MAHARASHTRA
UNIVERSITY OF HEALTH SCIENCES, NASHIK
Examinations Leading to the Degree of Bachelor of
Science (Hearing, Language & Speech)
[ B. Sc.
(HLS)]
[Applicable to the batches admitted to the First Year
of the B. Sc. (HLS) Course from the
academic year
2001-02 onwards until further orders.]
(Syllabi and Scheme of examinations)
(Note: Nomenclature and the curricula are currently
under revision by the RCI .)
Appendix
A (Scheme of Curriculum)
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SCHEME
OF CURRICULUM FOR FIRST YEAR B. Sc. (HLS) Applicable
to the Batches admitted from the year 2001-2002. |
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Sr. |
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1 |
B 1.1.1 |
Introduction to Speech
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3 |
80 |
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100 |
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Language Pathology |
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2 |
B 1.2.1 |
Introduction to
Audiology |
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3 |
80 |
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100 |
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B 1.3.1 |
Basic Anatomy and Physiology |
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80 |
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100 |
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B 1.3.2 |
Pathology |
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2 |
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B 1.4.1 |
Introduction to
Psychology & |
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80 |
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100 |
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Psychology of Learning |
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B 1.4.2 |
Linguistics &
Phonetics |
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3 |
80 |
20 |
100 |
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B 1.5.1 |
Basic Acoustics
& Electronics |
50 |
3 |
80 |
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100 |
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8 |
B 1.C1.1 |
Clinical Work (Speech
Pathology) (Practical & Oral) |
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3 |
100 |
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100 |
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Internal Assessment
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50 |
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9 |
B 1.C2.1 |
Clinical Work
(Audiology) (Practical & Oral) |
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3 |
100 |
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100 |
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Internal Assessment
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MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK Appendix B Syllabus for 1st
year B.Sc. (HLS). (Applicable to the
Batches admitted from the year 2001-2002.)
The following are the syllabi in the
various subjects of the course: 1. Paper I - B 1.1.1: Introduction to Speech and Language
Pathology I 1. Definitions of and components of communication, speech and language - Distinctionsand similarities. Characteristics of language. Human and animal communication: Acontrast.2. Basic models, levels, modes and functions of human language communication. 3. Speech as an overlaid function. Speech chain. 4. Process of speech production. II 1. Anatomy and physiology of respiratory system. Volumes in respiration. Respiration for life and speech.
2. Anatomy and physiology of laryngeal system. Bases of pitch and loudness change mechanisms.
3. Anatomy and physiology of articulatory mechanism. 4. Anatomy of the nervous system
related to speech and language.
III Social, psychological
and linguistic aspects of speech and language skills.
IV Normal development of
articulation, voice, prosody and language. Speech and language skills
of infants, toddlers, pre-schoolers, school-going children and above group.
V Speech perception in
infants and adults (with special reference to categorical perception). VI Principles of
Appraisal, Examination and Measurement Informal
assessment of: Communication; Prerequisites for language; Child-directed speech;
Oral peripheral mechanism;
Articulation; Voice; Prosody; Fluency; Other language modalities such as reading or
writing. Informal
assessment of speech-language and communication skills in different age groups,
such as infants, toddlers, pre-schoolers, 5 to 12 year age group and above 12
years
age group. Basic
concepts of clinical measurement (scales, reliability, validity, accuracy and precision)
and interpretation (norm, criterion
and client referenced). VII General
principles and planning for intervention: Long-term goals, short-term goals, reinforcement,
contingencies of reinforcement. Suggested Readings 1. Boone, D.R. and
Plante, E. (1993) Human Communication & Its Disorders. New Jersey:
Prentice-Hall. 2. Lane, V.W. and Molyneaux, D. (1992)
The Dynamics of Communicative
Development, ed. 3.
Baltimore: Williams & Wilkins. 3. Mclaughlin, S.(1998)
Introduction to Language
Development. Singular Publishing Group,Inc. 4. Shames, G.H., Wiig, E.H.
and Secord, W.A.(1994) Human Communication Disorders - An
Introduction. Maxwell Macmillan International. 5. Owens, R.E.,
Jr.(1988) Language Development: An Introduction, ed. 2. Columbus, Ohio:
Merril Publishing Co. 2. Paper II - B 1.2.1: Introduction to Audiology A Audiology:
Definition. A brief history. Branches
and scope. B 1. Physical
basis of hearing. Review of acoustics relevant to audiology. Decibel concept.
Fundamentals
of psychoacoustics. Psychoacoustic
levels of hearing: Sensitivity, Discrimination,
Recognition and Understanding. Scales of measurement. Concepts of
reliability and validity.
2. Basic measure of
sensitivity: Absolute threshold of hearing. Psychophysical methods of determining absolute thresholds - Classical and
modern. MAF and MAP.
Physical, biological,
methodological and psychological variables affecting absolute thresholds.
3. A brief introduction to
other dimensions of hearing: Weber's law and DL. Pitch. Loudness.
Masking. Quality. Binaural hearing and localisation. C Biological
basis of hearing: Anatomy and physiology of the auditory system. Role of External
ear (EE). Role of Middle ear (ME):
Impedance-matching transformer action; ET
function; Role of ME muscles. Role of Inner ear (IE): Transduction - CM
and SP; Theories
of pitch perception - Tonotopic organisation; Role in loudness perception.
Role of
auditory nerve - afferent and
efferent pathways. AP. Tuning curves. Encoding of loudness.
Central hearing mechanism - Role in brief of cortical and subcortical
structures. A
brief introduction to BC hearing mechanism and types of hearing
loss/disorders (conductive,
sensorineural, mixed, central and functional). D 1. Clinical Audiology: Aim and scope. Concepts of screening and definitive/diagnostic tests.Concepts of reliability and validity, accuracy and precision. Diagnostic assessment of degree and type of hearing impairment. Non-medical rehabilitation.
2. Tuning Fork (TF) Tests: Rinne, Weber, Bing, Gelle and Schwabach tests. Their reliability and validity. 3. Electronic pure-tone audiometry - Functional block diagram, components and their functions. Audiometric zero: Concepts of normal hearing sensitivity and normal thresholds of hearing,. ASA, ISO, ANSI and ISI standards. HL and SL. Biological calibration of audiometers. 4. Air Conduction audiometry. Clinical measurement of AC thresholds. Factors affecting threshold. 5. Bone Conduction audiometry - Rationale. Special problems in the measurement of BC. Role of external and middle ears in BC hearing. Errors in BC audiometry. 6. Basic interpretation of audiograms: Qualitative (Type) and Quantitative (Degree). 7. Basics of clinical masking: Need (Why?) and criteria (When?) for masking during AC BC threshold testing. Concepts of cross over, inter-aural attenuation (IA) and cross hearing and shadow curve. 8. Basics of speech audiometry. Need for and principles of. Speech Awareness/Detection Thresholds (SAT/SDT), Speech Recognition Threshold (SRT) and Speech/Word Recognition Score (SRS/WRS) - Common materials, procedures and uses. 9. Factors affecting the reliability and validity of a pure-tone audiogram: Tester, Equipment, Environment and Subject related variables. Precautions and care in audiometry.
10. Relative merits and demerits of TF tests, pure-tone and speech audiometry. 11. Causes of hearing loss: Terminology and classification. Hereditary, acquired, congenital and adventitious. Prenatal, natal and post-natal causes of conductive, sensorineural , central and functional hearing losses in children and adults and the importance of their knowledge. Role of pure-tone audiometry in diagnosis and rehabilitation. Suggested Readings 1. Bess, F.H. and Humes, L.E. (1990) Audiology: The
Fundamentals, ed. 2. Baltimore:
Williams and Wilkins. 2. Cowan, D. (1986) Coping with Ear Problems. New Delhi: Family
Books Pvt. Ltd. (Original
edition published by W.R. Chambers Ltd., Edinburgh). 3. Davis, H. and Silverman, S.R. (Eds.) (1978) Hearing and Deafness,
ed. 4. New York: Holt,
Rinehart, and Winston 4. Durrant, J.D. and Lovrinik, J.H. (1995) Bases of Hearing Science, ed. 3. Baltimore: Williams
& Wilkins. 5. Glorig, A. (Ed.) (1965) Audiometry: Principles and
Practices. Baltimore: Williams and
Wilkins. 6. Hay, J. (1997) Hearing Loss. Thornsons. (!999) Indian edition
published by HarperCollins
publishers India, New Delhi). 7. Kaplan, H., Gladstone, V.S. and Lloyd, L.L. (1993)
Audiometric Interpretation: A Manual of
Basic Audiometry, ed. 2. Boston: Allyn and Bacon.n 8. Martin, F.N.
(1991) Introduction to
Audiology, ed. 4. Englewood Cliffs,
N.J.: Prentice-Hall. 9. Newby, H.A. and Popelka, G.A. (1985) Audiology, ed. 5.
Englewood Cliffs, New Jersey:
Prentice-Hall. 10. Stach, B.A. (1998) Clinical
Audiology: An Introduction. San Diego, California: Singular
Publishing Group, Inc. 11. Yost, W.A. (1994) Fundamentals of
Hearing: An Introduction, ed. 3. NY:
Academic Press. 3. Paper III
B 1.3.1: Basic Anatomy and Physiology
(Special emphasis on Respiratory and Nervous Systems and Myology) Part A: Anatomy
1. General Introduction 2. Osteology 3. Anthrology 4. Myology 5. Circulatory system 6. Nervous System 7. Respiratory System 8. Auditory System 9. Anatomy of Voice and Speech Mechanisms List of Practicals (By demonstration only) (10
hrs.)
1. Skull, mandible, cervical vertebrae,
one foetal skull 2. Dissected soft parts: a.
Neck, triangles of the neck b. Larynx and
pharynx with tongue c. Sagittal
section of head and neck 3. Embryology models. Development of face 4. Other systems Part B: Physiology
1. Muscular System 2. Circulatory System 3. Respiratory system 4. Nervous System 5. Endocrine System 6. Auditory System 7. Vestibular System 8. Voice and Speech Mechanism 9. Reproductive System Practicals (By Demonstration only): 1. Estimation of haemoglobin. 2. Determination of blood groups. 3. RBC count. 4. WBC count - total and differential. 5. Determination of pulse and B.P. 6. Stethograph, spirometry and artificial respiration. 7. Examination of the CVS and RS. 8. Examination of the sensory system, higher functions, and reflexes Suggested Readings Anatomy 1. Datta, A.K. (1944) Essentials of Human Anatomy (Head and
Neck), ed. 2. Current Books
International. 2. Kahane, J.C. and Polkins, J.F. (1984) Atlas of Speech and
Hearing Anatomy. Ohio: Charles
E. Merril. 3. Palmer, J.M. (1984) Anatomy for Speech and Hearing, ed. 3.
New York: Harper and Row. 4. Romanes, G.G. Cunningham's Manual of Practical Anatomy, Vol.
III: Head and Neck and
Brain. Oxford University Press. Physiology 1. Chatterjee Textbook
of Physiology 2. Chaudhari, S.K. (1993) Concise Medical Physiology, ed. 2.
Calcutta: New Central Book
Agency (P) Ltd. 3. Daniloff, R. and Schuckers, G. (1980) The Physiology of
Speech and Hearing - An
Introduction. Englewood Cliffs, New Jersey: Prentice-Hall. Common Books 1. Batemon and Mason (1984) Applied Anatomy and Physiology of
the Speech and Hearing
Mechanisms. 2. Perkins, W.H. and Kent, R.R.D. (1986) Textbook of Functional
Anatomy of Speech,
Language and Hearing. London: Taylor and Francies. 3. .Schneiderman, C.R. (1984) Basic Anatomy and Physiology in
Speech and Hearing. 4. Zemlin, W.R. (1981) Speech and Hearing Science: Anatomy and
Physiology, ed. 2.
Englewood Cliffs, New Jersey: Prentice-Hall. 4. Paper IV
B 1.3.2: Pathology
1. Introduction - Definition and Scope. Concept of health and disease. 2. Cell and its environment. Cell injury - reversible and irreversible. 3. Types of degeneration 4. Inflammation: acute, subacute and chronic. 5. Repair: Wound healing and healing of fracture of bone. 6. Circulatory Disorders: Thrombosis, embolism, haemorrhage, ischaemia and infarction. 7. Neoplasia 8. ENT pathologies: Otitis media, otosclerosis, ear, nasal and larylngeal polyps, tumours of the ear, nose and throat. 9. Basics of microbiology a) Immunity, allergy and types of immunological reactions b) HIV and opportunistic infections. Nosocomial infections. Suggested Readings 1. Harsh Mohan (1994)
Textbook of Pathology, ed. 2. Jaypee Brothers. 2. Kumar, Cotran and
Robbins (1992) Basic Pathology, ed. 5. W.B. Saunders. Indian edition by
Prism Books Pvt. Ltd. 5. Paper V - B 1.4.1: Introduction to Psychology and
Psychology of Learning
1. Psychology - What is
Psychology? Historical development/Nature and scope/Schools of psychology/Branches
of psychology/Methods of
investigating psychological phenomena.
2. Relevance of psychology
to Audiology and Speech and Language
Pathology and Rehabilitation.
3. Biological bases of
behaviour - Heredity/Nervous system/Endocrine glands
4. Motivation and
understanding motivation/Types of motives/ Theories of motivation
5. Emotions - Understanding
emotions/The biology of emotions/Theories of emotions.
6. Conflicts, stress and coping
- Types of conflicts/Sources of
stress/Consequences of stress/Coping
strategies and defence mechanisms.
7. Personality -
Definitions/Nature/Theories/Personality determinants/Assessing personality/ Adjustment
and Maladjustment - Hallmarks of Adjustments/Identifying
and classifying maladjustment. 8. Sensation/Attention & Perception - Sensory organs (structure and functions in brief)/ Sensory processing/Thresholds/ Adaptations (with special reference to vision and hearing)/ Definition of attention & perception/Principles of perceptual organisation/ Theories of attention/Factors affecting attention & perception.
9. Learning -
Definitions/Conditioning - Classical and Operant/Cognitive learning/ Observational Learning/Application of learning theories - modifying behaviour 10. Memory and
forgetting - Definitions/A three stage memory model/The biology of memory/Theories
of forgetting/Improving memory. 11. Thinking - Basic
units of thinking/Problem solving/Creative thinking. 12. Intelligence -
Intelligence defined/Variations in intelligence/Theories of intelligence/Measuring
intelligence/Aptitudes/Interest/Achievement. Desirable: Posting in Psychology Dept.,
if any. Suggested Readings 1. Fernald and Fernald. Introduction to
Psychology, ed. 4. Houghton Miffin. 2. Hilgard, E.R., Atkinson, R.C. and
Atkinson, R.L. Introduction to Psychology, ed. 6. Harcourt Brace
Jovanovich. 3. Kagan & Segal Psychology - An Introduction, ed. 7.
Harcourt Brace Jovanovich. 4. Lefton, L.A. (1991) Psychology, ed.
4. Boston: Allyn & Bacon. 5. Morgan, C.T., King, R.A. and
Robinson, N.M. (1979) Introduction to
Psychology, ed. 6. NY:
McGraw-Hill. (Indian reprint edition
by Tata McGraw-Hill, New Delhi, 1979). . 5. Paper V - B 1.4.2: Linguistics and Phonetics Part A: Phonetics and Phonology 1. Phonetics: Definition and branches . Brief sketch of articulatory, acoustic and auditory
phonetics. 2. Formation of speech sounds. Speech mechanisms: Air stream,
phonatory and articulatory/
resonatory mechanisms. 3. Classification of speech sounds: Segmentals vs
suprasegmentals
a) Classification of segmentals: Vowels vs consonants
Description and
classification of vowels - Concept of cardinal vowels. Classification of consonants: Place and manner of
articulation, voiceless and voiced consonants.
b) Suprasegmentals: Stress, pitch. tone and intonation. 4. Semivowels (Glides) and dipthongs: Formation and
classification. 5. Sounds formed using non-pulmonic air stream: Ejectives,
implosives and clicks. 6. I.P.A. and transcription exercises. 7. Acoustic aspects of speech: Harmonics, formants and aperiodic
energy. General acoustic
characteristics of vowels, diphthongs and consonants: Sound spectrograph 8. Phonology: Definitions of phoneme and allophones. Phonemic
analysis with reference to
Indian languages. Part B: Linguistics 1. Introduction to Linguistics.
Linguistic analysis.
Subsystems of language. Language and
its
characteristics. 2. Morphology: Concepts of morph, morpheme and allomorph. Their
relationship. Morphemic analysis. Morpheme types. Inflectional
and derivational morphemes. Word and
word formation. 3. Syntax: Syntax as a major level of language. Syntactic analysis: I.C. analysis, Phrase
structure grammar, Transformational generative grammar. Functions of grammar. 4. Semantics: Semantics as
a component of grammar. Word
meaning, synonyms, homonyms
and antonyms. Phrase and sentence meaning. Semantic ambiguity. 5. Psycholinguistics: Introduction to psycholinguistics. Competence-performance distinction.
Language acquisition in children.
Major theories: Innateness theory, Behaviorist theory and
Interaction theory including cognitive theory. Stages of language acquisition. Biological
basis of language and critical period. 6. Application of linguistics and
psycholinguistics in the field of speech pathology with special
reference to testing including test construction and therapy
planning. Practicals (Not for examination) 1. I.P.A. symbols. Transcription of segmental sounds in
isolation and connected speech.
Transcription of deviant speech. 2. Basic morphological and phonological analyses. Identification
of phonemes, morphemes and
their distribution. Text Books 1. Brosnahan, L.F. and Malmberg, B. (1970) Introduction to
Phonetics. Cambridge: Univ.
Press. 2. Fromkin, V. & Rodman, R. (1993) An Introduction to
Language, ed. 5. New York: Harcourt
Brace Jovanovich 3. O'Connor (1993) Phonetics. Hanmondsworth: Penguin Books. 4. Verma, S.K. and Krishnaswamy, N. (1989) Modern Linguistics.
New Delhi: Oxford Univ. Press. 5. Yule, G (1996) The Study of Language: An Introduction, ed.
2. Cambridge Univ. Press. (Low
price edition, 1997) Suggested Readings 1. Akmajian A. et al.(1990)
Linguistics: An Introduction to Language and Communication, ed.3
MIT Press 2. Catford, J.C.(1982) Fundamental
Problems in Phonetics. Edinburg Univ.
Press. 3.
Clark, J. & Yallop, C.(1995) An Introduction to Phonetics & Phonology, ed, 2. Basil: Blackwell. 4. Fry, D.B. (1979) The Physics of
Speech. Cambridge University Press. 5. Gleason, J.B. (1985) The Development
of Language. Merril Pub.Co. 6. Ladefoged P. (1992) A Course in
Phonetics, ed. 3. New York: Harcourt
Brace Jovanovich. 7. Owens, R.E., Jr. (1994) Language
Development: An Introduction, ed. 3. Merril Publ Co. 7. Paper VII - B 1.5.1: Basic Acoustics and Electronics (The
subject should be treated with emphasis on qualitative aspects and keeping
the mathematical aspects to a
minimum). Section I: Acoustics
1. What is sound? Physical and Psychological definitions.
Acoustics. Definition & branches.
2. Production of sound. Fundamentals of vibrations. S.H.M.
Definition. Free undamped and
damped SHMs. Characteristics.
Composition of SHMs. Beats. 3. Forced and resonant vibrations: undamped and damped.
Mechanical and electrical analogues.
Resonant frequency. Narrow and
broad tuning. Requirements of oscillators and transducers. 4. Concept of wave motion. Longitudinal & transverse waves.
Propagation of sound waves:
condensation and rarefaction. 5. Characteristics of plane progressive S.H. waves and pure
tones. Amplitude, frequency,
velocity, wavelength and phase. Definitions, relationships and
units. Magnitude/strength -
Measures of. Power, intensity, pressure, work and energy:
Definitions, units and relation-
ships. Spherical waves:
Inverse Square Law. 6. Logarithmic scale of representation of frequency and
intensity of sound waves - Need for.
Octave scale.
Characteristics. Concept of
decibel: dB, dB IL, dB SPL, etc.
Addition of
decibels when frequencies are same and different. 7. Vibration of strings and air columns. Stationary waves.
Analytical treatment of formation of
stationary waves: nodes and
antinodes. 8. Complex sounds. Musical sounds and noise. Characteristics of periodic complex
sounds.
Fourier analysis. Fundamental frequency and pitch, overtones,
harmonics & partials.
Spectrum & quality/timbre. 9. Noise - Definition. Characteristics of aperiodic waves. White
and narrow band noise.
Transients. Measurement and analysis of noise. Spectrum level. Filters. 10. Transmission, reflection,
absorption and diffraction. Interference and stationary waves.
Concepts of acoustic and specific acoustic impedances. Impedance
Matching. Concepts of
FF, SF, reverberant and diffuse fields. Sound shadow. 11. Ambient noise levels in audiometric
rooms. Maximum allowable noise levels in audiometric rooms. Acoustics of buildings. Reverberation and reverberation time. Sound absorption and sound insulation. Building sound treated rooms for audiometry. Construction of sound- treated rooms.
Anechoic chambers. Pre-fabricated booths. Suggested Readings: 1. Bangui, P.S., et al. (1999) A New Course in Physics (for S.Y.
B.Sc.), ed. 12. Mumbai: Sheth
Publishsers. (For chapters 2-5 and part of chapter 8). 2. Effron, A.(1968) Sound. Bombay: Vakils, Feffer and Simons
Pvt.Ltd. (Original 1957 edition
by John F.Rider Publishers,Inc.) 3. Khanna, D.R. & Bedi, R.S.(1980) A Textbook of Sound, 12th
Ed. Delhi: Atmaram & Sons. 4. Mistry, N.M. (2000) Concepts of Physics (for Std. XII), ed.
4. Mumbai: Uttam Prakashan.
(For chapters 2-5 and 7) 5. Parker, S.P.(1987) Acoustic Source Book. M.Graw Hill 6. Speaks, C.E.(1996) Introduction to Sound: Acoustics for the
Hearing and Speech Sciences,
ed. 2. San Diego, Calif.: Singular Publishing Group. 7. Tonndorf, J. (1965) Introduction to Acoustics. Chap. 2 in
Glorig, A. (Ed.) Audiometry:
Principles & Practices. Baltimore: Williams & Wilkins. Section II: Basic Electronics 1. Basics of electricity. AC and DC 2. Passive circuit elements: R, L and C. Series and
parallel combinations. Application of
AC
across R, L, and C in isolation or combinations. Resonance. Sharpness
of resonance. Sharply
and broadly tuned circuits
& damping. Electrical impedance. Electrical filters. 3. Measuring instruments: Galvanometer,
ammeter, voltmeter and multimeter. Oscilloscope. 4. Introduction to electronics. Study
of components such as junction diodes, zener diodes,
transistors, LCDs, LEDs and ICs:
Principles of working, uses/applications, advantages and
limitations. 5. Power supplies. Cells and batteries. Types and
characteristics. AC power supply.
Rectification, filtering and
stabilisation. Specifications for a
power supply unit. AC, DC and
Transmains: Power, RMS voltage
and frequency. 6. Amplifier Classification. Pre-, voltage and power amplifiers
with reference to audio
frequency amplifiers only.
Negative feedback in amplifiers. Volume and tone controls. 7. Oscillators. Condition for oscillation. Types. Principle and
working of different types of
oscillators & multivibrators. 8. Filters: Types, characteristics and designing of filters. 9. Fidelity and Distortion. Types (i) Amplitude: Harmonic and IM (ii) Frequency (iii) Phase
(iv) Transient (v) Noise 10. Electroacoustics. Electroacoustic
transducers. Microphones, earphones
and loudspeakers.
BC vibrators: Principle, construction and working. Monophonic and stereophonic recording
and reproduction of
sound. Tape recorders. 11. Applied electronics. Functional
block diagram and working of hearing aids and audiometers.
Instrumental calibration of pure-tone audiometers. Practicals (Mostly by Demonstration - Not for examination) 1. Study of different repairing tools and instruments
(Multimeters, Oscilloscope, Soldering
Irons, etc 2. Study of passive and active circuit elements like
resistors, inductors , capacitors,
transformers, transistors and
ICs. 3. Testing of resistors, condensers, diodes, transistors
and transformers using a
multimeter. 4. Checking of power supply and fuses. 5. Testing of cords and receivers. 6. Common faults in hearing aids and other instruments. Suggested Readings: 1. Cooper ,W.D. and Helfrick, A.D. (1985) Electronic
Instrumentation & Measurement
Techniques, 3rd ed. Eastern Economy Edition. New Delhi: Prentice-Hall. 2. Jones, L. (1993) Basic Electronics. Cambridge University
Press. (Low priced edn. 1996) 3. Theraja, B. L.(1989) Basic Electronics, ed. 4. New Delhi: S.
Chand & Co. 7. B 1.C1.1 Clinical/Lab. Practicum Work in
Speech-Language Pathology I Goals:
At the end of the First year, the student will be able to achieve the
following goals:- 1. Acquire knowledge of the facilities and activities of the
clinical set-up 2. Acquire knowledge and proficiency in usage of the terminologies used in Assessment and Therapy in the clinical set-up as per the list provided. 3. Familiarise with concept of Oral Peripheral Examination . 4. Familiarisation of the audio recording procedure for the purpose collecting atypical speech sample. 5. Familiarisation of the following parameters of speech a) Voice: Intensity (high /low); Frequency (high/low); Quality (Good/Poor) Maximum phonation duration (/a, i, u/) b) Fluency: Rate of speech (Fast/slow); Fluent V/s disfluent speech c) Intelligibility rating (clear V/s unclear enunciation, intelligible V/s unintelligible speech. Voice quality (pleasant, clear, harsh, hoarse, healthy, hypernasal / hypernasal) d) Articulation - articulatory agility (Diadochokinetic rate SMR, AMR) - clear V/s unclear - articulatory errors 6. Familiarisation of the concepts - a) Segmental analysis b) Semantic analysis c) Syntactic analysis d) Pragmatic analysis 7. Familiarisation with the case history proformae of various speech language disorders (mainly DSL, Fluency, Articulation, Hearing Impairment) 8. Familiarisation of basic test procedures listed below: a. Developmental Schedules b. Pre language assessment c. Cognitive prerequisites d. Articulation and language tests. 9. Familiarisation of the following therapy procedure a. General and specific language stimulation b. Enhancing attention control c. Parental counselling The above will be with reference to DSL with MR, HI, Neurological disorder, DSL with no organic involvement. 10. Knowledge and proficiency in writing of observation reports of the above.11. Knowledge of the application of innovative therapy materials and teaching aids with reference tochildren with DSL with various aetiologies 12. Familiarisation of the instruments available for speech diagnostics and therapy 13. Familiarisation of portrayal of one self as a professional14. Familiarisation with M.S. Word . II Activities and minimum requirements
1. Observation, discussion, demonstration and orientation with
reference to Goal 1.
2. Observation, discussion, demonstration and orientation with
reference to Goal 2.
3. Demonstration followed by student conducting on 5 typical
individuals.
4. Collection of recorded speech samples of
a) self b) 2 atypical
speaking individuals
5. Collection of 5 audio recorded samples each in typical individuals
with reference to Goals
5 (a), (b), (c), (d).
- Analysis and identification of the above and one's own speech
parameters.
6. Analysis and interpretation of 4 recorded samples of typical
individuals with reference to Goals
6 a, b, c, d.
7. Observation of case history taking and administration of the
proforma with reference to 2 children and
2 adults.
8. Observation of diagnostic test procedures in 5 atypical speaking
children/adults and to write observation
reports.
9. Observation of 10 therapy sessions
with reference to the procedures mentioned in Goal 9 and writing
concise observation reports for the same. 10. Activity for goal 10 will be
implemented in the execution of activities 8 and 9 11. Making innovative therapy material
for cases observed - (2 cases) 12. Observation of instrumental
analysis of @ audio tape recorder, b) VAGHMI c) Sound spectograph 13. Introduction of oneself as
professional through role playing and modelling. 14. Demonstration of use of M.S.Word on
computer and giving group assignment
Maintenance of a journal comprising reports of the above activities. III Break up of
Internal Assessment : 50 Marks Oral Exam 20 Min. Requirement & Journal 15 Teaching Aids 15
------
Total: 50
------ IV Conduct of
F.Y. UG Practical Examinations
Examination to be conducted preferably in a structured manner using the guidelines of the OSPE & OSCE. Procedure Station I: Transcribe the recorded sample in IPA (which should be either a list of words/ sentences, at least 5 of each or a small passage of 20-30 words.) (10 min.) (20) Procedure Station II: Label the parts of the oral cavity (5') (10) Procedure Station III: Calculate the rate of speech of the recorded samples of 2' each (provide the written format) (10') (10) Procedure Station IV: Calculate the M.L.U. of written sample and do morphosyntactic analysis of the same sample. (5'+10') (10+10= 20) Procedure Station V: Assess the M.P.D. and diadochokinetic rate of the individual (5'+5') (5 + 5 = 10) Viva Voce
Questions on Journal and therapy materials (10+10=20) Present the most interesting case you have observed. (5) Intelligibility rating (5) 8. B 1.C2.1 Clinical/Lab. Practicum Work in
Audiology I GOALS
Following are the list of clinical skills students should have acquired by the end of the 1st year: (Confirmation of acquisition of these skills will be done by supervision, cross checking and checklist) 1. Familiarisation with terminologies and nomenclatures used in Audiology. 2. Description of anatomy and physiology of the ear with the help of charts, models and computers 3. Correlating the audiometric patterns expected in different ear related pathologies or conditions 4. Familiarisation with parts of the audiometer and their function 5. Administration and interpretation of following audiometric test measures: i) Tuning fork tests: Rinne, Weber, Bing ii) Pure tone audiometry using ascending, descending and bracketing methods iii) Speech audiometry: SAT, SRT, SRS 6. Correlation of the above mentioned test measures to get holistic idea about the hearing loss 7. Case history and Report writing. 8. Listening check of audiometers II Minimum Requirements
At the end of the 1st year, the student must have fulfilled the following minimum requirements. These should be systematically maintained in the "Audiology Journal". 1) Tuning Fork (TF) Tests: Administration of following turning fork tests and correlating the results with audiogram: Rinne, Weber and Bing tests Minimum Requirements:- Normal subjects - 10, Cases - 10 ( 5 cases in which TF tests administered before audiometry and 5 cases in which audiometry is done prior to TF tests) 2A) Observation of a minimum of 10 audiograms done by a staff member or senior student (including case history, tuning fork tests, AC/BC testing - Report writing and counselling if needed) B) Pure tone Audiometry inclusive of i) Case history ii) Instructions iii) Administration of the pure tone test iv) Plotting and interpretation v) Correlation with tuning fork test. Minimum Requirements: Normal subjects: 10 (at least 2 under supervision); Clinical Cases: 10 (at least 3 under supervision) C) Masking i) Calculation of Interaural Attenuation: Minimum Requirement: 5 cases ii) Calculation of Occlusion effect: Minimum Requirement: Normal subject - 5; Cases - 5 iii) When to mask for AC and BC testing: Minimum Requirement - 10 cases (The student should determine the need for masking in the cases they have observed during their clinical posting.) 3) Speech Audiometry: Administration of the following measures: i) SAT ii) SRT iii) SRS Minimum Requirements - 5 Normal subjects. 4) Thresholds under earphone Vs thresholds in sound field for pure tones, warble tones and speech . Minimum Requirements - 5 normal subjects, 5) Public Information: Public awareness: i) Pamphlets & Booklets ii) 3 Charts. III Break up of Internal Assessment : 50
Marks Internal practical/oral examination - 20 Completion of minimum requirement - 20 Journal - 10 ------ 50 IV Conduct of
F.Y. UG Practical Examinations
Total Marks: 100 Practical examination: 70 Viva voce : 30 Break-up for Practical Examination Following is the weightage of marks allotted for different topics covered in the F.Y. B. Sc. (HLS) Clinical Practicum Program. Sr. No. Topics Marks 1 Tuning Fork Test 10 2 Audiometers ) 3 Pure tone Audiometry ) 30 4 Masking 10 5 Anatomy , Physiology 10 6 Speech Audiometry 10 ----- 70 The Practical examination will consist of procedure stations and/or response stations. Procedure station examples: 1) Anatomy & Physiology :- Labelling of parts indicated on chart/model and writing down their descriptions. 2) Plotting the audiogram and its interpretation based on the information available. 3) Based on the tuning fork test results and audiogram, correlating the findings and explaining them (writing). 4) Calculation of IA 5) Calculation of O.E. 6) Based on the audiogram provided, writing down if there is - need for masking; -If yes, in which ear and why? 7) SRT-PTA agreement and implications and so on
Response Station/ Combination of Procedure Response Station 1. Answering questions based on procedure stations 2.
Carrying out tuning fork test and its interpretation 3. Carrying out ascending /descending / bracketing method at any one frequency 4. Instructions for audiometry 5. Based on the case history provided answering about possible causes of hearing loss and stating the expected audiometric patterns. ( One or more of such examples can be asked in each station during the practical examination) ------------ END ----------- |
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