Speech and Hearing Science Commons^™

Academic Achievement Of Children And Adolescents With High-Functioning Autism Spectrum Disorder With In-Depth Focus On Written Expression, Heather M. Brown

Electronic Thesis and Dissertation Repository

The goal of this research was to identify areas of strength and need in the academic abilities of students with high functioning autism spectrum disorder (HFASD).

Three studies were undertaken: 1) six meta-analyses investigated whether nonverbal IQ was in accordance with academic achievement scores in the areas of reading, writing, and math for students with HFASD; 2) the narrative writing skills of students with HFASD were examined in order to describe the ways their writing may differ from their typically developing (TD) peers; and 3) the persuasive writing of students with HFASD was examined to determine whether their texts resembled …

A Comunicação Da Equipe De Enfermagem Com O Paciente Em Cuidados Paliativos; The Communication Of The Nursing Team With Patients In Palliative Care, Everton Fernando Alves

Everton Fernando Alves

The article consists of a contextualized reflection on the communication in palliative care with the purpose of explaining strategies used for effective communication among the nursing, terminally ill and his family. In that sense, it was observed that for the nurse to assist the terminally ill is a difficult task, which raises sensation of sadness, frustration, impotence and even failure in the rendered attendance. This way, many professionals use denial, escaping, and the apparent coldness as defense mechanisms to cope with situation. Throughout this discussion are exposed some aspects that enable developing empathic communication skills, perceived as a task that …

Hearing-Aid Safety: A Comparison Of Estimated Threshold Shifts For Gains Recommended By Nal-Nl2 And Dsl M[I/O] Prescriptions For Children, Teresa Y. C. Ching, Earl E. Johnson, Mark Seeto, John H. Macrae

ETSU Faculty Works

Objective: To investigate the predicted threshold shift associated with the use of nonlinear hearing aids fitted to the NAL-NL2 or the DSL m[i/o] prescription for children with the same audiograms. For medium and high input levels, we asked: (1) How does predicted asymptotic threshold shifts (ATS) differ according to the choice of prescription? (2) How does predicted ATS vary with hearing level for gains prescribed by the two prescriptions? Design: A mathematical model consisting of the modified power law combined with equations for predicting temporary threshold shift (Macrae, 1994b) was used to predict ATS. Study sample: Predicted threshold shift were …

A Comparison Of Nal And Dsl Prescriptive Methods For Paediatric Hearing-Aid Fitting: Predicted Speech Intelligibility And Loudness, Teresa Y.C. Ching, Earl E. Johnson, Sanna Hou, Harvey Dillon, Vicky Zhang, Lauren Burns, Patricia Van Buynder, Angela Wong, Christopher Flynn

ETSU Faculty Works

Objective: To examine the impact of prescription on predicted speech intelligibility and loudness for children. Design: A between-group comparison of speech intelligibility index (SII) and loudness, based on hearing aids fitted according to NAL-NL1, DSL v4.1, or DSL m[i/o] prescriptions. A within-group comparison of gains prescribed by DSL m[i/o] and NAL-NL2 for children in terms of SII and loudness. Study sample: Participants were 200 children, who were randomly assigned to first hearing-aid fitting with either NAL-NL1, DSL v4.1, or DSL m[i/o]. Audiometric data and hearing-aid data at 3 years of age were used. Results: On average, SII calculated on the …

Narratives By Six Year Old And Nine Year Old Boys: Brute: Institutional, And Non-Institutional Mental Facts, Adam Craig Whipple

Master's Theses

Brute facts, institutional facts, and non-institutional mental facts were studied. The philosophy of constructionism and the theory of intent provided a framework for this research. Intentionality provided the basis for social facts. Brute, institutional, and noninstitutional mental facts were operationally defined. This study analyzed the use of these facts in the narratives of 6-year-old boys and 9-year-old boys. There were a total of 19 participants in this research. This research established brute, institutional, and non-institutional mental facts as appropriate operational categories for studying children's narratives. The 6-year-old boys produced more brute facts than the 9-year-old boys. The 9-year-old boys produced …

Update On The Clinical Utility Of Vestibular Evoked Myogenic Potentials, Faith W. Akin, Owen D. Murnane

ETSU Faculty Works

Vestibular-evoked myogenic potentials (VEMPs) supplement the vestibular test battery by providing diagnostic information about otolith organ function. The purpose of this presentation is to provide an update on the clinical use of the cervical VEMP and ocular VEMP as clinical tests of otolith function

Dual-Task Effects Of Walking On Rate Of Speech, Dayna Kathleen Jablecki

Electronic Thesis and Dissertation Repository

The dual-task effect of walking on rate of speech was measured in 32 healthy young adults. The influence of word meaning and sex on rate of speech was also investigated. A separate inspection time task was used to determine whether speed of information processing (SIP), predicted the degree of dual-task interference of walking on rate of speech. This study revealed that rate of speech was influenced by dual-task interference effects due to the performance of a simultaneous gait task. Pause times suggested a sex effect, demonstrating that while walking, women spent significantly less time pausing between verbal stimuli than men. …

Developing A Drug Delivery System For Treatment Of Vocal Fold Scarring, Aaron Michael Kosinski

Open Access Dissertations

Vocal fold scarring is an affliction that results in the formation of a disorganized and stiff extracellular matrix (ECM) with abnormal ECM component densities & structures including a significant increase in collagen deposition. It is caused by improper healing post injury and results in profound changes in the biomechanical properties of the vocal folds impairing their ability to generate a normal mucosal wave during phonation.

Finding an effective treatment for vocal fold scarring has been elusive. Currently, treatments seek temporary solutions that correct glottal incompetence and reduce stiffness caused by the scar through the augmentation of the vocal folds using …

Predicting Language Impairment Status: A Risk Factor Model, Johanna Maria Rudolph

Open Access Dissertations

The etiology of specific language impairment (SLI) is multifactorial. Research has shown that genetic, environmental, and developmental factors may influence the course of its development. Because many of these factors are present even before a child is born, it is possible that a child's risk of developing the disorder can be identified long before grammatical deficits are observed. The goal of this study was to develop and validate a screening tool to discriminate between children with SLI and typically developing (TD) children using risk factor information including gender, family history of communication or reading disorders, socioeconomic status, maternal and paternal …

Measuring Global Coherence In Aphasia, V. Galetto, S. Kintz, T. West, Heather Harris Wright, Gerasimos Fergadiotis

Speech and Hearing Sciences Faculty Publications and Presentations

Discourse coherence may be conceptualized as representing the listener's ability to interpret the overall meaning conveyed by the speaker. Discourse schemas serve as the organizing frameworks for placing the essential discourse elements within a language sample (Bloom, Borod, & Santschi-Haywoor, Pick, & Obler, 1996; Peterson & McCabe, 1983). When the essential elements are provided a logical consistency of the discourse schema is maintained and the listener perceives the discourse as coherent (Ditman & Kuperberg, 2010; Trabasso, van den Broek, & Suh, 1989; van den Broek, Virtue, Everson, Tzeng, & Sung, 2002). Global coherence refers to the ability to semantically relate …

Articulatory Distinctiveness Of Vowels And Consonants: A Data-Driven Approach, Jun Wang, Jordan R. Green, Ashok Samal, Yana Yunusova

School of Computing: Faculty Publications

Purpose: To quantify the articulatory distinctiveness of 8 major English vowels and 11 English consonants based on tongue and lip movement time series data using a data-driven approach.

Method: Tongue and lip movements of 8 vowels and 11 consonants from 10 healthy talkers were collected. First, classification accuracies were obtained using 2 complementary approaches: (a) Procrustes analysis and (b) a support vector machine. Procrustes distance was then used to measure the articulatory distinctiveness among vowels and consonants. Finally, the distance (distinctiveness) matrices of different vowel pairs and consonant pairs were used to derive articulatory vowel and consonant spaces …

Effects Of Truncation On Language Sample Analysis In Aphasia, Gerasimos Fergadiotis, Heather Harris Wright

Speech and Hearing Sciences Faculty Publications and Presentations

The goal of this study is to determine if the length of a language sample elicited from a person with aphasia (PWA) is of consequence when making inferences about the patient's functional language ability. When conducting a language sample analysis, a sample representing a snapshot in time is used to make inferences about an individual's language capacity in general. However, current findings are inconclusive regarding the ideal length of the language sample necessary to draw valid conclusions about patients (e.g. Heilman, Nockerts, & Miller, 2010).

Modern Prescription Theory And Application: Realistic Expectations For Speech Recognition With Hearing Aids, Earl E. Johnson

ETSU Faculty Works

A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160?10000?Hz) and input levels (e.g., 50?75?dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories?Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) …

Word Recognition From Continuous Articulatory Movement Time-Series Data Using Symbolic Representations, Jun Wang, Arvind Balasubramanian, Luis Mojica De La Vega, Jordan R. Green, Ashok Samal, Balakrishnan Prabhakaran

CSE Conference and Workshop Papers

Although still in experimental stage, articulation-based silent speech interfaces may have significant potential for facilitating oral communication in persons with voice and speech problems. An articulation-based silent speech interface converts articulatory movement information to audible words. The complexity of speech production mechanism (e.g., co-articulation) makes the conversion a formidable problem. In this paper, we reported a novel, real-time algorithm for recognizing words from continuous articulatory movements. This approach differed from prior work in that (1) it focused on word-level, rather than phoneme-level; (2) online segmentation and recognition were conducted at the same time; and (3) a symbolic representation (SAX) was …

Investigation Of Auditory Encoding And The Use Of Auditory Feedback During Speech Production, Laura E. Beamish

Electronic Thesis and Dissertation Repository

Responses to altered auditory feedback during speech production are highly variable. The extent to which auditory encoding influences this varied use is not well understood. Thirty-nine normal hearing adults completed a first formant (F1) manipulation paradigm where F1 of the vowel /ε/ was shifted upwards in frequency towards an /æ/–like vowel in real-time. Frequency following responses (FFRs) and envelope following responses (EFRs) were used to measure neuronal activity to the same vowels produced by the participant and a prototypical talker. Cochlear tuning, measured by SFOAEs and a psychophysical method, was also recorded. Results showed that average F1 production changed to …

Assessing For And Understanding The Impact Of Hearing Loss In Children, Sally A. Arnold Ph.D.

NYS Child Welfare/Child Protective Services Training Institute

Hearing loss in children may occur unnoticed if the family isn’t knowledgeable about hearing loss and the child is not routinely seen for medical exams or by a school or a service provider. The child welfare caseworker may be in a position to spot a potential hearing loss and make an appropriate referral.

This PowerPoint describes:

Indicators of hearing loss when assessing children;

Hearing milestones by age;

The types of hearing loss;

Appropriate referrals if a hearing loss is suspected.

This PowerPoint can be useful not just for the caseworker’s knowledge, but may be useful in helping parents understand why …

The Role Of The Vestibular And Proprioceptive Systems In Processing Dynamic Sound Localization Cues, Janet Kim

Electronic Thesis and Dissertation Repository

Head movements are known to be beneficial during sound localization because the auditory system can integrate the dynamic cues generated by head movement while maintaining a spatial representation of the position and orientation of the head-in-space. To measure the extent to which vestibular and proprioceptive cues influence processing of dynamic sound localization cues resulting from head rotation, we measured the ability of normally hearing listeners to localize front/back sources of low-frequency sounds while the two modalities were individually or congruently stimulated. Targets were presented over headphones during head rotations using virtual auditory space methods. Dynamic localization cues corresponded to head-in-space …

A Comparison Of Speech Amplification Devices For Individuals With Parkinson's Disease And Hypophonia, Monika Andreetta

Electronic Thesis and Dissertation Repository

One of the most prevalent speech impairments in idiopathic Parkinson’s disease (PD) is hypophonia, a reduction in intensity, which typically decreases intelligibility. Speech amplification devices are a potential solution; however, despite the availability of a broad range of devices, no previous studies systematically compare their efficacy in PD. This study examined the effects of speech task (Sentence Intelligibility Test versus conversation), background noise (no noise versus 65 dB SPL multi-talker noise), and selected devices (ADDvox, BoomVox, ChatterVox, Oticon, SoniVox, Spokeman, and Voicette) for 11 PD and 10 control participants, using outcome measures of speech intensity, speech-to-noise ratio, intelligibility, sound quality, …

Alternative Ear-Canal Measures Related To Absorbance, S. T. Neely, S. Stenfelt, Kim S. Schairer

ETSU Faculty Works

Abstract:

Several alternative ear-canal measures are similar to absorbance in their requirement for prior determination of a Thévenin-equivalent sound…

Effect Of Concurrent Walking And Interlocutor Distance On Conversational Speech Intensity And Rate In Parkinson's Disease, Cassandra M. Mccaig

Electronic Thesis and Dissertation Repository

This study examined the effects of concurrent walking tasks and interlocutor distance on conversational speech production in fifteen individuals with idiopathic Parkinson’s disease (PD) and fourteen age-equivalent controls. Recent studies of speech in PD have demonstrated that changes in the behavioural conditions and the environmental context can have a powerful effect on the severity of speech symptoms in PD. This investigation focused on changes in speech intensity and speech rate in response to changes in walking speed and interlocutor distance. Results suggest that the introduction of a concurrent walking task significantly increased the conversational speech intensity of both controls and …