Purpose Listening-related fatigue is an understudied construct that may contribute to the auditory, educational, and psychosocial problems experienced by children with unilateral hearing loss (UHL). Herein, we present an overview of listening-related fatigue in school-age children with hearing loss (CHL), with a focus on children with UHL. Method Following a review of research examining listening-related fatigue in adults and CHL, we present preliminary findings exploring the effects of unilateral and bilateral hearing loss on listening-related fatigue in children. For these exploratory analyses, we used data collected from our ongoing work developing and validating a tool, the Vanderbilt Fatigue Scale, for measuring listening-related fatigue in children. Presently, we are assessing 3 versions of the fatigue scale—child self-report, parent proxy, and teacher proxy. Using these scales, data have been collected from more than 900 participants. Data from children with unilateral and bilateral hearing loss and for children with no hearing loss are compared with adult Vanderbilt Fatigue Scale data. Results Results of our literature review and exploratory analyses suggest that adults and CHL are at increased risk for listening-related fatigue. Importantly, this increased risk was similar in magnitude regardless of whether the loss was unilateral or bilateral. Subjective ratings, based on child self-report and parent proxy report, were consistent, suggesting that children with unilateral and bilateral hearing loss experienced greater listening-related fatigue than children with no hearing loss. In contrast, results based on teacher proxy report were not sensitive to the effects of hearing loss. Conclusions Children with UHL are at increased risk for listening-related fatigue, and the magnitude of fatigue is similar to that experienced by children with bilateral hearing loss. Problems of listening-related fatigue in school-age CHL may be better identified by CHL themselves and their parents than by teachers and specialists working with the children.
Listening-related fatigue can be a significant burden for adults with hearing loss (AHL), and potentially those with other health or language-related issues (e.g., multiple sclerosis, traumatic brain injury, second language learners) who must allocate substantial cognitive resources to the process of listening. The 40-item Vanderbilt Fatigue Scale for Adults (VFS-A-40) was designed to measure listening-related fatigue in such populations. This article describes the development, and psychometric properties, of the VFS-A-40. Initial qualitative analyses in AHL suggested listening-related fatigue was multidimensional, with physical, mental, emotional, and social domains. However, exploratory factor analyses revealed a unidimensional structure. Item and test characteristics were evaluated using Item Response Theory (IRT). Results confirmed that all test items were of high quality. IRT analyses revealed high marginal reliability and an analysis of test-retest scores revealed adequate reliability. In addition, an analysis of differential item functioning provided evidence of good construct validity across age, gender, and hearing loss groups. In sum, the VFS-A-40 is a reliable and valid tool for quantifying listening-related fatigue in adults. We believe the VFS-A-40 will be useful for identifying those most at risk for severe listening-related fatigue and for assessing interventions to reduce its negative effects. Public Significance StatementListening-related fatigue can negatively affect people with a wide range of health conditions, including hearing loss. A reliable and valid assessment method is required to identify those with moderate-tosevere fatigue who may need interventions, and to assess the efficacy and effectiveness of any such interventions. The 40-item Vanderbilt Fatigue Scale for Adults (VFS-A-40) was developed to fill these needs.
Aims: Rootstocks provide protection against soil-borne pests and are a powerful tool to manipulate growth, fruit composition and wine-quality attributes. The present study aimed to assess the consistency of rootstock effects on the growth and fruit composition of scion varieties and identify scion × rootstock interactions.Methods and results: Vine performance and fruit composition of hot-climate, drip-irrigated, spur-pruned Chardonnay, Cabernet Sauvignon and Shiraz, grafted on seven rootstocks, was assessed over five seasons from 2013 to 2017. Rootstocks included Ramsey, 1103 Paulsen and 140 Ruggeri and four promising selections from the CSIRO rootstock development programme. Vines were trained as quadrilateral cordons on a two-wire vertical trellis of height 1.8 m and 3.0 m row × 1.8 m vine spacing, and irrigated with 5.5–6.0 ML/ha of water each season. The study was conducted with mature vines, established in 2006, as a randomised block design with five replicates. There were significant effects of both variety and rootstock on yield, number of bunches, bunch weight, berry weight (scion only), berries per bunch, pruning weight and the Ravaz Index (yield/pruning weight). Despite identical management practices, there were large differences between scion varieties in key growth characteristics across rootstocks. Chardonnay produced a high yield (mean 25.2 kg/vine) with low pruning weight (2.3 kg/vine) and a high mean Ravaz Index value of 12.1. Shiraz had the highest yield (27.4 kg/vine) with high pruning weight (5.1 kg/vine) and a Ravaz Index of 6.3. Cabernet Sauvignon had the lowest yield (15.9 kg/vine) and highest pruning weight (6.6 kg/vine) and a very low Ravaz Index value of 3.0. Effects of rootstock on growth characteristics were smaller than the effects of variety, with mean yields ranging from 19.5 to 25.9 kg/vine, pruning weights ranging from 3.24 to 6.13 kg/vine and mean Ravaz Index values ranging from 5.54 to 8.63. Each variety was harvested when the mean total soluble solids reached 25.0 °Brix. Significant effects of variety and rootstock on fruit composition, included pH, titratable acidity (scion only), malate, tartrate (scion only), yeast assimilable nitrogen (YAN); and for the red varieties, total anthocyanins (scion only) and phenolic substances (scion only). Significant interactions between scion variety and rootstocks were found for yield, number of bunches, berry weight, pruning weight and Ravaz Index. The effect of rootstock on bunch weight and berries per bunch was consistent across scions. Significant scion × rootstock interactions were also found for pH and YAN. For each variety, significant effects of rootstock on fruit composition were linked to growth characteristics. However, these relationships, based on correlation analyses, varied for each scion.Conclusions: The study has shown that growth characteristics and fruit composition of the major varieties was not consistent across seven rootstock genotypes, as significant scion × rootstock interactions were determined. Hence, different rootstocks may be required for each variety to optimise scion performance and fruit composition. The study has also shown that the new CSIRO rootstock selections, covering a range of vigour classifications, may be useful alternatives to those currently in use by industry.Significance and impact of the study: The study has shown that the performance of scion varieties, and to a lesser degree the fruit composition, is dependent on rootstock choice. The inherent vigour of the scion variety must be considered in rootstock selection. Furthermore, individual scion/rootstock combinations may require specific irrigation, pruning or canopy management to achieve vine balance and optimise fruit and wine composition.
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