Psychometric Characteristics of Spanish Monosyllabic, Bisyllabic, and Trisyllabic Words for Use in Word-Recognition Protocols.

BACKGROUND: English materials for speech audiometry are well established. In Spanish, speech-recognition materials are not standardized with monosyllables, bisyllables, and trisyllables used in word-recognition protocols. PURPOSE: This study aimed to establish the psychometric characteristics of common Spanish monosyllabic, bisyllabic, and trisyllabic words for potential use in word-recognition procedures. RESEARCH DESIGN: Prospective descriptive study. STUDY SAMPLE: Eighteen adult Puerto Ricans (M = 25.6 years) with normal hearing [M = 7.8-dB hearing level (HL) pure-tone average] were recruited for two experiments. DATA COLLECTION AND ANALYSES: A digital recording of 575 Spanish words was created (139 monosyllables, 359 bisyllables, and 77 trisyllables), incorporating materials from a variety of Spanish word-recognition lists. Experiment 1 (n = 6) used 25 randomly selected words from each of the three syllabic categories to estimate the presentation level ranges needed to obtain recognition performances over the 10 to 90% range. In Experiment 2 (n = 12) the 575 words were presented over five 1-hour sessions using presentation levels from 0- to 30-dB HL in 5-dB steps (monosyllables), 0- to 25-dB HL in 5-dB steps (bisyllables), and -3- to 17-dB HL in 4-dB steps (trisyllables). The presentation order of both the words and the presentation levels were randomized for each listener. The functions for each listener and each word were fit with polynomial equations from which the 50% points and slopes at the 50% point were calculated. RESULTS: The mean 50% points and slopes at 50% were 8.9-dB HL, 4.0%/dB (monosyllables), 6.9-dB HL, 5.1%/dB (bisyllables), and 1.4-dB HL, 6.3%/dB (trisyllables). The Kruskal-Wallis test with Mann-Whitney U post-hoc analysis indicated that the mean 50% points and slopes at the 50% points of the individual word functions were significantly different among the syllabic categories. Although significant differences were observed among the syllabic categories, substantial overlap was noted in the individual word functions, indicating that the psychometric characteristics of the words were not dictated exclusively by the syllabic number. Influences associated with word difficulty, word familiarity, singular and plural form words, phonetic stress patterns, and gender word patterns also were evaluated. CONCLUSION: The main finding was the direct relation between the number of syllables in a word and word-recognition performance. In general, words with more syllables were more easily recognized; there were, however, exceptions. The current data from young adults with normal hearing established the psychometric characteristics of the 575 Spanish words on which the formulation of word lists for both threshold and suprathreshold measures of word-recognition abilities in quiet and in noise and other word-recognition protocols can be based.

Voice disorders in the Metropolitan Area of San Juan, Puerto Rico: profiles of occupational groups.

OBJECTIVES/HYPOTHESIS: Approximately 28,000,000 workers in the United States experience voice problems everyday. In general, voice problems are very common, but they are more frequent among certain occupational groups. STUDY DESIGN: Descriptive cross-sectional study. METHOD: We analyzed 129 available records of voice-disordered cases reported during the period of 2000-2005 from the Corporación del Fondo del Seguro del Estado in the Metropolitan Areas of Puerto Rico of Bayamón, San Juan, and Carolina. The following variables were studied: sex, age, occupation, possible job hazards, diagnosis, and type of treatment. Measures of central tendency, including percentage frequencies, were used. RESULTS: The findings revealed that 81% of all the cases of voice disorders available during the study period were females. The average age at diagnosis for different voice disorders was 42 years (± 10 years). Vocal problems were reported with a higher frequency by teachers at the elementary and high school levels (72%). The most common complaints were job-related voice overuse (30%) and excessive dust at the workplace. The most frequent medical diagnoses related to voice disorders were rhynopharyngitis (27%), several types of laryngitis (21%), and laryngopharyngitis (10%). The most frequent treatment modality for laryngeal disease and voice problems was the prescription of medication. CONCLUSIONS: The most relevant factor of voice disorders for professional voice users is the vocal overload during their job. It is advisable to implement voice disorder-prevention programs for teachers because of the high rate of vocal dysfunction among these professionals.

Cancer of the larynx in Puerto Rico.

INTRODUCTION: Cancer of the larynx is the fourteenth most common cancer in the world. The purpose of this cross-sectional study is to examine the characteristics of laryngeal cancer in Puerto Rico. The study evaluates whether this type of cancer is increasing, to what degree gender differences occur; and describe common types of medical treatment. METHOD: Information on cases of laryngeal cancer for the period of 1997 to 2002 was collected at the Puerto Rico Central Cancer Registry, Department of Health. The incidence of laryngeal cancer in Puerto Rico during the study period was estimated. Sex differences in case-fatality rate and other variables were analyzed. Medical treatments for laryngeal cancer were also analyzed. RESULTS: The study revealed that the average incidence of laryngeal cancer in Puerto Rico was 3.8 x 100,000 from 1997-1998 and 3.5 x 100,000 from 2001-2002 (-1.07 APC). Of all the cases (n = 848) of laryngeal cancer reviewed, 88% were male. Females were more likely to be diagnosed before age 50 than males (p = 0.02). In this study, women had twice the probability of being alive at the end of the study period (OR = 1.97; CI: 1.14-3.45). The two most frequent types of single treatments for laryngeal cancer were radiation (39%) and surgery (33%). CONCLUSIONS: Cases oflaryngeal cancer are decreasing in Puerto Rico. Significant differences by sex were observed, especially the stage of the disease at the time of diagnosis. Future studies on medical treatment modalities that better preserve vocal function concurrently with voice therapy are recommended.