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Recommended Auditory Brainstem Responses to Stimulation and Recording Parameters for Hidden Hearing Loss: A Systematic Review and Meta-Analysis 隐蔽性听力损失的推荐听觉脑干对刺激的反应和记录参数:一项系统综述和荟萃分析
Q3 Medicine Pub Date : 2023-04-30 DOI: 10.21848/asr.220086
Yeoju Kim, Woojae Han
Although a lesion of hidden hearing loss (HHL) has focused on the sprial ganglion, stimulation and recording parameters for auditory brainstem response (ABR) are not yet specific enough to confirm its dysfunction. In the current review, we identify ABR parameters, especially Wave I, for diagnosing HHL through both a systemic review and meta-analysis of 14 articles retrieved from seven journal data bases. The most commonly used parameters were a click or 4 kHz tone burst as the stimulus at a rate of less than 11/sec at more than 80 dB intensity levels with alternating polarity through the ear canal. For quantitative results, our meta-analysis from eight articles demonstrated a significant difference in the overall effect size for amplitude between HHL patients and their counterparts with normal hearing. For the subgroup and its analysis, tone burst and high intensity level revealed significantly lower effect size in HHL patients compared to the control group, whereas the stimuli rate and electrode montage statstically were not statistical significance. Although we examined a small number of studies and their heterogenity, obtaining ABR Wave I was clinically differentiated when noise-induced HHL was considered. We thus suggest that stimulation and recording parameters should be applied to a large number of patients and thereby standardized as sensitive features for Wave I in the clinic.
虽然隐藏性听力损失(HHL)的病变主要集中在脊髓神经节,但听觉脑干反应(ABR)的刺激和记录参数尚不足以证实其功能障碍。在当前的综述中,我们通过对从7个期刊数据库中检索的14篇文章的系统评价和荟萃分析,确定了诊断HHL的ABR参数,特别是波I。最常用的参数是一声咔哒声或4千赫的音调爆发作为刺激,以低于11/秒的速度,在超过80分贝的强度水平上,通过耳道交替极性。对于定量结果,我们对八篇文章的荟萃分析表明,HHL患者和听力正常的患者在振幅的总体效应大小上存在显著差异。对于亚组及其分析,HHL患者的音调爆发和高强度水平的效应量明显低于对照组,而刺激率和电极蒙太奇的效应量无统计学意义。虽然我们检查了少量研究及其异质性,但当考虑噪声引起的HHL时,获得ABR波I在临床上是可以区分的。因此,我们建议刺激和记录参数应应用于大量患者,从而在临床中将其标准化为波I的敏感特征。
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引用次数: 0
Eustachian Tube Function Test of Normal Ear in Patients with Unilateral Chronic Otitis Media 单侧慢性中耳炎正常耳咽鼓管功能检查
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.220072
D. H. Lee, Min Sung Kim, M. Jang
Purpose: The aim of this study is to observe the importance of normal ear Eustachian Tube Function Test (ETFT) for unilateral Chronic Otitis Media (COM) and essential date on ETFT through Williams test (Y-266 Hz).Methods: Williams test Y-226 Hz is a test that can evaluate the function of the Eustachian tube only by controlling the pressure, and we retrospectively analyzed 182 otitis media patients who underwent surgery in Pusan National University Hospital. Three results obtained through the Williams test (Y-226 Hz) were classified according to categories and descriptive analysis was performed.Results: In the 182 subjects, 89 did not show changes in static compliance (SC) or had result bias. 1~5 daPa change in 6 (3.3%), 6~10 daPa change 17 (9.3%), 11~15 daPa change 18 (9.9%), 16~20 daPa change 22 (12.1%), 21~25 daPa change 5 (2.7%), 26~30 daPa change 5 (2.7%), 31~40 daPa change 4 (2.2%), 41~50 daPa change 6 (3.3%), 51~100 daPa change changes in 6 (3.3%) and the remaining 4 (2.2%) showed a change greater than 100 daPa. The mean standard SC value of 93 subjects with change was -4.9 daPa, and the mean value measured at positive pressure +400 daPa was -27.4 daPa. Additionally, the mean value measured at negative pressure -400 daPa was +22.9 daPa.Conclusion: Even if the contralateral eardrum appeared normal in the subjects who underwent COM, there were more cases of problems with the Eustachian tube. Normal ear ETFT is necessary for unilateral COM patients, and the Williams test is suitable as a criterion-referenced assessment.
目的:观察正常耳咽鼓管功能测试(ETFT)对单侧慢性中耳炎(COM)的重要性,并通过Williams试验(Y-266 Hz)观察ETFT的基本时间。方法:Williams试验Y-226 Hz是一项仅通过控制压力来评价耳咽管功能的试验,我们回顾性分析了釜山大学医院182例中耳炎手术患者。将Williams检验(Y-226 Hz)得到的三个结果按类别进行分类,并进行描述性分析。结果:在182名受试者中,89名受试者的静态依从性(SC)未发生变化或存在结果偏倚。1~5期daPa变化6(3.3%)、6~10期daPa变化17(9.3%)、11~15期daPa变化18(9.9%)、16~20期daPa变化22(12.1%)、21~25期daPa变化5(2.7%)、26~30期daPa变化5(2.7%)、31~40期daPa变化4(2.2%)、41~50期daPa变化6(3.3%)、51~100期daPa变化6(3.3%)和其余4期(2.2%)变化幅度大于100期daPa。93例受试者的标准SC值平均值为-4.9 daPa,正压+400 daPa时测得的平均值为-27.4 daPa。此外,在负压-400 daPa下测得的平均值为+22.9 daPa。结论:即使行COM术的患者对侧耳膜正常,但咽鼓管出现问题的病例较多。对于单侧COM患者,正常耳ETFT是必要的,Williams试验适合作为标准参考评估。
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引用次数: 0
A Study on Research Trends in 『Audiology and Speech Research』 Using Keyword Network Analysis 基于关键词网络分析的“听力学与言语研究”研究趋势研究
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.220085
Soojin Cho, Tae-Gang Kim
Purpose: The purpose of this study was to investigate the research trends of papers published in ‘Audiology and Speech Research’ and to obtain implications for the direction of research.Methods: Data were collected from 2005 to 2022 articles research information sharing service (RISS) which is provided by Korea education and Korea Citation Index (KCI). After extracting and cleansing keywords, the frequency, centrality, and visualization data analysis for keywords were performed using KrKwic & NodeXL programs.Results: According to the results of keyword frequency analysis, ‘hearing aid’ showed the highest frequency, followed by ‘hearing loss’, ‘noise’, and ‘cochlear implant’, etc. As a result of the keyword centrality analysis, it was found that the centrality was particularly high in ‘hearing aid’, ‘hearing loss’, ‘word recognition’, ‘cochlear implant’, ‘sensorineural hearing loss’, ‘auditory training’, ‘aural rehabilitaion’.Conclusion: The results of this study will provide useful data for understanding current research trends in ASR and further suggesting new research directions in the field of audiology and speech pathology.
目的:本研究旨在了解《听力学与言语研究》期刊的研究趋势,并对未来的研究方向提出建议。方法:收集2005 ~ 2022年由韩国教育部和韩国引文索引(KCI)提供的文献研究信息共享服务(RISS)的数据。关键词提取清洗后,使用KrKwic和NodeXL程序对关键词进行频率、中心性和可视化数据分析。结果:关键词频率分析结果显示,“助听器”出现频率最高,其次是“听力损失”、“噪音”、“人工耳蜗”等。关键词中心性分析发现,“助听器”、“听力损失”、“单词识别”、“人工耳蜗”、“感音神经性听力损失”、“听觉训练”、“听觉康复”等关键词的中心性特别高。结论:本研究结果将为了解当前ASR的研究趋势提供有用的数据,并进一步为听力学和言语病理学领域的研究提供新的方向。
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引用次数: 1
Development of Age-Related Hearing Loss Questionnaire in Korean Elderly 韩国老年人年龄相关性听力损失问卷的编制
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.220088
Chul-Hee Choi
Purpose: The purpose of this study was primarily to develop a self-reported questionnaire and a screening tool of the age-related hearing loss. The current study strived to develop its content and construct validity and test-retest reliability of the Age-Related Hearing Loss Questionnaire (ARHLQ).Methods: After considering a lot of factors of age-related hearing loss, 21 audiologists (age, 45 ± 11.13 to 46.7 ± 10.70 years, clinical experience period, 10 ± 7.7 to 13.4 ± 9.96 years) working at hearing aid centers or universities responded to a 5-point Likert questionnaire to evaluate the content validity. Content Validity Index (CVI) of each item was obtained and evaluated by the cut-off point of 0.75 indicating good content validity. Furthermore, the construct validity with factor analysis and the test-retest reliability with Cronbach’s alpha coefficient were evaluated.Results: Used by the cut-off point of 0.75 of CVI, the six items of the first ARHLQ and one item of the second ARHLQ were eliminated. The ARHLQ was twice revised based on the content validity and the elaboration of expression of each item. Finally, the 24 items were made and selected in the ARHLQ. The factor analysis confirmed the four factors such as communication difficulty (9 items), communication environment (5 items), emotion and others' reaction (6 items), and communication strategy (3 items). The factor analysis showed good construct validity and the test-retest reliability was at a high level.Conclusion: These results indicate that the ARHLQ is a useful screening tool to evaluate people with suspecting age-related hearing loss and for early identification for age-related hearing loss.
目的:本研究的主要目的是开发一种自我报告的问卷和年龄相关性听力损失的筛查工具。本研究旨在完善《年龄相关性听力损失问卷》的内容,构建《年龄相关性听力损失问卷》的效度和重测信度。方法:对21名高校助听器中心听力学家(年龄45±11.13 ~ 46.7±10.70岁,临床经验年限10±7.7 ~ 13.4±9.96岁)进行5点Likert问卷调查,对其内容效度进行评估。获取各条目的内容效度指数(CVI),以0.75为分界点评价内容效度良好。进一步用因子分析评估构念效度,用Cronbach’s alpha系数评估重测信度。结果:以CVI的分界点0.75剔除了第一ARHLQ的6个条目和第二ARHLQ的1个条目。根据各条目的内容效度和表达的阐述,对ARHLQ进行了两次修订。最后,在ARHLQ中制作并选择了24个项目。因素分析确定了沟通困难(9项)、沟通环境(5项)、情绪和他人反应(6项)、沟通策略(3项)四个因素。因子分析结果显示结构效度良好,重测信度较高。结论:上述结果表明,ARHLQ是一种有用的筛查工具,可用于评估怀疑年龄相关性听力损失的人群,并可用于早期识别年龄相关性听力损失。
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引用次数: 0
Impact of Hearing Loss and Rehabilitation on the Psychological Well-Being of the Elderly 听力损失及康复对老年人心理健康的影响
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.220052
N. Singh, Nikhil Gupta, Kasagani Veerabhadra Rao
Purpose: Hearing loss in the elderly is a common disorder which range from an undetectable degree of disability to profound alteration in the ability to function in society. Hence, this study was undertaken to assess the impact of hearing loss and rehabilitation on the psychological well-being of the elderly.Method: Patients above 60 years complaining of hearing loss were evaluated for the otoscopic examination, audiological assessment, psychological assessment Hearing Handicap Inventory for the Elderly Screening (HHIE-S) version, and Global Mental Health Assessment (GMHA) tool. Data was statistically analyzed to determine the relationship between the hearing loss and psychological affection and the benefit after use of hearing aids and rehabilitation.Results: A total of 60 males and 50 females were taken into consideration. HHIE-S showed a significant relation with the severity of hearing loss in the initial assessment and also after remedial measures. GMHA also showed a significant statistical relationship with the severity of hearing loss after initial assessment and after remedial measures.Conclusion: The significant relation of HHIE-S and GMHA with the severity of hearing loss suggest that as the hearing loss increases there is a higher probability of an individual having psychological affection causing the social and emotional situational adjustments producing depression and anxiety. It is also concluded that early remedial measures provide substantial improvement in their quality of life.
目的:老年人听力损失是一种常见的疾病,其范围从无法检测的残疾程度到社会功能的深刻改变。因此,本研究旨在评估听力损失和康复对老年人心理健康的影响。方法:对60岁以上听力损失主诉患者进行耳镜检查、听力学评估、老年听力障碍筛查量表(HHIE-S)版心理评估和全球心理健康评估(GMHA)工具评估。对数据进行统计分析,确定助听器使用后听力损失与心理影响的关系以及助听器使用后的康复效果。结果:共纳入男性60例,女性50例。在初始评估和采取补救措施后,HHIE-S与听力损失的严重程度有显著关系。GMHA也与初步评估和补救措施后听力损失的严重程度有显著的统计关系。结论:HHIE-S和GMHA与听力损失严重程度的显著相关表明,随着听力损失的加重,个体发生心理情感导致社会情绪情境调整产生抑郁和焦虑的可能性增大。还得出结论,早期补救措施可大大改善他们的生活质量。
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引用次数: 0
The Efficacy of Cognitive-Communicative Intervention in Subjective Cognitive Decline: A Systematic Review and Meta-Analysis 认知交际干预对主观认知能力下降的影响:系统回顾和荟萃分析
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.220054
M. S. Lee
Purpose: Subjective cognitive decline (SCD) is a risk factor for mild cognitive impairment and Alzheimer’s disease, highlighting the need for identifying and ranking effective cognitivecommunication interventions.Methods: Databases were searched since 2005 to identify randomized controlled trials evaluating interventions for SCD. I reviewed systematically twenty researches and proposed the evidence based data, including their effect sizes using a meta-analysis method. Outcome measures included the domains of 12 cognitions and three communications.Results: The main findings were as follows. Firstly, intervention programs were designed diversely in a session or mode. Their main domains were general cognition, memory, language, etc. Secondly, the average effect size of cognitive-communication interventions was significant. Thirdly, most cognitive domains like processing speed, memory, working memory, and executive function were very effective and significant in the results of treatment. Lastly, naming and comprehension in communication had the significant effect sizes.Conclusion: These results provide evidence-based information to support cognitive-communication intervention for individuals with SCD. Given this, it is possible to facilitate the preventive interventions for SCD in clinical settings, warranting further research into effective elements of their approaches.
目的:主观认知能力下降(SCD)是轻度认知障碍和阿尔茨海默病的危险因素,强调了识别和排名有效的认知沟通干预措施的必要性。方法:检索自2005年以来的数据库,以确定评估SCD干预措施的随机对照试验。我系统地回顾了20项研究,并提出了基于证据的数据,包括使用荟萃分析方法的效应量。结果测量包括12个认知领域和3个沟通领域。结果:主要发现如下。首先,干预方案在一个会话或模式中设计多样化。他们的主要领域是一般认知、记忆、语言等。其次,认知-沟通干预的平均效应值显著。第三,大多数认知领域如处理速度、记忆、工作记忆和执行功能对治疗结果非常有效和显著。最后,沟通中的命名和理解具有显著的效应量。结论:这些结果为支持SCD个体的认知沟通干预提供了循证信息。鉴于此,有可能在临床环境中促进SCD的预防性干预,需要进一步研究其方法的有效因素。
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引用次数: 0
Neurophysiology of Vestibular Compensation 前庭代偿的神经生理学
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.220082
Jin-Dong Kim
Vestibular compensation is the process by which patients achieve functional recovery after vestibular lesions, and can be divided into static compensation and dynamic compensation. The first stage, static static compensation, consists of eliminating static symptoms (i.e., spontaneous nystagmus and skew deviation) by rebalancing the tonic neural activity in the vestibular nuclei. The second stage, dynamic compensation is much more subtle, takes longer, and involves a central recalibration of the response properties of the vestibulo-ocular reflex (VOR) (i.e., timing and gain) in order to restore the compensatory actions of the VOR to pre-impairment levels. This review is to introduce the normal vestibular function in humans to understand the neurophysiology of vestibular compensation after vestibular lesions, and to review the effects of various types of lesions and the clinical findings in various stages of compensation after each type of lesion. Vestibular compensation is most effective for unilateral vestibular dysfunctions in which tonic neural activity of the vestibular nucleus is rebalanced to achieve static compensation. Adaptive changes in tonic neural activity occur in the normal vestibular pathways to achieve dynamic compensation. In other types of vestibular lesions, vestibular compensation is possible, but not as effective.
前庭代偿是患者在前庭病变后实现功能恢复的过程,可分为静态代偿和动态代偿。第一阶段,静态补偿,包括通过重新平衡前庭核的强直性神经活动来消除静态症状(即自发性眼球震颤和歪斜)。第二阶段,动态补偿更加微妙,需要更长的时间,并且涉及前庭眼反射(VOR)的反应特性(即时间和增益)的中心重新校准,以便将VOR的补偿行为恢复到损伤前的水平。本文通过对人类正常前庭功能的介绍,了解前庭病变后前庭代偿的神经生理学,并综述各类病变对前庭代偿的影响及各类病变后各阶段的临床表现。前庭代偿对单侧前庭功能障碍最有效,其中前庭核的强直性神经活动被重新平衡以实现静态代偿。强直性神经活动的适应性变化发生在正常的前庭通路中,以实现动态补偿。在其他类型的前庭病变,前庭代偿是可能的,但不是有效的。
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引用次数: 0
Comparison of Word Production Ability of Young and Middle-Aged Adults Using Word-Chain Tasks 中青年使用词链任务的词生成能力比较
Q3 Medicine Pub Date : 2023-01-31 DOI: 10.21848/asr.210046
Joon Soo Shin, Y. Kim, J. Yoon
Purpose: The purpose of the present study was to investigate the performance on a word-chain task across two age groups (youth: 20~39 years and middle-aged groups: 40~64 years).Methods: In the word-chain task, we analyzed the number of correct responses and reaction times (time from the final consonant/vowel of the previous word to the initial consonant/vowel of the second syllable of the next word). The correlation between the ability of word-chain task and Controlled Oral Word Association Test (COWAT), Korean-Mini Mental State Examination, Short form-Korean-Boston Naming Test, Korean-Trail Making Test-Elderly (K-TMT-E) (A,B) & Digit Symbol Coding (DSC) were analyzed.Results: The following results were obtained: (i) with increasing age, the number of the correct responses in the word-chain task’s (p < 0.001) and that of COWAT (p < 0.001) gradually declined; (ii) with increasing age, the number of DSC produced gradually declined (p < 0.001) and response time of K-TMT-E (A,B) also gradually increased; (iii) in both groups, the total number of correct responses of the word-chain task correlated with the number of correct responses of COWAT; (iv) the middle-aged group showed a correlation between the word-chain task and DSC.Conclusion: The ability on the word-chain task might reflect aging and cognitive changes in normal adults.
目的:本研究的目的是调查两个年龄组(青年:20~39岁和中年:40~64岁)的字链任务的表现。方法:在单词链任务中,我们分析了正确回答的次数和反应时间(从前一个单词的最后一个辅音/元音到下一个单词第二个音节的第一个辅音/元音的时间)。分析了词链任务能力与对照口语词联想测验(COWAT)、韩国语迷你心理状态测验、短形式韩国语波士顿命名测验、韩国语轨迹制作测验(K-TMT-E) (A、B)和数字符号编码(DSC)的相关性。结果:(1)随着年龄的增长,单词链任务的正确回答数(p < 0.001)和COWAT任务的正确回答数(p < 0.001)逐渐下降;(ii)随着年龄的增长,产生的DSC数量逐渐减少(p < 0.001), K-TMT-E (A、B)的响应时间也逐渐增加;(iii)两组单词链任务的正确回答数与coat的正确回答数相关;(四)中老年组字链任务与DSC存在相关性。结论:词链任务的能力可能反映了正常成人的衰老和认知变化。
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引用次数: 0
Comparison of Nasalance Scores with and without Hypernasality Control Device in Adults with Hypernasality: A Preliminary Study 使用和不使用鼻高通气控制装置对成人鼻高通气评分的比较:一项初步研究
Q3 Medicine Pub Date : 2022-10-31 DOI: 10.21848/asr.220075
Yun-Kyung Song
The purpose of this study was to compare nasalance scores of the experimental vowels, words and paragraphs with and without ‘Hypernasality Control Device (HCD)’ in adults with hypernasality. Three adults with a cerebrovascular attack or a Parkinson’s disease wore in HCD, were asked to read aloud the experimental vowels, words and paragraphs. Using a Nasometer, the nasalance scores were measured. In all experimental vowels, words and paragraphs, the nasalance scores with HCD were measured lower than those without HCD. These results showed that HCD played a role in regulating nasal resonance in adults with hypernasality. However, various modifications and trials of HCD are required for the adequate modulation of nasal resonance. Additional studies are also required for adults with various degrees of hypernasality.
本研究的目的是比较使用和不使用“高鼻音控制装置”(HCD)的成年人在实验元音、单词和段落中的鼻音平衡得分。三名患有脑血管病或帕金森病的成年人被要求大声朗读实验中的元音、单词和段落。使用鼻平衡计测量鼻平衡评分。在所有实验元音、单词和段落中,有HCD组的鼻平衡得分低于无HCD组。这些结果表明,HCD在调节成人鼻音亢进的鼻共振中起作用。然而,为了充分调节鼻共振,需要对HCD进行各种修改和试验。对于不同程度的成人鼻音亢进也需要进一步的研究。
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引用次数: 0
Changes in Pen Pressure, Letter Size, and Writing Speed According to Visual Cues in Patients with Parkinson’s Disease 帕金森病患者钢笔压力、字母大小和书写速度随视觉线索的变化
Q3 Medicine Pub Date : 2022-10-31 DOI: 10.21848/asr.210035
Han Sol Lee, J. Youn, J. H. Ahn, J. Cho, D. Na, J. Yoon
Purpose: Writing performance can be improved in patients with Parkinson’s disease (PD) by providing the visual cues. This study aimed to investigate the changes in pen pressure, letter size, and writing speed as per levels of visual cues.Methods: Sixty-three participants (38 PD patients and 25 normal adults) performed tasks, including sentence writing along visual cue levels using a tablet personal computer, digital pen, and software that could measure the pen pressure, stroke length, and duration.Results: First, the PD group’s pen pressure and letter size were improved when the visual cue was provided. Second, the effect of visual cues was shown more in the performance of ‘writing within square blanks’ than in the performance of ‘copying’ and ‘writing between parallel lines’. Especially, there were no significant differences between the groups in terms of the letter size in ‘writing within square blanks’.Conclusion: Despite movement disorders in PD patients, our findings suggest that pen pressure and letter size can be improved when the patients are provided visual cues. Our results indicate that providing visual cues hierarchically and objectively confirms changes in writing performance.
目的:通过视觉提示提高帕金森病(PD)患者的书写能力。这项研究的目的是调查笔的压力、字母大小和书写速度随视觉线索水平的变化。方法:63名参与者(38名PD患者和25名正常成年人)使用平板个人电脑、数字笔和可以测量笔压力、笔划长度和持续时间的软件执行任务,包括沿着视觉提示水平书写句子。结果:首先,PD组在提供视觉提示的情况下,笔压和字体大小均有改善。其次,视觉线索的影响在“在方框内写字”的表现中比在“抄写”和“在平行线之间写字”的表现中表现得更明显。特别是,在“方框内书写”的字母大小方面,两组之间没有显着差异。结论:尽管PD患者存在运动障碍,但我们的研究结果表明,当为患者提供视觉提示时,笔压和字母大小可以得到改善。我们的研究结果表明,提供视觉线索在层次上和客观地证实了写作表现的变化。
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引用次数: 1
期刊
Audiology and Speech Research
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