i X

Development of a mandarin monosyllable test material with homogenous items (II): Lists equivalence evaluation

Abstract Conclusions: A set of Chinese Mandarin monosyllable test lists with good reliability and sensitivity was established. Objectives. The primary purpose of this study was to evaluate the equivalence of a group of monosyllable lists. Methods: A genetic algorithm was adopted to reorganize the material based on the Phoneme Allocation Table; 10 lists with 25 monosyllabic test items in each were generated. A two-factor design was used for the equivalence evaluation test. A total of 80 normal-hearing and native Mandarin-speaking university students (40 males and 40 females) participated in the trial. Every subject was tested with all 10 lists in sequence at 5 presentation levels (–5, 0, 5, 10, and 15 dB HL). Performance-intensity (P-I) function of each list was fit before P-I curve slope and recognition threshold were calculated. Results: Equivalence evaluation results indicated good psychophysical equivalence between the 10 lists except for list 2. List 9 has a reused item. After the elimination of lists 2 and 9, multivariate ANOVA revealed a good equivalence between the remaining eight lists (p = 0.136). The mean threshold of eight equivalent lists was 10.32 ± 0.38 dB HL, while the mean slope was 5.00 ± 0.29%/dB.

Development of a Mandarin monosyllable test material with homogenous items (I): Homogeneity selection

Abstract Conclusion. A homogeneity selection could establish a homogenous resource for Chinese Mandarin monosyllabic test lists. Objective: This study aimed to develop a set of succinct and phonemically balanced monosyllabic Mandarin recognition test lists with good item homogeneity, in an effort to meet the need for Chinese Mandarin speech recognition test materials. Methods: In reference to the Chinese phonemes distribution probability, we developed the Phoneme Allocation Table, which decided the occurrence of all consonants, vowels, and semantic tones in each list. A total of 489 monosyllables were selected and organized into 30 lists, with 25 monosyllables in each. A two-factor design was used to screen homogenous items out. Sixty normal-hearing native Mandarin speakers participated in experiment. The performance-intensity (P-I) function curve of each test item was fit by logistic regression. Items were screened out as homogenous ones using the following criteria: 1) regression R value was not <0.9; 2) slope was between 2%/dB and 12%/dB; 3) threshold was between –8 dB HL and 10 dB HL. Results: The Phoneme Allocation Table was established as a framework of 30 lists, providing a basis on which phonemically balanced monosyllabic lists can be developed. In all, 342 monosyllables with good homogeneity were screened out and can be reorganized to establish monosyllabic test lists with good sensitivity.

Successful cochlear implantation in a patient with MNGIE syndrome

Abstract A 28-year-old woman with mitochondrial neurogastrointestinal encephalomyopathy (MNGIE syndrome) undergoing evaluation for multichannel cochlear implantation is described. The case history, diagnosis of mitochondrial disease, and assessment of the benefits of cochlear implantation are documented. The hearing level with cochlear implant and speech recognition were improved significantly for this patient. MNGIE syndrome is a rare congenital disorder of mitochondrial DNA (mt-DNA). It is crucial for the otolaryngologist to have awareness of MNGIE syndrome and other mitochondrial encephalomyopathies when patients present with sensorineural hearing loss (SNHL). Cochlear implantation can be recommended to patients with MNGIE syndrome and satisfactory results can be achieved.