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Laganaro M, Fougeron C, Pernon M, Levêque N, Borel S, Fournet M, Catalano Chiuvé S, Lopez U, Trouville R, Ménard L, Burkhard PR, Assal F, Delvaux V. Sensitivity and specificity of an acoustic- and perceptual-based tool for assessing motor speech disorders in French: the MonPaGe-screening protocol. Clin Linguist Phon 2021; 35:1060-1075. [PMID: 33478251 DOI: 10.1080/02699206.2020.1865460] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 12/12/2020] [Accepted: 12/14/2020] [Indexed: 06/12/2023]
Abstract
To respond to the need of objective screening tools for motor speech disorders (MSD), we present the screening version of a speech assessment protocol (MonPaGe-2.0.s), which is based on semi-automated acoustic and perceptual measures on several speech dimensions in French. We validate the screening tool by testing its sensitivity and specificity and comparing its outcome with external standard assessment tools. The data from 80 patients diagnosed with different types of mild to moderate MSD and 62 healthy test controls were assessed against the normative data obtained on 404 neurotypical speakers, with Deviance Scores computed on seven speech dimensions (voice, speech rate, articulation, prosody, pneumophonatory control, diadochokinetic rate, intelligibility) based on acoustic and perceptual measures. A cut-off of the MonPaGe total deviance score (TotDevS) >2 allowed MSD to be diagnosed with specificity of 95% and an overall sensitivity of 83.8% on all patients pulled, reaching 91% when very mildly impaired patients were excluded. A strong correlation was found between the MonPaGe TotDevS and an external composite perceptual score of MSD provided by six experts. The MonPaGe screening protocol has proven its sensitivity and specificity for diagnosing presence and severity of MSD. Further implementations are needed to complement the characterization of impaired dimensions in order to distinguish subtypes of MSD.
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Affiliation(s)
- Marina Laganaro
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
| | - Cécile Fougeron
- Laboratoire de Phonétique et Phonologie, UMR 7018, CNRS/University Sorbonne Nouvelle, Paris, France
| | - Michaela Pernon
- Laboratoire de Phonétique et Phonologie, UMR 7018, CNRS/University Sorbonne Nouvelle, Paris, France
- Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Centre de Référence Maladie Rare Pour la Maladie de Wilson, Service de Neurologie, Fondation Rothschild, Paris, France
| | - Nathalie Levêque
- Laboratoire de Phonétique et Phonologie, UMR 7018, CNRS/University Sorbonne Nouvelle, Paris, France
- APHP, Département de Neurologie, Hôpital Pitié-Salpêtrière, Centre Référent SLA, Paris, France
| | - Stéphanie Borel
- APHP Sorbonne Université, GHU Pitié-Salpêtrière, Service d'ORL & Institut du Cerveau et de la Moelle (ICM), Inserm/CNRS, Paris, France
| | - Maryll Fournet
- Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland
- Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Sabina Catalano Chiuvé
- Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Ursula Lopez
- Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Roland Trouville
- Laboratoire de Phonétique et Phonologie, UMR 7018, CNRS/University Sorbonne Nouvelle, Paris, France
| | - Lucie Ménard
- Laboratoire de Phonétique, Université de Québec à Montréal, Montréal, Canada
| | - Pierre R Burkhard
- Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Frédéric Assal
- Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Véronique Delvaux
- FNRS & IRSTL (Language Sciences and Technologies Research Institute), University of Mons, Mons, Belgium
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Bernadou A, Bouges S, Catroux M, Rigaux JC, Laland C, Levêque N, Noury U, Larrieu S, Acef S, Habold D, Cazenave-Roblot F, Filleul L. High impact of COVID-19 outbreak in a nursing home in the Nouvelle-Aquitaine region, France, March to April 2020. BMC Infect Dis 2021; 21:198. [PMID: 33618660 PMCID: PMC7897879 DOI: 10.1186/s12879-021-05890-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 02/08/2021] [Indexed: 01/12/2023] Open
Abstract
Background Elderly people in nursing homes are particularly vulnerable to COVID-19 due to their age, the presence of comorbidities, and community living. On March 14, 2020, at the beginning of the first epidemic wave of COVID-19 in France, a cluster was reported in a nursing home in the Nouvelle-Aquitaine region. We monitored the outbreak as well as the infection prevention and control (IPC) measures implemented. Methods A confirmed case was defined as laboratory-confirmed COVID-19 in a resident or staff member present in the nursing home between March 7 and May 1, 2020; and a probable case as a person presenting an acute respiratory illness after contact with a confirmed case. Symptomatic inpatient residents and symptomatic staff members were systematically tested for SARS-CoV-2. In addition, two screening sessions were held on site. Results We identified 109 cases (98 confirmed, 11 probable). The attack rate was 66% among residents and 45% among staff. Half of all cases were identified during the screening sessions. One-quarter of cases had minor symptoms or were asymptomatic. The case fatality rate among residents was 29%. IPC measures were rapidly implemented such as the quarantine of residents, the reinforcement of staff personal protective equipment, and home quarantine of staff testing positive, which were supplemented in April by systematic controls at the entrance of the nursing home and the creation of additional staff break rooms. Conclusions This outbreak confirmed the considerable health impact of SARS-CoV-2 transmission in a nursing home. In addition to the implementation of IPC measures, the early detection of cases through the screening of residents and staff is essential to identify asymptomatic and pre-symptomatic cases and limit the spread of the virus.
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Affiliation(s)
- A Bernadou
- Sante publique France en région Nouvelle-Aquitaine, Bordeaux, France.
| | - S Bouges
- Agence régionale de Santé Nouvelle-Aquitaine, Délégation départementale de la Vienne, Poitiers, France
| | - M Catroux
- Centre Hospitalier Universitaire de Poitiers, Poitiers, France
| | | | - C Laland
- Centre d'appui pour la Prévention des Infections Associées aux Soins de Nouvelle-Aquitaine, Poitiers, France
| | - N Levêque
- Centre Hospitalier Universitaire de Poitiers, Poitiers, France
| | - U Noury
- Sante publique France en région Nouvelle-Aquitaine, Bordeaux, France
| | - S Larrieu
- Sante publique France en région Nouvelle-Aquitaine, Bordeaux, France
| | - S Acef
- Agence régionale de Santé Nouvelle-Aquitaine, Bordeaux, France
| | - D Habold
- Agence régionale de Santé Nouvelle-Aquitaine, Bordeaux, France
| | | | - L Filleul
- Sante publique France en région Nouvelle-Aquitaine, Bordeaux, France
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Brunet T, Syy M, Olivier T, Liuu E, Garcia M, Levêque N, Paccalin M. Pronostic à 3 mois des patients avec syndrome respiratoire viral hospitalisés en gériatrie. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Lawson G, Matar N, Kesch S, Levêque N, Remacle M, Nollevaux MC, Doyen C. Laryngeal Kaposi sarcoma: case report and literature review. B-ENT 2010; 6:285-288. [PMID: 21302692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
PROBLEM/OBJECTIVE Kaposi sarcoma is the most frequently-occurring neoplasm in AIDS patients. Laryngeal localization is infrequent. We discuss the management options for laryngeal Kaposi sarcoma based on a literature review. CASE REPORT A 42 year old, HIV-positive male receiving HAART therapy presented with mild hoarseness and sore throat. Fiberoptic laryngeal examination identified a small purple lesion in the right ventricular fold. He underwent biopsy under general anaesthesia. The lesion was histologically diagnosed as a Kaposi sarcoma. Systemic treatment was pursued, but 6 weeks later the patient developed severe dysphagia and acute airway obstruction when the lesion became glotto-supraglottic and obstruced the airway. Transoral tumour vaporization with a CO2 laser was performed in the emergency department. Post-operative chemotherapy was administered. Three months later, the patient was completely asymptomatic and the laryngeal examination was normal. CONCLUSION Transoral CO2 laser vaporization combined with chemotherapy is a valid option for managing obstructive laryngeal Kaposi sarcoma.
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Affiliation(s)
- G Lawson
- ENT&Head Neck, Université Catholique de Louvain, Cliniques Universitaires de Mont-Godinne, Yvoir, Belgium.
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