Impact of Face Masks on Audiovisual Word Recognition in Young Children with Hearing Loss During the Covid-19 Pandemic

Objective: To investigate effects of surgical and transparent face masks during the Covid-19 pandemic on audiovisual speech recognition of words for deaf and hard-of-hearing children. Design: Recorded Word Intelligibility by Picture Identification test (WIPI) was presented in quiet via a computer monitor to children in a quiet test room. The acoustic power spectra of each mask type were compared to the baseline no mask condition. Percent correct word recognition was recorded for four mask conditions (no mask, surgical mask, transparent apron mask and ClearMask) in counterbalanced order. Repeated measures ANOVA was used to test for significant differences in word recognition scores across mask types. Study Sample: Thirteen children (3 to 7 years) in a private auditory oral school wearing hearing aids, bone-anchored hearing aids or cochlear implants. Children were excluded if English was not their primary language or if they had a severe speech-language delay, uncorrected vision loss, or developmental disorder that would affect the results. No children had been exposed to or had contracted the Covid-19 virus. Results: Acoustic spectra showed a decrease in the 2000-8000 Hz region for the transparent apron mask. The surgical mask and ClearMask showed fewer acoustic effects. Children with hearing aids performed similarly to children with cochlear implants. Word recognition was significantly poorer for surgical masks and transparent apron masks. The ClearMask condition was not significantly worse than the no mask condition for words in quiet. Conclusions: Standard surgical and custom apron shield masks significantly hampered word recognition, even in quiet conditions. The commercially available ClearMask did not significantly affect scores in quiet for young deaf and hard-of-hearing children, but scores were highly variable

THE EFFECTS OF FACE MASK USE DURING COVID-19 ON SPEECH COMPREHENSION IN GERIATRIC PATIENTS WITH HEARING LOSS WHO USE LIP-READING FOR COMMUNICATION: A PROSPECTIVE CROSS-SECTIONAL STUDY

Objective: Communication difficulties are considered the most significant consequence of hearing loss. This study aimed to determine whether surgical face masks, which have been mandatory throughout the COVID-19 pandemic, have an effect on speech comprehension scores in geriatric lip-reading patients with hearing loss and to raise awareness of the need for solutions to this problem. Materials and Method: Patients with moderate and higher sensorineural or mixed bilateral symmetrical hearing loss who stated that they lip-read to better understand during communication were included in the study. The patients’ speech comprehension scores were gathered while the audiologist wore a surgical mask and then a transparent mask, respectively. Results: Twelve (33,3%) of the patients were female, and 24 (66.7%) were male. The mean age of the patients was 66.64±1.53 years. The mean speech comprehension scores of the patients when the audiologist was wearing a surgical mask (38.25±14.33) and a transparent mask (67.81 ± 14.30), respectively, were compared. The surgical mask significantly affected speech comprehension scores, and the Cohen d value of the effect size was 2.06. As such, the surgical face mask had a great effect on these patients’ speech comprehension scores. Conclusions: In elderly lip-reading patients who suffer from hearing loss, seeing the lip movements of the speaker, especially in hospital applications, promotes more effective communication. Transparent face masks can be considered a solution. © 2022, Geriatrics Society. All rights reserved

Effect of linguistic context and transparency on the comprehension of idioms in Cantonese-speaking children

The present study investigated the adoption of literal interpretation and contextual strategy on comprehension of three types of idioms namely, highly transparent, transparent and opaque idioms in Cantonese-speaking school-aged children. Thirty eight children at Grades 2, 4 and 6 were asked to interpret the idiomatic meanings of 15 idioms embedded in linguistic contexts (stories) incongruent to the idiomatic meanings. The children were assessed in multiple-choice format in which story-dependent and literal-meaning responses were two of the five choices. The result showed a larger extent of use of contextual strategy than literal interpretation among all the children. Contextual strategy and literal interpretation are commonly used for interpretation of opaque and literal idioms respectively. Children at grade 6 were found more readily to use literal interpretation than grade 2 and 4 when highly transparent idioms are presented. Pedagogy of idiom teaching using story context was suggested.published_or_final_versionSpeech and Hearing SciencesBachelorBachelor of Science in Speech and Hearing Science

Phonological and orthographic coding in deaf skilled readers

Available online 21 June 2017Written language is very important in daily life. However, most deaf people do not achieve good reading levels compared to their hearing peers. Previous research has mainly focused on their difficulties when reading in a language with an opaque orthography such as English. In the present study, we investigated visual word recognition of deaf adult skilled readers while reading in Spanish, a language with a transparent orthography, for which obligatory phonological mediation has been claimed. Experiment 1 showed a pseudohomophone inhibitory effect in hearing but not in deaf people. Experiment 2 showed similar orthographic sensitivity, as measured by the transposed-letter effect, for both groups. These results suggest that deaf skilled readers do not rely on phonological mediation, while maintaining the same level of orthographic sensitivity as hearing readers, thus suggesting that the use of phonological coding is not required to access the lexicon and meaning in a language with a transparent orthography.This study was partially supported by grants from the Spanish Government (SEV-2015-0490, PSI2015-67353-R and PSI2015- 65689-P), by a grant from the European Research Council (ERC- 2011-ADG-295362), and by a 2016 BBVA Foundation Grant for Researchers and Cultural Creators awarded to JAD

Biomechanics of hearing in katydids

Animals have evolved a vast diversity of mechanisms to detect sounds. Auditory organs are used to detect intraspecific communicative signals and environmental sounds relevant to survival. To hear, terrestrial animals must convert the acoustic energy contained in the airborne sound pressure waves into neural signals. In mammals, spectral quality is assessed by the decomposition of incoming sound waves into elementary frequency components using a sophisticated cochlear system. Some neotropical insects like katydids (bushcrickets) have evolved biophysical mechanisms for auditory processing that are remarkably equivalent to those of mammals. Located on their front legs, katydid ears are small, yet are capable of performing several of the tasks usually associated with mammalian hearing. These tasks include air-to-liquid impedance conversion, signal amplification, and frequency analysis. Impedance conversion is achieved by a lever system, a mechanism functionally analogous to the mammalian middle ear ossicles, yet morphologically distinct. In katydids, the exact mechanisms supporting frequency analysis seem diverse, yet are seen to result in dispersive wave propagation phenomenologically similar to that of cochlear systems. Phylogenetically unrelated, katydids and tetrapods have evolved remarkably different structural solutions to common biophysical problems. Here, we discuss the biophysics of hearing in katydids and the variations observed across different species

Effects of semantic radicals on Chinese character decision of Chinese children at grade three

This study investigated the effects of semantic radical properties on character recognition among children at Grade 3 by using a character decision task. The results showed a significant effect of semantic transparency on error rate; but a significant effect of semantic radical consistency only presented for transparent characters. Results from multiple regression analyses showed that even when other correlated psycholinguistic factors were controlled, semantic transparency was still an important predictor of character recognition. The results indicate that a) semantic transparency facilitates character recognition in Grade 3 children; b) they have some awareness of semantic radical consistency in Chinese script and c) sublexical processing of semantic properties should be assumed in children as young as 8 years of age.published_or_final_versionSpeech and Hearing SciencesBachelorBachelor of Science in Speech and Hearing Science

Binaural Cues for Distance and Direction of Nearby Sound Sources

To a first-order approximation, binaural localization cues are ambiguous: a number of source locations give rise to nearly the same interaural differences. For sources more than a meter from the listener, binaural localization cues are approximately equal for any source on a cone centered on the interaural axis (i.e., the well-known "cones of confusion"). The current paper analyzes simple geometric approximations of a listener's head to gain insight into localization performance for sources near the listener. In particular, if the head is treated as a rigid, perfect sphere, interaural intensity differences (IIDs) can be broken down into two main components. One component is constant along the cone of confusion (and thus co varies with the interaural time difference, or ITD). The other component is roughly constant for a sphere centered on the interaural axis and depends only on the relative pathlengths from the source to the two ears. This second factor is only large enough to be perceptible when sources are within one or two meters of the listener. These results are not dramatically different if one assumes that the ears are separated by 160 degrees along the surface of the sphere (rather than diametrically opposite one another). Thus, for sources within a meter of the listener, binaural information should allow listeners to locate sources within a volume around a circle centered on the interaural axis, on a "doughnut of confusion." The volume of the doughnut of confusion increases dramatically with angle between source and the interaural axis, degenerating to the entire median plane in the limit.Air Force Office of Scientific Research (F49620-98-1-0108

Neonatal hearing screening: modelling cost and effectiveness of hospital- and community-based screening

BACKGROUND: Children with congenital hearing impairment benefit from early detection and management of their hearing loss. These and related considerations led to the recommendation of universal newborn hearing screening. In 2001 the first phase of a national Newborn Hearing Screening Programme (NHSP) was implemented in England. Objective of this study was to assess costs and effectiveness for hospital and community-based newborn hearing screening systems in England based on data from this first phase with regard to the effects of alterations to parameter values. METHODS: Design: Clinical effectiveness analysis using a Markov Model. Outcome measure: quality weighted detected child months (QCM). RESULTS: Both hospital and community programmes yielded 794 QCM at the age of 6 months with total costs of £3,690,000 per 100,000 screened children in hospital and £3,340,000 in community. Simulated costs would be lower in hospital in 48% of the trials. Any statistically significant difference between hospital and community in prevalence, test sensitivity, test specificity and costs would result in significant differences in cost-effectiveness between hospital and community. CONCLUSION: This modelling exercise informs decision makers by a quantitative projection of available data and the explicit and transparent statements about assumptions and the degree of uncertainty. Further evaluation of the cost-effectiveness should focus on the potential differences in test parameters and prevalence in these two settings

Covid-19 Lockdown Affects Hearing Disability and Handicap in Diverse Ways: A Rapid Online Survey Study

Objectives: The aim of this study was to explore the perceived effects of Covid-19 social distancing restrictions and safety measures on people with hearing loss.Design: Participants were 129 adults (48.1% female, mean age 64.4 years) with an audiometric hearing loss, living in Glasgow, Scotland. A rapidly deployed 24-item online questionnaire asked about the effects of certain aspects of lockdown, including face masks, social distancing, and video calling, on participants’ behaviour, emotions, hearing performance, hearing device problems, and tinnitus. Data were analysed descriptively across the entire sample, and with Chi-squared tests for differences between subgroups self-reporting relatively good and relatively poor unaided hearing, respectively. Additional free-text responses provided further perspectives.Results: Behaviour: Video calls are used more frequently than pre-lockdown. The better hearing group use their hearing aids less. Emotions: There is increased anxiety (especially among the worse hearing group) concerning verbal communication situations and access to audiology services, and greater rumination about one’s own hearing loss. Enjoyment of group video calls is mixed. The worse hearing group show substantial relief at not being obliged to attend challenging social gatherings. Across both groups, a majority would like to see all key workers equipped with transparent face masks. Hearing performance: A large majority find it hard to converse with people in face masks due to muffled sound and lack of speechreading cues, but conversing at a safe distance is not universally problematic. In the worse hearing group, performance in video calls is generally inferior to face-to-face, but similar to telephone calls. Those who use live subtitling in video calls appreciate their value. TV and radio updates about Covid-19 are easy to follow for most respondents. There is only weak evidence of face mask fixtures interfering with hearing aids on the ear, and of tinnitus having worsened during lockdown.Conclusions: With due regard for the limitations of this rapid study, we find that there are many negative – and a few positive - effects of Covid-19 restrictions and safety measures on people with hearing loss. From a societal perspective, the widespread adoption of clear face masks may alleviate some of the difficulties and anxieties this population experience. From an individual perspective, one may consider using live subtitles on video calls. Manufacturers of hearing devices should consider developing processing modes and accessories specifically designed for video calls. Finally, repair and maintenance services should be resumed as soon as it is safe to do so