How expertise and language familiarity influence perception of speech of people with Parkinson’s disease

Parkinson’s disease (PD) is a progressive neurological disorder characterized by several motor and non-motor manifestations. PD frequently leads to hypokinetic dysarthria, which affects speech production and often has a detrimental impact on everyday communication. Among the typical manifestations of hypokinetic dysarthria, speech and language therapists (SLTs) identify prosody as the most affected cluster of speech characteristics. However, less is known about how untrained listeners perceive PD speech and how affected prosody influences their assessments of speech. This study explores the perception of sentence type intonation and healthiness of PD speech by listeners with different levels of familiarity with speech disorders in Dutch. We investigated assessments and classification accuracy differences between Dutch-speaking SLTs (n = 18) and Dutch/non-Dutch speaking untrained listeners (n = 27 and n = 124, respectively). We collected speech data from 30 Dutch speakers diagnosed with PD and 30 Dutch healthy controls. The stimuli set consisted of short phrases from spontaneous and read speech and of phrases produced with different sentence type intonation. Listeners participated in an online experiment targeting classification of sentence type intonation and perceived healthiness of speech. Results indicate that both familiarity with speech disorders and with speakers’ language are significant and have different effects depending on the task type, as different listener groups demonstrate different classification accuracy. There is evidence that untrained Dutch listeners classify PD speech as unhealthy more accurately than both trained Dutch and untrained non-Dutch listeners, while trained Dutch listeners outperform the other two groups in sentence type classification

Seeing the world through different lenses:activity registration differs between two validated accelerometers

Although accelerometers are extensively validated to estimate energy expenditure in patients with COPD, they show significant differences in non-worn time and type of activity registration http://bit.ly/32fa7WR

Patient Selection for Bronchoscopic Lung Volume Reduction

Purpose: Bronchoscopic lung volume reduction (BLVR) is a valuable treatment option for carefully selected patients with severe COPD. There is limited knowledge about the characteristics and outcomes of patients referred to a specialized center for BLVR. The study objectives were to investigate the selection rate for BLVR treatment in patients referred for this treatment and to investigate the differences between patients that were selected for BLVR and patients that were not. Patients and Methods: We performed a retrospective analysis of patients with severe COPD who were referred to our hospital to assess eligibility for BLVR treatment. Our parameters included demographics, comorbidity, chest computed tomography characteristics, reasons for rejection from BLVR treatment and patient survival. Results: In total, 1500 patients were included (mean age 62 years, 50% female and forced expiratory volume in 1 s 33% of predicted). Out of this group, 282 (19%) patients were selected for BLVR treatment. The absence of a suitable target lobe for treatment, an unsuitable disease phenotype and insufficient lung hyperinflation were the most important factors for not being selected. Patients that were selected for any BLVR option lived significantly longer than the group of patients that were not selected for BLVR (median 3060 versus 2079 days, P<0.001). Conclusion: We found that only a small proportion of patients that are referred for BLVR treatment is eligible for a BLVR treatment, indicating a need for both better referral tools and for the development of new therapies for this group of patients. Furthermore, our data suggest that selection for BLVR is associated with a significant survival benefit

Parity Nonconservation in 106Pd and 108Pd Neutron Resonances

Parity nonconservation (PNC) has been studied in the neutron p-wave resonances of 106Pd and 108Pd in the energy range of 20 to 2000 eV. Longitudinal asymmetries in p-wave capture cross sections are measured using longitudinally polarized neutrons incident on ∼20-g metal-powder targets at LANSCE. A CsI γ-ray detector array measures capture cross section asymmetries as a function of neutron energy which is determined by the neutron time-of-flight method. A total of 21 p-wave resonances in 106Pd and 21 p-wave resonances in 108Pd were studied. One statistically significant PNC effect was observed in106Pd, and no effects were observed in 108Pd. For 106Pd a weak spreading width of Γw=34-28+47×10-7 eV was obtained. For 108Pd an upper limit on the weak spreading width of Γw\u3c12×10-7 eV was determined at the 68% confidence level

Neutron Resonance Spectroscopy of 106Pd, and 108Pd from 20–2000 eV

Parity nonconserving asymmetries have been measured in p-wave resonances of 106Pd and 108Pd. The data analysis requires knowledge of the neutron resonance parameters. Transmission and capture γ-ray yields were measured for En=20–2000 eV with the time-of-flight method at the Los Alamos Neutron Science Center (LANSCE). A total of 28 resonances in 106Pd and 32 resonances in 108Pd were studied. The resonance parameters for 106Pd are new for all except one resonance. In 108Pd six new resonances were observed and the precision improved for many of the resonance parameters. A Bayesian analysis was used to assign orbital angular momentum for the resonances studied