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Audiology Outcomes in Infants Weighing Less than 1500 Grams at Birth 出生时体重低于1500克的婴儿的听力学结果
Pub Date : 2002-05-01 DOI: 10.1375/AUDI.24.1.46.31116
W. Rush, M. Battin, O. Wilson
The audiology outcomes for infants with a birth weight below 1500g were reviewed. Of 402 infants referred for audiology 319 (79%) attended. Two hundred and forty-six (77%) had sufficient hearing for the development of speech and language but 66 (21%) infants needed further testing and six infants (1.9%) had hearingimpairment.
我们回顾了出生体重低于1500g的婴儿的听力学结果。在402名接受听力学检查的婴儿中,有319名(79%)参加了检查。246名婴儿(77%)有足够的听力来发展言语和语言,但66名婴儿(21%)需要进一步检测,6名婴儿(1.9%)有听力障碍。
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引用次数: 1
A case study of partial agenesis of the corpus callosum: Audiological implications 胼胝体部分发育不全的个案研究:听力学意义
Pub Date : 2002-05-01 DOI: 10.1375/AUDI.24.1.36.31115
L. Skinner, L. Hickson
This case study presents four and a half years of audiological observations, testing and aural habilitation of a female child with a partial agenesis of the corpus callosum (ACC). The ACC was diagnosed by MRI scan performed at 6 months of age to eliminate neurological causes for the developmental delay. This child was also born with a cleft palate and was diagnosed with Robinow Syndrome at 3 years and 3 months of age. The audiological results showed an improvement in hearing thresholds over the 4-year period. The child’s ophthalmologist also reported an improvement in visual skills over time. The most interesting aspect of the child’s hearing was the discrepancy between the monaural and the binaural results. That is, when assessed binaurally she often presented with a mild to moderate mixed loss and, when assessed monaurally, she showed a moderate to severe mixed loss for the right ear and a severe mixed loss for the left ear. Over time, the discrepancy between the monaural and binaural results changed. When assessed binaurally, the loss decreased to normal low frequency hearing sloping to a mild high frequency loss. When assessed monaurally, the most recent results showed a mild loss for the right ear and a moderate loss for the left ear. This discrepancy between binaural and monaural results was evident for both aided and unaided tests. For the most recent thresholds, the binaural results were consistent with the right monaural thresholds for the first time over the four and a half years. Parental reports of the child’s hearing were consistent with the binaural clinical results. This case indicates the need for audiologists to (1) carefully monitor the hearing of children with ACC, (2) obtain monaural and binaural hearing and aided thresholds results, and (3) compare these children’s functional abilities with the objective test results obtained. This case does question whether hearing aids are appropriate for children with ACC. If hearing aids are deemed to be appropriate, then hearing aids with compression characteristics should be considered.
本案例研究提出了四年半的听力学观察,测试和听力康复的一个女孩的胼胝体部分发育(ACC)。在6个月大时通过MRI扫描诊断ACC,以消除导致发育迟缓的神经学原因。这个孩子出生时也患有腭裂,并在3岁零3个月时被诊断出患有罗比诺综合征。听力学结果显示,在4年期间,听力阈值有所改善。孩子的眼科医生也报告说,随着时间的推移,孩子的视觉技能有所改善。孩子听力最有趣的方面是单耳听力和双耳听力结果之间的差异。也就是说,当双耳评估时,她经常表现为轻度至中度混合性听力损失,而当单耳评估时,她表现为右耳中度至重度混合性听力损失,左耳重度混合性听力损失。随着时间的推移,单耳和双耳结果之间的差异发生了变化。当双耳听力评估时,听力损失从正常的低频听力下降到轻微的高频听力损失。当单侧评估时,最近的结果显示右耳轻度丧失,左耳中度丧失。这种双耳和单耳结果之间的差异在辅助和非辅助测试中都很明显。对于最近的阈值,双耳结果在四年半中首次与正确的单耳阈值一致。家长报告的儿童听力与双耳临床结果一致。本病例提示听力学家需要(1)仔细监测ACC患儿的听力,(2)获得单耳和双耳听力和辅助阈值结果,(3)将这些患儿的功能能力与客观测试结果进行比较。这个病例确实质疑助听器是否适合ACC患儿。如果认为助听器是合适的,那么应该考虑使用具有压缩特性的助听器。
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引用次数: 3
The National Acoustic Laboratories (NAL) CDs of Speech and Noise for Hearing Aid Evaluation: Normative Data and Potential Applications 国家声学实验室(NAL)助听器评估语音和噪声cd:规范数据和潜在应用
Pub Date : 2002-05-01 DOI: 10.1375/AUDI.24.1.16.31112
G. Keidser, T. Ching, H. Dillon, Katrina Agung, C. Brew, Scott Brewer, M. Fisher, Levi Foster, F. Grant, L. Storey
This paper describes the speech and noise material on a new set of three CDs that is considered very suitable for hearing assessment and fine-tuning of hearing aids in audiological clinics. The material includes continuous discourses, various background noises, and three different speech test materials (BKB sentence test, four SPIN sentence lists, and Vowel-Consonant-Vowel (VCVs) nonsense syllables). All speech samples are recorded using native speakers of Australian English. Normative data in the form of the central part of performance-intensity functions are presented for the BKB sentences in babble-noise and for intelligibility rating of continuous discourse in nine background noises together with list-equivalence data for the BKB test. For each test, the critical difference that needs to be exceeded to obtain significantly different results is also presented. Applications for the material with respect to candidacy and hearing aid fine-tuning are discussed.
本文介绍了一套新的三张cd上的语音和噪音材料,这些cd被认为非常适合听力学诊所的听力评估和助听器微调。材料包括连续语篇、各种背景噪声和三种不同的语音测试材料(BKB句子测试、四个SPIN句子列表和元音-辅音-元音(vcv)无意义音节)。所有的语音样本都是由澳大利亚英语母语人士录制的。以性能强度函数中心部分的形式给出了在呀呀学噪声条件下的BKB句子和在9种背景噪声条件下的连续语篇可理解度评级的规范性数据,以及BKB测试的列表等价数据。对于每个测试,还给出了需要超过的临界差值,以获得显著不同的结果。讨论了该材料在候选资格和助听器微调方面的应用。
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引用次数: 35
XXVI International Congress of Audiology 第二十六届国际听力学大会
Pub Date : 2001-11-01 DOI: 10.1375/AUDI.23.2.63.31102
R. Cowan
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引用次数: 0
A comparison of a new prototype Tickle Talker with a Tactaid 7 一种新的挠痒说话者原型与Tactaid 7的比较
Pub Date : 2001-05-01 DOI: 10.1375/AUDI.23.1.18.31095
K. Galvin, J. Ginis, R. Cowan, P. Blamey, G. Clark
This is a publisher’s version of an article published in Australian and New Zealand Journal of Audiology 2001. This version is reproduced with permission from the publisher, Australian Academic Press. http://www.australianacademicpress.com.au/
这是发表在2001年澳大利亚和新西兰听力学杂志上的一篇文章的出版商版本。本版本经出版商澳大利亚学术出版社许可转载。http://www.australianacademicpress.com.au/
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引用次数: 13
Speech-in-noise Perception of Children Using Cochlear Implants and FM Systems 使用人工耳蜗和调频系统的儿童在噪音中的语音感知
Pub Date : 2001-05-01 DOI: 10.1375/AUDI.23.1.52.31096
M. Davies, Lubna Yellon, S. Purdy
FM systems are widely used by children wearing cochlear implants, however there have been few studies of the benefit FM systems provide. This study investigated the speech-in-noise perception of fourteen children aged between 7 and 17 years who use a cochlear implant. Their speech perception was measured using the Hearing in Noise Test (HINT), a test of open-set sentence perception. The signal-to noise ratio was varied from 0 to -3 dB and a recording of actual classroom noise was used as the background noise. Noise was presented from four loudspeakers at 45 , 135 , 225 , and 315 azimuth to simulate classroom listening conditions. Significant FM benefit was found for the 0 and -3 dB SNR conditions. There was an interaction between subject age and FM benefit, with older children showing greater benefit. Younger children had more varied test results. Nine subjects (64%) had a measurable FM advantage based on HINT sentence scores. A small increase in noise level of 3 dB had a negative effect on speech perception, and the use of an FM system helped to counter this effect in most of the children.
调频系统被广泛应用于儿童耳蜗植入中,然而关于调频系统的益处的研究却很少。本研究调查了14名年龄在7至17岁之间使用人工耳蜗的儿童在噪音中的言语感知。他们的语言感知使用噪音听力测试(HINT)来测量,这是一种开放集句子感知测试。信噪比在0 ~ -3 dB范围内变化,以教室实际噪声录音作为背景噪声。在45、135、225和315方位角的四个扬声器中呈现噪声,以模拟教室听力条件。在0和-3 dB信噪比条件下发现显著的调频效益。受试者年龄与FM效益之间存在交互作用,年龄较大的儿童表现出更大的效益。年龄较小的孩子的测试结果差异更大。9名被试(64%)在提示句子得分上具有可测量的调频优势。小幅增加3分贝的噪音水平会对语言感知产生负面影响,而使用调频系统有助于抵消大多数儿童的这种影响。
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引用次数: 40
The Development of Two Speech Based Tests of Central Auditory Function for Australian Use 澳大利亚人使用的两种基于语言的中央听觉功能测试的发展
Pub Date : 2001-05-01 DOI: 10.1375/AUDI.23.1.1.31098
Maryanne Golding
The Synthetic Sentence Identification (SSI) test and Dichotic Sentence Identification (DSI) test are chiefly used to assess central auditory function. These tests are reportedly more tolerant of hearing loss than other measures and used together, provide analogous but differing measures of central auditory function which can be administered within an acceptable time frame. The purpose of this study was to generate and evaluate an Australian version of the DSI test and the SSI test. The test materials were trialed on younger and older normal hearing adults whose first language was Australian English. Results show near perfect performance for young adults using comfortable listening levels while older adults showed greater variability in performance. In addition, there was decreasing performance with age on both test measures for the left ear. These results were compared with those reported for the original SSI and DSI tests and similar outcomes were found.
综合句识别(SSI)测试和二分句识别(DSI)测试主要用于评估中枢听觉功能。据报道,这些测试对听力损失的容忍度比其他测试更强,并且一起使用,提供了类似但不同的中央听觉功能测量,可以在可接受的时间范围内实施。本研究的目的是生成和评估澳大利亚版本的DSI测试和SSI测试。测试材料在第一语言为澳大利亚英语的年轻和年长的正常听力成年人中进行了试验。结果显示,年轻人在舒适的听力水平下表现近乎完美,而老年人在表现上表现出更大的变化。此外,随着年龄的增长,左耳在两项测试中的表现都有所下降。将这些结果与原始SSI和DSI测试报告的结果进行比较,发现了类似的结果。
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引用次数: 7
The Effect of Conductive Hearing Loss on Phonological Awareness, Reading and Spelling of Urban Aboriginal Students 传导性听力损失对都市原住民学生语音意识、阅读及拼写的影响
Pub Date : 2001-05-01 DOI: 10.1375/AUDI.23.1.37.31097
N. Walker, Gillian Wigglesworth
This study investigated differences in the phonological awareness, reading and spelling skills of Aboriginal children with and without, otitis media with effusion (OME) and conductive hearing loss. Participants were nine year 1 Aboriginal children with evidence of recent OME and ten control participants matched for grade level, socioeconomic status and Aboriginality. Four sub-tests of phonological awareness, the 10 Word Developmental Spelling Test and Freebody and Byrne's reading lists were administered to the children. Results indicated that OME and associated hearing loss during the early school years has a deleterious effect on the development of phonological awareness, and reading and spelling performance of urban Aboriginal children in year one. Correlational analyses indicated that phoneme segmentation had the strongest correlation with reading and spelling performance. It is recommended that hearing screening programs involving the diagnostic triad of otoscopy, tympanometry and audiometry be implemented in schools of high Aboriginal enrolment to ensure early diagnosis. This would allow the educational needs of the students to be better catered for. The results of this study lend support to initiatives by educational authorities to raise awareness of the educational implications of OME and associated conductive hearing loss.
摘要本研究旨在探讨原住民儿童在语音意识、阅读及拼写能力上的差异,以及是否有渗出性中耳炎和传导性听力损失。参与者是9名最近有OME证据的1年级土著儿童和10名符合年级水平、社会经济地位和土著的对照参与者。对孩子们进行了语音意识的四个子测试,10个单词发展拼写测试和自由体和伯恩的阅读清单。结果表明,早期学龄期OME及其相关的听力损失对城市原住民儿童一年级的语音意识、阅读和拼写能力的发展有不利影响。相关分析表明,音位分割与阅读和拼写表现的相关性最强。建议在原住民高入学率的学校实施听力筛查计划,包括耳镜检查、鼓室测量和听力测量三种诊断方法,以确保早期诊断。这将使学生的教育需要得到更好的照顾。这项研究的结果支持了教育当局的倡议,以提高对OME和相关传导性听力损失的教育意义的认识。
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引用次数: 31
The communication and health needs of older people with hearing loss: are hearing AIDS enough? 老年听力损失患者的沟通和健康需求:助听器是否足够?
Pub Date : 2001-05-01 DOI: 10.1375/AUDI.23.1.10.31099
A. Hogan, Alan Taylor, J. Doyle, R. Osborn, K. Fitzmaurice, H. Kendig
This paper examines communication and health issues associated with hearing difficulties reported in a population-based study of older people. One thousand (1000) randomly selected people aged 65 years and over participated in a cross-sectional survey of the health status of older people. Hearing loss was reported by 30% of respondents, a considerably lower percentage than has been reported by other population-based studies. Hearing aid usage, although low, was more typical of expected population rates at 14.8%. Hearing aid use was associated with increasing age and self-reported difficulties communicating one-to-one and in groups. Compared to people reporting good to excellent hearing, people with fair to poor hearing reported poorer general health, suggesting a possible threshold effect between health and hearing impairment. Further research is required to identify the appropriate mix of hearing aids and services required for this population and to examine the thesis of a threshold effect in hearing disability and health status.
本文研究了一项以老年人为基础的人群研究中报告的与听力困难相关的沟通和健康问题。随机选择一千名65岁及以上的人参加了一项关于老年人健康状况的横断面调查。30%的答复者报告有听力损失,这一比例远低于其他基于人群的研究报告。助听器使用率虽然较低,但在预期人口比率中更为典型,为14.8%。助听器的使用与年龄增长和自我报告的一对一和群体沟通困难有关。与报告听力良好到极好的人相比,听力一般到较差的人报告的总体健康状况较差,这表明健康和听力障碍之间可能存在阈值效应。需要进一步的研究来确定这一人群所需的助听器和服务的适当组合,并检查听力残疾和健康状况的阈值效应的论点。
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引用次数: 20
Test-retest reliability of acoustic reflex test in 6-Week-Old healthy infants 6周龄健康婴儿声反射试验的重测信度
Pub Date : 1900-01-01 DOI: 10.1375/AUDI.31.1.25
R. Mazlan, J. Kei, L. Hickson, S. Curtain, Gillian Baker, Kate E. Jarman, H. Glyde, J. Gavranich, Ron Linning
The aim of this study was to investigate the test-retest reliability of acoustic reflex (AR) test measured from a group of 6-week-old infants who passed a transient evoked otoacoustic emission test and an automated auditory brainstem response screening test. Ipsilateral acoustic reflex thresholds for a 2 kHz pure tone and broadband noise were recorded from 70 infants using a Madsen Otoflex Diagnostic Immittance meter with a probe tone of 1000 Hz. The mean AR thresholds obtained in the first test were 67.3 and 80.9 dB HL for the broadband noise and 2 kHz tone, respectively. The results for the retest condition did not differ significantly from those of the first test. The AR test also showed high test-retest reliability as demonstrated by intracorrelation coefficients across the test-retest conditions of 0.783 and 0.780 for the broadband noise and 2 kHz pure tone stimuli, respectively. Findings from this study suggest that the AR test could be used to establish reliable AR thresholds in 6-week-old infants.
本研究的目的是探讨6周大的婴儿通过瞬态诱发耳声发射测试和自动听觉脑干反应筛选测试所测得的声反射(AR)测试的重测信度。使用探测音调为1000 Hz的Madsen Otoflex诊断阻抗计记录了70名婴儿的2 kHz纯音和宽带噪声的同侧声反射阈值。在第一次测试中获得的宽带噪声和2 kHz音调的平均AR阈值分别为67.3和80.9 dB HL。复测条件的结果与第一次试验的结果没有显著差异。宽带噪声和2 kHz纯音刺激的内相关系数分别为0.783和0.780,表明AR测试也显示出较高的重测信度。本研究结果表明,AR测试可用于建立可靠的6周大婴儿AR阈值。
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引用次数: 2
期刊
Australian and New Zealand Journal of Audiology
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