There has been considerable research into perceptible correlates of emotional state, but a very limited amount of the literature examines the acoustic correlates and other relevant aspects of emotion effects in human speech; in addition, the vocal emotion literature is almost totally separate from the main body of speech analysis literature. A discussion of the literature describing human vocal emotion, and its principal findings, are presented. The voice parameters affected by emotion are found to be of three main types: voice quality, utterance timing, and utterance pitch contour. These parameters are described both in general and in detail for a range of specific emotions. Current speech synthesizer technology is such that many of the parameters of human speech affected by emotion could be manipulated systematically in synthetic speech to produce a simulation of vocal emotion; application of the literature to construction of a system capable of producing synthetic speech with emotion is discussed.
Purpose
To develop a statement on the diagnosis, classification, treatment, and rehabilitation concepts of posterolateral corner (PLC) injuries of the knee using a modified Delphi technique.
Methods
A working group of three individuals generated a list of statements relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries to form the basis of an initial survey for rating by an international group of experts. The PLC expert group (composed of 27 experts throughout the world) was surveyed on three occasions to establish consensus on the inclusion/exclusion of each item. In addition to rating agreement, experts were invited to propose further items for inclusion or to suggest modifications of existing items at each round. Pre‐defined criteria were used to refine item lists after each survey. Statements reaching consensus in round three were included within the final consensus document.
Results
Twenty‐seven experts (100% response rate) completed three rounds of surveys. After three rounds, 29 items achieved consensus with over 75% agreement and less than 5% disagreement. Consensus was reached in 92% of the statements relating to diagnosis of PLC injuries, 100% relating to classification, 70% relating to treatment and in 88% of items relating to rehabilitation statements, with an overall consensus of 81%.
Conclusions
This study has established a consensus statement relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries. Further research is needed to develop updated classification systems, and better understand the role of non‐invasive and minimally invasive approaches along with standardized rehabilitation protocols.
Level of evidence
Consensus of expert opinion, Level V.
on behalf of the Cell Therapies Communication Expert Group* Background: The lack of a standardized system for describing cell therapies acts as a barrier to advancement in clinical and basic research and practice. The aim of this study was to establish an international expert consensus on strategies to improve standardization and transparency when describing cell therapies. The secondary aim was to develop a consensus among experts on the contents of a standardized tool for describing cell therapies. Methods: The need for expert consensus on strategies to improve cell therapy communication was confirmed at the
There is good scientific rationale to support the use of growth factors to promote musculoskeletal tissue regeneration. However, the clinical effectiveness of platelet-rich plasma (PRP) and other blood-derived products has yet to be proven. Characterization and reporting of PRP preparation protocols utilized in clinical trials for the treatment of musculoskeletal disease is highly inconsistent, and the majority of studies do not provide sufficient information to allow the protocols to be reproduced. Furthermore, the reporting of blood-derived products in orthopaedics is limited by the multiple PRP classification systems available, which makes comparison of results between studies challenging. Several attempts have been made to characterize and classify PRP; however, no consensus has been reached, and there is lack of a comprehensive and validated classification. In this annotation, we outline existing systems used to classify preparations of PRP, highlighting their advantages and limitations. There remains a need for standardized universal nomenclature to describe biological therapies, as well as a comprehensive and reproducible classification system for autologous blood-derived products.Cite this article: Bone Joint J 2019;101-B:891–896.
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