Search Results (16)

Vocal production requires the coordinated control of respiratory, laryngeal, and autonomic systems. In individuals with high vocal demand, this physiological load may influence autonomic regulation, even in the absence of voice disorders. This scoping review systematically mapped current evidence on the relationship between voice production and autonomic nervous system (ANS) activity in adults, focusing exclusively on studies that assessed both systems simultaneously. A systematic search was conducted in PubMed, Scopus, Web of Science, Embase, and CINAHL, following PRISMA-ScR guidelines. Eligible studies included adults performing structured vocal tasks with concurrent autonomic measurements. Data were extracted and synthesized descriptively. Fifteen studies met the inclusion criteria. Most involved healthy adults with high vocal demand, while some included participants with subclinical or functional voice traits. Vocal tasks ranged from singing and sustained phonation to speech under cognitive or emotional load. Autonomic measures included heart rate (HR), heart rate variability (HRV), and electrodermal activity (EDA), among others. Four thematic trends emerged: autonomic synchronization during group vocalization; modulation of autonomic tone by vocal rhythm and structure; voice–ANS interplay under stress; and physiological coupling in hyperfunctional vocal behaviours. This review’s findings suggest that vocal activity can modulate autonomic function, supporting the potential integration of autonomic markers into experimental and clinical voice research. Full article

Glottic insufficiency, often caused by laryngeal nerve injury, impairs voice quality and breathing. Current treatments, such as hyaluronic acid injection, require frequent reapplication every 3–6 months. This study aimed to investigate the therapeutic potential of small extracellular vesicles (sEVs) derived from Wharton’s Jelly mesenchymal stem cells (WJMSCs) incorporated into genipin-crosslinked gelatin hydrogels (GCGHs) for promoting vocal fold fibroblast (VFFs) regeneration in vitro. WJMSCs were isolated from umbilical cords, expanded to passage 4, and used for sEV isolation via tangential flow filtration (TFF). The sEVs (585.89 ± 298.93 µg/mL) were characterized using bicinchoninic acid assay (BCA), nanoparticle tracking analysis (NTA), transmission electron microscopy (TEM), and Western blot. Seven concentrations of sEVs were tested on VFFs to evaluate cytotoxicity and proliferation, identifying 75 µg/mL as the optimal dose. GCGHs were then combined with WJMSCs and sEVs and evaluated for physicochemical properties, degradation, biocompatibility, and immune response. The hydrogels were injectable within 20 min and degraded in approximately 42 ± 0.72 days. The optimal sEV concentration significantly enhanced VFFs proliferation (166.59% ± 28.11) and cell viability (86.16% ± 8.55, p < 0.05). GCGH-MSCs showed the highest VFFs viability (82.04% ± 10.51) and matrix contraction (85.98% ± 1.25) compared to other groups. All hydrogel variants demonstrated minimal immune response when co-cultured with peripheral blood mononuclear cells (PBMCs). GCGH is a promising scaffold for delivering WJMSCs and sEVs to support VFF regeneration, with demonstrated biocompatibility and regenerative potential. Further in vivo studies are warranted to validate these findings. Full article

Background/Objectives: Video laryngoscopy is one of the primary methods used by otolaryngologists for detecting and classifying laryngeal lesions. However, the diagnostic process of these images largely relies on clinicians’ visual inspection, which can lead to overlooked small structural changes, delayed diagnosis, and interpretation errors. Methods: AI-based approaches are becoming increasingly critical for accelerating early-stage diagnosis and improving reliability. This study proposes a hybrid Convolutional Neural Network (CNN) architecture that eliminates repetitive and clinically insignificant frames from videos, utilizing only meaningful key frames. Video data from healthy individuals, patients with vocal fold nodules, and those with vocal fold polyps were summarized using three different threshold values with the Structural Similarity Index Measure (SSIM). Results: The resulting key frames were then classified using a hybrid CNN. Experimental findings demonstrate that selecting an appropriate threshold can significantly reduce the model’s memory usage and processing load while maintaining accuracy. In particular, a threshold value of 0.90 provided richer information content thanks to the selection of a wider variety of frames, resulting in the highest success rate. Fine-tuning the last 20 layers of the MobileNetV2 and Xception backbones, combined with the fusion of extracted features, yielded an overall classification accuracy of 98%. Conclusions: The proposed approach provides a mechanism that eliminates unnecessary data and prioritizes only critical information in video-based diagnostic processes, thus helping physicians accelerate diagnostic decisions and reduce memory requirements. Full article

About 5–10% of software engineers suffer from repetitive strain injury, and it would be better to provide an alternative way to write code instead of using a mouse and keyboard and sitting on a chair the whole day. Coding by voice is an attractive approach, and quite a bit of work has been done in that direction. At the same time, dictating plain Java text with low accuracy through the existing voice recognition engines or providing complex panels controlled by the voice makes the coding process even more complex. We argue that current programming languages are suitable for programming by hand, not by mouth. We try to solve this problem by designing a new programming language, VoiceJava, suitable for dictating. A Java program is constructed in a syntax-directed way through a sequence of VoiceJava commands. As a result, users do not need to dictate spaces, parentheses, and commas, reducing the vocal load. Full article

Background: Sleep talking (ST) is characterized by the production of unaware verbal vocal activations (VBs) during sleep. ST seems potentially linked to linguistic and memory consolidation processes. However, sleep and dream characteristics and the relationship between verbal vocalizations (VBs) and cognitive functions are still unknown. Our study aimed to investigate qualitative sleep and dream features in sleep talkers (STs) compared to healthy subjects (CNTs) through retrospective and longitudinal measures and explore the relationship between ST and memory consolidation. Methods: We recruited N = 29 STs and N = 30 CNTs (age range of 18–35). Participants recorded their dreams and filled out sleep logs for seven consecutive days. Vocal activations of STs were audio-recorded. On the eighth day, we administered a word-pair task. Results: We showed that STs had significantly worse self-reported sleep quality. VBs were positively correlated with sleep fragmentation and negatively associated with the oneiric emotional load. No difference between groups was found in the memory consolidation rate. Conclusions: Although ST is a benign phenomenon, we revealed that ST is associated with more sleep alterations and lower emotional intensity of dreams. In this vein, we support that ST depends on sleep fragmentation and could represent a potential window into sleep-dependent cognitive processes. Full article

In MR (mixed reality) environments, visual searches are often used for search and localization missions. There are some problems with search and localization technologies, such as a limited field of view and information overload. They are unable to satisfy the need for the rapid and precise location of specific flying objects in a group of air and space targets under modern air and space situational requirements. They lead to inefficient interactions throughout the mission process. A human being’s decision and judgment will be affected by inefficient interactions. Based on this problem, we carried out a multimodal optimization study on the use of an auditory-assisted visual search for localization in an MR environment. In the spatial–spherical coordinate system, the target flight object position is uniquely determined by the height h, distance r, and azimuth θ. Therefore, there is an urgent need to study the cross-modal connections between the auditory elements and these three coordinates based on a visual search. In this paper, an experiment was designed to study the correlation between auditory intuitive perception and vision and the cognitive induction mechanism. The experiment included the three cross-modal mappings of pitch–height, volume–distance, and vocal tract alternation–spatial direction. The research conclusions are as follows: (1) Visual cognition is induced by high, medium, and low pitches to be biased towards the high, medium, and low spatial regions of the visual space. (2) Visual cognition is induced by loud, medium, and low volumes to be biased towards the near, middle, and far spatial regions of the visual space. (3) Based on the HRTF application, the vocal track alternation scheme is expected to significantly improve the efficiency of visual interactions. Visual cognition is induced by left short sounds, right short sounds, left short and long sounds, and right short and long sounds to be biased towards the left, right, left-rear, and right-rear directions of visual space. (4) The cognitive load of search and localization technologies is significantly reduced by incorporating auditory factors. In addition, the efficiency and effect of the accurate search and positioning of space-flying objects have been greatly improved. The above findings can be applied to the research on various types of target search and localization technologies in an MR environment and can provide a theoretical basis for the subsequent study of spatial information perception and cognitive induction mechanisms in an MR environment with visual–auditory coupling. Full article

In Chile, selling animals through livestock markets is common. At markets, stressful events like loading, unloading and travel are at least duplicated. We described procedures associated with transport of calves at 20 markets and evaluated compliance with Chilean law by performing a survey of drivers who transport calves from origin farms to markets (OM) and from markets to destination (MD). During loading and unloading, we evaluated handling by stockpersons, facilities, fitness for transport, and behavioural indicators of the calves through direct observation using protocols. A total of 80% of drivers claimed having the training required by law. The mean travel time was 1 h 31 min for OM and 1 h 44 min for MD journeys (overall range 5 min–40.5 h). Most drivers used bedding material and provided adequate space availability. A total of 99.2% of the observed calves were assessed as fit to transport; slipping, turning back, vocalizing and balking were frequent behaviours observed during loading and unloading. Prohibited practices like prodding and hitting using driving devices were still observed, mainly during loading. Compliance with the law during transport of calves was adhered to; however, the associated handling within markets was still inadequate, evidencing need for training in order to improve animal welfare. Full article

The role of aerosolized SARS-CoV-2 viruses in airborne transmission of COVID-19 has been debated. The aerosols are transmitted through breathing and vocalization by infectious subjects. Some authors state that this represents the dominant route of spreading, while others dismiss the option. Here we present an adjustable algorithm to estimate the infection risk for different indoor environments, constrained by published data of human aerosol emissions, SARS-CoV-2 viral loads, infective dose and other parameters. We evaluate typical indoor settings such as an office, a classroom, choir practice, and a reception/party. Our results suggest that aerosols from highly infective subjects can effectively transmit COVID-19 in indoor environments. This “highly infective” category represents approximately 20% of the patients who tested positive for SARS-CoV-2. We find that “super infective” subjects, representing the top 5–10% of subjects with a positive test, plus an unknown fraction of less—but still highly infective, high aerosol-emitting subjects—may cause COVID-19 clusters (>10 infections). In general, active room ventilation and the ubiquitous wearing of face masks (i.e., by all subjects) may reduce the individual infection risk by a factor of five to ten, similar to high-volume, high-efficiency particulate air (HEPA) filtering. A particularly effective mitigation measure is the use of high-quality masks, which can drastically reduce the indoor infection risk through aerosols. Full article

This study evaluated ratings of vocal strain and perceived listening effort by normal hearing participants while listening to speech samples produced by talkers with adductor spasmodic dysphonia (AdSD). In addition, objective listening effort was measured through concurrent pupillometry to determine whether listening to disordered voices changed arousal as a result of emotional state or cognitive load. Recordings of the second sentence of the “Rainbow Passage” produced by talkers with varying degrees of AdSD served as speech stimuli. Twenty naïve young adult listeners perceptually evaluated these stimuli on the dimensions of vocal strain and listening effort using two separate visual analogue scales. While making the auditory-perceptual judgments, listeners’ pupil characteristics were objectively measured in synchrony with the presentation of each voice stimulus. Data analyses revealed moderate-to-high inter- and intra-rater reliability. A significant positive correlation was found between the ratings of vocal strain and listening effort. In addition, listeners displayed greater peak pupil dilation (PPD) when listening to more strained and effortful voice samples. Findings from this study suggest that when combined with an auditory-perceptual task, non-volitional physiologic changes in pupil response may serve as an indicator of listening and cognitive effort or arousal. Full article

Background: Early childhood teachers consist of kindergarten and elementary school teachers in the lower grades. Young children at school may increase the vocal load of these teachers. Therefore, the objectives of this study were to determine the prevalence of voice disorders and the associated factors in early childhood teachers, and to determine if differences exist between kindergarten and elementary school teachers. Method: A cross-sectional survey was performed in July 2019 as a network questionnaire. Through cluster sampling, teachers (n = 414) from all five public kindergartens (n = 211) in the urban area of Yancheng, China, and four public elementary schools (n = 203) in the same school district participated in this study. Multivariate logistic regression models were used to analyze the associations among the prevalence of voice disorders in the teachers, school type, and relevant factors. Results: Our results indicated, based on the Voice Handicap Index scale (VHI-10, China), that the prevalence of voice disorders in early childhood teachers was 59.7%, while that in elementary school teachers (65.5%) was significantly higher than that in kindergarten teachers (54.0%) during the previous semester. Contributing factors included daily class hours, classroom air humidity, and speaking loudly during teaching. Additionally, certain types of voice usage in teaching such as falsetto speak, speaking more than other teachers, not using vocal techniques, and habitual voice clearing, were significantly associated with voice disorders. Conclusion: Most early childhood teachers have voice disorders. Compared with the kindergarten teachers, the elementary school teachers experienced a significantly higher prevalence of voice disorders. Several factors among work organization, work environment, and types of voice usage in teaching were associated with the voice disorders in early childhood teachers. The finding suggests that voice training should be provided for early childhood teachers, classroom teaching time should be decreased, and the number of teachers in basic subjects should be increased in the lower grades of elementary schools. Full article

Vocal loading tasks are often used to investigate the relationship between voice use and vocal fatigue in laboratory settings. The present study investigated the concept of a novel quantitative dose-based vocal loading task for vocal fatigue evaluation. Ten female subjects participated in the study. Voice use was monitored and quantified using an online vocal distance dose calculator during six consecutive 30-min long sessions. Voice quality was evaluated subjectively using the CAPE-V and SAVRa before, between, and after each vocal loading task session. Fatigue-indicative symptoms, such as cough, swallowing, and voice clearance, were recorded. Statistical analysis of the results showed that the overall severity, the roughness, and the strain ratings obtained from CAPE-V obeyed similar trends as the three ratings from the SAVRa. These metrics increased over the first two thirds of the sessions to reach a maximum, and then decreased slightly near the session end. Quantitative metrics obtained from surface neck accelerometer signals were found to obey similar trends. The results consistently showed that an initial adjustment of voice quality was followed by vocal saturation, supporting the effectiveness of the proposed loading task. Full article

Vocal folds are an essential part of human voice production. The biomechanical properties are a good indicator for pathological changes. In particular, as an oscillation system, changes in the biomechanical properties have an impact on the vibration behavior. Subsequently, those changes could lead to voice-related disturbances. However, no existing examination combines biomechanical properties and spatial imaging. Therefore, we propose an image registration-based approach, using ultrasound in order to gain this information synchronously. We used a quasi-static load to compress the tissue and measured the displacement by image registration. The strain distribution was directly calculated from the displacement field, whereas the elastic properties were estimated by a finite element model. In order to show the feasibility and reliability of the algorithm, we tested it on gelatin phantoms. Further, by examining ex vivo porcine vocal folds, we were able to show the practicability of the approach. We displayed the strain distribution in the tissue and the elastic properties of the vocal folds. The results were superimposed on the corresponding ultrasound images. The findings are promising and show the feasibility of the suggested approach. Possible applications are in improved diagnosis of voice disorders, by measuring the biomechanical properties of the vocal folds with ultrasound. The transducer will be placed on the vocal folds of the anesthetized patient, and the elastic properties will be measured. Further, the understanding of the vocal folds’ biomechanics and the voice forming process could benefit from it. Full article

The use of non-slip surfaces during loading and unloading of finishing pigs plays an important role in animal welfare and economics of the pork industry. Currently, the guidelines available only suggest the use of ramps with a slope below 20 degrees to load and unload pigs. However, the total time it takes to load and unload animals and slips, falls, and vocalizations are a welfare concern. Three ramp angles (0, 10 or 20 degrees), five bedding materials (nothing, sand, feed, wood shavings or wheat straw hay), two moistures (dry or wet bedding, >50% moisture) over two seasons (>23.9 °C summer, <23.9 °C winter) were assessed for slips/falls/vocalizations (n = 2400 pig observations) and analyzed with a scoring system. The use of bedding during summer or winter played a role in the total time it took to load and unload the ramp (p < 0.05). Bedding, bedding moisture, season, and slope significantly interacted to impact the total time to load and unload finishing pigs (p < 0.05). Heart rate and the total time it took to load and unload the ramp increased as the slope of the ramp increased (p < 0.05). Heart rates were higher during the summer than winter, and summer heart rates increased as the slope increased (p < 0.05). The current study suggests that several factors should be considered in combination to identify the appropriate bedding for the specific occasion. Full article

The use of non-slip surfaces during loading and unloading of weaned pigs plays an important role in animal welfare and economics of the pork industry. Currently, the guidelines available only suggest the use of ramps below 20° to load and unload pigs. Three ramp angles (0°, 10° or 20°), five bedding materials (nothing, sand, feed, wood shavings or wheat straw hay), two moistures (dry or wet bedding; >50% moisture) over two seasons (>23.9 °C summer, <23.9 °C winter) were assessed for slips/falls/vocalizations (n = 6,000 pig observations). "Score" was calculated by the sum of slips, falls, and vocalizations. With the exception of using feed as a bedding, all beddings provided some protection against elevated slips, falls, and vocalizations (P < 0.01). Providing bedding reduced (P < 0.05) scores regardless of whether the bedding was dry or wet. Scores increased as the slope increased (P < 0.01). Provision of bedding, other than feed, at slopes greater than zero, decreased slips, falls and vocalizations. The total time it took to load and unload pigs was affected by bedding type, ramp angle, and season (P < 0.05). Minimizing slips, falls, and vocalizations when loading and unloading pigs improved animal welfare. Full article

During warm weather, incorrect bedding levels on a trailer transporting market weight pigs may result in heat stress, fatigue, and death. Two experiments were conducted in June and July of 2011; Experiment 1 used 80 loads (n = 13,887 pigs) to determine the effects of two bedding levels (3 (68.1 kg) or 6 bags (136.2 kg) of wood shavings/trailer [each bag contained 22.7 kg, 0.2 m³]) on pig measures (surface temperature, vocalizations, slips and falls, and stress signs). Experiment 2 used 131 loads (n = 22,917 pigs) to determine the effects of bedding (3 vs. 6 bags) on transport losses (dead, sum of dead- and euthanized- on arrival; non-ambulatory, sum of fatigued and injured; total transport losses sum of dead and non-ambulatory). Bedding did not affect surface temperature, vocalizations, or slips and falls (p = 0.58, p = 0.50, and p = 0.28, respectively). However, pigs transported on 6 bags/trailer had 1.5% more stress signs than pigs transported on 3 bags/trailer (p < 0.01). No differences were observed between bedding levels for non-ambulatory, dead, or total transport losses (p = 0.10, p = 0.67, and p = 0.34, respectively). Within the context of these experiments, bedding level did not result in deleterious effects on pig measures or transport losses. However, using more bedding may result in higher costs to the industry. Therefore, 3 bags of bedding/trailer may be used when transporting market weight pigs during warm weather in the Midwestern U.S. Full article