VIRTUOSIC ELEMENTS IN THE COLLABORATIVE PIANIST’S REPERTOIRE: SELECTED SOLO, VOCAL, AND CHAMBER WORKS OF RACHMANINOFF AND RAVEL

This dissertation project explores some of the technical and musical challenges that face pianists in a collaborative role—specifically, those challenges that may be considered virtuosic in nature. The material was chosen from the works of Rachmaninoff and Ravel because of the technically and musically demanding yet idiomatic piano writing. This virtuosic piano writing also extends into the collaborative repertoire. The pieces were also chosen to demonstrate these virtuosic elements in a wide variety of settings. Solo piano pieces were chosen to provide a point of departure, and the programmed works ranged from vocal to two-piano, to sonatas and a piano trio. The recitals were arranged to demonstrate as much contrast as possible, while being grouped by composer. The first recital was performed on April 24, 2009. This recital featured five songs of Rachmaninoff, as well as three solo piano preludes and his Suite No. 2 for two pianos. The second recital occurred on November 16, 2010. This recital featured the music of both Rachmaninoff and Ravel, as well as a short lecture introducing the solo work “Ondine” from Gaspard de la nuit by Ravel. Following the lecture were the Cinq mélodies populaires grecques and the program closed with the substantial Rachmaninoff Sonata for Cello and Piano. The final program was given on October 10, 2011. This recital featured the music of Ravel, and it included his Sonata for Violin and Piano, the Debussy Nocturnes transcribed for two pianos by Ravel, and the Piano Trio. The inclusion of a transcription of a work by another composer highlights Ravel’s particular style of writing for the piano. All of these recitals were performed at the Gildenhorn Recital Hall in the Clarice Smith Performing Arts Center at the University of Maryland. The recitals are recorded on compact discs, which can be found in the Digital Repository at the University of Maryland (DRUM).

Olfactory Receptor Subgenomes Linked with Broad Ecological Adaptations in Sauropsida.

Olfactory receptors (ORs) govern a prime sensory function. Extant birds have distinct olfactory abilities, but the molecular mechanisms underlining diversification and specialization remain mostly unknown. We explored OR diversity in 48 phylogenetic and ecologically diverse birds and 2 reptiles (alligator and green sea turtle). OR subgenomes showed species- and lineage-specific variation related with ecological requirements. Overall 1,953 OR genes were identified in reptiles and 16,503 in birds. The two reptiles had larger OR gene repertoires (989 and 964 genes, respectively) than birds (182-688 genes). Overall, birds had more pseudogenes (7,855) than intact genes (1,944). The alligator had significantly more functional genes than sea turtle, likely because of distinct foraging habits. We found rapid species-specific expansion and positive selection in OR14 (detects hydrophobic compounds) in birds and in OR51 and OR52 (detect hydrophilic compounds) in sea turtle, suggestive of terrestrial and aquatic adaptations, respectively. Ecological partitioning among birds of prey, water birds, land birds, and vocal learners showed that diverse ecological factors determined olfactory ability and influenced corresponding olfactory-receptor subgenome. OR5/8/9 was expanded in predatory birds and alligator, suggesting adaptive specialization for carnivory. OR families 2/13, 51, and 52 were correlated with aquatic adaptations (water birds), OR families 6 and 10 were more pronounced in vocal-learning birds, whereas most specialized land birds had an expanded OR family 14. Olfactory bulb ratio (OBR) and OR gene repertoire were correlated. Birds that forage for prey (carnivores/piscivores) had relatively complex OBR and OR gene repertoires compared with modern birds, including passerines, perhaps due to highly developed cognitive capacities facilitating foraging innovations.

SELECTED ICONIC CHAMBER MUSIC WORKS WITH PIANO FROM THE NINETEENTH AND TWENTIETH CENTURIES

Chamber music repertoire featuring the piano blossomed from the mid-nineteenth through the early twentieth century. The quantity of works increased greatly during this time and the quality of these works reached the highest level. Among the many symbolic works that were composed were sonatas for a single string instrument with piano, piano trios, quartets: and quintets as well as two-piano works and four-hand duets. Being able to study and perform many of these iconic works before I graduated was one of the major goals I set for myself as a collaborative pianist. The abundance of repertoire has made it easy to choose works considered "iconic" for my dissertation's three recitals. Iconic is defined as "very famous or popular, especially being considered to represent particular opinions or a particular time" in the online Cambridge Advanced Leamer's Dictionary & Thesaurus © Cambridge University. The compositions featured in the recitals were composed from 1842 through 1941, including works by Schumann, Brahms, Faure, Rachmaninoff, Ravel, and Lutoslawski. Choosing the repertoire with my fellow performers in mind was an important part of this dissertation. In addition to trying to make balanced programs which include variety, working with different instruments and performers is one of the most fulfilling parts of the musical experience for me as a collaborative pianist. Joining me for the concerts were members of the Aeolus String Quartet (violinist Nicholas Tavani, violinist Rachel Shapiro, violist Greg Luce, and cellist Alan Richardson), pianist Hsiao-Ying Lin (a doctoral student from the Peabody Conservatory), and my colleagues from the Peabody Institute Preparatory Division (faculty violinist Dr. Christian Tremblay and cellist Alicia Ward), and Derek Smith, Associate Principal violist of the Annapolis Symphony Orchestras). The three recitals were performed in the Gildenhom and Ulrich Recital Halls at the University of Maryland, College Park, Maryland. They are recorded on CD and available on compact discs, which can be found in the Digital Repository at the University of Maryland (DRUM).

Signals of need in a cooperatively breeding mammal with mobile offspring

In many bird species with biparental care for young in the nest, hungry chicks beg repeatedly and parents adjust their feeding rate to the call rate of young. Repetitive calling also occurs in fledglings and in some mammals where offspring follow provisioners. It is not yet clear whether, in mobile systems with dispersed young where adults cannot compare the vocal behaviour of all young simultaneously, the calls represent a signal of need. We investigated repetitive begging by cooperatively reared meerkat, Suricata suricatta, pups that foraged with the group. Pups produced two types of begging calls: repeat calls over long periods and high-pitched calls mainly confined to feeding events. Food-deprived pups stayed closer to feeders, and begged for longer and more intensely by calling at a higher rate. Hungry pups increased both the rate of repeat calls, which were given continually, and the number of high-pitched bouts, but adults increased their food allocation only in relation to the rate of repeat calls. Our study indicates that hunger may lead to several changes in vocal behaviour, only some of which may be used by adults to assess need.

Vocal rate as an assessment process during fallow deer contests

Two types of model propose that strategic decisions during contests are determined either by (i) a mutual-assessment process or (ii) a self-assessment process. Vocal signals are thought to convey information about the competitive abilities of individuals, the ultimate function of which is a reduction in costs associated with fighting consistent with the principle of mutual assessment. Nevertheless, the limited evidence that male ungulates engage in mutual assessment of vocal rates during dyadic contests has been questioned. Therefore, we examined the vocal rates of winners and losers during escalated dyadic contests between male fallow deer in order to further inform on this issue. Our results showed that winners and losers did not differ in vocal rate. The best model fit that accounted for individual vocal rates included a preponderance of factors related to the opponent indicating that contestants were attending to their opponent during fights. Vocal rate was, therefore, dependent on estimates of opponent quality without reference to self, supporting an 'opponent-only' rather than a mutual assessment process. © 2012 Elsevier B.V.

Impact of geometric variations on delivered dose in highly focused single vocal cord IMRT

Purpose. To investigate the robustness of single vocal cord intensity modulated radiation therapy (IMRT) treatment plans for set-up errors, respiration, and deformation. Material and methods. Four-dimensional computed tomography (4D-CT) scans of 10 early glottic carcinoma patients, previously treated with conventional techniques, were used in this simulation study. For each patient a pre-treatment 4D-CT was used for IMRT planning, generating a reference dose distribution. Prescribed PTV dose was 66 Gy. The impact of systematic set-up errors was simulated by applying shifts of ± 2 mm to the planning CT scans, followed by dose re-calculation with original beam segments, MUs, etc. Effects of respiration and deformation were determined utilizing extreme inhale and exhale CT scans, and repeat scans acquired after 22 Gy, 44 Gy, and 66 Gy, respectively. All doses were calculated using Monte Carlo dose simulations. Results. Considering all investigated geometrical perturbations, reductions in the clinical target volume (CTV) V95%, D98%, D2%, and generalized equivalent uniform dose (gEUD) were limited to 1.2 ± 2.2%, 2.4 ± 2.9%, 0.2 ± 1.8%, and 0.6 ± 1.1 Gy, respectively. The near minimum dose, D98%, was always higher than 89%, and gEUD always remained higher than 66 Gy. Planned contra-lateral (CL) vocal cord DMean, gEUD, and V40 Gy were 38.2 ± 6.0 Gy, 43.4 ± 5.6 Gy, and 42.7 ± 14.9%. With perturbations these values changed by -0.1 ± 4.3 Gy, 0.1 ± 4.0 Gy, and -1.0 ± 9.6%, respectively. Conclusions. On average, CTV dose reductions due to geometrical perturbations were very low, and sparing of the CL vocal cord was maintained. In a few observations (6 of 103 simulated situations), the near-minimum CTV-dose was around 90%, requiring attention in deciding on a future clinical protocol. 

Single vocal cord irradiation:a competitive treatment strategy in early glottic cancer

INTRODUCTION: The treatment of choice for early glottic cancer is still being debated; ultimately it relies on the functional outcome. This paper reports on a novel sparing 4D conformal technique for single vocal cord irradiation (SVCI).

MATERIAL AND METHODS: The records of 164 T1a patients with SCC of the vocal cord, irradiated in the Erasmus MC between 2000 and 2008, were analyzed for local control and overall survival. The quality of life was determined by EORTC H&N35 questionnaires. Also the VHI (voice handicap index), and the TSH (thyroid stimulating hormone) blood levels, were established. On-line image guided SVCI, using cone beam CT or stereotactic radiation therapy (SRT) techniques, were developed.

RESULTS: A LC rate at five-years of 93% and a VHI of 12.7 (0-63) was determined. It appeared feasible to irradiate one vocal cord within 1-2mm accuracy. This way sparing of the contralateral (CL) vocal cord and CL normal tissues, could be achieved.

CONCLUSIONS: Given the accuracy (1-2mm) and small volume disease (CTV limited to one vocal cord), for the use of stereotactic RT techniques SVCI with large fraction sizes is currently being investigated in clinic. It is argued that hypofractionated SVCI can be a competitive alternative to laser surgery.

IMRT for image-guided single vocal cord irradiation

PURPOSE: We have been developing an image-guided single vocal cord irradiation technique to treat patients with stage T1a glottic carcinoma. In the present study, we compared the dose coverage to the affected vocal cord and the dose delivered to the organs at risk using conventional, intensity-modulated radiotherapy (IMRT) coplanar, and IMRT non-coplanar techniques.

METHODS AND MATERIALS: For 10 patients, conventional treatment plans using two laterally opposed wedged 6-MV photon beams were calculated in XiO (Elekta-CMS treatment planning system). An in-house IMRT/beam angle optimization algorithm was used to obtain the coplanar and non-coplanar optimized beam angles. Using these angles, the IMRT plans were generated in Monaco (IMRT treatment planning system, Elekta-CMS) with the implemented Monte Carlo dose calculation algorithm. The organs at risk included the contralateral vocal cord, arytenoids, swallowing muscles, carotid arteries, and spinal cord. The prescription dose was 66 Gy in 33 fractions.

RESULTS: For the conventional plans and coplanar and non-coplanar IMRT plans, the population-averaged mean dose ± standard deviation to the planning target volume was 67 ± 1 Gy. The contralateral vocal cord dose was reduced from 66 ± 1 Gy in the conventional plans to 39 ± 8 Gy and 36 ± 6 Gy in the coplanar and non-coplanar IMRT plans, respectively. IMRT consistently reduced the doses to the other organs at risk.

CONCLUSIONS: Single vocal cord irradiation with IMRT resulted in good target coverage and provided significant sparing of the critical structures. This has the potential to improve the quality-of-life outcomes after RT and maintain the same local control rates.

On-line cone beam CT image guidance for vocal cord tumor targeting

Background and purpose: We are developing a technique for highly focused vocal cord irradiation in early glottic carcinoma to optimally treat a target volume confined to a single cord. This technique, in contrast with the conventional methods, aims at sparing the healthy vocal cord. As such a technique requires sub-mm daily targeting accuracy to be effective, we investigate the accuracy achievable with on-line kV-cone beam CT (CBCT) corrections. Materials and methods: CBCT scans were obtained in 10 early glottic cancer patients in each treatment fraction. The grey value registration available in X-ray volume imaging (XVI) software (Elekta, Synergy) was applied to a volume of interest encompassing the thyroid cartilage. After application of the thus derived corrections, residue displacements with respect to the planning CT scan were measured at clearly identifiable relevant landmarks. The intra- and inter-observer variations were also measured. Results: While before correction the systematic displacements of the vocal cords were as large as 2.4 ± 3.3 mm (cranial-caudal population mean ± SD Σ), daily CBCT registration and correction reduced these values to less than 0.2 ± 0.5 mm in all directions. Random positioning errors (SD σ) were reduced to less than 1 mm. Correcting only for translations and not for rotations did not appreciably affect this accuracy. The residue random displacements partly stem from intra-observer variations (SD = 0.2-0.6 mm). Conclusion: The use of CBCT for daily image guidance in combination with standard mask fixation reduced systematic and random set-up errors of the vocal cords to <1 mm prior to the delivery of each fraction dose. Thus, this facilitates the high targeting precision required for a single vocal cord irradiation. © 2009 Elsevier Ireland Ltd. All rights reserved.

Inter- and Intrafraction Target Motion in Highly Focused Single Vocal Cord Irradiation of T1a Larynx Cancer Patients

PURPOSE: The purpose of this study was to verify clinical target volume-planning target volume (CTV-PTV) margins in single vocal cord irradiation (SVCI) of T1a larynx tumors and characterize inter- and intrafraction target motion.

METHODS AND MATERIALS: For 42 patients, a single vocal cord was irradiated using intensity modulated radiation therapy at a total dose of 58.1 Gy (16 fractions × 3.63 Gy). A daily cone beam computed tomography (CBCT) scan was performed to online correct the setup of the thyroid cartilage after patient positioning with in-room lasers (interfraction motion correction). To monitor intrafraction motion, CBCT scans were also acquired just after patient repositioning and after dose delivery. A mixed online-offline setup correction protocol ("O2 protocol") was designed to compensate for both inter- and intrafraction motion.

RESULTS: Observed interfraction, systematic (Σ), and random (σ) setup errors in left-right (LR), craniocaudal (CC), and anteroposterior (AP) directions were 0.9, 2.0, and 1.1 mm and 1.0, 1.6, and 1.0 mm, respectively. After correction of these errors, the following intrafraction movements derived from the CBCT acquired after dose delivery were: Σ = 0.4, 1.3, and 0.7 mm, and σ = 0.8, 1.4, and 0.8 mm. More than half of the patients showed a systematic non-zero intrafraction shift in target position, (ie, the mean intrafraction displacement over the treatment fractions was statistically significantly different from zero; P<.05). With the applied CTV-PTV margins (for most patients 3, 5, and 3 mm in LR, CC, and AP directions, respectively), the minimum CTV dose, estimated from the target displacements observed in the last CBCT, was at least 94% of the prescribed dose for all patients and more than 98% for most patients (37 of 42). The proposed O2 protocol could effectively reduce the systematic intrafraction errors observed after dose delivery to almost zero (Σ = 0.1, 0.2, 0.2 mm).

CONCLUSIONS: With adequate image guidance and CTV-PTV margins in LR, CC, and AP directions of 3, 5, and 3 mm, respectively, excellent target coverage in SVCI could be ensured.

Interacção entre estruturas intervalares e estruturas espectrais, na música instrumental/vocal

A presente tese apresenta-se num formato bipartido, sendo a primeira parte uma investigação teórica e a segunda parte um conjunto de composições originais que procuram estabelecer, directa e indirectamente, uma relação com a temática investigada. A investigação incide sobre as diferentes relações que se podem estabelecer entre estruturas intervalares e estruturas espectrais, a partir de um conjunto representativo de obras de diferentes compositores. As obras originais da segunda parte configuram um objecto final de análise e reflexão. As composições que integram a segunda parte da tese são: Inês – sete miniaturas sobre A Castro, para soprano e orquestra, sobre excertos de “Castro”, de António Ferreira; Um sino contra o tempo, para flauta, clarinete, percussão e piano; Terra, para orquestra de cordas; Dor e Amor, para voz, flauta, clarinete, percussão, harpa, piano, violino, viola e violoncelo, sobre poemas de Nuno Júdice; e Ode a Gaia, para soprano solo, coro misto e electrónica, a partir de textos de diversos autores e épocas, desde Homero a Fernando Pessoa. Esta investigação surge a partir da convicção de que é possível e enriquecedor para a composição a coexistência e o estabelecimento de uma relação entre estruturas que valorizam as qualidades dos intervalos que as constituem e estruturas de tipo espectral. Se o pensamento intervalar pode ser relacionado com princípios de estruturação ligados a toda uma tradição musical, desde a música modal, à tonal e à atonal, o pensamento espectral relaciona-se com o estudo do fenómeno sonoro e do timbre e é integrado mais tardiamente no séc. XX como um possível modelo estruturante na composição. A investigação sobre as obras seleccionadas, sobretudo de compositores que colocam o fenómeno da percepção num plano central, procura diferentes interacções entre os dois tipos de estrutura, interrogando-se sobre em que medida é que essa interacção influencia ou é mesmo determinante para o resultado musical final. São analisadas diferentes aplicações, tais como: a procura de qualidades acústicas na criação de estruturas intervalares, a criação de timbres particulares para linhas estruturantes, a manipulação tímbrica de estruturas verticais, a inter-relação de camadas intervalares e espectrais na textura musical de forma sincrónica e diacrónica, e o surgimento de material intervalar a partir de estruturas espectrais. Os principais resultados passam pela confirmação de que o pensamento intervalar é compatível com o pensamento espectral e vice-versa, podendo-se concluir que são essenciais diferentes funções para os dois tipos de estrutura na textura musical e que quer as estruturas intervalares quer as espectrais se relacionam com diferentes aspectos da percepção, tendo, assim, uma influência determinante no resultado musical final, na eficácia da escuta e na sua fruição.

Describing vocal performance of Portuguese cantadeiras of Alto Minho

Portugal has strong musical traditions, which have been perpetrated by decades through folkloristic activities. In folk groups from Alto Minho (north of Portugal), folk singing is mostly performed by cantadeiras, amateur female solo singers who learn this style orally. Their vocal characteristics are distinctive when compared with other regions of the country; however, deep understanding of these vocal practices is still missing. The present work aims at studying Alto Minho cantadeira’s vocal performance in a multidimensional perspective, envisioning social, cultural and physiological understanding of this musical style. Thus, qualitative and quantitative data analyses were carried out, to: (i) describe current performance practices, (ii) explore existent perceptions about most relevant voice features in this region, (iii) investigate physiological and acoustic properties of this style, and (iv) compare this style of singing with other non-classical singing styles of other countries. Dataset gathered involved: 78 groups whose members were telephone interviewed, 13 directors who were asked to fill in a questionnaire on performance practices, 1 cantadeira in a pilot study, 16 cantadeiras in preliminary voice recordings, 77 folk group members in listening tests, and 10 cantadeiras in multichannel recordings, including audio, ELG, air flow and intra-oral pressure signals. Data were analysed through thematic content analysis, descriptive and inferential statistics, hierarchical principal components, and multivariate linear regression models. Most representative voices have a high pitched and loud voice, with a bright timbre, predominance of chest register without excessive effort, and good text intelligibility with regional accent. High representativeness levels were obtained by few cantadeiras; these sing with high levels of subglottal pressure and vocal fold contact quotient, predominance of high spectrum energy and vocal loudness, corroborating indications of prevalence of pressed phonation. These vocal characteristics resemble belting in musical theatre and share similarities with country (USA) and ojikanje (Croatia) singing. Strategies that may contribute to the preservation of this type of singing and the vocal health of current cantadeiras are discussed, pointing at the direction of continuous education among folk groups, following practices that are already adopted elsewhere in Europe.

Traitement vocal et vieillissement normal : apports comportementaux et neurofonctionnels

La voix est tout sauf un stimulus auditif ordinaire. Pour cause, elle prend son importance de manière très précoce chez l’Homme lorsque, dans l’environnement amniotique, le fœtus entend pour la toute première fois la voix de sa mère. C’est en quelque sorte par l’intermédiaire de cette voix que les premiers contacts avec le monde extérieur, mais également avec l’Autre, s’effectuent. Le statut particulier de la voix humaine perdure au fil du développement, devenant plus tard le principal médium véhiculant le langage oral, si significatif pour l’Homme. En parallèle, et de manière tout aussi adaptative, elle permet la transmission d’informations non langagières renseignant sur l’identité, l’état émotionnel mais également le statut social de chaque individu. C’est ainsi que simplement en entendant la voix d’une personne inconnue, il est généralement possible d’en extrapoler son âge, son genre, mais également d’avoir une idée assez précise de l’état émotionnel dans lequel elle se trouve. Les capacités permettant d’extraire de la voix les divers éléments informationnels qu’elle contient ne seraient toutefois pas stables au fil du temps. Ainsi, le vieillissement normal semble associé à des difficultés de traitement des informations vocales de nature langagière, mais également non langagière. De nombreuses études se sont intéressées au déclin des capacités de traitement du discours avec l’âge. Beaucoup moins de travaux ont cependant considéré les conséquences du vieillissement sur le domaine paralinguistique et, lorsque des travaux s’y sont attardés, c’est essentiellement la sphère affective qui a été investiguée. En raison de ce peu d’études, mais également de leur focus portant spécifiquement sur la sphère émotionnelle, il est extrêmement ardu de généraliser les résultats obtenus au traitement vocal général. La présente thèse s’est donc intéressée aux capacités de traitement de la voix dans le vieillissement normal. La première étude de cette thèse (Article 1) avait pour objectif d’évaluer l’impact du vieillissement normal sur les capacités comportementales de traitement paralinguistique vocal non émotionnel. Pour ce faire, une batterie informatisée composée de quatre tâches a été élaborée : la batterie d’évaluation de la perception vocale (Batterie EPV; tâches de catégorisation de genre, de discrimination de sources sonores, adaptative de discrimination et de mémorisation). Cette batterie permettait de comparer les performances d’adultes jeunes et âgés lors du traitement de stimuli vocaux et non vocaux, mais également lors du traitement de divers stimuli vocaux. Cette première étude met en évidence, pour trois des quatre tâches comportementales, des performances inférieures chez les adultes âgés et ce, malgré le contrôle statistique des contributions du déclin auditif et cognitif. Pour les aînés, le traitement de stimuli vocaux, en comparaison au traitement de stimuli non vocaux, n’était toutefois pas systématiquement inférieur à celui des jeunes adultes. Sans que les performances ne puissent être prédites par la mesure cognitive utilisée comme covariable (performances au MoCA), il appert que les demandes cognitives inhérentes aux tâches participent à ces différences intergroupes. Le second article de ce travail visait quant à lui à explorer à l’aide de l’imagerie par résonnance magnétique fonctionnelle (IRMf), l’influence du vieillissement normal sur les réseaux neuronaux sous-tendant le traitement de l’information vocale, une telle investigation n’ayant jamais été effectuée auparavant. Pour ce faire, une tâche d’écoute passive (permettant le contraste de blocs de sons vocaux et non vocaux) ainsi qu’une tâche adaptative de discrimination ont été utilisées. La tâche adaptative, basée sur une type de protocole psycoacoustique « up-down », assurait l’obtention de niveau de performance équivalent entre les deux groupes, une condition nécessaire pour la comparaison de groupe au niveau neurofonctionnel. La comparaison des adultes jeunes et âgés n’a mis en évidence aucune disparité quant au recrutement des aires répondant préférentiellement à la voix : les aires vocales temporales (AVT). Ce résultat suggère que l’âge n’affecte pas la mobilisation des aires spécialisées dans le traitement de la voix. Néanmoins, à l’extérieur des AVT et chez les aînés, le sous recrutement d’une portion du cortex auditif a été observé, en parallèle au recrutement additionnel de régions pariétale, temporale et frontale (Article 2 – Étude 1). Lors de la réalisation d’une tâche adaptative de discrimination, contrairement à ce qui était attendu, les seuils de discrimination des deux groupes d’âges étaient comparables. Pour effectuer la tâche, les participants âgés ont cependant recruté un réseau neuronal plus étendu que celui des jeunes adultes, et pour les aînés, l’activation additionnelle de régions frontale et temporale sous-tendaient la réalisation de la tâche (Article 2 - Étude 2). Les données comportementales présentées dans cette thèse suggèrent que l’effet délétère que semble avoir le vieillissement normal sur les capacités de traitement paralinguistique vocal affectif est également retrouvé lors du traitement d’informations vocales émotionnellement neutres. En parallèle, la mise en place de phénomènes de plasticité cérébrale est objectivée. Ces derniers ne toucheraient cependant pas les réseaux spécialisés dans le traitement de la voix, qui seraient recrutés de manière comparable par les adultes jeunes et âgés. Néanmoins, la tâche d’écoute passive a mis en évidence la présence, chez les aînés, du recrutement sous-optimal d’une portion du cortex auditif (gyrus temporal transverse). En parallèle, et ce pour les deux tâches, des réseaux neuronaux surnuméraires étaient sollicitées par les adultes âgés, permettant potentiellement d’assurer, chez les ainés, le maintien de performances adéquates.

Lipoinyección laríngea en el tratamiento de parálisis vocal

Introducción. La parálisis de pliegue vocal unilateral constituye una de las causas de incompetencia glótica, presentando síntomas como disfonía, tos crónica, aspiración y fonastenia, afectando de forma significativa el desempeño y calidad de vida del paciente. Según las diversas corrientes de trabajo se ha manejado esta patología con terapia vocal como coadyuvante en opciones quirúrgicas como la laringoplastia de inyección. Objetivo. Realizar seguimiento clínico de pacientes con parálisis vocal unilateral que consultan al Hospital Universitario de la Samaritana centro de referencia de III nivel de Cundinamarca. Materiales y Métodos. Se toma una población de 36 pacientes aleatorizados en dos grupos cuyas intervenciones son manejo con terapia vocal (conservador) y laringoplastia de inyección con grasa. Resultados. Cierre glótico postratamiento mayor en el grupo de intervención médica con terapia vocal ( promedio 10-20 sesiones ) donde se logró un cierre completo en el 77,8% de los pacientes comparado con 33,3% en el grupo de intervención quirúrgico . Conclusión. Es preciso realizar detección temprana, establecer la etiología en nuestra población e instauración de una terapéutica oportuna como el manejo conservador con terapia vocal para disminuir los malos hábitos fonatorios adoptados por estos pacientes, establecer un manejo adecuado para mejorar los síntomas clínicos y generar políticas preventivas para minimizar las complicaciones inherentes a la patología.

Identificación de Prácticas Empresariales para el Mejoramiento Continuo en Plusagro S.A.S.

Este proyecto que se llevara a cabo en la compañía Plusagro S.A.S. la cual busca mejorar de forma sustancial la cultura organizacional de la compañía, para que desarrolle al máximo las ventajas competitivas que encuentra en el mercado, una de estas grandes ventajas es que al tener la exclusividad de su proveedor principal Kursan. Se vuelve de suma importancia saber que existen otras marcas en el mercado de los productos agrícolas que ofrece Plusagro S.A.S. pero se ha encontrado en común acuerdo con clientes insatisfechos que la calidad de los productos turcos en cuánto a maquinaría lechera es superior a la de otras marcas que importan la maquinaria lechera desde China y Corea. Por esto es fundamental recalcar que Kursan es uno de los productores mundiales de estas máquinas desde 1984 la más fuerte en toda la región de oriente medio y su sede principal está ubicada en Estambul, Turquía. (Kursan, 2014). El negocio de Plusagro S.A.S. se encuentra en uno de los sectores más competitivos del país, pero sin duda alguna es uno de los que más importancia está cobrando, debido al boom agrícola que están viviendo en las regiones ganaderas y agricultoras del país después de las nuevas medidas de inversión que está tomando el gobierno nacional para que sean más competitivas en su desarrollo y crecimiento a nivel nacional. (MinAgricultura, 2014), uno de los ítems más importantes que podemos encontrar, es el hecho de que Colombia y Bélgica iniciaran un plan de trabajo para ampliar el comercio de productos agropecuarios, según el titular de la cartera agropecuaria, este plan de trabajo, que se implementará en enero de 2015, tendrá como prioridad los temas fitosanitarios y de buenas prácticas agrícolas (MinAgricultura, 2014). En lo cual Plusagro S.A.S puede buscar una gran ventaja competitiva que lo lleve a obtener un valor agregado al ya tener conocimiento del mercado europeo será más sencillo entrar a negociar con nuevos proveedores que vengan de este país. También de estos mercados no explorados se pueden llegar a encontrar nuevas prácticas agrícolas, diversas especies animales y nuevas tecnologías en cuanto a maquinaría. De igual forma la empresa ha presentado un crecimiento económico bastante alto, para el poco tiempo que lleva en el mercado, esto se ve evidenciado en las ventas que se realizaron el año 2013 las cuales ascienden a $730.500.000. (Plusagro S.A.S., 2013). Este crecimiento no se debe a solo suerte, este se ha trabajado con diversas estrategias desde el momento en el que se pensó la creación de la empresa, ya que esta nace de la necesidad de los ganaderos y agricultores del sector o localización en donde comenzó a comercializarse los productos, en los municipios de Cumaral, Restrepo y los caseríos como Guacabina y actualmente se ha extendido a diversos municipios del departamento del Meta, como lo son Acacias, Castilla la Nueva, Guamal, Cubarral, San Martín, Puerto López, Barranca de Upía, Puerto Gaitán, Granada y Vista Hermosa . (Plusagro S.A.S., 2014) Se espera que con la realización de este proyecto enfocado en una metodología Sure - Step (Paso Seguro) de Microsoft aplicada a las necesidades de la compañía, se pueda mejorar considerablemente la organización para así mejorar estos promedios de ventas y crecer en el aspecto económico. (Microsoft Dynamics, 2010). Es importante resaltar que ningún proyecto es perfecto y hay que estar consiente que pueden presentarse diversos obstáculos en el camino, pero la idea de implementar la Sure - Step está fundamentada en minimizar estos riesgo que pueden ocurrir en el proyecto y que si se fundamenta en unas fases especificas se pueda gestionar y finalizar con éxito, conllevando a que Plusagro S.A.S. pueda mejorar su cultura organizacional y siga con un crecimiento constante en el mercado.