|||  Journal title: Audiology | Publisher: Tehran University of Medical Sciences | Website: http://aud.tums.ac.ir | Email: aud@tums.ac.ir   |||
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Showing 6 results for Jahani

Azar Mehri, Yunes Jahani, Raziyeh Alemi, Elham Aramipour,
Volume 16, Issue 2 (5 2007)
Abstract

Background and Aim: Fluent aphasia and Alzheimer patients have difficulties in perception and naming. Patient with fluent Aphasia and Alzheimer disease, both have difficulty in perception and naming. Their site of lesion is also identical, that is temporoparietal lobe which is damaged in both group. This study investigates the effects of semantic and phonological cues in facilitation of word finding.
Materials and Methods: The study was prescriptive - analytic cross-sectional with 14 patients. The participants were seven fluent aphasia with mean age 48.4 year old and seven Alzheimer patients with mean age 69/71 year old and mean Mini-Mental State Examination (MMSE) 16 score. Those were assessed with Persian Naming Test. The Aphasic patients were selected from Tehran University hospitals and Alzheimer ones were from Rouzbeh hospital and Alzheimer Association of Iran.
Results: Mean semantic and phonological cues in fluent aphasia patients were 2.71 and 12.29, respectively, which significantly different (p=0.01), but those results were 8.29 and 3.43 in Alzheimer patients, that were not significantly different (p>0.05). A main result of this study was significant difference between two cues in both groups.
Conclusion: Two groups of patients use two cues in word finding. The correct responses increase with phonological cue in fluent aphasia but semantic cue has the main role for naming in Alzheimer patients.


Seyyedeh Maryam Khoddami, Sepideh Rabiee, Yunes Jahani,
Volume 18, Issue 1 (18 2009)
Abstract

Background and Aim: In recent years, several tools for assessment of quality of patient life have been designed especially for dysphonics. Nowadays, we have useful assessments in health system that are refered for numerous clinical decisions. In this way, this investigation compares clinician and patient perception in dysphonic and normal voiced for first time.

Methods: This study was carried out on 30 dysphonic and 30 subjects with normal voice. Their age, sex and job were same. In two groups, Consensus Auditory - Perceptual Evaluation of Voice (CAPE-V) was used for evaluation of clinician perception and Voice Handicap Index - 30 (VHI-30) for assessment of patient perception. After collecting data, they were analyzed by Mann- witney and Wilcoxon tests.

Results: The research revealed that mean of total and each section score of VHI-30 have significant difference between dysphonic and control group (p<0.01). Comparison of total and every parameter score of CAPE-V and speed also indicated significant difference between two groups (p<0.01). Study of reliability shows weak reliability (r=0.34) between clinician and patient perception of voice in dysphonics.

Conclusion: Dysphonic patients percept their voice problem different and severe rather than clinicians that shows physical, psychological and social affects of dysphonia. This research confirms that patient - based assessment of voice is necessary to be part of common assessments of dysphonia.


Zahra Soleymani, Mohsen Saeedmanesh, Mahdi Dastjerdi, Azar Mehri, Yunes Jahani,
Volume 18, Issue 1 (18 2009)
Abstract

Background and Aim: Reading is one of the human's communicative skills. Phonological awareness and rapid automatized naming are parts of the person's linguistic knowledge. Research in different languages and communities suggest that there is a relation between phonological awareness, rapid automatized naming and reading. To survey these relations in Persian language is the aim of this study.

Methods: In this study 130 male students from the first grade were selected at random. They were normal in IQ, visual and hearing status. Language development was also normal in these children. This study was a cross-sectional one. Pearson correlation coefficient and linear regression test were used to analyze data.

Results: The relation between phonological awareness and automatized rapid naming was significant (p<0.0001). Pearson correlation coefficient between phonological awareness and reading was direct (0.86). Pearson correlation coefficient between rapid automatized naming and reading was indirect that equals -0.87. In investigating the relation of two variables simultaneously with reading we concluded that the relation between phonological awareness, rapid automatized naming and reading is statistically significant (p<0.0001).

Conclusion: The results of this research revealed that in Persian language like other languages there is a relation between phonological awareness, rapid automatized naming, and reading. Reading skills of children could be improved with this exercises.


Azar Mehri, Behnoosh Tahan Zadeh, Yunes Jahani,
Volume 19, Issue 1 (21 2010)
Abstract

Background and Aim: Agrammatism is a phenomenon of neuropsychological relevance which has been recently investigated from conceptual and empirical aspects. The present study focuses on grammatical deficit in agrammatic aphasia. We evaluated the impairment of correct use of tenses of Persian verbs in agrammatic Broca&aposs aphasia.
Methods: Eight patients (mean age 57 years) participated in this descriptive - analytic study. They were classified as agrammatic Broca&aposs aphasia according to the Persian aphasia test, their CT Scan and MRI reports and other inclusion criteria. All patients but one were monolingual native speakers of Persian (Farsi). The other individual was bilingual whose dominant language was Persian. All subjects had a left unilateral brain lesion for at least one year after the onset of brain damage. The written sentence completion and picture sentence completion tests were designed and performed.
Results: Results do not indicate significant difference between Past Tenses of verb however, comparison of means showed best scores in Simple Past, Past Continuous, Present Perfect and Past Perfect, respectively. A main result of this study was significant difference between the mean of responses to Past Tense in comparison with Present Tense and Future (p=0.02).
Conclusion: Use of tense is impaired in agrammatic Broca&aposs aphasia in Persian. Our findings point out that use of Past Tense is impaired significantly more than the other tenses of verb.


Seyyedeh Maryam Khoddami, Azam Ganjefard, Yunes Jahani,
Volume 19, Issue 2 (9 2010)
Abstract

Background and Aim: Vocal abuse and misuse are the most frequent causes of voice disorders. Consequently some therapy is needed to stop or modify such behaviors. This research was performed to study the effectiveness of vocal hygiene program on perceptual signs of voice in people with dysphonia.
Methods: A Vocal hygiene program was performed to 8 adults with dysphonia for 6 weeks. At first, Consensus Auditory- Perceptual Evaluation of Voice was used to assess perceptual signs. Then the program was delivered, Individuals were followed in second and forth weeks visits. In the last session, perceptual assessment was performed and individuals&apos opinions were collected. Perceptual findings were compared before and after the therapy.
Results: After the program, mean score of perceptual assessment decreased. Mean score of every perceptual sign revealed significant difference before and after the therapy (p≤0.0001). «Loudness» had maximum score and coordination between speech and respiration indicated minimum score. All participants confirmed efficiency of the therapy.
Conclusion: The vocal hygiene program improves all perceptual signs of voice although not equally. This deduction is confirmed by both clinician-based and patient-based assessments. As a result, vocal hygiene program is necessary for a comprehensive voice therapy but is not solely effective to resolve all voice problems.


Seyyedeh Maryam Kkhoddami, Azar Mehri, Yunes Jahani,
Volume 20, Issue 1 (27 2011)
Abstract

Background and Aim: Glottic closure pattern is one of the most important stroboscopic signs in judging the normality of laryngeal function. According to the recent researches, complete glottic closure is not the only pattern in normal phonation. The aim of this study was to investigate the glottic closure pattern in normal subjects and to understand the role of sex in having different glottic closure patterns.
Methods: In a cross-sectional study, 80 subjects (58 females and 22 males mean age of 21.19 years) were randomly selected from a population of 218 students. After taking a full medical history and performing perceptual and voice self assessment, subjects without any vocal disorders were recruited. Videolaryngoscopic assessment was performed during producing the vowel sound /i/ in habitual, high, low, loud and soft levels of phonation. Glottic closure patterns were analyzed in different phonation and also were compared between males and females.
Results: Although complete closure was the most frequent pattern, Y posterior chink was the second pattern in males (20.2%) and females (39.4%) in all phonation. The results revealed significant difference between males and females in glottic closure pattern (p=0.001). Moreover, significant differences were observed in habitual (p=0.004), high (p=0.006) and soft (p=0.02) phonations between males and females however, the differences in low (p=0.7) and loud (p=0.19) phonations between males and females were not significant.
Conclusion: Y posterior chink, as well as complete closure, are likely to be normal findings in people with normal voice. Besides, gender has a significant influence on glottic closure pattern.



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شنوایی شناسی - دانشگاه علوم پزشکی تهران Bimonthly Audiology - Tehran University of Medical Sciences
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