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Biomedical subjects

B Weinberg

Publications and source records attributed to B Weinberg.

At least 37 records · Page 2Linked to original sources
PubMed1988

Tone in Thai alaryngeal speech.

The perception and production of linguistic tone was investigated in utterances spoken by Thai alaryngeal speakers. Thai is a tone language with five phonemic tones. High-quality tape recordings of five monosyllabic words produced by 2 esophageal, 1 electrolaryngeal, and 5 normal, native Thai speakers were subjected to perceptual and acoustic analysis. Results from the phonemic identification tests indicated that tones produced by alaryngeal speakers were not only perceived at much lower levels of accuracy than those produced by normal speakers, but the patterns of tonal confusions for alaryngeal speakers were also dissimilar to those for normal speakers. Results from fundamental frequency (Fo) analysis revealed that the performance deficit of alaryngeal speakers could be related to specific characteristics of their Fo contours. Findings are interpreted to highlight the importance of (a) language, (b) type of prosody, (c) form of alaryngeal speech, and (d) Fo level and direction on linguistic assessments of Fo control in alaryngeal speech.

Adult↗
PubMed1987

Infantile hemangioendothelioma of heterotopic intrathoracic liver associated with diaphragmatic hernia.

An autopsy of a six-hour-old term neonate, who died during surgery for repair of a left diaphragmatic hernia, revealed an infantile hemangioendothelioma type I arising in a heterotopic lobe of liver in the left thorax. The upper pole of the tumor was attached by fibrovascular tissue to the lower lobe of the left hypoplastic lung. A pedicle attached to the lower pole of the heterotopic liver pierced through the diaphragm to the left lobe of the normal liver. This case is an example of an unusual association of congenital malformation and putative neoplasm.

Female↗
PubMed1987

Voice onset time in Thai alaryngeal speech.

The perception and production of voicing contrast was investigated in utterances spoken by Thai alaryngeal speakers. Thai exhibits a three-category voicing distinction for bilabial /b, p, ph/ and alveolar /d, t, th/ stops and a two-category distinction for velar [k, kh] stops. Voice onset time (VOT) was measured in word-initial stops of words produced in isolation by 2 Thai esophageal speakers and 1 Thai user of an electronic artificial larynx. These measurements were compared with published VOT values for the same words spoken by 5 normal Thai speakers. Both esophageal speakers were capable of signaling voicing distinctions for /b, d/ and /p, t, k/. The electrolaryngeal speaker was able to signal /p, t, k/ only. Thai alaryngeal speakers were generally unsuccessful in signaling /ph, th, kh/. A cross-linguistic comparison to VOT in English suggests that no more than two voicing categories can be distinguished in these two forms of alaryngeal speech. Findings are interpreted to illustrate that the realization of stop voicing contrasts in alaryngeal speech depends on the number of voicing categories in a language, the relative positions of the voicing categories on the VOT continuum, and the form of alaryngeal speech.

Adult↗
PubMed1987

Aerodynamic and myoelastic contributions to tracheoesophageal voice production.

Five laryngectomized, tracheoesophageal (TE) speakers completed a series of phonatory tasks developed to assess (a) aerodynamic and acoustic properties of TE voice and (b) aerodynamic and myoelastic contributions to the mediation of fundamental frequency change. These TE speakers' voices were characterized by increased trans-source airflow rates, comparable source driving pressures, and decreased airway resistances in comparison with standard esophageal speakers. TE speakers were capable of adjusting their voicing sources on a myoelastic basis to influence Fo change. This result, coupled with findings that confirm aerodynamic contributions to TE phonation, are interpreted to suggest that TE voice production should be regarded as an aerodynamic-myoelastic event. Findings are integrated with existing data to highlight fundamental differences among TE, esophageal, and normal voice production.

Airway Resistance↗
PubMed1986

Colonic obstruction in a child with von Recklinghausen's neurofibromatosis.

A child is reported who developed partial colonic obstruction from an intussuscepting polypoid mass in the transverse colon. A 5 cm plexiform ganglioneurofibroma was found at laparotomy. Examination of the entire gastrointestinal tract revealed no other neurogenic tumors. Gastrointestinal involvement by neurofibromatosis in children is rare; however, children with von Recklinghausen's disease who complain of vague abdominal symptoms should be evaluated for gastrointestinal tumors.

Child↗
PubMed1986

Impact of tracheoesophageal puncture prosthesis airway resistance on in-vivo phonatory performance.

Substantial differences have been established among in-vitro airway resistance properties of tracheoesophageal (TE) puncture prostheses (Weinberg & Moon, 1984). In this report, the impact of these in-vitro differences on the actual, in-vivo process of TE voice production is made explicit. Variation in in-vitro airway resistance among TE puncture prostheses is shown to exert substantial effects upon in-vivo phonatory mechanism opposition to flow, aerodynamic power required to initiate and sustain TE voice production, and TE phonatory efficiency. Individuals responsible for defining TE puncture options for laryngectomized patients are encouraged to consider these effects in clinical practice.

Airway Resistance↗
PubMed1986

Airway resistances of Blom-Singer and Panje Low Pressure tracheoesophageal puncture prostheses.

Airway resistances were calculated for two newly commercialized tracheoesophageal (TE) puncture prostheses: the Panje Low Pressure Voice Button and the Blom-Singer Low Pressure device. The airway resistances of newly commercialized Panje Low Pressure devices could not be distinguished from those calculated for previously commercialized, Regular Pressure Voice Button devices. Airway resistances of Blom-Singer Low Pressure devices increased systematically as a function of flow rate. Findings are compared with existing data to provide readers with an opportunity to evaluate the relative efficiency of air shunting among contemporary TE puncture prostheses. Results are interpreted in relation to their implications for selecting surgical-prosthetic options for laryngectomized patients.

Airway Resistance↗
PubMed1986

Rhythm in Thai esophageal speech.

Duration measurements associated with rhythmic aspects of speech produced by one Thai esophageal speaker were compared to previously published identical measures for normal Thai speakers. Measures of central tendency and variability were taken of the duration of syllables, pauses, phrases, and interstress intervals. Despite a slower-than-normal overall speaking rate and a shorter-than-normal phrase length, the esophageal speaker was able to maintain normal relative temporal relations among syllables within phrases. Although his speech was dysrhythmic at the overall discourse level, it was rhythmic at the phrase level. Findings are interpreted to highlight the importance of differentiating features of alaryngeal speech that are common across languages from those that are specific to particular languages.

Adult↗
PubMed1986

The air bronchogram: sonographic demonstration.

A new sonographic pattern of pulmonary consolidation associated with air-filled bronchi in children is presented. The consolidated area of the lung is usually hypoechoic, poorly defined, and wedge-shaped. The air-filled bronchi produce linear, high-amplitude branching echoes that converge toward the lung root. Posterior acoustic shadowing and reverberation artifacts are seen accompanying the proximal large bronchi. A comparative study is presented in which 30 pediatric patients with clinical and radiographic evidence of pneumonia were sonographically evaluated. Twenty-eight patients were successfully examined with sonography. The cases were divided into three groups: (1) consolidated lung without pleural effusion (19 patients); (2) consolidated lung with small pleural effusion (five patients); and (3) consolidated lung with partial compression atelectasis due to large pleural effusion (four patients).

Adolescent↗