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Objective recognition of cough sound as biomarker for aerial pollutants.

A relationship among air quality, respiratory health, and comfort in man and animal is widely shown. In general, a state of respiratory discomfort is prevailed by an increase in acoustic audible symptoms. The general concept of sound analysis as an objective contactless non-invasive biomarker for aerial pollution is studied on free-field cough sound of 12 Belgian Landrace piglets. A citric-acid-induced cough sound recognition algorithm with recognition rate of 95% is applied to cough sounds registered in the presence of distinct types of aerial pollutants: irritating gas (ammonia), respirable particles (dust), and temperature. The recognition performance for all aerial pollutants was >90% and maintained 94% on average. It is concluded that sound analysis allows an effective biomarker for all three types of aerial pollution. The generality of the biomarker is hypothesized to be due to the common mechanism involved in protective cough. As a consequence, it is suggested to use sound analysis as a biomarker for respiratory state in studies of exposure to air pollutants.

Air Pollutants↗

[In situ sound pressure measurement in a professional violinist with bilateral tinnitus].

BACKGROUND: A case of a professional violinist suffering from a bilateral tinnitus is presented. The musician reported the tinnitus to be louder and more straining when playing his Vuillaume violin (France 1840) as compared with his Carcassi violin (Italy 1763). CASE REPORT: In the 42-year-old musician, audiometry revealed a normal hearing threshold in the right ear and a slight hearing loss in the left ear of up to 20 dB between 2 kHz and 8 kHz. Transitory evoked otoacoustic emissions could only be measured in the right ear. The tinnitus could be masked (distance type); residual inhibition was only seen in the right ear. By sound intensity measurements in both external auditory canals, the different sound spectra of both violins could be demonstrated. When playing with "forte" intensity, sound pressure reached peaks of over 90 dB. The tinnitus was ameliorated by lidocaine infusions. DISCUSSION AND CONCLUSIONS: The different sound spectra of both violins may be the reason for the enhancement of the musician's tinnitus. Interference of air and bone-conducted sound could lead to a cochlear overlap and thus influence the tinnitus although such a phenomenon can not be verified. It was previously reported that high-pitched instruments may cause tinnitus sensations in performing musicians. A review of the literature surprisingly reveals that although professional musicians are exposed to sound pressure levels that may cause hearing impairment, only very few do develop one. This fact has to be taken into account whenever an occupational disease is suspected.

Adult↗

Sound analysis of temporomandibular joint internal derangements with phonographic recordings.

STATEMENT OF PROBLEM: Temporomandibular joint (TMJ) sound recordings could be analyzed to assess the state of TMJ internal derangements. PURPOSE: The aim of the study was to assess the value of sound analysis in the diagnosis of the type of the TMJ internal derangements. MATERIAL AND METHODS: After clinical and radiologic examinations, phonographic sound recordings on mandibular excursions were obtained in 52 patients with TMJ internal derangements and 12 control individuals. Sound correlations were made on the basis of opening-closing, protrusive-retrusive, and lateral excursions of the mandible. RESULTS: Clicking was a consistent finding of anterior disc displacement with reduction, whereas crepitation was found in varying degrees in anterior disc displacement and osteodegenerative arthritis. Silent TMJs were the feature of normal TMJs, except for the situations of acute lock. Although in 29 TMJs opening click was followed by a closing click (reciprocal clicking), 46 TMJs with opening click also had clicking on protrusion. On the other hand, 19 TMJs with opening click also had clicking on ipsilateral motion, and 40 TMJs with opening click had clicking on contralateral motion of the mandible. The sound patterns were found to be similar in opening-protrusive clicks and opening-contralateral clicks. The lack of protrusive clicking in the presence of opening click was considered an indication of late disc reduction on opening. Crepitation was observed in advanced cases of TMJ internal derangements. CONCLUSION: Within the limitations of this study, the results suggest that TMJ sound analysis on mandibular excursions was indicative for diagnosis and establishment of severity of TMJ internal derangements. Clicking and crepitation may be looked on as signs of abnormal joint disorder, clicking indicating anterior disc displacement with reduction, and crepitation, indicating progression from anterior disc displacement without reduction to osteodegenerative arthritis.

Acoustics↗

Sound-evoked myogenic potentials on the sternocleidomastoid muscle in monkeys.

CONCLUSION: We recorded sound-evoked myogenic potentials of the sternocleidomastoid (SCM) muscle using awake monkeys. The characteristics of these potentials are similar to those of vestibular evoked myogenic potentials (VEMPs) in humans, suggesting that the sound-evoked myogenic potentials of the SCM muscle in monkeys may be utilized as an animal model of VEMPs. OBJECTIVE: The pathway of the VEMPs remains uncertain as no animal model has yet been used to record sound-evoked myogenic potentials in the SCM muscle. Therefore, the present study aimed to establish an animal model of VEMPs using macaque monkeys. MATERIALS AND METHODS: Four macaque monkeys were used. A pair of electrodes was attached on the SCM muscle ipsilateral side to the intense sound stimulation. RESULTS: The sound-evoked myogenic potentials of the SCM muscle exhibited a biphasic waveform. When a click at 125 dBSPL was applied, the peak latency of the first positive wave was 12.5 ms and was not delayed when the stimulating sound intensity was reduced. The thresholds of the myogenic potentials were 103 dBSPL, which were 43 dB higher than those of the auditory brainstem response (ABR). When a short tone burst was applied, the reactive optimal frequency of the myogenic potentials was relatively low (500-1000 Hz).

Acoustic Stimulation↗

Illusory changes in a sound source and outflow theory.

Two experiments, with a total of 220 Ss, were conducted to investigate the possibility of illusory movement of a sound source. In Experiment 1 intensity level (from 10 to 60 db SPL) and frequency of an auditory sound (from 1000 to 5000 Hz) were varied while the Ss head was stabilized with a head rest; in Experiment 2, intensity and frequency were also varied while the S's head was free to move. When head position was fixed, error signal variables such as intensity had no effect on the frequency of illusory direction changes of a sound source. However, when the head position was not fixed, increasing the intensity of the sound source significantly decreased the number of reported illusory direction changes. In addition, in both experiments, illusory changes of intensity were experienced by Ss, and increasing the intensity of the sound source also decreased this illusion. The results were interpreted in the context of an error signal and noise model of autokinetic effects, and the implications for the perception of auditory localization and movement of a sound source were discussed.

Auditory Perception↗

Irrelevant sound disrupts order information in free recall as in serial recall.

The claim that the sensitivity of free recall to disruption by irrelevant sound is a function of the extent to which rote rehearsal is employed as a mnemonic strategy was investigated in two experiments. The degree of disruption by irrelevant sound in terms of both item and order information was contrasted under serial and free recall instructions. Irrelevant sound was found to disrupt order and item information equally in serial and free recall tasks (Experiment 1). Contrary to previous reports, an effect of irrelevant sound was also demonstrated on free recall of particularly long lists, and the interaction between list length and retention interval in the irrelevant sound effect was examined (Experiment 2). Generally, the results support the view that irrelevant sound disrupts the use of order cues.

Acoustic Stimulation↗

Measurement of sound emission by endoscopic lithotripters: an in vitro study and theoretical estimation of risk of hearing loss in a fetus.

BACKGROUND: There is concern about applying intraureteral lithotripsy in pregnant patients, as the sound created by the equipment may damage fetal hearing. MATERIALS AND METHODS: The sound intensities produced by electrokinetic, pneumomechanic, holmium laser, ultrasound, and electrohydraulic intraluminal lithotripters were measured in an in vitro model. RESULTS: The purely mechanical modalities (electrokinetic and pneumomechanic) generated lower peak pressures than the other devices. Theoretical calculations were performed based on the fact that in vivo, the sound path and the fetal middle ear cavities are filled with fluid. Calculated pressure levels that give displacement amplitudes of the tympanic membrane, the ossicles, and the basilar membrane comparable to hearing loss risk criteria for airborne impulsive noise are greater than measured for all of the lithotripters. The fluid-filled middle ear thus seems to give the fetus protection against sound. The fluid also improves the symmetry of the cochlea structure, reducing the influence of direct bone transmission. CONCLUSIONS: The peak pressure of the sound emitted by lithotripsy in the ureter during pregnancy is unlikely to be harmful to fetal hearing. Other risk factors, such as the form of the sound waves and the pulse duration were not evaluated. The theoretical assessments are simplified, and one should be careful about drawing conclusions from theoretical considerations and calculations alone.

Endoscopy↗

A comparison of tracheal breath sounds, airflow, and impedance pneumography in the detection of childhood apnea.

Impedance respiratory monitoring is not capable of detecting obstructive apneas. We compared a microphone breath sound detector, coupled to the chest wall, with a standard impedance device in 10 sleeping infants and children in order to determine the ability of the breath sound detector to detect normal respirations and central and obstructive apneas. Airflow was used as a standard for all measurements. No difference was found between the breath sound detector and impedance device techniques in the detection rate of either normal respirations or central apneic intervals. There was no statistically significant difference between breath sounds and airflow in the ability of either technique to detect obstructive apnea. The use of a breath sound detector avoids unnecessary stimulation of a sleeping child, whose monitoring would otherwise require that two or three airflow sensing devices be taped on the face. Breath sound monitoring may represent an alternative to impedance and airflow techniques for evaluation of apnea in closely observed infants and children.

Adolescent↗

Contralateral sound stimulation suppresses the compound action potential from the auditory nerve in humans.

BACKGROUND: In the past decade, contralateral sound suppression of otoacoustic emissions has been extensively used to study the role of the medial olivocochlear efferent in humans. In most studies, the suppressive effect of contralateral sound stimulation was not greater than 2 to 4 dB. However, the relation between the degree of otoacoustic emission reduction and the neural auditory threshold is unknown. METHODS: The current study investigates the effect of contralateral sound stimulation by measuring compound action potential response from the auditory nerve during retrosigmoid surgery in humans. RESULTS: Although only a small number of subjects responded to contralateral sound stimulation, we report that efferent activation by contralateral sound stimulation results in 10 dB effective neural attenuation. CONCLUSIONS: Together with previous otoacoustic emission measurements in humans, this result demonstrates that the suppressive effect of contralateral noise suppression is greater when measured with compound action potential than otoacoustic emissions, and that contralateral sound suppressive effect is at least as strong in humans as in animals.

Acoustic Stimulation↗

The reception of environmental sounds through wearable tactual Aids.

OBJECTIVE: The objective of this study was to investigate the ability to identify environmental sounds through a wearable tactual aid. DESIGN: A test of the ability to identify environmental sounds was developed, employing closed sets of ten sounds in each of four different settings (General Home, Kitchen, Office, and Outdoors). The participants in the study included a group of three laboratory-trained subjects with normal hearing and a group of three subjects with profound deafness who were experienced users of a tactual device (the Tactaid 7). Identification testing was conducted in each of the four environmental-sound settings using a one-interval, ten-alternative, forced-choice procedure. The laboratory-trained subjects received training with trial-by-trial correct-answer feedback, followed by testing in the absence of feedback using the Tactaid 7 device. The experienced tactual-aid users were tested initially without feedback to establish baseline levels of performance derived from their prior field experience with the Tactaid 7. These subjects then received additional trials in the presence of correct-answer feedback to determine the effects of training on their performance. The data were summarized in terms of overall percent-correct identification scores and information transfer (IT) in bits. Confusion patterns were described using a hierarchical clustering analysis. RESULTS: Post-training results with the laboratory-trained subjects on the Tactaid 7 indicated that performance was similar for the four test environments, with percent-correct scores averaging 65% (and IT of 2.0 bits). For the experienced tactual-aid users, performance was similar across the four environments, averaging 36% correct (and IT of 1.4 bits) for initial testing without feedback. Scores were increased to 60% correct (and IT of 1.9 bits) in the presence of correct-answer feedback. Similar trends were observed in the hierarchical-clustering analysis across both groups of subjects. Within each stimulus set, certain items tended to cluster together, whereas other items tended to appear in single-item clusters. The highly identified stimuli tended to be characterized by unique temporal patterns and confused stimuli seemed to be most similar in terms of their spectral characteristics. CONCLUSIONS: Through the multi-channel spectral display of the Tactaid 7 device, subjects were able to identify roughly 2 bits of information in each of four 10-item sets of sounds representative of different environmental settings. Temporal cues appeared to play a larger role in identification of sounds than spectral or intensive cues.

Adult↗

Sound-direction identification with bilateral cochlear implants.

OBJECTIVE: The purpose of this study was to compare the accuracy of sound-direction identification in the horizontal plane by bilateral cochlear implant users when localization was measured with pink noise and with speech stimuli. DESIGN: Eight adults who were bilateral users of Nucleus 24 Contour devices participated in the study. All had received implants in both ears in a single surgery. Sound-direction identification was measured in a large classroom by using a nine-loudspeaker array. Localization was tested in three listening conditions (bilateral cochlear implants, left cochlear implant, and right cochlear implant), using two different stimuli (a speech stimulus and pink noise bursts) in a repeated-measures design. RESULTS: Sound-direction identification accuracy was significantly better when using two implants than when using a single implant. The mean root-mean-square error was 29 degrees for the bilateral condition, 54 degrees for the left cochlear implant, and 46.5 degrees for the right cochlear implant condition. Unilateral accuracy was similar for right cochlear implant and left cochlear implant performance. Sound-direction identification performance was similar for speech and pink noise stimuli. CONCLUSIONS: The data obtained in this study add to the growing body of evidence that sound-direction identification with bilateral cochlear implants is better than with a single implant. The similarity in localization performance obtained with the speech and pink noise supports the use of either stimulus for measuring sound-direction identification.

Acoustic Stimulation↗

Suppression of apoptosis occurs in the cochlea by sound conditioning.

Apoptosis plays a critical role in the pathogenesis of noise-induced hearing loss. The goal of this study was to determine if apoptotic pathways are suppressed by sound conditioning. Sound conditioning is a pretreatment to low-level non-damaging sound that protects against a subsequent damaging acoustic trauma. Sound conditioning protects against hair cell death and thereby preserves hearing after a subsequent acoustic trauma. Using a combination of immunocytochemical and Western blotting techniques we show that acoustic trauma causes the release of cytochrome c from the mitochondria into the cytoplasm, and a decrease in bcl-2 immunoreactivity in the outer hair cells. Sound conditioning was found to trigger a protection against these detrimental changes. These data suggest that bcl-2 plays an important role in the regulation of hair cell death, and provides evidence that bcl-2 acts as an inducible neuroprotective gene that is upregulated by sound conditioning.

Acoustic Stimulation↗

Auditory warning sounds in the work environment.

One of the most common auditory warnings is the ambulance 'siren'. It cuts through traffic noise and commands one's attention, but it does so by sheer brute force. This 'better safe than sorry' approach to auditory warnings occurs in most environments where sounds are used to signal danger or potential danger. Flooding the environment with sound is certain to attract attention; however it also causes startled reactions and prevents communications at a crucial point in time. In collaboration with several companies and government departments, the MRC Applied Psychology Unit performed a series of auditory warning studies. The main conclusions of the research were that the number of immediate-action warning sounds should not exceed about six, and that each sound should have a distinct melody and temporal pattern. The experiments also showed that it is possible to predict the optimum sound level for a warning sound in most noise environments. Subsequently, a set of guidelines for the production of ergonomic auditory warnings was developed. The guidelines have been used to analyse the environments in both fixed-wing and rotary-wing aircraft, and to design prototype warning systems for environments as diverse as helicopters, operating theatres and the railways.

Auditory Threshold↗

Autoregressive modeling of lung sounds: characterization of source and transmission.

In this communication, we discuss the application of autoregressive modeling to lung sounds analysis. The lung sounds source in the airway is modeled as a white noise source, consisting of one or a combination of the following sources: random white noise sequence, periodic train of impulses, and impulsive bursts of energy. The acoustic transmission through the lung parenchyma and chest wall is modeled as an all-pole filter. Using this method, the source and transmission characteristics of lung sounds are estimated separately, based on the lung sounds at the chest wall. To illustrate the potential validity of the model, lung sound segments in known disease conditions were selected from teaching tapes and the source and transmission characteristics were estimated by applying the model. The estimated characteristics were found to be consistent with current knowledge of the generation and transmission of lung sounds in the known conditions.

Analog-Digital Conversion↗

Sound speed estimation using automatic ultrasound image registration.

A mismatch between the sound speed assumed for beamforming and scan conversion and the true sound speed in the tissue to be imaged can lead to significant defocusing and some geometric distortions in ultrasound images. A method is presented for estimating the average sound speed based on detection of these distortions using automatic registration of overlapping, electronically steered images. An acrylamide gel phantom containing vaporized dodecafluoropentane droplets as point targets was constructed to evaluate the technique. Good agreement (rms deviation <0.4%) was found between the sound speeds measured in the phantom using a reference pulse-echo technique and the image-based sound speed estimates. A significant improvement in accuracy (rms deviation <0.1%) was achieved by including the simulated sound field of the probe rather than assuming straight acoustic beams and propagation according to ray acoustics.

Algorithms↗

The use of sound recording and oxygen saturation in screening snorers for obstructive sleep apnoea.

It is desirable to screen snoring patients for obstructive sleep apnoea (OSA) prior to surgical treatment. We postulated that the addition of a sound profile would increase the value of overnight oxygen saturation (SaO2) as a screening method. Thirty-nine polysomnographic studies including sound level measured by calibrated meter were performed on snorers being considered for uvulopalato-pharyngoplasty (UPPP). Polysomnography showed an apnoea/hypopnoea index (AHI) > or = 15 per hour of sleep in seven subjects. Two experienced observers independently, without knowledge of other data, classified paper records of SaO2 alone and SaO2 plus sound level obtained during polysomnography as OSA 'unlikely', 'equivocal' or 'definite'. The addition of sound to SaO2 reduced the number of equivocal results from 14 to six and increased the number classified as 'definite' or 'unlikely'. The sensitivity of oximetry +/- sound increased as the threshold AHI used in the definition of OSA increased; addition of sound improved recognition of mild OSA without impairing specificity.

Adult↗

Acoustic effects of positive end-expiratory pressure on normal lung sounds in mechanically ventilated pigs.

Computerized lung sounds analysis offers a new technique to monitor regional ventilation during spontaneous breathing. The purpose of the present study was to assess the acoustic behaviour of the respiratory system in healthy pigs during mechanical ventilation when a positive end-expiratory pressure (PEEP) is applied. Lung sounds were recorded during mechanical ventilation and different PEEP levels of 0, 5, 10, 15 and 20 cm H(2)O were applied. The increase in end-expiratory lung volume (EELV) related to the PEEP application was also measured and the correlation between changes in EELV (DeltaEELV) and sound amplitude (DeltaA) was examined. The amplitude of normal lung sounds was reduced by application of PEEP >or=10 cm H(2)O (P<0.05). The increase in PEEP from 0 to 20 cm H(2)O reduced the acoustic energy of lung sounds recorded at ZEEP by 0.3 dB (PEEP 5), 2 dB (PEEP 10), 5 dB (PEEP 15) and 7 dB (PEEP 20), which corresponds to 1%, 6%, 14% and 21% in acoustic attenuation, respectively. The variations in DeltaA correlated with changes in lung volume (P<0.05) and with changes in compliance of the respiratory system (P<0.05), but were not correlated with changes of the resistance of respiratory system. The frequency analysis showed a downward shifting of the spectra at frequencies between 150 and 600 Hz for PEEP levels >or=10 cm H(2)O and frequencies between 75 and 600 Hz for PEEP levels >or=15 cm H(2)O. The application of increasing levels of PEEP reduced the amplitude and changed the spectral characteristics of normal lung sounds.

Acoustics↗

Neural system identification model of human sound localization.

This paper examines the role of biological constraints in the human auditory localization process. A psychophysical and neural system modeling approach was undertaken in which performance comparisons between competing models and a human subject explore the relevant biologically plausible "realism constraints." The directional acoustical cues, upon which sound localization is based, were derived from the human subject's head-related transfer functions (HRTFs). Sound stimuli were generated by convolving bandpass noise with the HRTFs and were presented to both the subject and the model. The input stimuli to the model were processed using the Auditory Image Model of cochlear processing. The cochlear data were then analyzed by a time-delay neural network which integrated temporal and spectral information to determine the spatial location of the sound source. The combined cochlear model and neural network provided a system model of the sound localization process. Aspects of humanlike localization performance were qualitatively achieved for broadband and bandpass stimuli when the model architecture incorporated frequency division (i.e., the progressive integration of information across the different frequency channels) and was trained using variable bandwidth and center-frequency sounds. Results indicate that both issues are relevant to human sound localization performance.

Adult↗