Association between Daily Life Difficulties and Acceptance of Disability in Cancer Survivors after Total Laryngectomy: a Cross-Sectional Survey

Teruya, Noriko; Sunagawa, Yuki; Toyosato, Takehiko; Yokota, Takao

doi:10.4103/apjon.apjon_50_18

Cited by 9 publications

(5 citation statements)

References 21 publications

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“…By reducing the additional noise present in the environment, speech clarity and intelligibility can be improved, allowing patients to communicate more effectively. Secondly, speaking on the phone can be particularly challenging for individuals after laryngectomy [96]. Background noise, distortions, and limited vocal output can make it difficult for the listener to comprehend the speech.…”

Section: Discussionmentioning

confidence: 99%

Pareto-Optimized Non-Negative Matrix Factorization Approach to the Cleaning of Alaryngeal Speech Signals

Maskeliūnas,

Damaševičius,

Kulikajevas

et al. 2023

Cancers

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The problem of cleaning impaired speech is crucial for various applications such as speech recognition, telecommunication, and assistive technologies. In this paper, we propose a novel approach that combines Pareto-optimized deep learning with non-negative matrix factorization (NMF) to effectively reduce noise in impaired speech signals while preserving the quality of the desired speech. Our method begins by calculating the spectrogram of a noisy voice clip and extracting frequency statistics. A threshold is then determined based on the desired noise sensitivity, and a noise-to-signal mask is computed. This mask is smoothed to avoid abrupt transitions in noise levels, and the modified spectrogram is obtained by applying the smoothed mask to the signal spectrogram. We then employ a Pareto-optimized NMF to decompose the modified spectrogram into basis functions and corresponding weights, which are used to reconstruct the clean speech spectrogram. The final noise-reduced waveform is obtained by inverting the clean speech spectrogram. Our proposed method achieves a balance between various objectives, such as noise suppression, speech quality preservation, and computational efficiency, by leveraging Pareto optimization in the deep learning model. The experimental results demonstrate the effectiveness of our approach in cleaning alaryngeal speech signals, making it a promising solution for various real-world applications.

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Section: Discussionmentioning

confidence: 99%

Pareto-Optimized Non-Negative Matrix Factorization Approach to the Cleaning of Alaryngeal Speech Signals

Maskeliūnas,

Damaševičius,

Kulikajevas

et al. 2023

Cancers

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“…Além de menos problemas de deglutição ao longo do tempo, também foram relatados menos problemas de comunicação. (JANSEN et al, 2020) Juliana Lima de Carvalho, Raquel de Souza Ramos, Juarez de Jesus Carmo Junior, Antônio Rorigues de Andrade ___________________________________________________________________________________ Assim, traqueostomizados devem adquirir novas habilidades de autocuidado e métodos de comunicação para compensar as deficiências funcionais (Teruya et al, 2019). Com relação ao nível de competência de autocuidado, foi observado que pode ser influenciado pelo tipo de cirurgia, onde pessoas que realizavam uma traqueotomia de urgência apresentam níveis de competência de autocuidado inferiores nos domínios do conhecimento, interpretação e tomada de decisão.…”

Section: Metodologiaunclassified

Autocuidado De Pessoas Com Traqueostomia: Uma Revisão Integrativa

De Carvalho,

Ramos,

Carmo Junior

et al. 2023

Rev. Foco

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Objetivo: Identificar dificuldades apresentadas por pacientes traqueostomizados; cuidados com a cânula de traqueostomia descritos na literatura e autocuidado em pessoas com traqueostomia. Métodos: Revisão integrativa. Busca realizada nos bancos de dados da PUBMED, EMBASE, CINAHL e LILACS. Resultados: Foram selecionados 12 artigos, a maioria dos estudos abordavam as dificuldades encontradas pelas pessoas com traqueostomia para realização de atividades da vida diária, devido alterações psicológicas e funcionais que envolvem áreas da deglutição, comunicação, respiração, autoimagem e que podem afetar a mobilidade, o desempenho respiratório, segurança e autonomia dos pacientes. Pessoas com traqueostomia definitiva revelaram maior competência nos domínios do conhecimento com relação a pessoas com estomia provisória. Conclusão: É importante que a pessoa com traqueostomia diante das mudanças impostas, adquirira novas habilidades de autocuidado e métodos de comunicação para compensar as deficiências funcionais. Uma vez que o dispositivo pode gerar situações de limitação da capacidade física e da vida social, além de acarretar sequelas físicas, emocionais e sociais.

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“…Social pressure caused by the change of body image9: the stigmatisation of tracheostomy and the change of body image leads to patients’ self-closed, decreased self-esteem and stigmatising, resulting in the limitation of work scope. It is obvious that the physical and mental changes and social embarrassment brought by TL seriously affected patients’ quality of life (QoL) 10 11. At present, some scholars have conducted research on early rehabilitation exercise based on network or self-help for patients with TL and achieved positive results 10 12.…”

Section: Background and Significancementioning

confidence: 99%

Effectiveness of a nurse-led coaching of self-care agency intervention for elderly patients with total laryngectomy: study protocol for a randomised controlled trial

et al. 2022

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IntroductionDue to functional defects and structural destruction after total laryngectomy, patients experienced the poor quality of life, especially for elderly. The barriers to accessing self-care in elderly patients were considered to result from complex and multifaceted interactions of biologic and social factors. Therefore, specific efforts to improve elderly patients’ quality of life are needed. The purpose of our study is to verify nurse-led coaching of elderly patient self-care approaches, which can reduce logistic burden of patients and obtain the successful functional rehabilitation ultimately.Methods and analysisElderly patients (n=60) scheduled for total laryngectomy will be randomly divided into the intervention group and the control group. Patients in the control group received routinely nursing during hospitalisation and thereby at home after discharge received conventional family care without regular supervision of nurses. Patients in the intervention group will receive a series of self-care intervention based on the transtheoretical model during hospitalisation. During home after discharge, nurses will additionally evaluate and supervise the self-care effect of patients. The two groups of patients’ self-care agency, self-efficacy, quality of life and nutritional status will be recorded separately at different time points. Primary outcome is the improvement of patients’ self-care agency, and secondary outcome is the improvements of patients’ self-efficacy, quality of life, nutritional states and 3-month unplanned readmission rate.Ethics and disseminationThe Ethics Committee of Hubei Cancer Hospital has approved this protocol (KYLLBA2020006). The findings of the trial will be disseminated through peer-reviewed journals, national or international conferences.Trial registration numberChiCTR2100043731.

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Association between Daily Life Difficulties and Acceptance of Disability in Cancer Survivors after Total Laryngectomy: a Cross-Sectional Survey

Cited by 9 publications

References 21 publications

Pareto-Optimized Non-Negative Matrix Factorization Approach to the Cleaning of Alaryngeal Speech Signals

Pareto-Optimized Non-Negative Matrix Factorization Approach to the Cleaning of Alaryngeal Speech Signals

Autocuidado De Pessoas Com Traqueostomia: Uma Revisão Integrativa

Effectiveness of a nurse-led coaching of self-care agency intervention for elderly patients with total laryngectomy: study protocol for a randomised controlled trial

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