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The quintessential core textbook for audiology and speech-language pathology students
Essentials of Audiology, Fifth Edition by renowned audiology and hearing science experts Stanley A. Gelfand and Lauren Calandruccio has been updated to incorporate advances and changes in the field of audiology that have occurred since the publication of the prior edition. These include advances in audiological diagnosis and intervention in such areas as electrophysiological assessment, pediatric evaluation, cochlear implants, speech perception, hearing aids, and related technologies. The text has also been updated to reflect revised clinical guidelines, expert position papers, current systematic reviews, and standards and regulations that affect clinical practice. In addition to the reader-friendly text for which the book is well-known, the new edition actively embraces diversity with features such as non-gendered language (e.g., singular they) and more inclusive photographs and drawings.
This textbook provides a comprehensive overview of audiology at the introductory level with discussions on acoustics, anatomy and physiology, sound perception, auditory disorders and the nature of hearing impairment, methods of measurement, screening, clinical assessment, and clinical management. The book includes 17 chapters, starting with Acoustics and Sound Measurement and concluding with Effects of Noise and Hearing Conservation. As with the prior editions, the text is highly relevant and conducive to learning, thanks to the input of a distinguished group of audiologists involved in clinical practice, research, teaching, and student supervision, along with insightful advice from recent audiology students.
Key Highlights
This comprehensive introductory text is essential reading for undergraduate students of speech, language, and hearing and will also benefit first-level graduate students who need to learn or review fundamentals.
This print book includes complimentary access to a digital copy on https://medone.thieme.com.
1. Acoustics and Sound Measurement2. Anatomy and Physiology of the Auditory System3. Measurement Principles and the Nature of Hearing4. The Audiometer and Test Environment5. Pure Tone Audiometry6. Auditory System and Related Disorders7. Acoustic Immittance Assessment8. Speech Audiometry9. Clinical Masking10. Behavioral Tests for Audiological Diagnosis11. Physiological Methods in Audiology12. Assessment of Infants and Children13. Audiological Screening14. Nonorganic Hearing Loss15. Audiological Management I16. Audiological Management II17. Effects of Noise and Hearing Conservation
1Acoustics and Sound Measurement
We begin our study of audiology by reviewing the nature of sound because, after all, sound is what we hear. The science of sound is called acoustics, which is a branch of physics, and relies on several basic physical principles. Many useful sources are available for students wishing to pursue the areas covered in this chapter in greater detail (e.?g., Peterson & Gross 1972; Hewitt 1974; Kinsler, Frey, Coppens, & Sanders 1982; Sears, Zemansky, & Young 1982; Beranek 1986; Gelfand 2018).
■ Physical Quantities
The basic physical quantities are mass, time, and length (or distance). All other physical quantities are derived by combining these three basic ones, as well as other derived quantities, in a variety of ways. The principal basic and derived quantities are summarized in Table 1.1. These basic quantities are expressed in terms of conventional units that are measurable and repeatable. The unit of mass (M) is the kilogram (kg) or the gram (g); the unit of length (L) is the meter (m) or the centimeter (cm); and the unit of time (t) is the second (s). Mass is not really synonymous with weight even though we express its magnitude in kilograms. The mass of a body is related to its density, but its weight is related to the force of gravity. If two objects are the same size, the one with greater density will weigh more. However, even though an object's mass would be identical on the earth and the moon, it would weigh less on the moon, where there is less gravity.
Table 1.1 Principal physical quantities
Quantity
Formula
MKS (SI) units
cgs units
Comments
Mass (M)
M
kilogram (kg)
gram (g)
1 ?kg ?= ?103 g
Time (t)
t
second (s)
s
Area (A)
A
m2
cm2
1 m2 ?= ?104 cm2
Displacement (x)
x
meter (m)
centimeter (cm)
1 m ?= ?102 cm
Velocity (v)
v = x/t
m/s
cm/s
1 ?m/s =102 cm/s
Acceleration (a)
a = v/t
m/s2
cm/s2
1 ?m/s2 ?= ?102 cm/s2
Force (F)
F = Ma
kg · m/s2
g · cm/s2
1 N ?= ?105 dyne
= Mv/t
newton (N)
dyne
Pressure (p)
p = F/A
N/m2
Pascal (Pa)
dyne/cm2
microbar (µbar)
2 ?× ?10-5 N/m2 or 20 µPa
(reference value)
2 ?× ?10-4 dyne/cm2 or µbar
Work (W)
W ?= ?Fx
N · m
joule (J)
dyne · cm erg
1 J ?= ?107 erg
Power (P)
P ?= ?W/t
joule/s
erg/s
1 W ?= ?1 J/s
= Fx/t
watt (W)
1 W ?= ?107 erg/s
= Fv
Intensity (I)
I ?= ?P/A
W/m2
W/cm2
10-12 W/m2 (reference value)
10-16 W/cm2 (reference value)
When we express mass in kilograms and length in meters, we are using the meter-kilogram-second or MKS system. Expressing mass in grams and length in centimeters constitutes the centimeter-gram-second or cgs system. These two systems also have different derived quantities. For example, the units of force and work are called newtons and joules in the MKS system and dynes and ergs in the cgs system, respectively. We will emphasize the use of MKS units because this is the internationally accepted standard in the scientific community, known as the Système International d'Unites (SI). Equivalent cgs values will often be given as well because the audiology profession has traditionally worked in cgs units, and the death of old habits is slow and labored. These quantities are summarized with equivalent values in MKS and cgs units in Table 1.1. In addition, the correspondence between scientific notation and conventional numbers, and the meanings of prefixes used to describe the sizes of metric units are shown for convenience and ready reference in Table 1.2 and Table 1.3.
Table 1.2 Expressing numbers in standard notation and scientific notation
Standard notation
Scientific notation
0.000001
10-6
0.00001
10-5
0.0001
10-4
0.001
10-3
0.01
10-2
0.1
10-1
1
100
10
101
102
1000
103
10,000
104
100,000
105
1,000,000
106
3600
3.6 ?× ?103
0.036
3.6 ?× ?10-2
0.0002
2 ?× ?10-4
0.00002
2 ?× ?10-5
Table 1.3 Examples of prefixes used to express metric units
Prefix
Symbol
Definition
Multiply by
micro
µ
millionths
1/1,000,000 or 0.000001
milli
m
thousandths
1/1000 or 0.001
centi
c
hundredths
1/100 or 0.01
deci
d
tenths
1/10 or 0.1
deka
da
tens
hecto
h
hundreds
kilo
k
thousands
mega
millions
Quantities may be scalars or vectors. A scalar can be fully described by its magnitude (amount or size), but a vector has both direction and magnitude. For example, length is a scalar because an object that is one meter long is always one meter long. However, we are dealing with a vector when we measure the distance between two coins that are one meter apart because their relationship has both magnitude and direction (from point x 1 to point x 2). This quantity is called displacement (x). Derived quantities will be vectors if they have one or more components that are vectors; for example, velocity is a vector because it is derived from displacement, and acceleration is a vector because it involves velocity. We distinguish between scalars and vectors because they are handled differently when calculations are being made.
Velocity Everyone knows that "55 miles per hour" refers to the speed of a car that causes it to travel a distance of 55 miles in a one-hour period of time. This is an example of velocity (v), which is equal to the amount of displacement (x) that occurs over time (t):
Displacement is measured in meters and time is measured in seconds (s); thus,...
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