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PubMed2005

Otoacoustic emissions and extended high-frequency hearing sensitivity in young adults.

The relationship between hearing sensitivity in the extended high-frequency region (8-16 kHz) and (1) the presence of synchronized spontaneous otoacoustic emissions (SSOAEs) and (2) the strength of click-evoked and distortion product otoacoustic emissions (CEOAEs and DPOAEs) was investigated in 104 ears of 57 young adults. The age range was confined to 16 to 19 years. All subjects had normal hearing in the conventional audiometric frequency range (0.5-8 kHz). Ears with detected SSOAEs had better hearing sensitivity in the extended high-frequency region and also higher levels of CEOAEs and DPOAEs than ears with undetected SSOAEs. The results support the hypothesis that the presence of SSOAEs is indicative of an ear with highly normal cochlear function over a broad frequency range.

Acoustic Stimulation↗
PubMed2005

Automated auditory response detection: statistical problems with repeated testing.

Sequential application of a statistical test is usually applied in an automated auditory response detection algorithm. The sequential test strategy is very time-efficient but increases the probability of a false rejection of the null-hypothesis. For this reason, it is necessary to correct the critical test value. However, the well-known Bonferroni correction leads to an over-correction when dealing with dependent or partly dependent data. The objective of the study reported here was to develop a method to determine the critical test value for the sequential testing of dependent data. Extensive Monte Carlo simulations were used to develop this method. The simulation results were reviewed and the benefit of the suggested method, in comparison to the Bonferroni correction, was shown using a large sample of real amplitude modulation following response data. The detection rate determined for these data and the ROC curve demonstrate the advantage of using the method suggested here.

Algorithms↗
PubMed2005

Recreational noise exposure and its effects on the hearing of adolescents. Part I: an interdisciplinary long-term study.

This interdisciplinary long-term study examined the effects of recreational noise exposure on the hearing of adolescents. Boys and girls (aged 14-17 years) were examined during a four-year period. Audiological, psychosocial, and sound measurements were performed yearly to determine the hearing threshold level (HTL) of participants in the 250-16000 Hz range, their participation in recreational activities, and the sound levels at discos and through personal music player use. A tendency of the mean HTL to increase in both genders during the study was observed, especially at 14000 Hz and 16000 Hz. Boys had a higher mean HTL than girls. The participation in musical activities increased yearly, 'attendance at discos' being the favourite musical activity for both groups. In general, boys were more exposed to high sound levels than girls. The equivalent sound levels in discos ranged between 104.3 and 112.4 dBA, and between 75 and 105 dBA from personal music players.

Adolescent↗
PubMed2005

Sound quality judgements of new hearing instrument users over a 24-week post-fitting period.

The time course of changes in perceived sound quality after hearing instrument fitting has not been studied systematically It is possible, for example, that patients may object to additional high frequency gain when fitted, but not after a period of auditory acclimatisation. The aim of this study was to utilise sound quality judgements to compare two frequency responses in new users at 4-week intervals over a 24-week post-fitting period. The null hypothesis was that there would be no change in sound quality judgements over time. A total of 16 elderly subjects were fitted monaurally with the same model of linear, programmable hearing instrument. This was set to a standard response that provided 26-29 dB of real-ear insertion gain at 2000 4000 Hz. This program was worn by the subjects for the duration of the study. All subjects reported greater than four hours of daily use. The alternative response which was used in a paired comparison paradigm, provided a mean gain reduction of 3, 8, 13, and 16 dB at 2000, 3000, 4000 and 6000 Hz, respectively. Subjects compared the standard and the alternative responses for sound quality along dimensions of comfort, clarity, and overall preference while listening to running speech presented in quiet, steady noise, and speech babble. At the time of fitting there was a small preference for the standard response when judging clarity, but the alternative response was preferred for comfort and preferred overall. Repeated-measures analysis of variance (ANOVA) for each quality dimension did not reveal any statistically significant change over time. It is concluded that this pattern of preference is unaffected by acclimatisation to amplification, at least over the initial 24 weeks of instrument use.

Acoustics↗
PubMed2005

Recreational noise exposure and its effects on the hearing of adolescents. Part II: development of hearing disorders.

Part II, continuation of a previous paper, describes the significant hearing threshold shift found during the third year of the long-term study, which continued to be present in the fourth year, in a number of adolescents classified as Subgroup 2, who showed a higher mean HTL in the middle and especially in the high frequency ranges than the rest of the studied adolescents, classified as Subgroup 1. In both subgroups, the subjects showed high participation in recreational activities; nevertheless, the adolescents in Subgroup 2 showed higher participation in some of them in the last year of the study. From the beginning of the study, the mean HTL of the adolescents in Subgroup 2 was higher than the mean HTL of the adolescents in Subgroup 1. The exposure to high sound levels during leisure activities can be a cause of permanent hearing damage among young people with 'tender ears'.

Adolescent↗
PubMed2006

A Swedish version of the Hearing In Noise Test (HINT) for measurement of speech recognition.

A Swedish Hearing In Noise Test (HINT), consisting of everyday sentences to be used in an adaptive procedure to estimate the speech recognition thresholds in noise and quiet, has been developed. The material consists of 250 sentences, with a length of five to nine syllables, normalized for naturalness, difficulty and reliability. The sentences were recorded with a female speaker. From the sentences, 25 phonemically balanced lists were created. All lists fluctuate less than 1 dB of the overall mean. The standard deviation of the test-retest difference is 0.94 dB when testing with one list, and decreases to 0.68 dB and 0.56 dB for two and three lists, respectively. The average speech recognition thresholds in noise for the Swedish sentences were -3.0 dB signal/noise ratio (SD=1.1 dB). The present study has resulted in a well-defined and internationally comparable set of sentences, which can be used in Swedish audiological rehabilitation and research to measure speech recognition in noise and quiet.

Acoustic Stimulation↗
PubMed2006

Characteristics of listening environments: benefits of binaural hearing and implications for bilateral management.

Acoustically, a room's boundaries can be thought of as dirty mirrors. By repeated reflections, these mirrors generate multiple sound images whose intensities decrease with increasing distance. The sound energy received from these images (conditioned by the inverse square law and atmospheric absorption) sums with direct sound from the source, but with delays that are directly proportional to distance. For a time-varying signal such as speech, it is important to distinguish between 'early' and 'late' reflections. Early reflections enhance perception and arrive from fairly well defined directions. Late reflections generate both energetic and informational masking and arrive from all directions. In effect, late reflections create a diffuse, self-generated noise that adds to the noise from other sources. For all sources, there are inter-aural differences in time of arrival, sound pressure level, and spectrum, together with intra- and inter-aural effects of head movement. These differences and effects are a rich resource of information about source direction and distance, and they facilitate source segregation, selective attention, and release from both energetic and informational masking. To the extent that this information can be preserved in hearing devices, and accessed and used by hearing-impaired listeners, the potential benefits should follow. But deficits of temporal resolution, spectral resolution, bandwidth, and processing skills, together with delays and other effects of signal processing, may limit the benefits - hence the need for prescriptive and performance measures of binaural function.

Acoustic Stimulation↗
PubMed2006

Learning to discriminate interaural time differences: an exploratory study with amplitude-modulated stimuli.

The advent of bilateral cochlear implants (CIs) has increased interest in learning on binaural tasks, and studies in normal-hearing listeners provide important background information. However, few studies have considered learning with discrimination of interaural time difference (ITD). Here, learning with ITD was explored using stimuli that are more relevant to bilateral CIs than used previously. Inexperienced listeners were trained with envelope-based ITD using high-frequency amplitude-modulated tones with or without an interaural carrier frequency difference (IFD), the former to simulate asymmetrical bilateral CI insertions. All were tested with and without IFD before and after training. In most listeners, ITD thresholds improved substantially with training, not necessarily reaching asymptote after 3,000 trials. In these, the magnitude and time-course of learning was larger than anticipated from a previous study with low-frequency ITD. Learning generalized across IFD and the effect of IFD on ITD thresholds at post-test was smaller than reported previously. These results have implications for studies of bilateral CIs, such as the need to provide extensive training to avoid over-estimating any apparent 'impairment'.

Acoustic Stimulation↗
PubMed2006

The effect of gap-marker spectrum on gap-evoked auditory response from the inferior colliculus and auditory cortex of guinea pigs.

The objective of this study is to verify the effects of gap marker spectrum on gap-evoked auditory responses. The gap-evoked potentials were recorded using electrodes implanted in the inferior colliculus (IC) and auditory cortex (AC) of guinea pigs. The gap markers were noise bursts in four frequency bands (500-8,000 Hz, 500-16,000 Hz, 500-32,000 Hz, and 16,000-32,000 Hz), and were tested at three sound levels. The onset response to the post-gap marker was measured to obtain the gap response threshold, and to establish input-output functions for latency and amplitude. Similar to previous behavioural studies, it was found that the gap-response threshold decreased with increasing marker bandwidth. This change was more significant at the cortical level in which the averaged gap-threshold decreased by approximately 2 ms with the bandwidth change. However, the gap threshold in the high frequency region (16,000-32,000 Hz) was comparable to that of the low frequency region (500-16,000 Hz). These results suggest that the total bandwidth of all auditory channels that are recruited determine the temporal resolution measured in gap-evoked potentials.

Analysis of Variance↗
PubMed2006

The role of perceptual integration in the recognition of assimilated word forms.

We investigated how spoken words are recognized when they have been altered by phonological assimilation. Previous research has shown that there is a process of perceptual compensation for phonological assimilations. Three recently formulated proposals regarding the mechanisms for compensation for assimilation make different predictions with regard to the level at which compensation is supposed to occur as well as regarding the role of specific language experience. In the present study, Hungarian words and nonwords, in which a viable and an unviable liquid assimilation was applied, were presented to Hungarian and Dutch listeners in an identification task and a discrimination task. Results indicate that viably changed forms are difficult to distinguish from canonical forms independent of experience with the assimilation rule applied in the utterances. This reveals that auditory processing contributes to perceptual compensation for assimilation, while language experience has only a minor role to play when identification is required.

Adult↗
PubMed2006

Stress hormone is implicated in satellite-caller associations and sexual selection in the Great Plains toad.

The effects of androgens on male-typical traits suggest that variation among males in circulating levels can play a major role in sexual selection. We examined whether variation in vocal attractiveness is attributable to differences in androgen levels among Great Plains toads (Bufo cognatus). We found that noncalling "satellite" males practicing an alternative mating tactic were more likely to associate with males producing long calls. However, callers with satellites did not have higher androgen levels than callers without satellites. Rather, callers with satellites had significantly lower corticosterone (CORT) levels than callers without satellites. A CORT manipulation experiment suggested that differences in calls for males with and without satellites were related to differences in CORT levels. Furthermore, there was a negative correlation between CORT level and call duration within most nights of chorus activity. However, the correlation was weak for the pooled data (across all nights), suggesting that local environmental and/or social factors also affect call duration. Last, we show that females preferred broadcast calls of longer duration, characteristic of males with satellites and low CORT. These results imply that satellites optimize their reproductive success by associating with males producing long calls. However, this association should negatively affect the fitness of attractive callers.

Analysis of Variance↗
PubMed1993

Time-frequency analysis of infant cry: measures that identify individuals.

As part of a larger study designed to test the predictive power of recordings of infant cry for neurological development at a year of age, we have developed a summary measure of a cry which shows a very high consistency within an individual. This measure may be useful in making assessments of anatomical structure in the infant vocal tract.

Asphyxia Neonatorum↗
PubMed1999

A simple audio data logger for objective assessment of snoring in the home.

We have developed a portable device for patient use in logging snoring loudness in the home, for guiding treatment decisions and measuring the clinical effectiveness of treatment. The device uses a free field microphone and is positioned on a bedside table. The prototype devices contain no inherently expensive components and are simple to operate (producing only 5% patient error to date). They are portable, battery powered, rugged and produce digital data which are easily and automatically analysed, and these design parameters enable the devices to be used for first line patient assessment. Of the 75 recordings made so far from 30 patients, 85% were successful, yielding clinically useful data. Because it is sound levels which are recorded and not replayable sounds, patient privacy is maintained, resulting in excellent patient acceptance (to date no patient has refused). The device has a dynamic range of 45-90 dB sound pressure level and a frequency range of 30 Hz-5 kHz. Because snoring intensities often vary significantly throughout the night the device can measure continuously over 8 h.

Calibration↗
PubMed2004

Spirometry and forced oscillometry assisted optimal frequency band determination for the computerized analysis of tracheal lung sounds in asthma.

We analysed respiration sounds of individual asthmatic patients, in the scope of the development of a method for computerized recognition of the degree of airway obstruction. Respiration sounds were recorded during laboratory sessions of histamine-provoked airway obstruction. We applied an interpolation technique using supervised artificial neural networks to investigate the optimal frequency band required for studying tracheal asthmatic lung sounds. The optimal band was found to be 100-2300 Hz. The forced expiratory volume in 1 s (FEV1) and the respiratory resistance parameter Rrs(4) were used to describe the degree of airway obstruction that is associated with the lung sounds. By comparing the results obtained with the two parameters, we found that for parametrization of the associated degree of airway obstruction respiratory resistance measurements are preferable over forced expiratory volume measurements.

Adult↗
PubMed2005

Accessing heart dynamics to estimate durations of heart sounds.

Segmentation of the phonocardiogram into its major sound components is the first step in the automated diagnosis of cardiac abnormalities. Almost all of the existing phonocardiogram segmentation algorithms utilize absolute amplitude or frequency characteristics of heart sounds, which vary from one cardiac cycle to the other and across different patients. The objective of this work is to provide an efficient phonocardiogram segmentation technique, under difficult recording situations, by utilizing the underlying complexity of the dynamical system (heart) giving rise to the heart sound. Complexity-based segmentation is invariant to amplitude and frequency variations of the heart sound and yields better time gates for heart sounds.

Algorithms↗
PubMed2006

Snoring noise pollution--the need for objective quantification of annoyance, regulatory guidelines and mandatory therapy for snoring.

Habitual snoring without episodes of apnea or hypoventilation and without respiratory related arousals is considered to be annoying and without any need for treatment. However, studies seem to suggest an enormous psychosocial impact of annoyance for the bed partner. Apart from subjective questionnaires there still exists no generally accepted mode of measurement that can describe snoring objectively. We therefore adapted methods developed for environmental medicine and established a new snore score using psycho-acoustic parameters. For quantification of snoring noise we conducted nocturnal measurements in 19 habitual snorers. Free-field snore sounds were acquired with two low-cost non-contact microphones and transferred to a PC (sampling frequency 11 kHz). The data were recorded, analysed and stored automatically using a MATLAB script. Following the analysis of sound characteristics and levels, the score was computed from relevant parameters containing the rating level (L(R)), maximum level, two percentile levels for frequent maxima (L(5)S; L(1)) and snoring time. The determined values substantially exceeded the prescribed limits defined by WHO noise guidelines, and mainly affected the equivalent continuous sound exposure level, rating level and the immission standard values of brief noise peaks, whose maximum was exceeded by up to 32 dB(A). The Berlin snore score illustrated the objective acoustic annoyance on a scale from 0 to 100. It allows inter-individual comparison and objectifies the need for therapy. The clinical applicability of evaluating the reduction of snoring after surgical therapy is discussed exemplarily. The presented measuring method was found to be suitable for quantifying snoring noise and can be easily integrated into existing polysomnographic applications. In the case of habitual snoring with objective evidence of psychosocially disturbing acoustic annoyance, health fund providers should assume the costs of mandatory medical therapy.

Acoustics↗
PubMed1989

Cough sound analysis: a new tool for the diagnosis of asthma?

A method of computerized cough sound analysis is described. The sounds of nocturnal and post-exercise coughs from a child with asthma were compared with those from a child without asthma. The spectrographic patterns of voluntary cough at rest from the two children were similar. The pattern seen after exercise from the asthmatic child was different from the resting cough but similar to that seen during recorded nocturnal cough. In contrast the post-exercise cough from the non-asthmatic child was similar to the cough seen at rest. Refinement of this method of cough sound analysis may be useful in the diagnosis of asthma in young children.

Asthma↗