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PubMed1995

The masking property of the auditory system: the masking of speech signals.

The masking property of the auditory system is well known in the context of two-tone masking. For complex (speech) signals, the effects of masking are less well known. This paper explores the masking of speech signals, by calculating which parts of the speech signal is inaudible because of masking. The theory for the masking of one tone by another is expanded, to establish an equation for the masking threshold. This masking threshold takes into account the masking of each frequency component on all other frequency components. Speech is then synthesized in which the supposedly inaudible parts of the speech signal are discarded, and the effects are evaluated in a very simple psychoacoustic experiment. It is shown that the information below the masking threshold is indeed redundant.

Auditory Perception↗
PubMed1986

Offset tuning curves generated by simultaneous masking are more finely tuned than those generated by forward masking.

The rapid ending of a tone produces an evoked potential which has different properties than that which is produced by the sudden onset of a tone. At the level of the round window, the offset N1 N2 follows the ending of the cochlear microphonic (CM) by approximately the same amount of time as does the onset N1 N2 to the onset of the CM. Both onset and offset responses are abolished with cochlear lesion. Continuous masking was used to generate tuning curves (TCs) from the NI-PI component of the evoked potential recorded from the round window of the gerbil. Those evoked potentials generated in response to the tone onset were complementary in appearance to those generated in response to the tone offset. TCs generated by continuous masking of the NI-PII component of the auditory brainstem response (ABR) of the gerbil show the same pattern. When it is generated by simultaneous masking, the midfrequency offset TC in the gerbil and mouse is W-shaped. It has two well tuned tips which occur at frequencies below and above that of the probe stimulus used to generate the TC. It also has an even better tuned peak occurring at or slightly above the probe stimulus frequency, which becomes sharper as the masker sound pressure level (SPL) is increased from 50 to over 80 dB. Because the midfrequency onset response is approximately 40 dB lower than the midfrequency offset response, probe stimuli for onset TCs are generally set at lower SPLs. When the onset probe stimulus is set to the same level as that of the offset probe, the Q10 dB of the offset TC may be up to 10 times the value of the Q10 dB of the onset TC. The offset TC generated in the CBA/J mouse by forward masking is quite different from that produced by simultaneous masking. Both forward and simultaneous conditions utilized a 40 ms duration tone to mask the PI-NI component of offset and onset ABRs of the mouse which were evoked by a 10 ms duration, 32 kHz tone, presented at an interstimulus interval of 160 ms. Forward masking (when compared with simultaneous masking) resulted in a more sharply tuned onset TC. But the offset TC was much less sharply tuned in the forward masking condition. This suggests that the offset response may reflect functions which are involved with fine tuning at moderate to high intensities in the presence of simultaneous sounds of similar spectral characteristics.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed2004

Masking redux. II: A recommended masking protocol.

This is the second in a series of two papers on masking. The objective of these papers is to develop a masking protocol that provides valid measures of threshold and is, in general, faster than the plateau method. In the first paper, a masking method was presented that can replace the traditional plateau method in most masking situations. This new method is optimized to require fewer masking levels than the plateau method. As a result, this optimized method is faster, sometimes significantly, than the plateau method. This paper evaluates the optimized method and compares the optimized method to the traditional plateau method. This paper identifies specific masking situations in which the optimized method is not appropriate. A variation on the plateau method is described. When combined with the optimized method, these two masking methods constitute a recommended masking protocol that can be used in all masking situations.

Audiometry↗
PubMed1991

[Study on tinnitus masking--an evaluation of ipsilateral and contralateral masking for tinnitus].

In this study, the tinnitus masking curves measured by the ipsilateral and contralateral masking test were evaluated for the unilateral tinnitus cases of following 4 groups; 40 cases without hearing loss, 22 cases with symmetrical sensorineural hearing loss, 12 cases with unilateral deafness, and 70 cases with unilateral sensorineural hearing loss. Then the characteristics of tinnitus masking curves and central masking phenomenon for tinnitus masking were investigated. Consequently, tinnitus was masked by a masking tone given from nontinnitus ear when it reached at some definite loudness level, in spite of the presence of hearing loss or the degree of hearing loss in tinnitus ear. Then it was suggested to be a influence of central masking phenomenon in the contralateral tinnitus masking.

Auditory Perception↗
PubMed1992

Use of the laryngeal mask airway as an alternative to a face mask during outpatient arthroscopy.

The laryngeal mask airway (LMA) has recently become available in the United States, and several authors have suggested that it is superior to an anesthesia mask. To test this hypothesis, 64 patients undergoing outpatient arthroscopic knee surgery were randomly assigned to have anesthesia maintained via either a laryngeal mask airway (LMA) (n = 31) or a standard face mask (n = 33). Anesthesia was induced with fentanyl 1 microgram.kg-1 and propofol 2 mg.kg-1 and maintained with a variable-rate propofol infusion (50-180 micrograms.kg-1 x min) and nitrous oxide 67% in oxygen. The LMA was inserted without difficulty by inexperienced anesthesiologists in 90% of the patients. Problems associated with airway management were more common in patients in the face mask (control) group. Episodes of hemoglobin oxygen desaturation (< 95%) occurred in 52% of patients in the face mask group compared to only 13% in the LMA group (P < 0.05). Intraoperative airway manipulations were required in 15% of face mask patients (vs. 3% of the LMA group), and difficulties in maintaining an airway were reported by 24% of the resident anesthesiologists caring for patients in the face mask group (vs. none in the LMA group) (P < 0.05). Insertion of the LMA was not associated with any acute changes in hemodynamic values. Intraoperative hemodynamic values and anesthetic requirements did not differ significantly between the two treatment groups. There were no significant differences in the emergence and recovery times or in the incidence of postoperative sore throats between the two groups.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1999

Placement of the intubating laryngeal mask is easier than the laryngeal mask during manual in-line neck stabilization.

We have compared in 25 patients ease of placement of the conventional and intubating laryngeal masks while the patient's head and neck were stabilized by a manual in-line method, in a randomized, crossover study. After induction of anaesthesia and neuromuscular block, the masks were placed in turn. Adequacy of ventilation and ease of placement (using a 10-cm visual analogue scale (VAS)) were assessed; time for placement between removal of the face mask and connection of the laryngeal mask to the breathing system was measured. Adequate ventilation was always obtained after placement of the intubating laryngeal mask, whereas ventilation was adequate in 22 of 25 patients after placement of the conventional laryngeal mask. Placement of the intubating laryngeal mask was significantly easier (P < 0.001; 95% confidence intervals (CI) for median difference 8-31 mm in VAS) and faster (P << 0.001; 95% CI for mean difference 3.2-6.2 s) than that of the conventional mask.

Adolescent↗
PubMed1983

Masking patterns for synthetic vowels in simultaneous and forward masking.

Two synthetic vowels /i/ and /ae/ with a fundamental frequency of 100 Hz served as maskers for brief (5 or 15 ms) sinusoidal signals. Threshold was measured as a function of signal frequency, for signals presented immediately following the masker (forward masking, FM) or just before the cessation of the masker (simultaneous masking, SM). Three different overall masker levels were used: 50, 70, and 90 dB SPL. In order to compare the data from simultaneous and forward masking, and to compensate for the nonlinear characteristics of forward masking, each signal threshold was expressed as the level of a flat-spectrum noise which would give the same masking. The internal representation of the formant structure of the vowels, as inferred from the transformed masking patterns, was enhanced in FM and "blurred" in SM in comparison to the physical spectra, suggesting that suppression plays a role in enhancing spectral contrasts. The first two or three formants were usually visible in the masking patterns and the representation of the formant structure was impaired only slightly at high masker levels. For high levels, filtering out the relatively intense low-frequency components enhanced the representation of the higher formants in FM but not in SM, indicating a broadly tuned remote suppression from lower formants towards higher ones. The relative phase of the components in the masker had no effect on thresholds in forward masking, indicating that the detailed temporal structure of the masker waveform is not important.

Auditory Threshold↗
PubMed2000

[Modification of facial mask on the dead space effect in non-invasive mask ventilation].

OBJECTIVE: There were reports concerning the CO2 rebreathing during non-invasive positive pressure ventilation (NIPPV) with full face mask. It is our hypothesis that modification of the mask from one way connection to two ways connection by making a side hole in the mask makes it possible that CO2 inside the mask could be washed out by a constant flow through the mask. METHODS: A randomized self-control study on CO2 rebreathing was conducted in 7 COPD patients to compare the modified set-up with the conventional one. A BiPAP-30 ventilator and a plateau exhaustion valve (Respironics USA) were employed in the study. In the modified two ways set-up, the exhaustion valve (with distal end blocked) was connected to the side hole of the mask, so that a constant base flow could pass through the mask to the exhaustion valve. The average base flow was 0.43 LPS. The parameters were set as following: S/T mode, f: 15 BPM, pressure support level: 8 cm H2O. Three different levels of PEEP (2, 3 and 5 cm H2O) were used to investigate the PEEP level on CO2 rebreathing. Flow and CO2% were constantly recorded with computer data acquisition and analysis system (Microcal Origin). RESULTS: In conventional set-up, there was obvious CO2 rebreathing (rebreathing volume: 83.1 +/- 32.9 ml). In modified connection, the rebreathing volume was only (0.1 +/- 0.4) ml (P < 0.001). CONCLUSION: There was obvious CO2 rebreathing during full face mask NIPPV in conventional set-up. A modified two ways connection could reduce CO2 rebreathing to be near zero, which might be important in the management of hypercapnic respiratory failure with NIPPV.

Aged↗
PubMed2002

Masking by object substitution: dissociation of masking and cuing effects.

In a newly discovered form of visual masking, a target stimulus is masked by 4 flanking dots if their offset is delayed relative to the target (V. Di Lollo, J. T. Enns, & R. A. Rensink, 2000). In Di Lollo et al. (2000), the dot pattern also cued the relevant target and therefore required deliberate attention. In the present Experiments 2-6, a central arrow cued 1 of 2 letters for an E/F discrimination, with dots flanking both letters. Masking was reduced compared with the mask-cue procedure but was still robust. Delayed-offset dots flanking the nontarget also impaired performance, indicating competition for attention. Masking was unaffected by brightness of the dots relative to the target. Masking was attenuated not only by precuing attention to the target location but also by preview of an uninformative dot mask. Theories of masking by object substitution must therefore accommodate the prior context into which the target stimulus is introduced.

Adult↗
PubMed2005

Management of birth asphyxia in home deliveries in rural Gadchiroli: the effect of two types of birth attendants and of resuscitating with mouth-to-mouth, tube-mask or bag-mask.

OBJECTIVES: To evaluate the effect of home-based neonatal care on birth asphyxia and to compare the effectiveness of two types of workers and three methods of resuscitation in home delivery. STUDY DESIGN: In a field trial of home-based neonatal care in rural Gadchiroli, India, birth asphyxia in home deliveries was managed differently during different phases. Trained traditional birth attendants (TBA) used mouth-to-mouth resuscitation in the baseline years (1993 to 1995). Additional village health workers (VHWs) only observed in 1995 to 1996. In the intervention years (1996 to 2003), they used tube-mask (1996 to 1999) and bag-mask (1999 to 2003). The incidence, case fatality (CF) and asphyxia-specific mortality rate (ASMR) during different phases were compared. RESULTS: During the intervention years, 5033 home deliveries occurred. VHWs were present during 84% home deliveries. The incidence of mild birth asphyxia decreased by 60%, from 14% in the observation year (1995 to 1996) to 6% in the intervention years (p<0.0001). The incidence of severe asphyxia did not change significantly, but the CF in neonates with severe asphyxia decreased by 47.5%, from 39 to 20% (p<0.07) and ASMR by 65%, from 11 to 4% (p<0.02). Mouth-to-mouth resuscitation reduced the ASMR by 12%, tube-mask further reduced the CF by 27% and the ASMR by 67%. The bag-mask showed an additional decrease in CF of 39% and in the fresh stillbirth rate of 33% in comparison to tube-mask (not significant). The cost of bag and mask was US dollars 13 per averted death. Oxytocic injection administered by unqualified doctors showed an odds ratio of three for the occurrence of severe asphyxia or fresh stillbirth. CONCLUSIONS: Home-based interventions delivered by a team of TBA and a semiskilled VHW reduced the asphyxia-related neonatal mortality by 65% compared to only TBA. The bag-mask appears to be superior to tube-mask or mouth-to-mouth resuscitation, with an estimated equipment cost of US dollars 13 per death averted.

Asphyxia Neonatorum↗
PubMed2004

Noise exposure during noninvasive ventilation with a helmet, a nasal mask, and a facial mask.

OBJECTIVE: To assess noise exposure during noninvasive ventilation (NIV) with different types of interface (helmet, nasal, and facial masks). SUBJECTS AND METHODS: Ten "naive" healthy volunteers underwent NIV at pressure support levels of 10 and 15 cmH2O with: (a) helmet, (b) helmet equipped with HME filters at the junctions between the helmet and the inspiratory and expiratory branches of the respiratory circuit, (c) nasal mask, and (d) facial mask. Noise intensity was assessed with a sound level meter by placing a microphone near the right ear. Noise intensity and degree of discomfort were also assessed subjectively with a visual analogue scale. RESULTS: Inside the helmet noise exceeded 100 dB. Noise intensity was poorly affected by pressure support level and unaffected by the presence of HME filters. During NIV with nasal or facial masks the noise did not exceed 70 dB (i.e., noise was not louder than the usual noise background in ICU). Subjective evaluation of noise intensity mirrored objective measurements; however, the presence of HME filters was associated with the feeling of less noise inside the helmet. The discomfort associated with the helmet did not significantly differ from that associated with the masks. CONCLUSIONS: NIV helmet is associated with significantly greater noise than nasal and facial masks, but is as comfortable as masks, at least in the short term. Medium- and long-term exposure to loud noise may potentially impair ear function and increase the patient's discomfort.

Adult↗
PubMed1984

Binaural masking-level differences in non-simultaneous masking.

Masking and binaural masking-level differences (BMLDs) were measured using short 400 and 800 Hz test tones masked by uniform masking noise in both pre- and post-masking conditions. The BMLD shows the same dependence on the temporal position of the test signal as masking itself. Additional data produced with interrupted broad-band masker and with low-frequency tonal masker lead to the conclusion that more information about temporal structure is transmitted towards higher levels of processing than can be seen in simple post-masking experiments.

Auditory Threshold↗
PubMed1992

Comparison of the use of the laryngeal mask and face mask by inexperienced personnel.

Ten junior doctors with no postgraduate anaesthetic experience attempted to ventilate the lungs of 50 anaesthetized patients, using either a laryngeal mask or a Guedel airway and face mask. Success was defined as the production of two successive tidal volumes exceeding 800 ml within 40 s. The failure rate was significantly greater using the laryngeal mask compared with the face mask (P < 0.05) and the average time was significantly longer with the laryngeal mask than with the face mask (P < 0.01). The results from this investigation suggest the laryngeal mask airway cannot be recommended as a resuscitation device for use by inexperienced operators.

Cardiopulmonary Resuscitation↗
PubMed2000

Work of breathing during spontaneous ventilation in anesthetized children: a comparative study among the face mask, laryngeal mask airway and endotracheal tube.

Work of breathing (WOB) increases during general anesthesia in adults, but such information has been limited in pediatric patients. We studied WOB in 24 healthy children (mean age 2+/-1.9 yrs), during elective urogenital surgery under 1 minimum alveolar anesthetic concentration halothane-nitrous oxide anesthesia with a caudal block while breathing spontaneously. WOB was measured with an esophageal balloon, miniature flowmeter, and a computerized (Bicore) system. In each patient, WOB was computed under four conditions: a mask without oral airway (-AW), a mask with oral airway (+AW), a laryngeal mask airway (LMA), and an endotracheal tube (ETT). With each apparatus WOB was studied both with continuous positive airway pressure (CPAP) (5-6 cm H(2)O) and without CPAP (or zero end-expiratory pressure [ZEEP]). Under ZEEP, WOB (g x cm/kg) among the four apparatus were (mean +/- SEM): mask (-AW) (64 +/-19.2) > mask (+AW) (44+/-17.2), LMA (42+/-15.6) > ETT (25.4+/- 12.4) (P<0.05). WOB with CPAP significantly (P<0.05) decreased from WOB with ZEEP in three groups (mask [-AW], mask [+AW], and LMA), but not in the ETT group. Tidal volume (both ZEEP and CPAP) and end-tidal PCO(2) (with CPAP only) were significantly (P<0.05) decreased only in the ETT group, whereas no significant difference was found in respiratory rate or minute volume among the four airway apparatus groups, either with or without CPAP. The reduction in WOB, when breathing through ETT was primarily attributable to decreases in tidal volume and volume work. The finding that WOB decreases with CPAP in all groups except for the ETT group suggests that the decrease is a result of improved patency of the upper airway rather than of increases in functional residual capacity and lung compliance.

Anesthesia, Inhalation↗
PubMed1993

Contributions of comodulation masking release and temporal resolution to the speech-reception threshold masked by an interfering voice.

Two experiments are presented to explain the difference in speech-reception threshold (SRT) between conditions with a steady-state noise masker or an interfering voice. Literature shows for normal hearing a masking release of 6-8 dB with an interfering voice and a substantial reduction of this release with hearing impairment. In experiment I the possible role of comodulation masking release (CMR) is investigated by manipulating the comodulation in the interfering voice by the introduction of temporal shift among filter bands of various width. The spectral spread of masking from the manipulated interfering voice was controlled by interleaving the mutually shifted speech bands with 1/3-octave bands of noise. Although comodulation in the interfering speech appears to be very important for the low SRT, the contribution of across-frequency processing of masker fluctuations--commonly considered as the origin of CMR--is only 1.3 dB. In experiment II the level dependence of masking release with an interfering voice is investigated. The data fit in with the hypothesis by Festen and Plomp [J. Acoust. Soc. Am. 88, 1725-1736 (1990)] that the release from masking with an interfering voice is limited by forward masking. It appears that up to about 55 dBA the release from masking increases with level up to about 7 dB. Above 55 dBA the difference in SRT obtained with a noise masker or an interfering voice is constant due to the limited average modulation depth of speech.

Acoustic Stimulation↗
PubMed1995

Vibrotactile forward masking: effects of the amplitude and duration of the masking stimulus.

Tactile thresholds for detecting a 50-ms signal presented 25 ms after the termination of a masking stimulus increased as a function of the amplitude level and duration of the masking stimulus. The effects were similar in both the P and NP I channels measured at 250 and 20 Hz, respectively. It was concluded that the increased masking caused by increasing the duration of the masking stimulus resulted from processes other than or in addition to temporal integration--the latter being a characteristic of the P, but not the NP I, channel. The slopes of the masking functions, in which threshold shifts were plotted as a function of masking-stimulus sensation level, were consistently greater for 20-Hz than for the 250-Hz stimuli, suggesting that masking efficiency is greater in the NP I than in the P channel.

Adult↗
PubMed2004

Masking redux. I: An optimized masking method.

This is the first in a series of two papers on masking. The objective of these papers is to develop a masking protocol that provides valid measures of threshold and is, in general, faster than the plateau method. In this paper, a masking method is developed that can replace the traditional plateau method in most masking situations. This new method is optimized to require fewer masking levels than the plateau method. As a result, it can be significantly faster than the plateau method. There are some masking situations in which this optimized method cannot be used. This limitation will be evaluated in the second paper and an alternate masking strategy provided for use when the optimized method is not appropriate.

Audiometry↗
PubMed1996

Peak oxygen consumption and lactate threshold in full mask versus mouth mask conditions during incremental exercise.

Respirator masks vary in inhalation and exhalation resistance, and in dead volume. It is believed that these factors may contribute significantly to an early anaerobic threshold in mask wearers during maximal exercise. Very little is known concerning the effect of respirator masks on maximal oxygen consumption (VO2max) and the lactate threshold (LT). The purpose of the present study was to assess peak VO2 (VO2peak), LT and the ventilatory threshold (VT) of 14 experienced cyclists performing two maximal cycle exercise protocols while wearing a full respirator mask (FM) (M17 type) and a mouth mask (MM). VO2peak was 10% lower under FM conditions. Peak values for ventilation (VEpeak), respiratory rate (fbpeak) and tidal volume (VTpeak) were all significantly lower under with FM versus MM conditions. Performance time and maximal heart rate (fcpeak) were not different between mask conditions. The LT and VT when expressed in %VO2peak, and the lactate concentration (mmol.l-1) at LT and VT were not significantly different across mask conditions. Bland-Altman plots demonstrated longer inhalation times, decreased Fr values and greater oxygen extraction under FM conditions. Thus, perhaps due to the increased inhalation resistance of the FM condition, subjects were unable to attain their "normal" VO2 despite similar performance times and maximal fc. Furthermore, despite a diminished VO2peak with FM, LT and VT appeared to be the same as with a MM.

Adolescent↗