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The Noise Level Measurements of Children’s Sound Books 儿童有声读物的噪音水平测量
Q3 Medicine Pub Date : 2021-10-31 DOI: 10.21848/asr.210031
S. Joo, E. Shin
Purpose: It was intended to measure the sound intensity of children's sound books and to compare them with the standards of Korea and the International Standards Organization (ISO).Methods: The loudness of 15 children’s sound books was measured at a distance of 25 cm (child’s arm length), and 2.5 cm length of external auditory canal. Measurements taken three times with each book were performed, and the overall sound intensity of the sound books and the sound intensity of each button were measured and compared.Results: Compared with the Korean standard, all the buttons of all books exceeded the standard for the sound volume of the children’s book measured at a distance of 2.5 cm. When comparing the maximum sound intensity measured at a distance of 25 cm with 85 LAmax, a total of 168 buttons of these, 25 (14.88%) were recorded as exceeding the maximum loudness. According to the standards of the ISO, all buttons in all books were below the standard 85 LAeq.Conclusion: Several children’s books are loud enough to cause noise-induced hearing loss, especially when they are placed close to the ear. Strict standards for sound children’s books are required, and it is important to put a warning on the cover of the book. It is expected that the sound intensity of the children’s sound book presented in this study can be referenced when referring to the loudness during hearing rehabilitation in children.
目的:测量儿童有声读物的声强,并与韩国标准和国际标准组织(ISO)的标准进行比较。方法:在距儿童臂长25cm、外耳道长度2.5 cm处测量15本儿童有声读物的响度。对每本书进行了三次测量,并测量和比较了有声书的整体声强和每个按钮的声强。结果:与韩国标准相比,所有书籍的按钮在距离2.5 cm处测量的儿童书籍音量均超过标准。与85个LAmax在25 cm距离处测得的最大声强进行比较,其中168个按钮中有25个(14.88%)超过最大响度。按照ISO的标准,所有书籍的按键都低于85 LAeq的标准。结论:一些儿童读物的音量大到足以引起噪音性听力损失,特别是当它们靠近耳朵时。健全的儿童书籍需要严格的标准,在书的封面上放上警告是很重要的。希望本研究所呈现的儿童有声书的声强可以作为儿童听力康复响度的参考。
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引用次数: 0
Test-retest Reliability of the Korean Matrix Sentence-in-noise Recognition in Sound-field Testing Condition 声场测试条件下韩语矩阵句噪声识别的重测信度
Q3 Medicine Pub Date : 2021-10-31 DOI: 10.21848/asr.210037
Yukyeong Jung, J. Han, Seok-Ju Choi, J. Lee
Purpose: This study aimed to measure the test-retest reliability of the Korean Matrix sentence-in-noise test in a sound-field testing condition.Methods: Fifty-five listeners with normal hearing participated. The sound-field speech-in-noise test was administered with a front loudspeaker by presenting noise at a fixed level (65 dB SPL) while adaptively adjusting the sentence level based on the listener’s response. The speech reception thresholds (SRTs) corresponding to 50% sentence-in-noise intelligibility were obtained using speech-shaped noise (SSN), International Collegium of Rehabilitative Audiology (ICRA) noise, and International Speech Test Signal (ISTS) noise. For the test-retest reliability, each subject was tested twice in a 2-week interval. The test-retest reliabilities were judged by the intraclass correlation coefficient (ICC), the minimal detectable change (MDC) values, and Bland-Altman plots.Results: The test-retest reliabilities of the Korean Matrix sentence test were good (ICC, 0.84~0.86) across SSN, ICRA, ISTS noises. The MDC was 0.92 dB SNR for SSN and 2.83 and 2.98 dB SNR for ICRA and ISTS, indicating the random measurement error varied across the types of noise.Conclusion: The Korean Matrix sentence-in-noise test can be used as a reliable tool to assess speech-in-noise intelligibility in sound-field testing condition. Further study across various sessions would strengthen the present finding.
目的:在声场测试条件下,考察朝鲜语矩阵噪声句子测试的重测信度。方法:55名听力正常的听者参与。声场噪声中的语音测试采用前置扬声器,以固定水平(65 dB SPL)呈现噪声,同时根据听者的反应自适应调整句子水平。采用语音形状噪声(SSN)、国际康复听力学学会(ICRA)噪声和国际语音测试信号(ISTS)噪声获得了50%句子可理解度对应的语音接收阈值(srt)。对于重测信度,每个被试以2周为间隔进行两次测试。通过类内相关系数(ICC)、最小可检测变化(MDC)值和Bland-Altman图判断重测信度。结果:朝鲜语矩阵句检验在SSN、ICRA、ISTS噪声下的重测信度为0.84~0.86。SSN的最小信噪比为0.92 dB, ICRA和ist的最小信噪比分别为2.83和2.98 dB,表明随机测量误差随噪声类型的不同而变化。结论:在声场测试条件下,朝鲜语矩阵噪声句子测试可作为评价噪声语音可理解性的可靠工具。在各届会议期间的进一步研究将加强目前的结论。
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引用次数: 2
The Profile of Task Performances for Cognitive-communicative Intervention in the Oldest-Old 老年人认知交际干预的任务表现概况
Q3 Medicine Pub Date : 2021-10-31 DOI: 10.21848/asr.210023
M. S. Lee
Purpose: The “oldest-old” is the heterogeneous population compared with the younger-old in several cognitive-communication aspects. Accordingly, it is necessary to intervene in them discriminately. This study aimed to suggest the performance profiles by cognitive-communication tasks for intervention in oldest-old.Methods: Sixty-four oldest-old subjects aged 80 or older years performed 16 subtasks for the five cognitive-communication domains. And the performance profiles of group I (84.00 ± 2.62 years) and II (93.38 ± 1.61 years) were analyzed.Results: The main findings were as follows. Firstly, two groups had significant differences in performances of most tasks including working memory, reasoning, word fluency, and subjective communication. Secondly, five communication tasks were significantly correlated with all cognitive tasks and were predicted by the reasoning tasks like similarity in group I. Thirdly, word fluency and pragmatic expression tasks were significantly correlated with all cognitive tasks. Tasks including verbal problem solving were found to be the best predictors of confrontation naming in group II.Conclusion: Current study provides evidence-based information to support cognitive-communication intervention for the oldest-old. These results also can contribute to increase the efficacy of the cognitive-communicative intervention.
目的:“老年人”是指在认知交际方面与年轻人相比的异质人群。因此,有必要对其进行有区别的干预。本研究旨在探讨认知-沟通任务对老年人干预行为的影响。方法:64名年龄在80岁及以上的老年受试者完成5个认知-沟通领域的16个子任务。比较I组(84.00±2.62年)和II组(93.38±1.61年)的临床表现。结果:主要发现如下。首先,两组在工作记忆、推理、语言流畅性和主观沟通等大多数任务上的表现都有显著差异。第二,五项交际任务与所有认知任务显著相关,并被第一组的相似性等推理任务所预测。第三,单词流畅性和语用表达任务与所有认知任务显著相关。在第二组中,包括口头问题解决在内的任务被发现是对抗命名的最佳预测因素。结论:本研究为老年人认知沟通干预提供了循证信息。这些结果也有助于提高认知交际干预的效果。
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引用次数: 0
Development of Assessment of Music Perception for the Hearing-impaired 听觉障碍者音乐感知评价的发展
Q3 Medicine Pub Date : 2021-10-31 DOI: 10.21848/asr.210036
Yerim Shin, Jiyeo Yun, J. Kyong, S. Jo, Jinsook Kim
Purpose: Enhancement of musical perception has a positive impact on the emotional stability, quality of life, and aural rehabilitation in individuals with hearing loss. In Korea, however, there are a few test batteries available for properly assessing their abilities to perceive music. The purpose of this study was to develop a evaluation material for the music perception ability, Assessment of Music Perception (AMP) considering the Korean culture and emotion.Methods: A total of 15 normal hearing adults (33.1 ± 11.4 years) were recruited. They performed the AMP which includes eight sub-tests: pitch, melody, rhythm, timbre, and harmony perception test, emotional reaction test, Music listening Attitudes and Satisfaction Questionnaire (MASQ), and Mismatch negativity (MMN).Results: The average percentage of correct answer was 94.0% ± 6.1% in pitch perception test, 94.0% ± 7.1% in melody perception test, 99.3% ± 1.8% in rhythm perception test, 78.9% ± 41.8% in timbre perception test, 96.7% ± 10.4% in emotional reaction test, 85.7% ± 14.1% in harmony perception test. The area of the negative waveform for MMN was 275.27 ± 225.65 μV·ms with the intensity of 70 dBnHL.Conclusion: Considering high scores of a instrument, a developed AMP could be applied for evaluating the music perception ability. However, a little bit of correction for each factor of materials is recommended for comprehensive AMP material. In the future, the music perception ability of the hearing impaired should be evaluated utilizing AMP.
目的:音乐感知的增强对听力损失患者的情绪稳定性、生活质量和听力康复有积极的影响。但是,在国内,为了正确地评价音乐感知能力,市面上还存在一些测试电池。摘要本研究的目的是开发一种评估音乐感知能力的材料,即音乐感知评估(AMP),考虑韩国文化和情感。方法:招募正常听力成人15例(33.1±11.4岁)。他们进行了AMP测试,包括八个子测试:音高、旋律、节奏、音色和和声感知测试、情绪反应测试、音乐聆听态度和满意度问卷(MASQ)和失配消极(MMN)。结果:平均正确率分别为:音高感知94.0%±6.1%、旋律感知94.0%±7.1%、节奏感知99.3%±1.8%、音色感知78.9%±41.8%、情绪反应96.7%±10.4%、和声感知85.7%±14.1%。MMN负波面积为275.27±225.65 μV·ms,强度为70 dBnHL。结论:考虑到乐器的高分数,开发的AMP可用于评价乐器的音乐感知能力。但是,对于综合AMP材料,建议对材料的每个因素进行一点修正。在未来,听障人士的音乐感知能力应利用AMP进行评估。
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引用次数: 2
A Survey Study of Audiology Services during the Coronavirus Disease 2019 Pandemic in South Korea 2019冠状病毒病大流行期间韩国听力学服务调查研究
Q3 Medicine Pub Date : 2021-10-31 DOI: 10.21848/asr.210039
InOn Kim, S. Oh
Purpose: The coronavirus disease 2019 (COVID-19) pandemic has severely affected public health and people’s lifestyle. The purpose of this survey study is to investigate audiology services during COVID-19 pandemic to understand the current audiology service situations in Korea and to improve audiology services.Methods: A total of 120 participants (60 audiologists and 60 clients visiting audiologists) were surveyed in this study using online or face-to-face methods. The participants answered 24~25 questions including current status of audiology service, communication difficulties with wearing masks, and the provision of tele-audiology services during COVID-19.Results: The results showed that both audiologists and clients with hearing loss still preferred face-to-face audiology services in COVID-19 situation in spite of 56% of visiting schedule delay and cancellation. The primary audiology services they considered in COVID-19 were hearing aid fitting and maintenance & repair services. Wearing masks has led communication difficulties in both audiologists and clients with hearing loss due to speech level reduction, frequency filtering of sounds, and insufficient visual cues during the conversation. Only 30% of audiologists have provided tele-audiology services, and 4.4% of clients received tele-audiology services during COVID-19.Conclusion: The impacts of COVID-19 in audiology services in South Korea are still progressing. The technical and administrative systems and educational support to improve audiology services in South Korea are necessary.
目的:2019冠状病毒病(COVID-19)大流行严重影响了公众健康和人们的生活方式。本调查研究的目的是调查新冠肺炎大流行期间听力学服务情况,了解韩国听力学服务现状,提高听力学服务水平。方法:共120名参与者(60名听力学家和60名拜访听力学家的客户)在本研究中采用在线或面对面的方法进行调查。参与者回答了24~25个问题,包括听力学服务现状、戴口罩沟通困难、新冠肺炎期间远程听力学服务提供情况等。结果:结果显示,在新冠肺炎疫情下,尽管56%的听力学家和听力损失患者就诊计划被推迟或取消,但听力学家和听力损失患者仍倾向于面对面听力学服务。他们在COVID-19中考虑的主要听力学服务是助听器安装和维护与维修服务。戴口罩会导致听力学家和听力损失患者的沟通困难,原因是语音水平降低、声音频率过滤和谈话过程中视觉线索不足。只有30%的听力学家提供了远程听力学服务,4.4%的客户在COVID-19期间接受了远程听力学服务。结论:新冠肺炎疫情对韩国听力学服务的影响仍在继续。改善韩国听力学服务的技术和行政系统以及教育支持是必要的。
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引用次数: 0
Can the Tinnitus Magnitude Index Reflect the Depression and Anxiety of Tinnitus Sufferers? 耳鸣声级指数能否反映耳鸣患者的抑郁和焦虑?
Q3 Medicine Pub Date : 2021-10-31 DOI: 10.21848/asr.210027
Ha Ryun Kim, Junghwa Bahng
Purpose: This study evaluates the relationship between tinnitus magnitude and depression and statetrait anxiety.Methods: A total of 65 subjects suffering from tinnitus participated. None reported any hearing problems. The participants filled in the Tinnitus Magnitude Index (TMI), the Korean version of the Beck depression inventory, and the Korean version of state-trait anxiety questionnaires with 61 out of 65 subjects completing all the questionnaires.Results: No significant relationships between tinnitus magnitude and depression or state-trait anxiety were found. However, items for the TMI were found to be significantly related (p < 0.05), and depression and state-strait anxiety also had a significant relationship (p < 0.05).Conclusion: We concluded that the TMI was not sensitive when used for assessing depression and anxiety in individuals who are suffering from tinnitus, which implying that the TMI questionnaire is useful for a quick assessment tool of the severity of tinnitus in individuals.
目的:探讨耳鸣程度与抑郁、状态特质焦虑的关系。方法:对65例耳鸣患者进行调查。没有人报告有听力问题。参与者填写了耳鸣强度指数(TMI)、韩版贝克抑郁量表和韩版状态-特质焦虑问卷,65名受试者中有61人完成了所有问卷。结果:耳鸣大小与抑郁、状态-特质焦虑无显著关系。然而,TMI的项目发现显著相关(p < 0.05),抑郁和状态-海峡焦虑也有显著相关(p < 0.05)。结论:TMI在评估耳鸣患者的抑郁和焦虑时不敏感,这意味着TMI问卷是一种快速评估耳鸣严重程度的工具。
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引用次数: 0
Characteristics of Performance according to Type of Semantic Lexical Task in Normal Elderly and Individuals with Subjective Memory Impairment 正常老年人和主观记忆障碍个体语义词汇任务类型的表现特征
Q3 Medicine Pub Date : 2021-07-31 DOI: 10.21848/asr.210005
S. Park, JungWan Kim
Purpose: For comparison of a semantic knowledge processing of the elderly, particularly the normal individuals and individuals with subjective memory impairment, this study aims to clarify what factors of semantic knowledge task could sensitively discriminate between the two groups by conducting various types of tasks and analyzing the aspects.Methods: High/low frequency category fluency test, concrete/abstract noun word defining test, and semantic association task were performed by 30 normal subjects and 30 subjective memory impaired subjects over 65 years old. Total and each subcategory scores were assessed for the category fluency test and word defining test, and correct response and reaction time were measured for the semantic association task.Results: It was found that there were significant differences between the two groups in the total score of the category fluency task (p < 0.001), low-frequency category score, abstract noun word defining task score (p < 0.05), and reaction time of semantic association task (p < 0.01).Conclusion: The result showed that in case of a target word with lower contact frequency and more abstract concept, the elderly with subjective memory impairment have difficulties in neural-networking activation of semantic knowledge and control of interruption stimulation when approaching a target word, with increased reaction time. This findings demonstrate that a semantic and lexical task has a clinical significance in discriminating a subjective memory impairment group.
目的:为了比较老年人,特别是正常个体和主观记忆障碍个体的语义知识加工,本研究旨在通过开展不同类型的任务并从各个方面进行分析,阐明语义知识任务中哪些因素能够在两组之间产生敏感的区别。方法:对30名正常受试者和30名65岁以上主观记忆障碍受试者进行高/低频类别流畅性测试、具体/抽象名词词定义测试和语义联想任务。评估类别流畅性测试和单词定义测试的总得分和每个子类别得分,并测量语义关联任务的正确反应和反应时间。结果:两组学生在类别流畅性任务总分(p < 0.001)、低频类别得分、抽象名词词定义任务得分(p < 0.05)和语义联想任务反应时间(p < 0.01)上均有显著差异。结论:结果表明,在接触频率较低、概念较抽象的目标词情况下,主观记忆障碍老年人在接近目标词时语义知识的神经网络激活和中断刺激控制出现困难,反应时间增加。本研究结果表明语义和词汇任务在区分主观记忆障碍组中具有临床意义。
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引用次数: 0
Comparison of Domestic and Foreign Audiologist Education Status and Qualification System 国内外听力学教育现状及资格制度比较
Q3 Medicine Pub Date : 2021-07-31 DOI: 10.21848/asr.210028
In-Ki Jin, S. Oh
Audiologists are experts in providing specialized treatment for evaluating and managing hearing loss through hearing technology. The purpose of this study is to review the education status of major foreign countries regarding the training of audiologists, their certification management systems, and the audiology education regulations according to international standards; this study compares these with the domestic (i.e., Republic of Korea) education status, certification management system, and audiology education regulations. The regulations, reports, and official documents related to domestic and overseas regarding audiology systems were reviewed and compared. The domestic audiologist education and qualification system is in fair conformity with foreign countries and international standards, but there are areas that need to be improved. If the domestic audiologist qualification system is improved to comply with advanced foreign national audiologist qualification systems and international standards, it will be possible to cultivate a more professional domestic audiologist workforce.
听力学家是通过听力技术提供评估和管理听力损失的专门治疗的专家。本研究的目的是回顾国外主要国家的听力学培训教育现状、认证管理制度和与国际接轨的听力学教育法规;本研究将其与国内(即韩国)的教育现状、认证管理制度、听力学教育法规进行比较。对国内外有关听力学系统的法规、报告和官方文件进行了梳理和比较。国内听力学家教育和资格制度与国外和国际标准基本接轨,但仍有有待改进的地方。如果完善国内听力学家资格制度,使其与国外先进的国家听力学家资格制度和国际标准接轨,将有可能培养出一支更专业的国内听力学家队伍。
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引用次数: 0
A Literature Review of Neural Tracking to Speech Envelope from the View of Audiology 听力学视角下神经追踪语音包络的文献综述
Q3 Medicine Pub Date : 2021-07-31 DOI: 10.21848/asr.210004
Sungmin Lee
Despite the significant contribution of hearing assistive devices, medications, and surgery to restoring auditory periphery, a large number of people with hearing loss still struggle with understanding speech. This leads many studies on speech perception to move towards the central auditory functions by looking at associated brain activities using macroscopic recording tools such as electroencephalography (EEG). Up until a few years ago, however, limitation has been given to the brain scientists who attempted to investigate speech perception mechanisms using the EEG. In particular, short duration of speech segments has inevitably been used to elicit auditory evoked potential, even though they were too brief to be considered as speech. Today, however, advance in neural engineering and better understanding of neural mechanism have better facilitated brain scientists to perform studies with running stream of continuous speech and expand the scope of EEG studies to include comprehension of more realistic speech envelope. The purpose of this study is to review literatures on neural tracking to speech envelope to discuss it in Audiology perspective. This review article consists of seven subjects including introduction, neural tracking theories, neural tracking measure, signal processing & analysis, literature review on neural tracking associated with hearing loss, application of neural tracking to audiology, and conclusion. We noted that neural tracking has potential to be used in clinical sets to objectively evaluate speech comprehension for people with hearing loss in the future.
尽管助听设备、药物和手术在恢复听觉外围方面做出了重大贡献,但仍有大量听力损失患者在理解语言方面仍存在困难。这使得许多关于语言感知的研究通过使用脑电图(EEG)等宏观记录工具来观察相关的大脑活动,从而转向中枢听觉功能。然而,直到几年前,试图利用脑电图研究语音感知机制的脑科学家受到了限制。特别是,短时间的言语片段不可避免地被用来诱发听觉诱发电位,即使它们太短而不能被视为言语。然而,今天,神经工程的进步和对神经机制的更好理解,更好地促进了脑科学家对连续语音的连续流进行研究,扩大了脑电图研究的范围,包括对更现实的语音包络的理解。本研究旨在回顾有关神经追踪语音包络的文献,并从听力学的角度对其进行探讨。本文由引言、神经跟踪理论、神经跟踪测量、信号处理与分析、神经跟踪与听力损失相关的文献综述、神经跟踪在听力学中的应用、结束语等七个部分组成。我们注意到,神经追踪在临床中有潜力用于客观评估听力损失患者的言语理解能力。
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引用次数: 0
A Study for Composition and Comparison of the Music Perception Tests for Normal Hearing and Cochlear Implant Users 听力正常者与人工耳蜗使用者音乐感觉测验的组成及比较研究
Q3 Medicine Pub Date : 2021-07-31 DOI: 10.21848/asr.210016
Eunsung Lee, Yerim Shin, S. Jo, Jinsook Kim
Purpose: The aim of this study was to compose the test for music perception and analyze the characteristic of cochlear implant users’ music perception.Methods: The test was made up with the pitch, melody, and timbre factors, using three low and high frequencies, six music genres, and four types of musical instruments correspondingly. The tests were conducted to 10 normal-hearing (NH) young adults and 10 young cochlear-implant (CI) users.Results: All the music perception tests showed significant differences between NH and CI group [F(1, 4) = 0.018, p = 0.019]. In the pitch test, CI group showed significantly lower correction rate(51.3%) than NH group (82.7%) did with higher correction rates in low frequencies. In the melody test, CI group showed significantly lower correction rate (29.7%) than NH group (95.8%) did with the highest performance in folk songs (51.7%). In the timbre test, CI group showed significantly reduced performance (22.5%) than NH group (65.8%) did. For both CI and NH groups, the pitched percussion showed the highest scores (45% and 100%) while the woodwind showed the lowest scores (13.3% and 48.3%).Conclusion: Out of three tests, CI group showed better performance in pitch perception than melody and timber perception. CI group showed better performances in low pitch sounds, melodies of familiar genre, and sound of pitched percussion instruments’ timber showing complicated music perception ability. To enhance the music perception ability for CI users by aural rehabilitation, more specified and systematic music perception test material should be developed.
目的:编制人工耳蜗使用者音乐感知测试,分析其音乐感知特征。方法:测试由音高、旋律、音色三个因素组成,分别使用三个低、高频、六种音乐类型、四种乐器。对10名听力正常(NH)的年轻人和10名年轻的人工耳蜗使用者进行了测试。结果:NH组与CI组的所有乐感测试均有显著差异[F(1,4) = 0.018, p = 0.019]。在音高测试中,CI组的校正率(51.3%)明显低于NH组(82.7%),但低频校正率较高。在旋律测试中,CI组的正确率(29.7%)显著低于NH组(95.8%),在民谣中表现最高(51.7%)。在音色测试中,CI组的表现(22.5%)明显低于NH组(65.8%)。在CI组和NH组中,有调打击乐器的得分最高(45%和100%),木管乐器的得分最低(13.3%和48.3%)。结论:在三个测试中,CI组在音高感知上的表现优于旋律感知和木材感知。CI组在低音、熟悉类型的旋律、高音调打击乐器的音色上表现较好,表现出复杂的音乐感知能力。为了通过听觉康复提高CI使用者的音乐感知能力,需要开发更具体、更系统的音乐感知测试材料。
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引用次数: 0
期刊
Audiology and Speech Research
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