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J W Sanders

Publications and source records attributed to J W Sanders.

30 records · Page 2Linked to original sources

Critical bandwidth and sensitivity prediction in the acoustic stapedial reflex.

Critical bandwidth measurements and sensitivity prediction from the acoustic reflex (SPAR) test results were obtained on 20 normal-hearing and two groups of 10 hearing-impaired subjects each representing mild-to-moderate and severe hearing loss. Results of critical bandwidth measurements indicated that for center frequencies of 1000 and 2000 Hz the critical bandwidth was significantly greater for the hearing-impaired subjects. A statistical analysis of the differences in critical bandwidth between those predicted by the SPAR test to have a mild-to-moderate hearing loss and those subjects for whom the test predicted severe hearing loss indicated no differences in critical bandwidth at 2000 Hz. A significant difference was found at 1000 Hz but in the wrong direction. Analysis of the relationship between predicted slope of hearing loss and critical bandwidth also failed to show significance. Although the data for hearing-impaired subjects fail to support the rationale for the SPAR test, the results for the entire research sample offer substantial support. Further, the ability of the test to predict categorically degree of hearing loss was also strongly supported.

Acoustic Stimulation↗

Symposium on sensorineural hearing loss in children: early detection and intervention. Impedance measurement.

Although impedance measurement is a relatively new procedure, at least in this country, it is rapidly being recognized as one of the most significant contributions since the development of the pure tone audiometer. With the basic applications of the procedure it is possible to determine not only the presence but also to a great extent the specific nature of middle ear impairment, even in patients for whom audiometric results are limited and uncertain. Further applications of impedance measurement include the determination of nonorganic hearing loss and site-of-lesion testing to distinguish between cochlear and retrocochlear lesions. Finally it appears that the procedure may even permit the prediction of severity and configuration of sensorineural loss. Although impedance measurement has great value in all patients with hearing disorders, it is particularly appropriate in pediatric evaluation. Its objectivity, its ease of application, and the information that can be obtained with it make impedance measurement a significant and valuable addition to the battery for evaluation of hearing disorders in children.

Acoustics↗

Diplophonia.

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Adolescent↗

Effects of practice on SISI scores and the relationship of SISI score to the intensity difference limen.

The standard short increment sensitivity index (SISI) was given to 24 normal hearing subjects 10 times in two test sessions. For each subject the intensity difference limen was determined with a quantal method using the SISI apparatus. Although the group data indicated a statistically significant improvement in scores across presentations, the change was not clinically significant, in that the highest mean score continued to be "negative" in clinical interpretation. Four individual subjects, however, moved from initial sntations. Highest scores achieved by the subjects were found to be significantly related to intensity difference limen. The results suggest that the clinician must be aware of a potential for a clinically significant improvement in SISI score with practice on the part of some subjects.

Adult↗