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The human voice qualitatively changes across the lifespan. Although some of these vocal changes may be pathologic, other changes likely reflect natural physiological aging. Normative data for voice characteristics in healthy aging is limited and disparate studies have used a range of different acoustic features, some of which are implicated in pathologic voice changes. We examined the perceptual and acoustic features that predict healthy aging.
Participants (N = 150) aged between 50 and 92 years performed a sustained vowel task. Acoustic features were measured using the Multi-Dimensional Voice Program and the Analysis of Dysphonia in Speech and Voice. We used forward and backward variable elimination techniques based on the Bayesian information criterion and linear regression to assess which of these acoustic features predict age and perceptual features. Hearing thresholds were determined using pure-tone audiometry tests at frequencies 250 Hz, 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz. We further explored potroductions associated with age-related hearing loss. This normative data of healthy vocal aging may assist in separating voice pathologies from healthy aging.
Findings suggest that acoustic features that predict healthy aging are different than those previously reported for the pathologic voice. We propose a model of healthy and pathologic voice development in which voice characteristics are mediated by the inability to monitor vocal productions associated with age-related hearing loss. This normative data of healthy vocal aging may assist in separating voice pathologies from healthy aging.
The center of resistance (C
) is regarded as the fundamental reference point for predictable tooth movement. Accurate estimation can greatly enhance the efficiency of orthodontic tooth movement. Only a handful of studies have evaluated the C
of a maxillary first molar; however, most had a low sample size (in single digits), used idealized models, or involved 2-dimensional analysis. learn more The objectives of this study were to (1) determine the 3-dimensional (3D) location of the C
of maxillary first molars, (2) evaluate its variability in a large sample, and (3) investigate the effects of applying orthodontic load from 2 directions on the location of the C
.
Cone-beam computed tomography scans of 50 maxillary molars from 25 patients (mean age, 20.8±8.7years) were used. The cone-beam computed tomography volume images were manipulated to extract 3D biological structures via segmentation. The segmented structures were cleaned and converted into virtual mesh models made of tetrahedral triangles having a maximum showed significant association with root divergence (P<0.01).
The C
of the maxillary first molar was located apical and distal to the trifurcation area. It showed significant variation in its location. The 3D location of and also varied with the force direction. In some samples, this deviation was large. For accurate and predictable movement, tooth-specific C
need to be calculated.
The CRes of the maxillary first molar was located apical and distal to the trifurcation area. It showed significant variation in its location. The 3D location of and also varied with the force direction. In some samples, this deviation was large. For accurate and predictable movement, tooth-specific CRes need to be calculated.
The COVID-19 pandemic has exacerbated longstanding housing precarity. This study measures the public support for policies designed to increase housing stability and gauges whether support levels are associated with views about the role of evictions in COVID-19 transmission and the existence of racial inequities in the housing market.
A cross-sectional survey with a representative sample of U.S. adults in November 2020 assessed support for 4 housing policies. Logistic regression models estimated the adjusted levels of support for each policy, with separate models testing the association with whether or not a respondent recognized the role of evictions in increased COVID-19 transmission or acknowledged racial inequities in the housing market.
Most U.S. adults supported policies aimed to increase housing stability during the COVID-19 pandemic, including extending moratoriums on evictions (63%) and foreclosures (67%) and increasing emergency rental assistance (63%). In total, 54% supported increased governmhousing, infectious disease transmission, and racial inequity could broaden the support for policies to keep people in their homes through the pandemic.
Socioeconomic disadvantage in childhood is strongly associated with a higher risk of cardiovascular disease in high-income countries. However, the association in low- and middle-income countries, where childhood poverty remains prevalent, has not been reviewed.
The authors systematically searched Embase, MEDLINE, and Global Health databases for articles on the association between childhood socioeconomic position and risk of cardiovascular disease in adulthood in low- and middle-income countries until September 2020. Outcomes included measures of cardiovascular disease, its subclinical markers (e.g., carotid intima-media thickness), and its major risk factors (e.g., hypertension, dyslipidemia, diabetes). Where available, associations were extracted before and after adjustment for socioeconomic position in adulthood. Results were synthesized qualitatively by outcome. The study protocol is registered on PROSPERO (CRD42018086984).
The search returned 3,568 unique abstracts, from which 29 eligible articles fd risk of cardiovascular disease, and evidence from low-income countries is lacking. It would be premature to consider childhood poverty as a target for cardiovascular disease prevention in these settings.
This study applied the Theory of Planned Behavior to predict exercise behaviors and intentions of teenagers and analyzed sex differences.
A prospective study design was employed to survey tenth-grade students in Taipei, Taiwan. The 951 participants reported their exercise attitudes, subjective norms, perceived behavioral control (PBC), and intentions, and their exercise behaviors were tracked 6 months later.
Results revealed that 22.1% of all students and more male students than female students exercised for ≥30 min/day on 5 or more days/week. Hierarchical multiple regression analyses demonstrated that intentions, PBC, attitudes, and subjective norms explained 32.5% of the variation in exercise behavior (p < .001). Intentions, attitudes, and PBC were related to exercise behavior regardless of sex. Attitudes, subjective norms, and PBC explained 67.0% of the variation in intentions (p < .001). Attitudes and PBC were related to intentions regardless of sex.
The findings support that the main constructs of the Theory of Planned Behavior can effectively predict regular exercise intentions and behaviors among adolescents.
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