The relationship between the intraoperative ECAP threshold and postoperative behavioral levels: the difference between postlingually deafened adults and prelingually deafened pediatric cochlear implant users

Objectives The relationship between electrode-nerve interface (ENI) estimates and inter-subject differences in speech performance with sequential and simultaneous channel stimulation in adult cochlear implant listeners were explored. We investigated the hypothesis that individuals with good ENIs would perform better with simultaneous compared to sequential channel stimulation speech processing strategies than those estimated to have poor ENIs. Methods Fourteen postlingually deaf implanted cochlear implant users participated in the study. Speech understanding was assessed with a sentence test at signal-to-noise ratios that resulted in 50% performance for each user with the baseline strategy F120 Sequential. Two simultaneous stimulation strategies with either two (Paired) or three sets of virtual channels (Triplet) were tested at the same signal-to-noise ratio. ENI measures were estimated through: (I) voltage spread with electrical field imaging, (II) behavioral detection thresholds with focused stimulation, and (III) slope (IPG slope effect) and 50%-point differences (dB offset effect) of amplitude growth functions from electrically evoked compound action potentials with two interphase gaps. Results A significant effect of strategy on speech understanding performance was found, with Triplets showing a trend towards worse speech understanding performance than sequential stimulation. Focused thresholds correlated positively with the difference required to reach most comfortable level (MCL) between Sequential and Triplet strategies, an indirect measure of channel interaction. A significant offset effect (difference in dB between 50%-point for higher eCAP growth function slopes with two IPGs) was observed. No significant correlation was observed between the slopes for the two IPGs tested. None of the measures used in this study correlated with the differences in speech understanding scores between strategies. Conclusions The ENI measure based on behavioral focused thresholds could explain some of the difference in MCLs, but none of the ENI measures could explain the decrease in speech understanding with increasing pairs of simultaneously stimulated electrodes in processing strategies.

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Behavioral Measures of Temporal Processing and Speech Perception in Cochlear Implant Users

Journal of the American Academy of Audiology ◽

10.3766/jaaa.15026 ◽

2016 ◽

Vol 27 (09) ◽

pp. 701-713 ◽

Cited By ~ 3

Author(s):

Chelsea Blankenship ◽

Fawen Zhang ◽

Robert Keith

Keyword(s):

Speech Perception ◽

Cochlear Implant ◽

Recognition Test ◽

Temporal Processing ◽

Acoustic Stimulation ◽

Gap Detection ◽

Temporal Acuity ◽

Significant Difference ◽

The Difference ◽

The Relationship

Background: Although most cochlear implant (CI) users achieve improvements in speech perception, there is still a wide variability in speech perception outcomes. There is a growing body of literature that supports the relationship between individual differences in temporal processing and speech perception performance in CI users. Previous psychophysical studies have emphasized the importance of temporal acuity for overall speech perception performance. Measurement of gap detection thresholds (GDTs) is the most common measure currently used to assess temporal resolution. However, most GDT studies completed with CI participants used direct electrical stimulation not acoustic stimulation and they used psychoacoustic research paradigms that are not easy to administer clinically. Therefore, it is necessary to determine if the variance in GDTs assessed with clinical measures of temporal processing such as the Randomized Gap Detection Test (RGDT) can be used to explain the variability in speech perception performance. Purpose: The primary goal of this study was to investigate the relationship between temporal processing and speech perception performance in CI users. Research Design: A correlational study investigating the relationship between behavioral GDTs (assessed with the RGDT or the Expanded Randomized Gap Detection Test) and commonly used speech perception measures (assessed with the Speech Recognition Test [SRT], Central Institute for the Deaf W-22 Word Recognition Test [W-22], Consonant-Nucleus-Consonant Test [CNC], Arizona Biomedical Sentence Recognition Test [AzBio], Bamford–Kowal–Bench Speech-in-Noise Test [BKB-SIN]). Study Sample: Twelve postlingually deafened adult CI users (24–83 yr) and ten normal-hearing (NH; 22–30 yr) adults participated in the study. Data Collection and Analysis: The data were collected in a sound-attenuated test booth. After measuring pure-tone thresholds, GDTs and speech perception performance were measured. The difference in performance between-participant groups on the aforementioned tests, as well as the correlation between GDTs and speech perception performance was examined. The correlations between participants’ biologic factors, performance on the RGDT and speech perception measures were also explored. Results: Although some CI participants performed as well as the NH listeners, the majority of the CI participants displayed temporal processing impairments (GDTs > 20 msec) and poorer speech perception performance than NH participants. A statistically significant difference was found between the NH and CI test groups in GDTs and some speech tests (SRT, W-22, and BKB-SIN). For the CI group, there were significant correlations between GDTs and some measures of speech perception (CNC Phoneme, AzBio, BKB-SIN); however, no significant correlations were found between biographic factors and GDTs or speech perception performance. Conclusions: Results support the theory that the variability in temporal acuity in CI users contributes to the variability in speech performance. Results also indicate that it is reasonable to use the clinically available RGDT to identify CI users with temporal processing impairments for further appropriate rehabilitation.

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Comparison of In-the-Ear and Over-the-Ear Hearing Aid Fittings

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.5104.362 ◽

1986 ◽

Vol 51 (4) ◽

pp. 362-369 ◽

Cited By ~ 4

Author(s):

Donna M. Risberg ◽

Robyn M. Cox

Keyword(s):

Hearing Aids ◽

High Frequency ◽

Comparative Evaluation ◽

Speech Intelligibility ◽

Hearing Aid ◽

Hearing Aid Fitting ◽

The Difference ◽

Functional Gain ◽

The Relationship

A custom in-the-ear (ITE) hearing aid fitting was compared to two over-the-ear (OTE) hearing aid fittings for each of 9 subjects with mild to moderately severe hearing losses. Speech intelligibility via the three instruments was compared using the Speech Intelligibility Rating (SIR) test. The relationship between functional gain and coupler gain was compared for the ITE and the higher rated OTE instruments. The difference in input received at the microphone locations of the two types of hearing aids was measured for 10 different subjects and compared to the functional gain data. It was concluded that (a) for persons with mild to moderately severe hearing losses, appropriately adjusted custom ITE fittings typically yield speech intelligibility that is equal to the better OTE fitting identified in a comparative evaluation; and (b) gain prescriptions for ITE hearing aids should be adjusted to account for the high-frequency emphasis associated with in-the-concha microphone placement.

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Relationship between total plasma homocysteine and the risk of aneurysms – a meta-analysis

VASA ◽

10.1024/0301-1526/a000891 ◽

2020 ◽

pp. 1-6

Author(s):

Hanji Zhang ◽

Dexin Yin ◽

Yue Zhao ◽

Yezhou Li ◽

Dejiang Yao ◽

...

Keyword(s):

Large Scale ◽

Meta Analysis ◽

Single Species ◽

Total Plasma ◽

Control Groups ◽

Randomized Controlled ◽

Randomized Controlled Studies ◽

The Difference ◽

The Relationship ◽

Healthy Participants

Summary: Our meta-analysis focused on the relationship between homocysteine (Hcy) level and the incidence of aneurysms and looked at the relationship between smoking, hypertension and aneurysms. A systematic literature search of Pubmed, Web of Science, and Embase databases (up to March 31, 2020) resulted in the identification of 19 studies, including 2,629 aneurysm patients and 6,497 healthy participants. Combined analysis of the included studies showed that number of smoking, hypertension and hyperhomocysteinemia (HHcy) in aneurysm patients was higher than that in the control groups, and the total plasma Hcy level in aneurysm patients was also higher. These findings suggest that smoking, hypertension and HHcy may be risk factors for the development and progression of aneurysms. Although the heterogeneity of meta-analysis was significant, it was found that the heterogeneity might come from the difference between race and disease species through subgroup analysis. Large-scale randomized controlled studies of single species and single disease species are needed in the future to supplement the accuracy of the results.

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Klein with Lacan: A Study on the Reception of Lacanian Ideas in Uruguay and Its Effects on Clinical Practices (1955–82)

Psychoanalysis and History ◽

10.3366/pah.2020.0353 ◽

2020 ◽

Vol 22 (3) ◽

pp. 341-361

Author(s):

Gonzalo Grau-Pérez ◽

J. Guillermo Milán

Keyword(s):

Clinical Practice ◽

Clinical Material ◽

Clinical Practices ◽

Before And After ◽

The Difference ◽

The 1960S ◽

The Relationship ◽

Discursive Approach ◽

The Way ◽

Clinical Cases

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.

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The End of the Word as We Know It

Postscripts The Journal of Sacred Texts and Contemporary Worlds ◽

10.1558/post.v6i1-3.165 ◽

2012 ◽

Vol 6 (1-3) ◽

pp. 165-184

Author(s):

Timothy Beal

Keyword(s):

Cultural Meanings ◽

Cultural Icon ◽

The Bible ◽

Material Objectivity ◽

The Difference ◽

The Relationship

This essay attends to a distinction that requires closer examination and theorization in our discourse on iconic books and other scriptures: the difference between iconic object and cultural icon. How do we conceive of relations between the particular, ritualized iconicities of particular scriptures in particular religious contexts and the cultural iconicities of scriptures in general, such as “the Bible” or “the Quran,” whose visual and material objectivity is highly ambiguous? How if at all are the iconic cultural meanings of the ideas of such books related to the particular iconic textual objects more or less instantiate them? These questions are explored through particular focus on the relationship between the particular iconicities of particular print Bibles, as iconic objects, and the general iconicity of the cultural icon of the Bible.

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Learning Language Levels in Students Accurate with a History Academic Achievement History

Yupa Historical Studies Journal ◽

10.26523/yupa.v1i2.55 ◽

2017 ◽

Vol 1 (2) ◽

pp. 137

Author(s):

Noorlela Binti Noordin ◽

Abdul Razaq Ahmad ◽

Anuar Ahmad

Keyword(s):

Academic Achievement ◽

Statistical Inference ◽

Quantitative Data ◽

Quantitative Methods ◽

Descriptive Statistics ◽

Language Test ◽

The Subject ◽

The Difference ◽

Learning Language ◽

The Relationship

This study was aimed to evaluate the Malay proficiency among students in Form Two especially non-Malay students and its relationship to academic achievement History. To achieve the purpose of the study there are two objectives, the first is to look at the difference between mean of Malay Language test influences min of academic achievement of History subject among non-Malay students in Form Two and the second is the relationship between the level of Malay proficiency and their academic achievement for History. This study used quantitative methods, which involved 100 people of Form Two non-Malay students in one of the schools in Klang, Selangor. This study used quantitative data were analyzed using descriptive statistics and statistical inference with IBM SPSS Statistics v22 software. This study found that there was a relationship between the proficiency of Malay language among non-Malay students with achievements in the subject of History. The implications of this study are discussed in this article.

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Investigating the Personality Variable (LOC) & Impression Management Relationship: Exploring the Role of Demographic Variables & Sectoral Difference of Managers

OPUS HR Journal ◽

10.21863/opus/2016.7.1.015 ◽

2016 ◽

Vol 7 (1) ◽

Author(s):

Poornima Madan ◽

Shalini Srivastava

Keyword(s):

Locus Of Control ◽

Impression Management ◽

Demographic Variables ◽

Personality Variable ◽

Public Sector Organizations ◽

Private And Public ◽

The Difference ◽

The Relationship ◽

Test Correlation

The purpose of the study is to investigate the relationship between locus of control and impression management. The study also examines the variation in locus of control dimensions namely, internality, externality (others) and externality (chance). It further investigates the difference on perception of demographic variables (gender and marital status) and sectoral difference on impression management. The study was administered on 125 Managers who were representatives of different private and public sector organizations in Delhi/NCR. Variables in the study were assessed using validated instruments. Descriptive Statistics, t-test, Correlation and Regression were used for data analysis. Organizations will be better prepared to dig into the arena of one of the personality variable, i.e. locus of control and its relationship with impression management. The current research is imperative in providing insights into role of personality variable (locus of control) and impression management, which will be one of the pioneer researches available till date. Moreover, the research will highlight the significance of locus of control dimensions and impression management.

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Psychology: Volume 5

10.1093/oso/9780199498833.001.0001 ◽

2019 ◽

Keyword(s):

World View ◽

Science Volume ◽

Western World ◽

Mental Life ◽

Long Time ◽

The Difference ◽

New Perspective ◽

Indian Setting ◽

The Mind ◽

The Relationship

This survey of research on psychology in five volumes is a part of a series undertaken by the ICSSR since 1969, which covers various disciplines under social science. Volume Five of this survey, Explorations into Psyche and Psychology: Some Emerging Perspectives, examines the future of psychology in India. For a very long time, intellectual investments in understanding mental life have led to varied formulations about mind and its functions across the word. However, a critical reflection of the state of the disciplinary affairs indicates the dominance of Euro-American theories and methods, which offer an understanding coloured by a Western world view, which fails to do justice with many non-Western cultural settings. The chapters in this volume expand the scope of psychology to encompass indigenous knowledge available in the Indian tradition and invite engaging with emancipatory concerns as well as broadening the disciplinary base. The contributors situate the difference between the Eastern and Western conceptions of the mind in the practice of psychology. They look at this discipline as shaped by and shaping between systems like yoga. They also analyse animal behaviour through the lens of psychology and bring out insights about evolution of individual and social behaviour. This volume offers critique the contemporary psychological practices in India and offers a new perspective called ‘public psychology’ to construe and analyse the relationship between psychologists and their objects of study. Finally, some paradigmatic, pedagogical, and substantive issues are highlighted to restructure the practice of psychology in the Indian setting.

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The Varieties of Religious Experience

10.1093/owc/9780199691647.001.0001 ◽

2012 ◽

Author(s):

William James

Keyword(s):

Religious Experience ◽

Religious Belief ◽

Asking Questions ◽

The Difference ◽

The Relationship ◽

Urgent Necessity

‘By their fruits ye shall know them, not by their roots.’ The Varieties of Religious Experience (1902) is William James’s classic survey of religious belief in its most personal, and often its most heterodox, aspects. Asking questions such as how we define evil to ourselves, the difference between a healthy and a divided mind, the value of saintly behaviour, and what animates and characterizes the mental landscape of sudden conversion, James’s masterpiece stands at a unique moment in the relationship between belief and culture. Faith in institutional religion and dogmatic theology was fading away, and the search for an authentic religion rooted in personality and subjectivity was a project conducted as an urgent necessity. With psychological insight, philosophical rigour, and a determination not to jump to the conclusion that in tracing religion’s mental causes we necessarily diminish its truth or value, in the Varieties James wrote a truly foundational text for modern belief. Matthew Bradley’s wide-ranging new edition examines the ideas that continue to fuel modern debates on atheism and faith.

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