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- 张华主任医师 教授
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医院:
首都医科大学附属北京同仁医院
科室:
耳鼻咽喉科
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- 助听器的过去 现在与未来
- Mandarin Speech Test Materials (MSTMs)
- 作者:张华|发布时间:2013-06-20|浏览量:2248次
after several international conferences, some friends asked me about my research. i put one of my researches?chinese speech tests here as your references. i also introduced myself.
if you wanted to know more, please send mail to me. thank you.
zhang hua (a-zhang@263.net)北京同仁医院耳鼻咽喉头颈外科张华
at beijing, china
mandarin speech test materials
(mstms)
zhang hua, m.d.
capital medical university
beijing tongren hospital
beijing institute of otolaryngology
preface
speech audiometry is generally regarded as more acceptable for identifying patients with poor auditory capability and evaluating the communication ability in their daily lives
different kinds of english materials have been used in clinics for a long time, such as the pb-50 word lists, ab word lists, w-22, nu-6, cid everyday sentences, spin tests
speech test history in china
why so slowly in china?
edited materials too old, some words are seldom used now
the old materials were edited by a few different institutes and not standardized yet. almost no choices
hard to compare the results among institutes and clinics
no commercials materials could be purchased in the market
why so slowly in china?
audiology is not a popular profession yet
the homogeneity, equivalence, validity, reliability and maneuverability need strict evaluation
all these needs a long time of research and cooperation with different professions
the mandarin speech test materials (mstms) in china
study procedures
designing of mstms
recording and calibration of mstms
evaluating of mstms
further studies
step 1 designing of mstms
monosyllabic materials
10 lists , 50 words per list
all the words are in common use and have real meaning. chosen from authorized linguistic books
the test words in each list are 3-d phonologically balanced (vowel, consonant and tone)
step 1 designing of mstms
disyllabic (spondaic) materials
10 lists , 50 words per list
all words are common in daily life and phonologically balanced.
avoid using two 3rd-tone monosyllabic words to compose the test word.
the disyllabic word with “一” (yī) or “不” (bù) as the first syllable can not be selected
all words were stressed equally, and were excluded with neural tone in the end
step 1 designing of mstms
sentence materials
30 lists with 10 sentences in each list , 50 keywords per list
the test sentences are representative of conventional spoken mandarin (not written chinese language) in most areas in china
the intelligibility of each list is homogeneous
step2 recording and calibration of mstms
the materials were digitally recorded in the china national radio station by an experienced male mandarin broadcaster
the pronunciation was clear and natural, the intensity of speech sounds was at a similar level
the calibration tone (a 1000 hz pure tone , 30 seconds ) was inserted at the beginning of the recording
the speech material in each track was within ±0.5 db of the standard reference 1000 hz tone
the presentation level of speech materials via the headphone from the audiometer was calibrated at 20 db spl, which equates to 0 db hl
step3 evaluation of mstms
equivalence analysis of mandarin materials on normal-hearing subjects
performance-intensity (pi) function on normal-hearing subjects
disyllabic words performance-intensity function on hearing-impaired subjects
equivalence analysis with normal-hearing subjects
subjects : normal hearing subjects including 25 males and 35 females ,5 subjects for the pilot test and 60 subjects for the formal test
method: the subject listened to the materials and required to repeat loudly, guessing was encouraged . there was a practice list in the beginning of each session
presentation level decided by the pilot test
monosyllabic words pta+ 10 db
disyllabic words pta+ 2 db
sentences fixed at 5 db hl
equivalence analysis with normal-hearing subjects
7 monosyllabic, 9 disyllabic and 15 sentence lists are equivalent
monosyllabic words :list 1,4,5,6,7,8,9
disyllabic words list:1,2,3,4,6,7,8,9,10
sentences list:1,2,4,6,7,8,12,13,14,15,16,18,21,22,25
performance-intensity (pi) function on normal-hearing subjects
p-i function on normal-hearing subjects
for the monosyllabic, disyllabic and sentence materials, all the regression analysis showed a high correlation between correct score and presentation level. the regression function follows
monosyllables: y=34.56x3-7.53x2+0.43x-0.0052
disyllable: y=-0.14x2+13.4x-200.9
sentences: y=124.29x3+7.5931x2-0.0001
p-i function on normal-hearing subjects
monosyllabic p-i function on hearing-impaired
subjects:
45 patients with bilateral sensorineural hearing loss (pilot study 5, formal study 40)
average age: 58
pta (0.5, 1k, 2k and 4k) for better ear ? 60 db hl
monosyllabic p-i function on hearing-impaired
presentation level
two groups for shorting test time: 20 each group and 5 presentation levels
monosyllabic p-i function on hearing-impaired
disyllabic p-i function on hearing-impaired subjects
subjects
40 subjects (23 males and 17 females) with mild to moderate sensorineural hearing loss (5 for pilot and 35 for formal), the mean age is 58 years old. the average pta threshold at 500, 1000 and 2000 hz is 44.6 db hl
presentation level : srt+15 db,srt+10 db,srt+5 db,srt,srt-5 db,srt-10 db were selected as the presentation levels
disyllabic p-i function on hearing-impaired subjects
for disyllabic materials, the quadratic regression analysis
(y= -270.3+12.2x-0.11x2) showed a very high correlation (0.997) between correct score and presentation level.
the srt of these subjects was 44.6 db. the average pta at 0.5, 1k, 2k and 4k hz was 43.7 db hl. there was thus a very good agreement between the srt and pta threshold for hearing-impaired subjects using these mandarin disyllabic materials
disyllabic p-i function on hearing-impaired subjects
purpose for short lists
it is perfect to use 50-word list but takes longer time and not good for clinical usage
editing of the short lists
set up the subgroup of consonants and vowels according to their location and method of pronunciation
only chose the representatives of the phonemes in the same group
combine selected phonemes: reduce word numbers and make sure to test necessary phonetic characteristics
edit of short monosyllable lists
equivalent evaluation of short monosyllable lists
24 short monosyllable lists, 20 words in each list
subjects: 48 normal hearing young students, half male/female
method: repeat after presentation, encourage guessing. practice before test
presentation level: one level for one list. every subjects listened all 24 lists successively. from 20 to 5 db hl, reducing the level with 5 db each step. each circle has 6 lists with 6 presentation levels
equivalent evaluation of short monosyllable lists
after analysis, 16 lists are equivalent
got p-i curves of 24 lists by nonlinear as the logistic regression
the slope of linear part for 20-80% discrimination scores is 3.2%/db
the slope of linear part for 40-50% discrimination scores is 22.5%/db
further studies
mstms tests in noise
nonsense lists
computerization for all lists
hope to cooperate with you
funds
national natural science foundation of china
beijing natural science foundation
national 10th 5-year scientific research program
capital medical developing foundation
acknowledgement
§ prof. zhang jialu, acoustician
§ prof. wang hongjun, linguistician
§ associate prof. cao wen, linguistician
§ prof. liu zhaoxiong and song xinqiao, linguistician
§ prof. ma binrong, statistician
§ prof. li lin, audiologist
§ prof. wu zongji, linguistician
§ prof. robert h. mannell (special visit for this topic)
§ prof. philip newall (regular visiting professor of our school)
§ ms. fiona sutherland (stayed with us for 10 months)
§ prof. jack katz
§ prof. gus mueller
§ dr. harvey dillon
§ dr. gus mueller
§ auditec of st. louis 的 dr. william f. carver
§
§
curriculum vitae
name: hua zhang, m.d.,
male, born in shandong province
nationality: chinese
work:
beijing institute of otolaryngology
clinical audiology center
beijing tongren hospital
title:associated professor
position: director of applied science department and clinical audiology center
1977.11: medical student in nanjing, 5 years.
1982.12: assistant professor, resident of ent
1985:graduate student. peaking union medical college. supervisor: prof. zhizhong wang. director of china national committee of otolaryngology. finished to edit “the minimal auditory capabilities in chinese (macc)”, the current main speech evaluation materials of cochlear implants in china.
1988: attending ent doctor in peaking union medical college hospital.
curriculum vitae
1994:portland, or. passed tests: license of dispensing hearing aids in oregon, bc-his, his membership. visited many professional places and attended congresses of his and aaorl-hns.
1995: minneapolis, mn. starkey labs. inc. hearing aid fitting supervisor and regional manager.
curriculum vitae
1996:first one to make and use cic in china. organize many professional classes to train hearing aid dispensers.
2000:beijing institute of otolaryngology and clinical audiology center of beijing tongren hospital. insist to enhance audiology education in china. introduce binaural digital fitting of hearing aids. attended many international and national seminars and congress.
professional membership
acoustic society china 1989
biomedical engineering society of china 1993
board certified hearing instrument specialist of international hearing society 1994
member of international hearing society 1994
licensed hearing consultant of oregon 1994
member of american auditory society 1994
member of american academy of audiology 1996
china association of rehabilitation of disabled persons, member of hearing and speech rehabilitation committee 2003, 1997
unhs expert group of beijing 2003
expert of audiology development foundation of china 2004
expert of public bidding of hearing aids for china disabled persons’ federation 2004
《chinese archives of otolaryngology-head and neck surgery》editorial member 2004
《chinese scientific journal of hearing and speech rehabilitation》standing editor 2003
《journal of audiology and speechpathology》 editorial member 2003
《otolaryngology foreign medical sciences》audiology editor 2004
research
clinical audiology
§speech audiometry,esp. standardization of chinese test list for adults.
§hearing aid fitting, speech recognition in noise
§hearing screening, national hearing evaluation standards.
otology
§common ear diseases
§inner ear diseases
§
contact
dr. hua zhang
beijing institute of otolaryngology
17 hou gou hu tong
beijing, 100005
p. r. china
e-mail: a-zhang@263.net
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