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Double hearing protection and speech intelligibility-room for improvement.

INTRODUCTION: Double hearing protection is used in many air forces around the world for protection in noisy aircraft environments, particularly in helicopters. The usual combination is foam ear plugs under headset or helmet muffs. Much of the research that spurred the introduction of foam earplugs indicated little change in speech intelligibility in persons with normal hearing. However, aircrew often complain about having to maximize intercom volume for speech understanding, causing a situation with no reserve volume and bad sound quality. In recent years, further developments have included so-called hi-fi plugs and custom made ear plugs which are claimed to improve speech communication. The aim of the present project was to investigate different types of ear plugs and their effect on speech intelligibility in helicopter noise. METHODS: Each of nine normal-hearing pilot subjects were placed in an environment of recorded helicopter noise from a BO-105 helicopter. Speech audiometry was performed under four different conditions: headset only, and three different ear plugs worn under the headset. Fitting of the ear plugs was performed by an ear, nose and throat specialist to ensure similar conditions. The sequence of test conditions was randomized and double-blind. In addition, a subjective rating scale was used. RESULTS: Wearing foam ear plugs under the headset decreased speech intelligibility dramatically. The "hi-fi" plug was somewhat better than foam plugs, and the custom made ear plug provided a speech intelligibility close to the headset-only situation. Subjective rating scores coincided with these findings. DISCUSSION: In helicopter noise, custom made ear plugs may provide a much improved speech intelligibility over conventional plugs when worn under a headset, while maintaining improved noise protection over the headset-alone situation. Custom made ear plugs might therefore be a good alternative to other forms of enhanced noise protection in helicopters.

Adult↗

Balancing speech intelligibility versus sound exposure in selection of personal hearing protection equipment for Chinook aircrews.

BACKGROUND: Aircrews are often exposed to high ambient sound levels, especially in military aviation. Since long-term exposure to such noise may cause hearing damage, selection of adequate hearing protective devices is crucial. Such devices also affect speech intelligibility. When speech intelligibility and hearing protection lead to conflicting requirements, a compromise must be reached. The selection of personal equipment for RNLAF Chinook aircrews is taken as an example of this process. METHODS: Sound attenuation offered by aircrew helmets and ear plugs was measured using a standardized method. Sound attenuation results were used to calculate sound exposure. Objective predictions of speech intelligibility were calculated using the Speech Transmission Index (STI) method. Subjective preference was investigated through a survey among 28 experienced aircrew members. RESULTS: The use of ear plugs in addition to a (RNLAF standard) helmet may lead to a significant reduction of sound exposure. Using ear plugs that offer high sound attenuation, instead of using a less attenuating type, gives a little additional reduction of sound exposure, at the expense of a large reduction in speech intelligibility. Hence, it is better to use 'light' ear plugs. Better performance still is offered by Communications Earplugs, ear plugs featuring integrated miniature earphones. Results from the user preference survey correspond well with objective measurement results. CONCLUSIONS: In the case of the RNLAF Chinook, the best solution is using Communications EarPlugs in combination with a standard helmet. The Chinook case clearly illustrates that hearing protection and speech intelligibility should be treated as connected issues.

Aerospace Medicine↗

[Meta-analysis on the relationship between children's intelligence and factors as iodine deficiency, supplement iodine and excessive iodine].

OBJECTIVE: To estimate the role and extent of iodine deficiency, iodine supplement and iodine excess on mental development of children. METHODS: Meta-analysis was applied to study 128 independent items from 63 published and non-published papers and reports. The standards of references collected included: age of sample declared by references was 5 - 15; belong to comparison study; children lived in iodine deficiency disorders (IDD) and iodine excess areas; no difference of social economic and culture development level between the study group and the control group. RESULTS: Sixty-seven percent and 79% of the reports mainly involved severe IDD areas respectively. Hunter test of each studies, i.e. iodine deficiency, iodine supplement and excessive iodine group had not discovered statistic difference at the level of alpha = 0.05. The weighted average ES of damage affecting on children's intelligence by iodine deficiency achieved 0.69, which was equivalent to a marked drop in 10.4 IQ points [95% confidence interval (CI): 9.9 - 10.9] when comparing with the children living under non-IDD. The weighted average ES of protective effect on children's intelligence by iodine supplement reached 0.81, which meant that the IQ of children born after correction of iodine deficiency increased 12.2 points (95% CI: 11.5 - 12.9) in comparison with those born at least one year before the correction of iodine deficiency. Most of the references about the relationship between iodine excess and intelligence were gathered from proceedings, while the others were from journals. They location were in some areas of Shandong, Hebei, Shanxi and Inner Mongolia. The mean ES of the role of iodine excess on intelligence was 0.21, which was corresponding to 3.2 IQ points (95% CI: 2.5 - 4.0). CONCLUSION: 1) Iodine deficiency played a role of intermediate strength compared with other causes in delaying brain development making children to be at least 10 IQ points loss in IDD areas. 2) Effective iodine supplement plays a remarkable strengthening role in promoting brain development and can cause 12 IQ points increase for children who were born after the correction of iodine status. 3) Iodine excess has not shown significant important role in children's intelligence.

Child↗

Speech intelligibility in noise using throat and acoustic microphones.

INTRODUCTION: Helicopter cockpits are very noisy and this noise must be reduced for effective communication. The standard U.S. Army aviation helmet is equipped with a noise-canceling acoustic microphone, but some ambient noise still is transmitted. Throat microphones are not sensitive to air molecule vibrations and thus, transmittal of ambient noise is reduced. It is possible that throat microphones could enhance speech communication in helicopters, but speech intelligibility with the devices must first be assessed. In the current study, speech intelligibility of signals generated by an acoustic microphone, a throat microphone, and by the combined output of the two microphones was assessed using the Modified Rhyme Test (MRT). METHODS: Stimulus words were recorded in a reverberant chamber with ambient broadband noise intensity at 90 and 106 dBA. Listeners completed the MRT task in the same settings, thus simulating the typical environment of a rotary-wing aircraft. RESULTS: Results show that speech intelligibility is significantly worse for the throat microphone (average percent correct = 55.97) than for the acoustic microphone (average percent correct = 69.70), particularly for the higher noise level. In addition, no benefit is gained by simultaneously using both microphones. A follow-up experiment evaluated different consonants using the Diagnostic Rhyme Test and replicated the MRT results. DISCUSSION: The current results show that intelligibility using throat microphones is poorer than with the use of boom microphones in noisy and in quiet environments. Therefore, throat microphones are not recommended for use in any situation where fast and accurate speech intelligibility is essential.

Acoustics↗

[Determination of oesophageal speech intelligibility using an articulation assessment].

OBJECTIVE: We studied if articulation could determine esophageal speech's intelligibility. MATERIAL AND METHOD: To do so, we proposed 30 subjects distributed in three groups based on their speech proficiency level, two preliminary assessments: an articulation assessment and an intelligibility assessment. RESULTS: The study shows a significantly high correlation (86%) between the results of the articulation assessment and the intelligibility assessment in the whole of group studied. However, we noted differences in correlations according to the level of the subjects: in the novices' group, the percentage reaches 62%, in the medium group, 76%, and in the proficient one: 97%. CONCLUSION: We concluded that if the results of the articulation assessment is very high, intelligibility will be good. On the other hand, if this percentage is moderate, we can't evaluate intelligibility only with the articulation factor.

Aged↗

[Intelligence and language of individuals who incurred left hemisphere injury at no later than 3 years of age].

It is generally considered that damage to the brain during infancy and young childhood results in milder or different syndromes than does brain injury incurred during adulthood. However, only several past studies employed CT scans to confirm that lesions are confined to one of the two cerebral hemispheres. We examined intelligence and language skills of 5 cases, which sustained nonprogressive damage exclusively to the left cerebral hemisphere before 1 year of age, and 1 case, which incurred nonprogressive left hemisphere injury at 3 years of age. These cases were tested at 9 to 25 years of age, or 8 to 22 years after inflicting injuries. The following scales and tests, all of which are Japanese versions, were employed: the Wechsler Intelligence Scale for Children-Revised (WISC-R) to measure intelligence of 3 cases at 15 years of age or younger, the Wechsler Adult Intelligence Scale (WAIS) for 3 cases older than 15 years of age, the Western Aphasia Bettery (WAB) to measure language skills, and the shortened version of the Token Test to assess auditory comprehension skills. Upon administration of the tests, we obtained the following results: 1) Although 1 case had a large lesion in the left hemisphere, she exhibited a high IQ of 111, and was adapted well as a college student. The result suggested that large lesions, if incurred at no later than 1 year of age, may affect intelligence to only a little or negligible extent. 2) Verbal IQ generally declines from left hemisphere damage in adults. In all of our subjects, however, verbal IQ was similar to performance IQ.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Behaviour and achievement disorders in children with high intelligence.

With 6% of the patients of a childpsychiatric population using treatment a high intelligence with an IQ of over 120 was the result. This is in agreement with the results by Reinhard (1981), but is below the results by Schmidt (1977) and justifies neither the association to a higher talent as risk factor nor as protective factor in view of a potential psychic illness. 341 child-neuropsychiatric patients with hyperkinetic syndrome (55%), Enuresis (28%), reactions of adaptation (5%), specific emotional disturbances in childhood (4%), Encopresis (3%), Psychalgy (3%) and tics (2%) were studied; thereby 22 highly intelligent patients were compared with average intelligent patients. With high intelligence better performances of concentration, more reflexive style of study, better school notes and more favourable motor capabilities, less pronounced signs of anxiety and neuroticism are found, but also a poorer social adaptation and less favourable effects of treatment. Concerning the poorer chances of treatment with high intelligence however the behaviour-therapeutic concentration of our therapy has to be pointed out, which might not offer an optimal chance for development.

Achievement↗

Speaking clearly for the hard of hearing. III: An attempt to determine the contribution of speaking rate to differences in intelligibility between clear and conversational speech.

Previous studies (Picheny, Durlach, & Braida, 1985, 1986) have demonstrated that substantial intelligibility differences exist for hearing-impaired listeners for speech spoken clearly compared to speech spoken conversationally. This paper presents the results of a probe experiment intended to determine the contribution of speaking rate to the intelligibility differences. Clear sentences were processed to have the durational properties of conversational speech, and conversational sentences were processed to have the durational properties of clear speech. Intelligibility testing with hearing-impaired listeners revealed both sets of materials to be degraded after processing. However, the degradation could not be attributable to processing artifacts because reprocessing the materials to restore their original durations produced intelligibility scores close to those observed for the unprocessed materials. We conclude that the simple processing to alter the relative durations of the speech materials was not adequate to assess the contribution of speaking rate to the intelligibility differences; further studies are proposed to address this question.

Hearing Loss, Sensorineural↗

Speech intelligibility of deaf speakers and distinctive feature usage.

Speech samples (41 CNC monosyllables) of 22 deaf children were analyzed using two distinctive-feature systems, one acoustic and one physiologic. Moderate to high correlations between intelligibility scores by listener judges vs correct feature usage were obtained for positive as well as negative features of both systems. Further, higher correlations between percent-correct feature usage scores vs listener intelligibility scores were observed for phonemes in the initial vs final position-in-work regardless of listener-judge experience, feature system, or presentation mode. These findings suggest that either acoustic or physiologic feature analysis can be employed in describing the articulation of deaf talkers. In general, either of these feature systems also predicts with fair to good accuracy the intelligibility of deaf speakers as judged by either experienced or inexperienced listeners. In view of the appreciably higher correlations obtained between feature use and intelligibility scores in initial compared to final position-in-word, however, caution should be exercised with either of the feature systems studied in predicting the intelligibility of a deaf speaker's final phoneme.

Adolescent↗

[Application of the multiple vocabulary test to determining premorbid intelligence levels].

The authors present three basic approaches to solving the problem of determining the premorbid level of intelligence for diagnostic and prognostic purposes. The indirect way of measuring the premorbid level of intelligence was chosen because of the empirical nature of this approach and the possibility of establishing a firm basis for this. Using a number of samples, it has been possible to show that the multiple vocabulary test satisfies all requirements that must be made of a method of measuring the premorbid level of intelligence. They are above all independence of aging and disease processes as well as a high level of internal validity. Results to date indicate that the multiple vocabulary test is a useful method of rapidly and reliably determining the general level of intelligence. Its special importance lies in the fact that it allows the premorbid level of intelligence to be ascertained, thus contributing to an empirical elucidation of problems associated with decreases in proficiency and general mental deterioration due to organic or psychological factors.

Adolescent↗

[Intelligence or relevant knowledge as a prerequisite for strategies in environmental management in old age].

The theoretical part discusses implications of changes in intelligence and cognitive structure for the behavior of adults and elderly individuals. The theory is proposed that knowledge pertaining to the actual environment, rather than intelligence, is the determining factor for the "ability to adapt". Deviations in behavior displayed by elderly individuals are not mainly attributed to an--insignificant--reduction in intelligence, but rather are related to changes in basic knowledge. In a second, empirical part, it is examined whether knowledge of relevant changes in the environment is related to mastery of developmental tasks in old age. A cross-sectional study brought forth results demonstrating that knowledge of change is more significantly related to "mastery of life" than is intelligence. In addition to this, it could be observed that the examined sample succeeded in mastering life outstanding, with alltogether only a minor decrease in knowledge of change, despite a considerable lag in measured fluid intelligence.

Adaptation, Psychological↗

[Relation between myopia and intelligence].

The objective of the investigation to confirm the authors experience and data from the literature that refractory myopia is as a rule associated with a higher of intelligence. In the first part one of the authors evaluated a group of 14-year-old myopic children with hypermetropia children of the same age. For evaluation she used the intelligence quotient (IQ) and assessment by teachers before the children left elementary school. The results are clearly in flavour of the myopia children. In the second part the authors evaluated the intelligence of 15-18-year-old myopic secondary school pupils as compared with their classmates. Assuring that myopia is usually associated with higher intelligence and makes thus more profound education possible, they compared the students with apprentires trained to be cooks and waiters. The myopic students won again. Arong students there were 36.8% myopic, among appretices only 8%. The mean progress of students is 1.99, of apprentices only 2.68%. The myopic students have a general better progress and better marks in mathematics than their classmates without refractory defects (1.86:2.07 and 2.14:2.39). Based on the results of the investigation the authors assume that they were able to confirm data in the literature that myopic students are on average more intelligent that their poors of the same age.

Adolescent↗

[Correlation between development indices and later intelligence quotients--the follow-up study of chlorinated biphenyls affected children].

All intelligence tests are for children old than two and a half years; we still do not have an intelligence assessment tool for children younger than this age. If we knew the relationship between the intelligence quotient and developmental indices as measured by the Bayley Scale of Infant Development (BSID), it would allow us to assess the mental development of young children earlier and to start adequate management sooner. The present study was designed to meet this need. We collected our data from a six-year follow-up study of Yu-Cheng (oil disease) children born to mothers who had a history of ingesting rice cooking oil contaminated with polychlorinated biphenyls (PCBs) in 1978-1979 and their matched controls. We analyzed the correlations between the developmental indices of the BSID assessed on 44 pairs of Yu-Cheng children and their controls in 1985 and the Stanford-Binet Intelligence Quotients (S-B IQ) assessed on the same group of children in 1987 and 1988. For the matched controls, we found practically no significant correlation between the BSID developmental indices and the S-B IQ (r = .04-.20, p = .23-.82). In the Yu-Cheng children, that is at-risk group, there was a significant correlation between the Mental Developmental Index (MDI) of BSID and the S-B IQ (r = .33-.43, p = .01-.05) and between the Psychomotor Developmental Index (PDI) of BSID and the S-B IQ (r = .31-.47, p = .00-.07). We conclude that the development indices of BSID has a better predictive power on the intelligence among the at-risk group such as Yu-Cheng children.

Child Development↗

[Prospective study on intelligence quotient of 28 hepatic lenticular degeneration patients with treatment combining traditional Chinese and Western medicine].

Intelligence quotient (IQ) of 28 hepatic lenticular degeneration (HLD) patients was analysed with Wechsler Adult Intelligence Scale-revised by China (WAIS-RC) before and after two months treatment by the HLD-Relief decoction supplemented with copper-clearing drug, and the result was compared with that of 30 healthy persons for control. The results showed that the Vocable IQ (VIQ), Performance IQ(PIQ) and Full IQ(FIQ) of HLD patients were markedly lower than that of control (P < 0.005), especially in visual space disorder, which indicated that the copper ion depositing in patient's brain not only damaged neuronic motorial functions but also produced a marked effect on the patient's intelligence. After treatment, the total intelligential level including VIQ, PIQ and FIQ has been raised, particularly in PIQ in which all scores were obviously increased (P < 0.001). It was also showed that the damage of intelligence in HLD patient became more serious as the course of disease was prolonged and the early treatment facilitated the IQ level to approach the normal criterion. It indicated that the treatment with combined therapy is effective to the intelligence and extrapyramidal symptoms in HLD patients.

Adolescent↗

An "eye" in the gut: the appendix as a sentinel sensory organ of the immune intelligence network.

Neural systems are the traditional model of intelligence. Their complex interconnected network of wired neurons acquires, processes, and responds to environmental cues. We propose that the immune system is a parallel system of intelligence in which the gut, including the appendix, plays a prominent role in data acquisition. The immune system is essentially a virtual unwired network of interacting cells that acquires, processes, and responds to environmental data. The data is typically acquired by antigen-presenting cells (APCs) that gather antigenic information from the environment. The APCs chemically digest large antigens and deconstruct them into smaller data packets for sampling by other cells. The gut performs the same function on a larger scale. Morsels of environmental content that enter the gut are sequentially deconstructed by physical and chemical digestion. In addition to providing nutrients, the componentized contents offer environmental data to APCs in mucosa-associated lymphoid tissues (MALT) that relay the sampled information to the immune intelligence network. In this framework, positioning of the appendix immediately after the ileocecal valve is strategic: it is ideally positioned to sample environmental data in its maximally deconstructed state after small bowel digestion. For single-celled organisms, digestion of the environment has been the primary way to sample the surroundings. Prior to the emergence of complex sensory systems such as the eye, even multi-cellular organisms may have relied heavily on digestion to acquire environmental information. While the relative value of immune intelligence has diminished since the emergence of neural intelligence, organisms still use information from both systems in integrated fashion to respond appropriately to ecologic opportunities and challenges. Appendicitis may represent a momentary maladaptation in the evolutionary transition of sensory leadership from the gut to the eye. Relationships between immune dysfunctions and cognition are explored.

Animals↗

Green plants as intelligent organisms.

Intelligent behaviour, even in humans, is an aspect of complex adaptive behaviour that provides a capacity for problem solving. This article assesses whether plants have a capacity to solve problems and, therefore, could be classified as intelligent organisms. The complex molecular network that is found in every plant cell and underpins plant behaviour is described. The problems that many plants face and that need solution are briefly outlined, and some of the kinds of behaviour used to solve these problems are discussed. A simple way of comparing plant intelligence between two genotypes is illustrated and some of the objections raised against the idea of plant intelligence are considered but discarded. It is concluded that plants exhibit the simple forms of behaviour that neuroscientists describe as basic intelligence.

Genotype↗

Subjective vs. objective intelligibility of sentences in listeners with hearing loss.

The relation between rated intelligibility and correct key word repetitions of sentences was examined in listeners with normal hearing and listeners with hearing loss. Ten lists of 10 CID sentences were arranged in two randomly ordered groups. Listeners were asked to complete two tasks: (1) rate the intelligibility of 50 sentences on a scale of 0 to 100%, and (2) repeat each of the 50 sentences, which were scored as the number of key words repeated correctly. Sentences were presented at five signal-to-noise ratios. The start level for sentence presentation was established using the method of adjustment and the Revised Speech Intelligibility Rating passages. Correlations of rated intelligibility and correct repetition were 0.85 for listeners with normal hearing and 0.86 for listeners with hearing loss. This study confirms the earlier work of Speaks, Parker, Harris, and Kuhl (1972), and the findings demonstrate that listeners with hearing loss preserve the ability to rate the intelligibility of speech.

Adolescent↗

[Self assessment and actual intelligibility of speech audiometry test material].

Self-estimated and measured intelligibility were compared using different instructions in speech audiometric tests. The results of 69 tested persons reveal that there exist speech levels in both test procedures where the intelligibility reaches 0% or 100%, respectively. In general, self-estimated intelligibility was significantly higher than real identification. Therefore, the self-estimation of intelligibility does not appear as an appropriate procedure to automated speech audiometry. The results are a speech audiometric equivalent of the subject's to have correctly understood speech in daily life in which in fact was misunderstood. Connections to central speech processing seem to be possible. Audiologists might be influenced by the effect of overestimation of speech intelligibility as well. However, preliminary investigations concerning pseudohypacusis show different results.

Adolescent↗