Clinical characteristics of acute dysphagia in pediatric patients following traumatic brain injury

Primary Objective: To document the clinical characteristics of acute dysphagia in a group of pediatric patients after traumatic brain injury (TBI). Research Design: Prospective group study. Methods: Fourteen subjects (7 males, 7 females), aged 4 years 1 month to 15 years, with moderate or severe TBI (Glasgow Coma Scale [GCS] < 12). Subjects were assessed via clinical bedside examination documenting cognitive status, oromotor function, feeding function, dietary recommendations, and an indication of overall feeding severity Results: A pattern of impaired cognition, altered behavior related to feeding, severe tonal and postural deficits, oromotor, respiratory, and laryngeal impairments, and oral sensitivity issues was revealed. Conclusions: Swallowing impairment was affected by multilevel deficits, which both individually and in combination had a negative impact on swallowing competence and safety. In light of deficits identified, which could not be observed on videofluoroscopic investigation alone, this study highlighted the importance of the clinical bedside examination in assessing dysphagia in pediatric patients post-TBI for identifying targets for intervention.

The performance of South African English first language child speakers on a "low linguistically loaded" central auditory processing test protocol

The lack of standardized tests of central auditory processing disorder (CAPD) in South Africa (SA) led to the formation of a SA CAPD Taskforce, and the interim development of a "low linguistically loaded" CAPD test protocol using test recordings from the 'Tonal and Speech Materials for Auditory Perceptual Assessment Disc 2.0'. This study inferentially compared the performance of 16 SA English first, and 16 SA English second, language adult speakers on this test protocol, and descriptively compared their performances to previously published American normative data. Comparisons between the SA English first and second language speakers showed a poorer right ear performance (p < .05) by the second language speakers on the two-pair dichotic digits test only. Equivalent performances (p < .05) were observed on the left ear performance on the two pair dichotic digits test, and the frequency patterns test, the duration patterns test, the low-pass filtered speech test, the 45% time compressed speech test, the speech masking level difference test, and the consonant vowel consonant (CVC) binaural fusion test. Comparisons between the SA English and the American normative data showed many large differences (up to 37.1% with respect to predicted pass criteria as calculated by mean-2SD cutoffs), with the SA English speakers performing both better and worse depending on the test involved. As a result, the American normative data was not considered appropriate for immediate use as normative data in SA. Instead, the preliminary data provided in this study was recommended as interim normative data for both SA English first and second language adult speakers, until larger scale SA normative data can be obtained.

Rapport-building through call in teaching Chinese as a foreign language: An exploratory study

Technological advances have brought about the ever-increasing utilisation of computer-assisted language learning ( CALL) media in the learning of a second language (L2). Computer-mediated communication, for example, provides a practical means for extending the learning of spoken language, a challenging process in tonal languages such as Chinese, beyond the realms of the classroom. In order to effectively improve spoken language competency, however, CALL applications must also reproduce the social interaction that lies at the heart of language learning and language use. This study draws on data obtained from the utilisation of CALL in the learning of L2 Chinese to explore whether this medium can be used to extend opportunities for rapport-building in language teaching beyond the face-to-face interaction of the classroom. Rapport's importance lies in its potential to enhance learning, motivate learners, and reduce learner anxiety. To date, CALL's potential in relation to this facet of social interaction remains a neglected area of research. The results of this exploratory study suggest that CALL may help foster learner-teacher rapport and that scaffolding, such as strategically composing rapport-fostering questions in sound-files, is conducive to this outcome. The study provides an instruction model for this application of CALL.

A DETECÇÃO DE SINAIS E SINTOMAS DA VIOLÊNCIA NA FASE DIAGNÓSTICA DA PSICOTERAPIA BREVE

Investiga as interferências da violência doméstica na fase diagnóstica, que antecede a Psicoterapia Breve, sua importância no quadro clínico apresentado pelo paciente, se a violência foi verbalizada pelo paciente e a forma como ela foi captada pelo terapeuta e levada em consideração na fase diagnóstica da Psicoterapia Breve Infantil. Foram investigados sinais e sintomas de 29 pacientes de Psicoterapia Breve Infantil. A avaliação das entrevistas iniciais que compõem a fase diagnóstica da Psicoterapia Breve, foi realizada por dois juizes independentes, com índice de concordância igual a 0,87. Foram detectados sinais e sintomas de violência doméstica em 24 dos 29 casos analisados, o que corresponde a 83% do total de pacientes. A violência doméstica foi considerada significativa para uma situação-problema a ser trabalhada em análise em 54% dos casos, o que mostra que é uma situação de limiar, em que 50% das percepções são verdadeiras e a outra metade são falsas. Dos 13 casos em que a violência doméstica foi significativa pelos juízes, apenas 54% estavam incluídas na compreensão psicodinâmica da queixa, pelo terapeuta. A inclusão da violência doméstica no foco da Psicoterapia Breve foi observada somente em 2 casos, o que corresponde a 07% da amostra geral, muito perto da incidência de mecanismos psicóticos que prejudicam a socialização (08%). Os resultados obtidos foram discutidos segundo a literatura psicanalítica, que considera a violência como a parte agressiva do self que ainda não está integrada ao self, permanecendo dissociada do conluio da família e às vezes do próprio psicoterapeuta. Tais resistências em lidar com a violência não permitem que a agressividade seja usada de forma construtiva pelo self, promovendo a socialização da criança pelo fortalecimento dos sentimentos de amizade e favorecendo o desenvolvimento de vínculos emocionais saudáveis na dupla criança e psioterapeuta.(AU)

Feminismos

Feminismos, de Olga Castro e María Reimóndez, é unha guía de viaxe a través da cartografía dos feminismos que responde á rica biodiversidade real dos feminismos no mundo e tamén en Galicia. Con vontade divulgativa, este libro dá conta do movemento social que máis cambiou as estruturas sociais para mellorar a vida das persoas, producindo a teoría e a práctica máis plural e transformadora. Desde ese espírito enciclopédico que se dirixe a un amplo público non especialista, Feminismos presenta as achegas e os logros dos movementos feministas na mellora das sociedades en todo o mundo. En palabras da autora do limiar, Belén Martín Lucas, da man de Castro e Reimóndez coñecemos «o traballo dos colectivos de mulleres, pensadoras e artistas, desde Galicia a Xapón, pasando polas repúblicas da antiga Unión Soviética, China, India ou África subsahariana, por mencionar algunhas das áreas incluídas. Este mapa dos feminismos na xeografía e a historia pon de manifesto a gran diversidade de estratexias contra a discriminación por xénero desenvolvidas en contextos culturais, políticos e sociais concretos».Poñendo de manifesto a mención especial que merece a sección dedicada aos feminismos en Galicia, a profesora Belén Martín Lucas conclúe asegurando que «as reflexións de Castro e Reimóndez convídannos a examinar o noso etnocentrismo para decatármonos das contribucións coas que as activistas e pensadoras doutras culturas melloran o noso mundo, á vez que tamén poñen en valor as teorías e prácticas feministas xeralmente excluídas dos manuais do feminismo, as cales tenden a limitarse ao occidental (europeo e norteamericano case sen excepción).

Acoustic source characteristics, across-formant integration, and speech intelligibility under competitive conditions

An important aspect of speech perception is the ability to group or select formants using cues in the acoustic source characteristics-for example, fundamental frequency (F0) differences between formants promote their segregation. This study explored the role of more radical differences in source characteristics. Three-formant (F1+F2+F3) synthetic speech analogues were derived from natural sentences. In Experiment 1, F1+F3 were generated by passing a harmonic glottal source (F0 = 140 Hz) through second-order resonators (H1+H3); in Experiment 2, F1+F3 were tonal (sine-wave) analogues (T1+T3). F2 could take either form (H2 or T2). In some conditions, the target formants were presented alone, either monaurally or dichotically (left ear = F1+F3; right ear = F2). In others, they were accompanied by a competitor for F2 (F1+F2C+F3; F2), which listeners must reject to optimize recognition. Competitors (H2C or T2C) were created using the time-reversed frequency and amplitude contours of F2. Dichotic presentation of F2 and F2C ensured that the impact of the competitor arose primarily through informational masking. In the absence of F2C, the effect of a source mismatch between F1+F3 and F2 was relatively modest. When F2C was present, intelligibility was lowest when F2 was tonal and F2C was harmonic, irrespective of which type matched F1+F3. This finding suggests that source type and context, rather than similarity, govern the phonetic contribution of a formant. It is proposed that wideband harmonic analogues are more effective informational maskers than narrowband tonal analogues, and so become dominant in across-frequency integration of phonetic information when placed in competition.

Exploring novel auditory displays for supporting accelerated skills acquisition and enhanced performance in motorsport

This paper explores the design, development and evaluation of a novel real-time auditory display system for accelerated racing driver skills acquisition. The auditory feedback provides concurrent sensory augmentation and performance feedback using a novel target matching design. Real-time, dynamic, tonal audio feedback representing lateral G-force (a proxy for tire slip) is delivered to one ear whilst a target lateral G-force value representing the ‘limit’ of the car, to which the driver aims to drive, is panned to the driver’s other ear; tonal match across both ears signifies that the ‘limit’ has been reached. An evaluation approach was established to measure the efficacy of the audio feedback in terms of performance, workload and drivers’ assessment of self-efficacy. A preliminary human subject study was conducted in a driving simulator environment. Initial results are encouraging, indicating that there is potential for performance gain and driver confidence enhancement based on the audio feedback.

Using sonic enhancement to augment non-visual tabular navigation

More information is now readily available to computer users than at any time in human history; however, much of this information is often inaccessible to people with blindness or low-vision, for whom information must be presented non-visually. Currently, screen readers are able to verbalize on-screen text using text-to-speech (TTS) synthesis; however, much of this vocalization is inadequate for browsing the Internet. An auditory interface that incorporates auditory-spatial orientation was created and tested. For information that can be structured as a two-dimensional table, links can be semantically grouped as cells in a row within an auditory table, which provides a consistent structure for auditory navigation. An auditory display prototype was tested.^ Sixteen legally blind subjects participated in this research study. Results demonstrated that stereo panning was an effective technique for audio-spatially orienting non-visual navigation in a five-row, six-column HTML table as compared to a centered, stationary synthesized voice. These results were based on measuring the time- to-target (TTT), or the amount of time elapsed from the first prompting to the selection of each tabular link. Preliminary analysis of the TTT values recorded during the experiment showed that the populations did not conform to the ANOVA requirements of normality and equality of variances. Therefore, the data were transformed using the natural logarithm. The repeated-measures two-factor ANOVA results show that the logarithmically-transformed TTTs were significantly affected by the tonal variation method, F(1,15) = 6.194, p= 0.025. Similarly, the results show that the logarithmically transformed TTTs were marginally affected by the stereo spatialization method, F(1,15) = 4.240, p=0.057. The results show that the logarithmically transformed TTTs were not significantly affected by the interaction of both methods, F(1,15) = 1.381, p=0.258. These results suggest that some confusion may be caused in the subject when employing both of these methods simultaneously. The significant effect of tonal variation indicates that the effect is actually increasing the average TTT. In other words, the presence of preceding tones increases task completion time on average. The marginally-significant effect of stereo spatialization decreases the average log(TTT) from 2.405 to 2.264.^

Efeitos da nicotina no complexo do septo medial na via septo hipocampal em camundongos anestesiados por Ketamina

Nicotine administration in humans and rodents enhances memory and attention, and also has a positive effect in Alzheimer's Disease. The Medial Septum / Diagonal Band of Broca complex (MS/DBB) – a main cholinergic system – massively projects to the hippocampus through the fimbria-fornix, and this pathway is called the septohippocampal pathway. It has been demonstrated that the MS/DBB acts directly on the local field potential (LFP) rhythmic organization of the hippocampus, especially in the rhythmogenesis of Theta (4-8Hz) – an oscillation intrinsically linked to hippocampus mnemonic function. In vitro experiments gave evidence that nicotine applied to the MS/DBB generates a local network Theta rhythm within the MS/DBB. Thus, the present study proposes to elucidate the function of nicotine in the MS/DBB on the septo-hippocampal pathway. In vivo experiments compared the effect of MS/DBB microinfusion of saline (n=5) and nicotine (n=8) on Ketamine/Xylazine anaesthetized mice. We observed power spectrum density in the Gamma range (35 to 55 Hz) increasing in both structures (Wilcoxon Rank-Sum test, p=0.038) but with no change in coherence between these structures in the same range (Wilcoxon Rank-Sum test, p=0.60). There was also a decrease in power of the ketamineinduced Delta oscillation (1 to 3 Hz). We also performed in vitro experiments on the effect of nicotine on membrane voltage and action potential. We patch-clamped 22 neurons in current-clamp mode; 12 neurons were responsive to nicotine, half of them increased firing rate and other 6 decreased, and they significantly differed in action potential threshold (-47.3±0.9 mV vs. -41±1.9 mV, respectively, p=0.007) and halfwidth time (1.6±0.08 ms vs. 2±0.12 ms, respectively, p=0.01). Furthermore, we performed another set of in vitro experiments concerning the connectivity of the three major neuronal populations of MS/DBB that use acetylcholine, GABA or glutamate as neurotransmitter. Paired patch-clamp recordings found that glutamatergic and GABAergic neurons realize intra-septal connections that produce sizable currents in MS/DBB postsynaptic neurons. The probability of connectivity between different neuronal populations gave rise to a MS/DBB topology that was implemented in a realistic model, which corroborates that the network is highly sensitive to the generation of Gamma rhythm. Together, the data available in the full set of experiments suggests that nicotine may act as a cognitive enhancer, by inducing gamma oscillation in the local circuitry of the MS/DBB.

Algoritmo eficiente para aquisição de sinais de GPS por software

O NAVSTAR/GPS (NAVigation System with Timing And Ranging/Global Po- sitioning System), mais conhecido por GPS, _e um sistema de navegacão baseado em sat_elites desenvolvido pelo departamento de defesa norte-americano em meados de 1970. Criado inicialmente para fins militares, o GPS foi adaptado para o uso civil. Para fazer a localização, o receptor precisa fazer a aquisição de sinais dos satélites visíveis. Essa etapa é de extrema importância, pois é responsável pela detecção dos satélites visíveis, calculando suas respectivas frequências e fases iniciais. Esse processo pode demandar bastante tempo de processamento e precisa ser implementado de forma eficiente. Várias técnicas são utilizadas atualmente, mas a maioria delas colocam em conflito questões de projeto tais como, complexidade computacional, tempo de aquisição e recursos computacionais. Objetivando equilibrar essas questões, foi desenvolvido um método que reduz a complexidade do processo de aquisição utilizando algumas estratégias, a saber, redução do efeito doppler, amostras e tamanho do sinal utilizados, além do paralelismo. Essa estratégia é dividida em dois passos, um grosseiro em todo o espaço de busca e um fino apenas na região identificada previamente pela primeira etapa. Devido a busca grosseira, o limiar do algoritmo convencional não era mais aceitável. Nesse sentido, um novo limiar foi estabelecido baseado na variância dos picos de correlação. Inicialmente, é feita uma busca com pouca precisão comparando a variância dos cinco maiores picos de correlação encontrados. Caso a variância ultrapasse um certo limiar, a região de maior pico torna-se candidata à detecção. Por fim, essa região passa por um refinamento para se ter a certeza de detecção. Os resultados mostram que houve uma redução significativa na complexidade e no tempo de execução, sem que tenha sido necessário utilizar algoritmos muito complexos.

Estudo de famílias wavelets para aplicação na análise em DOAS

Trace gases are important to our environment even though their presence comes only by ‘traces’, but their concentrations must be monitored, so any necessary interventions can be done at the right time. There are some lower and upper boundaries which produce nice conditions for our lives and then monitoring trace gases comes as an essential task nowadays to be accomplished by many techniques. One of them is the differential optical absorption spectroscopy (DOAS), which consists mathematically on a regression - the classical method uses least-squares - to retrieve the trace gases concentrations. In order to achieve better results, many works have tried out different techniques instead of the classical approach. Some have tried to preprocess the signals to be analyzed by a denoising procedure - e.g. discrete wavelet transform (DWT). This work presents a semi-empirical study to find out the most suitable DWT family to be used in this denoising. The search seeks among many well-known families the one to better remove the noise, keeping the original signal’s main features, then by decreasing the noise, the residual left after the regression is done decreases too. The analysis take account the wavelet decomposition level, the threshold to be applied on the detail coefficients and how to apply them - hard or soft thresholding. The signals used come from an open and online data base which contains characteristic signals from some trace gases usually studied.

Estudo de famílias wavelets para aplicação na análise em DOAS

Trace gases are important to our environment even though their presence comes only by ‘traces’, but their concentrations must be monitored, so any necessary interventions can be done at the right time. There are some lower and upper boundaries which produce nice conditions for our lives and then monitoring trace gases comes as an essential task nowadays to be accomplished by many techniques. One of them is the differential optical absorption spectroscopy (DOAS), which consists mathematically on a regression - the classical method uses least-squares - to retrieve the trace gases concentrations. In order to achieve better results, many works have tried out different techniques instead of the classical approach. Some have tried to preprocess the signals to be analyzed by a denoising procedure - e.g. discrete wavelet transform (DWT). This work presents a semi-empirical study to find out the most suitable DWT family to be used in this denoising. The search seeks among many well-known families the one to better remove the noise, keeping the original signal’s main features, then by decreasing the noise, the residual left after the regression is done decreases too. The analysis take account the wavelet decomposition level, the threshold to be applied on the detail coefficients and how to apply them - hard or soft thresholding. The signals used come from an open and online data base which contains characteristic signals from some trace gases usually studied.

A.A. Milne - When We Were Very Young : cycle éclectique de chansons pour enfants, chanté par des enfants

Les fichiers qui accompagnent mon document on été réalisés avec les logiciels Microsoft Word et Finale.

Assessment of metals contamination (Cd, Pb, Ni) at the Óbidos Lagoon using Cerastoderma edule as a biomonitoring tool

A poluição marinha é um problema ambiental Mundial que afeta as constituintes bióticas e abióticas do Ecossistema. Os resultados de diversas atividades antropogénicas chegam ao meio marinho através de escorrências terrestres, industriais e agrícolas assim como através de descargas domésticas, causando distúrbios neste Ecossistema. Sendo assim, a avaliação da contaminação por metais é uma das prioridades tendo em conta que estes químicos têm comportamentos acumulativos e podem ser transportados ao longo de grandes distâncias. Nos estuários, os bivalves são componentes chaves das comunidades macrobentónicas devido o seu papel vital na comunidade e também por serem uma ótima fonte de alimentação para os seres Humanos. Na Lagoa de Óbidos, uma das espécies com estas características e intensamente apanhada é o berbigão Cerastoderma edule. Este berbigão foi descrito por vários autores como sendo tolerante a diversos poluentes. Sendo assim, no presente estudo, o principal objetivo foi utilizar C. edule como ferramenta de biomonitorização de contaminações por metais na Lagoa de Óbidos, avaliando a contaminação por Cádmio, Chumbo e Níquel durante as estações do ano de 2009 e 2010 em duas estações de amostragens (estação ML e BSB). Os resultados foram complementados com a análise de contaminações por metais em amostras de águas e sedimentos. Diversas respostas fisiológicas do berbigão foram também averiguadas de modo a perceber os efeitos da presença de metais e sua acumulação. Finalmente, avaliou-se a Dose Semanal Admissível Provisória (DSAP) para o consumo de berbigão para os mínimos e máximos de concentrações de metais detetados em cada estação de amostragem. Todos os metais foram detetados em amostras de água enquanto apenas o Pb foi detetado no sedimento. O Pb e o Ni foram detetados mais vezes na amostras biológicas do que o Cd. No entanto, as contaminações por metais Pb e Cd no berbigão foram frequentemente acima do limiar fixado pelas autoridades responsáveis enquanto o Ni se encontrou perto dos valores legislados. A avaliação da DSAP revelou a necessidade de aumentar a monitorização biológica neste berbigão visto que a dose semanal admissível foi muito baixa para os três metais. De um modo geral, C. edule refletiu as modificações ambientais, respondendo a modificações físico-químicas e contaminações por metais durante o período de estudo em ambas as estações de amostragem. Assim, este estudo permitiu concluir que Cerastoderma edule foi um bom e sensível indicador de contaminações por metais, especialmente para o Pb e preferencialmente para o Ni.

Across-formant integration and speech intelligibility:effects of acoustic source properties in the presence and absence of a contralateral interferer

The role of source properties in across-formant integration was explored using three-formant (F1+F2+F3) analogues of natural sentences (targets). In experiment 1, F1+F3 were harmonic analogues (H1+H3) generated using a monotonous buzz source and second-order resonators; in experiment 2, F1+F3 were tonal analogues (T1+T3). F2 could take either form (H2 or T2). Target formants were always presented monaurally; the receiving ear was assigned randomly on each trial. In some conditions, only the target was present; in others, a competitor for F2 (F2C) was presented contralaterally. Buzz-excited or tonal competitors were created using the time-reversed frequency and amplitude contours of F2. Listeners must reject F2C to optimize keyword recognition. Whether or not a competitor was present, there was no effect of source mismatch between F1+F3 and F2. The impact of adding F2C was modest when it was tonal but large when it was harmonic, irrespective of whether F2C matched F1+F3. This pattern was maintained when harmonic and tonal counterparts were loudness-matched (experiment 3). Source type and competition, rather than acoustic similarity, governed the phonetic contribution of a formant. Contrary to earlier research using dichotic targets, requiring across-ear integration to optimize intelligibility, H2C was an equally effective informational masker for H2 as for T2.