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Biomedical subjects

M Payen

Publications and source records attributed to M Payen.

3 recordsLinked to original sources

Selective visual masking in speechreading.

Using digital video technology, selective aspects of a face can be masked by identifying the pixels that represent it and then, by adjusting the gray levels, effectively eliminate that facial aspect. In groups of young adults with normal vision and hearing, consonant-viseme recognition was measured for closed sets of vowel-consonant-vowel disyllables. In the first experiment viseme recognition was measured while the tongue and teeth were masked and while the entire mouth was masked. The results showed that masking of the tongue and teeth had little effect on viseme recognition, and when the entire mouth was masked, participants continued to identify consonant visemes with 70% or greater accuracy in the /a/ and /(ball)/ vowel contexts. In the second experiment, viseme recognition was measured when the upper part of the face and the mouth were masked and when the lower part of the face and the mouth were masked. The results showed that when the mouth and the upper part of the face were masked, performance was poor, but information was available to identify the consonant-viseme /f/. When the mouth and the lower part of the face were masked, viseme recognition was quite poor, but information was available to discriminate the consonant-viseme /p/ from other consonant visemes.

Adult↗

[Locoregional anesthesia for injuries of the lower limbs].

Isolated lower limb injuries are very common; difficulties for emergency anaesthesia may come from full stomach and drug interferences. The outcome of geriatric-fractured hip is influenced neither by a preoperative delay shorter than 48 hours, nor by the choice of anaesthetic technique; Nevertheless the use of acrylic cement is associated with an increased early mortality rate in hemiarthroplasties. Regional anaesthesia is the best choice for stable patients with a limited peripheral injury; The technique must be adapted to the pain induced by fracture; sitting position is useful for puncture. Spinal anaesthesia using 0.5% plain bupivacaine produces a block quickly achieved, not influenced by posture, allowing surgical installation and procedures. Postoperative analgesia using local anaesthetics may obscure symptoms of compartment syndrome which occasionally complicate tibial and femoral nailing.

Age Factors↗