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Digital signal analysis of snoring sounds in children.

Snoring sounds of 5 children with sleep-dependent compromised breathing were recorded. Underlying diseases were large adenoids, adeno-tonsillar hyperplasia, hemangioma of the tongue-base and Rubinstein-Taybi's syndrome associated with micrognathia. For comparison snoring sounds of a 42-year-old chronic snorer were analyzed. Time series of the power spectral density of the breath sounds were calculated as well as the mean power spectra of the recordings. The results show that the frequency spectrum reflects the pathomechanism responsible for the production of the abnormal breath sound. In adults, simple snoring is due in large part to vibrations of the soft palate. This can be identified in the frequency spectrum as a low-frequency component with a large number of harmonics. In children with enlarged adenoids and tonsils the soft palate is impeded in its movement which can be demonstrated in the frequency spectrum as a lack of low-frequency components and harmonics. Craniofacial anomalies are characterized by special spectral patterns.

Adenoids↗

A microcomputer-based interactive cough sound analysis system.

The occurrence and nature of cough sounds, especially those occurring in asthma in young children, is of considerable interest to workers in paediatrics and general practice. To facilitate our research into the characteristics of such sounds, we have developed a microcomputer-based analysis system, which we call COFF. In this paper we discuss the design and implementation of the system, emphasising its user-friendly, interactive features, and the manner in which it efficiently manages the large amounts of data that research into sounds incurs. We illustrate the operation of the system with examples of spectrograms computed from cough sounds recorded simultaneously at the mouth and through the chest wall.

Asthma↗

On the feasibility of pulse-echo speed of sound estimation in small regions: simulation studies.

Computer simulations are used to study the feasibility of the estimation of sound speed in small regions with precision better than 1% using the Beam Tracking method. The speed of sound is estimated in a 10-mm by 10-mm region by considering a number of parallel tracks confined to the small region. The transducer focusing and the step sizes for the tracking and tracked transducers required to extract the maximum amount of uncorrelated data from the 10-mm by 10-mm region is evaluated. The results show that the speed of sound can be estimated with error less than 1% in a small region using a typical medical transducer. The statistical comparison of estimates in small areas with different speed of sound is also considered.

Acoustics↗

Protection against noise trauma by sound conditioning in the guinea pig appears not to be mediated by the middle ear muscles.

The aim of this study was to test whether the middle ear muscles (MEM) play a significant role in the phenomenon of sound conditioning in guinea pigs. After inducing a temporary threshold shift by noise exposure (2767 Hz tone, 103 dB SPL, 5 min), the magnitude and duration of loss, as well as the rate of recovery of the amplitude of the distortion product emission was determined at 1.75, 2.2, 2.8, and 3.5 kHz followed for 90 min post-exposure for (1) a sound conditioned group with intact MEM, and (2) a sound conditioned group with paralyzed MEM. Significant differences were not found for any of the distortion product parameters tested. The results suggest that the MEM do not significantly contribute to protection against noise trauma by sound conditioning.

Acoustic Stimulation↗

Measurement of left atrial systolic time intervals in hypertensive patients using Doppler echocardiography: relation to fourth heart sound and left ventricular wall thickness.

The concept of left atrial systolic time intervals and Doppler echocardiography were used in a quantitative assessment of left atrial function in relation to the presence or absence of a fourth heart sound and to left ventricular hypertrophy in 47 patients with hypertension. Left atrial systolic time interval indexes included atrial pre-ejection period (the time between the onset of an electrocardiographic P wave and the onset of left ventricular inflow during atrial systole [A wave]), corrected atrial pre-ejection period (the atrial pre-ejection period divided by the duration of the P wave), and atrial ejection time (the time between the onset and cessation of the A wave). Twenty-one patients with a fourth heart sound on the phonocardiogram had a shorter atrial pre-ejection period (81 +/- 10 versus 89 +/- 14 ms p less than 0.05) and a corrected atrial pre-ejection period (66 +/- 17 versus 83 +/- 18 ms, p less than 0.01), as well as a longer atrial ejection time (147 +/- 15 versus 126 +/- 13 ms, p less than 0.001) than did 26 patients without a fourth heart sound. The ratio of atrial pre-ejection period to atrial ejection time and that of corrected atrial pre-ejection period to atrial ejection time was smaller in patients with than in patients without a fourth heart sound (0.56 +/- 0.08 versus 0.71 +/- 0.11, p less than 0.001; 0.46 +/- 0.16 ms-1 versus 0.67 +/- 0.17 ms-1, p less than 0.001, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Sound-evoked electrocortical desynchronization is inhibited by N omega-nitro-L-arginine methyl ester microinfused into the inferior colliculi in rats.

In previous experiments we have shown that systemic or intracerebroventricular administration of N omega-nitro-L-arginine methyl ester (L-NAME), an inhibitor of nitric oxide (NO) synthase, is able to significantly reduce sound-evoked electrocortical (ECoG) desynchronization in rats. The present experiments were aimed at identifying the site(s) of the brain through which these effects are mediated. L-NAME (200 and 300 nmol), oxyhaemoglobin (200 and 300 nmol), a NO-trapping agent, and methylene blue (100 and 150 nmol), an inhibitor of guanylate cyclase and NO synthase, given bilaterally into the inferior colliculi, but not in other relay stations of the acoustic pathway, prevented the reduction in ECoG amplitude induced by sound stimulation in rats. Significant reduction of sound-evoked ECoG desynchronization has also been observed in rats receiving injection of CGP37849 (125 and 500 pmol) and LY274614 (125 pmol), two competitive N-methyl-D-aspartate receptor antagonists into the inferior colliculi. The present results show that the inferior colliculus represents the main site where sound-evoked ECoG desynchronization is prevented by L-NAME and provide further support for the hypothesis that NO may play a role at this level in the control of the measured response.

Animals↗

Poor hand-pointing to sounds in right brain-damaged patients: not just a problem of spatial-hearing.

We asked 22 right brain-damaged (RBD) patients and 11 elderly healthy controls to perform hand-pointing movements to free-field unseen sounds, while modulating two non-auditory variables: the initial position of the responding hand (left, centre or right) and the presence or absence of task-irrelevant ambient vision. RBD patients suffering from visual neglect, unlike RBD patients without neglect and healthy controls, showed a systematic rightward error in sound localisation, which was modulated by the non-auditory variables. Localisation errors were exacerbated by initial hand-position to the right of the body-midline, and reduced by the leftwards initial hand-position. Moreover, for the visual neglect patients, mere presence of ambient vision worsened localisation errors. These results demonstrate that although hand-pointing to sounds has often been considered a straightforward approach to investigate sound-localisation abilities in brain-damaged patients, in some patients it may actually reveal localisation deficits that reflect a combination of impaired spatial-hearing and spatial biases from other sensory modalities (i.e., vision and proprioception).

Aged↗

A fuzzy expert system design for analysis of body sounds and design of an unique electronic stethoscope (development of HILSA kit).

In this paper we have developed a fuzzy expert system (FES) for different sounds produced by different organs in the human body. We have also constructed a unique electronic stethoscope. The human body sounds produced by different organs like heart, lungs and intestine were analyzed. The doctor provided the data and relation between variables chosen for each organ sound. Using this information a rule base for fuzzy expert system was built. Such FES helps the medical doctor in arriving at appropriate decision in different difficult clinical situations. The examination of body sounds was done using conventional stethoscope (CS) and electronic stethoscope (ES), which was uniquely designed for this study. We have found that unique stethoscope developed by us is far superior to conventional stethoscope by its overall performance.

Algorithms↗

Spike encoding mechanisms in the sound localization pathway.

Two distinct neural circuits calculate the direction of incoming sound in mammals. Lower frequency sounds are processed in the medial superior olive (MSO) and higher frequencies are processed in the lateral superior olive (LSO); together they constitute the superior olivary complex. We show that the spike generation mechanisms of coincidence detection (CD) are employed in both these branches of sound localization pathway. Our description uses the concepts of probabilistic spike generation and spike timing jitter. We explain the notch in sound localization sensitivity described in human psychophysics. We estimate the processing time in the superior olivary complex and discuss possible spike processing mechanisms. Among them, we distinguish between the excitatory coincidence detection (ECD) and the inhibitory coincidence detection (ICD). We compare the latter to the mechanism of firing rate subtraction traditionally attributed to the lateral superior olive.

Action Potentials↗

Distinct fMRI responses to laughter, speech, and sounds along the human peri-sylvian cortex.

In this event-related fMRI study, 12 right-handed volunteers heard human laughter, sentential speech, and nonvocal sounds in which global temporal and harmonic information were varied whilst they were performing a simple auditory target detection. This study aimed to delineate distinct peri-auditory regions which preferentially respond to laughter, speech, and nonvocal sounds. Results show that all three types of stimuli evoked blood-oxygen-level-dependent responses along the left and right peri-sylvian cortex. However, we observed differences in regional strength and lateralization in that (i) hearing human laughter preferentially involves auditory and somatosensory fields primarily in the right hemisphere, (ii) hearing spoken sentences activates left anterior and posterior lateral temporal regions, (iii) hearing nonvocal sounds recruits bilateral areas in the medial portion of Heschl's gyrus and at the medial wall of the posterior Sylvian Fissure (planum parietale and parietal operculum). Generally, the data imply a differential regional sensitivity of peri-sylvian areas to different auditory stimuli with the left hemisphere responding more strongly to speech and with the right hemisphere being more amenable to nonspeech stimuli. Interestingly, passive perception of human laughter activates brain regions which control motor (larynx) functions. This observation may speak to the issue of a dense intertwining of expressive and receptive mechanisms in the auditory domain. Furthermore, the present study provides evidence for a functional role of inferior parietal areas in auditory processing. Finally, a post hoc conjunction analysis meant to reveal the neural substrates of human vocal timbre demonstrates a particular preference of left and right lateral parts of the superior temporal lobes for stimuli which are made up of human voices relative to nonvocal sounds.

Acoustic Stimulation↗

Event-related brain potentials reveal multiple stages in the perceptual organization of sound.

Auditory stream segregation has been suggested to include two distinct processing stages: (1) forming representations for alternative organizations of the acoustic input and (2) choosing one organization for perception after weighing the evidence that supports the different alternatives. The current study tested the possibility that auditory event-related potentials (ERP) could be used to index both stages of the stream-segregation process. Sequences of tones that could be perceived either as a single coherent auditory stream (integrated organization) or as two separate streams of sounds (segregated organization) were presented to subjects. The stimulus configuration encouraged perception to fluctuate between these alternative organizations. Subjects were instructed to continuously indicate whether they perceived one or the other organization of the tone sequence. Occasionally, a tone was omitted from the otherwise regular sequence. This deviance was expected to be processed differently depending on the perceptual organization of the sequence at the time of the omission. We found an early ERP response to omission, which was fully determined by parameters of the stimulation and was not sensitive to the perceived sound organization. In contrast, modulation of two ERP components elicited by the regular tone patterns as well as later responses elicited by deviants correlated with the perceived sound organization. These results suggest that sound organization goes through at least two distinct stages, the first being fully stimulus driven, whereas the second is partly under top-down control.

Adult↗

Sound lateralization in subjects with callosotomy, callosal agenesis, or hemispherectomy.

The question of whether there is a right-hemisphere dominance in the processing of auditory spatial information in human cortex as well as the role of the corpus callosum in spatial hearing functions is still a matter of debate. Here, we approached this issue by investigating two late-callosotomized subjects and one subject with agenesis of the corpus callosum, using a task of sound lateralization with variable interaural time differences. For comparison, three subjects with left or right hemispherectomy were also tested by employing identical methods. Besides a significant reduction in their acuity, subjects with total or partial section of the corpus callosum exhibited a considerable leftward bias of sound lateralization compared to normal controls. No such bias was found in the subject with callosal agenesis, but merely a marginal reduction of general acuity. Also, one subject with complete resection of the left cerebral cortex showed virtually normal performance, whereas another subject with left hemispherectomy and one subject with right hemispherectomy exhibited severe deficits, with almost total loss of sound-lateralization ability. The results obtained in subjects with callosotomy indicate that the integrity of the corpus callosum is not indispensable for preservation of sound-lateralization ability. On the other hand, transcallosal interhemispheric transfer of auditory information obviously plays a significant role in spatial hearing functions that depend on binaural cues. Moreover, these data are compatible with the general view of a dominance of the right cortical hemisphere in auditory space perception.

Acoustic Stimulation↗

Effects of intensity and location on sound location discrimination in macaque monkeys.

Sound localization performance is degraded at low stimulus intensities in humans, and while the sound localization ability of humans and macaque monkeys appears similar, the effects of intensity have yet to be described in the macaque. We therefore defined the ability of four macaque monkeys to localize broadband noise stimuli at four different absolute intensities and six different starting locations in azimuth. Results indicate that performance was poorest at the lowest intensity tested (25 dB SPL), intermediate at 35 dB SPL, and equivalent at 55 and 75 dB SPL. Localization performance was best at 0 degree (directly in front of the animal) and was systematically degraded at more peripheral locations (+/-30 degrees and 90 degrees) and worst at a location directly behind the animal. Reaction times showed the same trends, with reaction times increasing with decreasing stimulus intensity, even under conditions where the monkey discriminated the location change with the same performance. These results indicate that sound level as well as position profoundly influences sound localization ability.

Acoustic Stimulation↗

Early modulation of visual cortex by sound: an MEG study.

Sound can alter visual perception. This has been recently demonstrated by a strong illusion in which a single flash is perceived as multiple flashes when accompanied by multiple brief sounds. While psychophysical findings on this sound-induced flash illusion indicate that the modulations of visual percept by sound occur at a perceptual processing level, it remains unclear at what level of perceptual processing these interactions occur and what mechanisms mediate them. Here we investigated these questions using MEG. We found modulation of activity in occipital and parietal scalp locations, when comparing illusion trials with visual-alone and auditory-alone trials. This modulation occurred as early as 35-65 ms from the onset of the visual stimulus. Activity was also modulated in the occipital and parietal areas as well as anterior areas at a later ( approximately 150 ms post-stimulus) onset. No significant interactions were observed in occipital and parietal areas in trials in which illusion was not perceived. These results indicate that the auditory alteration of visual perception as reflected by the illusion is associated with modulation of activity in visual cortex. The early onset of these modulations suggests that a feed-forward or lateral circuitry is at least partially involved in these interactions.

Acoustic Stimulation↗

High binaural coherence determines successful sound localization and increased activity in posterior auditory areas.

Our brain continuously receives complex combinations of sounds originating from different sources and relating to different events in the external world. Timing differences between the two ears can be used to localize sounds in space, but only when the inputs to the two ears have similar spectrotemporal profiles (high binaural coherence). We used fMRI to investigate any modulation of auditory responses by binaural coherence. We assessed how processing of these cues depends on whether spatial information is task relevant and whether brain activity correlates with subjects' localization performance. We found that activity in Heschl's gyrus increased with increasing coherence, irrespective of whether localization was task relevant. Posterior auditory regions also showed increased activity for high coherence, primarily when sound localization was required and subjects successfully localized sounds. We conclude that binaural coherence cues are processed throughout the auditory cortex and that these cues are used in posterior regions for successful auditory localization.

Acoustic Stimulation↗

The effect of age on involuntary capture of attention by irrelevant sounds: a test of the frontal hypothesis of aging.

The aim of this study was to examine the effects of aging on the involuntary capture of attention by irrelevant sounds (distraction) and the use of these sounds as warning cues (alertness) in an oddball paradigm. We compared the performance of older and younger participants on a well-characterized auditory-visual distraction task. Based on the dissociations observed in aging between attentional processes sustained by the anterior and posterior attentional networks, our prediction was that distraction by irrelevant novel sounds would be stronger in older adults than in young adults while both groups would be equally able to use sound as an alert to prepare for upcoming stimuli. The results confirmed both predictions: there was a larger distraction effect in the older participants, but the alert effect was equivalent in both groups. These results give support to the frontal hypothesis of aging [Raz, N. (2000). Aging of the brain and its impact on cognitive performance: integration of structural and functional finding. In F.I.M. Craik & T.A. Salthouse (Eds.) Handbook of aging and cognition (pp. 1-90). Mahwah, NJ: Erlbaum; West, R. (1996). An application of prefrontal cortex function theory to cognitive aging. Psychological Bulletin, 120, 272-292].

Acoustic Stimulation↗

Practice strategies of musicians modulate neural processing and the learning of sound-patterns.

Previous studies suggest that pre-attentive auditory processing of musicians differs depending on the strategies used in music practicing and performance. This study aimed at systematically revealing whether there are differences in auditory processing between musicians preferring and not-preferring aural strategies such as improvising, playing by ear, and rehearsing by listening to records. Participants were assigned to aural and non-aural groups according to how much they employ aural strategies, as determined by a questionnaire. The change-related mismatch negativity (MMN) component of event-related brain potentials (ERPs) was used to probe pre-attentive neural discrimination of simple sound features and melody-like patterns. Further, the musicians' behavioral accuracy in sound perception was tested with a discrimination task and the AMMA musicality test. The data indicate that practice strategies do not affect musicians' pre-attentive neural discrimination of changes in simple sound features but do modulate the speed of neural discrimination of interval and contour changes within melody-like patterns. Moreover, while the aural and non-aural groups did not differ in their initial neural accuracy for discriminating melody-like patterns, they differed after a focused training session. A correlation between behavioral and neural measures was also obtained. Taken together, these results suggest that auditory processing of musicians who prefer aural practice strategies differs in melodic contour and interval processing and perceptual learning, rather than in simple sound processing, in comparison to musicians preferring other practice strategies.

Acoustic Stimulation↗

Does decalcification alter the tissue sound speed of rabbit supraspinatus tendon insertion? In vitro measurement using scanning acoustic microscopy.

Failure of the tendon or ligament insertions is one of the most common injuries in the Orthopaedic field. To elucidate the pathogenesis of those injuries, the authors had attempted to measure the tissue sound speed that could be correlated to its elasticity using scanning acoustic microscopy (SAM). For the application of SAM to tendon or ligament insertions, it was necessary to determine the role of decalcification in SAM measurements since mineralized tissues including bone or mineralized fibrocartilage were present at the insertion site. To assess whether decalcification alters the tissue sound speed or not, supraspinatus tendon insertion of six Japanese white rabbits were measured with SAM operating in the frequency range of 50-150 MHz. Right supraspinatus tendons attached to the humeral head were cut into two pieces at the center of the tendon. Then, they were fixed with 10% neutralized formalin for 12 h. In each specimen, medial half was not decalcified, while lateral half was decalcified with ethylene-diamine-tetra-acetic acid (EDTA). After embedding in paraffin, 5 microm thick specimens were prepared for the measurement using SAM. The mean sound speed in each histologic zone was evaluated, and subsequently compared to that measured in the undecalcified and the decalcified specimens. Mean sound speed of non-mineralized fibrocartilage was 1544 m/s in the undecalcified specimens, while the value of 1541 m/s was determined in the decalcified ones. On the other hand, it decreased 2-3% after decalcification in the mineralized tissue including mineralized fibrocartilage and bone (mineralized fibrocartilage: undecalcified = 1648 m/s, decalcified = 1604 m/s; bone: undecalcified = 1716 m/s, decalcified = 1677 m/s). However, no significant differences were found between the undecalcified and the decalcified specimens (non-mineralized fibrocartilage: p = 0.84, mineralized fibrocartilage: p = 0.35, bone: p = 0.28). These results indicate that SAM could be applied to determine the properties of the tendon or the ligament insertions after decalcification with EDTA. Although SAM is applicable only for in vitro experimental study, it is expected that these data will contribute to better understanding concerning the biomechanics of tendon or ligament insertions as well as the pathogenesis of their failure at a microscopic level.

Animals↗