Groups Of Listeners Research Articles

Timing of bilateral sequential cochlear implantation for children: determination of its benefit.

To evaluate monosyllable word recognition in noise under different conditions in bilateral sequential cochlear implants (CIs). Second, to assess subjective hearing benefits among bilateral sequential CIs, bimodal hearing, and CI-only groups. Lastly, to analyze the prognostic factors affecting CI outcomes in children with bilateral sequential CIs. Sixty-five children with CI were enrolled. Mandarin monosyllable recognition tests in noise and the Speech, Spatial, and Qualities of Hearing Scale (SSQ) were used to assess post-CI outcomes. The SSQ benefits were compared among children with bilateral CIs, bimodal hearing, and CI-only. Bilateral CIs significantly outperformed the first or second CI alone using in noise. The bilateral CI group had significantly better SSQ scores for speech, qualities, and total scores compared to the CI-only group. Additionally, 41% of the variance in speech perception of the second CI can be attributed to the inter-implantation interval between bilateral CIs. Bilateral sequential CIs can enhance speech perception in noise and daily life-functioning for children. Earlier implantation of bilateral sequential CIs results in better outcomes, while inter-implantation interval exceeding 9.6 years between bilateral CIs may lead to poor second CI performance in noise. Therefore, early bilateral sequential CIs should be encouraged.

Testing for genetic and viral etiologies in congenital hearing loss based on a survey of cochlear implant centers: proposed HEARRING group consensus and future directions

Background In cases of congenital sensorineural hearing loss, testing for genetic etiologies and congenital cytomegalovirus (cCMV) infection have become common practice. Aims/Objectives The purpose of this study is to determine which specific testing methodologies should be used and when. Material and methods We surveyed 20 practicing otolaryngologists across eighteen institutions in thirteen countries about their approach to cCMV, GJB2, and wider genetic testing. Results We found 90% of respondents employ all three tests, either in routine or special cases. cCMV testing is widely used, with 95% of respondents incorporating it into their clinical practice. GJB2 testing was employed by 90%. In cases with negative GJB2 test results, a majority of respondents proceeded to wider genetic screening. Test reimbursement was also examined for each test. For cCMV testing, 63.1% reported reimbursement, 68.4% reported reimbursement for GJB2 variant testing and 52.6% reported reimbursement for wider genetic screening. Conclusions and significance A common approach is to perform cCMV and GJB2 testing as the first tests, followed by wider genetic testing. This study offers insight into the prevalence, methodologies, and reimbursement status of these testing methodologies across multiple hearing centers and countries. Current consensus and future directions are described based on the current survey.

Evaluating the effects of continuous pitch and speech tempo modifications on perceptual speaker verification performance by familiar and unfamiliar listeners

A study was conducted to evaluate the effects of continuous pitch and speech tempo modifications on perceptual speaker verification performance by familiar and unfamiliar naive listeners. Speech recordings made by twelve male, native-French speakers were organised into three groups of four (two in-set, one out-of-set). Two groups of listeners participated, where one group was familiar with one in-set speaker group, while both groups were unfamiliar with the remaining in- and out-of-set speaker groups. Pitch and speech tempo were continuously modified, such that the first 75% of words spoken were modified with percentages of modification beginning at 100% and decaying linearly to 0%. Pitch modifications began at ± 600 cents, while speech tempo modifications started with word durations scaled 1:2 or 3:2. Participants evaluated a series of “go/no-go” task trials, where they were presented a modified speech recording with a face and tasked to respond as quickly as possible if they judged the stimuli to be continuous. The major findings revealed listeners overcame higher percentages of modification when presented familiar speaker stimuli. Familiar listeners outperformed unfamiliar listeners when evaluating continuously modified speech tempo stimuli, however, this effect was speaker-specific for pitch modified stimuli. Contrasting effects of modification direction were also observed. The findings suggest pitch is more useful to listeners when verifying familiar and unfamiliar voices.

Effectiveness of Radio Agricultural Programmes in Scaling Up Farming Activities of Smallholder Farmers in Bushenyi District

The study was about effectiveness of radio agricultural programmes in scaling up farming activities of smallholder farmers in Bushenyi district. The specific objective was to; determine the factors associated with radio listenership and application of the knowledge gained through agricultural radio messages. The study was a descriptive-cross sectional survey employing both quantitative and qualitative approaches to data collection and analysis. Data was gathered from a sample of 360 respondents across 18 listener groups of agricultural extension programs using questionnaire and interview guide. Data was analyzed using SPSS version 20.0 to generate both descriptive and inferential statistics. The study concluded that that age bracket (39 – 48), radio ownership, place of residence, negative attitudes and perceptions, limited agricultural spaces, media exposure and investment capital were some of the factors associated with radio listenership and application of the knowledge gained through agricultural radio messages in the area. The study concluded that agricultural extension radio programmes have a wider coverage and have been so pertinent to smallholder farmer’s activities, however listenership and application of the knowledge gained through agricultural radio messages is still hampered by certain impediments that call for urgent address. This study therefore recommends that the programme should be changed to evening when most farmers are available in their houses. Radio producers and program hosts should do this through programme planning which informs the selection of topics, presentation of the topics on radio with interviews from selected experts and farmers.

Do different types of cochlear implant electrode influence hearing preservation and speech perception?

Background Hearing can be preserved in patients with considerable low-frequency hearing implanted with cochlear implants. However, the most favorable electrode type for hearing preservation and speech perception has been debated. Objective The aim was to evaluate hearing preservation and speech discrimination one year post-implantation for all types of cochlear implant electrode used for adult patients implanted between 2014 and 2022. Methods The HEARING group formula was used to calculate the degree of hearing preservation, which was defined as minimal (0-25%), partial (25-75%) or complete (≥ 75%). Speech perception was measured by monosyllabic words. Results Analysis of hearing preservation for the various electrode types revealed that FLEX 24 preserved hearing statistically significantly better (p < 0.05) than FLEX 28, FLEX soft, and contour advance. Also, FLEX 20 preserved hearing statistically significantly better (p < 0.05) than contour advance. No statistically significant difference was found for the monosyllabic word score for the different electrode types. Discussion There was a statistically significant difference between the electrode types in terms of hearing preservation but not for speech perception. The result of this study contributes important information about hearing preservation and speech perception that can be used for pre-surgery patient counselling.

Increased Breathiness in Adolescent Kiezdeutsch Speakers: A Marker of Multiethnolectal Group Affiliation?

Kiezdeutsch is a multiethnolectal variety of German spoken by young people from multicultural communities that exhibits lexical, syntactic, and phonetic differences from standard German. A rather salient and pervasive feature of this variety is the fronting of the standard palatal fricative /ç/ (as in ich "I") to [ɕ] or [ʃ]. Previous perception work shows that this difference is salient and carries social meaning but dependent on the listener group. Further investigations also point to the significance of /ɔɪ/-fronting in production; however, whether this is salient in perception has not yet been investigated. In several (multi)ethnolectal varieties, differences in voice quality compared to the standard have been identified. Therefore, in this study, we present an acoustic comparison of voice quality in adolescent speakers of Kiezdeutsch and standard German, with results showing that Kiezdeutsch speakers produce a breathier voice quality. In addition, we report on a perception test designed to examine the social meaning of voice quality in combination with two segmental cues: coronalization of /ç/ and /ɔɪ/-fronting. The results indicate perceptual gradience for phonetic alternations detected in Kiezdeutsch with coronalization of /ç/ being a highly salient and reliable marker, whereas fronting of /ɔɪ/ and breathy voice do not appear to be clearly enregistered features of Kiezdeutsch by all listeners. Thus, even though we find differences in production, these may not necessarily be relevant in perception, pointing toward enregisterment- like sound change-being a continuous process of forming learned associations through tokens of experiences.

Effect of background noise and memory load on listening effort of young adults with and without hearing loss

ObjectivePeople with hearing loss often encounter difficulties in hearing under adverse conditions, such as listening in the presence of noise. Listening effort is an indicator used to assess listening difficulties in daily life. Although many studies on listening effort have been conducted in recent years, there is a notable gap in the exploration of how task load influences listening effort in young adults. This study compared the effects of background noise and memory load on task performance and subjective listening effort in young adults with and without hearing loss. MethodsThe study included a group of 8 adults with hearing loss (mean age: 24.1 ± 6.0 years) and a group of 16 individuals with normal hearing (mean age: 27.9 ± 4.9 years). A number memorizing task was conducted, involving two types of auditory digits (either three or seven digits) presented under multi-talker babble noise conditions of signal-to-noise ratio of −5 dB [SN −5 dB] or SN +5 dB. Participants determined whether the number presented in the encoding interval matched the one presented in the retrieval interval. Subsequently, they were asked to complete a questionnaire using a Visual Analog Scale (VAS) to assess their subjective listening effort. Percentage of correct responses, reaction times, and VAS ratings were compared between adults with and without hearing loss. ResultsOur results showed significant differences between the two groups in the percentage of correct responses and the reaction time under the SN −5 dB conditions, regardless of the memory load. Under the SN +5 dB conditions, a significant difference was found only in the percentage of correct responses for seven digits. In the normal hearing group, the percentage of correct responses and VAS ratings tended to decrease as the memory load increased, even under the same noise condition. Conversely, in the hearing loss group, a consistent trend could not be identified in the effects of noise and memory load on the percentage of correct responses and VAS ratings. ConclusionThese results suggest that in conditions of high noise load, young adults with hearing loss show a higher tendency for listening effort to be affected by other loads. We confirmed that for some participants with hearing loss, the task exceeded a certain level of difficulty in the SN −5 dB and seven digits condition, leading to a change in their motivation and strategy used. Future research should examine ways to control for participants’ motivations.

Perceptual Benefits of Linguistic Diversity and Language Background: Evidence from Auditory Free Classification of English Dialect Accents and Asian-Accented English

Non-linguistic factors leave a distinct thumbprint on our speech production that is perceptible to listeners. A steadily growing line of research demonstrates that listeners can perceive a contrast between native and non-native (L2) speakers based on accents and further classify these speakers according to dialectal variation, even when they are not native speakers of a language. Most of these studies have focused on dialectal variation within US English speakers, a combination of US and International English dialects, or L2 speakers representing a wide range of languages. Most have also featured listeners who are monolingual native speakers of the target language coming from a homogenous background, or a contrast between these and a targeted set of L2 speakers. We therefore lack knowledge of how exposure to, or familiarity with, diverse accents and languages, or specific native language competence of the native language of L2 speakers, can guide listeners’ accent perception and categorization. In this research, we employed a free classification task, presenting listeners with speech samples of native speakers with accents representing multiple English dialects, and L2 speakers of nine Asian languages across three geographic regions speaking Asian-accented English. There were six groups of listeners: monolingual US English listeners in a diverse linguistic context, monolingual US English listeners in a homogeneous linguistic context, native speakers of a non-Asian language and English (bilinguals), and native speakers of each of the three target Asian language groups who are L2 speakers of English. The results reveal that nearly all listeners are sensitive to accents capturing native/L2 contrasts and dialectal variation in English. While regular exposure to a diversity of accents results in increased classification accuracy, classification of Asian L2-accented English speakers is best performed when there is alignment of similar language family and geographic area, as demonstrated by South Asian listeners.

Perception of Femininity and Masculinity in Voices as Rated by Transgender and Gender Diverse People, Professional Speech and Language Pathologists, and Cisgender Naive Listeners

OBJECTIVETo explore whether cisgender naive listeners, transgender and gender diverse (TGD) listeners, and speech-language pathologists (SLPs) experienced in providing gender-affirming voice training differ in their perception of femininity and masculinity in voices. METHODSSamples of spontaneous speech were collected from 95 cisgender, and 37 TGD speakers. Three listener groups of cisgender naive (N=77), TGD (N=30), and SLP (N=14) listeners, respectively, rated the voices on visual analogue scales in two randomly ordered blocks, in which the perceived degree of femininity was rated separately from the perceived degree of masculinity. RESULTSThe three listener groups showed similar patterns in their distribution of ratings on the femininity and masculinity scales. The TGD listeners’ mean ratings did not differ from the cisgender naive listeners’ whereas SLPs showed a small, but significant, difference in their ratings compared to both TGD and cisgender naive listeners and rated the voices lower on both the femininity and masculinity scales. CONCLUSIONThe results differ from previous studies as TGD, and cisgender naive listeners rated the voices very similarly. The lower ratings of femininity and masculinity by the SLPs were likely influenced by their awareness of the complexity in the perception of voices. Therefore, SLPs providing gender-affirming voice training should be attentive to how their professional training may influence their perception of femininity and masculinity in voices and encourage discussions and explorations of the TGD voice client’s perceptions of voices.

Differences in the type of vocabulary understood by deaf and hearing students: Results to guide interventions

IntroductionVocabulary knowledge is an essential element in language development. There is evidence of significant differences in vocabulary knowledge between deaf children and hearing peers of the same age. These differences put deaf students at a disadvantage when compared to their hearing counterparts. The aim of this study was to investigate whether certain types of words characterise the lexical difficulties of deaf students. Our starting point is that this knowledge is needed to design interventions that are adapted to the particular needs of these students for their lexical development. MethodsWe evaluated the lexical comprehension of 90 Spanish students. The sample comprised 45 hearing students and 45 students with severe or profound hearing loss. Both groups were attending the later years of primary school (8 to –12-year-olds). They were tested using the Spanish Peabody Picture Vocabulary Test-III. The performance of both groups was statistically compared using percentiles and standard scores as well as a selected set of words from the test. ResultsNo significant differences between hearing and deaf groups were found by age, sex, and sociocultural level. Significant differences were found between groups in their percentile and standard scores. There were no significant differences in performance between the two groups on only five of the 25 words with the highest error rate in the deaf group. The qualitative analysis of the remaining 20 words that were especially challenging for deaf students reveals results of interest which could help guide interventions. ConclusionsThe results indicate the need for lexical intervention for deaf students in the final years of primary school. The specialised support service for deaf learners should approach the intervention by targeting a specific type of vocabulary, making the semantic relationships between these words more transparent and promoting a deeper understanding of them.

The impact of hearing loss and cochlear implantation on the quality of life in children

BackgroundThis study evaluates the Quality of Life (QoL) in children with moderate to profound hearing impairments using cochlear implants (CIs), compared to those with normal hearing. It explores the impacts of hearing loss and the effectiveness of CIs in pediatric populations. MethodsConducted at a tertiary care academic center, this cross-sectional study included children aged 13–18. Participants were divided into three groups: normal hearing, yet to be treated moderate or worse hearing loss (uHL), and CI users. Demographic data were collected, and the QoL was assessed using the Hearing Environments and Reflection of Quality of Life (HEAR-QL) questionnaire, with scores across various subdomains compared. ResultsOf the 79 children meeting the inclusion criteria, 38 % had normal hearing, 29 % had at least moderate HL, and 33 % were CI users. Statistically significant differences in HEAR-QL scores were found among the groups. The normal hearing group reported the highest scores. In the subdomain of hearing circumstances and academic performance, CI users showed no significant difference from the normal hearing group, unlike those with untreated uHL who scored lower. However, in social interaction and emotional well-being subdomains, CI users' scores were lower than those of the normal hearing group but similar to the uHL group. ConclusionChildren with CIs show comparable QoL in auditory capabilities to their normal hearing peers but experience significant challenges in psychosocial and emotional areas. This indicates that while CIs can improve hearing-related quality of life, they do not fully address the psychosocial impacts of hearing loss.

A multicenter study on the effects of congenital cytomegalovirus infection on hearing loss

Objective: To assess the clinical features and effectiveness of antiviral therapy in newborns with sensorineural hearing loss (SNHL) caused by congenital congenital cytomegalovirus (cCMV) infection, and to speculate the risk factors for poor hearing outcomes. Methods: A multicenter prospective cohort study wasconducted, enrolling 176 newborns diagnosed with cCMV at four research centers in Zhejiang Province from March 1, 2021, to April 30, 2024. Clinical characteristics at birth were recorded and hearing was followed up. The children were divided into groups based on their condition at birth, specifically into asymptomatic, mild symptom, and moderate to severe symptom groups. Additionally, they were divided into SNHL and normal hearing groups based on the results of air conduction brainstem audiometry at birth. And they were also divided into treatment and untreated groups according to antiviral treatment. Mann Whitney U test, and chi square test were used for inter group comparison to analyze the differences in clinical features between different disease groups, and to analyze the effects of clinical features, antiviral therapy, and other factors on hearing improvement. Logistic regression analysis was employed to identify the risk factors influencing hearing outcomes. Results: Among the cohort of 176 children diagnosed infection with cCMV, 90 cases were male and 86 cases were female. Of these, 79 cases were asymptomatic, 12 cases classified as mild cCMV and 85 cases as moderate to severe cCMV. Fifty cases belonged to SNHL group, with different degrees of severity, including 30 cases of mild, 9 cases of moderate, 5 cases of severe, and 6 cases of extremely severe SNHL. Among the 121 cases in the normal hearing group, 2 cases (1.7%) exhibited late-onset hearing loss despite having normal hearing at birth. Among 81 cases (46.0%) who completed the hearing follow-up, 71 cases (87.7%) had good hearing outcomes and 10 cases (12.3%) had poor hearing outcomes. Among the 81 children, 29 cases (35.8%) had SNHL at birth. During follow-up, the hearing threshold improved in 19 cases (65.5%), remained stable in 7 cases (24.1%) and progressed in 3 cases (10.3%). A total of 26 cases in the treatment group and 55 cases in the untreated group completed the hearing follow-up assessment. The rate of hearing improvement in the treatment group was found to be higher compared to the untreated group (13 cases (50.0%) vs. 6 cases (10.9%), χ2=15.00, P<0.01), with individuals in the treatment group having a 4.58 times greater likelihood of experiencing hearing improvement (RR=4.58,95%CI 1.96-10.70, P<0.05). However, no statistically significant difference was observed in hearing outcomes between the antiviral treatment group and the untreated group (RR=0.90, 95%CI 0.57-1.41, P=0.517). Multivariate analysis further confirmed SNHL (OR=11.58, 95%CI 2.10-63.93, P=0.005) and preterm birth (OR=4.98, 95%CI 1.06-23.41, P=0.042) as independent risk factors for poor hearing outcomes. Conclusions: SNHL resulting from cCMV infection presents symptoms at birth and can be improved by antiviral therapy. Poor hearing outcomes are associated with SNHL and prematurity.

More foreign-accented but more comprehensible: Attrition and amelioration of L1 speech in proficient L2 learners.

There is an increasing interest in cross-linguistic influences of the second language (L2) on the first (L1), but its communicative impact remains to be elucidated. This study investigates how L2 learners' L1 pronunciation is perceived as foreign-accented and (in) comprehensible as a function of their L2 learning experience and proficiency levels. Read speech of 154 L1 Japanese learners of L2 English in the J-AESOP corpus was examined, where approximately one-third of them had lived in English-speaking countries and the rest had never lived outside of Japan. Their L1 speech was rated by another group of native Japanese listeners for accentedness and comprehensibility (from October 25, 2022 to August 20, 2023), while their L2 speech was previously rated by native American English listeners for nativelikeness or proficiency. The speakers' vowel acoustics were also examined. More proficient L2 speakers were perceived as more foreign-accented in their L1, but only if they had lived overseas; their length of residence abroad predicted the degree of perceived accentedness. In contrast, more proficient L2 speakers were consistently perceived as more comprehensible in the L1, regardless of prior overseas experience. Acoustic analyses indicated that perceived accentedness is associated with a clockwise chain shift of all vowel categories in the vowel space. It was also revealed that the dispersion, rather than compactness, of vowel production contributed to perceived comprehensibility, although the degree of L1 vowel dispersion did not predict L2 proficiency. The overall results suggest two main conclusions. First, perceptible L1 foreign accent likely results from L1 disuse rather than L2 interference, thereby L1 pronunciation differs from native norms at a system-wide rather than category-specific level. Second, L2 learning has a positive influence on perceived L1 comprehensibility, rather than individuals with clearer and more comprehensible L1 speech being inherently better L2 learners.

The Auditory Steady-State Response and the Relationship between Electrophysiological and Behavioural Thresholds.

This study examined the relationship between behavioural thresholds as measured by pure tone audiometry and electrophysiological thresholds measured by the Auditory Steady-State Response (ASSR) in children with normal hearing and sensorineural hearing loss. After being assessed, 45 children of both sexes, ranging in age from 5 to 15, were split into four groups: 10 with moderate to moderately severe sensorineural hearing loss (G2M); 10 with steeply sloping sensorineural hearing loss (G2D); 10 with profound and severe sensorineural hearing loss (G2S); and 15 with normal hearing (G1). ASSR, tympanometry, acoustic reflex testing, pure tone audiometry, and speech audiometry (SRT and SDT) were performed. The electrophysiological maximum in the group with normal hearing thresholds varied from 19 to 27 dB NA. The correlation in the group with moderate to moderately severe hearing loss was 0.42-0.74. The correlation in the steeply sloping hearing loss group was 0.68-0.94. The correlation in the group of people with profound and severe hearing loss was 0.59-0.86. The normal hearing group's mean differences in ASSR threshold and audiometric threshold ranged from -0.3 to 12 dB, in the moderate and moderately severe hearing loss group from -9 to 2 dB, in the steeply sloping hearing loss group from 1.4 to 7.5 dB, and in the severe and profound hearing loss group from -0.40 to 8.5 dB. As expected, there was no strong relationship between behavioural and electrophysiological thresholds in the group with normal hearing. But in children with hearing loss, there was a strong correlation between electrophysiological and behavioural thresholds; this relationship was especially evident in children with severe and profound hearing loss and those with steeply sloping hearing loss.

Physical Inactivity and Sedentariness in Older Hearing Loss patients: Restoration With Hearing Aids.

Hearing loss causes numerous functional deficits. However, few studies have been conducted to assess the association between hearing loss and physical inactivity. This study aimed to evaluate the physical activity and sedentary behavior of hearing loss patients and their relation with the use of hearing aids. We extracted participants over 60 years of age with information on hearing status and physical activities from the eighth Korea National Health and Nutritional Examination Survey conducted from 2019 to 2020. We classified them into four groups: a normal hearing group (≤25 dB), a mild hearing loss group (>25 dB and ≤40 dB), a moderate hearing loss group (>40 dB and ≤50 dB), and a non-serviceable hearing group (>50 dB). Additionally, we extracted hearing aid users with hearing levels exceeding 50 dB. After adjusting other factors, the non-serviceable hearing group walked less frequently than the moderate (p = 0.004) and mild hearing loss group (p < 0.001) and walked less and sat more than the normal hearing group (walking frequency: p < 0.001; walking time: p = 0.020; and sitting time: p = 0.034). Also, the hearing aid users walked more frequently (p = 0.003) and for longer (p = 0.045) than the non-serviceable hearing group. Hearing loss is associated with reduced walking and a sedentary lifestyle. The use of hearing aids is associated with improved physical activity. Appropriate interventions, including hearing aids, should be provided to hearing loss patients. 3 (individual cross-sectional study) Laryngoscope, 2024.

Hearing at the Mall: Multibeam Processing Technology Improves Hearing Group Conversations in a Real-World Food Court Environment.

This study aimed to evaluate conversation hearing with an adaptive beamforming hearing aid that supports adaptive tracking of multiple talkers in an ecologically valid, real-world food court environment in a busy mall. Twenty older adult experienced hearing aid wearers with sensorineural hearing loss were fitted in the lab with binaural receiver-in-the-canal style hearing aids set with two programs, each having a different beamforming strategy. The participant and two researchers then met in a moderately noisy and reverberant food court at a local mall where the participant was asked to listen to a conversation between the two researchers. Participants rated the extent of their agreement with 10 positively worded statements specific to the conversation twice, once for each program. Participants then provided program-preference ratings for seven different aspects of a conversation during which the programs were switched back and forth by the researcher, so that participants were unaware of the condition to which they were listening. Real-world subjective ratings for all domains resulted in positive values on average for both programs. Pairwise comparisons indicated that the intervention algorithm had higher absolute ratings on five of the 10 criteria including understanding, clarity, focus, listening effort, and background noise. Ratings for preference between programs indicated a significant preference for the intervention algorithm for all seven criteria. In a real-world setting, the use of hearing aids with separate processing of sounds from the front and back hemisphere provided positive subjective ratings. However, following a group conversation with multiple conversation partners, improvements in the algorithm to account for the locations of interlocutors and the natural head turning of the hearing aid wearer that occurs during a conversation by adding and controlling multiple adaptive beams in the front hemisphere significantly influenced preference for all aspects rated.

The role of lexical and prosodic characteristics of mothers' child-directed speech for the early vocabulary development of Italian children with cochlear implants.

Variability in the vocabulary outcomes of children with cochlear implants (CIs) is partially explained by child-directed speech (CDS) characteristics. Yet, relatively little is known about whether and how mothers adapt their lexical and prosodic characteristics to the child's hearing status (before and after implantation, and compared with groups with normal hearing (NH)) and how important they are in affecting vocabulary development in the first 12 months of hearing experience. To investigate whether mothers of children with CIs produce CDS with similar lexical and prosodic characteristics compared with mothers of age-matched children with NH, and whether they modify these characteristics after implantation. In addition, to investigate whether mothers' CDS characteristics predict children's early vocabulary skills before and after implantation. A total of 34 dyads (17 with NH, 17 with children with CIs; ages = 9-32 months), all acquiring Italian, were involved in the study. Mothers' and children's lexical quantity (tokens) and variety (types), mothers' prosodic characteristics (pitch range and variability), and children's vocabulary skills were assessed at two time points, corresponding to before and 1 year post-CI activation for children with CIs. Children's vocabulary skills were assessed using parent reports; lexical and prosodic characteristics were observed in semi-structured mother-child interactions. Results showed that mothers of children with CIs produced speech with similar lexical quantity but lower lexical variety, and with increased pitch range and variability, than mothers of children with NH. Mothers generally increased their lexical quantity and variety and their pitch range between sessions. Children with CIs showed reduced expressive vocabulary and lower lexical quantity and variety than their peers 12 months post-CI activation. Mothers' prosodic characteristics did not explain variance in children's vocabulary skills; their lexical characteristics predicted children's early vocabulary and lexical outcomes, especially in the NH group, but were not related to later language development. Our findings confirm previous studies on other languages and support the idea that the lexical characteristics of mothers' CDS have a positive effect on children's early measures of vocabulary development across hearing groups, whereas prosodic cues play a minor role. Greater input quantity and quality may assist children in the building of basic language model representations, whereas pitch cues may mainly serve attentional and emotional processes. Results emphasize the need for additional longitudinal studies investigating the input received from other figures surrounding the child and its role for children's language development. What is already known on the subject Mothers' CDS is thought to facilitate and support language acquisition in children with various language developmental trajectories, including children with CIs. Because children with CIs are at risk for language delays and have acoustic processing limitations, their mothers may have to produce a lexically simpler but prosodically richer input, compared to mothers of children with NH. Yet, the literature reports mixed findings and no study to our knowledge has concurrently addressed the role of mothers' lexical and prosodic characteristics for children's vocabulary development before implantation and in the first 12 months of hearing experience. What this study adds to the existing knowledge The study shows that mothers of children with CIs produce input of similar quantity but reduced variety, and with heightened pitch characteristics, compared to mothers of children with NH. There was also a general increase in mothers' lexical quantity and variety, and in their pitch range, between sessions. Only their lexical characteristics predicted children's early vocabulary skills. Their lexical variety predicted children's expressive vocabulary and lexical variety only in the NH group. What are the practical and clinical implications of this work? These findings expand our knowledge about the effects of maternal input and may contribute to the improvement of early family-centred intervention programmes for supporting language development in children with CIs.

Cortical thickness differences between hearing and perinatally deaf cats using ultra-high field MRI

In the absence of hearing, the plastic nature of the cerebral cortex allows select regions to be repurposed to serve the processing of remaining sensory modalities. This plasticity can be observed in many ways, including measuring the thickness differences of cortical gray matter between hearing and deaf populations to detect regional adaptations. In this study, T1-weighted images were acquired for hearing (n = 38) and perinatally-deafened (n = 31) cats using an ultra-high field 7T MRI scanner to identify normative feline cortical thickness, as well as areas of differing thickness between groups. Most significant changes to sensory-related regions demonstrated thicker cortices in the deaf compared to the hearing group, while specific non-sensory regions were found to be thinner. Furthermore, there was a modest lateralized component, finding that the gray matter of the left hemisphere was more susceptible to thickness changes following auditory deprivation. These results suggest distinct factors driving the adaptations in sensory versus non-sensory cortices in the brain following deafness, and reinforces the task-retainment model of crossmodal plasticity.

Characteristics of Joint Attention and Maternal Cues in Mother-Child Interactions for Toddlers with Cochlear Implants

Objectives: This study aimed to identify the differences in the establishment of joint attention between the cochlear implant (CI) group and the typical hearing (TH) group during mother-child interactions and to explore the relationship between the joint attention variables and language development abilities in young children with CIs. Methods: Thirteen pairs of hearing mothers and children with CIs and seventeen pairs of mothers and children with TH participated in this study. Their interactions during a 20-minute free-play task were recorded using digital cameras. Results: The frequency of joint attention attempts in the CI group was significantly higher than in the TH group. There was no significant difference between the two groups in the success rate of joint attention; however, there was a considerable difference in the time ratio of joint attention and joint attention span. Children’s language scores were significantly correlated with the success rate of joint attention, the time ratio of joint attention, and joint attention span in the CI group. Conclusion: We observed the mothers’ efforts to establish joint attention with their children with CIs. These results suggest that children with CIs are more likely to have less time for joint attention during parent-child interactions. These findings can inform the development of parent-coaching programs in early auditory intervention for children with CIs.

Hearing loss and its association with the proteome of perilymph, cerebrospinal fluid, and tumor tissue in patients with vestibular schwannoma

This study examined the association between hearing loss in sporadic vestibular schwannoma patients and the proteome of perilymph (PL), cerebrospinal fluid (CSF), and vestibular schwannoma. Intraoperative sampling of PL and of CSF, and biopsy of vestibular schwannoma tissue, was performed in 32, 32, and 20 patients with vestibular schwannoma, respectively. Perilymph and CSF in three patients with meningioma and normal hearing were also sampled. The proteomes were identified by liquid chromatography coupled to high-resolution tandem mass spectrometry. Preoperative hearing function of the patients was evaluated with pure tone audiometry, with mean values at frequencies of 500, 1000, 2000, and 4000 Hz (PTA4) in the tumor-affected ear used to delineate three hearing groups. Analysis of the PL samples revealed significant upregulation of complement factor H-related protein 2 (CFHR2) in patients with severe to profound hearing loss after false discovery rate correction. Pathway analysis of biofunctions revealed higher activation scores in the severe/profound hearing loss group of leukocyte migration, viral infection, and migration of cells in PL. Upregulation of CFHR2 and activation of these pathways indicate chronic inflammation in the cochlea of vestibular schwannoma patients with severe to profound hearing loss compared with patients with normal hearing or mild hearing loss.