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PubMed1997

Changes in speech intelligibility as a function of time and signal processing strategy for an Ineraid patient fitted with continuous interleaved sampling (CIS) processors.

OBJECTIVE: To assess changes in speech intelligibility as a function of signal processing strategy and as a function of time for one of the first two Ineraid patients in the United States fitted with a continuous interleaved sampling (CIS) signal processor. DESIGN: In Experiment 1, the patient was fitted with a CIS processor and measures of speech intelligibility were taken over a period of 4 mo. These data were compared with data collected with the Ineraid. In Experiment 2, three new signal processing strategies were tested. Measures of speech intelligibility were taken at fitting and after a week's use of the processor. In Experiment 3, the number of channels in the processor was reduced to 5, 4, and 3. Each processor was tested at fitting and after a week's use of the processor. RESULTS: In Experiment 1, immediately on fitting, the CIS processor produced better speech intelligibility for consonants, vowels, and the CID sentences than did the Ineraid. Performance improved over periods ranging from 1 to 4 mo depending on the test material. In Experiment 2, two processors produced significantly better speech intelligibility than did other processors. Most generally, performance dropped slightly when a new processor was fitted and then improved over the course of week. All of the processors produced better speech intelligibility than did the Ineraid. In Experiment 3, five channels allowed similar levels of performance as did six channels. The effect of four and three channels varied as a function of test material. Four CIS channels allowed better performance than did the four analogue channels of the Ineraid. CONCLUSIONS: We conclude 1) that CIS processors can provide much better speech intelligibility than can the analogue processor of the Ineraid; 2) that many CIS strategies, not just one, will produce better speech intelligibility than will the Ineraid; 3) that for this patient, five channels can allow as high a level of word intelligibility as can six channels; 4) that when the number of CIS and analogue channels are equated (at four), the CIS strategy provides better speech intelligibility than does the Ineraid; and 5) that speech intelligibility with CIS processors improves over periods as short as a week and as long as several months after fitting of the processor.

Aged↗
PubMed1994

A Revised Speech Intelligibility Rating (RSIR) test: listeners with normal hearing.

Two experiments were conducted to examine the intelligibility of 72 passages of connected discourse prepared by Cox and McDaniel in their development of the Speech Intelligibility Rating (SIR) test. Intelligibility was assessed with a method-of-adjustment (MOA) procedure in which listeners adjusted the level of a multi-talker babble until they could just understand 50% of a passage; the measure of intelligibility was the signal-to-babble ratio, dB S/B. The objective was to develop a Revised Speech Intelligibility Rating (RSIR) test that would comprise a large number of equivalent passages that produce reliable intelligibility measures. In experiment 1, the S/B ratio was based on the overall root-mean-square (rms) levels of speech and babble, as represented by the average level of frequent peaks observed on a VU meter. Across all 72 passages, mean intelligibility was -1.43 dB S/B, and the measure of intelligibility for 42 passages was within +/- 0.5 dB of the overall mean for all 72 passages. In experiment 2, the S/B ratio was based on long-term rms levels of speech and babble measured in 16 one-third-octave bands, with center frequencies from 160 to 5000 Hz. In an effort to achieve greater equivalence in intelligibility among passages, the overall rms level of each passage was attenuated by the difference between SB16-band for an individual passage and S/B16-band for a reference passage. Mean intelligibility across all 72 passages was -8.06 dB, and the measure of intelligibility was within +/- 0.5 dB of the overall mean for 64 of the 72 passages. For those 64 passages, the 95% critical difference for five MOAs was 0.72 dB, which corresponds to an estimated percentage critical difference of 10.8%.

Acoustic Stimulation↗
PubMed1992

Validity of Greenspan's models of adaptive and social intelligence.

Study 1 assessed the construct validity of Greenspan's 1979 and 1981 models of adaptive and social intelligence. Seventy-five adolescents with mental retardation completed four measures of conceptual intelligence, a general measure of adaptive behavior (practical intelligence), and seven measures of social intelligence. A factor analysis of all measures yielded three factors that were obliquely rotated and labelled Practical-Interpersonal Competence (defined by a subset of social intelligence and adaptive behavior measures). Verbal Intelligence, and Accuracy of Inference. An analysis of the seven measures of social intelligence found no evidence to support the hierarchical organization of variables that is proposed in Greenspan's model of social intelligence. The criterion validity of the Practical-Interpersonal Competence construct identified in this study was then assessed in Study 2 (N = 20). Factor scores were calculated from nine measures that were selected to represent the Practical-Interpersonal Competence, Verbal Intelligence, and Accuracy of Inference factors, and correlated with three criterion measures of practical and interpersonal competence. Two of the three criterion measures validated both the Practical-Interpersonal Competence and Verbal Intelligence Factor scores but did not discriminate between the two. The criterion validity of the Practical-Interpersonal Competence construct, therefore, has yet to be established.

Activities of Daily Living↗
PubMed2000

Domain-specific knowledge as the "dark matter" of adult intelligence: Gf/Gc, personality and interest correlates.

An enduring controversy in intelligence theory and assessment, the argument that middle-aged adults are, on average, less intelligent than young adults, is addressed in this study. A sample of 228 educated adults between ages 21 and 62 years was given an array of tests that focused on a broad assessment of intelligence-as-knowledge, traditional estimates of fluid intelligence (Gf) and crystallized intelligence (Gc), personality, and interests. The results indicate that middle-aged adults are more knowledgeable in many domains, compared with younger adults. A coherent pattern of ability, personality, and interest relations is found. The results are consistent with a developmental perspective of intelligence that includes both traditional ability and non-ability determinants of intelligence during adulthood. A reassessment of the nature of intelligence in adulthood is provided, in the context of a lifelong learning and investment model, called PPIK, for intelligence-as-Process, Personality, Interests, and intelligence-as-Knowledge (Ackerman, 1996).

Adult↗
PubMed1997

Does intelligence account for the link between maternal literacy and child survival?

The strong and consistent correlation between maternal education and child health is now well known, and numerous studies have shown that wealth and income cannot explain the link. Policy-makers have therefore assumed that the relationship is causal and explicitly advocate schooling as a child health intervention. However, there are other factors which could account for the apparent effect of maternal education on child morbidity and mortality, one of which is intelligence. This paper examines the effect of maternal intelligence on child health and looks at the degree to which it can explain the literacy associations with child survival and risk of malnutrition. The data are from a retrospective cohort study of 1294 mothers and their 7475 offspring, of whom 454 were women who had learned to read and write as adults in Nicaragua's literacy programme, 457 were illiterate, and 383 had become literate as young girls attending school. The women's intelligence was tested using Raven's Coloured Progressive Matrices. Acquisition of literacy was strongly related to intelligence. Statistically significant associations with maternal literacy were found for under five mortality, infant mortality, and the risk of low mid-upper-arm circumference (MUAC) for age, before and after controlling for a wide range of socio-economic factors. Under five, child (one to four years), infant and post-neonatal mortality plus the risk of low height for age were significantly correlated with intelligence, but only with infant and under mortality rates did the association remain significant after controlling for socio-economic factors. A significant interaction between intelligence and literacy for under five mortality was due to literacy having a strong effect in the women of low intelligence, and a negligible effect among those of high intelligence. This study provides evidence that intelligence is an important determinant of child health among the illiterate, and that education may have the greatest impact on child health for mothers of relatively low intelligence.

Adult↗
PubMed2014

Genetics and intelligence differences: five special findings.

Intelligence is a core construct in differential psychology and behavioural genetics, and should be so in cognitive neuroscience. It is one of the best predictors of important life outcomes such as education, occupation, mental and physical health and illness, and mortality. Intelligence is one of the most heritable behavioural traits. Here, we highlight five genetic findings that are special to intelligence differences and that have important implications for its genetic architecture and for gene-hunting expeditions. (i) The heritability of intelligence increases from about 20% in infancy to perhaps 80% in later adulthood. (ii) Intelligence captures genetic effects on diverse cognitive and learning abilities, which correlate phenotypically about 0.30 on average but correlate genetically about 0.60 or higher. (iii) Assortative mating is greater for intelligence (spouse correlations ~0.40) than for other behavioural traits such as personality and psychopathology (~0.10) or physical traits such as height and weight (~0.20). Assortative mating pumps additive genetic variance into the population every generation, contributing to the high narrow heritability (additive genetic variance) of intelligence. (iv) Unlike psychiatric disorders, intelligence is normally distributed with a positive end of exceptional performance that is a model for 'positive genetics'. (v) Intelligence is associated with education and social class and broadens the causal perspectives on how these three inter-correlated variables contribute to social mobility, and health, illness and mortality differences. These five findings arose primarily from twin studies. They are being confirmed by the first new quantitative genetic technique in a century-Genome-wide Complex Trait Analysis (GCTA)-which estimates genetic influence using genome-wide genotypes in large samples of unrelated individuals. Comparing GCTA results to the results of twin studies reveals important insights into the genetic architecture of intelligence that are relevant to attempts to narrow the 'missing heritability' gap.

Genetic Predisposition to Disease↗
PubMed1983

Contextual effects in the measurement of hearing-impaired speakers' intelligibility.

Previous research has indicated that hearing-impaired speakers' intelligibility scores are better when sentences are used than when word lists are used as speech material in word identification tests. The speech intelligibility of 20 hearing-impaired speakers was measured with word identification tests using isolated words (W-22 monosyllables) and words in sentence context (CID sentences). Analysis of individual speakers' intelligibility data revealed that sentence intelligibility scores were higher than word intelligibility scores only for the better speakers and that no differences were apparent between sentence and single-word intelligibility for the poorer speakers. These findings agree with the results of research with normal speech degraded in intelligibility by noise or filtering and indicate that an interaction may exist between context and overall intelligibility in which only speech that has a certain degree of overall intelligibility may show further intelligibility improvement with increased contextual clues.

Adult↗
PubMed1978

[Drug-related increase of intelligence level. Considerations and a double-blind-study with flunarizin (sibelium) (author's transl)].

Fluid and crystallized intelligence are two second-order factors that are differentiated within the intelligence model by R.B.Cattell. Fluid intelligence is considered to be a biological capacity relatively independent of environmental influences. Crystallized intelligence, however, is connected to accultured skills and knowledge. The capacity of fluid intelligence decreases by non-optimal states of general activation, functional psychosis (physically founded reversible psychosis) or defect-syndromes (physically founded irreversible psychosis). Fluid intelligence can increase by drugs only, if the functional psychosis is diminished or if the state of activation is optimized. There is no drug-effect on crystallized intelligence but an indirect influence via fluid intelligence. The hypothesis of the drug-related increase of fluid intelligence as a correlate to the diminuition accompanying the functional psychosis should be confirmed by a clinical experiment. Therefore two samples of 20 patients each with a functional psychosis following cerebral blood-flow disturbances received flunarizine (Sibelium) and placebo respectively during a double-blind study lasting 12 weeks. Under the activ substance to be applied for amelioration of peripheral and central blood-flow the measured values of fluid intelligence increased six weeks after starting therapy, while there were no changes under placebo. In the end of the investigation the measured intellectual capacity had increased by 50 per cent under flunarizine.

Aged↗
PubMed1987

Intelligibility of average talkers in typical listening environments.

Intelligibility of conversationally produced speech for normal hearing listeners was studied for three male and three female talkers. Four typical listening environments were used. These simulated a quiet living room, a classroom, and social events in two settings with different reverberation characteristics. For each talker, overall intelligibility and intelligibility for vowels, consonant voicing, consonant continuance, and consonant place were quantified using the speech pattern contrast (SPAC) test. Results indicated that significant intelligibility differences are observed among normal talkers even in listening environments that permit essentially full intelligibility for everyday conversations. On the whole, talkers maintained their relative intelligibility across the four environments, although there was one exception which suggested that some voices may be particularly susceptible to degradation due to reverberation. Consonant place was the most poorly perceived feature, followed by continuance, voicing, and vowel intelligibility. However, there were numerous significant interactions between talkers and speech features, indicating that a talker of average overall intelligibility may produce certain speech features with intelligibility that is considerably higher or lower than average. Neither long-term rms speech spectrum nor articulation rate was found to be an adequate single criterion for selecting a talker of average intelligibility. Ultimately, an average talker was chosen on the basis of four speech contrasts: initial consonant place, and final consonant place, voicing, and continuance.

Adult↗
PubMed1998

Speech intelligibility in children after cochlear implantation.

OBJECTIVE: This study aimed to evaluate the long-term speech intelligibility of young deaf children after cochlear implantation. STUDY DESIGN: The study design was a prospective study following a large group of consecutively implanted deaf children with up to 5 years' cochlear implant use. SETTING: The study was conducted at a pediatric tertiary referral center for cochlear implantation. PATIENTS: All children in the study were congenitally deaf or deafened before 3 years of age. They each received a Nucleus multichannel cochlear implant before the age of 7 years. Eighty-four subjects were evaluated up to 5 years after cochlear implantation. INTERVENTION: Cochlear implantation followed by an intensive program of local and center-based assessment and rehabilitation was performed. MAIN OUTCOME MEASURES: A speech intelligibility rating scale evaluated the spontaneous speech of each child before and at yearly intervals for 5 years after implantation. RESULTS: After cochlear implantation, the difference between the speech intelligibility ratings increased significantly each year for 4 years (Mann-Whitney U-test). For the first 2 years, the average rating remained "prerecognizable words" or "unintelligible speech." It was not until the 3-year interval that the average intelligibility rating became category 3 (intelligible speech if someone concentrates and lip-reads). At the 4-year interval, 85% of children had some intelligible connected speech. This improvement continued, and at the 5-year interval, the median speech intelligibility was category 4 (intelligible speech to a listener with a little experience of deaf speech) and the mode was category 5 (intelligible speech to all listeners). CONCLUSION: Congenital and prelingually deaf children gradually develop intelligible speech that does not plateau 5 years after implantation.

Cochlear Implantation↗
PubMed1997

Cognitive deficits in the elderly: interactive theories and a study of environmental effects on psychometric intelligence.

Problems related to psychometric measures of intelligence are discussed with regard to both the general characteristics and metric properties (validity, reliability and sensibility) of mental tests, and interindividual differences (cultural background, education, life contents and age-cohorts). Currently used standard intelligence tests explore the structure of intelligence only in part, so a distinction must be made between true actual intelligence, potential inheritance of intelligence, and psychometrical or scored intelligence. The correct use of intelligence testing, however, does provide some relevant and objective information regarding the evolution of cognitive structure during adulthood and in relationship to aging. Cognitive performance in the elderly follows a downward curve that is not explained as a result of aging on physiological responses (i.e., reaction time delay, signal-noise ratio in the CNS, degenerative loss of cortical cells, etc.). Biologically based theories of intelligence cannot explain the large individual differences in cognitive abilities observed in subjects who have very similar physical characteristics. Cognitive approaches to intelligence enable us to better understand the causal factors of the cognitive deficits in the elderly, and an interactive model permits us to fully integrate both the individual differences in cognitive abilities and the large consistency in performances. We compared the cognitive performances of two groups of elderly subjects, ranging in age from 65 to 97 years; we observed some statistically significant effects on cognitive deficit that could be explained as fully deriving from emotional and extra-cognitive responses to environmental changes.

Aged↗
PubMed2026

Artificial Intelligence for Colorectal Surgeons-Part II: Research Applications, Challenges in Adoption, and Practical Resources.

BACKGROUND: This is part II of a 2-part series examining artificial intelligence in colorectal surgery. Part I established foundational concepts and clinical applications. Implementation, however, requires understanding research methodologies, available resources, and the specific challenges currently limiting widespread adoption. These topics are the focus of part II. OBJECTIVE: To examine artificial intelligence's transformation of surgical research, provide practical implementation resources, address adoption challenges, and explore future directions in colorectal surgery. METHODS: Comprehensive literature review focusing on artificial intelligence research methodology, implementation barriers, educational resources, and emerging technologies relevant to colorectal surgeons. RESULTS: Artificial intelligence streamlines clinical trial design through predictive modeling and natural language processing, reducing enrollment challenges that contribute to failed or inadequate trial accrual. Machine learning enables heterogeneity analysis within clinical trials, identifying treatment-responsive subgroups. Foundation models unlock analysis of unstructured electronic health record data at scale. Professional societies and universities offer specialized artificial intelligence education programs, with open-access data sets facilitating research participation. However, implementation faces multifaceted challenges: technical infrastructure demands, with real-time processing requiring dedicated graphics processing unit clusters; regulatory frameworks struggling with continuously evolving algorithms; undefined liability distribution for artificial intelligence-assisted decisions; algorithmic bias risking health care disparities; and the "black box" problem limiting clinical trust. Economic barriers include substantial initial costs without clear reimbursement pathways. Future directions include multimodal artificial intelligence integrating imaging, genomics, and histopathology; cognitive robotic systems with real-time decision support; digital twin technology for patient-specific surgical simulation; and global surgical artificial intelligence networks enabling distributed learning across institutions. CONCLUSIONS: Although artificial intelligence offers transformative potential for colorectal surgery research and practice, successful implementation requires addressing technical, regulatory, ethical, and economic challenges. The surgeon's evolving role demands both traditional expertise and computational fluency. Future advances in multimodal integration, autonomous systems, and global collaboration will fundamentally reshape surgical practice but will require thoughtful implementation prioritizing patient benefit and clinical value.

Humans↗
PubMed1998

Lower precombat intelligence is a risk factor for posttraumatic stress disorder.

The authors examined the relation between intelligence and posttraumatic stress disorder (PTSD) by studying the association among precombat intelligence, current intelligence, and self-reported PTSD symptoms. Military aptitude test results were obtained in 59 PTSD and 31 non-PTSD Vietnam combat veterans who had undergone a psychodiagnostic interview and current intelligence testing. People with lower precombat intelligence were more likely to develop PTSD symptoms as assessed by the Clinician-Administered PTSD Scale even after adjustment for extent of combat exposure. The association between current intelligence and PTSD was no longer significant after adjusting for precombat intelligence. These results suggest that lower pretrauma intelligence increases risk for developing PTSD symptoms, not that PTSD lowers performance on intelligence tests.

Adult↗
PubMed1997

Important considerations about nursing intelligence and information systems.

This discussion focuses on the importance of nursing intelligence to the organisation, and the nurses' role in gathering and utilising such intelligence. Deliberations with professional colleagues suggest that intelligence can only be utilised fully when the information systems are developed in such a way as to meet the needs of the people who manage and provide nursing care at the consumer level; that is, the activity of nursing itself. If accommodation is made for the recycling of nursing intelligence, there would be a support and furtherance of 'professional' intelligence. Two main issues emerge: how can nurses support the needs of management to optimise intelligence input? how can organisations optimise the contribution of nurses to its information processes and interpretation of intelligence? The expansion of this 'professional' intelligence would promote a generation of constantly reviewed data, offering a quality approach to nursing activities and an organisation's intelligence system.

Humans↗
PubMed2000

Intelligibility of bandpass speech: effects of truncation or removal of transition bands.

An intelligibility of over 90% was reported for keywords in "everyday" 1/3-octave sentences centered on 1500 Hz and having steep transition band slopes of 100 dB/octave [Warren et al., Percept. Psychophys. 57, 175-182 (1995)]. A subsequent study by Warren and Bashford [J. Acoust. Soc. Am. 106, L47-L52 (1999)] found that it was not the 1/3-octave passband, but the transition bands that were chiefly responsible for this high intelligibility: When the passband and transition bands were segregated using filter slopes of 1000 dB/octave, the isolated passband had an intelligibility score of only 24%, while the pair of transition bands had a score of over 80%. In the present study, experiment 1 examined the distribution of information along the transition bands' slopes by truncation at graded downpoints: Truncation at downpoints of 40 dB or more produced no significant change in intelligibility. Experiment 2 closed the gap separating the transition bands so that their slopes intersected at 1500 Hz. This triangular band had a negligible passband (as defined conventionally by 3-dB downpoints) and an intelligibility score of 60%; truncation at downpoints of 50 dB or more produced no significant change in intelligibility. Experiment 3 determined the intelligibilities of rectangular bands (1000-dB/octave slopes) centered on 1500 Hz. Their bandwidths ranged from 3 to 12 semitones in 1-semitone steps, resulting in intelligibility scores increasing monotonically from 14% to 94%. Calculations based upon experiments 2 and 3 showed that the triangular band truncated at 30-dB downpoints had half the intelligibility of a rectangular band having the same frequency range.

Humans↗
PubMed1993

Giftedness and intelligence: one and the same?

Giftedness, like other rare phenomena, is often explained by principles beyond those used to explain the normal variation of mental ability. Before parsimony is abandoned and additional principles are invoked, the following five points should be considered. (1) Gifted samples often have restricted ranges, reducing correlations with intelligence and making standard tests insensitive to relationships that may exist. Though this is an obvious point, it is frequently overlooked. (2) Theories of intelligence that view g as a single global ability are inadequate. Intelligence is better seen as a complex system of independent but interrelated parts. Measures of g are global ratings of system functioning, but global measures do not explain mental ability in terms of either more basic cognitive abilities or underlying brain functioning. More basic explanations of intelligence are essential for understanding giftedness. (3) Correlations among intellectual abilities are lowest for persons of high intelligence. Specific skills will be less highly correlated among the gifted. (4) Heritability of cognitive abilities may differ across the intelligence range, though evidence on this point is mixed. (5) Achievement and intelligence are different things. Discrepancies between intelligence and achievement are due to environment. Such a finding is consistent with the idiosyncratic development of giftedness.

Adolescent↗
PubMed2026

How AI-supported intelligent systems support infection prevention and control training in healthcare: A systematic review of educational functions and outcomes.

AIMS: Artificial intelligence (AI)-supported intelligent systems have been increasingly incorporated into infection prevention and control (IPC) education and training, primarily to support the monitoring of observable behaviors and the provision of feedback. However, existing evidence has focused largely on short-term compliance outcomes, with limited synthesis of the educational role of AI-supported intelligent systems in supporting sustained IPC competence. This systematic review examined how AI-supported intelligent systems have been designed and used to support IPC education and training, with a focus on system characteristics, educational functions, and reported outcomes. DESIGN: A systematic literature search was conducted across the PubMed/MEDLINE, Embase, Cochrane, and CINAHL databases. DATA SOURCES: A total of 18 studies met the inclusion criteria. Findings were qualitatively synthesized according to system design characteristics, educational functions, and outcome domains. REVIEW METHODS: Methodological quality was appraised using the Mixed Methods Appraisal Tool. RESULTS: Most AI-supported intelligent systems focused on hand hygiene and relied on fully automated monitoring systems to capture behaviors and provide performance feedback. Educational functions were predominantly limited to performance assessment, automated feedback, and reminders. Outcomes were mainly measured using compliance or performance metrics, whereas sustained behavioral change and decision quality were rarely assessed. CONCLUSIONS: AI-supported intelligent systems have been used primarily to reinforce short-term IPC performance and compliance. However, their current applications for supporting sustained competence over time remain limited. The findings of this review suggest that AI-supported intelligent systems may serve as maintenance-oriented educational support by extending learning beyond initial instruction through repeated practice and feedback. Future research should prioritize outcome measures that capture the durability of performance and decision-making processes to better align AI-supported intelligent systems used in IPC education and training with the educational demands of clinical practice.

Humans↗
PubMed1997

Relation between fluid intelligence and frontal lobe functioning in older adults.

This study reports the relations among normal aging, intelligence, and frontal lobe functioning. Intelligence tasks and frontal lobe functioning tasks were administered to 107 adults from two age groups (25 to 46 years and 70 to 99 years). Intelligence measures were assessed with two crystallized tests (WAIS Vocabulary and Information subtests), one fluid intelligence test (Cattell's Matrices), and one mixed, crystallized and fluid test (WAIS Similarities subtest). Frontal functioning was assessed using the Wisconsin Card Sorting Test (WCST) and two tests of verbal fluency. Significant age differences in favor of the young were found on the two intelligence tests with a fluid component and on all measures of frontal lobe functioning. Correlational analyses examining the relationship of intelligence measures to frontal variables indicated that these last measures were significantly correlated with only fluid intelligence tests in the elderly group. The implications for the relations among aging, fluid intelligence, and frontal lobe functioning are discussed.

Adult↗