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PubMed2005

Processing of environmental sounds in schizophrenic patients: disordered recognition and lack of semantic specificity.

The recognition of environmental sounds is an important feature of higher auditory processing and essential for everyday life. The present study aimed to investigate the potential impairment of this mental function in schizophrenia. This work on immediate sound recognition is complementary to recent studies on auditory linguistic processing. Fifteen schizophrenic patients and 30 control subjects were asked to identify 43 complex environmental sounds from different categories and rate their familiarity when naïve to the sounds. In consecutive experiments, patients and control subjects rated the sounds according to emotional valence and arousal, as well as imageability. In both groups, correct identification of non-verbal sounds was highly associated with familiarity. Statistical analysis by group demonstrated a significantly higher error rate in identifying sounds in patients suffering from schizophrenia compared to healthy control subjects. In contrast, the affective recognition of the complex sounds was preserved in the schizophrenic patients. These results suggest a disturbance of higher-order, auditory mnemonic processing in schizophrenic patients in the non-linguistic domain. We discuss their abnormal responses in the context of recent theories of auditory physiological and semantic processing deficits in schizophrenia.

Adult↗
PubMed1997

Assessment of breath sounds during ambulance transport.

STUDY OBJECTIVE: To determine whether the environment of a moving ambulance affects the ability of our-of-hospital care providers to auscultate breath sounds. METHODS: Out-of-hospital care providers assessed breath sounds with a previously described breath-sounds model in a quiet environment (control) and in a moving ambulance. The setting was a nonurban emergency medical services system and an interhospital transport agency based at a 600-plus-bed tertiary care center. The participants were physicians, transport nurses, and advanced life support EMS providers routinely involved in the emergency out-of-hospital treatment and transportation of the ill and injured. The accuracy with which participants identified the presence or absence of breath sounds in the two environments was compared with the use of the chi 2 test, with the alpha-value set at .05. RESULTS: The accuracy of breath-sounds assessment in the control environment was 96% (251 of 260); the sensitivity was 96% and the specificity 97%. The accuracy of breath-sounds assessment in the experimental environment was 54% (140 of 260); the sensitivity was .09% and the specificity 98%. Participants were significantly less likely to hear breath sounds in the moving ambulance than in the quiet room (P < .001). CONCLUSION: Assessment of breath sounds is hampered by the environment of a moving ambulance.

Ambulances↗
PubMed2000

Responses of cells to stationary and moving sound stimuli in the anterior ectosylvian cortex of cats.

The azimuthal, directional and angular speed sound selectivities of single units were examined in the posterior part of the anterior ectosylvian cortex. Broadband noise bursts and simulated moving sounds were delivered from 16 loudspeakers fixed on the horizontal plane in a quasi-anechoic sound-isolation chamber. The activity of 78 neurons was recorded and quantitatively analyzed. Most cells responded to at least the static sound. The relative strengths of their responses suggested that the cells could be classed as omnidirectional (37.2%), contralateral hemifield (29.5%), ipsilateral hemifield (2.5%) and azimuth (7.7%) selective. The remaining 23.1% could not be classified. All cells responded to a simulated moving sound displaced at five different speeds. A majority (88%) of them showed some directional preference in that they discharged at least twice as strongly for one direction as for the other for at least one speed. 14.7% displayed angular speed selectivity. Different patterns of neuronal discharges were evoked. For static sounds, most of the cells gave ON-type responses. A large proportion (60%) of the cells responded in a sustained manner to maintained stimulation. Among these, 68% also gave sustained discharges to moving sounds. The spatial tuning and the directional and angular speed selectivity of neurons in the posterior part of the AEC suggest that this area is involved in the processing of static and moving sounds.

Acoustic Stimulation↗
PubMed1993

Influence of simulated mucus on cough sounds in cats.

Although in the clinic the presence of mucus in the airways is known to be an important factor influencing the sound of coughing in pathological conditions, this observation has not been established experimentally. We have substituted mucus in the airways of anaesthetized cats with 0.5 ml of natural undiluted egg albumin (EA) from hens' eggs, or with 1 ml of 10% pig gastric mucin (PGM) in saline. There were obvious changes in the character of cough sounds and significant increases in the intensity of the sounds (+76% with EA, +36% with PGM). The intensity of cough efforts significantly increased but only in the cats with addition of PGM (mean 30%). Removal of EA or PGM caused the opposite effects, a decrease in cough sounds (-41%) and intensity of cough effort (-52%), with simultaneous changes in the character of the cough sounds. There were no clear-cut patterns of cough sounds as has been described for humans. The cough sounds were often present not only during the expiratory phase of cough but also during the inspiratory phase. The results establish an important role of mucus in the airways in the creation of cough sounds.

Animals↗
PubMed2002

Sound motion evoked magnetic fields.

OBJECTIVE: The aim of present study was to determine which brain regions are involved in the conscious perception of sound motion in humans. METHODS: Six kinds of sound stimuli were studied. Two static sound stimuli with durations of 100 or 1000 ms remained at a fixed position during the stimulation period. Four moving sound stimuli with duration of 100 or 1000 ms were moving from left to right, or right to left, during the stimulation period. Evoked magnetic fields were recorded using a 151-channel whole cortex magnetoencephalographic system. RESULTS: The response identified in all sound stimuli was M100. Responses identified only in moving sound stimuli were M180, M280 and M680. Contour maps and dipoles overlapped on magnetic resonance imaging indicated that both the M100 and M680 responses were generated in the superior temporal cortex (left and right), while M180 and M280 were generated in the parietal cortex (right). CONCLUSIONS: The results of this MEG study indicated that the right parietal cortex was involved in sound motion processing. We hypothesize that the right parietal cortex, in association with the left and right superior temporal cortex, forms a network to process sound motion information.

Acoustic Stimulation↗
PubMed2000

The role of the sound of tapping for nonvisual judgment of gap crossability.

The author investigated the possibility that nonvisual locomotion with a cane depends on the sound of the cane tapping. Blindfolded participants were asked to judge whether a gap in front of them could be crossed by walking. An acoustic analysis suggested that sound could, in theory, distinguish the gaps. Blindfolded sighted participants in Experiments 1 and 2 judged crossability under conditions in which only the sound of tapping was available and in which the sound was minimized; the third and fourth experiments included experienced cane users. Both inexperienced observers and experienced cane users were unaffected by sound reduction and were less able to discriminate gaps when using sound only than when using reduced sound. A fifth experiment indicated that active-passive differences were not responsible for these effects. Results indicate that sound is not necessary or sufficient for judging nonvisible crossability with a probe.

Auditory Perception↗
PubMed2000

NICU sound environment and the potential problems for caregivers.

While concerns regarding the effects of the neonatal intensive care unit (NICU) sound environment have primarily centered on infants, caregivers are exposed to the same auditory stimuli. In a review of the literature on adult responses to sound, behavioral and physiological responses to sound as well as influence on job performance and communication are examined. Hearing damage among caregivers is unlikely given the sound levels of the typical NICU. The effect of the NICU sound environment on caregivers has received little attention in research; however, findings from other research of responses to sound suggest that a variety of physiological and behavioral responses may occur in response to the NICU sound environment, and that the sound intensity of the NICU may interfere with communication and job performance.

Caregivers↗
PubMed2003

Sound exposure among the Finnish National Opera personnel.

The purpose of the study was to determine how and when the personnel of the Finnish National Opera are exposed to noise and whether exposure depends on musical selection of repertoire. Additionally, an evaluation of sound exposure level due to individual rehearsals was included. The measurements were done using individual noise dosimeters and fixed-point measurements. From the measurements, annual noise exposure in the Opera was evaluated. The conductors, dancers, and double bass players were exposed to levels below 85 decibels, A-weighted, dB(A), which is the national action level. The choir members were exposed to sound levels of 92 and 94 dB(A). Within the orchestra, the highest sound exposure levels were found among percussionists, 95 dB(A); flute/piccolo players, 95 dB(A); and brass players, 92-94 dB(A). Other sound exposure levels among orchestra members varied from 83 to 89 dB(A). Soloists and rehearsal pianists are likely to be exposed to sound levels exceeding the national action level. From an exposure perspective, the individual rehearsals, 79-100 dB(A), proved to be as important as performances and group rehearsals, 82-99 dB(A), among orchestra musicians and choir singers. The ambient sound level for the lighting crew was 76 +/- 4 dB(A). However, the measured sound levels at the ear varied from 77 to 92 dB(A) due to the communication via headphones that had individual volume control. For the majority of personnel of the Finnish National Opera, sound exposure level exceeded the national action level value of 85 dB(A). Artists exceeded the action level during both individual and group rehearsals, as well as during performances. Hearing protection has been designed for musicians. Education/reinforcement is required to ensure it is worn.

Environmental Monitoring↗
PubMed2006

Assessment of the impact sound in golf putting.

The influence of impact sound in putting on players' perceptions of "feel" is explored in this paper. Tests were conducted to investigate the impact sound characteristics of five different ball types using two different putter types. The first test studied the impact sound of purely the ball, while the second test investigated the influence of putter construction and impact location on impact sound for the different ball types. Trends were found between sound spectra peaks in the 2 - 4 kHz range and the compression values of the balls. In addition, frequency content was more dependent on putter type and impact location than on ball construction in the 0 - 2 kHz range. The final test employed a paired comparison technique to investigate players' perceptions of sharpness and loudness of impact sound, ball speed from the clubface and ball hardness. Relationships between the subjective data and the sound characteristics of the balls were then examined. It was found that the ball the players' perceived to have the sharpest and loudest sound, to feel the hardest and to come off the clubface the quickest also had the largest calculated values of loudness and sharpness and had a spectral peak at a higher frequency than the other balls.

Auditory Perception↗
PubMed2005

Web-based analysis of nasal sound spectra.

The spectral analysis of the nasal sound is an indicator of the nasal airflow pattern. We investigated a new technique for nasal sound analysis via Internet. This study includes 27 patients and 22 healthy people. Patients were treated by septoplasty operation for septal deviation. Postoperation 10(th) day, this technique was applied to follow nasal airflow course. The patients recorded the nasal sound by microphone into the computer as a .wav file and sent us via internet, all those records were evaluated by us. The results were sent back to themselves. The 11 patients who had nasal obstruction symptoms (group A) were called to the hospital to check. In the nasal sound analyses e-mails of those patients, the sound intensity was at high frequencies (2-4 kHz, 4-6 kHz) above 30 dB, but low (500-1000 Hz) and medium frequencies (1-2 kHz), are below then 10 dB. In the patients without nasal obstruction symptom (group B), the sound intensity was at high frequencies below 10 dB, but low and medium frequencies are above 20 dB. There was a statistically significant difference in sound intensity between group A and group B. In the endoscopical examination of those obstructions, which decreases the nasal airway, crusting formation in the nasal cavity was found. Web-based nasal sound analysis is an important method to follow the postoperative course and the nasal airflow evaluation. The new method will save time and money, avoiding a return visit to the hospital unnecessarily.

Adolescent↗
PubMed1995

Interrater reliability of auscultation of breath sounds among physical therapists.

BACKGROUND AND PURPOSE: Although auscultation is routinely used in the assessment of respiratory status, the ability of the rater to accurately and consistently identify lung sounds has been questioned. The literature on this issue is sparse and has focused on reliability of auscultation of tape-recorded rather than in vivo lung sounds. The purposes of this study were to determine the interrater reliability of physical therapists in the direct auscultation of lung sounds based on their clinical experience in chest physical therapy and to determine whether the adoption of standardized nomenclature and education on proper technique and interpretation affects reliability. SUBJECTS AND METHODS: A group of 57 registered physical therapists were stratified by clinical experience into four groups. Sixteen therapists (ie, 4 in each stratum) were randomly chosen using a random number table. The following criteria were developed to delineate clinical experience. Group 1 subjects were senior chest physical therapists with at least 5 years of experience in this area of practice. Group 2 subjects were experienced therapists who had a minimum of 2 years of experience in chest physical therapy and were currently practicing in this area. Group 3 subjects were experienced physical therapists in other areas who were also practicing in chest physical therapy on occasional weekend service. Group 4 subjects were new graduates. Ten patients were evaluated by each group of 4 physical therapists using a teaching stethoscope with one diaphragm/bell and four pairs of earpieces. The education session consisted of discussion of the adoption of standardized nomenclature and education on proper technique and interpretation of auscultation. Interrater reliability was assessed before and after the education session using kappa (kappa) values. Comparisons were made between kappa values before and after the education session to determine the effect of education and between groups to determine the effect of clinical experience. RESULTS: The kappa values before the education session were low, indicating poor reliability in detecting specific abnormal sounds (kappa = -.02-.59). Group 1 (seniors in respiratory therapy) and group 4 (new graduates) demonstrated the greatest reliability levels. The lowest kappa values were observed for detecting and categorizing the quality of breath sounds (normal, absent, bronchial, or decreased) (kappa = -.02-.25). Following the education session, there was a general improvement in reliability (kappa = -.30-.77), especially for group 3 (specialists in other areas). The most improvement was noted for the detection of the quality of breath sounds (kappa = .08-.50). CONCLUSION AND DISCUSSION: Reliability of auscultation was poor to fair, in general, before the education session. There was a definite improvement in reliability after the education session. There was no clear effect of clinical experience on reliability, and the agreement among observers appeared to depend on the abnormal lung sound present. Limitations of this study and recommendations for future research are discussed. [Brooks D, Thomas J. Interrater reliability of auscultation of breath sounds among physical therapists.

Auscultation↗
PubMedDate not supplied

Performance evaluation of implantable artificial organs by sound spectrum analysis.

In this paper, a sound spectrum analyzing method was proposed to pre detect malfunctions of implantable artificial organs, such as an electromechanical total artificial heart (TAH) or prosthetic valves, without any percutaneous invasion. For this purpose, a sound detecting device was developed using a high sensitivity condenser microphone with a frequency range of more than 13 kHz. Output signals of this device are sampled at 100 kHz maximally, and sampled data are stored in an IBM PC (SamBo, Korea). To remove environmental noises in the measured sound, an adaptive least-mean square algorithm was employed. Using the squared value of the sound signal, the best position where only sounds from mechanical components can be measured was found. The sound spectrum was obtained by the periodogram spectral estimating method. Experiments were performed with this system, and the results indicated that: 1) by using an adaptive noise cancelling algorithm, a more noise-free signal can be obtained; 2) the harmonics from the mechanical components of a pendulum type electromechanical TAH were approximately 1.3 KHz; 3) a spectral change was observed when we compared the power spectral densities of a normal and failed TAH; 4) the spectral shift to higher harmonics occurred with an increase in heart rate; and 5) the sound propagation properties of tissue were investigated with animal experiments. The method proposed was found to be applicable in the detection of implantable artificial organ mechanical failure by sound spectrum analysis without the need for percutaneous invasion.

Acoustics↗
PubMed2000

Middle ear pathology can affect the ear-canal sound pressure generated by audiologic earphones.

OBJECTIVE: To determine how the ear-canal sound pressures generated by earphones differ between normal and pathologic middle ears. DESIGN: Measurements of ear-canal sound pressures generated by the Etymtic Research ER-3A insert earphone in normal ears (N = 12) were compared with the pressures generated in abnormal ears with mastoidectomy bowls (N = 15), tympanostomy tubes (N = 5), and tympanic-membrane perforations (N = 5). Similar measurements were made with the Telephonics TDH-49 supra-aural earphone in normal ears (N = 10) and abnormal ears with mastoidectomy bowls (N = 10), tympanostomy tubes (N = 4), and tympanic-membrane perforations (N = 5). RESULTS: With the insert earphone, the sound pressures generated in the mastoid-bowl ears were all smaller than the pressures generated in normal ears; from 250 to 1000 Hz the difference in pressure level was nearly frequency independent and ranged from -3 to -15 dB; from 1000 to 4000 Hz the reduction in level increased with frequency and ranged from -5 dB to -35 dB. In the ears with tympanostomy tubes and perforations the sound pressures were always smaller than in normal ears at frequencies below 1000 Hz; the largest differences occurred below 500 Hz and ranged from -5 to -25 dB. With the supra-aural earphone, the sound pressures in ears with the three pathologic conditions were more variable than those with the insert earphone. Generally, sound pressures in the ears with mastoid bowls were lower than those in normal ears for frequencies below about 500 Hz; above about 500 Hz the pressures showed sharp minima and maxima that were not seen in the normal ears. The ears with tympanostomy tubes and tympanic-membrane perforations also showed reduced ear-canal pressures at the lower frequencies, but at higher frequencies these ear-canal pressures were generally similar to the pressures measured in the normal ears. CONCLUSIONS: When the middle ear is not normal, ear-canal sound pressures can differ by up to 35 dB from the normal-ear value. Because the pressure level generally is decreased in the pathologic conditions that were studied, the measured hearing loss would exaggerate substantially the actual loss in ear sensitivity. The variations depend on the earphone, the middle ear pathology, and frequency. Uncontrolled variations in ear-canal pressure, whether caused by a poor earphone-to-ear connection or by abnormal middle ear impedance, could be corrected with audiometers that measure sound pressures during hearing tests.

Acoustic Impedance Tests↗
PubMedDate not supplied

Arterial sound based noninvasive malrotation detection of rotary LVAD.

A number of advanced cardiovascular assist devices have been developed recently with the capability to prolong the life expectancy of patients with cardiac disease. To allow long-term use, it is necessary to assemble these devices using as few accessories as possible; however, a sensor for mechanical disorder detection is typically included to ensure mechanical reliability. Although a rotary left ventricular assist device (LVAD) has a simple mechanism, a malrotation caused by thrombogenesis can occur at any time. This situation could cause fatal damage to the cardiovascular circulation of the patient. In this study, we propose a simple, noninvasive method based on Korotkoff sounds, which would be able to detect the pressure-flow state during circulation supported by a rotary LVAD. Korotkoff sounds provide a means to noninvasively measure blood pressure in auscultation. We have found that the sounds are directly influenced by the pressure-flow state. We measured the arterial sound generated by an occluded brachial artery, as well as the Korotkoff sound generated during rotary LVAD circulation. To verify the effectiveness of the system, a circulatory simulator, rather than a human subject, was used. The arterial sound of several abnormal pressure-flow conditions was investigated. The simulator consists of a pulsatile blood pump, a compliance chamber, flow valves, a venous reservoir, and a rotary LVAD. Abnormal pressure-flow states are generated by simply changing the rotational speed of the rotary LVAD. We established the relationship between an abnormal pressure-flow state and the characteristics of the arterial sound, thus demonstrating that a malrotation of the rotary LVAD can be detected by the change of the arterial sound.

Aorta↗
PubMed1987

Investigations on the relation of dysgnathias and S-sound pronunciation.

A registration-form phonetic test has been developed which incorporates an established method for checking fine motor skills. Using an objective measuring and computing technique (electro-acoustic sound analysis according to the sound-seeking method), the author studied the pronunciation of the S-sound of one group of eugnathic and three groups of dysgnathic test persons. There were significant differences in sound characteristics between the normal group and all groups with dysgnathia (P = 0.001). Therefore it is considered that not every patient with an anomaly of the tooth position must have a disturbance of the S-sound. In contrast to the relatively narrow variations in the normal group, in all groups with dysgnathia considerable dispersions were registered. The anterior open bite occupies first place with regard to its susceptibility to disturbances of the S-sound. The statistical analysis of the partial energy values of all the S-sound spectra revealed typical normal behaviour on the one hand, and characteristic differences between the groups with dysgnathia and the group with eugnathia on the other. The information which is most important for the valuation of the S-sound are contained in the frequency area up to 9 kHz.

Adolescent↗
PubMed2006

Bandwidth determines modulatory effects of centrifugal pathways on cochlear hearing desensitization caused by loud sound.

Centrifugal olivocochlear (OC) pathways modulate cochlear hearing losses induced in cats by loud sounds varying in bandwidth from tones to clicks and noise bands, in a variety of conditions. The general effect, always to reduce hearing damage, can be a net effect resulting from complex interactions between OC subcomponents (crossed and uncrossed OC pathways). The interactions between these subcomponents vary with type of loud sound, suggesting that sound bandwidth may be important in determining how OC pathways modulate loud sound-induced hearing loss. This dependency was examined and here it is reported that OC pathways do not alter cochlear hearing losses caused by loud noise with a 2-kHz-wide bandwidth intermediate between the loud sounds of previous studies. Increasing stimulus bandwidth even slightly more, to use a loud 3.5-kHz-wide bandwidth noise as the damaging sound, once again revealed OC modulation of cochlear hearing loss. The fact that OC pathways do not modulate cochlear hearing losses induced by loud 2-kHz-wide noise was demonstrated in three very different test conditions in which OC pathways modulate hearing losses caused by narrower or broader bandwidth sounds. This confirmed that the absence of centrifugal modulation of hearing loss to this particular sound was a robust phenomenon not related to test condition. The absence of overall centrifugal effects was also true at the level of subcomponent pathways; neither crossed nor uncrossed OC pathways individually modulated cochlear hearing losses to the loud 2-kHz-wide noise. This surprising frequency dependency has general implications for centrifugal modulation of cochlear responses.

Acoustic Stimulation↗
PubMed2006

Rainforests as concert halls for birds: are reverberations improving sound transmission of long song elements?

In forests reverberations have probably detrimental and beneficial effects on avian communication. They constrain signal discrimination by masking fast repetitive sounds and they improve signal detection by elongating sounds. This ambivalence of reflections for animal signals in forests is similar to the influence of reverberations on speech or music in indoor sound transmission. Since comparisons of sound fields of forests and concert halls have demonstrated that reflections can contribute in both environments a considerable part to the energy of a received sound, it is here assumed that reverberations enforce also birdsong in forests. Song elements have to be long enough to be superimposed by reflections and therefore longer signals should be louder than shorter ones. An analysis of the influence of signal length on pure tones and on song elements of two sympatric rainforest thrush species demonstrates that longer sounds are less attenuated. The results indicate that higher sound pressure level is caused by superimposing reflections. It is suggested that this beneficial effect of reverberations explains interspecific birdsong differences in element length. Transmission paths with stronger reverberations in relation to direct sound should favor the use of longer signals for better propagation.

Acoustics↗
PubMed1989

Infants' monaural localization of sounds: effects of unilateral ear infection.

The aim in this study was to examine the impact of unilateral ear infection (i.e., otitis media with effusion) on infants' localization of sounds in the horizontal place. Twenty eight infants 6 to 18 months of age were tested at the time of an ear infection, as well as 2 weeks later. Sound localization was measured using a two-alternative forced-choice procedure to examine infants' abilities to discriminate a sound shift of 8 degrees, 12 degrees, 16 degrees, and 20 degrees off midline and along the horizontal axis, either ipsilateral or contralateral to the infected ear. A head and/or eye movement in the direction of the sound was designated as a correct response and was visually reinforced. Results revealed significant negative effects of unilateral ear infection on sound localization performance. All infants showed more correct localization responses for sounds shifted ipsilateral to the problem ear 2 weeks following their ear infection than at the time of the infection. Localization of sounds shifted contralateral to the infected ear did not vary with test date, and significantly exceeded ipsilateral performance when tested at the time of an ear infection. Results are consistent with adult data which indicates that, with unilateral hearing loss, a sound ipsilateral to the problem ear is displaced in location along the horizontal axis toward the well-functioning ear. These findings indicate the importance of balanced binaural functioning for horizontal localization and highlight the plasticity of the developing human auditory system.

Attention↗