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Effect of Psychodrama on Communication Skills of Adolescents with Hearing Loss 心理剧对失聪青少年沟通技巧的影响
IF 0.5 Q3 Medicine Pub Date : 2022-04-05 DOI: 10.18502/avr.v31i2.9113
Ali Nemati, F. Demehri, Mohsen Saeidmanesh
Background and Aim: Adolescents with hearing loss face many communication problems and challenges due to their hearing impairment. This study aimed to investigate the effect of psychodrama on communication skills of adolescents with hearing loss. Methods: This is a quasi-experimental study with a pretest/posttest design using a control group. The study population consists of all adolescents with hearing loss aged 12–15 years studying at Naghme School for the Deaf in Yazd, Iran. A total of 24 adolescents were selected using a purposive sampling technique and were randomly assigned into groups of control (n=12) and intervention (n=12). The intervention group received psychodrama at nine sessions of 90 minutes, while the control group received no treatment. The Queendom Communication Skills Test (QCST) was used to collect data. Data were analyzed using descriptive and inferential statistics. Results: Psychodrama can improve communication skills of adolescents with hearing loss, which is verbal communication. Conclusion: The mean and standard deviation of the pretest QCST score was 78.75±9.4 for the intervention group. After the treatment, the QCST scores was 105.08±6.28 for the intervention group. The results of ANCOVA showed an improvement in Queendom Communication Skills Test scores of adolescents after intervention (p<0.001). Keywords: Hearing loss; communication skills; psychodrama
背景与目的:听力损失青少年由于听力障碍而面临许多沟通问题和挑战。本研究旨在探讨心理剧对失聪青少年沟通技巧的影响。方法:本研究为准实验研究,采用前测/后测设计,采用对照组。研究人群包括在伊朗亚兹德Naghme聋人学校学习的所有12-15岁的听力损失青少年。采用有目的抽样方法,选取24名青少年,随机分为对照组(n=12)和干预组(n=12)。干预组接受九次心理剧治疗,每次90分钟,而对照组不接受任何治疗。使用女王沟通技巧测试(QCST)收集数据。数据分析采用描述性和推断性统计。结果:心理剧能提高青少年听力损失患者的沟通能力,主要表现在言语沟通方面。结论:干预组前测QCST评分的均值和标准差为78.75±9.4。干预组治疗后QCST评分为105.08±6.28分。ANCOVA结果显示,干预后青少年的queen Communication Skills Test成绩有改善(p<0.001)。关键词:听力损失;沟通技巧;心理剧
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引用次数: 1
Comparing the Effect of Digital Noise Reduction Technique on Frequency Gain of Behind-the-Ear Digital Hearing Aids 数字降噪技术对耳后数字助听器频率增益影响的比较
IF 0.5 Q3 Medicine Pub Date : 2022-04-05 DOI: 10.18502/avr.v31i2.9117
M. Shiroei, N. Rahbar, S. Sameni
Background and Aim: Background noise as a serious challenge mainly affects the speech perception in people with hearing loss. One of the methods used to control noise is digital noise reduction (DNR) technique. The present study aimed to investigate the effect of DNR program (activated and deactivated) on the frequency gain of basic and advanced behind-the-ear (BTE) Oticon hearing aids, using different DNR strategies to reduce background noise. Methods: Two behind-the-ear Oticon hearing aids (Opn1 S105 and GetP) were used in this study. The Affinity 2.0 test box was first used to measure their DNR (off/on) gains using the national acoustic laboratories-non linear2 (NAL-NL2) and desired sensation level multi-stage [input/output] (DSLm[I/O]) formulas at sound pressure levels of 45, 65 and 85 dB SPL at a frequency range of 250-8000 Hz for three hearing loss (HL) patterns using the international speech test signal and broad band noise. Results: There was a significant difference in DNR performance between the Opn1 S105 and GetP models for all three HL patterns at 45 and 65 dB SPL and most frequencies. Conclusion: The DNR performance of advanced and basic hearing aids is different for different HLs at 45 and 65 dB SPL and most frequencies. The performance of advanced hearing aids is significant using the DSLm[I/O] formula at most frequencies. Keywords: Digital noise reduction; international speech test signal; frequency response; broad band noise
背景与目的:背景噪声作为一种严重的挑战,主要影响听力损失人群的语言感知。数字降噪(DNR)技术是控制噪声的一种方法。本研究旨在探讨DNR程序(激活和停用)对基本和高级耳后助听器(BTE)频率增益的影响,采用不同的DNR策略来降低背景噪声。方法:使用两种耳后助听器Opn1 S105和GetP。首先使用Affinity 2.0测试箱,使用国家声学实验室-非线性(NAL-NL2)和期望感觉级多级[输入/输出](DSLm[I/O])公式,在45、65和85 dB SPL的声压级下,使用国际语音测试信号和宽带噪声,测量三种听力损失(HL)模式的DNR(关/开)增益。频率范围为250-8000 Hz。结果:Opn1 S105和GetP模型在45和65 dB SPL和大多数频率下对所有三种HL模式的DNR性能都有显著差异。结论:高级助听器和基础助听器在45和65 dB声压级及大多数频率的不同声压级下的DNR性能不同。在大多数频率下使用DSLm[I/O]公式,高级助听器的性能是显著的。关键词:数字降噪;国际语音测试信号;频率响应;宽带噪声
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引用次数: 0
Consonant Production Skills in Children with Cochlear Implants and Normal-Hearing Children Aged 3–5 Years 3-5岁植入人工耳蜗儿童与听力正常儿童辅音生成技能的比较
IF 0.5 Q3 Medicine Pub Date : 2022-04-05 DOI: 10.18502/avr.v31i2.9114
M. Sohrabi, N. Jalilevand
Background and Aim: Consonant development plays a significant role in speech intelligibility which is impaired in children with profound hearing loss. Cochlear implant (CI) can facilitate the development of language comprehension and sound production in children with severe to profound sensorineural hearing loss. This study aimed to compare consonant production skills in children with CI and normal-hearing (NH) children aged 3–5 years. Methods: In this cross-sectional study, participants were 20 children with CI and 20 age- matched NH children. The consonant production skills were assessed using the speech intelligibility test in Persian. Results: There were significant differences between CI and NH children (p<0.05), where   the highest percentage of correct production in both groups was related to the manner of articulation of stop and nasal consonants. NH children showed less accuracy only in /r/ and /ʧ/, while children with CI were less accurate in /q/, /x/, /ʤ/, /l/, /j/, and /r/. Conclusion: Children with CI have lower scores compared to age-matched NH peers, but they have similar consonant production skills. Keywords: Cochlear implant; consonant production; consonant accuracy
背景与目的:辅音发育在重度听力损失儿童的言语清晰度中起着重要的作用。人工耳蜗可以促进重度至重度感音神经性听力损失儿童语言理解和声音产生的发展。本研究旨在比较3-5岁CI患儿与正常听力患儿的辅音生成能力。方法:在这项横断面研究中,参与者是20名CI儿童和20名年龄匹配的NH儿童。使用波斯语语音清晰度测试评估辅音生成技能。结果:CI组与NH组之间存在显著性差异(p<0.05),两组的正确产音率最高与顿音和鼻辅音的发音方式有关。NH患儿仅在/r/和/ ug /中表现出较低的准确性,而CI患儿在/q/、/x/、/ /、/l/、/j/和/r/中表现出较低的准确性。结论:CI患儿得分较同龄NH患儿低,但具有相近的辅音生成技能。关键词:人工耳蜗;辅音生产;辅音的准确性
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引用次数: 0
Assessment of Distortion Product Otoacoustic Emissions Input-Output Function in Individuals with and without Musical Abilities 有音乐能力与无音乐能力个体耳声发射输入-输出函数失真积的评估
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8131
Kavitha Gurunathgowda Sannamani, Madhumanti Chakraborty, N. Devi, P. Prabhu
Background and Aim: Musical  training  has shown to bring about superior  performance  in several auditory and non-auditory tasks compared to those without musical exposure. Distortion product otoacoustic emissions (DPOAE) input-output function can be an indicator of the non-linear functioning of the cochlea. The objective of this study was to evaluate and compare the differences in the slope of DPOAE input-output function in individuals with and without musical abilities. Methods: Twenty normal-hearing individuals were considered in the age range of 18–25 years. They were divided based on the scores obtained on the questionnaire of musical abilities, as individuals with and without musical abilities. DPOAE input-output function was done   for each of the two groups. The slope of the DPOAE input-output function was compared at different frequencies between the groups. Results: The results of the Mann Whitney test revealed that the slope was significantly steeper at 2000, 3000, 4000 and 6000 Hz in individuals with musical abilities. There was no significant difference in slope at 1000 and 1500 Hz. Conclusion: The increased steepness of the slope indicates a relatively better functioning     of the cochlea in individuals with musical abilities. The enhanced perception of music may induce changes in the cochlea resulting in a better appreciation of music.
背景和目的:与未接触音乐的训练相比,音乐训练在一些听觉和非听觉任务中表现出色。畸变产物耳声发射(DPOAE)输入输出函数可以是耳蜗非线性功能的指标。本研究的目的是评估和比较具有和不具有音乐能力的个体的DPOAE输入输出函数斜率的差异。方法:考虑20名年龄在18-25岁之间的正常听力个体。他们根据音乐能力问卷上获得的分数被划分为具有和不具有音乐能力的个体。对两组患者分别进行DPOAE输入输出函数分析。比较各组之间不同频率下DPOAE输入输出函数的斜率。结果:Mann-Whitney测试结果显示,在2000、3000、4000和6000赫兹的频率下,有音乐能力的人的斜率明显更陡。在1000和1500Hz时斜率没有显著差异。结论:斜率的增加表明具有音乐能力的个体的耳蜗功能相对较好。对音乐的感知增强可以引起耳蜗的变化,从而更好地欣赏音乐。
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引用次数: 0
Effect of Ischemia-Induced Cochlear Inflammation on Auditory Responses in Male Rats 缺血性耳蜗炎症对雄性大鼠听觉反应的影响
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8135
H. Fanaei, A. Pourbakht, Sadegh Jafarzadeh
Background and Aim: Ischemic injury is a major cause of hearing loss and oxidative stress is an important part of ischemic injury. The goal of this study was to evaluate the cochlear oxidative stress effect on auditory responses in male rats. Methods: Cochlear oxidative stress was induced by bilateral carotid artery occlusion for 20 minutes. The rats were evaluated by biochemical inflammatory factors tumor necrosis factor-α [TNF-α] and C-reactive protein (CRP) in the day before and 1st, 4th, and 7th days following surgery. The auditory brainstem response (ABR) and electrocochleography (ECochG) were evaluated on the day before surgery and 14th, 21th and 28th days after surgery. Results: TNF-α and CRP levels concentrations increased one day after ischemia and subsequently decreased on the 7th day. The click and tone burst evoked ABR showed increased thresholds on day14th, 21th, and 28th. The highest threshold was recorded on day14th. The ECochG results also were abnormal for 55%, 70%, and 45% of cases on day 14th, 21th, and 28th, respectively. Conclusion: Cochlear oxidative stress affects hearing sensitivity. The ABR shows elevated thresholds and abnormal ECochG was found in many cases.
背景与目的:缺血性损伤是听力损失的主要原因,氧化应激是缺血性损伤的重要组成部分。本研究旨在探讨雄性大鼠耳蜗氧化应激对听觉反应的影响。方法:双侧颈动脉闭塞20分钟诱导耳蜗氧化应激。于手术前一天及术后第1、4、7天采用生化炎症因子肿瘤坏死因子-α (TNF-α)、c反应蛋白(CRP)进行评价。分别于术前1天和术后第14、21、28天评估听脑反应(ABR)和耳蜗电图(ECochG)。结果:缺血后第1天TNF-α、CRP水平升高,第7天下降。在第14天、第21天和第28天,咔哒声和音调爆发诱发的ABR阈值升高。第14天阈值最高。第14天、第21天和第28天ECochG结果异常的分别为55%、70%和45%。结论:耳蜗氧化应激影响听敏。ABR显示阈值升高,ECochG异常。
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引用次数: 0
Acceptable Noise Level in Unilateral Ménière’s Disease 单侧Ménière病的可接受噪声水平
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8129
Elahe Nasiri, Hamid Jalilvand, N. Yazdani, A. Akbarzadeh Baghban
Background and Aim: Noise tolerance and performance in noisy environments are influential factors of hearing aid use in people with hearing loss. One of the causes of hearing loss is Meniere’s disease (MD), which affects speech perception in noise. Acceptable noise level (ANL) is a test that measures the maximum tolerated background noise level (BNL) while listening to the running speech. Since the effect of MD on ANL needs further study, the present study aims to examine the ANL test results in people with unilateral MD, and compare the results between the two ears. Methods: This cross sectional study conducted on 33 individuals with unilateral MD (21 females and 12 males) aged 32–60 years who had the disease for at least one year, who participated in this study. Their most comfortable level (MCL), BNL, and ANL in both ears were then evaluated. Results: The mean MCL and BNL were significantly different between the two ears, where they were higher in the affected ear than in the contralateral ear. There was also a significant difference in the ANL results between the two ears. In the affected ear, a statistically significant relationship was reported between the ANL and the average hearing thresholds at frequencies of 250, 500, and 1000 Hz. Conclusion: MD affects the ANL in the affected ear and causes a deterioration in its level and speech perception in noise.
背景与目的:噪声耐受力及在嘈杂环境中的表现是影响听力损失人群助听器使用的因素。听力损失的原因之一是梅尼埃氏病(MD),它影响噪声中的言语感知。可接受噪声水平(ANL)是一项测量在听运行语音时最大可容忍背景噪声水平(BNL)的测试。由于MD对ANL的影响有待进一步研究,本研究旨在检查单侧MD患者的ANL检测结果,并比较两耳结果。方法:对33例单侧MD患者进行横断面研究,其中女性21例,男性12例,年龄32-60岁,患病至少1年。然后评估他们双耳的最舒适水平(MCL)、BNL和ANL。结果:两耳的平均MCL和BNL有显著差异,患耳的MCL和BNL高于对侧耳。两耳间的ANL结果也有显著差异。在受影响的耳中,ANL与250、500和1000 Hz频率下的平均听力阈值之间存在统计学上显著的关系。结论:MD影响受累耳的声级,使其声级水平和语音感知能力下降。
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引用次数: 0
Validity and Reliability of the Persian Versions of Primary and Secondary Screening Instrument for Targeting Educational Risk Questionnaires 针对教育风险问卷的一、二级筛选工具波斯语版本的效度与信度
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8136
F. Khodaei, Arzaneh Fatahi, N. Rouhbakhsh, S. Jalaie, Amineh Koravand
Background and Aim: Hearing loss in children leads to speech and language delays, low academic achievement, literacy delays, and psychosocial difficulties. Screening instrument for targeting educational risk (SIFTER) is one of the questionnaires used for evaluation of students’ performance in schools. The current study aims to develop Persian versions of primary and secondary SIFTER questionnaires and assessing their validity and reliability. Methods: The main English versions of primary and secondary SIFTER questionnaires were translated into Persian named as P-SIFTER and secondary P-SIFTER. Then, their face validities were determined based on the options of related experts. The final versions were completed by 55 teachers of 150 students (64 primary and 86 secondary school students) divided into two groups of hearing-impaired (HI) and normal-hearing (NH) students. The test- retest reliabilities were assessed in 117 students (64 primary and 53 secondary school students). Results: The results revealed that these questionnaires had high face validity. The content validity index for P-SIFTER and secondary P-SIFTER were obtained 0.94 and 0.92, respectively. The total score of P-SIFTER was 51.85 and 65.41 in HI and NH students, respectively. For the secondary P-SIFTER, it was 58.75 and 67.48, respectively. The test-retest reliability showed high correlation for NH and HI students between P-SIFTER and secondary P-SIFTER scores. The Cronbach’s alpha value for the overall score of P-SIFTER was 0.96 for both HI and NH students; for secondary P-SIFTER, the values were 0.94 and 0.93, respectively. Conclusion: The Persian versions of primary and secondary SIFTER questionnaires have acceptable validity and reliability.
背景和目的:儿童听力损失会导致言语和语言延迟、学业成绩低下、识字延迟和心理社会困难。针对教育风险的筛查工具(SIFTER)是用于评估学生在校表现的问卷之一。目前的研究旨在开发波斯语版的初级和中级SIFTER问卷,并评估其有效性和可靠性。方法:将小学和中学SIFTER问卷的主要英文版本翻译成波斯语,分别命名为P-SIFTER和中学P-SIFTER。然后,根据相关专家的选择来确定他们的面部有效性。最终版本由150名学生(64名小学生和86名中学生)的55名教师完成,分为听力受损(HI)和听力正常(NH)两组。对117名学生(64名小学生和53名中学生)进行了再测信度评估。结果:问卷具有较高的表面有效性。P-SIFTER和次级P-SIFTER的内容有效性指数分别为0.94和0.92。HI和NH学生的P-SIFTER总分分别为51.85和65.41。二次P-SIFTER分别为58.75和67.48。NH和HI学生的重测信度在P-SIFTER和中学P-SIFTER分数之间具有高度相关性。HI和NH学生P-SIFTER总分的Cronbachα值均为0.96;对于次级P-SIFTER,其值分别为0.94和0.93。结论:初级和中级SIFTER问卷的波斯语版本具有可接受的有效性和可靠性。
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引用次数: 1
Evaluation of Cochlear Synaptopathy in Tinnitus Patients with Normal Hearing UsingAuditory Brainstem Response and Electrocochleography Tests 用听觉脑干反应和脑电图测试评估听力正常的耳鸣患者的耳蜗突触病变
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8128
Tofiq Ahmadpour, Reyhane Toufan, A. Pourbakht, Mohammad Kamali
Background and Aim: Tinnitus is defined a phantom sound percept. Few studies have examined the occurrence of synaptopathy in tinnitus patients utilizing a battery of tests that indicate synaptopathy. This study aimed to investigate the role of synaptopathy in tinnitus production and compare the various characteristics of the auditory brainstem response (ABR) test and electrocochleography (ECochG) in normal-hearing people with and without tinnitus. Methods: This cross-sectional study was conducted on 34 normal-hearing individuals, 20 without tinnitus as controls (11 females and 9 males) and 14 with tinnitus (8 females and 6 men). The test components (amplitude, growth and slope of wave I, V/I ratio, action potential (AP) amplitude, and summating potential (SP)/AP) ratio were recorded during the ABR and ECochG tests for each subject. Results: The control group had higher mean values of amplitude, growth and slope of wave I, and AP amplitude compared to the tinnitus group, and this difference was statistically significant (p<0.05). The mean V/I ratio and SP/AP ratio were lower in the control group than in the tinnitus group, and this difference was statistically significant (p<0.05). Conclusion: The significant difference in the parameters of ABR and ECochG tests between normal-hearing people with and without tinnitus indicates that these parameters can be used to evaluate the presence of synaptopathy in tinnitus patients. These findings suggest the need for proper interpretation of the results of ABR and ECochG tests in tinnitus patients with a focus on the parameters indicating synaptopathy.
背景与目的:耳鸣是一种虚幻的声音感知。很少有研究利用一系列提示突触病变的测试来检查耳鸣患者中突触病变的发生。本研究旨在探讨突触病变在耳鸣产生中的作用,并比较听力正常的耳鸣患者和非耳鸣患者听觉脑干反应(ABR)测试和耳蜗电图(ECochG)的各种特征。方法:对34例听力正常者、20例无耳鸣者(女性11例,男性9例)和14例耳鸣者(女性8例,男性6例)进行横断面研究。记录每个受试者在ABR和ECochG测试时的测试成分(波振幅、波生长和波斜率、V/I比、动作电位(AP)振幅和求和电位(SP)/AP)比。结果:对照组患者I波振幅、生长、斜率、AP振幅平均值均高于耳鸣组,差异有统计学意义(p<0.05)。对照组平均V/I比、SP/AP比低于耳鸣组,差异有统计学意义(p<0.05)。结论:听力正常的耳鸣患者与非耳鸣患者ABR和ECochG检测参数差异有统计学意义,提示这些参数可用于评价耳鸣患者是否存在突触病变。这些发现表明,需要对耳鸣患者的ABR和ECochG测试结果进行适当的解释,重点关注指示突触病变的参数。
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引用次数: 0
The Limitation of Widely Used Data Normality Tests in Clinical Research 临床研究中广泛使用的数据正态性检验的局限性
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8127
M. Zakaria
The article's abstract is not available.  
这篇文章的摘要不可用。
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引用次数: 1
Screening of Auditory Processing Disorders in School- Aged Children in Tehran, Iran Using the Auditory Processing Domain Questionnaire 伊朗德黑兰学龄儿童听觉加工障碍的筛选:使用听觉加工领域问卷
IF 0.5 Q3 Medicine Pub Date : 2021-12-25 DOI: 10.18502/avr.v31i1.8130
F. Jarollahi, A. Pourbakht, S. Jalaie, Mahbobeh Oruie
Background and Aim: Early detection of auditory processing disorders (APD) is essential for preventing learning and educational problems in school-aged children. It is crucial to take into account the comorbidity with APD, as well. The goal of APD screening is to obtain the basic information about those with auditory disorders to be referred for further evaluation. This study aimed to identify the elementary school students at risk of APD in Tehran, Iran. Methods: Participants were the parents of 536 children selected from 11 elementary schools in four districts of Tehran city. The schools in each district were selected by a random clustering method. The auditory system of students was first evaluated. The parents were then asked to complete the Persian version of the auditory processing domain questionnaire (APDQ). Results: The prevalence of APD was 3.3% in girls and 8.3% in boys and the difference between them was statistically significant (p=0.021). The overall prevalence of APD was 4.6% based on the cut-off points of four APDQ domains, with a male-to-female ratio of 2.6. Conclusion: It is necessary to screen APD in school-aged children to minimize learning and educational problems in them. Moreover, there is a need for developing screening methods to provide timely detection and appropriate intervention for those at risk of APD.
背景与目的:早期发现听觉处理障碍(APD)对于预防学龄儿童的学习和教育问题至关重要。考虑到APD的合并症也是至关重要的。APD筛查的目的是获得听力障碍患者的基本信息,以便进行进一步的评估。本研究旨在确定伊朗德黑兰小学生患APD的风险。方法:研究对象为德黑兰市4个区11所小学536名儿童的家长。采用随机聚类法选取各区学校。首先对学生的听觉系统进行了评估。然后父母被要求完成波斯语版的听觉处理领域问卷(APDQ)。结果:女孩APD患病率为3.3%,男孩为8.3%,差异有统计学意义(p=0.021)。基于四个APDQ域的分界点,APD的总体患病率为4.6%,男女比例为2.6。结论:有必要对学龄儿童进行APD筛查,以尽量减少他们的学习和教育问题。此外,有必要开发筛查方法,为APD高危人群提供及时发现和适当干预。
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引用次数: 1
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Auditory and Vestibular Research
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