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    • Voice in the Times of the COVID- 19 Pandemic
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    • Research Article26
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    Author

    • Benthaus, Tobias3
    • Döllinger, Michael3
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    • Open Access

    Voice in the Times of the COVID- 19 Pandemic

    The pandemic of COVID-19 (SARS-CoV-2) affected the modern world in a way never seen before. After an initial phase of disbelief, we all have been affected, some personally with irreparable losses, others collectively, with difficulties maintaining professional activities and ensuring a dignified survival. There are almost 4.5 million dead, more than 200 million infected as of August 2021 (1); and the pandemic is still not over. Global markets have been shaken, and the impact on commerce, industry, employment, and income has been profound. The global economy will suffer years before it recovers.

    The human voice also was affected profoundly. Artistic voice professionals had their events cancelled, and thousands of support professionals in the productions were left unemployed. Visits to teachers of singing and voice health providers were reduced to voice emergencies. Clinical voice evaluation through laryngoscopy, as well as the acoustic and aerodynamic measurements, are tasks that potentially disseminate viruses by aerosols or droplets and were restricted to severe cases or modified to reduce the risk of infection.

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    • Research Article
      Open Access

      The Effect of Online Teaching on Vocal Health Among Saudi Teachers During COVID-19 Pandemic

      Journal of Voice
      In Press Corrected Proof
      Published online: April 14, 2022
      • Abdullah Alarfaj
      • Khalid Alyahya
      • Halal Alutaibi
      • Maryam Alarfaj
      • Fai Alhussain
      Cited in Scopus: 3
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        The goal of this study is to determine how online education affects the vocal health of schoolteachers in Saudi Arabia's Eastern Province. Teachers' phono trauma is well-known as a serious occupational hazard, and online education was the primary mode of delivering instruction to students during COVID-19.
        The Effect of Online Teaching on Vocal Health Among Saudi Teachers During COVID-19 Pandemic
      • Research Article

        Patient Satisfaction with Virtual vs In-Person Voice Therapy

        Journal of Voice
        In Press Corrected Proof
        Published online: April 9, 2022
        • Raluca Gray
        • Deirdre Michael
        • Jesse Hoffmeister
        • Scott Lunos
        • Sarah Zach
        • Lisa Butcher
        • and others
        Cited in Scopus: 3
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          To determine whether there is a difference in patient satisfaction between in-person and virtual voice therapy.
          Patient Satisfaction with Virtual vs In-Person Voice Therapy
        • Research Article

          Relationship Between Room Acoustics With Voice Symptoms and Voice-Related Quality of Life Among Colombian School and College Teachers During Online Classes in Times of COVID-19 Pandemic

          Journal of Voice
          In Press Corrected Proof
          Published online: March 13, 2022
          • Lady Catherine Cantor-Cutiva
          Cited in Scopus: 2
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            To determine the relationship between working conditions, especially room acoustics, with voice symptoms and voice-related quality of life among Colombian school and college teachers during online classes in times of COVID-19 pandemic.
          • Research Article

            Vocal Fold Paralysis Following COVID-19 Vaccination: Query of VAERS Database

            Journal of Voice
            In Press Corrected Proof
            Published online: January 23, 2022
            • Osama A. Hamdi
            • Rachel H. Jonas
            • James J. Daniero
            Cited in Scopus: 1
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              Vocal fold paresis or paralysis (VFP) may severely affect quality of life due to dysphonia and respiratory distress. As an increasing percentage of the United States population receives the COVID-19 vaccination, the objective of this study is to determine the correlation of COVID-19 postvaccination recurrent laryngeal neuropathy and resulting VFP.
            • Research Article

              The Impact of Masking Habits on Voice in a Sub-population of Healthcare Workers

              Journal of Voice
              In Press Corrected Proof
              Published online: January 2, 2022
              • Abdul-Latif Hamdan
              • Christopher Jabbour
              • Anthony Ghanem
              • Paola Ghanem
              Cited in Scopus: 0
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                To evaluate the impact of face masks on voice in a sub-population of healthcare workers, namely residents, medical students, and nurses, during the COVID-19 era.
              • Research Article

                Developing Educational Health Modules to Improve Vocal Wellness in Mask-Wearing Occupational Voice Users

                Journal of Voice
                In Press Corrected Proof
                Published online: December 27, 2021
                • Victoria S. McKenna
                • Renee L. Gustin
                • Rebecca J. Howell
                • Tulsi H. Patel
                • Mariah B. Emery
                • Courtney L. Kendall
                • and others
                Cited in Scopus: 1
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                  To develop educational modules to improve vocal wellness and optimize communication in mask-wearing occupational voice users.
                  Developing Educational Health Modules to Improve Vocal Wellness in Mask-Wearing Occupational Voice Users
                • Research Article

                  Aerosol Dispersion During Different Phonatory Tasks in Amateur Singers

                  Journal of Voice
                  In Press Corrected Proof
                  Published online: December 26, 2021
                  • Laila Ava Hermann
                  • Bogac Tur
                  • Marie Christine Köberlein
                  • Sophia Gantner
                  • Caroline Westphalen
                  • Tobias Benthaus
                  • and others
                  Cited in Scopus: 2
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                    Due to increased aerosol generation during singing, choir rehearsals were widely prohibited in the course of the CoVID-19 pandemic. Most studies on aerosol generation and dispersion focus on professional singers. However, it has not been clarified if these data are also representative for amateur singers.
                    Aerosol Dispersion During Different Phonatory Tasks in Amateur Singers
                  • Research Article

                    The Effect of Masks and Respirators on Acoustic Voice Analysis During the COVID-19 Pandemic

                    Journal of Voice
                    In Press Corrected Proof
                    Published online: November 28, 2021
                    • Ebru Karakaya Gojayev
                    • Zahide Çiler Büyükatalay
                    • Tuğba Akyüz
                    • Mustafa Rehan
                    • Gürsel Dursun
                    Cited in Scopus: 2
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                      World Health Organization declared the coronavirus disease (COVID-19) as a global pandemic on March 11, 2020. The aim of this study was to determine the effectiveness and reliability of voice analysis performed with surgical masks and respirators during the pandemic and to discuss its routine applicability.
                    • Research Article
                      Open Access

                      Reopening the Bavarian State Opera Safely: Hygiene Strategies and Incidence of COVID-19 in Artistic Staff During Theater Season 2020/2021

                      Journal of Voice
                      In Press Corrected Proof
                      Published online: November 26, 2021
                      • Simone Graf
                      • Luca Engelmann
                      • Olivia Jeleff Wölfler
                      • Inka Albrecht
                      • Matthias Schloderer
                      • Anna Kramer
                      • and others
                      Cited in Scopus: 1
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                        Due to the drastically rising coronavirus disease (COVID-19) incidence since March 2020, social life was shut down across the globe, and most opera houses were closed. As a result, there are limited data on SARS-CoV-2 infections among artists. The Bavarian State Opera has been reopened in September 2020. This study aimed to identify the incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among employees in the Bavarian State Opera. In addition, the various hygiene strategies for the work groups within the institution are described.
                        Reopening the Bavarian State Opera Safely: Hygiene Strategies and Incidence of COVID-19 in Artistic Staff During Theater Season 2020/2021
                      • Research Article

                        Machine Learning-based Voice Assessment for the Detection of Positive and Recovered COVID-19 Patients

                        Journal of Voice
                        In Press Corrected Proof
                        Published online: November 25, 2021
                        • Carlo Robotti
                        • Giovanni Costantini
                        • Giovanni Saggio
                        • Valerio Cesarini
                        • Anna Calastri
                        • Eugenia Maiorano
                        • and others
                        Cited in Scopus: 11
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                          Many virological tests have been implemented during the Coronavirus Disease 2019 (COVID-19) pandemic for diagnostic purposes, but they appear unsuitable for screening purposes. Furthermore, current screening strategies are not accurate enough to effectively curb the spread of the disease. Therefore, the present study was conducted within a controlled clinical environment to determine eventual detectable variations in the voice of COVID-19 patients, recovered and healthy subjects, and also to determine whether machine learning-based voice assessment (MLVA) can accurately discriminate between them, thus potentially serving as a more effective mass-screening tool.
                          Machine Learning-based Voice Assessment for the Detection of Positive and Recovered COVID-19 Patients
                        • Research Article

                          Voice Quality and Vocal Tract Discomfort Symptoms in Patients With COVID-19

                          Journal of Voice
                          In Press Corrected Proof
                          Published online: October 12, 2021
                          • Seyed Abolfazl Tohidast
                          • Banafshe Mansuri
                          • Mohammad Memarian
                          • Amir Hosein Ghobakhloo
                          • Ronald Callaway Scherer
                          Cited in Scopus: 3
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                            Dysphonia and laryngeal problems are some of the manifestations of the COVID-19 pandemic due to respiratory disease as a primary effect of COVID-19. The aim of the present study was to investigate voice quality and vocal tract discomfort symptoms in patients with COVID-19.
                          • Review Article

                            Effect of Face Mask on Voice Production During COVID-19 Pandemic: A Systematic Review

                            Journal of Voice
                            In Press Corrected Proof
                            Published online: October 10, 2021
                            • Sheela Shekaraiah
                            • Kiran Suresh
                            Cited in Scopus: 15
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                              The Coronavirus Disease 2019 (COVID-19) is an ongoing global pandemic and wearing face mask is recommended across the globe to break the transmission chain of infection. The masks available in the market are of different types and materials and tend to alter the voice characteristics of the speaker. This can therefore impair optimal communication and the present study is a systematic review exploring the effect of various masks on voice production parameters.
                              Effect of Face Mask on Voice Production During COVID-19 Pandemic: A Systematic Review
                            • Research Article

                              The Effect of Singers’ Masks on the Impulse Dispersion of Aerosols During Singing

                              Journal of Voice
                              In Press Corrected Proof
                              Published online: October 2, 2021
                              • Matthias Echternach
                              • Laila Ava Hermann
                              • Sophia Gantner
                              • Bogac Tur
                              • Gregor Peters
                              • Caroline Westphalen
                              • and others
                              Cited in Scopus: 3
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                                During the Covid-19 pandemic, singing activities were restricted due to several super-spreading events that have been observed during rehearsals and vocal performances. However, it has not been clarified how the aerosol dispersion, which has been assumed to be the leading transmission factor, could be reduced by masks which are specially designed for singers.
                                The Effect of Singers’ Masks on the Impulse Dispersion of Aerosols During Singing
                              • Editorial

                                Challenges and Opportunities in Deploying COVID-19 Cough AI Systems

                                Journal of Voice
                                Vol. 35Issue 6p811–812Published online: September 6, 2021
                                • Amil Khanzada
                                • Siddhi Hegde
                                • Shreya Sreeram
                                • Grace Bower
                                • William Wang
                                • Rishi P. Mediratta
                                • and others
                                Cited in Scopus: 4
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                                  What if COVID-19 could be detected by cough and voice sounds? A reliable diagnosis based on cough and voice sounds would provide a fast and convenient way to detect COVID-19 in both symptomatic and asymptomatic individuals. During the COVID-19 pandemic, several groups, including OpenSigma with the Massachusetts Institute of Technology, AI4 Covid-19 with the University of Oklahoma, COVID-19 Sounds with the University of Cambridge, COUGHVID with the Swiss Federal Institute of Technology Lausanne, and Saama AI research, and Wadhwani AI with the Bill and Melinda Gates Foundation, have successfully isolated acoustic patterns characteristic of COVID-19 with smartphone-recorded voluntary cough and voice samples using artificial intelligence (AI).
                                • Research Article

                                  COVID-19 and Remote Learning: Predictive Factors of Perceived Improvement or Worsening of the Voice in Brazilian Teachers

                                  Journal of Voice
                                  In Press Corrected Proof
                                  Published online: September 6, 2021
                                  • Katia Nemr
                                  • Marcia Simões-Zenari
                                  • Vanessa Cássia de Almeida Cologis
                                  • Glauciene Amaral Martins
                                  • Isabele Tiemi Saito
                                  • Renata da Silva Gonçalves
                                  Cited in Scopus: 4
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                                    Given the transformations in teaching modalities as a result of the COVID-19 pandemic, this study aimed to evaluate the factors associated with vocal self-perception during the pandemic and to investigate the ability of selected variables to predict changes in vocal self-perception in teachers with professional vocal demands during the investigated period.
                                  • Research Article

                                    Can Resident Auditory-Perceptual Voice Assessments Predict Medical Urgency of Voice Disorders?

                                    Journal of Voice
                                    In Press Corrected Proof
                                    Published online: August 31, 2021
                                    • Robert Brinton Fujiki
                                    • Peter W. Sanders
                                    • Benjamin P. Anthony
                                    • Noah P. Parker
                                    • M. Preeti Sivasankar
                                    • Stacey Halum
                                    Cited in Scopus: 1
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                                      Growing reliance on telemedicine has created new triaging challenges. This study investigated how effectively otolaryngology resident auditory-perceptual voice assessments performed via telemedicine determined the need for urgent in-person clinic visits.
                                      Can Resident Auditory-Perceptual Voice Assessments Predict Medical Urgency of Voice Disorders?
                                    • Research Article
                                      Open Access

                                      Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers

                                      Journal of Voice
                                      In Press Corrected Proof
                                      Published online: August 15, 2021
                                      • Nuria Polo
                                      • Filipa M.B. Lã
                                      Cited in Scopus: 1
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                                        This study investigates self-perceptions of voice-related handicap as a function of facemask use in the general working population during the COVID19 outbreak, using the Voice Handicap Index (VHI). Each VHI item was answered twice in a row; the first answer referred to the condition of not wearing a facemask (henceforth, the Without condition) and the second to the condition of using a facemask (henceforth, the With condition). VHI scores were collected via Google Forms (Google, Mountain View, California), targeting 2 groups of speakers of different nationalities, Portuguese (n = 261) and Spanish (n = 297).
                                        Self-Perceived Voice Handicap During COVID19 Compulsory Facemask Use: A Comparative Study Between Portuguese and Spanish Speakers
                                      • Research Article

                                        Vocal Signs and Symptoms Related to COVID-19 and Risk Factors for their Persistence

                                        Journal of Voice
                                        In Press Corrected Proof
                                        Published online: August 10, 2021
                                        • Ana Paula Dassie-Leite
                                        • Tatiane Prestes Gueths
                                        • Vanessa Veis Ribeiro
                                        • Eliane Cristina Pereira
                                        • Perla do Nascimento Martins
                                        • Christiane Riedi Daniel
                                        Cited in Scopus: 4
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                                          To compare the occurrence of vocal signs and symptoms before, during, and after coronavirus disease (COVID-19) and analyze possible risk factors for the persistence of these signs and symptoms after disease resolution.
                                        • Research Article

                                          Vocal Self-Perception of Singers During COVID-19 Pandemic

                                          Journal of Voice
                                          In Press Corrected Proof
                                          Published online: July 23, 2021
                                          • Larissa Thaís Donalonso Siqueira
                                          • Ana Paula dos Santos
                                          • Jhonatan da Silva Vitor
                                          • Pamela Aparecida Medeiros Moreira
                                          • Rebeca Liaschi Floro Silva
                                          • Gabriela Fernandes
                                          • and others
                                          Cited in Scopus: 1
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                                            Objective: to compare the self-perception of vocal fatigue and use of singing voice during the COVID-19 pandemic between professional and amateur singers and to relate this self-perception with vocal use characteristics during this period. Methodology: Participants were 121 singers divided into professional singers group (PSG) (12 men and 20 women) comprising singers who depended exclusively on singing as a profession and an amateur singers group (ASG) (37 men and 52 women) of singers who did not depend exclusively on singing for their livelihood.
                                          • Research Article

                                            Persistent Dysphonia in Hospitalized COVID-19 Patients

                                            Journal of Voice
                                            In Press Corrected Proof
                                            Published online: July 23, 2021
                                            • Carlos Leis-Cofiño
                                            • Paula Arriero-Sánchez
                                            • Ramón González-Herranz
                                            • Óscar Arenas-Brítez
                                            • Estefanía Hernández-García
                                            • Guillermo Plaza
                                            Cited in Scopus: 5
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                                              The main objective of this study is to estimate the prevalence of persistent dysphonia in hospitalised COVID-19 patients.
                                              Persistent Dysphonia in Hospitalized COVID-19 Patients
                                            • Research Article

                                              Adjustment of Health-Care Service Delivery Among Phoniatricians and ENT Specialists During the COVID-19 Pandemic, A UEP Survey

                                              Journal of Voice
                                              In Press Corrected Proof
                                              Published online: June 22, 2021
                                              • Mariam S. Shadi
                                              • John S. Rubin
                                              • Ahmed Geneid
                                              • Elham Magdy
                                              • Reham Abdelwakil Ibrahim
                                              Cited in Scopus: 1
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                                                Applying measures that prioritize staff safety, while protecting patient safety and care, represents a challenge during the current pandemic. Many documents of recommendations toward safe practice have been developed for this purpose.
                                                Adjustment of Health-Care Service Delivery Among Phoniatricians and ENT Specialists During the COVID-19 Pandemic, A UEP Survey
                                              • Research Article

                                                The Effects of the Use of Protective Face Mask on the Voice and Its Relation to Self-Perceived Voice Changes

                                                Journal of Voice
                                                In Press Corrected Proof
                                                Published online: June 21, 2021
                                                • Olympia Karagkouni
                                                Cited in Scopus: 11
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                                                  The purpose of this study was to investigate the effects that the use of protective face mask has over the voice and to search for associations between the self-reported voice changes and the levels of discomfort experienced by the participants. Also, to detect any change it the phonatory patterns while speaking with face mask.
                                                  The Effects of the Use of Protective Face Mask on the Voice and Its Relation to Self-Perceived Voice Changes
                                                • Research Article

                                                  COVID-19: Acoustic Measures of Voice in Individuals Wearing Different Facemasks

                                                  Journal of Voice
                                                  In Press Corrected Proof
                                                  Published online: June 19, 2021
                                                  • Ashwini Joshi
                                                  • Teresa Procter
                                                  • Paulina A. Kulesz
                                                  Cited in Scopus: 8
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                                                    The global health pandemic caused by the SARS-coronavirus 2 (COVID-19) has led to the adoption of facemasks as a necessary safety precaution. Depending on the level of risk for exposure to the virus, the facemasks that are used can vary. The aim of this study was to examine the effect of different types of facemasks, typically used by healthcare professionals and the public during the COVID-19 pandemic, on measures of voice.
                                                    COVID-19: Acoustic Measures of Voice in Individuals Wearing Different Facemasks
                                                  • Research Article

                                                    Analysis of COVID-19 Resulting Cough Using Formants and Automatic Speech Recognition System

                                                    Journal of Voice
                                                    In Press Corrected Proof
                                                    Published online: June 14, 2021
                                                    • Ouissam Zealouk
                                                    • Hassan Satori
                                                    • Mohamed Hamidi
                                                    • Naouar Laaidi
                                                    • Amine Salek
                                                    • Khalid Satori
                                                    Cited in Scopus: 4
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                                                      As part of our contributions to researches on the ongoing COVID-19 pandemic worldwide, we have studied the cough changes to the infected people based on the Hidden Markov Model (HMM) speech recognition classification, formants frequency and pitch analysis. In this paper, An HMM-based cough recognition system was implemented with 5 HMM states, 8 Gaussian Mixture Distributions (GMMs) and 13 dimensions of the basic Mel-Frequency Cepstral Coefficients (MFCC) with 39 dimensions of the overall feature vector.
                                                      Analysis of COVID-19 Resulting Cough Using Formants and Automatic Speech Recognition System
                                                    • Research Article

                                                      Voice Acoustics and Vocal Effort in Mask-Wearing Healthcare Professionals: A Comparison Pre- and Post-Workday

                                                      Journal of Voice
                                                      In Press Corrected Proof
                                                      Published online: June 8, 2021
                                                      • Victoria S. McKenna
                                                      • Tulsi H. Patel
                                                      • Courtney L. Kendall
                                                      • Rebecca J. Howell
                                                      • Renee L. Gustin
                                                      Cited in Scopus: 9
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                                                        We evaluated voice acoustics and self-perceptual ratings in healthcare workers required to wear face masks throughout their workday.
                                                        Voice Acoustics and Vocal Effort in Mask-Wearing Healthcare Professionals: A Comparison Pre- and Post-Workday
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