The timing of changes in parameters of speech production was investigated in six cochlear implant users by switching their implant microphones off and on a number of times in a single experimental session. The subjects repeated four short, two-word utterances, /dV1n#SV2d/ (S = /s/ or /S/), in quasi-random order. The changes between hearing and nonhearing states were introduced by a voice-activated switch at V1 onset. "Postural" measures were made of vowel sound pressure level (SPL), duration, F0; contrast measures were made of vowel separation (distance between pair members in the formant plane) and sibilant separation (difference in spectral means). Changes in parameter values were averaged over multiple utterances, lined up with respect to the switch. No matter whether prosthetic hearing was blocked or restored, contrast measures for vowels and sibilants did not change systematically. Some changes in duration, SPL and F0 were observed during the vowel within which hearing state was changed, V1, as well as during V2 and subsequent utterance repetitions. Thus, sound segment contrasts appear to be controlled differently from the postural parameters of speaking rate and average SPL and F0. These findings are interpreted in terms of the function of hypothesized feedback and feedforward mechanisms for speech motor control.
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http://dx.doi.org/10.1121/1.2642349 | DOI Listing |
Am J Speech Lang Pathol
January 2025
Good Samaritan Medical Center Foundation, Lafayette, CO.
Purpose: The aim of this study was to gauge the impacts of cognitive empathy training experiential learning on traumatic brain injury (TBI) knowledge, awareness, confidence, and empathy in a pilot study of speech-language pathology graduate students.
Method: A descriptive quasi-experimental convergent parallel mixed methods design intervention pilot study (QUAL + QUANT) was conducted with a diverse convenience sample of 19 first- and second-year speech-language pathology graduate students who engaged in a half-day TBI point-of-view simulation. The simulation was co-constructed through a participatory design with those living with TBI based on Kolb's experiential learning model and followed the recommendations for point-of-view simulation ethics.
Am J Speech Lang Pathol
January 2025
Department of Research and Learning Services, Health Sciences Library, The University of Tennessee Health Science Center, Memphis.
Introduction: Evidence-based practices (EBPs) use evidence (external and internal), clinician expertise, and client/caregiver perspectives to deliver effective, individualized care. Each component of EBP is highly relevant and most effective when implemented together. Families with cultural or linguistic backgrounds different from the mainstream experience inequitable treatment across all disciplines.
View Article and Find Full Text PDFInt Arch Otorhinolaryngol
January 2025
Department of Audiology, All India Institute of Speech and Hearing, Mysore, Karnataka, India.
Sickle cell anemia (SCA) is a genetic disorder with clinical manifestations due to circulatory changes, leading to adverse effects on the auditory system that might impact auditory processing, such as auditory discrimination and speech perception ability. This condition is associated with the severity level of anemia. The purpose of the present study was to investigate the influence of anemia severity on auditory discrimination ability and speech perception in noise among SCA patients with normal hearing sensitivity.
View Article and Find Full Text PDFTurk Arch Otorhinolaryngol
January 2025
All India Institute of Medical Sciences, Department of Otorhinolaryngology, Jodhpur, Rajasthan, India.
Objective: To compare the ototoxicity and survival in head and neck carcinoma patients treated with sequential (SEQ) and simultaneous integrated boost (SIB) of volumetric modulated arc therapy (VMAT).
Methods: This long-term prospective study enrolled patients with histologically confirmed head and neck carcinoma, all receiving VMAT treatment. Audiological assessments were done using various tests at baseline, two weeks, treatment completion, six months, and 12 months.
BMC Anesthesiol
January 2025
Department of Anesthesiology, Loma Linda University Medical Center, Loma Linda, CA, USA.
Post-dural puncture headache (PDPH) is a debilitating complication of neuraxial anesthesia, particularly prevalent in obstetric patients, usually characterized by a postural headache. PDPH is hypothesized to result from cerebrospinal fluid leakage through a dural puncture, triggering symptoms like neck stiffness and subjective hearing changes. While conservative measures are common for treatment, more refractory cases may require invasive interventions such as an epidural blood patch (EBP).
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