Variability is perhaps the most notable characteristic of speech, and it is particularly noticeable in spontaneous conversational speech. The current research examines how speakers realize the American English stops /p, k, b, g/ and flaps (ɾ from /t, d/), in casual conversation and in careful speech. Target consonants appear after stressed syllables (e.g., "lobby") or between unstressed syllables (e.g., "humanity"), in one of six segmental/word-boundary environments. This work documents the degree and types of variability listeners encounter and must parse. Findings show greater reduction in connected and spontaneous speech, greater reduction in high frequency phrases (but not within high frequency words), and greater reduction between unstressed syllables than after a stress. Although highly reduced productions of stops and flaps occur often, with approximant-like tokens even in careful speech, reduction does not lead to a large amount of overlap between phonological categories. Approximant-like realizations of expected stops and flaps in some conditions constitute the majority of tokens. This shows that reduced speech is something that listeners encounter, and must perceive, in a large proportion of the speech they hear.
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http://dx.doi.org/10.1121/1.3621306 | DOI Listing |
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi
August 2023
Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, China.
To investigate the influence of clinical administration of dobutamine on blood perfusion in free flap repair of diabetic foot wounds. A prospective self-controlled study was conducted. From January to November 2022, 20 patients with diabetic foot who met the inclusion criteria were hospitalized in the Department of Burns and Plastic Surgery of Affiliated Hospital of Zunyi Medical University, including 9 males and 11 females, aged from 44 to 75 years, with the foot wounds area ranging from 5 cm×4 cm to 20 cm×10 cm, which were repaired by free anterolateral thigh flaps.
View Article and Find Full Text PDFClin Exp Dermatol
January 2024
Walsall Healthcare NHS Trust, Walsall, UK.
Antithrombotic medication is taken by 14-22% patients undergoing skin surgery, with more patients now taking direct oral anticoagulants (DOACs). The latest evidence suggests that the risk of stopping DOACs perioperatively is low in skin surgery, particularly for primary closures, but remains unclear for more complex procedures. The 2016 British Society for Dermatological Surgery (BSDS) guidelines suggest that clinicians could consider stopping DOACs in patients for 24-48 h, based on individual bleeding risk.
View Article and Find Full Text PDFMed Hypothesis Discov Innov Ophthalmol
May 2023
Ophthalmology Department, Al-Azhar University, Cairo, Egypt.
Background: Nasolacrimal duct obstruction (NLDO) is characterized by epiphora and recurrent episodes of acute dacryocystitis. Despite the temporary effect of antibiotics in the acute phase, it is primarily managed by dacryocystorhinostomy (DCR). There is a new modification of external DCR that is performed without either anterior or posterior flaps.
View Article and Find Full Text PDFIndian J Ophthalmol
July 2023
Department of Ophthalmology, LJEI Ambala, Haryana, India.
Background: In LASIK (laser in situ keratomileusis), a hinged corneal flap is made, which enables the flap to be lifted and the excimer laser to be applied to the stromal bed. If the hinge of the corneal flap detaches from the cornea, the flap is called a free cap. A free cap is a rare intra-operative complication of LASIK most commonly associated with the use of a microkeratome on corneas with flat keratometry, which predisposes to a small flap diameter.
View Article and Find Full Text PDFFront Surg
June 2023
Thoracic Surgery Unit, Department of Surgery, Hôpital Cantonal de Fribourg, Fribourg, Switzerland.
Thoracic outlet syndrome (TOS) is a rare entity responsible for the vascular and/or nervous symptoms of the upper limbs. Unlike the congenital anatomical anomalies that cause TOS, acquired etiologies are even less common. Here, we report the case of a 41-year-old male with iatrogenic acquired TOS secondary to complex chest wall surgery for chondrosarcoma of the manubrium sterni; he was diagnosed with chondrosarcoma of the manubrium sterni in November, 2021.
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