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Student Audiologists' Impressions of a Simulation Training Program 学生听力学家对模拟训练计划的印象
Pub Date : 2010-05-01 DOI: 10.1375/AUDI.32.1.19
W. Wilson, A. Hill, J. Hughes, A. Sher, Ariane Laplante-Lévesque
The use of standardised patients (SPs) and computer based simulations (CBSs) has been suggested as a method of providing students in the health sciences with basic clinical skills without relying on extensive support from external clinics. This study used a questionnaire to determine if 25 first-year audiology students from an audiology program in a large Australian university felt their interactions with SPs and CBSs had improved their ability to interact with clients and perform a basic audiometric assessment. These students reported their interactions with the SPs significantly (p < .01) improved their performance in 10 out of 10 areas of client interaction and their interactions with the CBS significantly (p < .01) improved their abilities in 6 out of 8 areas of basic audiometry. They also reported that the SPs’ portrayals of the cases and the content of the simulated cases were realistic, although further preparation for interacting with the SPs was desirable. Overall, these results support the continued investigation of SPs and CBSs as potential methods of training and assessing Australian audiology students in the areas of client interaction and basic audiometry.
有人建议使用标准化病人(SPs)和基于计算机的模拟(CBSs),作为向健康科学专业的学生提供基本临床技能的一种方法,而无需依赖外部诊所的广泛支持。本研究采用问卷调查的方法来确定来自澳大利亚一所大型大学听力学专业的25名一年级听力学学生是否认为他们与SPs和CBSs的互动提高了他们与客户互动的能力,并进行了基本的听力学评估。这些学生报告说,他们与SPs的互动显著提高了他们在10个客户互动领域中的10个领域的表现(p < 0.01),他们与CBS的互动显著提高了他们在8个基本听力学领域中的6个领域的能力(p < 0.01)。他们还报告说,卫生顾问对个案的描述和模拟个案的内容是真实的,尽管需要进一步准备与卫生顾问互动。总的来说,这些结果支持继续研究SPs和CBSs作为在客户互动和基础听力学领域培训和评估澳大利亚听力学学生的潜在方法。
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引用次数: 34
Communicating with Australian Deaf People about Communication Technology 与澳大利亚聋人交流交流技术
Pub Date : 2010-05-01 DOI: 10.1375/AUDI.32.1.31
Mary R. Power, D. Power
The paper examines deaf people's knowledge of modern Internet communication technologies and the possible benefits they could obtain from them. We found that organisations for deaf people were active in informing their members but a very large number of people deafened by ageing were not so aware of possible benefits. Signing deaf people benefit from video communication by telephone and the Internet. Signing avatars are also of considerable benefit in making available text and voice sites on the Internet. Methods of promoting awareness for better access and suggestions for their implementation are examined.
本文考察了聋人对现代互联网通信技术的了解情况,以及他们可能从中获得的好处。我们发现,为聋人服务的组织积极地向其成员宣传,但很大一部分因年老而失聪的人并没有意识到可能的好处。手语聋人可以通过电话和互联网进行视频交流。在Internet上提供文本和语音站点时,签名头像也有相当大的好处。审查了提高对更好地获取途径的认识的方法和执行这些方法的建议。
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引用次数: 12
Rehabilitation Efforts and Stress in Parents of Children With Cochlear Implants 人工耳蜗儿童父母的康复努力和压力
Pub Date : 2010-05-01 DOI: 10.1375/AUDI.32.1.1
R. Punch, M. Hyde
This mixed methods study investigated the impact on Australian families of the decision-making process and the ongoing (re)habilitation demands of their children's cochlear implantation. Quantitative results from a survey of 247 parents found that parents experienced stress related to the decision-making and rehabilitation processes at significantly higher levels than they had expected pre-implant. Multiple regression analysis identified factors that were predictive of parents' experiences of rehabilitation efforts and stress. Qualitative data from interviews with 27 of the survey respondents elaborated on the quantitative findings and provided insights into the impact on families' lives, identifying the greatest problem areas and potential stressors for parents. Implications and recommendations for professionals working with families are drawn from the findings.
这项混合方法研究调查了对澳大利亚家庭的决策过程的影响,以及他们的孩子的人工耳蜗植入的持续(再)康复需求。对247名家长进行的一项调查的定量结果发现,父母在决策和康复过程中经历的压力明显高于植入前的预期水平。多元回归分析确定了预测父母康复努力和压力经历的因素。对27名调查对象的访谈得出的定性数据对定量结果进行了详细阐述,并提供了对家庭生活影响的见解,确定了父母最大的问题领域和潜在压力源。对从事家庭工作的专业人员的启示和建议是从研究结果中得出的。
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引用次数: 27
An Independent Review of Neuromonics Tinnitus Treatment Controlled Clinical Trials 神经性耳鸣治疗对照临床试验的独立回顾
Pub Date : 2010-05-01 DOI: 10.1375/AUDI.32.1.41
J. Henry, J. Istvan
Traditional methods for the clinical management of tinnitus generally involve some combination of three common elements: education/counseling, stress reduction, and use of therapeutic sound. Neuromonics Tinnitus Treatment (NTT), which originated in Australia and recently has gained visibility in the United States, comprises a new variation of traditional tinnitus therapies. NTT uses a proprietary wearable audio player as its primary treatment modality. NTT is unique amongst tinnitus treatments in that a corporate entity controls all operations, including clinician training, provision of sound therapy devices, and oversight of the clinical activities involved in this trademarked therapy. We review here the three published con - trolled clinical trials of NTT. Observations are offered regarding limitations of these trials with respect to the Consolidated Standards of Reporting Trials (CONSORT) and the CONSORT supplement for nonpharmacologic treatments. The CONSORT standards provide rigorous review criteria for randomised clinical trials. The lack of methodological transparency, and the proprietary nature of NTT limits the ability of independent investigators to evaluate the merits of this clinical approach.
耳鸣的传统临床治疗方法通常包括三个常见元素的组合:教育/咨询、减轻压力和使用治疗性声音。神经性耳鸣治疗(NTT)起源于澳大利亚,最近在美国获得了知名度,它是传统耳鸣治疗的一种新变体。NTT使用专有的可穿戴音频播放器作为其主要治疗方式。NTT在耳鸣治疗中是独一无二的,因为公司实体控制所有操作,包括临床医生培训,提供声音治疗设备,并监督该商标治疗中涉及的临床活动。我们在此回顾三个已发表的NTT对照临床试验。针对这些试验在报告试验综合标准(CONSORT)和CONSORT非药物治疗补充方面的局限性,提出了观察。CONSORT标准为随机临床试验提供了严格的评审标准。缺乏方法的透明度和NTT的专有性质限制了独立研究人员评估这种临床方法优点的能力。
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引用次数: 9
An Exploratory Study Involving Mindfulness Meditation in the Treatment of King-Kopetzky Syndrome 正念冥想治疗King-Kopetzky综合征的探索性研究
Pub Date : 2009-11-01 DOI: 10.1375/AUDI.31.2.72
M. Sadlier, D. Stephens
King-Kopetzky syndrome (KKS) is a common condition in which individuals with normal audiograms complain of hearing difficulties, particularly in the presence of background noise. The aim of this study was to examine the usefulness of mindfulness cognitive behavioural therapy in KKS sufferers. Patients were selected from a dedicated KKS clinic in the Welsh Hearing Institute. A total of 32 consecutive patients with KKS, of which 20 responded to the six-month follow-up questionnaires, were recruited and analysed using content analysis based on the open-ended benefit/short -comings questionnaire, as well as two questions on the impact of therapy on hearing difficulties at the six-month follow-up. The qualitative analysis showed that the majority of patients who took part in the trial improved their coping capacity while a smaller number improved in terms of hearing ability. A mindfulness cognitive behavioural therapy may assist the rehabilitative management of KKS patients.
King-Kopetzky综合征(KKS)是一种常见的情况,其中听力正常的个体抱怨听力困难,特别是在存在背景噪音的情况下。本研究的目的是检验正念认知行为疗法对KKS患者的有效性。患者是从威尔士听力研究所专门的KKS诊所选择的。共招募了32名连续的KKS患者,其中20人回答了为期六个月的随访问卷,并使用基于开放式益处/缺点问卷的内容分析,以及六个月随访期间治疗对听力障碍的影响的两个问题进行了分析。定性分析表明,大多数参加试验的患者的应对能力得到了改善,而少数患者的听力能力得到了改善。正念认知行为疗法可能有助于KKS患者的康复管理。
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引用次数: 3
The Benefit of Sound-field Amplification in First Nations Elementary School Children in Nova Scotia, Canada 加拿大新斯科舍省第一民族小学儿童使用声场放大的好处
Pub Date : 2009-11-01 DOI: 10.1375/AUDI.31.2.55
Leslie A Langlan, R. Sockalingam, R. Caissie, Brian M. Kreisman
The present study investigated the effects of soundfield FM amplification on student classroom performance in a First Nations elementary school classroom. Overall, students - including those with and without hearing loss - demonstrated a significant improvement in classroom performance during use of the sound-field FM amplification system. Results suggest that children can improve in the areas of academics, attention, communication, class participation, and school behaviour when amplification is utilised. The area of attention was shown to have the greatest increase, which suggests that it is the most readily influenced behaviour. Clinical implications of hearing screenings in First Nations schools are discussed, as are the benefits of sound-field FM amplification and the need for its advocacy among clinicians.
本研究以原住民小学为研究对象,探讨声场调频扩音对学生课堂表现的影响。总的来说,在使用声场调频放大系统期间,学生们——包括那些有听力损失和没有听力损失的学生——在课堂表现上有了显著的改善。结果表明,当使用放大时,孩子们可以在学术、注意力、沟通、课堂参与和学校行为等方面得到改善。注意力领域的增长幅度最大,这表明它是最容易受到影响的行为。讨论了听力筛查在第一民族学校的临床意义,以及声场调频放大的好处和临床医生对其倡导的需要。
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引用次数: 2
A History of Australian Audiology [Book Review] 澳大利亚听力学史[书评]
Pub Date : 2009-11-01 DOI: 10.1375/audi.31.2.101
G. Birtles
Review(s) of: A History of Australian Audiology, by Lawrence Upfold, Phonak Pty Ltd Australia, Sydney, 2008. Includes endnotes.
书评:《澳大利亚听力学史》,Lawrence Upfold著,Phonak Pty Ltd Australia,悉尼,2008。包括尾注。
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引用次数: 4
A Pilot Investigation into the Provision of Hearing Services Using Tele-audiology to Remote Areas 利用远程听力学向偏远地区提供听力服务的试点调查
Pub Date : 2009-11-01 DOI: 10.1375/AUDI.31.2.96
W. Pearce, T. Ching, H. Dillon
A pilot investigation has been conducted by Australian Hearing to assess the feasibility of providing hearing services using tele-audiology to adult clients in remote areas. The services on trial included hearing assessment, hearing aid fitting, and hearing rehabilitation. The equipment used for remote area services, the personnel required, and the methodology used are outlined. Case studies are presented and implications for future needs discussed.
澳大利亚听力协会进行了一项试点调查,以评估向偏远地区的成人客户提供远程听力学听力服务的可行性。试验服务包括听力评估、助听器安装和听力康复。概述了用于偏远地区服务的设备、所需人员和使用的方法。介绍了案例研究,并讨论了对未来需求的影响。
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引用次数: 23
High frequency (1000 HZ) tympanometry findings in newborns: Normative data using a component compensated admittance approach 新生儿高频(1000 HZ)鼓室测量结果:使用分量补偿导纳方法的规范数据
Pub Date : 2009-05-01 DOI: 10.1375/AUDI.31.1.15
R. Mazlan, J. Kei, L. Hickson, Asaduzzaman Khan, J. Gavranich, Ron Linning
Recently clinicians have started to use a new approach, called the component compensation method, to evaluate middle ear function in newborn babies using high frequency (1000 Hz) tympanometry. The present study aimed to establish tympanometric normative data using this new method. Participants were 157 normal, healthy, full-term newborn babies with chronological age between 1 and 8 days. Normative data showing the 90 % range for tympanometric peak pressure, admittance at 200 daPa, uncompensated peak admittance, component compensated static admittance (YCC) and traditional baseline compensated static admittance (YBC) are provided. The results showed no significant gender and ear asymmetry effects, nor their interactions with any of the test parameters studied. YCC had a significantly higher mean value than YBC (1.02 0.46 versus 0.66 0.34 mmho). Given that ears with middle ear dysfunction often show severely reduced admittance values, the higher mean admittance result obtained from normal ears using the new method suggests that this method has the potential to better separate normal from abnormal admittance results. Furthermore, this method is mathematically sound since it takes into account the phase difference between admittance quantities when a 1000 Hz probe tone is used.
最近,临床医生开始使用一种称为分量补偿法的新方法,使用高频(1000 Hz)鼓室测量法来评估新生儿的中耳功能。本研究旨在利用这种新方法建立鼓室测量的标准数据。参与者是157名正常、健康的足月新生儿,他们的实际年龄在1到8天之间。提供了标准数据,显示鼓压峰值压力、200dapa时的导纳、未补偿的峰值导纳、分量补偿静态导纳(YCC)和传统基线补偿静态导纳(YBC)的90%范围。结果显示,性别和耳朵不对称没有显著的影响,也没有它们与所研究的任何测试参数的相互作用。YCC的平均值显著高于YBC (1.02 0.46 mmho比0.66 0.34 mmho)。鉴于中耳功能障碍的耳朵往往表现出严重的导纳值降低,使用新方法从正常耳朵获得的较高平均导纳结果表明,该方法有可能更好地区分正常和异常导纳结果。此外,该方法在数学上是合理的,因为它考虑了使用1000 Hz探测音调时导纳量之间的相位差。
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引用次数: 11
Electronics and Instrumentation for Audiologists 听力学家的电子和仪器
Pub Date : 2009-05-01 DOI: 10.1375/audi.31.1.53
W. Wilson
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引用次数: 4
期刊
Australian and New Zealand Journal of Audiology
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