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Oculo-auriculo-vertebral spectrum and maternal drug ingestion: cause or coincidence? 眼耳椎谱与母体药物摄入:原因还是巧合?
IF 0.7 Q3 Medicine Pub Date : 2022-09-13 DOI: 10.1080/21695717.2022.2122331
J. Costa, M. Coutinho, T. Soares, Luís Meireles
Abstract Introduction Oculo-auriculo-vertebral spectrum (OAVS) is aetiologically/pathogenetically a heterogeneous disorder. This study focuses on investigating of maternal drug intake during pregnancy in OAVS cases. Materials and methods Our sample was composed of 114 paediatric cases of OAVS. For each patient, an evaluation form seeking identity, medical history, pregnancy and family data, physical/dysmorphological findings and results from complementary tests was applied. Through the analysis of all the forms applied, the history of drug exposure/maternal diseases were retrospectively studied. Results The age of the population studied ranged between 1 month and 18 years, the majority being male. Regarding otological features, most had pinna involvement: microtia (86.6%); preauricular appendices (41.6%) and preauricular sinus (15.7%). External auditory canal atresia/stenosis was observed in 61.0% of the cases. Most had conductive hearing loss (75.5%) and imaging study revealed middle/inner ear malformations in 21.1% of the cases. Regarding nonotological characteristics, ophthalmological, osteoarticular and cardiac involvement were the 3 most frequently observed. Most cases had no evident cause for the development of anomalies (68.4%). However, in 16.7% a positive family history was identified. A history of drug intake has been elicited in 14.9% of the participants. The drugs intake during pregnancy found in our study were: isotretinoin, fluoxetine, oral contraceptives, levothyroxine, domperidone, enalapril, acyclovir and pseudoephedrine/triprolidine and gestational diabetes in need of treatment. Conclusion Some drugs are unquestionably associated with the development of malformation, such as isotretinoin, however, the other drugs cannot be underestimated, since their synergistic effect with other environmental agents and genetic background may be in the origin of OAVS.
眼-耳-椎谱(OAVS)是一种病因/病理异质性疾病。本研究旨在探讨OAVS患者妊娠期间的药物摄入情况。材料与方法我们的样本由114例小儿OAVS病例组成。对于每位患者,使用了一份评估表格,包括身份、病史、妊娠和家庭资料、身体/畸形检查结果和补充检查结果。通过对所有应用形式的分析,回顾性研究了药物暴露史/孕产妇疾病。结果研究人群年龄在1个月~ 18岁之间,以男性居多。关于耳科特征,大多数受累于耳廓:小耳廓(86.6%);耳前阑尾(41.6%)和耳前窦(15.7%)。61.0%的病例出现外耳道闭锁/狭窄。多数为传导性听力损失(75.5%),影像学检查显示中耳/内耳畸形占21.1%。在非耳科特征方面,最常观察到的3种是眼科、骨关节和心脏受累。大多数病例的异常发展无明显原因(68.4%)。然而,16.7%的患者有阳性家族史。14.9%的参与者有药物摄入史。本研究发现妊娠期间摄入的药物有:异维甲酸、氟西汀、口服避孕药、左旋甲状腺素、多潘立酮、依那普利、阿昔洛韦、伪麻黄碱/triprolidine以及需要治疗的妊娠糖尿病。结论一些药物无疑与畸形的发生有关,如异维a酸,但其他药物不可低估,它们与其他环境因子和遗传背景的协同作用可能是OAVS的起源。
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引用次数: 0
Chronic subjective dizziness among an aging population is associated with amyloid positron emission tomography and neuropsychiatric symptoms 老年人慢性主观性头晕与淀粉样蛋白正电子发射断层扫描和神经精神症状有关
IF 0.7 Q3 Medicine Pub Date : 2022-08-12 DOI: 10.1080/21695717.2022.2106411
Razan Al Fakir (Alfakir)
Abstract Objectives. Alzheimer's disease (AD) pathogenesis is widely believed to be driven by the Amyloid-β (Aβ) deposition. A relationship between Aβ deposition and objective measures of vestibular function in cognitively intact older adults with peripheral vestibular disorders had gained previous attention; however, no significant relationship between the two was observed. The aim of this study was to examine the association between chronic subjective dizziness (CSD) and Aβ deposition among older adults who are at risk of AD. Methods. The study included 5707 participants without dementia, enrolled in the Mayo Clinic Study of Ageing with reported dizziness, neuropsychological and cognitive evaluations, and brain imaging at baseline and for every 15-months. Results. A total of 924 ageing adults reported dizziness at baseline. The estimated risk of developing CSD at 10-year was 49%. The CSD group is twice likely to have elevated Aβ deposition (HR = 2.23; p ≤ .001) compared to the control group. After controlling for demographic and other risk factors, CSD was significantly associated with Aβ deposition [HR = 1.8, p ≤ .001]. The status of neuropsychiatric symptoms plays a significant role in this association [HR = 1.0, p ≤ .001]. Conclusion. CSD was associated with Aβ deposition in older adults who are at risk of AD including those without dementia and cognitively unimpaired individuals, and modestly more significant cognitive decline during follow-up. The status of neuropsychiatric symptoms plays a significant role in this association. Screening for and appropriately managing CSD as a risk factor for AD may be warranted.
抽象的目标。阿尔茨海默病(AD)的发病机制被广泛认为是由淀粉样蛋白-β (Aβ)沉积驱动的。Aβ沉积与前庭功能客观测量之间的关系在认知完整的老年人周围前庭功能障碍中已经得到了先前的关注;然而,两者之间没有明显的关系。本研究的目的是研究有AD风险的老年人慢性主观性头晕(CSD)与Aβ沉积之间的关系。方法。该研究包括5707名没有痴呆症的参与者,他们参加了梅奥诊所衰老研究,报告头晕,神经心理学和认知评估,并在基线和每15个月进行一次脑成像。结果。共有924名老年人在基线时报告头晕。10年发生CSD的估计风险为49%。CSD组Aβ沉积升高的可能性是前者的两倍(HR = 2.23;P≤0.001)。在控制了人口统计学和其他危险因素后,CSD与Aβ沉积显著相关[HR = 1.8, p≤0.001]。神经精神症状的状态在这一关联中起重要作用[HR = 1.0, p≤0.001]。结论。在有AD风险的老年人中,CSD与Aβ沉积相关,包括那些没有痴呆和认知功能未受损的个体,并且在随访期间认知能力下降更为明显。神经精神症状的状态在这种关联中起着重要作用。作为阿尔茨海默病的危险因素,筛查和适当管理CSD是有必要的。
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引用次数: 0
Validation of app-based hearing assessment (H3 hearing test) through smart phone: preliminary trends 通过智能手机验证基于app的听力评估(H3听力测试):初步趋势
IF 0.7 Q3 Medicine Pub Date : 2022-08-05 DOI: 10.1080/21695717.2022.2102726
Adri Katyayan, Angira Katyayan, Arti Rajput, Manish Chandra, V. Verma, A. Mishra
Abstract Objective To promote tele-audiology, the smartphone online applications (APP) for assessment of hearing function need to be validated. We present our preliminary report of one such APP that we adapted during the active COVID phase of 2021. Methodology A total of 44 patients underwent both pure tone audiometry (PTA) and APP-based hearing assessment. The air conduction thresholds at 500 Hz, 1000 Hz, 2000 Hz, 3000 Hz, 4000 Hz, 6000 Hz and 8000 Hz were noted. Results A significant correlation was seen between the thresholds and paired differences. However, air-conduction (AC) thresholds of either PTA or APP were shown to overshoot each other and right side values were more consistent. Conclusions While suggestions have been made to overcome these inconsistencies, the APP-based hearing assessment is likely to improve tele-audiology as relevant modifications by the manufacturer are incorporated to improve its efficacy.
摘要目的为促进远程听力学的发展,需要对智能手机在线听力功能评估应用(APP)进行验证。我们提出了我们在2021年活跃的COVID阶段调整的一个这样的应用程序的初步报告。方法对44例患者进行纯音测听(PTA)和基于app的听力评估。空气传导阈值为500hz, 1000hz, 2000hz, 3000hz, 4000hz, 6000hz和8000hz。结果阈值与配对差异呈显著相关。然而,PTA或APP的空气传导(AC)阈值相互超调,右侧值更一致。结论虽然已经提出了克服这些不一致的建议,但基于app的听力评估可能会改善远程听力学,因为制造商进行了相关修改,以提高其疗效。
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引用次数: 1
Listening effort in individuals with noise-induced hearing loss 噪音性听力损失患者的听力努力
IF 0.7 Q3 Medicine Pub Date : 2022-08-02 DOI: 10.1080/21695717.2022.2102733
H. Shetty, Suma Raju, Y. Kumar, Sanjana S. Singh
Abstract Objective The cognitive capacity allocates the resources effectively for effortless listening to speech presented in noise. This entity is minimally explored in individuals with noise-induced hearing loss (NIHL); therefore, the listening effort in individuals with NIHL at different signal-to-noise ratios was investigated. Method Forty participants with symmetrical mild sensorineural hearing loss were sub-grouped into control and clinical groups. The listening effort was measured using the dual-task paradigm at four different signal-to-noise conditions. In addition, a gap detection test was used to assess temporal processing ability. Results The repeat and recall scores were reduced with decreased signal-to-noise ratios in each group. These differences were significantly poorer in the clinical group than in the control group. A significant strong positive relation was observed between the recall and repeat scores of both groups for the listening effort tasks. Temporal processing impairment was significantly higher in the clinical group than in the control group. Conclusion Individuals with noise-induced hearing loss exhibit a significant temporal processing impairment that leads to effortful listening than hearing loss alone.
摘要目的认知能力有效地分配资源,实现对噪声语音的轻松听听。在噪声性听力损失(NIHL)患者中,这种实体很少被探索;因此,本文研究了不同信噪比下NIHL患者的听力努力。方法将40例对称性轻度感音神经性听力损失患者分为对照组和临床组。在四种不同的信噪比条件下,使用双任务范式测量听力努力。此外,采用间隙检测测验来评估时间加工能力。结果各组重复和回忆分数均随信噪比的降低而降低。这些差异在临床组明显小于对照组。在听力努力任务中,两组学生的回忆分数和重复分数之间存在显著的正相关。临床组颞加工损伤明显高于对照组。结论与单纯听力损失相比,噪声性听力损失个体表现出明显的时间加工障碍,导致听力困难。
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引用次数: 1
Deep band modulation, frequency discrimination, temporal resolution and audibility effects: phrase perception with and without hearing impairment among older adults 深度频带调制、频率分辨、时间分辨和可听性影响:有听力障碍和无听力障碍的老年人短语感知
IF 0.7 Q3 Medicine Pub Date : 2022-08-02 DOI: 10.1080/21695717.2022.2105554
H. Shetty, Suma Raju
Abstract Objective The temporal envelope enhancement using deep band modulation (DBM) exaggerates the temporal peaks and valleys in the speech signal, thereby reducing the difficulty in the perception of speech in noise. Method Ten participants in each group of older adults with and without hearing loss in 65 to 83 years were recruited. A repeated measures research design was utilised to investigate phrase perception in unprocessed and deep band modulated phrases at different signal-to-noise (SNR) ratios (−4, 0, and +4). Temporal processing, spectral discrimination and speech intelligibility index were assessed. Results Regardless of the group, the phrase perception in the deep band modulated condition was significantly better than the unprocessed condition at each SNR. A significantly strong negative correlation was observed between: Gap detection threshold (GDT) and phrase perception scores in unprocessed condition at −4 dB SNR in each group; frequency difference limen in each condition and DBM phrase perception at −4 dB SNR in the older adult group with hearing impaired (OAG-HI) group. Furthermore, audibility reflected in the speech intelligibility index (SII) did not influence phrase recognition irrespective of condition, SNRs and group. Conclusion Increased modulation depth enables the participants to use the available temporal envelope, especially at the portion of the phrase where noise is less energetically masked.
摘要目的利用深带调制(deep band modulation, DBM)进行时域包络增强,放大语音信号的时域波峰和波谷,从而降低语音在噪声环境中的感知难度。方法选取年龄在65 ~ 83岁之间的老年人,每组10人,有听力损失和无听力损失。采用重复测量研究设计,研究了不同信噪比(- 4、0和+4)下未处理和深带调制短语的短语感知。时间处理、频谱辨别和语音可理解度指标进行了评估。结果各组在各信噪比下,深波段调制条件下的短语感知均显著优于未处理条件。两组在- 4 dB信噪比下,间隙检测阈值(GDT)与未处理条件下短语感知得分呈显著负相关;老年人听力受损组(OAG-HI)在- 4 dB信噪比下的DBM短语感知。此外,无论条件、信噪比和群体,语音可理解度指数(SII)反映的可听性对短语识别没有影响。增加调制深度使参与者能够利用可用的时间包络,特别是在噪声被较少能量掩盖的部分。
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引用次数: 0
Relationship between risk factors of hearing loss and the results of otoacoustic emission in newborns 新生儿听力损失危险因素与耳声发射结果的关系
IF 0.7 Q3 Medicine Pub Date : 2022-07-27 DOI: 10.1080/21695717.2022.2102727
Fereshteh Bagheri, Zeinab Miresmaeili, Mousa Ahmadpour-Kacho, Zohreh Ziatabar Ahmadi
Abstract Objective Congenital hearing loss is a disabling and multi-factorial disease that affects on newborn and children. This study aims to demonstrate the relationship between risk factors for hearing loss and the results of Otoacoustic emission in Iranian newborns. Methods We have retrospectively considered 536 newborns admitted to the Audiology Department of a Children’s Hospital in the north of Iran. Transient Evoked Otoacoustic Emissions (TEOAEs) was recorded during the first week of birth, and the risk factors of hearing loss were collected. Results We found that parent relatives and family history were significantly correlated with OAEs refer results. Moreover, hyper-bilirubinemia indicated a significant correlation only with first right OAEs. There was a significant correlation between gender and first left and right OAEs. Other risk factors such as seizure, transient tachypnoea of the newborn (TTN) and respiratory distress syndrome (RDS), and lip cleft had a significant correlation with first left and right OAEs results; however, these correlations were not relatively highlighted. Conclusions Generally, our data confirm that hearing screening is an absolute necessity in the greater number of newborns. People who got consanguineous marriages should be aware of high incidence of the congenital hearing loss due to parent relatives and family history.
摘要目的先天性听力损失是一种影响新生儿和儿童的致残性多因素疾病。本研究旨在证明伊朗新生儿听力损失的危险因素与耳声发射结果之间的关系。方法回顾性分析伊朗北部一家儿童医院听力学科收治的536例新生儿。在出生第一周记录瞬态诱发耳声发射(teoae),并收集听力损失的危险因素。结果亲缘关系、家族史与oae参考结果显著相关。此外,高胆红素血症仅与第一右侧oae有显著相关性。性别与第一次左、右oae有显著相关。其他危险因素如癫痫发作、新生儿短暂性呼吸急促(TTN)和呼吸窘迫综合征(RDS)、唇裂与首次左、右oae结果有显著相关性;然而,这些相关性并没有相对突出。结论:总的来说,我们的数据证实,听力筛查是绝对必要的,在更多的新生儿。近亲结婚的人要注意,由于父母亲属和家族史的关系,先天性听力损失的发病率很高。
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引用次数: 0
Vestibulospinal system findings caused by ageing between 40 and 55 years 前庭脊髓系统的发现是由年龄在40至55岁之间的人引起的
IF 0.7 Q3 Medicine Pub Date : 2022-07-10 DOI: 10.1080/21695717.2022.2087310
Ozlem Konukseven, Sema Satici, Inci Adali, Yagmur Yildiz, Lena Dogru, Sencan Duruoglu
Abstract Objective(s) In this study, it was aimed to evaluate the weakness in postural balance skills that occurred between the ages of 40–55 by comparing vestibulospinal tests and static posturography tests. Methods A total of 40 healthy individuals between the ages of 18–30 (mean: 23.8 ± 3.05 years) and 40–55 (mean: 49.2 ± 6.4 years) who voluntarily agreed to participate in the study, without vertigo and balance problems were included. As being objective vestibulospinal tests, the modified clinical test of sensory interaction and balance (mCTSIB) and Limits of Stability (LOS) tests were performed using a static posturography device. Tandem Romberg, Fukuda Stepping Test (FST) and Babinski–Weil tests were performed as subjective vestibulospinal tests. Results Compared with the younger group, 40–55 ages showed significant weakness in movement velocity (MVL), endpoint excursions (EPEs), maximum excursions sub-parameters of LOS, in all eyes-closed subtests in the mCTSIB test, and in subjective vestibulospinal tests. No relationship between vestibulospinal and static posturography was observed. Conclusions Contrary to popular belief, the effect on the age-related balance system begins earlier. When the middle age group applies to ENT clinics with complaints of imbalance, it should be taken into account that age-related effects may occur.
摘要:目的通过对比前庭脊髓测试和静态体位学测试,评价40-55岁人群的体位平衡能力不足。方法选择年龄在18-30岁(平均23.8±3.05岁)和40 - 55岁(平均49.2±6.4岁)、自愿参加研究、无眩晕和平衡问题的健康人群40例。作为客观的前庭脊髓测试,改良的临床感觉相互作用和平衡测试(mCTSIB)和稳定性极限测试(LOS)使用静态姿势仪进行。采用串联Romberg、Fukuda步进检验(FST)和Babinski-Weil检验作为主观前庭脊髓测试。结果40-55岁患者在运动速度(MVL)、终点漂移(EPEs)、最大漂移亚参数、mCTSIB测试的所有闭眼亚测试和主观前庭脊髓测试中均明显低于年轻组。前庭脊髓和静态体位照相没有关系。与普遍的看法相反,对年龄相关的平衡系统的影响开始得更早。当中年人群因投诉不平衡而申请耳鼻喉科诊所时,应考虑到可能发生与年龄相关的影响。
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引用次数: 0
The recognition of human voice in deaf and hearing infants 耳聋和听力正常的婴儿对人声的识别
IF 0.7 Q3 Medicine Pub Date : 2022-07-03 DOI: 10.1080/21695717.2022.2084866
Arnaud Coëz, N. Loundon, I. Rouillon, M. Parodi, M. Blanchard, S. Achard, E. Garabédian, E. Bizaguet, Tabassome Simon, N. Tessier, F. Denoyelle, J. Gervain
Abstract Purpose: Deafness in infancy has longlasting consequences on brain organization. To achieve the best developmental outcomes in case of profound deafness, cochlear implantation (CI) needs to take place in a critical period during the first year of life, before the cross-modal reorganization of the brain due to auditory deprivation stabilises, preventing the typical development of the auditory cortices. Despite its importance for implantation outcomes, the nature of this critical period and the underlying neural reorganization have not been fully explored. Materials and methods: To fill this knowledge gap, we investigated the cortical responses of 12-month-old profoundly deaf infants and their age-matched controls to sounds produced by a human voice as compared to non-human sounds using functional near-infrared spectroscopy (fNIRS). The deaf infants were tested before undergoing CI surgery and wore hearing aids, allowing them to perceive low frequencies. Human voice stimuli have been shown to trigger brain responses early in development, possibly due to its evolutionary relevance for survival. Results: We found increased brain responses to the human voice in the deaf infants in the bilateral fronto-temporal areas, and their responses correlated with their residual hearing thresholds. These results suggest that even the limited sound stimulation that these deaf infants receive due to their residual hearing allowed the temporal cortices to develop sensitivity to the human voice prior to implantation. The hearing control group showed an inverted hemodynamic response to both voice and non-voice stimuli in the left parietal and right temporal areas, suggesting that by 12 months of age, they habituate rapidly to these very familiar stimuli. While both groups showed an inverted response to the non-voice stimuli, they differed in their responses to voice stimuli. Conclusions: We hypothesize that the responses found in deaf infants to human voice can be consider a good cochlear implant prognosis.
目的:婴儿期耳聋对脑组织有长期的影响。为了在深度耳聋的情况下获得最佳的发育结果,人工耳蜗植入(CI)需要在生命第一年的关键时期进行,在听觉剥夺引起的大脑跨模态重组稳定之前,阻止典型的听觉皮质发育。尽管它对植入结果很重要,但这一关键时期的性质和潜在的神经重组尚未得到充分探讨。材料和方法:为了填补这一知识空白,我们使用功能近红外光谱(fNIRS)研究了12个月大的深度耳聋婴儿及其年龄匹配的对照组对人声和非人声的皮层反应。这些失聪婴儿在接受CI手术前接受了测试,并佩戴了助听器,使他们能够感知低频。人类的声音刺激已被证明能在发育早期触发大脑反应,这可能是由于它与生存的进化相关。结果:我们发现聋儿双侧额颞区对人声的反应增强,且其反应与残馀听力阈值相关。这些结果表明,即使这些失聪婴儿由于其残余听力而受到有限的声音刺激,也允许颞叶皮层在植入之前对人类声音产生敏感性。听力控制组在左顶叶区和右颞区对声音和非声音刺激都表现出反向的血流动力学反应,这表明到12个月大时,他们迅速适应了这些非常熟悉的刺激。虽然两组人对非声音刺激的反应是相反的,但他们对声音刺激的反应是不同的。结论:我们假设耳聋婴儿对人声的反应可以被认为是一个良好的人工耳蜗预后。
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引用次数: 1
Editorial to the Monographic Issue: The development of hearing and language during the first years of life 专题问题的社论:听力和语言的发展在生命的头几年
IF 0.7 Q3 Medicine Pub Date : 2022-07-03 DOI: 10.1080/21695717.2022.2105599
J. Gervain, P. Trevisi
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引用次数: 0
Publication trends in cochlear implantation outcome measures 关于人工耳蜗植入结果测量的出版物趋势
IF 0.7 Q3 Medicine Pub Date : 2022-06-22 DOI: 10.1080/21695717.2022.2083787
P. Sethukumar, N. Amin, A. Hall, R. Nash
Abstract Objective To review trends in outcome domains and instruments reported by modern researchers in 100 consecutively published articles on cochlear implantation (CI). Methods Retrograde literature review of Medline, EMBASE and Cochrane Databases of 100 consecutive scientific publications. Outcome domains and instruments from each included study were extracted in categories: speech perception, speech development, sound perception, electrophysiological and quality of life. Results 61 studies met inclusion criteria. 84 outcome measures were reported in total across all 61 studies. Across the 42 studies reporting speech perception, 31 different measures were utilised. Categories of Auditory Performance (CAP) and Consonant Nucleus Consonant (CNC) were the most frequently used instruments. Nine studies reported speech development, with 11 different instruments used. Speech Intelligibility Rating (SIR) was most frequently used instrument. Sixteen studies reported on sound perception, with Pure Tone Audiometry (PTA) being the most frequently used instrument. Eleven studies reported six different electrophysiological instruments, with Auditory Brainstem Response (ABR) being used most frequently used. Two studies measured quality of life outcome, with three instruments used. Conclusion This study confirms a large degree of CI outcome heterogeneity within the peer reviewed literature. Determining consensus on core outcome domains and recommended instruments may increase the future impact and generalisability of work undertaken.
摘要目的回顾100篇连续发表的关于人工耳蜗植入(CI)的文章中,现代研究者报道的结果域和仪器的发展趋势。方法对Medline、EMBASE和Cochrane数据库中连续发表的100篇文献进行回顾性分析。从每个纳入的研究中提取结果域和工具,分类为:语音感知、语音发展、声音感知、电生理和生活质量。结果61项研究符合纳入标准。在所有61项研究中总共报告了84项结果测量。在42项关于语言感知的研究中,使用了31种不同的测量方法。听力表现分类(CAP)和辅音核辅音(CNC)是使用频率最高的仪器。9项研究报告了语言发展,使用了11种不同的仪器。语音清晰度评分(SIR)是最常用的测量工具。16项关于声音感知的研究报道,其中最常用的仪器是纯音测听(PTA)。11项研究报告了6种不同的电生理仪器,其中听觉脑干反应(ABR)是最常用的。两项研究用三种仪器测量了生活质量。结论:本研究证实了同行评议文献中CI结果存在很大程度的异质性。就核心成果领域和建议的文书确定协商一致意见,可增加所开展工作的未来影响和普遍性。
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引用次数: 0
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Hearing Balance and Communication
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