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Objectives/hypothesis: The purpose of this study was to explore the predictability of the Korean version of the Voice Activity and Participation Profile (K-VAPP) scores and acoustic measures for perceived severity of voice disorders. Furthermore, usefulness of the index derived from the multivariate formula as a screening tool for voice disorders was explored and compared with that of the Cepstral Spectral Index of Dysphonia (CSID).
Methods: A total of 150 patients with various voice disorders (42 males and 108 females, age = 45.15 ± 15.15 years) and matched 50 normal controls (14 males and 36 females, age = 44.78 ± 13.70 years), participated in the study. Correlates of perceived overall severity were explored by a stepwise regression analysis with regards to demographic information (age, gender, and professional voice use), jitter, shimmer, and noise-to-harmonic ratio of vowel samples, cepstral peak prominence (CPP), L/H spectral ratio, and their standard deviations of sentence and vowel samples, and psychometric measures of the K-VAPP. Using the ROC curve analysis, the area under curve (AUC) of the novel index derived from the regression equation and the CSID were compared and the cut-off score of the index was obtained.
Results: A significant portion (adjusted R square = 79.0%) of the overall severity perceived by clinicians was predicted by five parameters: CPP of the sentence and vowel production, the self-perceived severity subscale score of the K-VAPP, σCPP of the vowel production, and gender. The AUC of the novel index was 0.935 (95% confidence interval 0.891-0.965) and significantly higher than that of the CSID of vowel samples (AUC = 0.832). The cutoff score with the highest Youden J Index (0.7612) was >22.257617 (sensitivity = 82.12%, specificity = 94.00%).
Conclusion: The current data showed the possibility that a novel index reflecting both acoustic and psychometric correlates of auditory-perceptual estimates for dysphonia severity could be suggested and possibly named as the "Acoustic Psychometric Severity Index of Dysphonia (APSID)." Further studies pertaining to the follow-up of various voice disorders are needed to extend its clinical usefulness.
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http://dx.doi.org/10.1016/j.jvoice.2019.11.006 | DOI Listing |
Croat Med J
August 2025
Sibel Çatalca, Department of Anesthesiology and Reanimation, Adana Dr. Turgut Noyan Hospital, Dadaloglu Street 2591, 01250 Adana, Turkey,
Aim: To evaluate the effect of cooled endotracheal tubes on the incidence of postoperative sore throat, hoarseness, coughing, and dysphagia after endotracheal intubation.
Methods: This randomized controlled trial enrolled patients undergoing elective surgery under general anesthesia with endotracheal intubation at Adana Dr Turgut Noyan Hospital between April and September 2023. The patients were randomly assigned to be intubated with endotracheal tubes refrigerated at +4 °C for 4-6 hours before intubation (n=66) or with endotracheal tubes kept at the operating room temperature (+20-23 °C) (n=70).
Clin Pediatr (Phila)
September 2025
College of Medicine, King Saud University, Riyadh, Saudi Arabia.
To optimize the deployment of Generative Artificial Intelligence in health care, it's essential for health care professionals (HCPs) to understand these technologies' capabilities and constraints. This study explores HCPs' initial impressions and experiences using ChatGPT, a Generative Pre-trained Transformer, in Pediatric Critical Care Units (PICUs). By conducting focus groups with a diverse set of HCPs, we aimed to assess their awareness, utilization, perceived benefits, and concerns about incorporating ChatGPT into their PICUs.
View Article and Find Full Text PDFArch Phys Med Rehabil
September 2025
James Madison University, College of Health and Behavioral Studies, Communication Sciences and Disorders, 235 Martin Luther King Jr. Way, Harrisonburg, VA 22807; Sentara Rockingham Memorial Hospital, 2010 Health Campus Drive, Harrisonburg, VA 22801.
Objective: To identify which, if any, acoustic measures are associated with swallowing safety.
Design: prospective, original research SETTING: : primarily outpatient PARTICIPANTS: : 34 adults referred for a videofluoroscopic swallowing study (VFSS) were audio-recorded completing a sustained vowel and reading a sentence before the VFSS and again after swallowing each bolus.
Interventions: none MAIN OUTCOME MEASURE(S): : Swallowing safety was initially quantified using the Penetration-Aspiration Scale (PAS) with ratings then defined dichotomously (e.
J Voice
September 2025
Research and Development, Complete Vocal Institute, Kompagnistraede 32A, 1208, Copenhagen K, Denmark. Electronic address:
Aims And Objectives: Primary muscle tension dysphonia (pMTD) is a common cause of voice disorders and is treated by speech and language pathologists (SLPs). Some singing teachers specializing in the habilitation of the performance voice also have rehabilitation skills helping singers recover from illness. The aim of this pilot study was to assess the feasibility and acceptability of using a structured and well-characterized habilitation and rehabilitation pedagogic technique for singers, The Complete Vocal Technique (CVT), in the treatment of patients with speaking voice problems due to pMTD.
View Article and Find Full Text PDFJ Voice
September 2025
Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Speech and Language Pathology, Karolinska Institutet, SE-171 76, Stockholm, Sweden.
Objective: Subglottal pressure is a clinically relevant parameter for assessment of voice disorders and correlates to f and sound pressure level (SPL). The aim of the current study was to evaluate the use of a visual target for feedback of f and SPL in subglottal pressure measurements in habitual voice and at phonation threshold level with a syllable string and a phrase for the purpose of improving the reliability of subglottal pressure measurements.
Methods: Data from 12 vocally healthy women (29-61 years) was analyzed.