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A study on the working condition of speech-language pathologists in Korea 韩国语言病理学家工作状况的研究
Q4 Health Professions Pub Date : 2022-04-30 DOI: 10.21849/cacd.2022.00717
Myoung Soon Lee, Eun Kyoung Lee
Purpose: This study aims to investigate the employment type of speech-language pathologists, subscription of social security insurance, workplace, working hours, salary, and types of disability of the subjects to be treated, and analyze the information on the actual working conditions to utilize it in policy proposals for speech-language pathologists, considering the changes in economic structure and employment environment and their aspects.Methods: The study was conducted through an online Google questionnaire for speech-language pathologists. The total number of participants was 1,414. The results were processed using SPSS 25.0, and descriptive statistics were performed.Results: First, private speech therapy centers (731 people, 48.1%), social welfare facilities (240 people, 15.8%), and development centers attached to the hospital (164 people, 10.8%) were in order of the type of workplace of speech-language pathologists. Second, the types of work of speech-language pathologists were professional freelance workers (608 people, 44.9%), full-time jobs (551 people, 40.7%), contract workers of fixed payment (95 people, 7.0%), and contract workers of combination with fixed payment and rate system payment (65 people, 4.8%). Third, the insurance coverage of speech-language pathologists was in the order of four major insurances (862 people, 66.2%), non-insured (284 people, 21.8%), and two major insurances (148 people, 11.4%). Fourth, the numbers of speech-language pathologists workplaces were 1 workplace (689 people, 72.2%), 2 workplaces (206 people, 21.6%), others (36 people, 3.8%), and 3 workplaces (23 people, 2.4%).Conclusions: After COVID-19, there was a change in perception of the speech-language pathologists’ employment type. The results of this study will be used to improve the treatment of speech-language pathologists, such as through policy proposals for employment stability and the expansion of high-quality workplaces.
目的:本研究旨在调查言语语言病理学家的就业类型、社会保险投保情况、工作地点、工作时间、工资、治疗对象的残疾类型,并结合经济结构和就业环境的变化及其方面,分析言语语言病理学家的实际工作状况信息,用于言语语言病理学家的政策建议。方法:采用语音语言病理学家在线谷歌问卷进行研究。参与者总数为1414人。采用SPSS 25.0软件对结果进行处理,并进行描述性统计。结果:第一,私立语言治疗中心(731人,占48.1%)、社会福利机构(240人,占15.8%)、医院附属发展中心(164人,占10.8%)是语言病理学家工作场所类型的排序。语言病理学家的工作类型为专业自由职业者(608人,44.9%)、全职工作者(551人,40.7%)、固定报酬合同工(95人,7.0%)和固定报酬与费率制相结合的合同工(65人,4.8%)。第三,语言病理学家的参保范围依次为四大保险(862人,66.2%)、未参保(284人,21.8%)、两大保险(148人,11.4%)。四是语言病理学家工作场所数量为1个工作场所(689人,72.2%)、2个工作场所(206人,21.6%)、其他36人(3.8%)、3个工作场所(23人,2.4%)。结论:新冠肺炎疫情发生后,对语言病理学家就业类型的认知发生了变化。这项研究的结果将用于改善言语语言病理学家的治疗,例如通过就业稳定和扩大高质量工作场所的政策建议。
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引用次数: 0
A comparative study on parental language used by parents of children with Autism Spectrum Disorder and typically developing children 自闭症谱系障碍儿童与正常发育儿童父母语言的比较研究
Q4 Health Professions Pub Date : 2022-04-30 DOI: 10.21849/cacd.2022.00710
P. Mohan, H. M. Mahasoomi, Divya Davis
Purpose: Current study is designed to analyze the quantity and quality of parental language during parent-child interaction in the natural environment in both typically developing and in children with autism spectrum disorder.Methods: A total of 10 primary caregivers mainly parents in which 5 participants were parents of children with autism spectrum disorder and 5 participants were parents of typically developing children. A 10-15 minutes video recording of parent-child interaction was analyzed and drawn into conclusion about the quantity and quality of language used in terms of grammatical language measures, discourse function and pragmatic function.Results: Parents of children with ASD and parents of TD children who were developing normally produced similar amounts of linguistic input, but they differed on certain quality parameters. Parents of TD children use more Mean Length of Utterance. Significant differences were found between the two groups in terms of Discourse function and pragmatic functions. The parents of children with ASD used a comparatively lower number of nouns, verbs, conjunctions and case markers. In Discourse function analysis, significant differences were found in parental responses, number of conversational turns and number of parental responses to child’s initiations. While considering pragmatic/behavioral functions, significant differences were only in questions and expansions.Conclusions: The current study emphasizes the importance of parental language during parent-child interactions, as well as the need to profile the same which would provide precise information on the level of stimulation delivered.
目的:本研究旨在分析在自然环境中,在典型的发育中和自闭症谱系障碍儿童的亲子互动过程中,父母语言的数量和质量。方法:共有10名主要照顾者,主要是父母,其中5名参与者是自闭症谱系障碍儿童的父母,5名参与者为典型发育儿童的父母。通过对一段10-15分钟的亲子互动视频的分析,从语法语言测量、话语功能和语用功能三个方面得出了语言使用的数量和质量的结论。结果:ASD儿童的父母和发育正常的TD儿童的父母产生了相似数量的语言输入,但在某些质量参数上存在差异。TD儿童的父母使用更多的平均言语长度。两组在语篇功能和语用功能方面存在显著差异。ASD儿童的父母使用的名词、动词、连词和格标记的数量相对较少。在语篇功能分析中,父母对孩子启动的反应、会话转折次数和父母反应次数存在显著差异。在考虑语用/行为功能时,显著差异仅在问题和扩展方面。结论:目前的研究强调了父母语言在亲子互动中的重要性,以及描述语言的必要性,这将提供关于所提供刺激水平的准确信息。
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引用次数: 0
Differences of laryngeal closure during the swallow between stroke and head and neck cancer survivors 癌症脑卒中和头颈部幸存者吞咽时喉闭合的差异
Q4 Health Professions Pub Date : 2022-04-30 DOI: 10.21849/cacd.2022.00647
C. Deckelman, Ryleigh Caldwell, Youngsun Kim, T. Park
Purpose: The purpose of this study was to examine the difference of two laryngeal closure transition measures: initiation of laryngeal closure (ILC) and laryngeal closure duration (LCD) among stroke survivors, head and neck cancer survivors, and healthy age-matched controls.Methods: ILC and LCD were determined by analyzing two 5ml thin liquid swallows exhibited by each of the 15 stroke survivors, 15 head and neck cancer survivors, and 15 healthy controls from the videofluoroscopic swallowing examinations (VFSEs). Statistical analyses were made using one-way analysis of variance (ANOVA) using the three groups as independent variables with the statistical level set at p<0.05.Results: ILC was longer in stroke survivors compared to head and neck survivors and healthy controls; however, these results were only significant compared to controls. Head and neck cancer survivors exhibited significantly longer LCD when compared to healthy controls, but not to stroke survivors.Conclusions: Differential diagnosis based on swallowing pathophysiology is critical to manage and treat dysphagia in these populations.
目的:本研究的目的是检查两种喉闭合过渡措施:脑卒中幸存者、癌症头部和颈部幸存者以及年龄匹配的健康对照者的喉闭合开始(ILC)和喉闭合持续时间(LCD)的差异。方法:分析15例脑卒中幸存者、15例头颈部癌症幸存者和15例健康对照者在电视透视吞咽检查(VFSE)中各表现出的2只5ml薄液燕,测定ILC和LCD。使用单因素方差分析(ANOVA)进行统计分析,将三组作为自变量,统计水平设置为p<0.05。结果:与头颈部幸存者和健康对照组相比,中风幸存者的ILC更长;然而,这些结果仅与对照组相比具有显著性。与健康对照组相比,头部和颈部癌症幸存者表现出明显更长的LCD,但中风幸存者则没有。结论:基于吞咽病理生理学的鉴别诊断对于管理和治疗这些人群的吞咽困难至关重要。
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引用次数: 0
Language sample analysis consideration and use: a survey of school-based speech language pathologists 语言样本分析、思考与使用:基于学校语言病理学家的调查
Q4 Health Professions Pub Date : 2022-04-30 DOI: 10.21849/cacd.2022.00703
Rebecca Bawayan, Jennifer A. Brown
Purpose: The purpose of the current study was to extend previous knowledge on the language sample analysis (LSA) practices of school-based speech-language pathologists (SLPs) by gathering information on the processes, procedures, clinical judgments, and decisions that current school-based SLPs make during the context of conducting an LSA.Methods: School-based SLPs responded to a survey on current practices, perceived knowledge, knowledge of current recommended practices, and education and training in LSA.Results: Results indicated the majority of school-based SLPs used LSA (90%) during evaluations to supplement information provided on norm-referenced tests and as a naturalistic language measure. However, the results also demonstrate a lack of knowledge of current recommended practices. The respondents, on average, only answered 50% of the knowledge questions correctly.Conclusions: Participant responses to knowledge and practice questions indicated a continued gap in current LSA practice including the context of collected samples, the transcription and recording process, and the analysis measures completed. Additionally, the results indicated a need to look closely at the undergraduate and graduate curriculum on LSA as the respondents indicated the largest amount of education and training coming from these programs.
目的:本研究的目的是通过收集当前学校言语病理学家在进行语言样本分析过程中所做的过程、程序、临床判断和决策的信息,扩展学校言语病理师先前对语言样本分析(LSA)实践的了解。方法:基于学校的SLP对LSA的当前实践、感知知识、当前推荐实践的知识以及教育和培训进行了调查。结果:结果表明,大多数学校SLP在评估期间使用LSA(90%)来补充规范参考测试提供的信息,并将其作为一种自然语言测量。然而,研究结果也表明,对目前推荐的做法缺乏了解。受访者平均只答对了50%的知识问题。结论:参与者对知识和实践问题的回答表明,当前LSA实践仍存在差距,包括收集样本的背景、转录和记录过程以及完成的分析措施。此外,调查结果表明,有必要密切关注LSA的本科生和研究生课程,因为受访者表示,这些项目提供的教育和培训最多。
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引用次数: 1
Evaluation of chewing ability in cerebrovascular accident and Parkinson’s disease 脑血管意外和帕金森病患者咀嚼能力的评价
Q4 Health Professions Pub Date : 2022-04-30 DOI: 10.21849/cacd.2022.00661
Ja Kim, Sang-Eok Lee, H. You, HyangHee Kim
Purpose: Chewing problems are a major and prevalent issue in populations with neurological pathologies including cerebrovascular accident (CVA) and Parkinson’s disease (PD). We measured habitual solid chewing performance in patients with CVA or PD and compared it to that of normal older adults to identify differences in chewing ability between groups.Methods: Measures of habitual solid chewing in 32 patients with CVA, in 35 patients with PD, and in 217 normal older adults were compared. Data on the chewing duration, frequency, and rate were collected using a solid chewing task (SCT). We also analyzed the relationships between dentures, number of teeth, and SCT outcomes.Results: The chewing duration in the PD group was significantly longer than the normal group (p<0.05). Chewing frequency and rate were not significantly different among the three groups. Results can be explained by rigidity and bradykinesia in orofacial structures in the PD group. No significant differences between the PD and CVA groups may be partly explained by the diverse location and size of the CVA lesion compared to the PD. Dentures and the number of teeth were not significantly correlated with SCT outcomes.Conclusions: Chewing impairment remains the area of development for research and rehabilitation, and SCT may help to assess oropharyngeal dysphagia and to identify therapeutic interventions.
目的:咀嚼问题是包括脑血管意外(CVA)和帕金森病(PD)在内的神经系统疾病人群的主要和普遍问题。我们测量了CVA或PD患者的习惯性固体咀嚼行为,并将其与正常老年人进行比较,以确定两组之间咀嚼能力的差异。方法:比较32例CVA患者、35例PD患者和217例正常老年人习惯性固体咀嚼的测量结果。使用固体咀嚼任务(SCT)收集咀嚼时间、频率和速度的数据。我们还分析了假牙、牙齿数量和SCT结果之间的关系。结果:PD组咀嚼时间明显长于正常组(p<0.05)。三组间咀嚼频率和咀嚼速度差异无统计学意义。结果可以用PD组的口面部结构僵硬和运动迟缓来解释。PD组和CVA组之间无显著差异,部分原因可能是CVA病变与PD相比位置和大小不同。假牙和牙数与SCT结果无显著相关。结论:咀嚼障碍仍是研究和康复的发展领域,SCT可能有助于评估口咽吞咽困难并确定治疗干预措施。
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引用次数: 0
Perceptions of school-based service delivery in speech-language pathology among parents of children with and without language difficulties 语言障碍儿童和非语言障碍儿童家长对言语病理学中学校服务提供的认知
Q4 Health Professions Pub Date : 2021-12-31 DOI: 10.21849/cacd.2021.00633
Hyun Jung Lee, Eun Kyoung Lee
Purpose: The purpose of this study was to compare the perceptions of school-based service delivery in speech-language pathology (SLP) among parents of children with and without language difficulties.Methods: A questionnaire was developed to examine the parental perceptions of and desires for school-based service delivery in SLP. The survey was administered to 55 parents of children with language difficulties and 97 parents of children without language difficulties among parents of children in kindergarten and elementary school.Results: First, parents of children with language difficulties perceived that their children’s language skills had an impact on their academic performance and their peer relationships, while parents of children without language difficulties perceived that their children’s language skills had an impact on their academic performance but not their peer relationships. Second, both groups of parents recognized that school-based SLPs were needed to boost their children’s academic performance and social communication skills. They also wanted the service to be delivered within their children’s school curriculum on a regular basis. Third, each group of parents expected that school-based SLPs would help their children in different areas.Conclusions: The results of this study are expected to serve as guidance for the development of school-based service delivery in SLP.
目的:本研究的目的是比较有和没有语言障碍儿童的父母对言语语言病理学(SLP)中学校服务提供的看法。方法:采用问卷调查的方法,调查SLP中家长对学校服务提供的认知和愿望。这项调查对55名有语言障碍儿童的父母和97名幼儿园和小学儿童的无语言障碍儿童父母进行了调查。结果:首先,有语言障碍儿童的父母认为,他们孩子的语言技能对他们的学习成绩和同伴关系有影响,而没有语言障碍的儿童的父母则认为,他们儿童的语言技能影响他们的学习表现,但对他们的同伴关系没有影响。其次,两组家长都认识到,需要以学校为基础的SLP来提高孩子的学习成绩和社交能力。他们还希望在孩子的学校课程中定期提供这项服务。第三,每组家长都希望以学校为基础的SLP能在不同领域帮助他们的孩子。结论:本研究的结果有望为SLP学校服务提供的发展提供指导。
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引用次数: 1
Translation and validation of communicative quality of life in the dysarthric speaker questionnaire in telugu 泰卢固语交际生活质量调查问卷的翻译与验证
Q4 Health Professions Pub Date : 2021-12-31 DOI: 10.21849/cacd.2021.00591
Philemon Benison, Himanshu Verma, G. Hariprasad
Purpose: Several tools are available to assess the quality of life for speech, language, voice, and swallowing disorders in Indian languages. However, limited tools are present to assess the quality of life of dysarthria. So, the present study aims to translate and validate the Quality of Life in the Dysarthric Speaker (QoL-DyS) questionnaire into the Telugu language.Methods: A total of 30 different types of dysarthria and 30 age-matched controls participated in the present study. The QoL-DyS tool was trans-adapted in the Telugu language using a standardized procedure and administered to the participants. The internal consistency, test-retest reliability, construct validity, scale statistics, and item statistics were computed.Results: The present study revealed that the developed tool has good (i.e., 0.81) overall internal consistency and excellent (i.e., 0.92) test-retest reliability. The significant difference (i.e., p<0.05) was found between the experimental and control group.Conclusions: From the present study, we can conclude that the Telugu QOL-DyS is a reliable tool. It is applicable in clinical practice for the self-assessment of the quality of life in dysarthric speakers. Hence, the Telugu QOL-DyS is recommended in clinical practice, and there is a need to develop QoL-DyS in other Indian languages.
目的:有几种工具可用于评估印度语言言语、语言、声音和吞咽障碍患者的生活质量。然而,目前评估构音障碍患者生活质量的工具有限。因此,本研究的目的是将生活困难说话者(QoL-DyS)问卷中的生活质量翻译成泰卢固语并进行验证。方法:共30例不同类型构音障碍患者和30例年龄相匹配的对照组参与本研究。QoL-DyS工具使用标准化程序转换为泰卢固语,并对参与者进行管理。计算内部一致性、重测信度、构念效度、量表统计量和项目统计量。结果:本研究表明,开发的工具具有良好的整体内部一致性(0.81)和优良的重测信度(0.92)。实验组与对照组的差异有统计学意义(p<0.05)。结论:泰卢固语QOL-DyS是一个可靠的工具。它适用于临床实践中对困难说话者生活质量的自我评估。因此,泰卢固语QOL-DyS被推荐用于临床实践,并且有必要开发其他印度语言的QOL-DyS。
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引用次数: 0
Narrative language development of Persian-English bilingual children attending an immersion preschool 浸入式学前班波斯语-英语双语儿童的叙事语言发展
Q4 Health Professions Pub Date : 2021-12-31 DOI: 10.21849/cacd.2021.00479
Bita Payesteh, L. Finestack
Purpose: This study aimed to provide a better understanding of the language development of bilingual children who attend a Persian immersion preschool in the United States, with a specific focus on their microstructural language skills derived from a story retell task.Methods: Participants included two groups of preschoolers: 14 Persian-English bilingual children who attended a Persian immersion preschool (2- through 5-years of age) and 16 monolingual English-speaking children who attended an English-only preschool (3- through 5-years of age). Participants completed a story retell task, and their parents completed a questionnaire regarding their child’s language environment.Results: Analyses revealed that Persian-English bilingual children produced narratives that are comparable to their same-aged, English monolingual peers with regard to measures of microstructure. Furthermore, mean length of utterance in morphemes was significantly associated with parental language input, positively with Persian input, and negatively with English input.Conclusions: Findings demonstrate that Persian-English bilingual children who attend a Persian immersion preschool develop English to a level comparable to same-age English monolingual peers based on language produced during a story retell task.
目的:本研究旨在更好地了解在美国参加波斯语浸入式幼儿园的双语儿童的语言发展,特别关注他们从故事复述任务中获得的微观结构语言技能。方法:参与者包括两组学龄前儿童:14名波斯语-英语双语儿童参加波斯语浸入式学前班(2- 5岁)和16名单语英语儿童参加仅英语学前班(3- 5岁)。参与者完成了一个故事复述任务,他们的父母完成了一份关于孩子语言环境的调查问卷。结果:分析显示,波斯语-英语双语儿童在微观结构方面的表现与同龄英语单语儿童相当。语素平均话语长度与母语输入显著相关,与波斯语输入呈正相关,与英语输入负相关。结论:研究结果表明,参加波斯语浸入式学前班的波斯语-英语双语儿童的英语发展水平与同龄的英语单语儿童在故事复述任务中产生的语言相当。
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引用次数: 0
Acoustic characteristics of resyllabification process in Korean 朝鲜语重音节过程的声学特征
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00549
Myoung Soon Lee, HyunWook Park
Purpose: This study aims to analyze acoustic characteristics of Korean words and nonwords according to resyllabification and meaningfulness.Methods: The experimental data consisted of 10 homonyms and 10 corresponding words. Computerized Speech Lab (CSL) 4150B was used in a quiet place for recording. Moreover, the randomized word list was presented to 20 subjects, and they were asked to read naturally as if they were talking comfortably to the subjects. The analysis program was Praat 6151 win 64bit (Boersma & Weenink, 2021). Pitch, intensity, and duration of the words and the first and the second syllables were measured, and the resyllabification liaison rules and resyllabification influenced them. To investigate acoustic characteristics according to resyllabification, independent sample t-test and multivariate test were conducted using SPSS 26 for the statistical processing of a syllable’s pitch, intensity, and duration changes.Results: First, there was a significant difference between the groups in post-syllable pitch ratio in words and nonwords, which was 40s–50s pitch change was greater than that of 20s–30s. Second, the post-syllable pitch ratio was a significant difference between gender groups and according to the effect of the liaison rule. Third, the post-syllable duration ratio showed a significant difference between age groups. The post-syllable pitch ratio was a significant difference according to the effect of the liaison rule.Conclusions: Therefore, when resyllabifications are generated by the liaison rule, the change of the post-syllable pitch can be explained by the focus prosody, and further research will be needed to establish a solid basis for this study.
目的:从重音节和意义两个方面分析韩语单词和非单词的声学特征。方法:实验数据包括10个同音异义词和10个对应词。计算机语音实验室(CSL) 4150B在安静的地方进行录音。此外,将随机生成的单词列表呈现给20名受试者,并要求他们自然地阅读,就像他们在与受试者轻松交谈一样。分析程序为Praat 6151 win 64bit (Boersma & Weenink, 2021)。测量了单词和第一、第二音节的音高、强度和持续时间,重音节连接规则和重音节对它们的影响。为了研究重读音节的声学特征,采用SPSS 26软件进行独立样本t检验和多元检验,对音节的音高、强度和持续时间的变化进行统计处理。结果:第一,两组在单词和非单词的后音节音高比例上存在显著差异,其中40 ~ 50年代的音高变化大于20 ~ 30年代。第二,后音节音高比例在性别群体之间存在显著差异,且根据连读规则的影响。第三,音节后持续时间比例在不同年龄组之间存在显著差异。根据连读规则的影响,后音节音高比例有显著差异。结论:因此,当连读规则产生重音节时,后音节音高的变化可以用焦点韵律来解释,需要进一步的研究来为本研究奠定坚实的基础。
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引用次数: 0
Cross-language comparison of long-term average speech spectrum and dynamic range for three Indian languages and British English 三种印度语言和英国英语的长期平均语音频谱和动态范围的跨语言比较
Q4 Health Professions Pub Date : 2021-08-31 DOI: 10.21849/cacd.2021.00465
V. Narne, Nachiketa Tiwari
Purpose: The Long-Term Average Speech Spectrum (LTASS) and Dynamic Range (DR) of speech strongly influence estimates of Speech Intelligibility Index (SII), gain and compression required for hearing aid fitting. It is also known that acoustic and linguistic characteristics of a language have a bearing on its LTASS and DR. Thus, there is a need to estimate LTASS and DR for Indian languages. The present work on three Indian languages fills this gap and contrasts LTASS and DR attributes of these languages against British English.Methods: For this purpose, LTASS and DR were measured for 21 one-third octave bands in the frequency range of 0.1 to 10 kHz for Hindi, Kannada, Indian English and British English.Results: Our work shows that the DR of Indian languages studied is 7-10 dB less relative to that of British English. We also report that LTASS levels for Indian languages are 7 dB lower relative to British English for frequencies above 1 kHz. Finally, we observed that LTASS and DR attributes across genders were more or less the same.Conclusions: Given the evidence presented in this work that LTASS and DR characteristics for Indian languages analyzed are markedly different than those for BE, there is a need to determine Indian language specific SII, as well as gain and compression parameters used in hearing aids.
目的:语音的长期平均语音频谱(LTASS)和动态范围(DR)强烈影响助听器验配所需的语音清晰度指数(SII)、增益和压缩的估计。我们还知道,语言的声学和语言特征对其LTASS和DR有影响,因此有必要估计印度语言的LTASS和DR。目前对三种印度语言的研究填补了这一空白,并将这些语言的LTASS和DR属性与英国英语进行了对比。方法:测定印地语、卡纳达语、印度英语和英式英语在0.1 ~ 10 kHz频率范围内的21个1 / 3倍频带的LTASS和DR。结果:我们的研究表明,印度语言的DR比英国英语低7-10 dB。我们还报告说,印度语言的LTASS水平相对于英国英语在1千赫以上的频率低7分贝。最后,我们观察到不同性别的LTASS和DR属性大致相同。结论:鉴于本研究提供的证据表明,印度语言的LTASS和DR特征与BE有明显不同,有必要确定印度语言特定的SII,以及助听器中使用的增益和压缩参数。
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引用次数: 0
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Clinical Archives of Communication Disorders
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