简介：OnAugust15,2015,attheinvitationoftheAssociationforAustriaChinaCulturalExchangeandtheInternationalAssociationforMusicandDancePromotion,asacouncilmemberoftheChineseAssociationforInternationalUnderstanding,withheartilyenthusiasmandloveformusicandstrongresponsibilityforthecauseoftheChinesevocal

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简介：BackgroundVocalcordmovementdisorder(VCMD)isalaryngealdisordercharacterizedbyparadoxicaladductionofthevocalcordsduringininspiration,expirationorboth.ThenursingexperienceofpatientswithVCMDafteraorticdissectionsurgeryislimited.MethodsWeretrospectivelyanalyzedtheclinicaldataandnursingrecordsof269patientsafteraorticdissectionsurgeryinGuangdongGeneralHospitalbetweenMay2010andMay2012.Weobservedthepatients’pronunciation,andjudgediftherewasdysphagiaundergoingwaterdrinkingtesttwohoursafterextubation,toconfirmwhetherpatientshadVCMD.ResultsSeventeenpatientshadVCMDafteraorticdissectionsurgery,ofwhom2sufferedhoarseness,3haddysphasiaand12hadbothhoarsenessanddysphasia.Aftertimelytreatmentandcarefullynursing,allthepatientsrecoveredwell.ConclusionsWiththeenhancedcareofpatientswithaorticdissection,observinghoarsenessappearanceanddrinkingexperimentimmediatelyafterextubationcandetectVCMDassoonaspossible.Furtherrehabilitationtrainingandpsychologycarecanpreventbuckingandaspirationeffectively,andpromotingrecoveryandimprovingpatient’slifequality.

简介：A46-year-oldmanexperiencedseverelancinatingpaininthethroatthatradiatedtotheleftear.Thepain,whichwasexacerbatedbyswallowingorcoughing,hadlastedfor2years.Thefindingsofthepatient'sneurologicalexaminationwerenormal.Computedtomographicandmagneticresonanceimagingscansofthebrainandnasopharynxdidnotshowanyabnormality.Adiagnosisofidiopathicvagoglossopharyngealneuralgiawasmade.Insurgery,boththeglossopharyngealandtheramicommunicansbetweenthevagalandgrssopharyngealnervesweresectioned.Thepatientwasfreeofpainfollowingthesurgery,butcomplainedofhoarsenessinvoice.Examinationshowedparalyzedleftvocalcordataparamedianposition.Inthe12monthsfollowingthesurgery,thehoarsenesshasgraduallyimprovedandeventuallydisappeared.

简介：Objective:Totestforpre-attentiveauditorydiscriminationskillsinIndianclassicalvocalmusiciansandnon-musicians.Design:Mismatchnegativity(MMN)wasrecordedtotestforpre-attentiveauditorydiscriminationskillswithapairofstimuliof/1000Hz/and/1100Hz/,with/1000Hz/asthefrequentstimulusand/1100Hz/astheinfrequentstimulus.Onset,offsetandpeaklatenciesweretheconsideredlatencyparameters,whereaspeakamplitudeandareaunderthecurvewereconsideredforamplitudeanalysis.Studysample:Exactly50participants,outofwhichtheexperimentalgrouphad25adultIndianclassicalvocalmusiciansand25age-matchednon-musiciansservedasthecontrolgroup,wereincludedinthestudy.ExperimentalgroupparticipantshadaminimumprofessionalmusicexperienceinIndianclassicvocalmusicof10years.However,controlgroupparticipantsdidnothaveanyformaltraininginmusic.Results:Descriptivestatisticsshowedbetterwaveformmorphologyintheexperimentalgroupascomparedtothecontrol.MANOVAshowedsignificantlybetteronsetlatency,peakamplitudeandareaunderthecurveintheexperimentalgroupbutnosignificantdifferenceintheoffsetandpeaklatenciesbetweenthetwogroups.Conclusion:Thepresentstudyprobablypointstowardstheenhancementofpre-attentiveauditorydiscriminationskillsinIndianclassicalvocalmusicianscomparedtonon-musicians.ItindicatesthatIndianclassicalmusicaltrainingenhancespre-attentiveauditorydiscriminationskillsinmusicians,leadingtohigherpeakamplitudeandagreaterareaunderthecurvecomparedtonon-musicians.

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简介：目的对照评估三维超声VOCAL(virtualorgancomputer-aidedanalysis)技术与二维超声测量甲状腺体积的一致性和重复性。方法采用二维超声和三维超声测量50例18~68岁女性成人的甲状腺体积。二维超声测量甲状腺最大切面的3个径线(L、H、W),用经典的椭圆体公式V=0.523×L×H×W计算甲状腺体积;三维超声VOCAL技术先获取甲状腺三维数据,而后用VOCAL技术测量甲状腺体积;最终对比分析两种测量方法。结果三维超声VOCAL技术与传统二维超声测量甲状腺体积,操作者组内的变异系数分别为0.738%、1.59%,95%一致性界限分别为(-0.26cm^3,0.22cm^3)、(-0.32cm^3,0.46cm^3);组间相关系数分别为0.970^xx、0.942^xx,95%一致性界限分别为(-0.36cm^3,0.37cm^3)、(-0.75cm^3,0.64cm^3)。三维超声VOCAL技术测量甲状腺体积组内变异系数小、组间相关系数高、95%一致性界限宽度窄,说明三维超声VOCAL技术测量甲状腺体积的重复性优于传统二维超声。结论三维超声VOCAL技术测量甲状腺体积的重复性高,优于传统二维超声,其作为一种安全、简单、易行、精确的测量方法,为临床测量不规则脏器体积提供可靠、有效的新方法。