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Du X, Hare S, Summerfelt A, Adhikari BM, Garcia L, Marshall W, Zan P, Kvarta M, Goldwaser E, Bruce H, Gao S, Sampath H, Kochunov P, Simon JZ, Hong LE. Cortical connectomic mediations on gamma band synchronization in schizophrenia. Transl Psychiatry 2023; 13:13. [PMID: 36653335 PMCID: PMC9849210 DOI: 10.1038/s41398-022-02300-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Revised: 12/07/2022] [Accepted: 12/22/2022] [Indexed: 01/20/2023] Open
Abstract
Aberrant gamma frequency neural oscillations in schizophrenia have been well demonstrated using auditory steady-state responses (ASSR). However, the neural circuits underlying 40 Hz ASSR deficits in schizophrenia remain poorly understood. Sixty-six patients with schizophrenia spectrum disorders and 85 age- and gender-matched healthy controls completed one electroencephalography session measuring 40 Hz ASSR and one imaging session for resting-state functional connectivity (rsFC) assessments. The associations between the normalized power of 40 Hz ASSR and rsFC were assessed via linear regression and mediation models. We found that rsFC among auditory, precentral, postcentral, and prefrontal cortices were positively associated with 40 Hz ASSR in patients and controls separately and in the combined sample. The mediation analysis further confirmed that the deficit of gamma band ASSR in schizophrenia was nearly fully mediated by three of the rsFC circuits between right superior temporal gyrus-left medial prefrontal cortex (MPFC), left MPFC-left postcentral gyrus (PoG), and left precentral gyrus-right PoG. Gamma-band ASSR deficits in schizophrenia may be associated with deficient circuitry level connectivity to support gamma frequency synchronization. Correcting gamma band deficits in schizophrenia may require corrective interventions to normalize these aberrant networks.
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Affiliation(s)
- Xiaoming Du
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
| | - Stephanie Hare
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Ann Summerfelt
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Bhim M Adhikari
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Laura Garcia
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Wyatt Marshall
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Peng Zan
- Department of Electrical & Computer Engineering, University of Maryland, College Park, MD, USA
| | - Mark Kvarta
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Eric Goldwaser
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Heather Bruce
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Si Gao
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Hemalatha Sampath
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Peter Kochunov
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Jonathan Z Simon
- Department of Electrical & Computer Engineering, University of Maryland, College Park, MD, USA
- Department of Biology, University of Maryland, College Park, MD, USA
- Institute for Systems Research, University of Maryland, College Park, MD, USA
| | - L Elliot Hong
- Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA
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Zakaria MN, Nik Othman NA, Musa Z. Does the location of electrode on tympanic membrane matter when recording electrocochleography? Acta Otolaryngol 2021; 141:984-988. [PMID: 34669557 DOI: 10.1080/00016489.2021.1990996] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND The non-invasive tympanic electrocochleography (TM-ECochG) is useful for clinical diagnoses. Nevertheless, the influence of the electrode location on tympanic membrane (TM) on ECochG results needs to be studied. OBJECTIVE The aim of the present study was to compare the TM-ECochG results obtained when the electrode was placed on the superior region versus the inferior region of TM. MATERIALS AND METHODS Forty healthy adults (aged 29 to 50 years) participated in this comparative study. The TM-ECochG testing was conducted with the electrode placed on the superior and inferior regions of TM. RESULTS SP and AP amplitudes were statistically higher for the inferior region of TM (p < .05). In contrast, SP/AP ratios were comparable between the two regions of TM (p = .417). CONCLUSIONS AND SIGNIFICANCE In TM-ECochG recording, when the electrode was placed on the inferior region of TM, SP and AP amplitudes were greater than when the electrode was placed on the superior region of TM. On the other hand, SP/AP amplitude ratio was not affected by the location of electrode on TM. The findings from the present study could be useful to guide clinicians in optimizing TM-ECochG recording when testing their respective patients.
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Affiliation(s)
- Mohd Normani Zakaria
- Audiology Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Nik Adilah Nik Othman
- Department of Otorhinolaryngology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Zalilah Musa
- Department of Otorhinolaryngology, Kemaman Hospital, Kemaman, Malaysia
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Ismail H, Othman NAN, Zakaria MN, Rashid MFN, Wahab NAA, Awang MA. Hearing within the Normal Limit may not Indicate that the Middle Ear is Healthy. AN INTERNATIONAL JOURNAL OF OTORHINOLARYNGOLOGY CLINICS 2021. [DOI: 10.5005/jp-journals-10003-1363] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Antunes F, Zanotelli T, Simpson DM, Felix LB. Multichannel search strategy for improving the detection of auditory steady-state response. Med Biol Eng Comput 2021; 59:391-399. [PMID: 33495982 DOI: 10.1007/s11517-021-02323-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 01/18/2021] [Indexed: 10/22/2022]
Abstract
Auditory steady-state response (ASSR) is useful for hearing threshold estimation. The ASSR is usually detected with objective response detectors (ORD). The performance of these detectors depends on the signal-to-noise ratio (SNR) as well as the signal length. Since it is undesirable to increase the signal length, then, this work provides a multivariate technique for improving the SNR and consequently the detection power. We propose the insertion of a short calibration step before the detection protocol, in order to perform a search among the available electroencephalogram (EEG) derivations and select the derivation with the highest SNR. The ORD used in this work was the magnitude-squared coherence (MSC). The standard detection protocol is to use the same EEG derivation in all exams. Using 22-scalp positions, the new technique achieved a detection rate higher than that obtained in 99.13% of the standard detection protocol. When restrictions were applied to the search, a superior performance was achieved. Thus, the technique proposed was able to track the best EEG derivations before exams and seems to be able to deal with the variability between individuals and between sessions.
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Affiliation(s)
- Felipe Antunes
- Department of Electrical Engineering, Federal Institute of Education Science and Technology of Minas Gerais-Ipatinga Campus, Maria Silva, 125, CEP, Ipatinga, MG, 35164-261, Brazil.
| | - Tiago Zanotelli
- Department of Electrical Engineering, Federal Institute of Education Science and Technology of Espírito Santo-São Mateus Campus, São Mateus, ES, Brazil
| | - David Martin Simpson
- Institute of Sound and Vibration Research, University of Southampton, Southampton, UK
| | - Leonardo Bonato Felix
- Department of Electrical Engineering, Federal University of Viçosa, Viçosa, MG, Brazil
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Kim S, Jang SK, Kim DW, Shim M, Kim YW, Im CH, Lee SH. Cortical volume and 40-Hz auditory-steady-state responses in patients with schizophrenia and healthy controls. NEUROIMAGE-CLINICAL 2019; 22:101732. [PMID: 30851675 PMCID: PMC6407311 DOI: 10.1016/j.nicl.2019.101732] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 01/05/2019] [Accepted: 02/20/2019] [Indexed: 11/25/2022]
Abstract
Background Abnormalities in the 40-Hz auditory steady-state response (ASSR) of the gamma range have been reported in schizophrenia (SZ) and are regarded as important pathophysiological features. Many of the previous studies reported diminished gamma oscillations in SZ, although some studies reported increased spontaneous gamma oscillations. Furthermore, brain morphological correlates of the gamma band ASSR deficits have rarely examined. We investigated different measures of the 40-Hz ASSR and their association with brain volumes and psychological measures of SZ. Methods The 40-Hz ASSR was measured for 80 dB click sounds (1 ms, 500-ms trains at 40-Hz, with 3050 to 3500 inter-train interval) using electroencephalography with 64 electrodes in 33 patients with SZ (male: 16, female: 17 (age range: 21–60)) and 30 healthy controls (HCs) (male: 13, female: 17 (age range: 23–64)). Four gamma oscillation measures (evoked power, spontaneous oscillations (baseline and total power), and inter-trial phase coherence (ITC)) were assessed. The source activities of the ASSR were also analyzed. Brain volumes were assessed using high-resolution magnetic resonance imaging and voxel-based morphometry and superior temporal gyrus (STG) volume measures were obtained. Results Patients with SZ had larger total and evoked powers and higher ITC than HCs. Both groups showed significantly different association between mean evoked power and right STG volume. In HCs but not SZ, mean evoked power showed significant positive correlation with right STG volume. In addition, the two groups showed significantly different association between verbal fluency and mean evoked power. High evoked power was significantly correlated with poor verbal fluency in SZ. Conclusions The current study found increased gamma oscillation in SZ and suggests significant involvement of the STG in gamma oscillations. SZ had larger total and evoked powers and higher ITC than HCs. Evoked power positively correlated with right STG volume in HCs. High evoked power correlated with poor verbal fluency in SZ.
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Affiliation(s)
- Sungkean Kim
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea; Department of Biomedical Engineering, Hanyang University, Seoul, Republic of Korea
| | - Seon-Kyeong Jang
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea
| | - Do-Won Kim
- Department of Biomedical Engineering, Chonnam National University, Yeosu, Republic of Korea
| | - Miseon Shim
- Department of Psychiatry, University of Missouri-Kansas City, Kansas City, MO, USA
| | - Yong-Wook Kim
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea; Department of Biomedical Engineering, Hanyang University, Seoul, Republic of Korea
| | - Chang-Hwan Im
- Department of Biomedical Engineering, Hanyang University, Seoul, Republic of Korea
| | - Seung-Hwan Lee
- Clinical Emotion and Cognition Research Laboratory, Inje University, Goyang, Republic of Korea; Department of Psychiatry, Inje University, Ilsan-Paik Hospital, Goyang, Republic of Korea.
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Hwang JH, Nam KW, Jang DP, Kim IY. Effects of degree and symmetricity of bilateral spectral smearing, carrier frequency, and subject sex on amplitude of evoked auditory steady-state response signal. Cogn Neurodyn 2018; 13:151-160. [PMID: 30956719 DOI: 10.1007/s11571-018-9512-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 10/29/2018] [Accepted: 11/07/2018] [Indexed: 10/27/2022] Open
Abstract
The characteristics of an auditory steady-state response (ASSR) signal can be affected by the pathophysiological statuses of the left and right ears, such as a smeared sensation by native spectral smearing owing to sensorineural hearing impairment, because they can affect the perception of the stimulus, the degree of concentration on the stimulus and comfort in concentration. However, to date, few studies have examined the effects of such smeared sensations on the amplitude of the evoked ASSR signal. In this study, we synthesized various auditory stimuli with different degrees of spectral smearing using a hearing loss simulator to match the age of participant groups with different degrees of spectral smearing. We then performed three subjective tests, representing symmetric and asymmetric bilateral spectral smearing, with 16 normal-hearing individuals to observe the effects of the severity and symmetricity of bilateral spectral smearing, the value of the carrier frequency of auditory stimuli, and the sex of the individual on the amplitude in evoked ASSR signals. The experimental results demonstrated the following: (1) the application of spectral smearing to normal sounds may result in amplitude-reduced ASSR signals, (2) the effect of spectral smearing on the amplitude of the ASSR signals is most significant when the degrees of bilateral spectral smearing are asymmetric, (3) the selection of carrier frequency in an auditory stimulus can affect the amplitude of evoked ASSR signals regardless of the degree of spectral smearing, and (4) the sex of the individual can affect the amplitude of the evoked ASSR signal in various test conditions. The results of this study can help estimate the effects of smeared sensation by spectral smearing owing to sensorineural hearing impairment on the amplitude of evoked ASSR signals.
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Affiliation(s)
- Jong Ho Hwang
- 1Department of Biomedical Engineering, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 133-791 Korea
| | - Kyoung Won Nam
- 2Department of Biomedical Engineering, Pusan National University Yangsan Hospital, Yangsan, Korea.,3Department of Biomedical Engineering, School of Medicine, Pusan National University, Yangsan, Korea
| | - Dong Pyo Jang
- 1Department of Biomedical Engineering, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 133-791 Korea
| | - In Young Kim
- 1Department of Biomedical Engineering, Hanyang University, 222 Wangsimni-ro, Seongdong-gu, Seoul, 133-791 Korea
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Melynyte S, Pipinis E, Genyte V, Voicikas A, Rihs T, Griskova-Bulanova I. 40 Hz Auditory Steady-State Response: The Impact of Handedness and Gender. Brain Topogr 2017; 31:419-429. [PMID: 29218677 DOI: 10.1007/s10548-017-0611-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 12/04/2017] [Indexed: 01/31/2023]
Abstract
The 40 Hz auditory steady-state response (ASSR) is a periodic response to a periodic stimulation. Its sources are located in the primary auditory cortex and the asymmetry of the planum temporale has previously been associated with hand preference and gender-related differences; thus subject's handedness and gender could potentially influence ASSRs. Nevertheless, electrophysiological studies of ASSRs are mainly dominated by right-handed participants and the observed findings can only be generalized to the right-handed populations. However, for a potential use of 40 Hz ASSR as a translational biomarker of neuropsychiatric disorders, it is important to investigate the response in association to handedness and gender. We included an equal number of left-handed and right-handed males and females and recorded EEG responses during left-ear, right-ear and both ears stimulation. The results of the study suggest that the processing of 40 Hz auditory stimulation depends on the subjects' gender and handedness: significantly lower phase-locking and strength of 40 Hz ASSRs were observed in left-handed females as compared to left-handed males, but right-handers did not differ in 40 Hz ASSRs. Our observation of the opposite impact of gender in the examined handedness groups stresses the importance of careful consideration of handedness and gender factors when evaluating the determinants of inter individual variability of 40 Hz ASSRs. This finding is of particular importance for clinical studies in psychiatry and neurology.
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Affiliation(s)
- Sigita Melynyte
- Institute of Biosciences, Life Sciences Centre, Vilnius University, Sauletekio ave 7, 10257, Vilnius, Lithuania
| | - Evaldas Pipinis
- Institute of Biosciences, Life Sciences Centre, Vilnius University, Sauletekio ave 7, 10257, Vilnius, Lithuania
| | - Vaida Genyte
- Institute of Biosciences, Life Sciences Centre, Vilnius University, Sauletekio ave 7, 10257, Vilnius, Lithuania
| | - Aleksandras Voicikas
- Institute of Biosciences, Life Sciences Centre, Vilnius University, Sauletekio ave 7, 10257, Vilnius, Lithuania
| | - Tonia Rihs
- Department of Fundamental Neurosciences, University of Geneva, Geneva, Switzerland
| | - Inga Griskova-Bulanova
- Institute of Biosciences, Life Sciences Centre, Vilnius University, Sauletekio ave 7, 10257, Vilnius, Lithuania.
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Zakaria MN, Nik Othman NA, Musa Z. Electrocochleographic recording in Asian adults: Preliminary normative data and demographic analyses. J Otol 2017; 12:29-33. [PMID: 29937834 PMCID: PMC6011801 DOI: 10.1016/j.joto.2017.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2016] [Revised: 01/29/2017] [Accepted: 02/06/2017] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVE Electrocochleography (ECochG) is valuable to diagnose Meniere's disease objectively. The aim of the present study was to provide preliminary normative data for ECochG among Asian adults. The influences of ethnicity (Malay versus Chinese) and gender on ECochG results were also studied. METHODS Twenty-two Malay adults (10 men and 12 women) and twenty Chinese participants (10 men and 10 women) aged between 20 and 49 years participated in this study. Extratympanic ECochG (ET-ECochG) was recorded according to standard non-invasive procedure. Summating potential (SP) amplitude, action potential (AP) amplitude and SP/AP ratio were analyzed accordingly. RESULTS ET-ECochG results were found to be comparable between left and right ears (p > 0.05). No notable differences in ET-ECochG results were found between Malay and Chinese groups (p > 0.05). No significant influence of gender on ET-ECochG outcomes was also noted (p > 0.05). The derived normative data for Asian adults (84 ears) are consistent with previous reports. CONCLUSION The present study provides preliminary normative data for ET-ECochG among Asian adults. The ECochG components do not appear to be influenced by either ethnicity or gender. The derived normative data can be used for clinical applications and as the reference for future studies involving Asian population.
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Affiliation(s)
- Mohd Normani Zakaria
- Audiology Programme, School of Health Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
- Corresponding author. Fax: +60 9 7677515.
| | - Nik Adilah Nik Othman
- Audiology Programme, School of Health Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
| | - Zalilah Musa
- Department of Otorhinolaryngology (ORL), School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia
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Jalaei B, Shaabani M, Zakaria MN. Mode of recording and modulation frequency effects of auditory steady state response thresholds. Braz J Otorhinolaryngol 2017; 83:10-15. [PMID: 27102175 PMCID: PMC9444776 DOI: 10.1016/j.bjorl.2015.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Revised: 11/14/2015] [Accepted: 12/30/2015] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION The performance of auditory steady state response (ASSR) in threshold testing when recorded ipsilaterally and contralaterally, as well as at low and high modulation frequencies (MFs), has not been systematically studied. OBJECTIVE To verify the influences of mode of recording (ipsilateral vs. contralateral) and modulation frequency (40Hz vs. 90Hz) on ASSR thresholds. METHODS Fifteen female and 14 male subjects (aged 18-30 years) with normal hearing bilaterally were studied. Narrow-band CE-chirp® stimuli (centerd at 500, 1000, 2000, and 4000Hz) modulated at 40 and 90Hz MFs were presented to the participants' right ear. The ASSR thresholds were then recorded at each test frequency in both ipsilateral and contralateral channels. RESULTS Due to pronounced interaction effects between mode of recording and MF (p<0.05 by two-way repeated measures ANOVA), mean ASSR thresholds were then compared among four conditions (ipsi-40Hz, ipsi-90Hz, contra-40Hz, and contra-90Hz) using one-way repeated measures ANOVA. At the 500 and 1000Hz test frequencies, contra-40Hz condition produced the lowest mean ASSR thresholds. In contrast, at high frequencies (2000 and 4000Hz), ipsi-90Hz condition revealed the lowest mean ASSR thresholds. At most test frequencies, contra-90Hz produced the highest mean ASSR thresholds. CONCLUSIONS Based on the findings, the present study recommends two different protocols for an optimum threshold testing with ASSR, at least when testing young adults. This includes the use of contra-40Hz recording mode due to its promising performance in hearing threshold estimation.
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Affiliation(s)
- Bahram Jalaei
- Universiti Sains Malaysia, School of Health Sciences, Audiology Programme, Kelantan, Malaysia; Iran University of Medical Sciences, Department of Audiology, Tehran, Iran.
| | - Moslem Shaabani
- University of Social Welfare and Rehabilitation Sciences, Department of Audiology, Tehran, Iran
| | - Mohd Normani Zakaria
- Universiti Sains Malaysia, School of Health Sciences, Audiology Programme, Kelantan, Malaysia
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