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Comodulation masking release (CMR) as a function of masker bandwidth, modulator bandwidth, and signal duration.

These experiments examine how comodulation masking release (CMR) varies with masker bandwidth, modulator bandwidth, and signal duration. In experiment 1, thresholds were measured for a 400-ms, 2000-Hz signal masked by continuous noise varying in bandwidth from 50-3200 Hz in 1-oct steps. In one condition, using random noise maskers, thresholds increased with increasing bandwidth up to 400 Hz and then remained approximately constant. In another set of conditions, the masker was multiplied (amplitude modulated) by a low-pass noise (bandwidth varied from 12.5-400 Hz in 1-oct steps). This produced correlated envelope fluctuations across frequency. Thresholds were generally lower than for random noise maskers with the same bandwidth. For maskers less than one critical band wide, the release from masking was largest (about 5 dB) for maskers with low rates of modulation (12.5-Hz-wide low-pass modulator). It is argued that this release from masking is not a "true" CMR but results from a within-channel cue. For broadband maskers (greater than 400 Hz), the release from masking increased with increasing masker bandwidth and decreasing modulator bandwidth, reaching an asymptote of 12 dB for a masker bandwidth of 800 Hz and a modulator bandwidth of 50 Hz. Most of this release from masking can be attributed to a CMR. In experiment 2, the modulator bandwidth was fixed at 12.5 Hz and the signal duration was varied. For masker bandwidths greater than 400 Hz, the CMR decreased from 12 to 5 dB as the signal duration was decreased from 400 to 25 ms.(ABSTRACT TRUNCATED AT 250 WORDS)

Acoustic Stimulation↗

Modulation masking: effects of modulation frequency, depth, and phase.

Modulation thresholds were measured for a sinusoidally amplitude-modulated (SAM) broadband noise in the presence of a SAM broadband background noise with a modulation depth (mm) of 0.00, 0.25, or 0.50, where the condition mm = 0.00 corresponds to standard (unmasked) modulation detection. The modulation frequency of the masker was 4, 16, or 64 Hz; the modulation frequency of the signal ranged from 2-512 Hz. The greatest amount of modulation masking (masked threshold minus unmasked threshold) typically occurred when the signal frequency was near the masker frequency. The modulation masking patterns (amount of modulation masking versus signal frequency) for the 4-Hz masker were low pass, whereas the patterns for the 16- and 64-Hz maskers were somewhat bandpass (although not strictly so). In general, the greater the modulation depth of the masker, the greater the amount of modulation masking (although this trend was reversed for the 4-Hz masker at high signal frequencies). These modulation-masking data suggest that there are channels in the auditory system which are tuned for the detection of modulation frequency, much like there are channels (critical bands or auditory filters) tuned for the detection of spectral frequency.

Acoustic Stimulation↗

Forward masking in patients with cochlear implants.

Forward masking was measured in 12 patients with cochlear implants. The amount of masking (in microamps) decreased linearly as a function of the logarithm of the signal delay from masker offset. Normalized forward-masking recovery functions for cochlear implants were similar to normalized functions of normal-hearing listeners, indicating that the mechanism of psychophysical forward masking is retrocochlear. These results indicate that the logarithm of acoustic amplitude should be mapped to microamps to produce normal forward masking in implanted patients. Despite the fact that the forward-masking recovery functions were similar across all patients, their performance with their speech processor varied widely.

Attention↗

Effects of stimulus level on forward-masked psychophysical tuning curves in quiet and in noise.

Forward-masked psychophysical tuning curves were obtained from normal-hearing listeners at different probe levels in quiet and in a broadband background noise. In quiet, tuning-curve shape changed with probe level. For six listeners, tuning curves became broader with increasing probe level, primarily due to a decrease in the low-frequency slopes. For one listener, tuning curves became narrower with increasing probe level. The addition of a background noise, which was presented continuously at a level 10 dB below the noise level required to mask the probe tone, reduced the masker levels required to mask the probe tone. The reduction was greater near the tip of the tuning curve than on the tail, so that tuning curves in background noise were narrower than those obtained in quiet. Tuning curves with comparable masker levels near the tip of the tuning curve (Lmtip) were similar in shape, regardless of probe level or whether tuning curves were obtained in quiet or noise. Comparisons of tuning-curve characteristics derived by fitting tuning curves with least-squares procedures, indicated that low-frequency slopes decreased with Lmtip. As a consequence, Q10 dB values decreased with Lmtip. These results are consistent with the interpretation that tuning-curve shapes are determined by the intensities of the maskers required to mask the probe tone. The addition of a background noise restricted (partially masked) the excitation pattern of the probe so that lower masker intensities were required to "forward mask" the probe tone, and narrower tuning curves resulted from less intense markers. The results are well described by a two-process model of auditory excitation patterns.

Adult↗

Reducing informational masking by sound segregation.

Informational masking was reduced using three stimulus presentation schemes that were intended to perceptually segregate the signal from the masker. The maskers were sets of sinusoids chosen randomly in frequency and intensity on each stimulus interval or, in some conditions, on every masker burst in a series of bursts within intervals. Masker components were excluded from the frequency region surrounding the 1000-Hz signal to minimize the energetic masking. Masked thresholds as great as 60-70 dB above quiet threshold were observed for some subjects in some conditions. It was shown that this informational masking could be reduced as much as 40 dB by: (1) presenting the masker to both ears and signal to one ear; (2) playing different masker samples sequentially in each interval of every trial; or (3) presenting the signal in alternate bursts of multiple, identical masker samples. For the binaural manipulation, informational masking was reduced because the masker and signal were perceived as originating from different interaural locations. In the latter two manipulations, a difference in the spectral or temporal pattern of the signal and masker provided the detection cue. These effects were interpreted as evidence of the importance of perceptual segregation of sounds in noisy listening environments where signal reception is not limited by energetic masking.

Acoustic Stimulation↗

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↗

The effects of decreased audibility produced by high-pass noise masking on cortical event-related potentials to speech sounds/ba/and/da.

This study investigated the effects of decreased audibility produced by high-pass noise masking on cortical event-related potentials (ERPs) N1, N2, and P3 to the speech sounds /ba/and/da/presented at 65 and 80 dB SPL. Normal-hearing subjects pressed a button in response to the deviant sound in an oddball paradigm. Broadband masking noise was presented at an intensity sufficient to completely mask the response to the 65-dB SPL speech sounds, and subsequently high-pass filtered at 4000, 2000, 1000, 500, and 250 Hz. With high-pass masking noise, pure-tone behavioral thresholds increased by an average of 38 dB at the high-pass cutoff and by 50 dB one octave above the cutoff frequency. Results show that as the cutoff frequency of the high-pass masker was lowered, ERP latencies to speech sounds increased and amplitudes decreased. The cutoff frequency where these changes first occurred and the rate of the change differed for N1 compared to N2, P3, and the behavioral measures. N1 showed gradual changes as the masker cutoff frequency was lowered. N2, P3, and behavioral measures showed marked changes below a masker cutoff of 2000 Hz. These results indicate that the decreased audibility resulting from the noise masking affects the various ERP components in a differential manner. N1 is related to the presence of audible stimulus energy, being present whether audible stimuli are discriminable or not. In contrast, N2 and P3 were absent when the stimuli were audible but not discriminable (i.e., when the second formant transitions were masked), reflecting stimulus discrimination. These data have implications regarding the effects of decreased audibility on cortical processing of speech sounds and for the study of cortical ERPs in populations with hearing impairment.

Adolescent↗

Growth rate of simultaneous masking in cat auditory-nerve fibers: relationship to the growth of basilar-membrane motion and the origin of two-tone suppression.

Although many aspects of the mechanisms by which low-frequency sounds exert their powerful masking on responses to high-frequency sounds are well documented and understood, there are few data on the growth of masking for signal frequencies near, but not necessarily at, auditory-nerve-fiber characteristic frequency (CF). Masking of responses to 6- or 8-kHz tones by a continuous 300-Hz band of noise centered at 500 Hz was measured in single auditory-nerve fibers with various CFs. The growth rate of maskings averaged approximately 2 dB/dB, was typically largest for tones about 10% above fiber CF, and decreased at higher and lower frequencies. This pattern of masking versus frequency relative to CF resembles the pattern of compression of the growth of basilar membrane motion versus frequency at a fixed cochlear place. This correspondence supports the hypothesis that the high growth rate of masking by low-frequency sounds is due to the same mechanisms which produce the compression in the growth of basilar membrane motion.

Acoustic Stimulation↗

Effects of stapedius-muscle contractions on the masking of auditory-nerve responses.

There has been little exploration of the mechanisms by which stapedius muscle contractions reduce the masking of responses to high-frequency sounds by low-frequency sounds. To fill this gap in knowledge, controlled stapedius contractions were elicited with direct shocks in anesthetized cats, and measurements were made of the effects of these contractions on the masking of single auditory-nerve fibers and on the attenuation of middle-ear transmission. The results show that the stapedius-induced reductions of masking can be much larger than the attenuations of low-frequency sound. With a 300-Hz band of masking noise centered at 500 Hz, and signal tones at 6 or 8 kHz, unmasking effects over 40 dB were observed for sounds 100 dB SPL or less. The data suggest that much larger unmasking might occur. The observed unmasking can be explained completely by a linear stapedius-induced attenuation of sound transmission through the middle ear and a nonlinear growth rate of masking for auditory-nerve fibers. No central effects are required. It is argued that the reduction of the upward spread of masking is probably one of the most important functions of the stapedius muscle.

Acoustic Stimulation↗

Growth of simultaneous masking for fm < fs: effects of overall frequency and level.

Growth-of-masking (GOM) functions were obtained in three groups of normal-hearing subjects using a simultaneous-masking paradigm. In all cases, the signal frequency (fs) was higher than the masker frequency (fm), either by a certain ratio (1.44) or by a certain distance [3 equivalent rectangular bandwidths (ERBs)]. The purpose was to evaluate the effect of overall frequency on the slope of the steep portion of the GOM function, and to evaluate the change in slope that can occur at high levels. Signal frequency ranged from 400 to 5000 Hz, and masker level ranged from 40 to 95 dB SPL. On average, the slope of the steep portion of the GOM function was about 1.4 for signal frequencies from 400 to 750 Hz, and 2.0 for signal frequencies from 1944 to 5000 Hz. This is consistent with the possibility that the cochlea may behave more linearly at the apical (low-frequency) region than at the basal (high-frequency) region. In addition, for signal frequencies at and above 750 Hz, the slope of the masking function changed from a value much greater than 1.0 to a value of 1.0 at high levels. The change in slope was better correlated with signal sensation level (i.e., amount of masking) than with either signal or masker SPL: the lack of a change at the lower signal frequencies may reflect the smaller amounts of masking there. The change to a linear growth of masking may represent a change in the response to the signal from compressive to linear at high levels.

Adult↗

Age differences in backward masking.

The present study was designed to assess the effects of age on the time course of backward masking. In experiment 1, thresholds for detecting a 10-ms, 500-Hz sinusoidal signal were measured as a function of the temporal separation between the signal and a 50-ms broadband masker. Subjects were younger (18-24) and older (over age 65) adults with normal hearing (thresholds less than 20 dB HL) for frequencies of 4 kHz and below. Younger subjects exhibited less overall masking and steeper recovery functions than did the older adults. Masked thresholds for younger participants approached unmasked thresholds for signal-masker delays greater than 6-8 ms. In contrast, older adults exhibited significant masking even at the longest delay tested (20 ms). In experiment 2, signal duration was decreased to 5 ms for a separate group of younger adults. Although overall thresholds were elevated for the shorter signal duration, the slope of the backward masking recovery function was not different from that observed for younger adults in experiment 1. The results suggest that age, independent of hearing loss, affects the temporal course of backward masking.

Adolescent↗

Neonatal resuscitation 3: manometer use in a model of face mask ventilation.

BACKGROUND: Adequate ventilation is the key to successful neonatal resuscitation. Positive pressure ventilation (PPV) is initiated with manual ventilation devices via face masks. These devices may be used with a manometer to measure airway pressures delivered. The expiratory tidal volume measured at the mask (V(TE(mask))) is a good estimate of the tidal volume delivered during simulated neonatal resuscitation. AIM: To assess the effect of viewing a manometer on the peak inspiratory pressures used, the volume delivered, and leakage from the face mask during PPV with two manual ventilation devices in a model of neonatal resuscitation. METHODS: Participants gave PPV to a modified resuscitation mannequin using a Laerdal infant resuscitator and a Neopuff infant resuscitator at specified pressures ensuring adequate chest wall excursion. Each participant gave PPV to the mannequin with each device twice, viewing the manometer on one occasion and unable to see the manometer on the other. Data from participants were averaged for each device used with the manometer and without the manometer separately. RESULTS: A total of 7767 inflations delivered by the 18 participants were recorded and analysed. Peak inspiratory pressures delivered were lower with the Laerdal device. There were no differences in leakage from the face mask or volumes delivered. Whether or not the manometer was visible made no difference to any measured variable. CONCLUSIONS: Viewing a manometer during PPV in this model of neonatal resuscitation does not affect the airway pressure or tidal volumes delivered or the degree of leakage from the face mask.

Air Pressure↗

Impact of real-time respiratory function monitoring on neonatal mask ventilation training: a multicentre simulation-based crossover study.

OBJECTIVE: To evaluate whether visibility of respiratory function monitor (RFM) feedback improves mask ventilation performance and influences subsequent ventilation performance during neonatal resuscitation training. DESIGN: multicentre randomised crossover simulation study. PARTICIPANTS: Healthcare professionals involved in neonatal resuscitation training across participating centres. INTERVENTION: Participants performed positive pressure ventilation (PPV) on both term and premature manikins under two conditions: with visible RFM feedback and with the display masked. The order of feedback visibility was randomised. Each participant completed ventilation assessments in both conditions. MAIN OUTCOME MEASURES: Primary outcomes were expired tidal volume (Vte) and mask leak (%). The proportion of breaths within the target Vte range (4-8&#x2009;mL/kg) was calculated as a performance indicator. Secondary outcomes included variability in Vte and mask leak to assess ventilation stability between conditions. RESULTS: Visible RFM feedback was associated with lower mask leak and improved ventilation stability in the preterm manikin and with tidal volumes entering the target range in the term manikin. Participants initially ventilated with visible feedback maintained performance after feedback removal, suggesting a carry-over learning effect. CONCLUSION: In this multicentre crossover simulation study, visible RFM feedback was associated with changes in mask ventilation performance and evidence of a carry-over learning effect following feedback removal. Real-time visibility of respiratory parameters may strengthen neonatal resuscitation training.

Humans↗

An investigation into the efficiency of disposable face masks.

Disposable face masks used in hospitals have been assessed for the protection afforded the patient and the wearer by challenges of simulated natural conditions of stress. Operating theatre masks made of synthetic materials allow the wearer to breathe through the masks, and these have been shown to protect the patient well but the wearer slightly less. Cheaper paper masks are worn for ward duties, and of these only the Promask protected in area in front of the wearer: air does not pass through this mask, expired air is prevented from passing forward, and the wearer breathes unfiltered air. All the other paper masks tested allowed many bacteria-laden particles to pass through them.

Air Microbiology↗

Compliance at night with low flow oxygen therapy: a comparison of nasal cannulae and Venturi face masks.

BACKGROUND: The factors that influence nocturnal compliance among patients prescribed low flow oxygen therapy were determined and tolerance of nasal cannulae and Venturi face masks compared. METHODS: Two studies were performed: (1) a prospective study of 99 hospitalised patients prescribed low flow oxygen therapy, 49 on nasal cannulae and 50 on Venturi face mask; and (2) a prospective study of 20 separate patients with an acute respiratory disorder requiring low flow oxygen therapy who were given nasal cannulae and Venturi face mask on successive nights in random order. RESULTS: In study 1, 49 patients dislodged their device at least once during the night. Those using Venturi face masks and those over 75 years of age had the most dislodgements. In study 2 patients also dislodged Venturi face masks more frequently (mean (SD) 2.0 (2.4)) than nasal cannulae (0.7 (1.4)). Most patients expressed a preference for nasal cannulae. CONCLUSIONS: Nocturnal tolerance of nasal cannulae is superior to Venturi face masks, and this factor should be considered when choosing the method of oxygen delivery.

Aged↗

Effectiveness of mask and helmet interfaces to deliver noninvasive ventilation in a human model of resistive breathing.

The helmet, a transparent latex-free polyvinyl chloride cylinder linked by a metallic ring to a soft collar that seals the helmet around the neck, has been recently proposed as an effective alternative to conventional face mask to deliver pressure support ventilation (PSV) during noninvasive ventilation in patients with acute respiratory failure. We tested the hypothesis that mechanical characteristics of the helmet (large internal volume and high compliance) might impair patient-ventilator interactions compared with standard face mask. Breathing pattern, CO(2) clearance, indexes of inspiratory muscle effort and patient-ventilator asynchrony, and dyspnea were measured at different levels of PSV delivered by face mask and helmet in six healthy volunteers before (load-off) and after (load-on) application of a linear resistor. During load-off, no differences in breathing pattern and inspiratory muscle effort were found. During load-on, the use of helmet to deliver pressure support increased inspiratory muscle effort and patient-ventilator asynchrony, worsened CO(2) clearance, and increased dyspnea compared with standard face mask. Autocycled breaths accounted for 12 and 25% of the total minute ventilation and for 10 and 23% of the total inspiratory muscle effort during mask and helmet PSV, respectively. We conclude that PSV delivered by helmet interface is less effective in unloading inspiratory muscles compared with PSV delivered by standard face mask. Other ventilatory assist modes should be tested to exploit to the most the potential benefits offered by the helmet.

Adult↗

A physiological ear model for the emulation of masking.

Auditory masking is exploited in technical audio systems for transmission and storage to improve the perceived audio quality. In this respect, perception models are necessary for a masked threshold prediction to quantify the threshold of audibility for a given signal or distortion. The presented ear model emulates those parts of the auditory sound processing which are relevant to masking. The physiological modeling approach is not limited to simple masker-test-signal configurations as usually employed in psychoacoustical measurements, but it is valid for complex signals as well, which is desired in the aforementioned applications. The ear model includes a nonlinear active cochlear model which emulates the basic mechanisms effective in masking: excitation and suppression. Nonlinear mechanical amplification by means of the outer hair cells plays a crucial role in proper modeling of these effects. In addition to physiological measurements at the mechanical level of sound processing in the cochlea, classical masking patterns and nonlinear masking effects are demonstrated by the ear model.

Acoustic Stimulation↗

Evoked otoacoustic emission: behaviour under the forward masking paradigm.

The behaviour of evoked otoacoustic emission (EOAE) has been studied in normally hearing adults under the conventional forward masking paradigm. The clicks and tone pips served as signals, and the noise bursts were used as maskers. At noise burst levels, defined as psychoacoustic masking thresholds of signals (postmasking threshold), attenuation of EOAEs was just noticeable but did not occur in all records. The EOAEs were not completely eliminated even at noise levels exceeding the post-masking threshold by 30 dB. Central or neural and peripheral or receptor mechanisms are suggested to be the constituents of the masking phenomenon. The receptor mechanism effectively joins the neural one at masker levels, well exceeding the thresholds of psychoacoustic masking. The increase in masker duration and decrease in interval between masker and signal seem to accentuate the neural mechanism. As a result, the difference between masker levels, leading to psychoacoustic masking of the signal and having marked attenuating effects upon the EOAEs, respectively, is increased.

Acoustic Stimulation↗