Digit speech reception threshold testing in Tswana/English speakers.

The purpose of this study was to establish whether digit stimuli offer a more accurate measure for Speech Reception Threshold (SRT) testing when assessing first-language Tswana (or Setswana), second-language English speakers, as compared to an English wordlist (CID W-1) and a Tswana wordlist. Forty Tswana first language speaking participants (17 males and 23 females) aged between 18 and 25 years, participated in this study. All participants were undergraduate students at a tertiary institution in Johannesburg, Gauteng. This study utilized a quantitative single group correlation design which allowed for a comparison between three SRTscores (CID-SRT,T-SRT,and D-SRT). Participants underwent basic audiological assessment procedures comprising of otoscopy, tympanometry, conventional pure tone audiometry and SRT testing. SRT measures were established using monitored live voice testing. Basic audiometric data were descriptively analyzed to ensure that hearing function was within normal limits, and PTA-SRT averages and means were calculated. Furthermore, analysis of the SRT-PTA correlation data was conducted through the use of the nonparametric Spearman's correlation coefficient and linear regression. Results from this study were statistically significant (p < .05) and indicated that digit-pairs were not the most effective stimuli for establishing SRT, compared to the CIDW-1 and Tswana wordlists. On the contrary, findings of the current study revealed that PTA-SRT comparison was best in Tswana (r = 0.62), followed very closely by CIDW-1 (r = 0.61), and lastly digit-pairs (r = 0.60). The results however, confirm the efficacy of using digit pairs as alternative stimuli when more appropriate speech stimuli for the establishment of SRT are unavailable, as the correlation between SRT for digit pairs and PTA was also a strong one (r = 0.60). Linear regression analyses indicated that all three lists were acceptable speech stimuli for the population under investigation with the standard error of estimate being significantly smaller than the 5dB-step used to collect the data (1.62 for Tswana, 3.56 for CID W-1, and 3.80 for digit-pairs).

Auditory function in a group of adults infected with HIV/AIDS in Gauteng, South Africa.

Numerous international studies have demonstrated a relationship between HIV/AIDS and auditory function. The aim of this study was to explore this relationship in a group of adults infected with HIV/AIDS attending an outpatient clinic in a hospital located in Gauteng, South Africa. The prevalence of hearing loss; the type, degree and configuration of the hearing loss; the relationship between the hearing symptoms and the progressive stages of the disease, and the type of onset of hearing problems were examined. The results of the study indicated a prevalence rate of hearing loss which was as high as 23% in the sample surveyed. The types of hearing loss included conductive and sensorineural, while the degree of severity ranged from slight to profound in nature. The configuration of the hearing loss was not frequency-range-specific, and the degree of severity did not seem to worsen with the progression of the HIV/AIDS disease. However, there did seem to be an increase in the occurrence of sensorineural hearing loss with the deterioration of patients' immunological status. Analysis of patients' audiological results along with their case history data suggested that their hearing loss may have been caused by opportunistic infections and/or their treatments. These results are discussed in terms of their implications for the clinical management of patients with HIV/AIDS; education of team members; and policy formulation.