American Journal of Audiology最新文献

{"title":"Audiologic Recovery in a Case of Neurosyphilis: A Case Report.","authors":"Aaron M Roman","doi":"10.1044/2024_AJA-24-00191","DOIUrl":"10.1044/2024_AJA-24-00191","url":null,"abstract":"<p><strong>Purpose: </strong>Syphilis is often called the \"great imitator\" as it can mask itself as a variety of other medical issues. Neurosyphilis is a subtype of syphilis that may occur at any stage of syphilis presentation. However, there is a substantial lack of literature on the presentation of hearing loss in this disease. The purpose of this case report is to discuss the presentation and outcomes related to a case of neurosyphilis.</p><p><strong>Method: </strong>This case report describes sudden aural fullness, tinnitus, and perceived hearing loss in a 30-year-old patient who was diagnosed with late-stage neurosyphilis. An initial audiometric evaluation identified a bilateral mild to moderately severe hearing loss that was found to be secondary to neurosyphilis. Following treatment of 2.4 million units of benzathine penicillin administered in three weekly shots, his hearing improved to normal levels.</p><p><strong>Results: </strong>This case details the audiometric assessment and subsequent follow-up of this patient's care. Behavioral hearing thresholds and distortion product otoacoustic emissions recovered substantially following treatment.</p><p><strong>Conclusions: </strong>Hearing assessment may be a beneficial tool when considering patients with neurosyphilis. Additionally, continuous audiologic monitoring in this population would prove beneficial when considering treatment.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"13-18"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Test-Retest Differences in the Wideband Middle Ear Muscle Reflex.","authors":"Naomi F Bramhall, Nicole K Whittle, M Patrick Feeney, Garnett P McMillan","doi":"10.1044/2024_AJA-24-00110","DOIUrl":"10.1044/2024_AJA-24-00110","url":null,"abstract":"<p><strong>Purpose: </strong>Assessment of the middle ear muscle reflex (MEMR) is a standard part of the clinical audiological test battery that is used to assess middle ear function and identify possible retrocochlear lesions. The use of a wideband MEMR probe allows for additional information across frequency and lower reflex thresholds compared to the standard tonal probe used clinically. Recent animal studies suggest that the wideband MEMR is sensitive to noise-induced cochlear synaptopathy, the selective loss of the synaptic connections between the inner hair cells and the afferent auditory nerve fibers. However, the clinical utility of the wideband MEMR as an indicator of cochlear deafferentation is still unclear. Prior to adoption of the wideband MEMR as part of a diagnostic battery for cochlear deafferentation, it is necessary to determine the test-retest reliability of the measurement.</p><p><strong>Method: </strong>In a sample of 45 adults with normal hearing and normal tympanograms, wideband MEMR magnitude and threshold were measured at two different test sessions in response to a contralateral broadband noise stimulus at elicitor levels ranging from 60 to 100 dB SPL. The time between test sessions ranged from 2 hr to 5 months.</p><p><strong>Results: </strong>Test-retest differences increased with elicitor level. In some individuals, there were changes in the magnitude and/or the frequency response of the MEMR between test sessions.</p><p><strong>Conclusion: </strong>When wideband MEMR testing becomes clinically available, test-retest differences in contralateral wideband MEMR magnitude and threshold can be referenced by clinicians to help with interpretation of wideband MEMR test results.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28454612.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"149-159"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Presentation Levels for Optimal Use of NU-6 Ordered by Difficulty Version II Word Lists.","authors":"Kimberly Skinner, Erin Burns, Brittany Brann, Delaney McMahon, Tamahra Navarrete Weiss, Elizabeth Palmer","doi":"10.1044/2024_AJA-24-00113","DOIUrl":"10.1044/2024_AJA-24-00113","url":null,"abstract":"<p><strong>Purpose: </strong>The current work sought to identify the optimal presentation levels for the NU-6 ordered-by-difficulty (OBD) abbreviated word lists. An optimal presentation level would yield a listener's highest word recognition score (WRS; known as phonetically balanced [PB] max) and allow the use of a shortened test protocol. A protocol based on the dB sensation level (dB SL) at 2000 Hz was used as a starting point. It is not known if these two commonly used time-saving approaches can be used in combination to obtain optimal results.</p><p><strong>Method: </strong>WRSs were obtained at multiple levels. The initial level was based on the hearing threshold at 2000 Hz and was either increased or decreased. For listeners with hearing loss, uncomfortable listening (UCL) levels were measured, and a word list was presented 5 dB below the UCL. Thirty-four adults with (25) and without (9) hearing loss, who were recruited via flyers and direct contact, participated in this study. A descriptive analysis was conducted to identify the level needed to obtain PB max using OBD word lists with the least number of words.</p><p><strong>Results: </strong>In most cases, the initial presentation level did not yield PB max and required more than 10 words.</p><p><strong>Conclusions: </strong>It is recommended that the presentation level for NU-6 OBD word lists be at least 30-40 dB SL relative to the hearing threshold at 2000 Hz with a minimum presentation level of 35 dB HL. If this is not feasible, the presentation of these words at UCL-5 is recommended.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"171-178"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Noise Exposure on Video Ocular Counter Roll Measurements.","authors":"Elizabeth Tobener, Steven Doettl, Patrick Plyler, Devin McCaslin, James Lewis","doi":"10.1044/2024_AJA-24-00101","DOIUrl":"10.1044/2024_AJA-24-00101","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the effect of noise exposure on otolith function measures of video ocular counter roll (vOCR), ocular vestibular evoked myogenic potential (oVEMP), cervical VEMP (cVEMP), and subjective visual vertical (SVV). Additionally, this study compared the vOCR results with other otolith function measures: cVEMP, oVEMP, and SVV.</p><p><strong>Method: </strong>This was a cross-sectional, between-group prospective study that compared otolith function tests between noise exposure groups. Thirty-three adults between the ages of 40-60 years with no middle ear pathology, history of balance disorder, neurologic pathology, systemic diseases, or receiving ototoxic medications were included in the study. Group 1 included 17 adults (34 ears) with low-risk noise exposure, and Group 2 included 16 adults (32 ears) with high-risk noise exposure. Independent samples <i>t</i> tests were used to assess group mean differences for dependent variables. The independent variable was group with two levels (low risk and high risk). The dependent variables were Noise Exposure Structured Interview (NESI) score, vOCR torsion, cVEMP amplitude, oVEMP amplitude, and SVV angle. Additional analyses were completed using Pearson correlation to evaluate the relationship of vOCR to the other otolith function tests and NESI score to the otolith function tests.</p><p><strong>Results: </strong>The results indicated significantly decreased vOCR torsion, cVEMP amplitude, and oVEMP amplitude in individuals with high-risk noise exposure compared with those in the low-risk group. Significant correlations were found for NESI scores as well as vOCR and oVEMP measures.</p><p><strong>Conclusions: </strong>This study describes the concomitant degeneration of the auditory and vestibular systems from noise exposure affecting otolith function, as measured by audiologic testing and otolith testing. vOCR appears to be sensitive to this degeneration, indicating that vOCR could be used as a vestibular screening measure for patients with noise exposure and/or suspected utricle dysfunction.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"19-28"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing Feasibility of a Self-Administered Hearing Test for Patients With Progressive Apraxia of Speech and Aphasia.","authors":"Rene L Utianski, Gabriela Meade, Megan J Meyer, Joseph R Duffy, Heather M Clark, Jennifer L Whitwell, Keith A Josephs, Gayla L Poling","doi":"10.1044/2024_AJA-24-00197","DOIUrl":"10.1044/2024_AJA-24-00197","url":null,"abstract":"<p><strong>Background and objectives: </strong>Hearing loss is relatively common in older individuals, and individuals with frontotemporal lobar degeneration (FTLD) are no exception; this can exacerbate communication difficulties stemming from speech-language impairments. The co-occurrence of these symptoms can contribute to increased frustration and isolation for patients and their communication partners. The objective of this study was to evaluate the feasibility of self-administered hearing testing. Ultimately, this could be administered remotely, which would increase access to assessment and inform management for this population.</p><p><strong>Method: </strong>Seventeen patients with underlying FTLD, clinically presenting with progressive apraxia of speech with and without agrammatic aphasia, independently completed the Home Hearing Test supervised while in office.</p><p><strong>Results: </strong>Three patients self-reported hearing loss, but results for 100% recommended formal evaluation. Eleven patients demonstrated good test accuracy. Six patients had \"poor\" or not computable accuracy; among them, five had evidence of cognitive impairment and/or behavioral changes, and one had known severe hearing loss, although differences between those with good and poor test accuracy were not significant. Patients with poor test accuracy had more difficulty with limb praxis.</p><p><strong>Conclusions: </strong>Most participants independently completed the test, though some had reduced test accuracy that may have been associated with cognitive impairment and/or limb apraxia. This study supports the need for hearing screenings in all patients with progressive apraxia of speech and aphasia and highlights both the feasibility and caution required in implementing self-administered testing protocols. Further work should evaluate the feasibility of in-home hearing screenings in a broader range of FTLD phenotypes and directly compare sensitivity and specificity of hearing loss detection with in-clinic administration.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.28306613.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"220-226"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating the Tinnitus Spectrum: A Comparison Between At-Home and Laboratory Measurements.","authors":"Jennifer J Lentz, Yi Liu","doi":"10.1044/2024_AJA-24-00043","DOIUrl":"10.1044/2024_AJA-24-00043","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to provide proof of concept for at-home measurements of the tinnitus spectrum.</p><p><strong>Method: </strong>Nineteen participants completed pitch similarity ratings in the laboratory and at home. All participants first completed laboratory tests (at 500-16000 Hz) and then later completed at-home tests (at 250-8000 Hz) using their own personal computers and headphones. Six participants repeated these measurements after at least 3 weeks.</p><p><strong>Results: </strong>Tinnitus spectra (plots of pitch similarity rating vs. frequency) were analyzed using linear regression and Bland-Altman plots for frequencies that were common to both environments (500-8000 Hz). Although the Bland-Altman plots indicated that absolute ratings used by participants differed in the two settings with online ratings tending to be higher than lab ratings, the regression analysis indicated that the tinnitus spectra had similar shapes (evidenced by significantly positive slopes) between the two environments for 14 of the 19 participants. Similar results were evident for test-retest reliability of the six returning participants in both settings.</p><p><strong>Conclusions: </strong>We conclude that the pitch similarity rating method is potentially viable for measuring tinnitus pitch at home. At-home implementation could expedite clinical tinnitus assessments and could be used in conjunction with at-home implementations of tinnitus treatment strategies. However, future studies should include participants who are tested at home prior to being tested in the lab and include an evaluation of extended high frequencies at home.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"187-198"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inpatient Audiologic Services Facilitate Early Hearing Detection.","authors":"Angie Zemba, Chloe Vaughan, Holly Gerth, Gina Guerra, Jason Benedict, Ursula M Findlen","doi":"10.1044/2024_AJA-24-00178","DOIUrl":"10.1044/2024_AJA-24-00178","url":null,"abstract":"<p><strong>Purpose: </strong>Infants needing neonatal intensive care unit (NICU) intervention have protracted timelines for diagnosis after not passing their newborn hearing screening despite being at higher risk for congenital hearing loss. The primary aim of this study was to evaluate the outcomes of early hearing detection for infants with a history of NICU admission. The secondary aim was to determine if diagnostic audiology services within the NICU setting accelerated diagnosis and intervention.</p><p><strong>Method: </strong>A retrospective chart review was completed for infants referred for diagnostic audiologic testing from 2018 to 2021 at a tertiary urban-setting children's hospital. After exclusion criteria were applied, 367 infants with NICU history were included in the analysis. Various factors were recorded from electronic medical records. Time to diagnosis was derived and compared across (a) NICU location, (b) insurance type, and (c) race/ethnicity.</p><p><strong>Results: </strong>Analysis of infants with NICU history revealed that 70% of infants had a diagnosis by 3 months corrected age. The level of in-NICU audiologic care did not significantly impact corrected age at diagnosis; however, loss to follow-up (LTFU) rates were higher for NICUs that did not provide in-hospital diagnostic services (10.0%) when compared to the NICU setting with inpatient audiology services (6.8%). In-NICU testing occurred on average 5.7 weeks prior to discharge, expediting diagnosis of hearing status compared to having to wait for an outpatient evaluation after discharge.</p><p><strong>Conclusions: </strong>Timely hearing detection is feasible in the medically complex NICU population. Inpatient audiology diagnostic testing may help reduce LTFU and facilitate early hearing detection and intervention.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"97-105"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of Auditory Processing and Working Memory Profiles in Young and Older Adults.","authors":"Vaishnavi Ramadas, Ramya Vaidyanath, Ajith Kumar Uppunda, Sushma Viswanathan","doi":"10.1044/2024_AJA-24-00069","DOIUrl":"10.1044/2024_AJA-24-00069","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to profile and compare the auditory processing and working memory skills of young and older adults with near-normal hearing thresholds (up to 2000 Hz) and cognition. This was done to investigate the effect of aging on these skills despite exhibiting near-normal peripheral hearing in low frequencies and normal cognitive skills.</p><p><strong>Method: </strong>Twenty-five young adults (18 to 35 years) and 35 older adults (56 to 79 years) were recruited for the study. They were screened for near-normal hearing thresholds (up to 2000 Hz) as well as cognition, and written informed consent was obtained. A battery of auditory processing and working memory tests were administered to the participants. The responses obtained were compared using the Mann-Whitney <i>U</i> test. Principal component analysis (PCA) was also carried out to examine any relationship between the various auditory processes and the cognitive skills.</p><p><strong>Results: </strong>The young adults had superior performance compared to older adults on most of the tasks. PCA revealed the influence of working memory on performance in most tests of auditory processing in young adults and to a lesser extent in older adults.</p><p><strong>Conclusions: </strong>This study aimed to assess and compare the auditory processing and working memory skills of young and older adults with normal hearing and cognition. Overall, young adults demonstrated superior performance compared to older adults across the tasks. The results of PCA indicated that the young adults utilized their cognitive resources better for auditory processing compared to the older adults. These findings suggest a need for tailored interventions targeting both auditory processing and working memory, especially among older adults, and highlight the importance of considering age-related differences in these cognitive processes when interpreting auditory processing assessments.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"72-83"},"PeriodicalIF":1.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Related to Dizziness in Workers With Noise-Induced Hearing Loss in Brazil.","authors":"Danúbia Hillesheim, Renata Coelho Scharlach, Eduarda Dandolini da Silva, Bárbara Amaral Silva, Fernanda Zucki","doi":"10.1044/2024_AJA-24-00066","DOIUrl":"10.1044/2024_AJA-24-00066","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to describe the factors related to dizziness in workers with noise-induced hearing loss in Brazil.</p><p><strong>Method: </strong>A cross-sectional study was carried out with a sample from noise-induced hearing loss reports (2007-2019). The dependent variable in this study was dizziness, and the independent variables were sociodemographic characteristics, comorbidities, symptoms, and noise characteristics in the work environment. Logistic regression analysis was performed.</p><p><strong>Results: </strong>A total of 3,824 individuals with noise-induced hearing loss in Brazil were analyzed. The prevalence of dizziness was 23.4% in the sample. Factors associated with dizziness were women (odds ratio [<i>OR</i>]: 2.10; 95% confidence interval [CI] [1.64, 2.69]), hypertension (<i>OR</i>: 1.68; 95% CI [1.38, 2.06]), headache (<i>OR</i>: 6.31; 95% CI [5.26, 7.57]), tinnitus (<i>OR</i>: 3.46; 95% CI [2.82, 4.25]), and continuous noise at the work environment (<i>OR</i>: 1.54; 95% CI [1.22, 1.94]).</p><p><strong>Conclusions: </strong>The factors associated with the outcome-dizziness-were gender (female), systemic arterial hypertension, headache, tinnitus, and continuous exposure to workplace noise. Such findings demonstrate the importance of promoting a multifactorial approach to understanding dizziness among workers exposed to occupational noise.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1135-1143"},"PeriodicalIF":1.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Benefit-Cost Analyses of Hearing Aids, Over-the-Counter Hearing Devices, and Hearing Care Services.","authors":"Anna Marie Jilla, Carole E Johnson, Jonathan D Baldwin, Nick Huntington-Klein","doi":"10.1044/2024_AJA-23-00262","DOIUrl":"10.1044/2024_AJA-23-00262","url":null,"abstract":"<p><strong>Purpose: </strong>Limited accessibility to hearing health care threatens healthy aging in place for older adults with hearing loss. A willingness-to-pay (WTP) approach was used to determine benefits and value of prescription advanced digital technology (ADT) hearing aids, over-the-counter (OTC) hearing devices, and rehabilitative services using benefit-cost analyses.</p><p><strong>Method: </strong>This study was a cross-sectional survey with chart review of hearing aid users at two independent audiology practices. Seventy hearing aid users (response rate: 15.6%) provided their WTP for ADT prescription hearing aids, OTC hearing devices, and hearing rehabilitative services. Benefit-cost ratios and net social benefit were calculated using deterministic and exploratory approaches. Point estimates for benefit-cost ratios and net social benefit were derived using bootstrap sampling with replacement (<i>N</i> = 5,000).</p><p><strong>Results: </strong>Median WTP for ADT prescription hearing aids and rehabilitative services were $2,000 and $250, respectively. WTP was lowest for OTC devices (<i>Mdn</i> = $0; maximum = $500). Benefit-cost ratios and net social benefit for ADT prescription hearing aids, OTC devices, and hearing rehabilitative services favored these interventions when out-of-pocket costs remained low. Benefit-cost analyses also produced results favoring prescription ADT hearing aid intervention with costs as high as $1,530 per device.</p><p><strong>Conclusions: </strong>WTP results indicated that all interventions under study have a measurable consumer-perceived benefit. Results of benefit-cost analyses favored the interventions but only when costs were lower than market prices. The benefit-cost analysis results for hearing care services underscore their value when provided as part of a comprehensive rehabilitative plan that may inform future health policy changes.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1316-1330"},"PeriodicalIF":1.4,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}