Voice banking for people living with motor neurone disease: Views and expectations

Background: More than 80% of people living with MND (plwMND) develop difficulties with their speech, affecting communication, self-identity and quality of life. Most plwMND eventually use an augmentative and alternative communication device (AAC) to communicate. Some AAC devices provide a synthesized voice for speech, however these voices are often viewed as impersonal and a factor in AAC acceptance. Voice banking creates an approximation of the person's own voice that can be used in AAC and is argued to go some way to preserve a person's identity when natural voice is lost, but there has been little supporting research. // Aims: To understand what plwMND consider when deciding whether or not to bank their voice, what their expectations are, and the expectations of significant communication partners. // Methods: Semi-structured interviews were undertaken with plwMND who had either decided to bank their voice or had decided not to. Thematic analysis was used to provide a qualitative analysis of the data. // Procedures: Participants were an opportunistic sample of plwMND within England recruited via an open advert distributed by the MND Association (MNDA). // Outcomes and Results: Twelve plwMND were interviewed with nine significant others. Nine participants had decided to bank their voice and three decided not to. The data suggest ‘preserving identity’ is the overarching motivation in decision making for voice banking. Participants who decided to voice bank considered it would help to maintain their identity and preserve their social and work networks. Participants deciding not to bank their voice highlighted it could not replace their natural voice or preserve their identity. However, few in either group showed an awareness of how a voice bank is used in AAC, and how communication using AAC is significantly different to natural speech. // Conclusions and Implications: This research is the first study of its kind to examine the considerations for decision making around voice banking for plwMND. Preserving identity is central to decision making when considering whether or not to voice bank. However, the reality of using AAC and voice banking for communication is poorly understood. Professionals have a role to provide plwMND with more information about voice banking in the wider context of using AAC for communication. It may be that the process of voice banking itself is seen as a positive act for plwMND, independent of how it is used later. Further research with associated professionals and stakeholders is indicated

The use of speech recognition technology by people living with Amyotrophic Lateral Sclerosis: a scoping review

More than 80% of people living with Amyotrophic Lateral Sclerosis (plwALS) develop difficulties with their speech, affecting communication, self-identity and quality of life. Automatic speech recognition technology (ASR) is becoming a common way to interact with a broad range of devices, to find information and control the environment. ASR can be problematic for people with acquired neurogenic motor speech difficulties (dysarthria). Given that the field is rapidly developing, a scoping review is warranted

Decline Of Diporeia in Lake Michigan: Was Disease Associated with Invasive Species the Primary Factor?

Populations of the freshwater amphipod Diporeia spp. have steadily declined in Lake Michigan since the late 1980’s. Prior studies have provided inconclusive data on possible reasons for their decline. However, some authors suggest that food competition and/or diseases associated with aquatic invasive species (AIS), such as zebra mussels (Dreissena polymorpha), may have caused the collapse of Diporeia. In this project, the possibility of pathogens as the cause of the collapse of Diporeia has been examined. Linear regression modeling show a significant positive linear association between percent of Diporeia exhibiting a pathogenic infection and year (r=0.7202264, p2 = 50, df = 10, pDiporeia. Future research is needed to examine other invasive species for similar pathogens, including live studies showing direct causality between zebra mussels and the decline in Diporeia

A Theoretical Investigation of the Stability of HPC

Several ab initio methods are applied to the study of two linear isomers of methylidyne phosphine, HCP, and HPC. Single-reference correlation methods ranging from second-order Møller-Plesset theory to coupled cluster singles and doubles theory with noninterative inclusion of connected triple excitations were applied in a variety of basis sets of increasing size. In addition, complete active space self-consistent field wave functions, multireference singles and doubles configuration interaction, and averaged coupled pair functional theory were also applied to HPC. For HPC comparison of the single-reference based results is made with experimental data and previous theory to assess the accuracy of the methods employed. The same single-reference-bsed methods are then applied to linear HPC in order to assess whether it is a stable minimum or a transition state (imaginary frequencies in two dimensions). It is found that linear HPC is not a minimum on the ground-state potential surface. However, relatively high levels of correlation must be used when single-reference-based methods are employed to arrive at this conclusion. The multireference-based methods are then applied to HPC, and they too predict that it is not a minimum on the ground electronic potential surface. The qualitative nature of linear HPC is examined using CASSCF and CCSD wave functions

Regulation and competition in the Turkish telecommunications industry: an update

This chapter provides an overview of the state of liberalization, competition and regulation of major segments of the telecommunications industry in Turkey. It shows that the competitive stance of the regulatory authority and the development of actual competition has been uneven across segments. Specifically, the degree of competition has been higher in the mobile segment relative to fixed telephony or broadband. The chapter also discusses the new Electronic Communications Law and argues that although not perfect, it provides a coherent basis on which the regulatory authority can pursue competitive objectives in a more even manner. However, the actual development of competition will depend a lot on how the law and the ensuing secondary legislation are actually implemented

Call Me Caitlyn: Making and making over the 'authentic' transgender body in Anglo-American popular culture

A conception of transgender identity as an ‘authentic’ gendered core ‘trapped’ within a mismatched corporeality, and made tangible through corporeal transformations, has attained unprecedented legibility in contemporary Anglo-American media. Whilst pop-cultural articulations of this discourse have received some scholarly attention, the question of why this 'wrong body' paradigm has solidified as the normative explanation for gender transition within the popular media remains underexplored. This paper argues that this discourse has attained cultural pre-eminence through its convergence with a broader media and commercial zeitgeist, in which corporeal alteration and maintenance are perceived as means of accessing one’s ‘authentic’ self. I analyse the media representations of two transgender celebrities: Caitlyn Jenner and Nadia Almada, alongside the reality TV show TRANSform Me, exploring how these women’s gender transitions have been discursively aligned with a cultural imperative for all women, cisgender or trans, to display their authentic femininity through bodily work. This demonstrates how established tropes of authenticity-via-bodily transformation, have enabled transgender to become culturally legible through the wrong body trope. Problematically, I argue, this process has worked to demarcate ideals of ‘acceptable’ transgender subjectivity: self-sufficient, normatively feminine, and eager to embrace the possibilities for happiness and social integration provided by the commercial domain

Comparative Genomics Analysis Demonstrated a Link Between Staphylococci Isolated From Different Sources: A Possible Public Health Risk

Coagulase-negative staphylococci (CoNS) have been recovered from different ecological niches, however, little is known about the genetic relatedness of these isolates. In this study, we used whole genome sequencing to compare mecA positive (mecA⁺) Staphylococcus epidermidis, Staphylococcus haemolyticus and Staphylococcus hominis isolates recovered from hand-touched surfaces from general public settings in East and West London with data of isolates deposited to European Nucleotide Archive (ENA) by other research groups. These included isolates associated with hospital settings (including those recovered from patients), healthy humans, livestock, pets, plants and natural, and other public environments. Using core and accessory phylogenetic analyses we were able to identify that the mecA⁺ S. epidermidis and S. haemolyticus isolates recovered from general public settings were genetically related to isolates recovered from the bloodstream, urinary tract and eye infections. S. epidermidis isolates recovered in our study were also shown to be genetically related to isolates previously recovered from livestock/livestock housing, whereas S. haemolyticus isolates were genetically related to isolates recovered from a dog and kefir (fermented cow milk drink). MecA⁺ S. hominis isolates were not genetically related to any isolates recovered from clinical samples but were genetically related to isolates recovered from mosquitoes, air samples (residential areas) and kefir. All three species showed to have genetic relatedness to isolates recovered from healthy humans. These results show that CoNS isolates in this study share genetic similarities with those of different lineages and that mecA⁺ S. epidermidis and S. haemolyticus isolates found in general public settings in this study may pose a risk to public health

Using 206/207Pb isotope ratios to estimate phosphorus sources in historical sediments of a lowland river system

Purpose Engineering and dredging strategies to manage sediment, along with river-scouring, can reveal older sediments. These present a unique opportunity to assess past sources of phosphorus (P) inputs into river sediments. We used the sediment concentrations of P, lead (Pb) and 206/207Pb isotopes to produce ‘first-order’ estimates of the source (diffuse agricultural or sewage treatment) of phosphorus. Materials and methods Sediment cores (n = 30) were collected from the length of the non-tidal River Nene, a lowland river in eastern England. Cores were analysed for sediment elemental concentrations and Pb isotopes. Principal component analysis and linear regression modelling were used to assess the relationships between P, Pb and Pb isotopes. Monte-Carlo simulations and boot-strapping were undertaken to estimate, with 95% confidence intervals, the source of P in these sediments. Results and discussion Analysis of the relationships between PTotal, PbTotal and 206/207Pb isotope ratios suggested that sediments were deposited largely prior to the phasing out of tetra-ethyl Pb (PbBHT) from petrol. Regression models showed positive correlations between PTotal and PbTotal (R2 = 0.85). Principal component analysis suggested a strong sewage treatment signal for Pb and P enrichment. In the rural upper three water bodies, little sewage treatment work (STW)-derived P was found in the sediment, a consequence of limited STW input and greater sediment transport. In the more urbanised water bodies 4–6, ‘first-order estimates’ of STW P suggest that median concentrations were 30–40% of PTotal. Conclusions The strong relationships between Pb and P concentrations in river water provided the opportunity to use 206/207Pb isotope ratios to calculate ‘first-order’ estimates of the proportion of P released from STWs in the historical sediment. Understanding the sources of historical sediment P can be used to assess the success of current sediment management strategies and to base further mitigation measures. Results suggest that whilst much recent sediment P is removed, the legacy sediment remains to contribute P to the water body. Thus, options regarding the practical removal of these sediments and the extent to which this would improve water P status need to be assessed and balanced against options such as further decreasing soil P or STW P stripping