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Although voice production often involves false vocal fold (FVF) adduction and aryepiglottic sphincter (AES) narrowing, their effects on the voice source still remain unclear. In this study, a three-dimensional (3D) compressible flow simulation coupled to a two-mass vocal fold model in a vocal tract with varying degrees of constriction at the levels of the FVF and AES is conducted. Results showed a small effect of FVF adduction and AES narrowing on the voice source except when the FVFs were strongly adducted. Strong FVF adduction reduced the glottal resistance and increased the transglottal pressure, thus strengthening the voice source. This reduction in glottal resistance is a result of the glottal jet persisting longer into the supraglottal region, which can be achieved by constricting the jet from the medial-lateral direction. In contrast, constricting the jet flow from the anterior-posterior direction had almost no influence on the source strength. In summary, the effect of the 3D supraglottal flow features on the voice source is small except for extreme FVF adduction, and the effect of epilaryngeal adduction is mainly on the vocal tract transfer function rather than the voice source.
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http://dx.doi.org/10.1121/10.0036359 | DOI Listing |
Dtsch Med Wochenschr
September 2025
Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charité Universitätsmedizin Berlin, Berlin, Deutschland.
Since 2022, an estimated 150000 to 200000 patients with heart failure (HF) in Germany have met the inclusion criteria for HF telemonitoring in accordance with the Federal Joint Committee's (G-BA) decision. Currently, only a few artificial intelligence (AI) applications are used in standard cardiovascular telemedicine care. However, AI applications could improve the predictive accuracy of existing telemedical sensor technology by recognising patterns across multiple data sources.
View Article and Find Full Text PDFJ Acoust Soc Am
September 2025
Department of Head and Neck Surgery, University of California, Los Angeles, 31-24 Rehab Center, 1000 Veteran Avenue, Los Angeles, California 90095-1794, USA.
The goal of this study was to understand the interaction between the voice source spectral shape, formant tuning, and fundamental frequency in determining the vocal tract contribution to vocal intensity. Computational voice simulations were performed with parametric variations in both vocal fold and vocal tract configurations. The vocal tract contribution to vocal intensity was quantified as the difference in the A-weighted sound pressure level between the radiated sound pressure and the sound pressure at the glottis.
View Article and Find Full Text PDFInt Nurs Rev
September 2025
Department of Health Studies, The Research Group for Person-Centeredness in an Ageing Society, Fontys University of Applied Sciences, Eindhoven, The Netherlands.
Aim: To explore how nurses were represented in five Dutch newspapers between 2019 and 2022, with a focus on their visibility in policy and decision-making.
Background: The media significantly shape public understanding of healthcare. Despite their key role, nurses are often underrepresented in media, especially in policy-related coverage.
Med Humanit
September 2025
Faculty of Medicine, Marmara University, Istanbul, Turkey.
Tracing the evolution of informed consent from the Hippocratic tradition to the Ottoman Empire reveals its enduring role as a fundamental ethical principle supporting patient autonomy. Spanning diverse medical and cultural landscapes-including Ancient Greece, Byzantium, Islamic medicine and Ottoman legal practices-this historical trajectory uncovers a continuous and evolving dialogue between physicians and patients. It reflects a persistent recognition of the moral and practical necessity for physicians to share medical information and for patients to engage voluntarily in decisions regarding their health.
View Article and Find Full Text PDFJ Surg Educ
September 2025
Harvard Global Orthopaedics Collaborative, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Carl J. Shapiro Department of Orthopaedics, Boston, Massachusetts. Electronic address:
Musculoskeletal trauma remains a leading cause of disability and death worldwide, disproportionately affecting patients in resource-limited settings. Yet traditional models of orthopedic education often reflect the biases of high-income countries, limiting their applicability to the majority of patients globally. We propose a reimagined framework for global orthopedic education built around 3 core principles.
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