Effect of home postpartum care on quality of life of low risk mothers

Background & Aim: Home care visits have unique advantages in many social problems and health complications such as psychologic complications and adverse birth outcomes. The aim of this study was to identify the effect of postpartum care at home on quality of life among low risk mothers. Methods & Materials: This interventional study was conducted in Akbarabad health center of Tehran University of Medical Sciences in 2010. A total of 200 mothers were randomly allocated in two intervention and control groups. Mothers in the ..

Classification of voice disorder in children with cochlear implantation and hearing aid using multiple classifier fusion

<p>Abstract</p> <p>Background</p> <p>Speech production and speech phonetic features gradually improve in children by obtaining audio feedback after cochlear implantation or using hearing aids. The aim of this study was to develop and evaluate automated classification of voice disorder in children with cochlear implantation and hearing aids.</p> <p>Methods</p> <p>We considered 4 disorder categories in children's voice using the following definitions:</p> <p>Level_1: Children who produce spontaneous phonation and use words spontaneously and imitatively.</p> <p>Level_2: Children, who produce spontaneous phonation, use words spontaneously and make short sentences imitatively.</p> <p>Level_3: Children, who produce spontaneous phonations, use words and arbitrary sentences spontaneously.</p> <p>Level_4: Normal children without any hearing loss background. Thirty Persian children participated in the study, including six children in each level from one to three and 12 children in level four. Voice samples of five isolated Persian words "mashin", "mar", "moosh", "gav" and "mouz" were analyzed. Four levels of the voice quality were considered, the higher the level the less significant the speech disorder. "Frame-based" and "word-based" features were extracted from voice signals. The frame-based features include intensity, fundamental frequency, formants, nasality and approximate entropy and word-based features include phase space features and wavelet coefficients. For frame-based features, hidden Markov models were used as classifiers and for word-based features, neural network was used.</p> <p>Results</p> <p>After Classifiers fusion with three methods: Majority Voting Rule, Linear Combination and Stacked fusion, the best classification rates were obtained using frame-based and word-based features with MVR rule (level 1:100%, level 2: 93.75%, level 3: 100%, level 4: 94%).</p> <p>Conclusions</p> <p>Result of this study may help speech pathologists follow up voice disorder recovery in children with cochlear implantation or hearing aid who are in the same age range.</p