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
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
The Song of Solomon is a series of love poems which contain 6 pieces of love poems and most part in the form of songs addressed by a man to a woman, and by the woman to the man, in order to express the love between th...The Song of Solomon is a series of love poems which contain 6 pieces of love poems and most part in the form of songs addressed by a man to a woman, and by the woman to the man, in order to express the love between them.Figures of speech are ways of making our language figurative. They can be divided into three parts, they are syntactical, semantic and phonetic rhetorical devices. These rhetorical devices can help us to heighten effect and to make the writing figuratively and vividly.These figures of speech used in the Song of Solomon make great contribution to the success description of these long songs.This essay will center on the figures of speech in the Song of Solomon.展开更多
A method of applying support vector machine (SVM) in speech recognition was proposed, and a speech recognition system for mandarin digits was built up by SVMs. In the system, vectors were linearly extracted from speec...A method of applying support vector machine (SVM) in speech recognition was proposed, and a speech recognition system for mandarin digits was built up by SVMs. In the system, vectors were linearly extracted from speech feature sequence to make up time-aligned input patterns for SVM, and the decisions of several 2-class SVM classifiers were employed for constructing an N-class classifier. Four kinds of SVM kernel functions were compared in the experiments of speaker-independent speech recognition of mandarin digits. And the kernel of radial basis function has the highest accurate rate of 99.33%, which is better than that of the baseline system based on hidden Markov models (HMM) (97.08%). And the experiments also show that SVM can outperform HMM especially when the samples for learning were very limited.展开更多
Velopharyngeal closure function following modified unified velopharyngeal plasty performed by a single surgeon was evaluated pre- and postoperatively in 14 children with cleft palate after cleft palate closure and no ...Velopharyngeal closure function following modified unified velopharyngeal plasty performed by a single surgeon was evaluated pre- and postoperatively in 14 children with cleft palate after cleft palate closure and no improvement by speech training. Subjects were evaluated for velopharyngeal closure function before and after surgery at 1 (short-term evaluation) and 3 (mid-term evaluation) years. Degree of hypernasality and degree of air leakage through the nose in the soft blowing test were each classified into three grades and each grade was given scores. Velopharyngeal closure function was classified according to the total score into four grades: “good”, 'fair”, 'slightly poor” and “poor”. At the short-term evaluation, 11 patients (78.6%) achieved an improvement to “good” or “fair” on the overall evaluation. More satisfactory results were obtained at the mid-term evaluation, with 14 patients (100%) graded as “good” or “fair”. Our results indicate that this modified unified velopharyngeal plasty effectively improves velopharyngeal insufficiency when performed as a secondary surgery for cleft palate in children.展开更多
目的分析阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响。方法采用随机数字表法将本院2021年10月~2024年10月收治的80例老年脑卒中后运动性失语患者分为对照组与观察组各40例。对照组给予常规语言康复训练,观察组给予...目的分析阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响。方法采用随机数字表法将本院2021年10月~2024年10月收治的80例老年脑卒中后运动性失语患者分为对照组与观察组各40例。对照组给予常规语言康复训练,观察组给予阶梯式语言康复训练。采用功能性语言沟通能力量表(Chinese functional communication profile,CFCP)、西方失语症成套测验(western aphasia battery,WAB)、日常生活交流能力量表(communication abilities in daily living,CADL)、脑卒中失语症生活质量量表(stroke and aphasia quality of life scale,SAQOL)行临床疗效比较。结果与对照组总有效率(72.50%)对比,观察组(90.00%)显著升高(P<0.05)。两组干预后WAB、CADL、SAQOL量表各维度评分均显著提高(P<0.05),观察组均比对照组显著提高(P<0.05)。结论阶梯式语言康复训练在老年脑卒中后运动性失语患者中应用效果显著,能有效提升言语功能、交流能力及生活质量。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.
文摘目的评估时空电阻抗断层成像(spatiotemporal electrical impedance tomography,ST-EIT)在言语发声任务下,能否有效捕捉并区分腭裂(cleft palate,CP)患者与正常对照(normal control,NC)的言语呼吸功能特征。方法本研究纳入75名受试者(CP组37例,NC组38例)。在标准化发声任务中,同步采集电阻抗断层成像(electrical impedance tomography,EIT)图像与口鼻气流信号,构建涵盖时间、气流与空间维度的三域特征,采用曼-惠特尼U检验(MannWhitney U test)比较组间差异。基于肺量计法(spirometry)、鼻音计(nasometry)及ST-EIT等多源数据,分别训练极端梯度提升(extreme gradient boosting,XGBoost)分类模型,采用5折交叉验证评估性能,并引入Shapley加性解释(Shapley additive explanations,SHAP)方法进行特征贡献分析。结果CP组呈现显著的呼吸表型差异。时间域中,吸/呼相位时长均显著缩短(P<0.001),吸/呼时间比显著升高;气流域中,呼气期平均气流与峰值气流显著增强,吸气期无明显差异;空间域中,感兴趣区(region of interest,ROI)1和4的潮气阻抗变化(tidal impedance variation,TIV)显著升高,ROI2显著降低,全局不均一性(global inhomogeneity,GI)较低,通气中心(center of ventilation,CoV)呈轻度升高。ST-EIT模型分类性能最佳,曲线下面积(area under the curve,AUC)达0.915,准确率优于单一肺功能检测或鼻音计检测。SHAP结果表明,时空特征对分类决策贡献最大。结论ST-EIT技术能有效揭示CP患者言语呼吸功能在时间-气流-空间三域的特异性改变,为床旁筛查、康复评估及随访监测提供了优于常规检测的客观量化依据。
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The Song of Solomon is a series of love poems which contain 6 pieces of love poems and most part in the form of songs addressed by a man to a woman, and by the woman to the man, in order to express the love between them.Figures of speech are ways of making our language figurative. They can be divided into three parts, they are syntactical, semantic and phonetic rhetorical devices. These rhetorical devices can help us to heighten effect and to make the writing figuratively and vividly.These figures of speech used in the Song of Solomon make great contribution to the success description of these long songs.This essay will center on the figures of speech in the Song of Solomon.
文摘A method of applying support vector machine (SVM) in speech recognition was proposed, and a speech recognition system for mandarin digits was built up by SVMs. In the system, vectors were linearly extracted from speech feature sequence to make up time-aligned input patterns for SVM, and the decisions of several 2-class SVM classifiers were employed for constructing an N-class classifier. Four kinds of SVM kernel functions were compared in the experiments of speaker-independent speech recognition of mandarin digits. And the kernel of radial basis function has the highest accurate rate of 99.33%, which is better than that of the baseline system based on hidden Markov models (HMM) (97.08%). And the experiments also show that SVM can outperform HMM especially when the samples for learning were very limited.
文摘Velopharyngeal closure function following modified unified velopharyngeal plasty performed by a single surgeon was evaluated pre- and postoperatively in 14 children with cleft palate after cleft palate closure and no improvement by speech training. Subjects were evaluated for velopharyngeal closure function before and after surgery at 1 (short-term evaluation) and 3 (mid-term evaluation) years. Degree of hypernasality and degree of air leakage through the nose in the soft blowing test were each classified into three grades and each grade was given scores. Velopharyngeal closure function was classified according to the total score into four grades: “good”, 'fair”, 'slightly poor” and “poor”. At the short-term evaluation, 11 patients (78.6%) achieved an improvement to “good” or “fair” on the overall evaluation. More satisfactory results were obtained at the mid-term evaluation, with 14 patients (100%) graded as “good” or “fair”. Our results indicate that this modified unified velopharyngeal plasty effectively improves velopharyngeal insufficiency when performed as a secondary surgery for cleft palate in children.
文摘目的分析阶梯式语言康复训练对老年脑卒中后运动性失语患者言语功能的影响。方法采用随机数字表法将本院2021年10月~2024年10月收治的80例老年脑卒中后运动性失语患者分为对照组与观察组各40例。对照组给予常规语言康复训练,观察组给予阶梯式语言康复训练。采用功能性语言沟通能力量表(Chinese functional communication profile,CFCP)、西方失语症成套测验(western aphasia battery,WAB)、日常生活交流能力量表(communication abilities in daily living,CADL)、脑卒中失语症生活质量量表(stroke and aphasia quality of life scale,SAQOL)行临床疗效比较。结果与对照组总有效率(72.50%)对比,观察组(90.00%)显著升高(P<0.05)。两组干预后WAB、CADL、SAQOL量表各维度评分均显著提高(P<0.05),观察组均比对照组显著提高(P<0.05)。结论阶梯式语言康复训练在老年脑卒中后运动性失语患者中应用效果显著,能有效提升言语功能、交流能力及生活质量。
