Reisberg, McLean, and Goldfield (1987) have shown that vision plays a part in the perception of speech even when the auditory signal is clearly audible and intact. Using an alternative method the present study replicated their finding. Clearly audible spoken messages were presented in audio-only and audio-visual conditions, and the adult participants' resulting comprehension was measured. Stories were presented in French (Expt 1), in a Glaswegian accent (Expt 2), and by presenting spoken information that was semantically and syntactically complex (Experiment 3). Three separate groups of 16 adult female participants aged 19-21 participated in the three experiments. In all three experiments, comprehension improved significantly when the speaker's face was visible.

Objectives: The purpose of this pilot study was to obtain an Australian perspective on evaluating the utility of plain film radiography and computed tomography (CT) to rule out fish bone impaction in the upper aerodigestive tract in the emergency department (ED) setting. Methods: A retrospective multicentre cohort study was conducted. A total of 73 patients met the inclusion criteria. A subgroup of patients underwent CT. We studied the sensitivity and specificity of x-ray and CT along with other demographic variables to determine the likelihood of true fish bone impaction. Results: Out of the 73 patients, 28 patients had true bone impaction. The sensitivity for x-ray was 42.9% and specificity was 73.3%. The sensitivity of CT was 87.5% and specificity was 71.4%. We found a significant difference in the mean age of presentation for true bone and false bone impaction, P = 0.02. Conclusion: Due to the low sensitivity of x-ray we do not recommend the utilisation of plain film radiography to rule out bone impaction Advances in low dose radiation multidetector CT scanners may replace plain film radiography as a screening tool.

Stereotypes of male and female target figures who had experience of either computer programming, word processing or computer games were investigated. Male and female undergraduate respondents were asked to rate them as portrayed in brief descriptions, on the sixteen personality attributes previously used by Siann, Durndell, Macleod, and Glissov in an investigation of stereotypes of male and female computer science students [1]. As found previously, there was no evidence of negative stereotyping: few differences were found between the male and female target figures, and the pattern of ratings was similar for the three computer uses. The results indicated however, that irrespective of the sex of the target figure, stereotyping of the three uses differed according to the sex of the respondent. Females gave higher ratings on attributes reflecting autonomy and congeniality to the figures with programming experience, while males gave these the lowest ratings on the same attributes. The relationship between this finding, the previous computing experience of the males and possible future implications is discussed.

Cochlear signal changes suggestive of fibrosis occurred in most patients following translabyrinthine removal of vestibular schwannoma. Given the early onset of cochlear fluid signal changes on T2MRI, and the progression of these changes on subsequence imaging, cochlear implantation would ideally need to be performed either simultaneous to translabyrinthine surgery or as an early second-stage procedure to maximize the chance of a successful electrode insertion, or one can consider a placeholder as well.

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This study examined the inter-rater reliability (IRR) of the Clinical Dementia Rating (CDR) for patients with traumatic brain injury (TBI). The CDR is a commonly used rating of impairment, but there has been no research examining its utility in patients with TBI. It was hypothesized that the CDR would have good IRR when used with patients with TBI. Two hundred and fifty U.S. neuropsychologists were randomly selected from the National Academy of Neuropsychology's membership list and were mailed packets of information (e.g., CDR, patient vignette, mental status, neuropsychological test information, and history). Professionals were asked to complete the CDR for the described patient and return the information. IRR was calculated for the Global CDR score and each of the six CDR domains. Of those packets mailed, 53 were returned and completed as instructed (21.2% response rate). Clinician experience varied from 0 to 31 years. Global CDR score IRR was 73.6%. Domain IRRs were as follows: Orientation, 79.2%; Home and Hobbies, 71.7%; Personal Care, 71.7%; Memory, 56.6%; Judgment and Problem Solving, 49.1%; and Community Affairs, 54.7%. Results suggest the CDR Global score has acceptable IRR (>.70). Overall concordance (W = .527) among raters was significant with moderate-to-strong agreement. Further research to improve the utility of this instrument is discussed.

Autoimmune inner ear disease (AIED) refers to a group of diseases in which hearing loss or vestibular dysfunction results from an immune-mediated process. We describe the first case of primary AIED associated with pregnancy in the literature. It is of particular interest as it spans two pregnancies and provides evidence based multidisciplinary guidance for management. A case is presented of a 39-year-old woman with left AIED 22 weeks into her first pregnancy and right AIED 24 weeks into her second pregnancy. A review of the literature examines the safety and efficacy of systemic steroid use in pregnancy. Systemic steroids were able to stabilize the patients hearing during both pregnancies and were weaned by 2 months post-partum. Oral steroids stabilized the hearing in both her ears during both pregnancies but did not improve her hearing from presentation. Of note, systemic steroids were able to be completely weaned post-partum more rapidly than in typical cases of AIED.

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