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Events and Research in Speech, Language, and Hearing Disorders

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Archive for January 18th, 2008

A neuroanatomically grounded Hebbian-learning model of attention–language interactions in the human brain

Posted by Callier Library on January 18, 2008

from the European Journal of Neuroscience

Meaningful familiar stimuli and senseless unknown materials lead to different patterns of brain activation. A late major neurophysiological response indexing ‘sense’ is the negative component of event-related potential peaking at around 400 ms (N400), an event-related potential that emerges in attention-demanding tasks and is larger for senseless materials (e.g. meaningless pseudowords) than for matched meaningful stimuli (words). However, the mismatch negativity (latency 100–250 ms), an early automatic brain response elicited under distraction, is larger to words than to pseudowords, thus exhibiting the opposite pattern to that seen for the N400. So far, no theoretical account has been able to reconcile and explain these findings by means of a single, mechanistic neural model. We implemented a neuroanatomically grounded neural network model of the left perisylvian language cortex and simulated: (i) brain processes of early language acquisition and (ii) cortical responses to familiar word and senseless pseudoword stimuli. We found that variation of the area-specific inhibition (the model correlate of attention) modulated the simulated brain response to words and pseudowords, producing either an N400- or a mismatch negativity-like response depending on the amount of inhibition (i.e. available attentional resources). Our model: (i) provides a unifying explanatory account, at cortical level, of experimental observations that, so far, had not been given a coherent interpretation within a single framework; (ii) demonstrates the viability of purely Hebbian, associative learning in a multilayered neural network architecture; and (iii) makes clear predictions on the effects of attention on latency and magnitude of event-related potentials to lexical items. Such predictions have been confirmed by recent experimental evidence.

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What Does the English Language Look Like?

Posted by Callier Library on January 18, 2008

from Read Write Web

Have you ever wondered what the English language looks? Yeah, neither have I. But a group of researchers at the Massachusetts Institute of Technology and New York University did, and tapping into the billions of images freely available on the Internet, they came up with a visual map of the English language using nearly 80 million of those images. The images are arranged based on the semantic relationship between words, and thus, according to the researchers, the project explores “the relationship between visual and semantic similarity.”

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The human brain: Detective of auditory and visual change

Posted by Callier Library on January 18, 2008

from EurekAlert.org

The human brain is capable of detecting the slightest visual and auditory changes. Whether it is the flash of a student’s hand into the air or the faintest miscue of a flutist, the brain instantaneously and effortlessly perceives changes in our environment. Several studies have indicated, however, that even a small span of time in between pre- and post-change images can disturb the brain’s ability to detect visual discrepancies.

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The role of augmentative communication devices in the medical management of ALS

Posted by Callier Library on January 18, 2008

from Neurorehabilitation

When an individual has a severe verbal communication impairment, Augmentative and Alternative Communication (AAC) can meet the overall goals of palliative care. AAC can improve quality of life by optimizing function, assisting with decision making, and providing opportunities for personal growth. This article will define AAC and its importance in the medical management of a person with ALS. The process of obtaining an electronic AAC device, issues affecting use, and communication challenges and obstacles unique to ALS will be described including dysarthria and the diagnostic testing for speech and rationale for AAC. Communication solutions, which may include no-technology, low-technology and high-technology options will be discussed, as well as the importance of psychosocial issues and the factors that may influence the use of these systems.

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Diagnostic and therapeutic methods in the management of dysphagia in the ALS population: Issues in efficacy for the out-patient setting

Posted by Callier Library on January 18, 2008

from Neurorehabilitation

ALS is a neurodegenerative disease that affects nerve cells in the brain and spinal cord that control voluntary skeletal muscle. The muscle weakness that results from ALS is relentlessly progressive and rehabilitative attempts to strengthen affected muscles usually fail. When managing swallowing and communication disorders in individuals with ALS, the goals are to maximize function and safety through the use of compensatory strategies, energy conservation, and patient and caregiver education and counseling. This paper will review the current methods of assessment and treatment used with this population in the outpatient setting.

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A detailed study on the effects of noise on speech intelligibility

Posted by Callier Library on January 18, 2008

from the Journal of the Acoustical Society of America

A wavelet representation of speech was used to display the instantaneous amplitude and phase within 1/4 octave frequency bands, representing the envelope and the carrier within each band. Adding stationary noise alters the wavelet pattern, which can be understood as a combination of three simultaneously occurring subeffects: two effects on the wavelet levels (one systematic and one stochastic) and one effect on the wavelet phases. Specific types of signal processing were applied to speech, which allowed each effect to be either included or excluded. The impact of each effect (and of combinations) on speech intelligibility was measured with CVC’s. It appeared that the systematic level effect (i.e., the increase of each speech wavelet intensity with the mean noise intensity) has the most degrading effect on speech intelligibility, which is in accordance with measures such as the modulation transfer function and the speech transmission index. However, also the introduction of stochastic level fluctuations and disturbance of the carrier phase seriously contribute to reduced intelligibility in noise. It is argued that these stochastic effects are responsible for the limited success of spectral subtraction as a means to improve speech intelligibility. Results can provide clues for effective noise suppression with respect to intelligibility. ©2007 Acoustical Society of America

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Auditory steady-state responses to chirp stimuli based on cochlear traveling wave delay

Posted by Callier Library on January 18, 2008

from the Journal of the Acoustical Society of America

This study investigates the use of chirp stimuli to compensate for the cochlear traveling wave delay. The temporal dispersion in the cochlea is given by the traveling time, which in this study is estimated from latency-frequency functions obtained from (1) a cochlear model, (2) tone-burst auditory brain stem response (ABR) latencies, (3) and narrow-band ABR latencies. These latency-frequency functions are assumed to reflect the group delay of a linear system that modifies the phase spectrum of the applied stimulus. On the basis of this assumption, three chirps are constructed and evaluated in 49 normal-hearing subjects. The auditory steady-state responses to these chirps and to a click stimulus are compared at two levels of stimulation (30 and 50 dB nHL) and a rate of 90/s. The chirps give shorter detection time and higher signal-to-noise ratio than the click. The shorter detection time obtained by the chirps is equivalent to an increase in stimulus level of 20 dB or more. The results indicate that a chirp is a more efficient stimulus than a click for the recording of early auditory evoked responses in normal-hearing adults using transient sounds at a high rate of stimulation. ©2007 Acoustical Society of America

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Learning English vowels with different first-language vowel systems: Perception of formant targets, formant movement, and duration

Posted by Callier Library on January 18, 2008

from the Journal of the Acoustical Society of America

This study examined whether individuals with a wide range of first-language vowel systems (Spanish, French, German, and Norwegian) differ fundamentally in the cues that they use when they learn the English vowel system (e.g., formant movement and duration). All subjects: (1) identified natural English vowels in quiet; (2) identified English vowels in noise that had been signal processed to flatten formant movement or equate duration; (3) perceptually mapped best exemplars for first- and second-language synthetic vowels in a five-dimensional vowel space that included formant movement and duration; and (4) rated how natural English vowels assimilated into their L1 vowel categories. The results demonstrated that individuals with larger and more complex first-language vowel systems (German and Norwegian) were more accurate at recognizing English vowels than were individuals with smaller first-language systems (Spanish and French). However, there were no fundamental differences in what these individuals learned. That is, all groups used formant movement and duration to recognize English vowels, and learned new aspects of the English vowel system rather than simply assimilating vowels into existing first-language categories. The results suggest that there is a surprising degree of uniformity in the ways that individuals with different language backgrounds perceive second language vowels. ©2007 Acoustical Society of America

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Perception of across-frequency interaural level differences

Posted by Callier Library on January 18, 2008

from the Journal of the Acoustical Society of America

The interaural level difference (ILD) is an important cue for the localization of sound sources. Just noticeable differences (JND) in ILD were measured in 12 normal hearing subjects for uncorrelated noise bands with a bandwidth of 1/3 octave and a different center frequency in both ears. In one ear the center frequency was either 250, 500, 1000, or 4000 Hz. In the other ear, a frequency shift of 0, 1/6, 1/3, or 1 octave was introduced. JNDs in ILD for unshifted, uncorrelated noise bands of 1/3 octave width were 2.6, 2.6, 2.5, and 1.4 dB for 250, 500, 1000, and 4000 Hz, respectively. Averaged over all shifts, JNDs decreased significantly with increasing frequency. For the shifted conditions, JNDs increased significantly with increasing shift. Performance on average worsened by 0.5, 0.9, and 1.5 dB for shifts of 1/6, 1/3, and 1 octave. Though performance decreases, the just noticeable ILDs for the shifted conditions were still in a range usable for lateralization. This has implications for signal processing algorithms for bilateral bimodal hearing instruments and the fitting of bilateral cochlear implants. ©2007 Acoustical Society of America

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The ability to listen with independent ears

Posted by Callier Library on January 18, 2008

from the Journal of the Acoustical Society of America

In three experiments, listeners identified speech processed into narrow bands and presented to the right (“target”) ear. The ability of listeners to ignore (or even use) conflicting contralateral stimulation was examined by presenting various maskers to the target ear (“ipsilateral”) and nontarget ear (“contralateral”). Theoretically, an absence of contralateral interference would imply selectively attending to only the target ear; the presence of interference from the contralateral stimulus would imply that listeners were unable to treat the stimuli at the two ears independently; and improved performance in the presence of informative contralateral stimulation would imply that listeners can process the signals at both ears and keep them separate rather than combining them. Experiments showed evidence of the ability to selectively process (or respond to) only the target ear in some, but not all, conditions. No evidence was found for improved performance due to contralateral stimulation. The pattern of interference found across experiments supports an interaction of stimulus-based factors (auditory grouping) and task-based factors (demand for processing resources) and suggests that listeners may not always be able to listen to the “better” ear even when it would be beneficial to do so. ©2007 Acoustical Society of America

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Validation of the auditory hazard assessment algorithm for the human with impulse noise data

Posted by Callier Library on January 18, 2008

from the Journal of the Acoustical Society of America

Predicting auditory hazard from intense acoustic impulses, such as weapons fire or airbags, has been an intractable problem. The U.S. Army developed a theoretically based mathematical model of the ear designed to predict such hazards [the Auditory Hazard Assessment Algorithm for the Human (AHAAH)]. To validate it as a predictor of hazard, data from the literature (wave forms and changes in hearing sensitivity) were processed with the model in order to predict the onset of unacceptable threshold shift (25 dB or more) in the 95th percentile human ear. For comparison, alternate standards MIL-STD-1747D and A-weighted energy were also used to compute hazards for the same data. The primary dataset was that of the US Army’s “Albuquerque studies” (53 different cases) and other impulses from the literature (19 additional predictions). The AHAAH model predicted correctly in over 95% of the cases, the MIL-STD-1474D was correct in 42% of the cases, and A-weighted energy was correct in 25% of the cases. Errors for all methods tended to be in the direction of overprediction of hazard. In addition to greatly increased accuracy, the AHAAH model also has the advantage of being theoretically based and including novel diagnostic features. ©2007 Acoustical Society of America

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Intraoperative brainstem auditory evoked potential pattern and perioperative vasoactive treatment for hearing preservation in vestibular schwannoma surgery

Posted by Callier Library on January 18, 2008

from the Journal of Neurology, Neurosurgery, and Psychiatry

Objective: In vestibular schwannoma surgery, four different intraoperative brainstem auditory evoked potential (BAEP) patterns (stable BAEP, abrupt loss, irreversible progressive loss, reversible loss) can be identified and correlated with postoperative hearing outcome. Patients with reversible loss significantly benefit from postoperative vasoactive treatment consisting of hydroxyethyl starch and nimodipine. The present study investigates the treatment effect in the remaining three BAEP patterns.
Methods: A retrospective analysis was performed in 92 patients operated on for vestibular schwannoma between 1997 and 2005. Between 1997 and 2001, only patients with reversible loss of BAEP received vasoactive medication. Subsequently, all patients operated on between 2001 and 2005 received a 10 day course of therapy, regardless of the BAEP pattern. Serial audiological examinations before, after surgery and after 1 year were performed in all patients.

Results: All 30 patients with reversible loss of BAEP received medication, and postoperative hearing preservation was documented in 21 patients. All 13 patients with stable waves showed hearing preservation, regardless of treatment. In all 24 patients with abrupt loss and in all 25 patients with irreversible progressive loss, postoperative anacusis was documented, regardless of treatment.

Conclusion: In patients with reversible loss of BAEP, a disturbed microcirculation of the cochlear nerve seems to be the underlying pathophysiological factor. In patients with abrupt or irreversible progressive loss, additional mechanical injury of nerve fibres determines hearing outcome. The study provides evidence that for the purpose of hearing preservation, only patients with reversible loss of BAEP benefit from vasoactive treatment.

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Effect of daily repetitive transcranial magnetic stimulation for treatment of tinnitus: comparison of different stimulus frequencies

Posted by Callier Library on January 18, 2008

from the Journal of Neurology, Neurosurgery, and Psychiatry

We compared the effect of different frequencies of repetitive transcranial magnetic stimulation (rTMS) (1 Hz, 10 Hz, 25 Hz and sham (occipital, 1 Hz)), given daily over the left temporoparietal cortex for 2 weeks, on 66 patients with chronic tinnitus randomly divided into four treatment groups. Patients were assessed using the Tinnitus Handicap Inventory, self-ratings of symptoms and audiometric measures of residual inhibition before, immediately after 2 weeks’ treatment and monthly thereafter for 4 consecutive months.
Results: There were no significant differences in basal measures between the four groups of patients. A two-factor ANOVA revealed a significant “rTMS” x “time” interaction for all measures. This was because real rTMS produced greater improvement than sham. However, there was no significant difference between the responses to different frequencies of rTMS. The response to rTMS depended on the duration of tinnitus: patients who had tinnitus for the longest period of time were the least likely to respond to treatment.

Conclusion: Daily sessions of rTMS over the temporoparietal cortex may be a useful potential treatment for tinnitus

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