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Biomedical subjects

J H Grose

Publications and source records attributed to J H Grose.

At least 19 recordsLinked to original sources

Pathologic leukocyte infiltration of the rabbit aorta confers a vasomotor effect to chemotactic peptides through cyclooxygenase-derived metabolites.

We determined the effect of chemotactic peptides FMLP and C5a, postulated to be relatively selective activators of phagocytes, on the thoracic aorta of rabbits subjected to experimental pathologies that allowed infiltration by leukocytes, i.e., dietary atherosclerosis and serum sickness. Aortic ring tissues isolated from hypercholesterolemic rabbits, precontracted or not by phenylephrine, exhibited a rapid and relatively sustained (10 to 20 min) contractile response when challenged by FMLP (10 nM and above); precontracted tissues also responded to C5a (2.5 nM and above). Aortic rings from rabbits with serum sickness (13 days post-BSA injection) exhibited brief contractions that were often followed by a relaxation in phenylephrine-precontracted tissues. In both models, tissues from normal weight-matched animals were not consistently responsive to these peptides. The cyclooxygenase inhibitor indomethacin extensively reduced the contractile effect of either peptide on precontracted aortic rings in both models. Chemotactic peptide-induced increased prostanoid secretion was evident only in the fluid bathing atherosclerotic aortic rings. Morphologic correlations included the demonstration of cells positive for the RAM-11 macrophage marker and the C5a receptors in tissues from rabbits with hypercholesterolemia (numerous clusters of cells) or serum sickness (modest infiltration). Control aortic rings responded to FMLP by a significant contraction if cultured for 2 h in the presence of resident peritoneal cells (84% macrophages), but not in the presence of a high density of PBL (less than 0.5% monocytes). Infiltrating or adherent macrophages in the blood vessel wall confer to some phagocyte activating peptides the role of eicosanoid-dependent vasoconstrictor agents.

Animals

Gap detection for pairs of noise bands: effects of stimulus level and frequency separation.

Temporal gap detection was determined for single 20-Hz-wide noise bands having various center frequencies, and for simultaneously present pairs of noise bands where the spectral separation between center frequencies was varied. in most conditions, each noise band was present 30 dB above its detection threshold, but in some conditions, each noise band was presented 15 dB above its detection threshold. The results for single noise bands indicated that the gap threshold did not vary significantly across center frequency. Gap detection was significantly better for pairs of noise bands than for single noise bands. The improvement in gap detection when two noise bands were presented instead of one was greater at the 15-dB presentation level than at the 30-dB level. In the case where pairs of bands were presented, there was no effect of the spectral separation between bands, even though the spectral separation was varied over a range of 5 oct. Spectral integration for gap detection may be limited only by the audibility curve.

Adult

Across-frequency processing of multiple modulation patterns.

This study sought to determine the degree to which the auditory system can perform simultaneous across-frequency analyses on concurrent, but independent, modulation patterns. This was tested by measuring detection of a multicomponent signal presented against a background comprised of multiple modulation patterns. The results indicated that independent comodulation masking releases (CMRs) could occur simultaneously, but only if the independent modulation patterns were restricted to relatively discrete frequency regions. Moreover, the analysis accomplished in each region did not appear to be optimal. This suggests that there are limits to the independence with which simultaneous across-frequency analyses can be performed.

Adult

Cochlear hearing loss and the processing of modulation: effects of temporal asynchrony.

Temporal coincidence and envelope correlation among components of a complex sound are informative cues for the perceptual organization of that sound. Listeners with hearing loss of cochlear origin often exhibit reductions in temporal processing of stimuli with randomly fluctuating envelopes. The purpose of this study was to examine the performance of such listeners on auditory grouping tasks which rely on temporal cues. The first experiment examined temporal asynchrony effects in a comodulation masking release (CMR) task. Performance was poorer than normal and appeared to be associated with reduced frequency selectivity. However, the pattern of asynchrony effects was the same as normal. The second experiment examined temporal asynchrony effects in a task based on envelope comparison interference. On this task, performance was similar to that for normal-hearing listeners. It was concluded that listeners with hearing loss of cochlear origin are comparable to normal-hearing listeners in their ability to make use of relatively gross temporal asynchrony cues.

Adult

Effects of masker gating for signal detection in unmodulated and modulated bandlimited noise.

Thresholds for a 400-ms 1000-Hz pure-tone signal were obtained as a function of masking noise bandwidth for unmodulated and square wave modulated masking noise. Rates of modulation were 10 and 40 Hz. Noise bandwidths were 128 Hz, 387 Hz, 921 Hz, and 1505 Hz. The masking noise was either continuous or gated on and off with the signal. In general, signal thresholds were relatively constant as a function of noise bandwidth in unmodulated noise, and improved as a function of increasing noise bandwidth in modulated noise. Noise gating had little or no effect on signal threshold in unmodulated noise. At the 10-Hz modulation rate, signal thresholds were somewhat higher in gated than in continuous noise at relatively narrow noise bandwidths, but thresholds were similar in gated and continuous noise for relatively wide noise bandwidths. At bandwidths of 387, 921, and 1505 Hz, comodulation masking release (CMR) was calculated as the unmodulated noise threshold minus the modulated noise threshold, corrected by the difference between the unmodulated noise threshold and the modulated noise threshold at the 128-Hz bandwidths. At wide masker bandwidth, CMRs were higher for gated noise than for continuous noise. This was due almost entirely to the threshold gating effect found in the 128-Hz bandwidth condition. These results suggested that there was a within-channel effect for gated noise thresholds to be higher than continuous noise thresholds, but essentially no across-channel effect of gating. At the 40-Hz modulation rate, signal thresholds were similar for gated and continuous noise at all noise bandwidths. There was a very small but significant' effect for the gated noise threshold to be lower than the continuous noise threshold at the widest noise bandwidth. It was speculated that this effect may be related to a decrease in sensitivity to modulation with continuous stimulation. In general, effects of gating appear to be small or absent for across-channel masking release in broadband modulated masking noise.

Adult

Binaural performance and aging.

Binaural performance is a general term that can be applied to a wide range of paradigms that involve listening with both ears. This review samples from across the spectrum of binaural tasks by highlighting recent studies that encapsulate certain aspects of binaural function. Studies of the precedence effect and binaural unmasking suggest that temporal coding in elderly listeners is degraded relative to young listeners and that this decline is not simply a function of reduced audiometric sensitivity. For higher tasks involving speech recognition in competing noise, the elderly show reduced binaural advantage, particularly when they also exhibit presbyacusic hearing loss. However, it should not be overlooked that the advantages of listening with two ears rather than one remain significant even in the presbyacusic listener.

Adult

Long-term effects of chronic otitis media on binaural hearing in children.

OBJECTIVE: To determine the long-term effect of otitis media with effusion (OME) on binaural hearing in children. DESIGN: Longitudinal testing over a 4-year period following insertion of tympanic membrane grommets, employing clinical and normal control groups. SUBJECTS: Twenty-two children with a history of OME were tested before insertion of grommets and at 3 months and 1 year after surgery; 14, 11, and 8 of the children were followed up for 2, 3, and 4 years after surgery, respectively. An age-matched control group of 40 children was tested. METHODS: The masking-level difference (MLD) paradigm was used to measure the ability of the binaural auditory system to aid the detection of a pure-tone signal presented in a random masking noise. RESULTS: Although the results indicated a significant improvement in the MLD with increasing time after middle ear surgery, the MLD remained significantly reduced even 2 years after hearing threshold correction. The MLDs of the OME group did not differ significantly from those of the control group when tested 3 years after middle ear surgery, even though a small proportion of subjects with a history of OME continued to have MLDs smaller than normal limits. CONCLUSIONS: In general, the results suggest a slow recovery of binaural function in children with OME after restoration of normal hearing thresholds.

Adolescent

Binaural function in children with attention-deficit hyperactivity disorder.

OBJECTIVE: To evaluate the basic binaural function of children with attention-deficit hyperactivity disorder (ADHD). DESIGN: Case-control study. Measures of binaural function were compared for children with and without ADHD. SUBJECTS: Forty-two children; 26 had ADHD and 16 were normal controls. INTERVENTIONS: None. RESULTS: For detection tasks, no differences were seen between children with ADHD and controls. For speech recognition tasks, the younger children with ADHD did not perform as well as the controls. CONCLUSIONS: Younger children with ADHD might have a reduced processing efficiency for signal recognition in certain types of noise, but not for signal detection.

Adolescent

Masker interaural phase and the MLD: effects of conductive hearing loss.

Sensitivity to binaural signals that were interaurally antiphasic with respect to the masking noise was examined as a function of the interaural phase of the masking noise, for listeners with normal hearing, and listeners with conductive hearing losses. Some of the hearing-impaired listeners were tested both before and after middle ear surgery. In agreement with previous findings, the normal-hearing listeners showed the lowest thresholds when the masking noise had no interaural phase shift, with thresholds increasing monotonically as the interaural phase of the center frequency of the masker approached +/- 180 degrees. Although many of the masked threshold functions of the hearing-impaired listeners showed significant changes in thresholds as a function of masker interaural phase, most of the functions were abnormal in shape, and few showed peaks for the interaural masker phase of 0 degrees. Although functions often continued to be abnormal after middle ear surgery, a few subjects obtained postsurgery functions that were correlated with the average normal function. The results indicate that although normal-hearing listeners generally have the lowest antiphasic signal threshold for a masker with 0 degrees interaural phase, conductively-impaired listeners often do not show a clear minimum for antiphasic signal threshold at any particular masker interaural phase.

Acoustic Stimulation

Effect of recombinant human erythropoietin therapy on ambulatory blood pressure in normotensive and in untreated borderline hypertensive hemodialysis patients.

The effect of recombinant human erythropoietin (r-HuEPO) on ambulatory blood pressure (ABP) was studied in 13 anemic hemodialysis patients. Eight patients were normotensive and five patients had untreated borderline systolic hypertension. Mean hemoglobin increased from 82 +/- 3 g/L to 114 +/- 3 g/L (P < .01) after 3 to 4 months of r-HuEPO therapy (30 to 40 U/kg) administered subcutaneously three times weekly. Mean 24-h systolic and diastolic ABP measurements were significantly increased by 16 +/- 4 mm Hg and 10 +/- 2 mm Hg, respectively (P < .01 for both). Blood pressure was increased in all but one patient. In six patients, the mean 24-h systolic and diastolic ABP measurements were more than 160 mm Hg or 90 mm Hg at the end of the study. The increase in ABP was slightly but not significantly greater during the waking period as compared with the sleeping period and the circadian blood pressure pattern was not modified by r-HuEPO treatment. The blood pressure load (percentage of ABP reading exceeding 140/90 mm Hg during the waking period and 120/90 mm Hg during the sleeping period) was significantly increased (P < .05) after r-HuEPO therapy. Nine of the 13 patients failed to show the expected reduction in blood pressure during the sleeping period and were defined as "nondippers"; the others were defined as "dippers." During r-HuEPO therapy, the increase in ABP was similar in both dippers and nondippers. This suggests that the nondipper condition is not a risk factor for the development of hypertension during r-HuEPO therapy.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent

Modulation detection interference using random and sinusoidal amplitude modulation.

The detection of amplitude modulation (AM) of a target sound is made more difficult by the presence of a modulated sound some spectral distance from the target. This effect (modulation detection interference, or MDI) was examined for stimuli with random amplitude modulations (RAM) and for sounds with sinusoidal amplitude modulations (SAM) as a function of average modulation depth (m) of the interferer. In an experiment comparing comodulated and independent RAM targets and interferers, the amount of interference was not related to the modulation coherence of the target and interferer. Elevations in AM threshold increased as a function of m in a similar way for both conditions. The MDI for RAM and SAM targets and interferers was also compared. While no difference was found for AM detection of RAM and SAM, MDI was found to be greater for the RAM stimuli than for the SAM stimuli. A subsidiary experiment comparing RAM and SAM modulation depth discrimination indicated that RAM discrimination is more difficult than SAM discrimination. Taken together, these results are quantitatively consistent with a mechanism resembling AM discrimination as the underpinning of MDI in conditions where the target and interferer are synchronously gated.

Adult

Perceptual organization in a comodulation masking release interference paradigm: exploring the role of amplitude modulation, frequency modulation, and harmonicity.

Two areas of interest within auditory scene analysis are the identification of cues which contribute to auditory grouping and/or segregation, and the methodology employed to measure such effects. The present study explored the roles of three purported grouping cues--correlated AM, correlated FM, and harmonicity--using a comodulation masking release interference paradigm. This method was reasoned to be free of alterations in the subject's mode of listening (analytic versus synthetic). The results suggested that correlated AM was a viable grouping cue. For some listeners, the presence of FM also appeared to provide a grouping cue, but, generally, no effect of coherence of FM was observed. No effect of harmonicity was observed in this paradigm.

Adult

Within- and across-channel processes in modulation detection interference.

Modulation detection interference (MDI) describes the effect of an amplitude-modulated sound on detection of amplitude modulation (AM) on a spectrally distant target sound. In MDI, AM detection is worsened by an AM interfering sound. Previous research has implicated both within-channel and across-channel processes as the basis for MDI. This study examined the detection of 10-Hz sinusoidal AM as a function of the spectral relationship, gating synchrony, and ear of presentation of the target and interfering sounds. Using a 993-Hz target sound, AM detection improved as the frequency of the interferer increased from 1250 to 2188 Hz, and as it decreased from 788 to 450 Hz. MDI was less for continuous interferers than for interferers gated synchronously with the target. In the continuous interferer conditions, however, MDI was still greatest for interferers most proximal to the target. The effects of frequency proximity and gating asynchrony were also evident using interferers presented to the ear contralateral to the target ear. While a 1250-Hz interferer led to more MDI than a 788-Hz interferer when the interferers were presented to the same ear as a 993-Hz target, no significant asymmetry was noted with dichotic stimulation. Taken together, the results of these experiments indicated that MDI is the result of across-channel, and to a limited extent, within-channel processes.

Adult

Amplitude discrimination in masking release paradigms.

In the first phase of the study, detection thresholds were obtained in conditions that were associated with comodulation masking release (CMR), conditions that were associated with the masking-level difference (MLD), or conditions that were not associated with masking release (baseline conditions). In the second phase of the study, amplitude discrimination was determined for standard tones presented at sensation levels (SLs) 0-30 dB above the masked detection thresholds. Results indicated that, at matched SLs, amplitude discrimination was poorer under conditions of masking release than for baseline conditions, both for the MLD and for CMR. Implications of these results for models of masking release are discussed.

Adult

Masking level differences for tones and speech in elderly listeners with relatively normal audiograms.

This study measured the masking level difference (MLD) for both 500-Hz tone detection and spondee word recognition in two groups of listeners. One group consisted of 9 elderly listeners with normal audiometric sensitivity bilaterally, up to at least 2000 Hz. The other group was a control group of 10 young listeners with normal hearing. The intent was to determine whether the elderly listeners exhibited a reduction in binaural performance that might contribute to the difficulties many such listeners have in understanding speech in noisy situations. By measuring MLDs in elderly listeners in the absence of marked peripheral hearing loss, it was hoped that any observed changes in MLD could be more strongly attributed to central effects. For both tone detection and speech recognition, it was found that the elderly performed more poorly than the young listeners, primarily on the NoS pi condition.

Acoustic Stimulation

Modulation Detection Interference (MDI) in listeners with cochlear hearing loss.

This study compared Modulation Detection Interference (MDI) in listeners with cochlear hearing loss and in listeners with normal hearing. The study was motivated by questions of temporal resolution in the listeners with cochlear hearing loss as well as by their general difficulty in monitoring target sounds in the presence of competing background noise. The first experiment was similar to the MDI paradigm of Yost and Sheft (1989) and showed an equivalence in performance between the two groups of listeners: MDI brought about by an interfering tone comodulated with the target tone at 10 Hz was about 11 dB in both groups. There was also no difference in MDI magnitude when the modulation rate of the interferer changed to 25 Hz, indicating a lack of tuning to differential modulation rate in the gated paradigm employed here. The second experiment was analogous in concept to the measurement of a psychophysical tuning curve; the depth of modulation of the interfering carrier was adjusted to just interfere with the detection of a suprathreshold degree of modulation on the target carrier. The listeners with cochlear hearing loss performed quite similarly to the normal group, and the general lack of a frequency effect for the carrier tones suggested that MDI was relatively insensitive to presumed differences in auditory filter bandwidth between listeners. Because the basis of MDI has been hypothesized to be the fusion of the interfering tone with the target tone, the results of this study suggest that the auditory grouping factors presumed to underlie MDI are intact in listeners with hearing loss of cochlear origin.

Acoustic Stimulation

Effect of otitis media with effusion on comodulation masking release in children.

This study investigated comodulation masking release (CMR) in a group of children with a history of otitis media with effusion (OME) and a control group of children with no known history of ear disease. CMR was measured both in a monotic condition and in a dichotic condition (where comodulated flanking bands were added to the ear contralateral to the signal). CMR was measured before the insertion of pressure equalization tubes, approximately 1 to 3 months after surgery, and approximately 6 to 8 months after surgery. The results indicated that monotic CMRs were reduced in children who had hearing loss due to OME. Furthermore, the monotic CMR remained abnormally small even when threshold had returned to normal for 1 to 3 months. The monotic CMR was essentially normal 6 to 8 months following surgery. No differences were found between the two groups of children for the dichotic CMR.

Age Factors

Signal detection in complex comodulated backgrounds by normal-hearing and cochlear-impaired listeners.

Comodulation masking release (CMR) was investigated in normal-hearing and cochlear-impaired listeners. The narrow-band masker centered on the tonal signal was flanked by a series of other narrow noise bands, some of which had temporal envelopes that were the same as that of the on-signal band (comodulated bands) and some of which had different temporal envelopes (codeviant bands). Previous research using such stimuli with normal-hearing listeners indicated that CMR was often substantially reduced when two codeviant bands were present at spectral locations close to the signal frequency, but that CMR recovered to some extent when more codeviant bands were added. In the present study, cochlear-impaired listeners showed an abnormally large reduction in CMR when codeviant bands were present, and poorer recovery of CMR with increasing number of codeviant bands. Supplementary experiments suggested that the poor recovery of CMR with increasing number of codeviant bands may have been due to the small range (in dB) over which CMR could occur in cochlear-impaired listeners. It is possible that abnormal reduction in CMR with codeviant bands present was due to poor peripheral analysis in hearing-impaired listeners.

Acoustic Stimulation