A Transparent Mask and Clear Speech Benefit Speech Intelligibility in Individuals With Hearing Loss.

PURPOSE: The purpose of the study is to investigate the impacts of a surgical mask and a transparent mask on audio-only and audiovisual speech intelligibility in noise (i.e., 0 dB signal-to-noise ratio) in individuals with mild-to-profound hearing loss. The study also examined if individuals with hearing loss can benefit from using a transparent mask and clear speech for speech understanding in noise. METHOD: Thirty-one individuals with hearing loss (from 22 to 74 years old) completed keyword identification tasks to measure face-masked speech intelligibility in noise. A mixed-effects logistic regression model was used to examine the effects of face masks (no mask, transparent mask, surgical mask), presentation modes (audio only, audiovisual), speaking styles (conversational, clear), noise type (speech-shaped noise [SSN], four-talker babble [4-T babble]), hearing groups (mild hearing loss [MHL], greater than MHL: GHL), and their interactions on binary accuracy of keyword identification. RESULTS: In the audio-only mode, the GHL group showed reduced speech intelligibility regardless of other factors, whereas the MHL group showed decreased speech intelligibility for the transparent mask more than for the surgical mask. The use of a transparent mask was advantageous for both hearing loss groups. Clear speech remediated the detrimental effects of face masks on speech intelligibility in noise. Both groups tended to perform better in SSN versus 4-T babble. CONCLUSIONS: The findings indicate that, when using face masks, either a transparent mask or a surgical mask negatively affects speech understanding in noise for individuals with hearing loss. Using a transparent mask and clear speech could be a potential solution to improve speech intelligibility in communication with face masks in noise.

The Relationship Between Visuoconstructive Abilities and Language Performance in Patients With Aphasia After Stroke.

This study aimed to investigate the visuoconstructive abilities and the relationship between visuoconstructive function and language performance in aphasic patients. Right-handed 24 aphasic patients (males 14, females 10) with at least 3 months post-stroke and 32 age-matched healthy controls participated in this study. Visuoconstructive function was assessed by 3 levels of task difficulty: simple (drawing objects), intermediate (clock drawing), and complex (copy subtest of Rey complex figure test and block construction). Aphasic patients were divided into 3 sub-groups (mild, moderate to severe, and very severe group) according to severity of aphasia and compared with the control group, respectively. We analyzed the relation all levels of visuoconstructive tasks to aphasia quotient (AQ) and sub-domain scores of K-WAB. Moderate to severe aphasia group demonstrated no significant differences in scores of simple drawing objects compared to controls, but clock drawing, Rey complex figure copy and block design showed significantly decreased scores. Very severe group showed significantly lower scores in all levels of visuoconstructive tasks than the control. Correlation between all levels of visuoconstructive tasks except drawing objects and AQ were found to be statistically significant. Among the tasks, the clock drawing test revealed the highest correlation with language performance. Visuoconstructive abilities varied according to the severity of aphasia and the level of visuoconstructive tasks. Therefore, a thorough individual assessment of visuoconstructive function is needed to plan and predict the treatment and prognosis of aphasia and the clock drawing test may be a useful screening tool to evaluate this function.

Effects of Wearing Face Masks While Using Different Speaking Styles in Noise on Speech Intelligibility During the COVID-19 Pandemic.

The coronavirus pandemic has resulted in the recommended/required use of face masks in public. The use of a face mask compromises communication, especially in the presence of competing noise. It is crucial to measure the potential effects of wearing face masks on speech intelligibility in noisy environments where excessive background noise can create communication challenges. The effects of wearing transparent face masks and using clear speech to facilitate better verbal communication were evaluated in this study. We evaluated listener word identification scores in the following four conditions: (1) type of mask condition (i.e., no mask, transparent mask, and disposable face mask), (2) presentation mode (i.e., auditory only and audiovisual), (3) speaking style (i.e., conversational speech and clear speech), and (4) with two types of background noise (i.e., speech shaped noise and four-talker babble at -5 signal-to-noise ratio). Results indicate that in the presence of noise, listeners performed less well when the speaker wore a disposable face mask or a transparent mask compared to wearing no mask. Listeners correctly identified more words in the audiovisual presentation when listening to clear speech. Results indicate the combination of face masks and the presence of background noise negatively impact speech intelligibility for listeners. Transparent masks facilitate the ability to understand target sentences by providing visual information. Use of clear speech was shown to alleviate challenging communication situations including compensating for a lack of visual cues and reduced acoustic signals.

The Effect of Talker and Listener Depressive Symptoms on Speech Intelligibility.

Purpose This study examined the effect of depressive symptoms on production and perception of conversational and clear speech (CS) sentences. Method Five talkers each with high-depressive (HD) and low-depressive (LD) symptoms read sentences in conversational and clear speaking style. Acoustic measures of speaking rate, mean fundamental frequency (F0; Hz), F0 range (Hz), and energy in the 1-3 kHz range (dB) were obtained. Thirty-two young adult participants (15 HD, 16 LD) heard these conversational and clear sentences mixed with energetic masking (speech-shaped noise) at -5 dB SPL signal-to-noise ratio. Another group of 39 young adult participants (18 HD, 19 LD) heard the same sentences mixed with informational masking (one-talker competing speech) at -12 dB SPL signal-to-noise ratio. The key word correct score was obtained. Results CS was characterized by a decreased speaking rate, increased F0 mean and range, and increased energy in the 1-3 kHz range. Talkers with HD symptoms produced these modifications significantly less compared to talkers with LD symptoms. When listening to speech in energetic masking (speech-shaped noise), listeners with both HD and LD symptoms benefited less from the CS produced by HD talkers. Listeners with HD symptoms performed significantly worse than listeners with LD symptoms when listening to speech in informational masking (one-talker competing speech). Conclusions Results provide evidence that depressive symptoms impact intelligibility and have the potential to aid in clinical decision making for individuals with depression.

Speech sound characteristics of early words: influence of phonological factors across vocabulary development.

This study investigates whether the earliest words children choose to say are mainly words containing sounds they can produce (cf. 'phonological dominance' hypotheses), or whether children choose words without regard to their phonological characteristics (cf. 'lexical dominance' hypotheses). Phonological properties of words in spontaneous speech from six children age 0;8 to 2;11 were analyzed by comparing sound distributions of consonant place and manner. Word-initial and word-final consonant patterns in children's Word Targets versus Actual Word Forms were analyzed as a function of vocabulary size. Word-initial results showed more overall evidence for phonological dominance. In word-final position, at lower vocabulary sizes, results showed several differences between Word Targets and Actual Word Forms, consistent with lexical dominance. These findings challenge an 'either-or' phonological versus lexical dominance approach, and support consideration of a multifactorial set of influences, including different phonological dimensions and word positions, on the words that young children choose to say.

Characterization of streptozotocin-induced diabetic rats and pharmacodynamics of insulin formulations.

Morphological and functional changes of rat pancreatic islets caused by administration of streptozotocin (STZ) and the bioavailability of insulin formulations administered to STZ-induced diabetic rats with fasting (12 h) or non-fasting were investigated. Islets isolated from normal rats maintained a good three-dimensional structure and the islet yield was 962.5+/-86.5 islet equivalent number (IEQ, islets converted to an average diameter of 150 microm). In the diabetic group (>500 mg/ml blood glucose), the islet yield was only 44.4+/-8.3 IEQ and the islet was severely damaged. The minimum reduction of blood glucose of each formulation, such as insulin solution, microcrystal, and insulin microcrystal capsule, was shown to be 11.3, 11.0, and 16.3 mg/dl, respectively, at 6 h in fasting with diabetic rats. These results indicated that the administration of insulin formulations to the fasting groups increased the severe hypoglycemic effect of insulin action more than in non-fasting diabetic rats. The diabetic rat with fasting has a regulatory disorder in maintaining the blood glucose level. Accordingly, the validity of pharmacological availability as an optimal modeling of insulin formulations is best in non-fasting STZ-induced diabetic rats.