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speech recognition

در نشریات گروه پزشکی
  • Shubhaganga Dhrruvakumar, Vishal Kooknoor, Rakesh Chowkalli Veerabhadrappa *
    Background and Aim

    The output Signal-to-Noise Ratio (SNR) is one of the essential factors in hearing aid benefits. There is limited evidence regarding SNR improvement by the Channel-Free (CFHA) and Multi-Channel Hearing Aid (MCHA) and the speech understanding in noise through them. This study aimed to investigate the extent to which output SNR was modified by CFHA and MCHA processing and the variation in aided speech recognition abilities with a change in output SNR.

    Methods

    Thirty-six participants aged 50–65 years were included. A chosen CFHA and MCHA were used to obtain the output SNR and sentence recognition in noise in four different processing algorithms (linear, linear+noise reduction, WDRC, WDRC+noise reduction). Hagerman’s phase inversion technique was used to measure the attenuation of noise and, in turn, to obtain the output SNR of the hearing aid.

    Results

    In all hearing aid processing algorithms among those with normal hearing and people with hearing loss, the output of CFHA revealed higher attenuation values than that of MCHA. There was a significant effect of the hearing aids and processing algorithms in both normal and individuals with hearing impairment on the mean SNR. Further, multiple linear regression analysis results showed that whether the hearing is channel-free or multichannel significantly predicted speech recognition scores, while output SNR and processing algorithms did not.

    Conclusion

    The signal processing algorithms in CFHA had greater noise attenuation values, better output SNR, and speech recognition scores, showing an advantage over the modern MCHA among individuals with hearing impairment.

    Keywords: Channel-Free Hearing Aids, Multi-Channel Hearing Aids, Sensorineural Hearingloss, Speech Recognition
  • Seyede Zohre Mousavi, Mehri Maleki, Mohammad Maarefvand, Azadeh Borna
    Introduction

    Using personal protective equipment, especially face masks, in the COVID-19 pandemic era may make verbal communication difficult. Furthermore, acoustic changes in mask-wearing conditions may affect speech audiometry results. This study investigates the effect of wearing a face mask on the word recognition score and the role of speech frequency content in this effect.

    Materials and Methods

    This study was planned and conducted in two phases. In the first phase, the validity and reliability of two speech material lists, high-pitch and low-pitch, were determined. In the second phase, the word recognition score was measured for “mask-wearing” and “covering mouth without a mask.”

    Results

    The statistical analysis showed that the content validity ratio was 0.92, and the content validity index was 0.8. Therefore, both speech lists were valid. For these lists, the mixed analysis of variance analysis showed that the scores for “mask-wearing” were significantly lower than “covering mouth without a mask,” and there was more reduction in scores for the high-pitched list (F=8.7, df=1, P<0.005).

    Conclusion

    In terms of the impact of a face mask on speech, explaining how speech audiometry is performed, especially in monitoring treatments, may help limit the probability of misinterpretation of speech test findings. Furthermore, understanding the impact of face masks on word recognition scores in adopting sufficient auditory rehabilitation procedures is necessary.

    Keywords: Speech recognition, Wordrecognition score, Personalprotective equipment, Facemask, COVID-19
  • Sima Tajik, Mansoureh Adel Ghahraman, Saeid Farahani, Nematollah Rouhbakhsh, Alireza Taheri, Parsa Bahramsari, Shohreh Jalaie
    Background and Aim

    Identifying sound localization defects in children and using appropriate rehabilitation methods lead to improve their problem to use binaural processing skills to successfully suppress background noise and selectively attend to a particular auditory source. This pilot study aims to design a game for auditory training of children with Spatial Processing Disorder (SPD) in Iran and compare their performance in engagement time and speech recognition in noise with those of normal peers.

    Methods

    The game application was designed based on the spatial separation of target and competing stimuli by applying head-related transfer functions. The child’s task was to identify the picture of the target word from among the displayed options. Participants were 24 children with SPD and 27 normal peers aged 7–9 years, who performed the speech recognition tasks using the designed game.

    Results

    The game was fascinating and easy to use for most participants. There was no significant difference in mean engagement time between the two groups. The mean engagement time of participants was significantly different between the two groups in terms of age. The children with SPD obtained lower scores in speech recognition in noise tasks. There was no significant difference in speech recognition scores between girls and boys.

    Conclusion

    The designed game application has the potential for speech recognition innoise training of children with SPD in Iran. It is a fascinating and user-friendly tool for simulating the real-life auditory situations for these children.

    Keywords: Smart game, speech recognition, application, auditory training, design, spatialauditory, processing disorder
  • MohammadMajid Oryadi-Zanjani *

    Background :

    Speech recognition is a significant component of speech perception assessment as a main clinical target in children with hearing disorders. The current article presents a systematic review designed to provide clinical and research guidelines for speech recognition assessment in Persian-speaking children with and without hearing disorders.

    Methods

    A systematic search was conducted to cumulate the research evidence for the assessment of speech recognition in Persian-speaking children with and without hearing disorders. Peer-reviewed journal articles dedicated to this issue and published between 1982 and December 2021 were discovered through a search of the electronic databases of PubMed, Scopus, MEDLINE, Web of Science, Magiran, IranMedex, Scientific Information Database (SID), and Google Scholar. The papers were analyzed according to different variables, including test age, vocabulary competency, cognitive demands, response format, presentation mode, stimulus format, stimulus variability, stimulus mode, and test conditions.

    Results

    The review identified four papers related to the development of five assessment tools for measuring speech recognition in Persian-speaking children, namely Persian Monosyllabic Lexical Neighborhood Tests (PMLNTs), Persian Disyllabic Lexical Neighborhood Tests (PDLNTs), Persian version of the words-in-noise (WIN), Tavana (test for evaluating auditory skills), and closed-set speech recognition test for Persian-speaking children. The properties and limitations of each test have been considered in the current review article.

    Conclusion

    Based on this systematic review, only four speech recognition assessment tools exist for measuring specifically spoken word recognition in Persian-speaking children. The results of this review article can be used as a clinical and research guideline for assessing speech recognition in Persian-speaking children with hearing disorders.

    Keywords: Hearing Disorders, speech recognition, children, Assessment, Cochlear implantation
  • Javad Fakhri, Nematollah Rouhbakhsh*, Reza Hoseinabadi, Farzaneh Fatahi, Mahsa Sepehernejad, Zohreh Roghani
    Introduction

    The use of cochlear implants, due to technological limitations, causes problems in speech comprehension in the presence of noise. This study aimed to evaluate the speech-in-noise (SIN) comprehension with emphasis on high-frequency components between users of different bimodal adult.

    Materials and Methods

    This study was conducted on 33 adult participants with a mean age of 36 years using bimodal (cochlear implant in one ear and hearing aid in another ear: CI/HA) style of different companies. Quick SIN with emphasis on high-frequency components was performed on the participants using an audiometer, an amplifier, and one speaker.

    Results

    Comparing the average percentage of correct answers from the word recognition test in the presence of noise in bimodal users showed that the Cochlear brand provides a better signal-to-noise (SNR) compare to other brands. Our result shows that bimodal users of Advance bionic and Med-El groups have better performance in speech recognition than other brands.

    Conclusion

    Bimodal users of Advance bionic and Med-El have better SNR loss than other brands. Besides, further studies on different ages can be helpful to make the right decision in this regard.

    Keywords: Cochlear implant, Bimodal implantation, Speech recognition, Noisy backgrounds, Speech in noise perception
  • سیده فائزه فاضلیان، علی محمدزاده*، هما زرین کوب، علیرضا اکبرزاده باغبان
    زمینه و هدف

    لب خوانی، استخراج داده های گفتاری از فعالیت قسمت تحتانی چهره به ویژه آرواره ها، لب ها، زبان و دندان هاست که در افراد شنوا مهارتی طبیعی محسوب می شود. هدف اصلی لب خوانی، افزایش استقلال افراد دچار نقص شنوایی است. دیدن حرکات صورت گوینده به طور قابل ملاحظه ای توانایی درک واژگان گفته شده را افزایش می دهد، به خصوص در محیط هایی که نویز در آن وجود دارد. درواقع این نکته نشان دهنده نقش موثر سیگنال های دیداری است. در پژوهش حاضر به بررسی اثر آموزش بر مهارت لب خوانی افراد 18 تا 25 ساله با طراحی و ساخت یک برنامه آموزشی لب خوانی پرداختیم.

    مواد و روش ها

    از آزمون لب خوانی سارا 1 و 2 برای ارزیابی مهارت لب خوانی و بررسی اثرآموزش لب خوانی بر بازشناسی گفتار نمونه های حاضر در مطالعه استفاده شد. مطالعه مداخله ای نیمه تجربی حاضر روی 27 نفر از دانشجویان پسر که به شیوه نمونه گیری غیرتصادفی و دردسترس انتخاب شدند، انجام شد. برای تحلیل داده ها،آزمون های آماری تحلیل واریانس با اندازه گیری های مکرر و آزمون مک نمار مورد استفاده قرار گرفتند.

    ملاحظات اخلاقی:

    کسب رضایت آگاهانه و در اختیار قرار دادن نتایج، از اصول اخلاقی در این پژوهش بود. این پژوهش با کد IR.SBMU.REC.1394.144 به تصویب کمیته اخلاق دانشگاه علوم پزشکی شهید بهشتی رسیده است.

    یافته ها

    بین امتیازات آزمون لب خوانی سارا 1 در 2 موقعیت قبل از آموزش و بعد از آموزش تفاوت معناداری وجود داشت (P=0/000) و امتیازات آزمون لب خوانی سارا 2 نیز در 2 موقعیت تفاوت معناداری را نشان داد (P=0/000). همچنین بین امتیازات، هم خوان واکه، در موقعیت قبل از آموزش لب خوانی و بعد از آن نیز تفاوت معناداری وجود داشت (P<0/05). بررسی امتیازات لب خوانی شش واکه اصلی نیز نشان دهنده تفاوت معنا دار در دو موقعیت قبل و بعد از آموزش بود (P=0/000).

    نتیجه گیری

    یافته های مطالعه حاضر نشان دادند آموزش لب خوانی اثر مثبتی بر توانایی لب خوانی در افراد دارد و امکان بهبود توانایی لب خوانی بعد از آموزش وجود دارد.

    کلید واژگان: لب خوانی، بازشناسی گفتار، آزمون لب خوانی سارا
    Seyede Faezeh Fazelian, Ali Mohammadzadeh*, Homa Zarinkub, Alireza Akbarzadeh Baghban
    Background and Aim

    Lip reading is extraction of speech data from the activity of the lower part of face, particularly jaws, lips, tongue, and teeth that is a natural skill in people with hearing loss. The main purpose of lip reading is to increase the independence of people with hearing loss. Looking at the speakers facial movements significantly increase the ability to understand the spoken words, particularly in the environments where noise is present. In fact this reflects the important role of visual signals. In current study we consider the effects of education on lip reading ability by planning and instructing a lip reading program in male subjects.

    Methods & Materials: 

    Sara lip reading test 1 and 2 were used for the assessment of lip reading skills and for studying the effects of lip reading training on recognition of speech. This intervention as a semi-experimental study, was conducted on 27 male students, selected by available sampling. For data analysis, statistical analysis of variance with repeated measurements and Mcnemar was used.

    Ethical Considerations: 

    This research with the code IR.SBMU.REC.1394.144 has been approved by the ethics committee of Shahid Beheshti University of Medical Sciences.

    Results

     There were significant differences between Sara lip reading test 1 scores in 2 positions (P=0.000).Lip reading test scores also showed significant differences in Sara lip reading test 2 in 2 positions (P=0.000). Also between the scores of Consonant-vowel, consonant-vowel syllables, in the position before teaching lip-reading and then ,was significant difference (P<0.05).

    Conclusion

     The findings of this study showed that instructing lip reading has a positive effect on lip-reading ability in people.

    Keywords: Lip reading, Speech recognition, Sarah lip reading test
  • Saber Malekzadeh, MohammadHossein Gholizadeh*, Seyed Naser Razavi, Hossein Ghayoumi Zadeh
    Background

    In this paper, a novel approach is proposed for the recognition of Persian phonemes in the Persian consonant‑vowel combination (PCVC) speech dataset. Nowadays, deep neural networks (NNs) play a crucial role in classification tasks. However, the best results in speech recognition are not yet as perfect as human recognition rate. Deep learning techniques show outstanding performance over many other classification tasks, such as image classification and document classification. Furthermore, the performance is sometimes better than a human. The reason why automatic speech recognition systems are not as qualified as the human speech recognition system, mostly depends on features of data which are fed to deep NNs.

    Methods

    In this research, first, the sound samples are cut for the exact extraction of phoneme sounds in 50 ms samples. Then, phonemes are divided into 30 groups, containing 23 consonants, 6 vowels, and a silence phoneme.

    Results

    The short‑time Fourier transform is conducted on them, and the results are given to PPNet (a new deep convolutional NN architecture) classifier and a total average of 75.87% accuracy is reached which is the best result ever compared to other algorithms on separated Persian phonemes (like in PCVC speech dataset).

    Conclusion

    This method not only can be used for recognizing mono‑phonemes but it can also be adopted as an input to the selection of the best words in speech transcription

    Keywords: Persian consonant‑vowel combination, Persian, PPNet, speech recognition, short‑timeFourier transform
  • Zahra Karbasi, Kambiz Bahaadinbeigy*, Leila Ahmadian, Reza Khajouei, Moghaddameh Mirzaee
    Introduction

    Speech recognition (SR) technology has been existing for more than two decades. But, it has been rarely used in health care institutions and not applied uniformly in all the clinical domains. The aim of this study was to investigate the accuracy of speech recognition system in four different situations in the real environment of health services. We also report physicians' experience of using speech recognition technology.

    Material and Methods

    To do this study, NEVISA SR software professional v.3 was installed on the computers of expert physicians. The pre-designated medical report was tested by the physicians in four different modes including slow expression in a silent environment, slow expression in crowded environments, rapid expression in a silent environment and rapid expression in a busy environment. After using the speech recognition software by 15 physicians in hospitals, a designed questionnaire was distributed among them.

    Results

    The results showed that the highest average accuracy of speech recognition software was in the silent environment by slow expression and the minimum average accuracy was in the busy environment by rapid expression. Of all the participants in the study, 53.3% of the physicians believed that the use of speech recognition system promoted the workflow.

    Conclusion

    We found that software accuracy was generally higher than the expectation and its use required to upgrade the system and its operation. In order to achieve the highest level of recognition rate and error reduction by speech recognition, influential factors such as environmental noise, type of software or hardware, training and experience of participants can be also considered.

    Keywords: Speech Recognition, Physicians, Accuracy, Software
  • زهرا شرفی، علی محمدزاده*، مرضیه شریفیان البرزی، سید مهدی طباطبایی
    مقدمه و اهداف
    توانایی برقراری ارتباط موثر کلامی با دیگران دارای اهمیت بوده و در حفظ کیفیت زندگی تاثیر دارد. اختلال درک گفتار در حضور نویز یکی از شکایات رایج افراد در تمامی سنین می باشد. توانایی پردازش شنیداری مرکزی و قابلیت های شناختی در بازشناسی گفتار در نویز موثر هستند. مطالعات موجود نشان می دهد که جنسیت و سطح تحصیلات بر مهارت های شناختی و پردازشی تاثیرگذار است. از این رو مطالعه حاضر به بررسی تاثیر جنسیت و سطح تحصیلات بر یکی از جنبه های شناخت یعنی توانایی بازشناسی همخوان های انفجاری و سایشی فارسی در حضور نویز همهمه پرداخت.
    مواد و روش ها
    مطالعه حاضر از نوع مشاهده ای و به روش مقطعی بر روی 60 فرد بالغ با شنوایی هنجار (31 فرد دارای سطح تحصیلات دیپلم، 21 فرد دارای سطح تحصیلات لیسانس و 8 فرد دارای سطح تحصیلات بالاتر از لیسانس) در محدوده سنی 30 تا 49 سال (شامل 31 مرد و 29 زن)،  از بین نمونه های در دسترس انجام شد. پس از انجام ارزیابی های شنوایی و گفتاری، بازشناسی همخوان های انفجاری و سایشی در قالب هجاهای همخوان-واکه-همخوان و در حضور نویز همهمه در نسبت های سیگنال به نویز صفر، 5-، 10- به تفکیک جنسیت و سطح تحصیلات مورد مقایسه قرار گرفت.
    یافته ها
    با افزایش میزان نویز میانگین امتیاز بازشناسی همخوان های انفجاری و سایشی در زنان و مردان و افراد دارای سطح تحصیلات متفاوت کاهش یافت که از لحاظ آماری معنا دار بود (001/0=P).
    نتیجه گیری
    مطالعه حاضر نشان داد که جنسیت و سطح تحصیلات تاثیری بر توانایی بازشناسی گفتار در حضور نویز همهمه ندارند، لیکن افزایش نویز سبب کاهش امتیاز بازشناسی همخوان های انفجاری و سایشی در حضور نویز همهمه گردید.
    کلید واژگان: سن، همخوان سایشی، بازشناسی گفتار، نویز همهمه
    Zahra Sharafi, Ali Mohammadzadeh *, Marzieh Sharifian, Seyed Mehdi Tabatabaee
    Background and Aim
    The ability to communicate verbally with others is important and has an impact on maintaining quality of life. Disturbance in speech perception in the presence of noise is a common complaint to specialists of all ages. Central auditory processing and cognitive ability are effective in speech recognition in noise. Previous studies showed that gender and education have an impact on cognitive and processing skills. Therefore, the present study examined the effect of gender and educational level on the ability to recognize the Persian stop and fricative consonants in the presence of babble noise.
    Materials and Methods
    The present observational and cross-sectional study was performed on 31 males and 29 females with normal hearing (31 with diploma, 21 with bachelor, and 8 with higher than bachelor educational level), aged 30-49 years, selected from available samples. After auditory and speech evaluations, recognition of stop and fricative consonants in the form of consonant-vowel-consonant syllable and in the presence of noise in signal-to-noise ratios of 0, -5, and -10 were compared.
    Results
    Comparison of two age groups revealed that the recognition score of fricative consonants was significant in signal-to-noise ratios of 0, -5, and -10 (p= 0.003). Also, there was a significant difference between the two age groups in terms of the recognition score of fricative consonants in the presence of some vowels in signal-to-noise ratios of 0, -5, and -10 (p= 0.001).
    Conclusion
    The present study showed that gender and educational level have no effect on the ability to recognize speech in the presence of babble noise; however, noise exposure reduced the recognition score of stop and fricative consonants in the presence of babble noise.
    Keywords: Sex, Educational level, Stop consonant, Fricative consonant, Speech recognition, Babble noise
  • مهدیه کمالی، عباس شیخ طاهری
    مقدمه
    مستندسازی گزارش های پرستاری و ثبت داده ها یکی از اولین و مهم ترین وظایف پرستاران محسوب می شود. فناوری تشخیص گفتار به عنوان یکی از فناوری های موثر بر مستندسازی پرستاری معرفی شده که با آزادسازی زمان پرستاران برای نوشتن مستندات از تعامل پرستار و بیمار و نیز آموزش آن ها حمایت می کند. این مطالعه با هدف شناسایی مزایا، موانع و تسهیل کننده های استفاده از این فناوری در مستندسازی گزارش های پرستاری انجام شد.
    روش
    در این مطالعه به روش مروری، مطالعات مختلف استفاده از فناوری تشخیص گفتار در حوزه پرستاری در سال های 1990 تا سال 2017 در پایگاه های اطلاعاتیPubMed، Science Direct، Google Scholar، Magiran، SID بررسی و نهایتا 10 مطالعه در مرور متون وارد شد. معیار ورود مقالات زبان فارسی یا انگلیسی، پیاده سازی سیستم تشخیص گفتار در حوزه پرستاری و گزارش دادن، یکی از ابعاد مورد نظر این مطالعه بود.
    نتایج
    در بررسی مطالعات مختلف بهبود گردش کار با بیشترین فراوانی از اهمیت بیشتری در بین مزایا برخودار بود. پس از بررسی موانع کاهش دقت نرم افزارهای تشخیص گفتار به عنوان اولین مانع و در اولویت بعدی تاثیر نویزهای محیطی قرار داشت. آموزش کافی و استفاده از ابزارهای مناسب نیز مهم ترین تسهیلگرهای استفاده از این فناوری می باشند.
    نتیجه گیری
    مدیران بیمارستان ها، مدیران پرستاری و مسئولین فناوری اطلاعات بیمارستان ها با کمک نتایج این مطالعه می توانند رفتار آگاهانه تری در انتخاب و پیاده سازی سیستم تشخیص گفتار برای مستندسازی گزارش های پرستاری داشته باشند. در نتیجه از کاهش بهره وری به دلیل عدم دقت در تشخیص صدا، عدم بهبود کیفیت مستندسازی گزارش های پرستاری، افزایش حجم کاری پرستاران و درگیری آن ها در فعالیت های غیرمستقیم مراقبتی جلوگیری نمایند.
    کلید واژگان: تشخیص گفتار، مستندسازی پرستاری، گزارش های پرستاری، یادداشت های پرستاری، تاثیرات، موانع، چالش ها، تسهیلگر
    Mahdieh Kamali, Abbas Sheikhtaheri
    Introduction
    Documenting nursing reports and recording data are among the first and most important tasks of nurses. Speech recognition technology has been introduced as one of the most effective technologies in nursing documentation, which supports the nursing and patient interaction as well as the training of nurses through saving nurse's time. This study aimed to identify the benefits, barriers and facilitators of using this technology in documenting nursing reports.
    Methods
    In this review study, various studies on the use of speech recognition technology in the field of nursing documentation published from 1990 to 2017 were reviewed at Pubmed, Science Direct, Google Scholar, Magiran, SID databases and, finally, ten papers were included in the review. The inclusion criteria were studies published in Persian or English language and the implementation of the speech recognition system in the field of nursing documentation and reporting.
    Results
    Improvement of workflow, with the highest frequency, was the most important benefit. Reduction of the accuracy of speech recognition software was the first mentioned barrier of using this technology followed by the impact of environmental noises. Sufficient training and use of appropriate tools were found as the most important facilitators of using this technology.
    Conclusion
    This study helps hospital managers, nursing managers and IT managers of hospitals to better manage selection and implementation of speech recognition system for documenting nursing reports. As a result, reducing productivity due to inaccuracy in voice recognition, lack of improvement in the quality of documentation of nursing reports, increasing the workload of nurses and their involvement in indirect care activities can be prevented.
    Keywords: Speech recognition, Nursing documentation, Nursing reports, Nursing notes, Benefits, Barriers, Challenges, Facilitator
  • لیلا جلیلوند کریمی، اکرم مسرتی *، علیرضا اکبرزاده باغبان
    مقدمه و اهداف
    ارزیابی گوش واقعی یک روش بررسی خروجی سمعک است که به وسیله ی آن می توان تمامی ویژگی های فردی گوش را در تنظیم سمعک محاسبه نمود و به تارگت تجویزی مورد نظر رسید. هدف از تنظیم سمعک و در نهایت انطباق با تارگت تجویزی به وسیله ی ارزیابی گوش واقعی، بالا بردن فهم گفتار در ارتباط روزمره است؛ اما اینکه چه قدر ارزیابی گوش واقعی روی امتیاز بازشناسی لغت اثر می گذارد، مساله ای است که مورد بررسی قرار می گیرد.
    مواد و روش ها
    این مطالعه از نوع مداخله ای مقطعی بود که در آن آزمون بازشناسی واژه های تک سیلابی، قبل و بعد از تنظیم با سیستم ارزیابی گوش واقعی بررسی شد. جمعیت مورد مطالعه در این پژوهش 21 فرد 20-65 ساله با افت شنوایی متوسط تا شدید(dBHL80-41) بوده و آنالیز داده ها با روش آماری t زوجی صورت گرفت و سطح اطمینان 05/0 از نظر آماری معنی دار در نظر گرفته شد.
    یافته ها
    نتایج آزمون t زوجی نشان داد امتیاز بازشناسی واژه بعد از تنظیم با ارزیابی گوش واقعی به صورت معنی داری افزایش یافت (012/0p=).
    نتیجه گیری
    با توجه به اینکه بعد از تنظیم با ارزیابی گوش واقعی ، بهبود امتیاز بازشناسی گفتار در افراد مورد آزمایش مشاهده شد، ارزیابی گوش واقعی برای فیتینگ سمعک توصیه می شود.
    کلید واژگان: ارزیابی گوش واقعی، بازشناسی گفتار
    Leila Jalilvand Karimi, Akram Maserrati*, Alireza Akbarzadeh Baghban
    Background And Aim
    Real Ear Measurement is a well-known method to evaluate hearing aid output by which all of a person's personal characteristics of ear in hearing aid fitting can be calculated to reach the prescriptive target. The purpose of hearing aid fitting and prescriptive target matching is improvement of speech intelligibility in routine communication. The current project was carried out to assess the effect of fitting based on real ear measurement on word recognition score.
    Materials And Methods
    A clinical trial study was designed in which monosyllabic word recognition test was performed before and after real ear measurement. The test was performed on 21 participants with moderate to severe hearing loss, aged between 20-65. The results were analyzed using paired t-test and a significance level of p
    Results
    Verifying with Real ear measurement increased monosyllabic word recognition score and this increase was statistically significant (p value=0.012).
    Conclusion
    Considering the impact of real ear measurement on improvement of speech intelligibility, which is the ultimate goal of the prescribed hearing aid, the implementation of real ear measurement in hearing aid fitting is recommended.
    Keywords: Real ear measurement, Speech recognition
  • Ensiyeh Rahmani, Farnoush Jarollahi, Aghafatemeh Hosseini, Mahnaz Soleymani
    Background And Aim
    Bilingualism is an important phenomenon with different effects on each aspect of language processing. Auditory temporal processing is a major component of the auditory processing ability. Since bilingual and monolingual individual’s brain process are different, and no studies have yet been conducted on the effect of temporal processing on speech recognition performance of Azeri-Persian bilinguals, the purpose of the present study is the comparison of auditory temporal processing between Persian monolinguals and early Azeri-Persian bilinguals.
    Methods
    In this cross-sectional study, the Persian version of time compressed speech test was performed with monosyllabic words in three compression rates of 0, 40 and 60 percent in the most comfortable level in each ear, separately. The subjects were 36 Persian monolinguals and 36 Azeri-Persian bilinguals aged from 18 to 30 and were analyzed based on languages’ compression rate and ear factors.
    Results
    The speech recognition scores (SRS) in both groups were decreased by increasing compression rate and a significant difference was shown between mean SRS of the two studied groups (p<0.0001). There was no significant difference between three compression rates by the ear (p>0.05).
    Conclusion
    In compression rate of 40 percent, bilingual group had lower speech recognition ability in comparison with monolingual group. In addition, there was more significant difference when compression rate increases from 40 to 60 percent.
    Keywords: Bilingualism, auditory processing, speech recognition
  • Fateme Sadeghi, Marjan Ghazisaeedi, Reza Safdari, Abdoljalil Kalantarhormozi
    Fast and holistic access to the patients’ clinical record is a major requirement of modern medical decision support systems (DSS). While electronic health records (EHRs) have replaced the traditional paper-based records in most healthcare organization, the data entry into these systems remains largely manual. Speech recognition technology promises substitution of the more convenient speech-based data entry with currently laborious manual method, in the near future. Developing effective speech recognition systems (SRS) require availability of standardized vocabulary databases. This study was aimed at developing a medical speech recognition database for reconstructive hand surgery based on the Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT). All codes related to hand problems were extracted from ICD-10. A sample of 2051 diagnosis codes was randomly selected from the patients’ records. The operation report paper sheets were transformed to electronic records. For each term, the SNOMED-CT was browsed to find the preferred synonym, using CliniClue® Xplore Software. For some words with several number of synonyms, the preference of reconstructive surgery specialists were asked using a researcher-made questionnaire. Ultimately, the preferred words was substituted throughout each document and used for developing a database of standard nomenclature. The developed database was used in speech-based recording clinical data in reconstructive hand surgery operating room and accuracy of 81% in correct recording of clinical data was observed. Therefore, development of standard medical nomenclature databases can facilitate accurate electronic recording of medical data and reduce the associated labor and cost posed by current manual method.
    Keywords: Clinical Records, Health Electronic Systems, Electronic Health Records, Speech recognition, Database, Software, Medical Informatics, Hand Surgery
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