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At least 19 recordsLinked to original sources
PubMed1999

The effects of midazolam on pure tone audiometry, speech audiometry, and audiological reaction times in human volunteers.

UNLABELLED: Auditory evoked potentials are effected by benzodiazepines, as is cortical processing of auditory stimuli. The effect of benzodiazepines on auditory sensitivity has not, however, been studied. We designed the present study to investigate the effect of sedative doses of midazolam on pure tone and speech audiometry and on audiological reaction times in healthy volunteers. Thirty volunteers underwent baseline audiological assessment for pure tones and speech and had their audiological reaction times measured at 10 and 50 dB above their threshold hearing level at a frequency of 1 kHz. Subjects were then randomly assigned to one of two groups. Group A (n = 15) received midazolam (0.04 mg/kg) IV, and Group B (n = 15) received a similar volume of placebo IV. The audiological tests were repeated 5 min later, and performance was compared with baseline data. Scheffé post hoc tests were used to assess the significance of changes in each group. There was no pre- to posttest change in audiological performance in either the placebo group (P = 0.194) or the midazolam group (P = 0.957). Speech audiometry performance was likewise unaffected by midazolam (P = 0.154). Reaction time at the 10-dB and 50-dB sensation levels were both significantly prolonged after midazolam administration (P = 0.023 and P = 0.012, respectively). In this study, we demonstrate that sedation with midazolam (0.04 mg/kg) does not alter pure tone or speech audiometric thresholds, but it does significantly delay the reaction time to auditory stimuli. Medical practitioners should advise midazolam-sedated patients of their impaired reaction to auditory warning signals (e.g., traffic and car horns) as part of the day-ward discharge recommendations. IMPLICATIONS: In this study, we demonstrate that sedation of healthy volunteers with the benzodiazepine midazolam, in the common clinical dosage, does not affect their hearing capability as measured by pure tone and speech audiometry. However, one's ability to react to auditory signals is impaired after midazolam, which may have implications for patients after day-case procedures.

Adult↗
PubMed1991

The development of Malay speech audiometry.

Speech audiometry is a method for assessing the ability of the auditory system using speech sounds as stimuli. A list of phonemically balanced bisyllabic consonant-vowel-consonant-vowel (c-v-c-v) Malay words was produced. All the bisyllabic words (c-v-c-v) thought to be commonly used in everyday conversations were listed from the Dewan Bahasa dictionary and their suitability assessed. The chosen words were divided into 25 groups containing 10 words each. The list was then recorded by a professional male newscaster in a sound proof studio. A normal speech audiometry curve was obtained by testing 60 normal hearing subjects using the prerecorded speech material. The result of the study showed that the normal Malay speech audiometry curve was comparable to those of English and Arabic speech audiometry, in which it was sigmoidal with the optimum discrimination score of 40 dB and half peak level of 17.5 dB.

Audiometry, Speech↗
PubMed1996

[Determination of hearing loss and disability assessment from pure tone audiometry and speech audiometry in occupational noise-induced hearing loss].

BACKGROUND: Occupational hearing loss is the most accepted occupational disease. The assessment should be conducted in accordance with the "Königsteiner Merkblatt" which appeared in the fourth completely revised edition in 1996. Determination of degree of disability is mainly based on speech audiometry. Adapted complete word understanding is most important. In special cases only sinus-tone audiometry is used for the assessment. Knowledge about common and uncommon schedules is important for the assessment. METHODS AND PATIENTS: The results of 200 audio metrical examinations in case of professional hearing loss have been evaluated with eight different schedules. Four of these schedules for determination of hearing loss are based on sinus tone audiometry. Boenninghaus and Röser's schedule uses speech audiometry under consideration of simple and adapted complete word understanding. Lehnhardt's schedule uses sinus-tone and speech audiometry for determination of degree of disability. Further on it is shown that the complete word understanding is the most important parameter for the quantitative determination of permanent noise induced hearing loss. It is even possible to determine the degree of disablement only using the complete word understanding. For all cases, the eight schedules were used to calculate the average hearing loss and the average degree of disability. Further on it was shown in how many cases-according to each schedule-a degree of disability of less than 10%, 10 to 15%, 20%, and more than 20% was calculated. RESULTS AND CONCLUSION: Comparing these eight schedules, it was shown that the use of adaptec complete word understanding increases the number of cases with 10% and 20% degree of disability. Using Röser's schedule of 1980, the number of minimal handicap increases. With the new "Königsteiner Merkblatt" a 10% degree of disability is reached more easily than it was previously.

Audiometry, Pure-Tone↗
PubMed1993

[Relation between pure tone audiometry and speech audiometry in various hearing-impaired listeners].

Pure tone audiometry and speech audiometry were performed in 30 normal-hearing listeners and 75 listeners suffering from conductive, sensorineural hearing loss or presbyacusia. The results were as follows: (1) For listeners with conductive or mild sensorineural hearing loss, or with mild presbyacusia, the difference between speech reception thresholds (SRT) and pure tone averages (PTA) was not significant (P > 0.05). (2) For listeners with profound sensorineural hearing loss or presbyacusia, the SRT were about 10 dB greater than the PTA. (3) The maximum discrimination score (PBXax) measurements should be made at a comfortable intensity for each listener, some 30 dB above the SRT in general. We conclude that the PTA can replace the SRT directly for the listeners described in (1) or that the PTA, by adding 10 dB, can also be used as a replacement of the SRT for the listeners described in (2).

Adolescent↗
PubMedDate not supplied

Adaptive speech audiometry and speech discrimination space in hearing-impaired subjects.

Phonemic discrimination difficulties in a small group of patients with sensorineural hearing loss have been mapped using a new form of speech audiometry which is au automated, adaptive, audio-visual system, using a binary forced-choice response mode. Phonemic confusion patterns have been displayed in directed graph form and the cases presented here have been chosen to illustrate the potentialities of the test method for obtaining detailed information on the fine structure of speech reception in these patients.

Aged↗
PubMed1998

[Speech audiometry using the American Word Lists for Japanese subjects with normal hearing].

The characteristics of listening to English words for Japanese people were studied in ten normal hearing subjects who had taken English classes to the level of college graduates and had opportunities to learn English continuously. Following pure tone audiometry, speech audiometry was performed using the Central Institute for the Deaf (CID) W-1 and W-22 word lists for English and the 67-S word lists for Japanese. The speech reception thresholds (SRTs) for the CID W-1 lists were significantly higher than average pure tone threshold (PTT), although the SRTs for the 67-S lists were equal to the average PTT. The difference in average SRT between the CID W-1 lists and the 67-S lists was about 15dB, which is statistically significant. The speech discrimination rate for the CID W-22 lists ranged from 78 to 100 percent with an average of 89.5 percent, while all subjects achieved the discrimination rate of 100 percent for the 67-S lists. Analysis with transient matrices of the perceived words demonstrated that the articulation rates were below 90 percent for the consonants /m/, /n/, /p/ and /delta/ . The observed variation in the speech discrimination score and the pattern of confusion among the subjects was assumed to be much more pronounced in noisy conditions.

Adult↗
PubMed2004

[Speech perception. The basis for speech audiometry examinations].

Speech recognition measurements are widely used in clinical applications. Usually, either a speech recognition threshold is determined, being defined as the speech level or signal-to-noise ratio that enables the patient to understand 50% of the target words or target sentences. In other cases, a discrimination curve, describing speech recognition as function of the presentation level, is recorded. For the interpretation of these findings, it is important to keep in mind that speech perception is affected by many interacting sensory, perceptual and cognitive processes.Here, our current knowledge of these processes is outlined and theories that model speech perception in general are briefly reviewed.

Audiometry, Speech↗
PubMed1979

Speech audiometry by a speech synthesizer. I. A preliminary report.

A preliminary report on speech test results with a portable, text-to-speech synthesizer is presented. The differentiation scores achieved at speed 80 words/min vary. So far the best mean differentiation scores in normal material are 75%. The increase of the presentation level improves the differentiation score, as does the decrease of word speed and training. The future and present uses of this system are discussed. These include: devices for the handicapped, e.g. to produce speech for the mute, man-machine communication through speech in industry control, data processing systems and uses in audiological diagnostics. The study is continued.

Adult↗
PubMed1978

Speech audiometry.

Two aspects of speech audiometry, namely, the speech reception threshold and the speech discrimination scores, have been discussed in the light of their development and present day administration. Evidence was presented to forego the concept of phonetic balance in discrimination test messages for the preferable attributes of familiarity and equated list difficulty. Campbell's redistribution of the W-22 word lists was proposed as an available solution to one of these parameters. Some delineation of the single "maximal" discrimination score's relation to the prediction of the hearing impaired individual's ability to understand continuous discourse was offered. Diagnostic implications of speech audiometry were not treated.

Audiometry↗
PubMed2002

[Utility and limitations of speech audiometry testing in the detection of occupational noise-induced hearing loss: a comparative study in two groups in the hospital setting].

OBJECTIVE: The objective of this study is the evaluation of the calculation of 100% intelligibility threshold and noise resistance index as a monitoring test in populations exposed to noise in their work environment. METHOD: This is a retrospective exposed-unexposed study as the exposure to the risk factors took place before the survey. The exposed subjects were chosen in principle on sonometric criteria and the unexposed subjects among employees whom we believe were not exposed. The exploration method included history taking, clinical examination, free field audiometry and speech audiometry with background noise. RESULTS: The exposed population has a 100% intelligibility threshold on average equal to 29.69 dB, significantly higher than in the unexposed population where it is calculated at 25.30 dB (p = 0.07). The noise resistance index varies with age (p = 0.04). CONCLUSION: Our study shows the existence of a significant hearing difference between two populations with different noise exposure. It demonstrates a relationship between a hearing loss risk factor such as noise and the occurrence of the "professional hearing loss" disorder. The calculation of the 100% intelligibility index and the noise resistance index advantageously complements tonal audiometry. These procedures provide a better approach to the social impact of hearing loss but were not useful in the detection of hearing loss.

Adult↗
PubMed1992

[A recommendation for calibration and choice of masking noises used in speech audiometry].

Tests to evaluate speech recognition ability against background noise have still not been adequately standardized. This is due in part to the lack of a calibration procedure for the various noises used in testing. In the present study, a psychoacoustic method for the calibration of fluctuating background noises was evaluated. Three types of noise were used: babble noise, stationary noise and fluctuating speech simulating noise in accordance with (CCITT Rec. G 227). Following calibration, the masking effect of each type of noise was evaluated. Results indicated that stationary and fluctuating speech simulating noise had similar effect on speech understanding ability. The steepness of the intensity-intelligibility function was significantly greater using babble noise as compared with stationary or fluctuating speech simulating noise. Babble noise was well accepted by our subjects. However, since its measurement can be calibrated, stationary speech simulating noise may also be used in speech audiometry.

Adult↗
PubMed1994

[Study on the use of multiple choice type test of speech audiometry in Shanghai area].

Using the speech audiometry material worked out by Sheng Ye et al, we performed multiple choice tests on 20 medical students with normal hearing in an attempt to prove the practicability of this material in Shanghai dialect area. The results showed that the equilibrium of the standard Chinese pronunciation word-lists used in Shanghai is not as good as in Beijing. Equilibrium calibration is necessary for Shanghai subjects. Meanwhile, the educational level and psychological state of the subjects and environment of the test may affect the results of the test. Thus a detailed explanation of this method and a pretest with exercise word-list are very important. The results indicate that multiple choice type test of speech audiometry is applicable to the comparison of the hearing level of the same subject and is useful in hearing-aid fitting.

Adult↗
PubMed1991

[Hearing loss among premature and full-term infants in Rinköbing county. Results of tone and speech audiometry].

A material of 101 out of 111 premature infants admitted with gestational ages less than or equal to 35 weeks and birth weights less than or equal to 2,000 g to the Paediatric Department, Herning Central Hospital during the years 1977-1980 and 101 infants born at term and matched for age and sex were investigated with pure-tone audiometry in quiet surroundings and speech-audiometry in noisy surroundings in the Ringkøbing County Audiological Department in Holstebro. Where all frequencies were concerned, we found slightly more children from the premature group with hearing thresholds greater than 15 dB HL. One premature child had been equipped with a hearing aid (HA) at the age of 6 1/2 years on account of a hearing threshold in the best ear of 55 dB HL for all frequencies. Two children in the premature group had unrecognized hearing loss in the best ear between 30-40 dB HL for the average of the frequencies 500, 1,000 and 2,000 Hz. One of these children was equipped with a hearing aid. None of the children in the control group had hearing loss justifying a hearing aid. Good agreement was found between speech audiometry in noisy surroundings carried out with the Danish test material "Dantale" and pure-tone audiometry. In this group, speech-audiometry did not provide further information as compared with pure-tone audiometry. Although only few children with severe hearing defects were found, it is important that these are detected as soon as possible in view of their intellectual development. Premature infants constitute a risk group for defective hearing.

Audiometry, Pure-Tone↗