音障碍患者的康复效果,改善生活质量、延长发声时间。展开更多
文摘Objective： To evaluate the speech function on repairing defects of maxilla and palate with temporalis muscle flap after benign or malignant turmor resection. Methods： The lateral cephalogram and speech intelligibility were detected in 19 cases with the operations of repairing defects of maxilla and palate by temporalis muscle flap, and their recovery of the speech function were analyzed. Results： Among the 19 patients, there were 15 cases （78.00%） with complete velopharynx, 3 cases （15.80%） with mafiginal velopharynx, and 1 case （5.26%） with insufficient velopharynx. The average speech intelligibility was 94.3%, close to the normal speech intelligibility. Conclusion： The operation of repairing defects of maxilla and palate with temporalis muscle flap can reconstruct the phonatory structure, preserve the palate function and restore the speech function after operation.
文摘Based on the framework of Halliday's theory of interpersonal function, this study intends to analyze the dialogues in the film The King's Speech from the three aspects of mood type, modal operator and vocative address by adopting both quantitative and qualitative methods. The significances of successful realizations of interpersonal function to the role characterization, plot development and thematic construction in the film are also demonstrated, thus deepening the understanding and appreciation of the film.
文摘Alport syndrome is an X-linked syndrome that results in nephritis, renal failure, sensorineural hearing loss, and eye deficits. As a result of sensorineural hearing loss, these individuals are likely to experience difficulties in the area of speech and language. While studies in the past have examined the speech and language characteristics of children with syndromic sensorineural hearing loss, to our knowledge there are no previous studies to have documented the speech and language characteristics of these children on a long-term basis. The current study addresses this limitation by reporting speech, language, hearing, and function of twin brothers with X-linked Alport syndrome across a seven-year period.Information was collected by examining the medical records of the participants as well as through a verbal interview with the participants' guardian. Results revealed that the participants' hearing abilities gradually deteriorated over the seven-year period which affected their speech and language development as well. The kidney function tests revealed significant presence of hematuria(blood in the urine) as well as proteinuria(protein in the urine) suggesting chronic kidney dysfunction. This longitudinal study demonstrates the functional relationship between the kidneys and the cochlea, although they appear to be independent of one another. As individuals with Alport syndrome exhibit systemic complications, interdisciplinary collaboration is essential among health care providers including audiologists, speech-language pathologists,nephrologists, and ophthalmologist to promote evidence-based practice.
文摘This paper attempts to conduct a comparative study on Obama’s two speeches—his second inaugural address and his commencement speech in The Ohio State University in 2013 based on Halliday’s theory of Interpersonal Function.The author finds that mood,modality and personal pronouns are the major language means used to realize the interpersonal function;in his two speeches,Obama makes different choices of those resources,and different choices indicate different attitudes and intentions.
文摘鉴于训练和测试阶段存在不同的噪声或混响环境,并且由于真实数据的稀缺会降低语音声源到达方向(Direction of Arrival, DOA)的分类准确性,因此提出一种基于核函数领域自适应的机器学习DOA分类算法。通过优化结构风险函数和减小域之间的条件分布差异,实现对训练数据的适应性学习,从而提升测试数据的分类准确率。实验结果证明在中小型数据集中,新算法在各种声学条件下均明显优于对比的深度学习算法。
文摘BACKGROUND Extramedullary myelinolysis is a rare demyelinating disease, often caused by rapid increases in serum sodium concentration in patients with hyponatremia.Clinical manifestations are neuropsychiatric symptoms, limb weakness, and dysarthria. Because of its poor prognosis and high disability rate, it poses a huge burden on the global economy, societies, and families. This article reports rehabilitation in a patient with pituitary dysfunction combined with extramedullary myelinolysis.CASE SUMMARY A 27-year-old Chinese man developed anorexia, vomiting, and limb weakness and was diagnosed with pituitary insufficiency. He had low serum sodium, slow movement, muscle weakness, and muscle tone abnormalities after sodium supplementation, involuntary limb shaking, ataxia, and dysarthria. According to the symptoms and signs and imaging reports, he was diagnosed with extramedullary myelinolysis. After treatment with hormone therapy and neurotrophic drugs, motor and speech function did not improve, so he was treated in the rehabilitation department for 4 wk. The patient's physical status was improved substantially during his stay at the rehabilitation department.CONCLUSION Patients with extramedullary myelinolysis who actively participate in rehabilitation intervention can significantly improve their activities of daily living.
文摘目的探讨计算机辅助执行功能训练联合言语训练的康复效果。方法采用随机数字表法将纳入的150例脑卒中后构音障碍患者分为语言训练组、计算机组和联合组各50例。语言训练组行言语-语言疗法干预,计算机组接受计算机辅助执行功能训练,联合组进行言语-语言疗法和计算机辅助执行功能训练联合干预。比较3组疗效和治疗前后Frenchay构音障碍评价量表分级、言语功能、声学指标含最长发声时间(MPT)、音调、音量和平均发声气流量变化,采用卒中生存质量量表(stroke-specific qualley of life,SS-QOL)评价治疗前后患者生活质量变化。结果联合组治疗总有效率显著高于语言训练组和计算机组(96.00%vs.74.00%/76.00%,P<0.05)。3组患者治疗后Frenchay构音障碍评价量表分级、言语功能分级显著改善,MPT显著延长,SS-QOL评分显著提高(P<0.05)。联合组患者治疗后言语功能分级、MPT、SS-QOL评分显著优于语言训练组和计算机组(P<0.05)。结论计算机辅助执行功能训练联合言语-语言疗法能够显著提高脑卒中后构音障碍患者的康复效果,改善生活质量、延长发声时间。
