Adesão ao uso do Sistema de Microfone Remoto em estudantes com deficiência auditiva usuários de dispositivos auditivos

RESUMO Objetivo Identificar relações entre a utilização sistemática do Microfone Remoto (MR) em sala de aula de estudantes com deficiência auditiva e características das escolas e dos professores. Método Foram analisados 120 sujeitos, entre cinco e 17 anos, com deficiência auditiva que foram adaptados MR em um Serviço de Saúde credenciada pelo Sistema Único de Saúde (SUS). Também foram sujeitos, professores de usuários de MR. Realizou-se uma análise de prontuários e no momento que os sujeitos compareceram para acompanhamento foi realizado entrevista com os pais/responsáveis para caracterizar rotina de utilização do MR na escola. Foram realizados contatos telefônicos e visitas presenciais em algumas escolas. Resultados Quanto ao uso, observa-se que a maioria dos sujeitos utilizava o dispositivo na escola. Aqueles que não utilizavam involuntariamente e voluntariamente consistiu na minoria dos sujeitos. Houve uma similaridade no padrão do Speech Intelligibility Index -SII dos sujeitos que ‘usam’ e ‘não usam involuntariamente’ o MR. Houve diferença significativa entre o tipo de escola e o nível de escolaridade, a maioria dos sujeitos que frequentavam escola regular e estavam matriculados no ensino fundamental I tendem a usar mais o dispositivo. Conclusão A maioria dos sujeitos faz uso do MR na escola. O nível educacional do estudante também foi um fator que interferiu na adesão ao uso dos MR, com maior adesão em estudantes do Ensino Fundamental I. Os dados sugerem que a articulação entre serviço de saúde e escola favorece a utilização do MR, entretanto quando essa relação é intermediada pelos pais, outros fatores acabam interferindo no uso sistemático no cotidiano da escola.

Long-Term Average Speech Spectra and Dynamic Ranges of 17 Indian Languages

Purpose: In this work, we have determined the long-term average speech spectra (LTASS) and dynamic ranges (DR) of 17 Indian languages. This work is important because LTASS and DR are language-dependent functions used to fit hearing aids, calculate the Speech Intelligibility Index, and recognize speech automatically. Currently, LTASS and DR functions for English are used to fit hearing aids in India. Our work may help improve the performance of hearing aids in the Indian context. Method: Speech samples from native talkers were used as stimuli in this study. Each speech sample was initially cleaned for extraneous sounds and excessively long pauses. Next, LTASS and DR functions for each language were calculated for different frequency bands. Similar analysis was also performed for English for reference purposes. Two-way analysis of variance was also conducted to understand the effects of important parameters on LTASS and DR. Finally, a one-sample t test was conducted to assess the significance of important statistical attributes of our data. Results: We showed that LTASS and DR for Indian languages are 5–10 dB and 11 dB less than those for English. These differences may be due to lesser use rate of high-frequency dominant phonemes and preponderance of vowel-ending words in Indian languages. We also showed that LTASS and DR do not differ significantly across Indian languages. Hence, we propose a common LTASS and DR for Indian languages. Conclusions: We showed that differences in LTASS and DR for Indian languages vis-à-vis English are large and significant. Such differences may be attributed to phonetic and linguistic characteristics of Indian languages.

Factors Associated With Hearing Aid Wear Time in a Subset of U.S. Military Veterans: Tinnitus, the Presence of One or More Neurologic Conditions, and Unaided Speech Intelligibility Index

Purpose A retrospective analysis was conducted to explore how tinnitus, one or more neurologic conditions, unaided speech intelligibility index, and other comorbidities impact the average number of hours hearing aids are worn each day by U.S. Military Veterans. Method Medical records and a hearing aid database were queried to obtain information regarding active medical problems and average daily hearing aid wear time. Multiple linear regression was used to explore these relationships for 215 male Veterans whose records were available from 2009 to 2020. To be analyzed, Veterans must have possessed their hearing aid(s) for at least 3 consecutive months. Results An active problem of subjective tinnitus was associated with increased hearing aid wear time (positive association) and one or more active neurologic conditions were associated with decreased hearing aid wear time (negative association). A high unaided speech intelligibility index (greater access to speech sounds without hearing aids) was also associated with decreased hearing aid wear time (negative association). Conclusions There are many complex audiologic and medical concerns that may affect hearing aid wear time in U.S. Military Veterans. Therefore, the information from this study should be expanded on prospectively by further exploring these associations, and their severity, on hearing aid wear time. The information from this and future studies may lead to clinical recommendations with the goal of increasing daily hearing aid use in this and other populations.

Cross-language comparison of long-term average speech spectrum and dynamic range for three Indian languages and British English

Purpose: The Long-Term Average Speech Spectrum (LTASS) and Dynamic Range (DR) of speech strongly influence estimates of Speech Intelligibility Index (SII), gain and compression required for hearing aid fitting. It is also known that acoustic and linguistic characteristics of a language have a bearing on its LTASS and DR. Thus, there is a need to estimate LTASS and DR for Indian languages. The present work on three Indian languages fills this gap and contrasts LTASS and DR attributes of these languages against British English.Methods: For this purpose, LTASS and DR were measured for 21 one-third octave bands in the frequency range of 0.1 to 10 kHz for Hindi, Kannada, Indian English and British English.Results: Our work shows that the DR of Indian languages studied is 7-10 dB less relative to that of British English. We also report that LTASS levels for Indian languages are 7 dB lower relative to British English for frequencies above 1 kHz. Finally, we observed that LTASS and DR attributes across genders were more or less the same.Conclusions: Given the evidence presented in this work that LTASS and DR characteristics for Indian languages analyzed are markedly different than those for BE, there is a need to determine Indian language specific SII, as well as gain and compression parameters used in hearing aids.

An Archaeoacoustics Analysis of Cistercian Architecture: The Case of the Beaulieu Abbey

The Cistercian order is of acoustic interest because previous research has hypothesized that Cistercian architectural structures were designed for longer reverberation times in order to reinforce Gregorian chants. The presented study focused on an archaeoacacoustics analysis of the Cistercian Beaulieu Abbey (Hampshire, England, UK), using Geometrical Acoustics (GA) to recreate and investigate the acoustical properties of the original structure. To construct an acoustic model of the Abbey, the building’s dimensions and layout were retrieved from published archaeology research and comparison with equivalent structures. Absorption and scattering coefficients were assigned to emulate the original room surface materials’ acoustics properties. CATT-Acoustics was then used to perform the acoustics analysis of the simplified building structure. Shorter reverberation time (RTs) was generally observed at higher frequencies for all the simulated scenarios. Low speech intelligibility index (STI) and speech clarity (C50) values were observed across Abbey’s nave section. Despite limitations given by the impossibility to calibrate the model according to in situ measurements conducted in the original structure, the simulated acoustics performance suggested how the Abbey could have been designed to promote sacral music and chants, rather than preserve high speech intelligibility.

Binaural speech-to-noise loudness ratio at the speech reception threshold in vehicles

Traditional methods for predicting the intelligibility of speech in the presence of noise inside a vehicle, such as the Articulation Index (AI), the Speech Intelligibility Index (SII), and the Speech Transmission Index (STI), are not accurate, probably because they do not take binaural listening into account; the signals reaching the two ears can differ markedly depending on the positions of the talker and listener. We propose a new method for predicting the intelligibility of speech in a vehicle, based on the ratio of the binaural loudness of the speech to the binaural loudness of the noise, each calculated using the method specified in ISO 532-2 (2017). The method was found to give accurate predictions of the speech reception threshold (SRT) measured under a variety of conditions and for different positions of the talker and listener in a car. The typical error in the predicted SRT was 1.3 dB, which is markedly smaller than estimated using the SII and STI (2.0 dB and 2.1 dB, respectively).

Speech Intelligibility Analysis and Approximation to Room Parameters through the Internet of Things

In recent years, Wireless Acoustic Sensor Networks (WASN) have been widely applied to different acoustic fields in outdoor and indoor environments. Most of these applications are oriented to locate or identify sources and measure specific features of the environment involved. In this paper, we study the application of a WASN for room acoustic measurements. To evaluate the acoustic characteristics, a set of Raspberry Pi 3 (RPi) has been used. One is used to play different acoustic signals and four are used to record at different points in the room simultaneously. The signals are sent wirelessly to a computer connected to a server, where using MATLAB we calculate both the impulse response (IR), and different acoustic parameters, such as the Speech Intelligibility Index (SII). In this way, the evaluation of room acoustic parameters with asynchronous IR measurements two different applications has been explored. Finally, the network features have been evaluated to assess the effectiveness of this system.

Fit-to-Targets and Aided Speech Intelligibility Index Values for Hearing Aids Fitted to the DSL v5-Adult Prescription

Background Matching hearing aid output levels to prescribed targets is a component of preferred practice, yet recent normative data on appropriateness of fittings are lacking. Verification measures that assess closeness of fit-to-target include raw deviations from target, root-mean-squared-error (RMSE) deviations from target, and aided Speech Intelligibility Index (SII) values. Establishing normative ranges for these measures may help hearing professionals determine whether a patient's fit-to-targets and/or aided speech audibility is typical for his or her degree of hearing loss. Purpose This article aims to characterize the range of fit-to-target and the range of aided SII associated with hearing aid fittings using the Desired Sensation Level version 5.0 (DSL v5-adult) prescription with adults, considering also hearing aid style, venting, and audiometric characteristics. Research design A descriptive and correlational study of data collected from a retrospective chart review. Results Hearing aid fittings to 281 ears were compiled. The four-frequency average deviation from target (RMSE) was within ± 5 dB of target in 77% of fittings for mid-level speech. Deviation from targets increased with hearing loss, particularly when the loss is greater than 85 dB hearing level or if the loss was steeply sloping. Venting increased the deviation from targets in the low frequencies. Aided SII values strongly correlated with the participants' hearing thresholds. Clinical ranges for RMSE and aided SII were developed for characterization of fitting outcomes. Conclusion Fitting to DSL v5-adult targets was observed within ± 5 dB absolute deviation, or within 5 dB RMSE, on average for typical adult hearing aid fittings. Confidence intervals for deviation from target and aided SII are proposed.