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Keywords
- Phonetik (3)
- Phonetik (2)
- Affrikata (1)
- Artikulation (1)
- Retroflex (1)
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The German MultiCare-study : patterns of multimorbidity in primary health care - protocol of a prospective cohort study
(2009)
- Background Multimorbidity is a highly frequent condition in older people, but well designed longitudinal studies on the impact of multimorbidity on patients and the health care system have been remarkably scarce in numbers until today. Little is known about the long term impact of multimorbidity on the patients' life expectancy, functional status and quality of life as well as health care utilization over time. As a consequence, there is little help for GPs in adjusting care for these patients, even though studies suggest that adhering to present clinical practice guidelines in the care of patients with multimorbidity may have adverse effects. Methods The study is designed as a multicentre prospective, observational cohort study of 3.050 patients aged 65 to 85 at baseline with at least three different diagnoses out of a list of 29 illnesses and syndromes. The patients will be recruited in approx. 120 to 150 GP surgeries in 8 study centres distributed across Germany. Information about the patients' morbidity will be collected mainly in GP interviews and from chart reviews. Functional status, resources/risk factors, health care utilization and additional morbidity data will be assessed in patient interviews, in which a multitude of well established standardized questionnaires and tests will be performed. Discussion The main aim of the cohort study is to monitor the course of the illness process and to analyse for which reasons medical conditions are stable, deteriorating or only temporarily present. First, clusters of combinations of diseases/disorders (multimorbidity patterns) with a comparable impact (e.g. on quality of life and/or functional status) will be identified. Then the development of these clusters over time will be analysed, especially with regard to prognostic variables and the somatic, psychological and social consequences as well as the utilization of health care resources. The results will allow the development of an instrument for prediction of the deterioration of the illness process and point at possibilities of prevention. The practical consequences of the study results for primary care will be analysed in expert focus groups in order to develop strategies for the inclusion of the aspects of multimorbidity in primary care guidelines.
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How do voiced retroflex stops evolve? Evidence from typology and an articulatory study
(2008)
- The present article illustrates that the specific articulatory and aerodynamic requirements for voiced but not voiceless alveolar or dental stops can cause tongue tip retraction and tongue mid lowering and thus retroflexion of front coronals. This retroflexion is shown to have occurred diachronically in the three typologically unrelated languages Dhao (Malayo-Polynesian), Thulung (Sino-Tibetan), and Afar (East-Cushitic). In addition to the diachronic cases, we provide synchronic data for retroflexion from an articulatory study with four speakers of German, a language usually described as having alveolar stops. With these combined data we supply evidence that voiced retroflex stops (as the only retroflex segments in a language) did not necessarily emerge from implosives, as argued by Haudricourt (1950), Greenberg (1970), Bhat (1973), and Ohala (1983). Instead, we propose that the voiced front coronal plosive /d/ is generally articulated in a way that favours retroflexion, that is, with a smaller and more retracted place of articulation and a lower tongue and jaw position than /t/.
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Why are voiced affricates avoided cross-linguistically? : evidence from an aerodynamic study
(2008)
- This paper shows that several typologically unrelated languages share the tendency to avoid voiced sibilant affricates. This tendency is explained by appealing to the phonetic properties of the sounds, and in particular to their aerodynamic characteristics. On the basis of experimental evidence it is shown that conflicting air pressure requirements for maintaining voicing and frication are responsible for the avoidance of voiced affricates. In particular, the air pressure released from the stop phase of the affricate is too high to maintain voicing, which in consequence leads to a devoicing of the frication part.
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Temporal development of compensation strategies for perturbed palate shape in German /S/-production
(2006)
- The palate shape of four speakers was changed by a prosthesis which either lowered the palate or retracted the alveoles. Subjects wore the prosthesis for two weeks and were recorded several times via EMA. Results of articulatory measurements show that speakers use different compensation methods at different stages of the adaptation. They lower the tongue immediately after the insertion of the prosthesis. Other compensation methods as for example lip protrusion are only acquired after longer practising periods. The results are interpreted as supporting the existence of different mappings between motor commands, vocal tract shape and auditory-acoustic target.
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The influence of the palate shape on articulatory token-to-token variability
(2005)
- Articulatory token-to-token variability not only depends on linguistic aspects like the phoneme inventory of a given language but also on speaker specific morphological and motor constraints. As has been noted previously (Perkell (1997), Mooshammer et al. (2004)) , speakers with coronally high ”domeshaped” palates exhibit more articulatory variability than speakers with coronally low ”flat” palates. One explanation for that is based on perception oriented control by the speaker. The influence of articulatory variation on the cross sectional area and consequently on the acoustics should be greater for flat palates than for domeshaped ones. This should force speakers with flat palates to place their tongue very precisely whereas speakers with domeshaped palates might tolerate a greater variability. A second explanation could be a greater amount of lateral linguo-palatal contact for flat palates holding the tongue in position. In this study both hypotheses were tested.
