The Effects of Altered Auditory Feedback (AAF) on Fluency in Adults Who Stutter: A Systematic Review

Background and Objectives: Stuttering affects 70 million people worldwide, which is about 1% of the population. Altered auditory feedback (AAF) is a process by which an individual’s auditory speech signal is electronically changed to temporarily increase the fluency of a person who stutters. For the purpose of this systematic review, AAF includes delayed auditory feedback (DAF) and frequency-altered feedback (FAF). This systematic review examines fluency enhancement in adults who stutter when using AAF devices. Methods: A review of the literature was searched using PubMed, Ovid MEDLINE, PsycINFO, and CINAHL databases with key search terms related to stuttering and AAF. Inclusion criteria included: 1) adults ages ≥ 18 years old who stutter, 2) comparison of altered auditory feedback forms and/or no altered auditory feedback forms in the treatment of stuttering, 3) inclusion of DAF or FAF, 4) outcomes related to aspects of stuttering or people who stutter (e.g., fluency level, speech naturalness, speech rate), and 5) experimental research. Studies were quality assessed and rated by the authors. Results: A total of 16 articles were included in this review. Articles were of ‘moderate’ quality. Conclusions: AAF devices are generally effective in reducing stuttering frequency, with most notable fluency enhancement occurring during oral reading. The degree of fluency enhancement between individuals who stutter is variable and is influenced by factors such as stuttering severity. While research generally supports the use of AAF devices in reducing stuttering frequency, there are inconsistent findings regarding speech naturalness. AAF is likely most effective when used in conjunction with traditional speech therapy. Further research is needed to better understand the relationship between AAF and stuttering, particularly regarding unstructured speaking tasks and speech naturalness.https://scholarworks.uvm.edu/csdms/1004/thumbnail.jp

Risk of Fatal Rear-End Collisions: Is There More to It Than Attention?

Rear-end collisions predominantly occur in the daytime under clear, unobstructed viewing conditions and usually involve a lead vehicle that is stopped at the time of collision. These facts suggest that driver inattention plays a significant causal role in rear-end collisions, and mitigation efforts have therefore focused largely on development of warning technologies to alert drivers of an impending crash. However, we note that this pattern of crash data should not lead to the conclusion that drivers have special difficulty avoiding rear-end collisions in broad daylight. Nor should it be concluded that other “environmental” factors do not influence driving behavior to increase rear-end crash risk. Crash frequency is determined both by the inherent risk in the driving task and by the frequency of driver exposure to conditions in which a crash is possible. When exposure level is equated across conditions which differ in ambient light level, we find that rear-end collisions appear to be more than twice as likely in darkness than in daylight

Pirate Tales from the Deep [Web]: An Exploration of Online Copyright Infringement in the Digital Age

Technology has seen a boom over the last few decades, making innovative leaps that border on science fiction. With the most recent technological leap came a new frontier of intellectual property and birthed a new class of criminal: the cyber-pirate. This Article discusses cyber-piracy and its interactions and implications for modern United States copyright law. The Article explains how copyright law, unprepared for the boom, struggled to adapt as courts reconciled the widely physical perceptions of copyright with the digital information being transferred between billions of users instantaneously. The Article also explores how cyber-piracy has made, and continues to make, its mark on copyright enforcement through political movements that vie for reduced copyright protections and support elusive distribution platforms that are nearly impossible to shut down permanently. As technology continues to surge forward, and 3D printers become increasingly available to consumers, copyright law will have to account for a new field of works that may need to be protected in the face of rising political turmoil

Risk of Fatal Rear-End Collisions: Is There More to It Than Attention?

Rear-end collisions predominantly occur in the daytime under clear, unobstructed viewing conditions and usually involve a lead vehicle that is stopped at the time of collision. These facts suggest that driver inattention plays a significant causal role in rear-end collisions, and mitigation efforts have therefore focused largely on development of warning technologies to alert drivers of an impending crash. However, we note that this pattern of crash data should not lead to the conclusion that drivers have special difficulty avoiding rear-end collisions in broad daylight. Nor should it be concluded that other “environmental” factors do not influence driving behavior to increase rear-end crash risk. Crash frequency is determined both by the inherent risk in the driving task and by the frequency of driver exposure to conditions in which a crash is possible. When exposure level is equated across conditions which differ in ambient light level, we find that rear-end collisions appear to be more than twice as likely in darkness than in daylight

Improving initialization and evolution accuracy of cosmological neutrino simulations

Neutrino mass constraints are a primary focus of current and future large-scale structure (LSS) surveys. Non-linear LSS models rely heavily on cosmological simulations -- the impact of massive neutrinos should therefore be included in these simulations in a realistic, computationally tractable, and controlled manner. A recent proposal to reduce the related computational cost employs a symmetric neutrino momentum sampling strategy in the initial conditions. We implement a modified version of this strategy into the Hardware/Hybrid Accelerated Cosmology Code (HACC) and perform convergence tests on its internal parameters. We illustrate that this method can impart $\mathcal{O}(1\%)$ numerical artifacts on the total matter field on small scales, similar to previous findings, and present a method to remove these artifacts using Fourier-space filtering of the neutrino density field. Moreover, we show that the converged neutrino power spectrum does not follow linear theory predictions on relatively large scales at early times at the $15\%$ level, prompting a more careful study of systematics in particle-based neutrino simulations. We also present an improved method for backscaling linear transfer functions for initial conditions in massive neutrino cosmologies that is based on achieving the same relative neutrino growth as computed with Boltzmann solvers. Our self-consistent backscaling method yields sub-percent accuracy in the total matter growth function. Comparisons for the non-linear power spectrum with the Mira-Titan emulator at a neutrino mass of $m_{\nu}=0.15~\mathrm{eV}$ are in very good agreement with the expected level of errors in the emulator and in the direct N-body simulation.Comment: 33 pages, 8 figures, 1 table. To be submitted to JCA

Coplanar k-unduloids are nondegenerate

We prove each embedded, constant mean curvature (CMC) surface in Euclidean space with genus zero and finitely many coplanar ends is nondegenerate: there is no nontrivial square-integrable solution to the Jacobi equation, the linearization of the CMC condition. This implies that the moduli space of such coplanar surfaces is a real-analytic manifold and that a neighborhood of these in the full CMC moduli space is itself a manifold. Nondegeneracy further implies (infinitesimal and local) rigidity in the sense that the asymptotes map is an analytic immersion on these spaces, and also that the coplanar classifying map is an analytic diffeomorphism.Comment: 19 pages, no figures; improvements to expositio

Interrater agreement in the interpretation of neonatal electroencephalography in hypoxic‐ischemic encephalopathy

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/136482/1/epi13661_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/136482/2/epi13661.pd