Telemedicinski pristup za proveru sluha

Abstract

Although the idea of providing long-distance medical services dates back to the middle of the last century, only the development of information technology enabled the development of a different approach to the healthtelehealth. Benefits such as speed, availability, reduced travel costs, available expertise, real-time consultation, etc., greatly improve medical care. In many fields of medicine, telehealth has replaced classical approaches and procedures and has become the standard. The first applications of telehealth were in the field of audiology in the form of long-distance hearing screening. This paper describes an example of an online hearing test system. The system is based on listening to speech in noise using the "Quick Speech in Noise Test" – QuickSIN test. The criteria on the basis of which the system was implemented are described: methodological and technological requirements, hardware and software environment, procedure for forming a base of spoken material for Serbian language and corresponding masking signals. There is a QuickSIN test for adults and for children. For this occasion, QuickSIN test for adults will be described as the first triage test for distant hearing testing that does not require special environmental conditions. As the test is sensitive and easily accessible, it can be of great help in detecting initial levels of hearing impairment and thus a significant help in preventing severe damage.

Iako ideja o pružanju medicinskih usluga na daljinu datira od sre- dine prošlog veka, tek je zahvaljujući razvoju informacionih tehno- logija omogućen drugačiji pristup medicinskoj zaštiti pod nazivom telehealth. Prednosti kao što su brzina, dostupnost, smanjenje troško- va putovanja, raspoloživo ekspertsko znanje, mogućnost konsultacija u realnom vremenu i druge, visoko unapređuju medicinsku zaštitu. U mno- gim oblastima medicine telehealth je zamenio klasične pristupe i pro- cedure i postao je standard. Prve primene telehealth-a bile su u oblasti audiologije i to u formi skrininga sluha na daljinu. U radu je opisan pri- mer sistema za proveru kvaliteta sluha putem interneta. Sistem je zasnovan na slušanju govora u buci primenom „Quick Speech in Noise Test” – QiuckSIN test. Opisani su kriterijumi na osnovu kojih je realizovan sistem: metodološki i tehnološki zahtevi, hardversko-softversko okruženje, postupak formiranja baze govornog materijala za srpski jezik i odgovarajućih maskirajućih signala. Postoji QiuckSIN test za odrasle i za decu. Za ovu priliku biće opisan QiuckSIN test za odrasle kao prvi trijažni test za distalnu proveru sluha čije korišćenje ne zahteva specijalne uslove okruženja. Kako je test osetljiv i lako dostupan on može biti od velike koristi u detekciji početnih nivoa oštećenja sluha a time i značajna pomoć u prevenciji nastanka težih oštećenja.