Consistent use of a combination product versus a single product in a safety trial of the diaphragm and microbicide in Harare, Zimbabwe.

BACKGROUND: We examined the use and acceptability of a combination product (diaphragm and gel) compared to a single product (gel) during a 6-month safety trial in Zimbabwe. STUDY DESIGN: Women were randomized to the use of a diaphragm with gel or the use of gel alone, in addition to male condoms. Ever use and use of study product on the last act of sexual intercourse were assessed monthly by Audio Computer-Assisted Self-Interviewing. Acceptability, correct use and consistent use (use at every sexual act during the previous 3 months) were measured on the last visit by face-to-face interview. Predictors of consistent use were examined using multivariate logistic regression analyses. RESULTS: In this sample of 117 sexually active, monogamous, contracepting women, rates of consistent use were similar in both groups (59.7% for combination method vs. 56.4% for gel alone). Product acceptability was high, but was not independently associated with consistent use. Independent predictors of consistent use included age [adjusted odds ratio (AOR)=1.08; 95% confidence interval (95% CI)=1.01-1.16], consistent condom use (AOR=3.85; 95% CI=1.54-9.63) and having a partner who approves of product use (AOR=2.66; 95% CI=1.10-6.39). CONCLUSIONS: Despite high reported acceptability and few problems with the products, the participants reported only moderate product adherence levels. Consistent use of condoms and consistent use of products were strongly associated. If observed in other studies, this may bias the estimation of product effectiveness in future trials of female-controlled methods

A silent speech system based on permanent magnet articulography and direct synthesis

In this paper we present a silent speech interface (SSI) system aimed at restoring speech communication for individuals who have lost their voice due to laryngectomy or diseases affecting the vocal folds. In the proposed system, articulatory data captured from the lips and tongue using permanent magnet articulography (PMA) are converted into audible speech using a speaker-dependent transformation learned from simultaneous recordings of PMA and audio signals acquired before laryngectomy. The transformation is represented using a mixture of factor analysers, which is a generative model that allows us to efficiently model non-linear behaviour and perform dimensionality reduction at the same time. The learned transformation is then deployed during normal usage of the SSI to restore the acoustic speech signal associated with the captured PMA data. The proposed system is evaluated using objective quality measures and listening tests on two databases containing PMA and audio recordings for normal speakers. Results show that it is possible to reconstruct speech from articulator movements captured by an unobtrusive technique without an intermediate recognition step. The SSI is capable of producing speech of sufficient intelligibility and naturalness that the speaker is clearly identifiable, but problems remain in scaling up the process to function consistently for phonetically rich vocabularies

Effects of noise on integration of acoustic and electric hearing within and across ears.

In bimodal listening, cochlear implant (CI) users combine electric hearing (EH) in one ear and acoustic hearing (AH) in the other ear. In electric-acoustic stimulation (EAS), CI users combine EH and AH in the same ear. In quiet, integration of EH and AH has been shown to be better with EAS, but with greater sensitivity to tonotopic mismatch in EH. The goal of the present study was to evaluate how external noise might affect integration of AH and EH within or across ears. Recognition of monosyllabic words was measured for normal-hearing subjects listening to simulations of unimodal (AH or EH alone), EAS, and bimodal listening in quiet and in speech-shaped steady noise (10 dB, 0 dB signal-to-noise ratio). The input/output frequency range for AH was 0.1-0.6 kHz. EH was simulated using an 8-channel noise vocoder. The output frequency range was 1.2-8.0 kHz to simulate a shallow insertion depth. The input frequency range was either matched (1.2-8.0 kHz) or mismatched (0.6-8.0 kHz) to the output frequency range; the mismatched input range maximized the amount of speech information, while the matched input resulted in some speech information loss. In quiet, tonotopic mismatch differently affected EAS and bimodal performance. In noise, EAS and bimodal performance was similarly affected by tonotopic mismatch. The data suggest that tonotopic mismatch may differently affect integration of EH and AH in quiet and in noise

Integrating user-centred design in the development of a silent speech interface based on permanent magnetic articulography

Abstract: A new wearable silent speech interface (SSI) based on Permanent Magnetic Articulography (PMA) was developed with the involvement of end users in the design process. Hence, desirable features such as appearance, port-ability, ease of use and light weight were integrated into the prototype. The aim of this paper is to address the challenges faced and the design considerations addressed during the development. Evaluation on both hardware and speech recognition performances are presented here. The new prototype shows a com-parable performance with its predecessor in terms of speech recognition accuracy (i.e. ~95% of word accuracy and ~75% of sequence accuracy), but significantly improved appearance, portability and hardware features in terms of min-iaturization and cost

Impact of positive education psychology on the first-year student experience

Positive Psychological Interventions (Positive Education) uses a multidimensional approach that includes fostering beliefs and developing a growth mindset to reduce anxiety and psychological distress and improve well-being. Positive education has been shown to improve secondary students’ engagement, well-being and self-efficacy, impacting achievement. Seligman’s (2011) PERMA framework with its elements of positive emotions, engagement, relationship, meaning and accomplishment has been successfully used to assess positive education strategies in schools. However, the model has not been tested at the tertiary level. We used the PERMA model framework to create a survey that was suitable for the tertiary level and implemented positive education strategies in a class of mainly foreign on-campus students to determine the usefulness of the model. Results showed a strong relationship between positive emotions and engagement, engagement and relationship, engagement and meaning and engagement and accomplishment, but a lack of association between accomplishment and: positive emotions, relationship and meaning

Influence of Abiotic Drivers on 1-Year Seedling Survival of Six Mangrove Species in Southeast Asia

Establishment and survival of plant species in systems with dominant environmental drivers (i.e. factors that exert disproportionate control over species establishment and survival) is often thought to be dominated by one master variable. In forested wetlands such as mangroves, hydrology is typically considered the dominant limiting driver. At the same time, light is a major driver of plant community dynamics, with some of the best understood plant life-history tradeoffs related to fast growth under high-light conditions versus survival under low-light conditions. Yet light is given relatively limited consideration in mangrove research compared to other drivers. Understanding the relative importance of abiotic drivers for seedling survival is crucial for effective management and restoration of mangrove ecosystems. Despite increasing global efforts to plant mangrove propagules at elevations appropriate for the hydrologic conditions needed at early life history stages, restoration efforts report low survival of planted propagules. Although many studies have made considerable progress to characterize the abiotic limitations of mangrove propagule establishment, fewer studies have addressed multiple abiotic drivers that limit the survival of the established seedling stage. We characterized the light and inundation conditions of more than 900 naturally established mangrove seedlings and monitored the survival of more than 2,800 seedlings (including 16 species) located on a species-rich island in tropical Southeast Asia for 1 year. Our findings suggest that light has a stronger effect than hydrology on survival following seedling establishment. We provide a conceptual visualization of shifts in the drivers of mangrove survival/loss throughout ontogeny