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Analysis of the cough sound: an overview.

Coughing is presented by a sudden air expulsion from the airways which is characterized by a typical sound. This sound is so characteristic that it allows identification of the cough and its distinction from other vocal manifestations. The cough sound is a very important symptom of well over 100 diseases and other conditions of medical significance. Changes in its character may have a considerable value in identifying the mechanisms of airway pathology present in respiratory diseases. The cough sound gives information about the pathophysiological mechanisms of coughing by indicating the structural nature of the tissue during therapy that leads to certain patterns of cough. Similarly the character of the cough sound gives information about the behaviour of the glottis and whether the glottis behaves differently in different pathological conditions. Analysis of the cough sound record has significant value in prognosis because its changes may indicate the effectiveness of therapy or the progress of disease. Despite recent progress in cough sound research the attention paid to this interesting physiological and clinical problem is still not sufficient to solve completely various open questions, including our correct knowledge of the mechanism of creation of cough sounds.

Cough↗

New perspectives on mechanisms of sound generation in songbirds.

The physical mechanisms of sound generation in the vocal organ, the syrinx, of songbirds have been investigated mostly with indirect methods. Recent direct endoscopic observation identified vibrations of the labia as the principal sound source. This model suggests sound generation in a pulse-tone mechanism similar to human phonation with the labia forming a pneumatic valve. The classical avian model proposed that vibrations of the thin medial tympaniform membranes are the primary sound generating mechanism. As a direct test of these two hypotheses we ablated the medial tympaniform membranes in two species (cardinal and zebra finch) and found that both were still able to phonate and sing without functional membranes. Small changes in song structure (harmonic emphasis, frequency control) occurred after medial tympaniform membrane ablation and suggest that the medial tympaniform membranes play a role in adjusting tension on the labia. Such a role is consistent with the fact that the medial tympaniform membranes are directly attached to the medial labia. There is no experimental support for a third hypothesis, proposing an aerodynamic model for generation of tonal sounds. Indirect tests (song in heliox atmosphere) as well as direct (labial vibration during tonal sound) measurements of syringeal vibrations support a vibration-based sound-generating mechanism even for tonal sounds.

Animals↗

A simple computer-based measurement and analysis system of pulmonary auscultation sounds.

Listening to various lung sounds has proven to be an important diagnostic tool for detecting and monitoring certain types of lung diseases. In this study a computer-based system has been designed for easy measurement and analysis of lung sound using the software package DasyLAB. The designed system presents the following features: it is able to digitally record the lung sounds which are captured with an electronic stethoscope plugged to a sound card on a portable computer, display the lung sound waveform for auscultation sites, record the lung sound into the ASCII format, acoustically reproduce the lung sound, edit and print the sound waveforms, display its time-expanded waveform, compute the Fast Fourier Transform (FFT), and display the power spectrum and spectrogram.

Algorithms↗

Amplitude and frequency spectrum of temporomandibular joint sounds from subjects with and without other signs/symptoms of temporomandibular disorders.

Temporomandibular joint (TMJ) sound is one of the most commonly recognized signs in patients with temporomandibular disorders (TMD) but is also frequently seen in asymptomatic individuals. Sound recording is therefore only meaningful if the sounds from a normal healthy joint can be differentiated from those in patients. In this study, the amplitude and power spectrum of the TMJ sounds from symptomatic patients and asymptomatic individuals were recorded and compared. The result showed that TMJ sounds from symptomatic patients had a larger amplitude than sounds from asymptomatic subjects. A significant proportion of sounds had frequencies between 2000 and 3000 Hz. It was concluded that the characteristic amplitude is worthy of further study as a sign of possible diagnostic value. Secondly, the bandwidth of the sensors used at electronic TMJ sound recording should not be less than 3000 Hz.

Acoustics↗

Blue whale (Balaenoptera musculus) sounds from the North Atlantic.

Sounds of blue whales were recorded from U.S. Navy hydrophone arrays in the North Atlantic. The most common signals were long, patterned sequences of very-low-frequency sounds in the 15-20 Hz band. Sounds within a sequence were hierarchically organized into phrases consisting of one or two different sound types. Sequences were typically composed of two-part phrases repeated every 73 s: a constant-frequency tonal "A" part lasting approximately 8 s, followed 5 s later by a frequency-modulated "B" part lasting approximately 11 s. A common sequence variant consisted only of repetitions of part A. Sequences were separated by silent periods averaging just over four minutes. Two other sound types are described: a 2-5 s tone at 9 Hz, and a 5-7 s inflected tone that swept up in frequency to ca. 70 Hz and then rapidly down to 25 Hz. The general characteristics of repeated sequences of simple combinations of long-duration, very-low-frequency sound units repeated every 1-2 min are typical of blue whale sounds recorded in other parts of the world. However, the specific frequency, duration, and repetition interval features of these North Atlantic sounds are different than those reported from other regions, lending further support to the notion that geographically separate blue whale populations have distinctive acoustic displays.

Animals↗

Volume-dependent variations of regional lung sound, amplitude, and phase.

Acoustic imaging of the respiratory system demonstrates regional changes of lung sounds that correspond to pulmonary ventilation. We investigated volume-dependent variations of lung sound phase and amplitude between two closely spaced sensors in five adults. Lung sounds were recorded at the posterior right upper, right lower, and left lower lobes during targeted breathing (1.2 +/- 0.2 l/s; volume = 20-50 and 50-80% of vital capacity) and passive sound transmission (< or =0.2 l/s; volumes as above). Average sound amplitudes were obtained after band-pass filtering to 75-150, 150-300, and 300-600 Hz. Cross correlation established the phase relation of sound between sensors. Volume-dependent variations in phase (< or =1.5 ms) and amplitude (< or =11 dB) were observed at the lower lobes in the 150- to 300-Hz band. During inspiration, increasing delay and amplitude of sound at the caudal relative to the cranial sensor were also observed during passive transmission in several subjects. This previously unrecognized behavior of lung sounds over short distances might reflect spatial variations of airways and diaphragms during breathing.

Adult↗

Lung sound spectra at standardized air flow in normal infants, children, and adults.

To investigate the effect of age and body size on normal lung sounds, we studied 10 newborn infants within 3 d after birth, nine children between 6 to 8 yr, and 10 adults between 25 and 37 yr of age. Lung sounds were recorded with a contact transducer over the posterior right lower lobe, and air flow was measured at the mouth. Computer analysis provided average power spectra of lung sounds at flows of 15 ml/s/kg. In children and adults measurements were also made at flows of 30 ml/s/kg. Lung sounds were referenced to background noise, measured at zero air flow. The spectra in infants contained less power below 300 Hz compared with children and adults, resulting in significantly higher quartile and spectral edge frequencies. Resonances of the thoracic cavity may explain some of the differences among the study groups. Sound attenuation above 300 Hz was similar at all ages. At increased air flows, lung sounds in children and adults were above background noise at frequencies as high as 2,000 Hz. High-frequency expiratory lung sounds of low intensity were present in all children and in eight of 10 adults at increased flows. Normal lung sounds of low intensity are present above traditionally accepted frequency limits and warrant further investigation.

Adult↗

Characteristics of normal lung sounds after adaptive filtering.

Lung sounds were recorded from five normal male subjects during tidal breathing. Simultaneous electrocardiograms were recorded and used as index signals to generate simulated heart sounds for digital subtraction from recorded lung sounds to obtain purer lung sounds. Five random breaths from each subject were analyzed. Sound signals were band-pass filtered 25 to 1,000 Hz (antialiasing), digitized at 3,000 Hz, and then subjected to (1) direct fast Fourier transform (FFT) without filtering (NF); (2) digital high-pass filtering at 75 Hz and subsequent FFT (75 HzF); (3) adaptive filtering and subsequent FFT (AF). The FFT algorithms of all lung sounds were characterized by mean, median, and mode frequencies. The mean, median, and mode of NF were lower than those of 75 HzF (64.98 +/- 4.04 versus 150.42 +/- 17.49, mean +/- SE, p less than 0.003; 44.57 +/- 2.06 versus 111.81.5.78, p less than 0.0003; 36.81 +/- 1.77 versus 86.16 +/- 3.13, p less than 0.0001) and those of AF (64.98 +/- 4.04 versus 96.87 +/- 11.58, p less than 0.01; 44.57 +/- 2.06 versus 68.23 +/- 10.44, p less than 0.05; 36.81 +/- 1.78 versus 52.24 +/- 8.97, p less than 0.06). The mean, median, and mode of AF were lower than those of 75 HzF (96.87 +/- 11.58 versus 150.42 +/- 17.49, p less than 0.02; 68.23 +/- 10.44 versus 111.81 +/- 5.77, p less than 0.007; 52.24 +/- 8.97 versus 86.16 +/- 3.73, p less than 0.01). The results indicated that by filtering out low frequency heart sounds, the frequency spectrum of lung sounds was moved upward.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

The mechanics of sound production in Panacanthus pallicornis (Orthoptera: Tettigoniidae: Conocephalinae): the stridulatory motor patterns.

To examine whether sound production in katydids relies on an escapement mechanism similar to that of crickets we investigated the functional anatomy and mechanical properties of the stridulatory apparatus in the katydid Panacanthus pallicornis. Males of this species produce sustained pulses with a sharp low frequency peak of approximately approximately 5 kHz and a broad band spectrum between 15 and 25 kHz. Simultaneous recordings of movement and sound indicate that the entire stridulatory file is used for sound production and there is nearly a 1:1 correspondence between the number of cycles in a song and the number of teeth on the file. There is an overall tendency for both the spacing of teeth to increase along the file and the velocity of wing closure to increase as the scraper traverses the file. There is considerable variation, however, in the evenness of tooth spacing and in the instantaneous velocity of wing closure during sound production. The production of sustained pulses appears to depend on resonance in the right tegmen, with the left tegmen acting primarily as a damping element. This resonance is not strongly coupled to the scraper and, unlike crickets, the timing of file-scraper interactions, and therefore the phasing of energy input to wing oscillations, is variable. Similarly, the quality of the sound spectrum varies over the course of a single stridulatory wing-stroke. Based on measurements of tooth spacing on the stridulatory file and cycle-by-cycle frequency of sound output, we predicted the velocity of wing movement that would provide consistent phasing of file-scraper interactions with respect to sound-radiating wing oscillations and compared this with measurements of wing velocity. Acceleration of wing velocity during stridulation results in a closer match to the velocity required for optimal phasing during a portion of the call, and this corresponds with higher amplitudes of radiated sound and the excitation of higher order modes of vibration (evident as distinct harmonic peaks in spectrograms). Our results suggest that in katydid stridulation, the movement of the scraper along the file is not regulated by an escapement mechanism as it is in crickets. Instead, katydids that produce pure-tone songs sweep their wings over a range of velocities, within which some portion matches file tooth spacing to give optimal phasing of energy input to excite a resonance in the right tegmen.

Acoustics↗

Detection of the third heart sound using a tailored wavelet approach: method verification.

Heart sounds can be considered as mechanical fingerprints of myocardial function. The third heart sound normally occurs in children but disappears with maturation. The sound can also appear in patients with heart failure. The sound is characterised by its low-amplitude and low-frequency content, which makes it difficult to identify by the traditional use of the stethoscope. A wavelet-based method has recently been developed for detection of the third heart sound. This study investigated if the third heart sound could be identified in patients with heart failure using this detection method. The method was also compared with auscultation using conventional phonocardiography and with characterisation of the patients with echocardiography. In the first study, 87% of the third heart sounds were detected using the wavelet method, 12% were missed, and 6% were false positive. In study 2, the wavelet-detection method identified 87% of the patients using the third heart sound, and regular phonocardiography identified two (25%) of the subjects.

Adult↗

Noninvasive characterization of the sound pattern caused by coronary artery stenosis using FTF/FAEST zero tracking filters: normal/abnormal study.

In this article, a new approach has been proposed to investigate the extraction of useful information from diastolic heart sounds caused by partially occluded coronary arteries. This method, which estimates and tracks the zeros (poles) of the diastolic heart sounds directly, takes advantage of the FTF/FAEST (Fast Transversal Filters/Fast a Posteriori Error Sequential) technique which possesses the fast convergence property of the Recursive Least Square (RLS) method and the computational simplicity of the Least Mean Square (LMS) method. In previous studies, the main assumption was that the diastolic heart sounds were a stationary process. Since the production of the heart sounds were a stationary process. Since the production of the heart sounds is not a stationary process, a new approach that performs well not only for stationary but also for nonstationary processes can be required. This requirement can be satisfied by the adaptive FTF/FAEST zero tracking method which provides fast and stable convergence as well as computational efficiency since the adaptive FTF/FAEST zero tracking method is based on the exact minimization of least squares criteria and the filter weights of this method are optimal at each time instant. The zero trajectories of the diastolic heart sounds were used to diagnose patients as diseased or normal. Results showed that the normal and abnormal records were incorrectly distinguished in only 6 of 35 cases using a blind protocol where analysis was done without knowledge of the actual disease states of the patients. The most discriminant time region of the zero trajectories of the diastolic heart sounds associated with coronary artery disease was between 200 and 300 msec after the second heart sound during the diastolic period.

Coronary Disease↗

Computer-based lung sound simulation.

An algorithm for the simulation of normal and pathological lung sounds is developed. The simulation algorithm is implemented on a personal computer as well as on a digital signal processor system in real time. Normal, bronchial and tracheal breathing sounds can be generated, and continuous and discontinuous adventitious lung sounds can be added. The attributes of the individual sound components, such as loudness, frequency, duration or number of occurrences within one breathing cycle, are controlled by the user. The quality of the simulations is evaluated by sending audio tapes to 15 experienced pulmonary physicians for a formal assessment. Each tape contains five simulated lung sounds and five real lung sounds from a commercially available teaching tape, presented in random order. Simulated lung sounds are slightly better rated in terms of realism and signal quality when compared to the recordings from the teaching tape. The differences are, however, not significant. 13 out of the 15 physicians feel that computer-based lung sound simulators would be a useful and desirable teaching tool for auscultation courses.

Algorithms↗

Intrauterine noise levels produced in pregnant ewes by sound applied to the abdomen.

Sound pressure in amniotic fluid was created by application of either an electronic artificial larynx or a standard audiometric earphone to the abdominal surface of pregnant ewes. Sound transmission was assessed with a hydrophone placed near the ear of the fetus within the intact amnion. Sound pressures produced by the electronic artificial larynx located directly over the hydrophone averaged 134.9 dB, whereas the highest sound pressure produced by a similarly placed earphone was 95.2 dB. Sound transmission decreased dramatically with increasing distance between the sound source and the hydrophone; this may account for some of the variability in fetal response when the sound test is used clinically. Caution is recommended in administering the sound test until the effects of high noise levels on the fetus are better understood.

Abdomen↗

Sound levels in rooms housing laboratory animals: an uncontrolled daily variable.

High sound levels are known to have adverse effects on the behaviour and physiology of laboratory animals, yet their acoustic environment is rarely monitored. In particular, high-frequency sounds that are above the limit of human hearing, but are well within the limits of many laboratory species (i.e., ultrasounds), are usually ignored. In this study, the acoustic environment of laboratory animals was investigated in a variety of different animal facilities. Sound pressure levels (dB SPL) were monitored for periods up to 24 h over two frequency ranges: a relatively low range (0.01-12.5 kHz), and a high range (12.5-70 kHz). While background sound levels in undisturbed situations were generally low (i.e., below 50 dB SPL), marked increases in sound levels often occurred during the working day, producing characteristic daily variations in the sound profile. Peak SPLs commonly reached values of 80-95 dB in the low-frequency range and 50-75 dB in the higher range. In most cases, sound levels were low over weekends. The results suggested that human activities were a very important source of sound in most animal facilities. In a few situations (e.g., rabbits, marmosets, dogs), the animals themselves provided a significant contribution to the acoustic environment. It is clear that the acoustic environment of laboratory animals is a daily variable that is usually uncontrolled and that may have important implications for behavioural and physiological experiments and for animal welfare.

Animal Welfare↗

Directionality of sound pressure transformation at the pinna of echolocating bats.

The directionality of sound pressure transformation at the pinna of three species of bats was studied by measuring the sound pressure level of a tone (25 45 65 and 85 kHz) at the tympanic membrane as a function of azimuth and elevation of the sound source under free-field conditions. The tympanic sound pressure level varied with location of the sound source. The directionality of sound pressure transformation pattern of the pinna of each bat was studied by plotting isopressure contours. The area within each isopressure contour decreased with increasing tonal frequency. For each tonal frequency, the point of maximal sound pressure was always located in the frontal ipsilateral sound field. This point shifted medially with increasing tonal frequency along the horizontal plane in all species tested, but it shifted in a species-specific manner along the vertical plane. Removal or distortion of the pinna and tragus resulted in either uncircumscribed or irregular isopressure contours for all tonal frequencies tested. Acoustic pressure gain of the external ear reached 16-23 dB for frequencies at 15-18 kHz. The importance of the external ear to the directionality of the bat's echolocation system is discussed.

Acoustics↗

Cross-form conceptual relations between sounds and words: effects on the novelty P3.

In order for cross-form conceptual priming to occur, the brain must extract an amodal representation of the presented concept. To determine whether the novelty P3 would show such cross-form effects, novel, environmental sounds or their verbal equivalents were repeated two blocks after their first presentation in two cross-form conditions, word-sound (e.g., the word "pig" followed by the sound "oink") or sound-word. Conceptual repetition engendered an asymmetric reduction in novelty P3 amplitude, i.e., amplitude was reduced in the sound-word but not in the word-sound condition. The data suggest that the novelty P3 reflects an evaluative stage of processing in which some semantic information is extracted. However, the lack of amplitude reduction for the word-sound condition implies that, at least at the delays used here, repetition as a conceptually equivalent sound may have failed to make contact with the initial verbal concept.

Acoustic Stimulation↗

Attribute capture in the precedence effect for long-duration noise sounds.

Listeners perceptually fuse the direct wave from a sound source with its reflections off nearby surfaces into a single sound image, located at or near the sound source (the precedence effect). This study investigated how a brief gap presented in the middle of either a direct wave or simulated reflection is incorporated into the fused image. For short (<9.5 ms) delays between the direct (leading) and reflected (lagging) waves, no sound was perceived from the direction of the lagging wave. For delays between 10 and 15 ms, both sounds were perceived, but the gap was heard only on the leading side. When the gap was only in the correlated lagging sound at short delays, it also was perceived as occurring on the leading side. Moreover, gap detection thresholds were the same for gaps in the leading and lagging sounds, suggesting that the perception of the gap was not suppressed, but rather incorporated into the leading sound. Finally, scalp event-related potentials were not associated with the precedence effect until the gap occurred. This suggests that cortical mechanisms are engaged to maintain fusion when attributes in direct or reflected waves change.

Adult↗

Analysis of the spectral envelope of sounds by the human brain.

Spectral envelope is the shape of the power spectrum of sound. It is an important cue for the identification of sound sources such as voices or instruments, and particular classes of sounds such as vowels. In everyday life, sounds with similar spectral envelopes are perceived as similar: we recognize a voice or a vowel regardless of pitch and intensity variations, and we recognize the same vowel regardless of whether it is voiced (a spectral envelope applied to a harmonic series) or whispered (a spectral envelope applied to noise). In this functional magnetic resonance imaging (fMRI) experiment, we investigated the basis for analysis of spectral envelope by the human brain. Changing either the pitch or the spectral envelope of harmonic sounds produced similar activation within a bilateral network including Heschl's gyrus and adjacent cortical areas in the superior temporal lobe. Changing the spectral envelope of continuously alternating noise and harmonic sounds produced additional right-lateralized activation in superior temporal sulcus (STS). Our findings show that spectral shape is abstracted in superior temporal sulcus, suggesting that this region may have a generic role in the spectral analysis of sounds. These distinct levels of spectral analysis may represent early computational stages in a putative anteriorly directed stream for the categorization of sound.

Adult↗