ORCID Profile
0000-0002-6162-9510
Current Organisations
Ramon Llull University
,
The University of Newcastle
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In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Nanomaterials | Medical Devices | Nanotechnology | Sensor Technology (Chemical aspects)
Diagnostic Methods | Health Status (e.g. Indicators of Well-Being) |
Publisher: Frontiers Media SA
Date: 05-03-2020
Publisher: American Speech Language Hearing Association
Date: 04-1998
Abstract: Adults with severe or severe-to-profound hearing losses constitute between 11% and 13.5% of the hearing-impaired population. A detailed investigation of the speech recognition of adults with severe ( n =20) or severe-to-profound ( n =14) hearing loss was conducted at The University of Melbourne. Each participant took part in a series of speech recognition tasks while wearing his or her currently fitted hearing aid(s). The assessments included closed-set tests of consonant recognition and vowel recognition, combined with open-set tests of monosyllabic word recognition and sentence recognition. Sentences were presented in quiet and in noise at +10 dB SNR to replicate an environment more typical of everyday listening conditions. Although the results demonstrated wide variability in performance, some general trends were observed. As expected vowels were generally well perceived compared with consonants. Monosyllabic word recognition scores for both the adults with a severe hearing impairment ( M =67.2%) and the adults with a severe-to-profound hearing impairment ( M =38.6%) could be predicted from the segmental tests, with an allowance for lexical effects. Scores for sentences presented in quiet showed additional linguistic effects and a significant decrease in performance with the addition of background noise (from 82.9% to 74.1% for adults with a severe hearing loss and from 55.8% to 34.2% for adults with a severe-to-profound hearing loss). Comparisons were made between the participants and a group of adults using a multiple-channel cochlear implant. This comparison indicated that some adults with a severe or severe-toprofound hearing loss may benefit from the use of a cochlear implant. The results of this study support the contention that cochlear implant candidacy should not rely solely on audiometric thresholds.
Publisher: Down Syndrome Education International
Date: 2003
DOI: 10.3104/REPORTS.136
Abstract: Increasingly, children with Down syndrome receive literacy instruction with the expectation of acquiring functional reading skills. Unfortunately, little is known about the processes underlying literacy skills in this special population. Phonological awareness contributes to literacy development in typically developing children, however, there is inconclusive evidence about these skills in younger children with Down syndrome. 9 children with Down syndrome (5.6-8.10 years) participated in this investigation. Due to the paucity of standardised phonological awareness measures for children with special needs, in particular children with Down syndrome, a variety of tasks were adapted from the literature. The assessment battery examined the skills of phonological awareness, literacy, speech production, expressive language, hearing acuity, speech perception, and auditory-visual memory. The results suggest that children with Down syndrome are at risks for reading acquisition difficulties due to reduced phonological awareness skills. These deficits are in addition to delays caused by reduced cognitive skills. Only one of the participants was able to demonstrate rhyme awareness, which may have been due to task effects. Written word recognition ability was correlated with tests of phonemic awareness, and error analysis of the spelling and non-word reading tasks suggested grapheme-phoneme connections deficits. Further research is needed to determine the best methods of assessment and intervention for phonological awareness in children with Down syndrome.
Publisher: Informa UK Limited
Date: 05-2011
Publisher: Georg Thieme Verlag KG
Date: 11-2010
Publisher: Frontiers Media SA
Date: 14-09-2015
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2010
Publisher: Elsevier BV
Date: 11-2004
Publisher: Korean Society of Otorhinolaryngology-Head and Neck Surgery
Date: 2012
Publisher: Informa UK Limited
Date: 2004
DOI: 10.1080/14992020400050061
Abstract: The long-term benefits of multiple-channel non-linear technology for children with severe hearing impairment have yet to be fully investigated over the longer term. Twenty-one children with severe hearing loss participated in a study comparing performance on measures of audibility, speech understanding (in quiet and noise) and listening situations between the children's current analog hearing aids and a test hearing aid with multiple-channel non-linear compression (DigiFocus II Compact Power). Results were obtained from the children at 2 weeks, 8 weeks, 6 months and 12 months following the fitting of a multiple-channel non-linear hearing instrument. Compared with the children's own hearing instruments, the test instruments provided improved audibility, improvement in speech understanding in quiet and noise, and an improvement in listening skills The gains in speech understanding were greater in noise than in quiet, suggesting that the test hearing instrument provided greatest improvement when listening to speech in noise. While performance increased over time, there was no statistically significant evidence to support continued acclimatization.
Publisher: Maney Publishing
Date: 2009
DOI: 10.1002/CII.385
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2016
Publisher: Informa UK Limited
Date: 2002
Publisher: Elsevier BV
Date: 2003
DOI: 10.1016/S0891-4222(02)00168-3
Abstract: Increasingly, children with Down syndrome receive literacy instruction based on a phonological awareness philosophy with the expectation of acquiring functional reading skills. Previous research demonstrates that a phonological awareness based reading programme delivers excellent results in terms of literacy acquisition and improvements in speech production for children with speech and language delays. Unfortunately, little research exists to support the effectiveness of this approach for children with Down syndrome. The current research study examined using a phonological awareness based intervention programme with three children with Down syndrome (aged 7 , 8 , and 8 ). A multiple baseline across behaviours design was selected. The intervention programme focused on the key skills of alliteration detection, phoneme isolation, spelling of orthographically regular words and rhyme detection. Two tasks (comprehension of passive structures and spatial structures) were selected as control behaviours. Phoneme segmentation and speech intelligibility were selected to investigate generalisation of intervention targets to other related skill areas. The results indicated that the participants improved the phonological awareness skills targeted in the intervention programme. Unfortunately, no generalisation to other areas of phonological awareness was noted. In summary, the results indicate that children with Down syndrome can benefit from a phonological awareness based approach to literacy.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 03-2006
Publisher: Portico
Date: 11-2003
Publisher: Informa UK Limited
Date: 2009
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 08-2011
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 07-2010
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 02-2011
Publisher: Frontiers Media SA
Date: 13-03-2020
Publisher: Wiley
Date: 10-04-2015
DOI: 10.1111/CID.12304
Abstract: The protocol for bone conduction hearing implant surgery involves reduction of soft tissues around the abutment to minimize the risk of skin-related complications. The present investigation was undertaken to demonstrate that hydroxyapatite-coated abutments provide improved soft tissue integration compared with conventional (pure titanium) abutments and are suitable for use without surgical removal of subepidermal soft tissues. Forty-eight implants for bone conduction with two different types of abutments (test and control) were inserted in the skull parietal part of eight sheep. Test abutments had a hydroxyapatite-coated surface and a concave shape. Conventional titanium abutments were used as controls. A follow-up time of 4 weeks was used. Histomorphometric analyses of test and control s les were analyzed, and morphometric results were compared using mixed model analysis. Histological assessment showed healthy soft tissues around the abutments with limited or no signs of inflammation. Hydroxyapatite-coated abutments showed intimate dermal adherence, while less close contact was noted for control abutments. Statistically significant differences in mean pocket depth (0.4 vs 1.6 mm, p = .0013) and epidermal downgrowth (0.6 vs 2.0 mm, p = .0003) between test and control abutments were recorded. The study confirms that hydroxyapatite-coated abutments resulted in a significant reduction in pocket depth and improved soft tissue integration compared with conventional titanium abutments, possibly by providing tight adherence at the interface. Statistically significant reduced pocket depth formation and epidermal downgrowth were recorded.
Publisher: Wiley
Date: 18-11-2018
DOI: 10.1111/COA.13248
Abstract: To compare the hearing performance of patients with conductive and mild mixed hearing loss and single-sided sensorineural deafness provided with a new transcutaneous bone conduction hearing implant (the Baha Attract System) with unaided hearing as well as aided with a sound processor on a softband. Furthermore, to evaluate safety and subjective benefit before and after implantation of the test device. Fifty-four adult patients in five participating centres were enrolled in this prospective study. Baseline data were collected during a pre-operative visit, and after a softband trial, all patients were implanted unilaterally. Follow-up visits were scheduled at 10 days, 4, 6, 12 weeks and 6 months. Free-field hearing thresholds pure-tone average (PTA4 in dB HL mean threshold at 500, 1000, 2000, 4000 Hz primary outcome measure). In idual free-field hearing thresholds, speech recognition in quiet and in noise, soft tissue status during follow-up and subjective benefit as measured with the Abbreviated Profile of Hearing Aid Benefit (APHAB), Speech, Spatial and Qualities of Hearing Scale (SSQ) and Health Utilities Index (HUI) questionnaires. Implantation of the Baha Attract System resulted in favourable audiological outcomes compared to unaided conditions. On the primary outcome parameter, a statistically significant improvement was observed compared to unaided hearing for the patients with conductive/mixed hearing loss (mean PTA4 difference -20.8 dB HL, SD 9.8 P < 0.0001) and for the patients with single-sided sensorineural deafness (SSD) (mean PTA4 difference -21.6 dB HL, SD 12.2 P 0.05). Soft tissue-related issues observed during follow-up included numbness, pain/discomfort at the implant site and to a lesser extent pressure-related skin complications. A declining trend was noted in the rate of these complications during follow-up. Approximately 20% of patients reported some degree of numbness and 38% (slight) pain/discomfort at final follow-up of 6 months. Good results on the subjective benefit questionnaires were observed, with statistically significant improvements on APHAB and SSQ questionnaires, and on the hearing attribute of HUI3. The Baha Attract System provided a significant improvement in hearing performance and subjective benefit compared to the pre-operative unaided condition (with the non-test ear blocked). Hearing performance of the Baha Attract was similar to a test situation with the same sound processor on a softband. A proportion of the patients reported numbness and pain/discomfort at the implant site during follow-up, especially during the first post-operative weeks. Based on the results of the current multicentre study, the Baha Attract can be considered as a treatment option for patients with the aforementioned hearing losses. Especially in the SSD patients, a careful selection procedure is warranted. Therefore, a pre-operative trial should be part of the decision-making process before fitting a patient with the Baha Attract System.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 17-04-2020
DOI: 10.1097/MAO.0000000000002633
Abstract: A comparison of three interventions for profound unilateral sensorineural hearing loss. Prospective, crossover randomized clinical trial. Fifteen participants with profound unilateral sensorineural hearing loss. Three potential technical interventions were compared: Bone Conduction Device on softband, Contralateral Routing of Signal (CROS), and Remote Microphone . Each intervention was randomly trialed for a period of 3 weeks, separated by a 1 week washout period. Speech in noise recognition test performed under four conditions (lateral noise poorer ear, lateral noise better ear, speech poorer ear, speech better ear). Standardized questionnaires (Abbreviated Profile of Hearing Aid Benefit, Bern Benefit in Single Sided Deafness Questionnaire, and Speech, Spatial, and Other Qualities 12) were used to evaluate lification benefit at baseline and following each intervention. The use of remote microphone provided the best results in the speech recognition in noise test. A benefit in some signal-to-noise ratios was presented of the CROS over bone conduction device on softband in the Speech Poor Ear condition. On questionnaires of benefit, participants did not rate a particular intervention as significantly better than any other. Following the study, CROS was the intervention preferred by the 8 of 15 participants (53%). The majority of participants (80%) chose to continue with an intervention rather than no treatment. The use of all interventions resulted in increased performance in speech recognition in noise and rated higher on subjective benefits in comparison with baseline. People with SSD are a heterogeneous population when considering perceived difficulties. Future research should focus on segmenting the population of SSD depending on factors such as etiology, high frequency loss in the better ear, and age of acquired loss for the poorer ear. This stratification may possibly increase the benefit for the patient in terms of more in idual-based clinical routines.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2014
Publisher: Down Syndrome Education International
Date: 2002
DOI: 10.3104/REPORTS.124
Abstract: Many children with Down syndrome have fluctuating conductive hearing losses further reducing their speech, language and academic development. It is within the school environment where access to auditory information is crucial that many children with Down syndrome are especially disadvantaged. Conductive hearing impairment which is often fluctuating and undetected reduces the child's ability to extract the important information from the auditory signal. Unfortunately, the design and acoustics of the classroom leads to problems in extracting the speech signal through reduced speech intensity due to the increased distance of the student from the teacher in addition to masking from excessive background noise. One potential solution is the use of sound-field lification which provides a uniform lification to the teacher's voice through the use of a microphone and loudspeakers. This investigation examined the efficacy of sound-field lification for 4 children with Down syndrome. Measures of speech perception were taken with and without the sound-field system and found that the children perceived significantly more speech in all conditions where the sound-field system was used (p < .0001). Importantly, listening performance with the sound-field system was not affected by reducing the signal-to-noise ratio through increasing the level of background noise. In summary, sound-field lification provides improved access to the speech signal for children with Down syndrome and as a consequence leads to improved classroom success.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 06-2015
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 09-2015
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 2008
Publisher: Springer Science and Business Media LLC
Date: 2003
Abstract: Pavlovian conditioning in Hermissenda produces a decrease in voltage-dependent (I(K,A) and I(Ca)) and Ca2+-dependent (I(K,Ca)) currents, and an increase in the action potential (AP) duration in type B-photoreceptors. In addition, synaptic connections between B and A photoreceptors and B photoreceptor and type I interneurons are facilitated. The increase in AP duration, produced by decreasing one or more K+ currents, may account for synaptic facilitation. The present study examined this issue by using a mathematical model of the B-photoreceptor and the neurosimulator SNNAP. In the model, decreasing g(K,A) by 70% increased the duration of the AP in the terminal by 41% and Ca2+ influx by 30%. However, if the decrease in g(K,A) was combined with a decrease in g(Ca), similar to what has been reported experimentally, the Ca2+ influx decreased by 54%. Therefore, the concomitant change in I(Ca) counter-acted the broadening-induced increase in Ca2+ influx in the synaptic terminal. This result suggests that a spike-duration independent process must contribute to the synaptic facilitation observed following Pavlovian conditioning.
Publisher: Korean Society of Otorhinolaryngology-Head and Neck Surgery
Date: 2012
Publisher: Informa UK Limited
Date: 29-01-2016
DOI: 10.3109/00016489.2015.1121549
Abstract: Conclusion Using a second bone anchored hearing implant (BAHI) mounted on a testband in unilaterally implanted BAHI users to test its potential advantage pre-operatively under-estimates the advantage of two BAHIs placed on two implants. Objectives To investigate how well speech understanding with a second BAHI mounted on a testband approaches the benefit of bilaterally implanted BAHIs. Method Prospective study with 16 BAHI users. Eight were implanted unilaterally (group A) and eight were implanted bilaterally (group B). Aided speech understanding was measured. Speech was presented from the front and noise came either from the left, right, or from the front in two conditions for group A (with one BAHI, and with two BAHIs, where the second device was mounted on a testband) and in three conditions for group B (same two conditions as group A, and in addition with both BAHIs mounted on implants). Results Speech understanding in noise improved with the additional device for noise from the side of the first BAHI (+0.7 to +2.1 dB) and decreased for noise from the other side (-1.8 dB to -3.9 dB). Improvements were highest (+2.1 dB, p = 0.016) and disadvantages were smallest (-1.8 dB, p = 0.047) with both BAHIs mounted on implants. Testbands yielded smaller advantages and higher disadvantages of the additional BAHI (average difference = -0.9 dB).
Publisher: Hindawi Limited
Date: 2014
DOI: 10.1155/2014/416205
Abstract: Objective. To compare hearing and speech understanding between a new, nonskin penetrating Baha system (Baha Attract) to the current Baha system using a skin-penetrating abutment. Methods. Hearing and speech understanding were measured in 16 experienced Baha users. The transmission path via the abutment was compared to a simulated Baha Attract transmission path by attaching the implantable magnet to the abutment and then by adding a s le of artificial skin and the external parts of the Baha Attract system. Four different measurements were performed: bone conduction thresholds directly through the sound processor (BC Direct), aided sound field thresholds, aided speech understanding in quiet, and aided speech understanding in noise. Results. The simulated Baha Attract transmission path introduced an attenuation starting from approximately 5 dB at 1000 Hz, increasing to 20–25 dB above 6000 Hz. However, aided sound field threshold shows smaller differences and aided speech understanding in quiet and in noise does not differ significantly between the two transmission paths. Conclusion. The Baha Attract system transmission path introduces predominately high frequency attenuation. This attenuation can be partially compensated by adequate fitting of the speech processor. No significant decrease in speech understanding in either quiet or in noise was found.
Publisher: American Speech Language Hearing Association
Date: 06-1999
Abstract: By diminishing the role of communicative context, traditional tests of speech perception may underestimate or misrepresent the actual speech perception abilities of adults with a hearing impairment. This study investigates this contention by devising an assessment that may better simulate some aspects of "reallife" speech perception. A group of 31 participants with a severe-to-profound hearing impairment took part in a series of speech perception tests while wearing their hearing aids. The tests used question/answer or adjacency pairs, where the stimulus sentence was preceded by a question spoken by the participant. Four conditions were included: (a) where there was no initiating sentence, as in a traditional open-set speech perception test (b) where the initiating question was neutral (e.g. "Why?") (c) where there was a disruptive semantic relationship between the question and answer and (d) where there was a strong contextual relationship between the question and answer. The time delay between the question and answer was also varied. Results demonstrated that in all conditions where there was a preceding question speech perception improved, and increasing the cohesion between the question and the reply improved speech perception scores. Additionally, time delay and the relatedness of the reply interacted. The effects of semantic context appeared to diminish over a 10-s period while other linguistic effects remained more constant. These results indicate the utility of simulating communicative environments within speech perception tests.
Publisher: S. Karger AG
Date: 2011
DOI: 10.1159/000323592
Abstract: Osseointegrated auditory implants such as Baha(®) provide an efficient pathway for sound delivery and an excellent lification choice for patients with conductive or mixed hearing loss or single-sided sensorineural deafness. But at the same time, bone conduction hearing provides a number of key challenges that need to be addressed. One solution is computer-based fitting software to measure in-situ thresholds directly through the Baha sound processor and to in idually prescribe lification settings based on the patient's hearing loss and degree of transcranial attenuation. Additionally, technologies such as automatic directional microphones and noise reduction systems further improve hearing performance in noisy situations. This paper highlights recent technological innovations and summarizes data on the advantages for the Baha patient population using the sound processing capabilities available in the latest Baha sound processors.
Publisher: American Veterinary Medical Association (AVMA)
Date: 06-2005
DOI: 10.2460/JAVMA.2005.226.2020
Abstract: Objectives —To evaluate use of an ameroid ring constrictor (ARC) for treatment for single extrahepatic portosystemic shunts (PSSs) and identify factors associated with postoperative death, continued portosystemic shunting, and long-term outcome in dogs. Design —Retrospective study. Animals —168 dogs with a single extrahepatic PSS. Procedure —Medical records of dogs that had a single extrahepatic PSS and were treated with an ARC were reviewed. Signalment, history, clinical signs, results of preoperative blood analyses and portal pressure measurements, PSS location, ARC size, postoperative complications, and postoperative scintigraphy results were recorded. Owners were interviewed 6 months to 6 years after surgery. Results —Postoperative complications developed in 10% of dogs. Postoperative mortality rate was 7.1%. Predictive factors for postoperative death included high preoperative WBC count and postoperative complications. Twenty-one percent of dogs in which portal scintigraphy was performed 6 to 10 weeks after surgery had continued shunting. Predictive factors for persistent shunting included low preoperative plasma albumin concentration, high portal pressure after complete occlusion, and high portal pressure difference (postocclusion minus baseline). Clinical outcome in 108 dogs was classified as excellent (80%), good (14%), or poor (6%). Predictive factors for excellent long-term clinical outcome included high preoperative plasma albumin concentration, low preoperative leukocytosis, low portal pressure after complete occlusion, absence of postoperative seizures, and absence of continued shunting. Conclusions and Clinical Relevance —Use of an ARC for treatment for a single extrahepatic PSS resulted in low morbidity and mortality rates. Certain preoperative factors were associated with increased risk of postoperative death, continued portosystemic shunting, and long-term outcome. ( J Am Vet Med Assoc 2005 : 2020–2030)
Publisher: Wiley
Date: 09-2002
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 02-2005
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 10-2012
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 08-2008
Start Date: 08-2022
End Date: 07-2027
Amount: $5,000,000.00
Funder: Australian Research Council
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