Purpose: The aim of this experiment was to compare, for patients with cochlear implants (CIs), the improvement for speech understanding in noise provided by a monaural adaptive beamformer and for two interventions that produced bilateral input (i.e., bilateral CIs and hearing preservation [HP] surgery).
Method: Speech understanding scores for sentences were obtained for 10 listeners fit with a single CI. The listeners were tested with and without beamformer activated in a "cocktail party" environment with spatially separated target and maskers. Data for 10 listeners with bilateral CIs and 8 listeners with HP CIs were taken from Loiselle, Dorman, Yost, Cook, and Gifford (2016), who used the same test protocol.
Results: The use of the beamformer resulted in a 31 percentage point improvement in performance; in bilateral CIs, an 18 percentage point improvement; and in HP CIs, a 20 percentage point improvement.
Conclusion: A monaural adaptive beamformer can produce an improvement in speech understanding in a complex noise environment that is equal to, or greater than, the improvement produced by bilateral CIs and HP surgery.
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http://dx.doi.org/10.1044/2017_JSLHR-H-16-0312 | DOI Listing |
Int J Lang Commun Disord
January 2025
Department of Language and Cognition, University College London, London, UK.
Background: Global aphasia is a severe communication disorder affecting all language modalities, commonly caused by stroke. Evidence as to whether the functional communication of people with global aphasia (PwGA) can improve after speech and language therapy (SLT) is limited and conflicting. This is partly because cognition, which is relevant to participation in therapy and implicated in successful functional communication, can be severely impaired in global aphasia.
View Article and Find Full Text PDFJ Neurosci
January 2025
Department of Psychology, Chinese University of Hong Kong, Hong Kong SAR, China
The extraction and analysis of pitch underpin speech and music recognition, sound segregation, and other auditory tasks. Perceptually, pitch can be represented as a helix composed of two factors: height monotonically aligns with frequency, while chroma cyclically repeats at doubled frequencies. Although the early perceptual and neurophysiological mechanisms for extracting pitch from acoustic signals have been extensively investigated, the equally essential subsequent stages that bridge to high-level auditory cognition remain less well understood.
View Article and Find Full Text PDFInt J Med Inform
January 2025
Artificial Intelligence in Medical Sciences Research Center , Smart University of Medical Sciences, Tehran, Iran; Department of Artificial Intelligence, Smart University of Medical Sciences, Tehran, Iran. Electronic address:
Background: Speech disorders can significantly impact communication, social interaction, and overall quality of life, affecting individuals of all ages. Telespeech therapy has emerged as an innovative solution, leveraging technology to provide accessible and effective speech interventions remotely. This approach offers flexibility and convenience, addressing barriers such as geographical limitations and scheduling conflicts.
View Article and Find Full Text PDFPatient Educ Couns
January 2025
Dana-Farber Cancer Institute, Boston, MA, USA; Harvard Medical School, Boston, MA, USA; Brigham and Women's Hospital, Boston, MA, USA. Electronic address:
Context: Effective communication between patients and oncologists is crucial, particularly around illness understanding. When this communication is asymmetric or imbalanced, it can hinder shared decision-making and lead to suboptimal clinical outcomes.
Objectives: We sought to describe physician-patient speech imbalances ("asymmetry") in illness understanding portions of discussions between oncologists and advanced cancer patients and explore potential trends related to patient characteristics.
Healthcare (Basel)
December 2024
Department of Speech Therapy, School of Health Sciences, University of Ioannina, 455 00 Ioannina, Greece.
This study presents a comprehensive investigation into the correlation between Rare Diseases and Syndromes (RDS) and the dysphagic disorders manifested during childhood and adulthood in affected patients. Dysphagia is characterized by difficulty or an inability to swallow food of any consistency, as well as saliva or medications, from the oral cavity to the stomach. RDS often present with complex and heterogeneous clinical manifestations, making it challenging to develop standardized diagnostic and therapeutic approaches.
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