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Effectiveness of an online continuing education course in infant hearing health for primary care professionals

International audiology 2023年第5期62卷 453-461页

作者： Maria Taiany Duarte de Oliveira Kátia de Freitas Alvarenga Krisia Thayná Lima da Costa Vanessa Boldarini Godoy Regini Sheila Andreoli Balen Lilian Cassia Bornia Jacob-Corteletti Eliene Silva Araújo a Graduate Program in Speech Language and Hearing Sciences Federal University of Rio Grande do Norte Natal Brazil b Audiology Research Center Research Group Department of Speech-Language Pathology and Audiology Speech-Language Pathology and Audiology Graduate Program Bauru School of Dentistry/University of São Paulo FOB/USP Bauru Brazil c Graduate Program in Speech Language and Hearing Sciences Bauru School of Dentistry University of São Paulo FOB/USP Bauru Brazil d Laboratory of Technological Innovation in Health Department of Speech-Language Pathology and Audiology Graduate Program in Speech Language and Hearing Sciences Onofre Lopes University Hospital Federal University of Rio Grande do Norte Natal Brazil e Department of Speech-Language Pathology and Audiology Graduate Program in Speech Language and Hearing Sciences Federal University of Rio Grande do Norte Natal Brazil

ObjectiveTo evaluate the effectiveness of an online continuing education course on infant hearing health for primary care *** prospective longitudinal study with interrupted time series pre-test/post-test design. The effectiveness of the online course was assessed by comparing ***-training performance and analysing responses to evaluations of the quality of the *** sampleThe sample comprised individuals enrolled between September 2018 and August 2019 in a Ministry of Health course, “Actions in primary care for the early identification of hearing impairment” offered on the AVASUS *** the 2908 individuals registered, 1842 (63.3%) completed the course. Their ages ranged from 18 to 77 years, and 67.4% of them were females. Students and doctors were overrepresented among the enrollees. All Brazilian states were included in the sample. Comparisons of pre- and post-training performances showed a significant improvement in knowledge, and 99.3% of the participants provided positive comments regarding the quality of the *** course is an effective distance learning tool on infant hearing health for primary care professionals. The online course circumvents the limitations posed by geographical barriers and also facilitates decentralisation.

关键词： Capacity building in service community health worker neonatal screening hearing virtual learning environment

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The association of bisphenol A and paraben exposure with sensorineural hearing loss in children

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Environmental Science and Pollution Research 2023年第45期30卷 100552-100561页

作者： Chang, Chia-Huang Lu, Chun-Ting Chen, Tai-Ling Huang, Wen-Tzu Torng, Pao-Chuan Chang, Chen-Wei Chen, Yu-Chun Yu, Yu-Lin Chuang, Yung-Ning School of Public Health Taipei Medical University Taipei Taiwan Department of Otorhinolaryngology Taipei City Hospital Ren-Ai Branch Taipei Taiwan Department of Speech-Language Pathology and Audiology National Taipei University of Nursing and Health Sciences Taipei Taiwan School of Psychology Speech and Hearing University of Canterbury Christchurch New Zealand Master Program in Food Safety College of Nutrition Taipei Medical University Taipei Taiwan

Bisphenol A (BPA) and parabens (PBs) are chemicals that are extensively used in personal care products (PCPs). In early childhood development, hearing is critical to speech and language development, communication, and learning. In vitro and in vivo, BPA/PBs exhibited neurotoxicity through elevated levels of oxidative stress. BPA also has the potential to be an ototoxicant. Therefore, this study aimed to determine the association of exposure to BPA/PBs with sensorineural hearing loss in children. A cross-sectional study based on hearing tests was conducted. This study enrolled 320 children aged 6–12 years from elementary school. Urinary BPA and PB concentrations were analyzed by using liquid chromatography–tandem mass spectrometry (LC–MS/MS). Logistic regression models were employed to determine the association of BPA/PB exposure with sensorineural hearing loss. Children with sensorineural hearing loss had higher BPA concentrations than normal-hearing children (0.22 ng/ml vs. 0.10 ng/ml, p = 0.05). After adjustment for covariates, the risk of hearing loss at middle frequencies reached 1.83-fold (95% CI: 1.12–2.99) when BPA concentrations increased by 1 log10. The risk of slight hearing loss reached 2.24-fold (95% CI: 1.05–4.78) when children had a tenfold increase in ethyl paraben (EP) concentration. This study clarifies the role of exposure to BPA/PBs in hearing loss in children. Future research needs to be expanded to include cohort designs and nationwide studies to identify causality. © 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

关键词： Audition

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Cervical Vestibular-Evoked Myogenic Potentials in Individuals with Diabetes Mellitus: A Systematic Review and Meta-Analysis

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Critical Reviews in Biomedical Engineering 2023年第2期51卷 45-56页

作者： Premkumar, Priya Karimuddanahalli Krishnamurthy, Rahul Kumar, Kaushlendra Yerraguntl, Krishna Narayan, Amitesh Roushan, Ritik Department of Special Education and Communication Disorders University of Nebraska LincolnNE68503 United States Department of Audiology and Speech Language Pathology Kastruba Medical College Mangalore Manipal Academy of Higher Education Karnataka Manipal India Department of Medical Rehabilitation Science Audiology Program College of Applied Medical Sciences King Khalid University Guraiger Abha Saudi Arabia Department of Physiotherapy Kasturba Medical College Karnataka Mangalore India

Vestibular evoked myogenic potentials (VEMPs) in individuals with diabetes mellitus (DM) provide evidence as how diabetes can bring about changes in the peripheral nervous system. Cervical VEMP (cVEMP) evaluates the function and integrity of the sacullo- collic pathway and ocular VEMP (oVEMP) evaluates the utriculo-collic pathway. cVEMP is an ipsilateral inhibitory response of the sternocleidomastoid muscle. cVEMP is recorded at higher intensity above 80-85 dBnHL with biphasic waveforms having initial peak positivity P13 followed by a negativity N23. We performed a systematic review following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to evaluate cVEMP in diabetes mellitus. The search was conducted in the databases: PubMed, Cumulative Index of Nursing and Allied Health Literature, Scopus, and Cochrane library using the keywords "diabetes mellitus" and "vestibular evoked myogenic potential" or "cVEMP." A two-phase selection process was used for the final inclusion of studies, and the methodological quality of these studies was assessed using the Newcastle Ottawa scale (NCOS). Meta-analysis was performed using a random-effects model. For comparisons between DM and healthy controls, a significant difference was observed for cVEMP amplitude (P = 0.01). Our meta-analysis’s results suggest peripheral vestibular dysfunction can be observed in DM. It appears that cVEMPs may be useful in the early detection of neuropathy in DM. © 2023 by Begell House, Inc.

关键词： Random processes

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Performance Monitoring and Cognitive Inhibition during a speech-in-Noise Task in Older Listeners

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Seminars in hearing 2023年第2期44卷 124-139页

作者： Ryan, David B. Eckert, Mark A. Sellers, Eric W. Schairer, Kim S. McBee, Matthew T. Ridley, Elizabeth A. Smith, Sherri L. Hearing and Balance Research Program James H. Quillen VA Medical Center Mountain Home TN United States Department of Psychology East Tennessee State University Johnson City TN United States Department of Head and Neck Surgery and Communication Sciences Duke University School of Medicine Durham NC United States Department of Otolaryngology - Head and Neck Surgery Hearing Research Program Medical University of South Carolina Charleston NC United States Department of Audiology and Speech Language Pathology East Tennessee State University Johnson City TN United States Center for the Study of Aging and Human Development Duke University Durham NC United States Department of Population Health Sciences Duke University School of Medicine Durham NC United States Audiology and Speech Pathology Service Durham Veterans Affairs Healthcare System Durham NC United States

The goal of this study was to examine the effect of hearing loss on theta and alpha electroencephalography (EEG) frequency power measures of performance monitoring and cognitive inhibition, respectively, during a speech-in-noise task. It was hypothesized that hearing loss would be associated with an increase in the peak power of theta and alpha frequencies toward easier conditions compared to normal hearing adults. The shift would reflect how hearing loss modulates the recruitment of listening effort to easier listening conditions. Nine older adults with normal hearing (ONH) and 10 older adults with hearing loss (OHL) participated in this study. EEG data were collected from all participants while they completed the words-in-noise task. It hypothesized that hearing loss would also have an effect on theta and alpha power. The ONH group showed an inverted U -shape effect of signal-to-noise ratio (SNR), but there were limited effects of SNR on theta or alpha power in the OHL group. The results of the ONH group support the growing body of literature showing effects of listening conditions on alpha and theta power. The null results of listening condition in the OHL group add to a smaller body of literature, suggesting that listening effort research conditions should have near ceiling performance. © 2023 Thieme Medical Publishers, Inc.. All rights reserved.

关键词： alpha power EEG effortful listening theta power word recognition

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Anxiety, Depression, and Other Factors Associated With Voice Handicaps in Active Older People During the COVID-19 Pandemic

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Journal of Voice 2024年

作者： de Queiróz Coutinho, Angelina Travassos de Lima Silva, Vanessa da Silva, Maria Eduarda Farias de Lima, André Cavalcanti de Lima, Maria Luiza Lopes Timóteo de Almeida Queiróz, Anna Alice Figueirêdo de Araújo, Ana Nery Barbosa Lucena, Jonia Alves Human Communication Health Program Federal University of Pernambuco Pernambuco Recife Brazil Department of Speech-Language-Hearing Sciences Federal University of Pernambuco Pernambuco Recife Brazil Department of Speech-Language-Hearing Sciences Federal University of Paraíba Paraíba João Pessoa Brazil

During the COVID-19 pandemic, older people had to remain isolated, which could cause not only anxiety and depression but also voice and communication problems and lifestyle, demographic, and socioeconomic changes. This study aimed to analyze the influence of anxiety and depression and other associated factors on the voice handicap of active older adults during the COVID-19 pandemic. This cross-sectional and analytical research approached older people enrolled at a reference health care unit for this age group in Recife. Demographic, socioeconomic, and lifestyle data were surveyed with interviews. Mental health measures were obtained with the Self-Reporting Questionnaire, State-Trait Anxiety Inventory, and Geriatric Depression Scale. Voice handicap was assessed with the Voice Handicap Index. Analyses were performed with descriptive and inferential statistics. The study compared older people with lesser and greater voice handicaps, using the chi-square and Wald tests. The association was assessed according to the binary and multivariate logistic regression model. Altogether, 91 older people with a mean age of 69 years participated in the research, most of whom (54.9%) did not have voice handicaps. Trait anxiety (P = 0.031) and age (P = 0.036) were associated with voice handicaps. Active older adults with higher trait anxiety were five times as likely to have voice handicaps (odds ratio = 5.151) as those with low trait anxiety. Moreover, the ones with more advanced age were 10% more likely to have voice handicaps (odds ratio = 1.100) than younger participants. It is concluded that, during the pandemic, voice handicap in active older people was associated with trait anxiety and age. © 2024 The Voice Foundation

关键词： Anxiety COVID-19 Depression Elderly Voice

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Different Performances of Machine Learning Models to Classify Dysphonic and Non-Dysphonic Voices

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Journal of Voice 2025年第3期39卷 577-590页

作者： Leite, Danilo Rangel Arruda de Moraes, Ronei Marcos Lopes, Leonardo Wanderley Department of Statistics Graduate Program in Health Decision Models Universidade Federal da Paraíba – UFPB Paraíba João Pessoa Brazil Brazilian Hospital Services Company- Ebserh Universidade Federal da Paraíba – UFPB Paraíba João Pessoa Brazil Department of Statistics Universidade Federal da Paraíba – UFPB Paraíba João Pessoa Brazil Department of Speech-Language and Hearing Sciences Graduate Program in Linguistics Universidade Federal da Paraíba – UFPB Paraíba João Pessoa Brazil

Objective: To analyze the performance of 10 different machine learning (ML) classifiers for discrimination between dysphonic and non-dysphonic voices, using a variance threshold as a method for the selection and reduction of acoustic measurements used in the classifier. Method: We analyzed 435 samples of individuals (337 female and 98 male), with a mean age of 41.07 ± 13.73 years, of which 384 were dysphonic and 51 were non-dysphonic. From the sustained /ε/ vowel sample, 34 acoustic measurements were extracted, including traditional perturbation and noise measurements, cepstral/spectral measurements, and measurements based on nonlinear models. The variance method was used to select the best set of acoustic measurements. We tested the performance of the best-selected set with 10 ML classifiers using precision, sensitivity, specificity, accuracy, and F1-Score measurements. The kappa coefficient was used to verify the reproducibility between the two datasets (training and testing). Results: The naive Bayes (NB) and stochastic gradient descent classifier (SGDC) models performed best in terms of accuracy, AUC, sensitivity, and specificity for a reduced dataset of 15 acoustic measures compared to the full dataset of 34 acoustic measures. SGDC and NB obtained the best performance results, with an accuracy of 0.91 and 0.76, respectively. These two classifiers presented moderate agreement, with a Kappa of 0.57 (SGDC) and 0.45 (NB). Conclusion: Among the tested models, the NB and SGDC models performed better in discriminating between dysphonic and non-dysphonic voices from a set of 15 acoustic measures. © 2022 The Voice Foundation

关键词： Acoustic Artificial intelligence Machine learning Voice Voice disorders

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Wideband Acoustic Reflex Measurement

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Seminars in hearing 2023年第1期44卷 84-92页

作者： Feeney, M. Patrick Schairer, Kim S. Putterman, Daniel B. VA Portland Health Care System National Center for Rehabilitative Auditory Research Portland OR United States Department of Otolaryngology Head and Neck Surgery Oregon Health and Science University Portland OR United States Hearing and Balance Research Program James H. Quillen VA Medical Center Mountain Home TN United States Department of Audiology and Speech Language Pathology East Tennessee State University Johnson City TN United States

Acoustic reflex thresholds (ART) obtained using pure-tone probe stimuli as part of a traditional immittance test battery can be used to evaluate site of lesion and provide a cross-check with behavioral results. ARTs obtained as part of a wideband acoustic immittance (WAI) test battery using a click as the probe stimulus can be used in the same way with the added benefit that they may provide lower ARTs than those obtained using a pure-tone probe. Another benefit of the WAI ART test is that it can be completed without requiring a hermetic seal or pressurizing the ear canal. A new adaptive method of obtaining ARTs using WAI techniques may cut test time in half, thus making this an attractive option for future clinical use. More advanced uses of WAI ART tests include the measurement of AR growth functions. These may be used to investigate the possible effects of synaptopathy related to high levels of noise exposure and possible auditory deficits related to ototoxicity. © 2023 Thieme Medical Publishers, Inc.. All rights reserved.

关键词： absorbance acoustic reflex thresholds noise-induced synaptopathy wideband acoustic immittance

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A Home-Based Approach to Auditory Brainstem Response Measurement: Proof-of-Concept and Practical Guidelines

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Seminars in hearing 2022年第3期43卷 177-196页

作者： Parker, Ashley Skoe, Erika Tecoulesco, Lee Naigles, Letitia Department of Speech Language and Hearing Sciences University of Connecticut Storrs CT United States Connecticut Institute for Brain and Cognitive Sciences University of Connecticut Storrs CT United States Cognitive Sciences Program University of Connecticut Storrs CT United States Department of Psychological Sciences University of Connecticut Storrs CT United States Department of Communication Sciences and Disorders University of Pittsburgh Pittsburgh PA United States

Broad-scale neuroscientific investigations of diverse human populations are difficult to implement. This is because the primary neuroimaging methods (magnetic resonance imaging, electroencephalography [EEG]) historically have not been portable, and participants may be unable or unwilling to travel to test sites. Miniaturization of EEG technologies has now opened the door to neuroscientific fieldwork, allowing for easier access to under-represented populations. Recent efforts to conduct auditory neuroscience outside a laboratory setting are reviewed and then an in-home technique for recording auditory brainstem responses (ABRs) and frequency-following responses (FFRs) in a home setting is introduced. As a proof of concept, we have conducted two in-home electrophysiological studies: one in 27 children aged 6 to 16 years (13 with autism spectrum disorder) and another in 12 young adults aged 18 to 27 years, using portable electrophysiological equipment to record ABRs and FFRs to click and speech stimuli, spanning rural and urban and multiple homes and testers. We validate our fieldwork approach by presenting waveforms and data on latencies and signal-to-noise ratio. Our findings demonstrate the feasibility and utility of home-based ABR/FFR techniques, paving the course for larger fieldwork investigations of populations that are difficult to test or recruit. We conclude this tutorial with practical tips and guidelines for recording ABRs and FFRs in the field and discuss possible clinical and research applications of this approach. © 2022 Thieme Medical Publishers, Inc.. All rights reserved.

关键词： auditory brainstem response autism spectrum disorder fieldwork frequency-following response

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THE EFFECT OF MOUTH OPENING LEVELS ON ACOUSTIC PARAMETERS OF VOICE SIGNAL

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Canadian Acoustics - Acoustique Canadienne 2023年第1期51卷 31-38页

作者： Mahmoudi, Mahtab Rasi Abnavi, Fatemeh Ghasisin, Leila Saberi, Shirin Student Research Committee School of Rehabilitation Isfahan University of Medical Sciences Isfahan Iran Audiology and Speech-Language Pathology Program School of Rehabilitation Sciences University of Ottawa Canada Department of Speech Therapy School of Rehabilitation Sciences Isfahan University of Medical Sciences Isfahan Iran Musculoskeletal Research Center School of Rehabilitation Isfahan University of Medical School Isfahan Iran

This study examined the effect of three different mouth opening levels on fundamental frequency, jitter, shimmer, harmonic to noise ratio, first formant frequency, second formant frequency and first two formants ratio in Producing vowel /a/.simple ran-dom sampling strategy was used to recruit 36 participants. 18 females and 18 males between age 18 to 29 years were recruited. the participants sustained vowel /a/ 7 seconds. The first 1 second and the last 1 second of the vowel were omitted in order t o eliminate the vowel initiation and termination effect from the audio signal and, thereby, the middle 5 seconds were analyzed to derive acoustic parameters. Seven infrared cameras recorded mouth opening and head movements. The results showed that mouth opening level is only effective on fundamental frequency (p=0.009 © 2023, Canadian Acoustical Association. All rights reserved.

关键词： Jitter

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Mobile Applications Used for Vocal Health: An Integrative Review

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Journal of Voice 2025年

作者： Penha, Patrícia Brianne da Costa Mendes, Amanda Louize Félix Guedes, Aline de Menezes Santos, Cláudio da Cruz Duarte, Lorena Sampaio Lima-Silva, Maria Fabiana Bonfim de Associated Postgraduate Program in Linguistics – PROLING Federal University of Paraíba (UFPB) Paraíba João Pessoa Brazil Associated Postgraduate Program in Speech-Language-Hearing Sciences Federal University of Paraíba (UFPB) Paraíba João Pessoa Brazil Speech-Language-Hearing Pathologist Federal University of Paraíba (UFPB) Paraíba João Pessoa Brazil Department of Speech Therapy Federal University of Paraíba (UFPB) Paraíba João Pessoa Brazil

This article aimed to verify the possible advantages of using mobile applications to promote vocal health and monitor vocal rehabilitation. This integrative review researched five scientific databases, using the descriptors “voice” and “smartphone” or “mobile applications” or “software” and “speech-language.” The search yielded 570 articles, of which seven were included after careful analysis. The studies reveal that application use can assist in the rehabilitation process and raise patient/user awareness about the importance of voice care. Mobile applications aimed at vocal promotion or monitoring generate advantages for speech-language-hearing pathologists and patients/users, such as easy access and use, strengthening the bond between professionals and patients, and encouraging patients/users to change their vocal behaviors positively. © 2025

关键词： Voice—Smartphone—Mobile applications—speech therapy—speech, language, and hearing science

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