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1.
Appl Opt ; 59(25): 7596-7605, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32902459

RESUMO

Ultraviolet decontamination of personal protective equipment, particularly masks, is important in situations where mask reuse is practiced. To assist in the development of UV-C decontamination chambers, we have constructed ray tracing models in Zemax OpticStudio v20.1 for two distinct geometries, namely, a rectangular cabinet and a cylindrical can. These models provide irradiance distributions that can be used for comparison with experiment, as well as to predict local irradiance variation over the surface of a mask. In this paper we describe the model details, including: (1) a mask object in CAD format; (2) our assumptions for modeling surface properties; (3) the use of polygon object detectors for local irradiance analysis; and (4) experimental results that compare favorably to the simulations.

2.
Appl Opt ; 59(25): 7585-7595, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32902458

RESUMO

We present evidence-based design principles for three different UV-C based decontamination systems for N95 filtering facepiece respirators (FFRs) within the context of the SARS-CoV-2 outbreak of 2019-2020. The approaches used here were created with consideration for the needs of low- and middle-income countries (LMICs) and other under-resourced facilities. As such, a particular emphasis is placed on providing cost-effective solutions that can be implemented in short order using generally available components and subsystems. We discuss three optical designs for decontamination chambers, describe experiments verifying design parameters, validate the efficacy of the decontamination for two commonly used N95 FFRs (3M, #1860 and Gerson #1730), and run mechanical and filtration tests that support FFR reuse for at least five decontamination cycles.


Assuntos
Filtros de Ar , Descontaminação/instrumentação , Desenho de Equipamento/métodos , Máscaras , Raios Ultravioleta , Filtros de Ar/microbiologia , Filtros de Ar/virologia , Reutilização de Equipamento , Umidade , Ozônio/síntese química , Ozônio/toxicidade , Temperatura , Raios Ultravioleta/efeitos adversos
3.
J Acoust Soc Am ; 147(3): 1344, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32237835

RESUMO

The use of a large number of amplitude-compression channels in hearing aids has potential advantages, such as the ability to compensate for variations in loudness recruitment across frequency and provide appropriate frequency-response shaping. However, sound quality and speech intelligibility could be adversely affected due to reduction of spectro-temporal contrast and distortion, especially when fast-acting compression is used. This study assessed the effect of the number of channels and compression speed on speech recognition when the multichannel processing was used solely to implement amplitude compression, and not for frequency-response shaping. Computer-simulated hearing aids were used. The frequency-dependent insertion gains for speech with a level of 65 dB sound pressure level were applied using a single filter before the signal was filtered into compression channels. Fast-acting (attack, 10 ms; release, 100 ms) or slow-acting (attack, 50 ms; release, 3000 ms) compression using 3, 6, 12, and 22 channels was applied subsequently. Using a sentence recognition task with speech in two- and eight-talker babble at three different signal-to-babble ratios (SBRs), 20 adults with sensorineural hearing loss were tested. The number of channels and compression speed had no significant effect on speech recognition, regardless of babble type or SBR.


Assuntos
Auxiliares de Audição , Perda Auditiva Neurossensorial , Perda Auditiva , Percepção da Fala , Adulto , Perda Auditiva Neurossensorial/diagnóstico , Humanos , Inteligibilidade da Fala
4.
J Acoust Soc Am ; 145(4): 2401, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-31046361

RESUMO

The effect of temporal repetition rate R on the discrimination and internal representation of stimuli with spectro-temporal ripples was examined. Experiment 1 measured the highest ripple density D at which upward- and downward-gliding ripples could be discriminated. Thresholds varied only slightly for R from 2 to 8 Hz, with a median threshold just above 5 ripples/oct. The threshold decreased (worsened) when R was increased to 16 and 32 Hz, suggesting that the limited temporal resolution of the auditory system plays a role for these higher values of R. Experiment 2 explored the internal representation of stimuli with static and downward-gliding spectral ripples by measuring the detection threshold for a brief tone presented at a peak or a valley in the stimulus spectrum. Thresholds were generally higher when the signal was at a peak than when it was at a valley. The peak-valley difference tended to decrease with increasing D, and the variation of thresholds with D was greater for low R than for high R. The results suggest that the discrimination of spectro-temporal ripples is limited mainly by frequency resolution for lower ripple rates (up to 4-8 Hz) but temporal resolution plays a major role for higher rates.

5.
Nat Chem Biol ; 12(2): 76-81, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26641932

RESUMO

We describe a multipurpose technology platform, termed µSCALE (microcapillary single-cell analysis and laser extraction), that enables massively parallel, quantitative biochemical and biophysical measurements on millions of protein variants expressed from yeast or bacteria. µSCALE spatially segregates single cells within a microcapillary array, enabling repeated imaging, cell growth and protein expression. We performed high-throughput analysis of cells and their protein products using a range of fluorescent assays, including binding-affinity measurements and dynamic enzymatic assays. A precise laser-based extraction method allows rapid recovery of live clones and their genetic material from microcapillaries for further study. With µSCALE, we discovered a new antibody against a clinical cancer target, evolved a fluorescent protein biosensor and engineered an enzyme to reduce its sensitivity to its inhibitor. These protein analysis and engineering applications each have unique assay requirements and different host organisms, highlighting the flexibility and technical capabilities of the µSCALE platform.


Assuntos
Proteínas de Bactérias/análise , Técnicas de Química Analítica/instrumentação , Proteínas Fúngicas/análise , Análise Serial de Proteínas/instrumentação , Engenharia de Proteínas/instrumentação , Análise de Célula Única/instrumentação , Técnicas Biossensoriais/instrumentação , Citometria de Fluxo , Corantes Fluorescentes/química , Biblioteca Gênica , Ligação Proteica
6.
Ear Hear ; 39(1): 32-41, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29189292

RESUMO

OBJECTIVE: The main objective of this study is to obtain data assessing normative scores, test-retest reliability, critical differences, and the effect of age for two closed-set consonant-discrimination tests. DESIGN: The two tests are intended for use with children aged 2 to 8 years. The tests were evaluated using normal-hearing children within the appropriate age range. The tests were (1) the closed-set consonant confusion test (CCT) and (2) the consonant-discrimination subtest of the closed-set Chear Auditory Perception Test (CAPT). Both were word-identification tests using stimuli presented at a low fixed level, chosen to avoid ceiling effects while avoiding the use of background noise. Each test was administered twice. RESULTS: All children in the age range 3 years 2 months to 8 years 11 months gave meaningful scores and were able to respond reliably using a computer mouse or a touch screen to select one of four response options displayed on a screen for each trial. Assessment of test-retest reliability showed strong agreement between the two test runs (interclass correlation ≥ 0.8 for both tests). The critical differences were similar to those for other monosyllabic speech tests. Tables of these differences for the CCT and CAPT are provided for clinical use of the measures. Performance tended to improve with increasing age, especially for the CCT. Regression equations relating mean performance to age are given. CONCLUSIONS: The CCT is appropriate for children with developmental age in the range 2 to 4.5 years and the CAPT is appropriate as a follow-on test from the CCT. If a child scores 80% or more on the CCT, they can be further tested using the CAPT, which contains more advanced vocabulary and more difficult contrasts. This allows the assessment of consonant perception ability and of changes over time or after an intervention.


Assuntos
Testes de Discriminação da Fala/métodos , Fatores Etários , Criança , Linguagem Infantil , Pré-Escolar , Feminino , Humanos , Masculino , Fonética , Percepção da Fala , Vocabulário
7.
Ear Hear ; 39(1): 20-31, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-28691934

RESUMO

OBJECTIVES: To assess whether there are significant differences between speech scores for different hearing aid prescription methods, specifically DSL i/o, DSL V, and NAL-NL1, using age-appropriate closed- and open-set speech tests with young children, designed to avoid floor and ceiling effects. DESIGN: Participants were 44 children with moderate or severe bilateral hearing loss, 8 aged 2 to 3 years, 15 aged 4 to 5 years, and 21 aged 6 to 9 years. Children wore bilateral hearing aids fitted with each prescription method in turn in a balanced double-blind design. The speech tests used with each child (and for some tests the levels) were chosen so as to avoid floor and ceiling effects. For the closed-set tests, the level used was selected for each child based on their hearing loss. The tests used were: (1) The closed-set Consonant Confusion Test of word identification; (2) The closed-set Chear Auditory Perception Test (CAPT) of word identification. This has separate sections assessing discrimination of consonants and vowels and detection of consonants; (3) The open-set Cambridge Auditory Word Lists for testing word identification at levels of 50 and 65 dBA, utilizing 10 consonant-vowel-consonant real words that are likely to be familiar to children aged 3 years or older; (4) The open-set Common Phrases Test to measure the speech reception threshold in quiet; (5) Measurement of the levels required for identification of the Ling 5 sounds, using a recording of the sounds made at the University of Western Ontario. RESULTS: Scores for the Consonant Confusion Test and CAPT consonant discrimination and consonant detection were lower for the NAL-NL1 prescription than for the DSL prescriptions. Scores for the CAPT vowel-in-noise discrimination test were higher for DSL V than for either of the other prescriptions. Scores for the Cambridge Auditory Word Lists did not differ across prescriptions for the level of 65 dBA, but were lower for the NAL-NL1 prescription than for either of the DSL prescriptions for the level of 50 dBA. The speech reception threshold measured using the Common Phrases Test and the levels required for identification of the Ling 5 sounds were higher (worse) for the NAL-NL1 prescription than for the DSL prescriptions. CONCLUSIONS: The higher gains prescribed by the DSL i/o and DSL V prescription methods relative to NAL-NL1 led to significantly better detection and discrimination of low-level speech sounds.


Assuntos
Auxiliares de Audição , Perda Auditiva Bilateral/reabilitação , Percepção Sonora , Percepção da Fala , Criança , Pré-Escolar , Método Duplo-Cego , Desenho de Equipamento , Testes Auditivos , Humanos , Prescrições , Inteligibilidade da Fala
8.
J Acoust Soc Am ; 143(2): 1128, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29495745

RESUMO

An algorithm for enhancing spectral changes over time was previously shown to improve the intelligibility of speech in steady speech-spectrum noise (SSN) for hearing-impaired subjects but tended to impair intelligibility for speech in a background of two-talker speech. Large individual differences were found and the application of a genetic algorithm for selecting the "best" parameter values for each listener was found to be beneficial. In the present study, the spectral-change enhancement (SCE) processing was modified by individually tailoring the degree of SCE based on the frequency-dependent hearing loss of the subjects, and by using finer frequency resolution. The effect of the modified SCE processing on the intelligibility and quality of speech in SSN and babble noise (BBN) was evaluated. Ten subjects with mild to moderate hearing loss were tested twice for all tests. The SCE processing led to small but significant improvements in the intelligibility of speech in both SSN and BBN, while the effect of the SCE processing on speech quality was small.


Assuntos
Perda Auditiva/psicologia , Ruído/efeitos adversos , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/psicologia , Inteligibilidade da Fala , Percepção da Fala , Estimulação Acústica , Idoso , Limiar Auditivo , Feminino , Audição , Perda Auditiva/diagnóstico , Perda Auditiva/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Teste do Limiar de Recepção da Fala
9.
Int J Audiol ; 57(8): 624-631, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29764254

RESUMO

OBJECTIVE: The objective was to evaluate and select appropriate parameters for a multi-channel transient reduction (MCTR) algorithm for detecting and attenuating transient sounds in speech. DESIGN: In each trial, the same sentence was played twice. A transient sound was presented in both sentences, but its level varied across the two depending on whether or not it had been processed by the MCTR and on the "strength" of the processing. The participant indicated their preference for which one was better and by how much in terms of the balance between the annoyance produced by the transient and the audibility of the transient (they were told that the transient should still be audible). STUDY SAMPLE: Twenty English-speaking participants were tested, 10 with normal hearing and 10 with mild-to-moderate hearing-impairment. Frequency-dependent linear amplification was provided for the latter. RESULTS: The results for both participant groups indicated that sounds processed using the MCTR were preferred over the unprocessed sounds. For the hearing-impaired participants, the medium and strong settings of the MCTR were preferred over the weak setting. CONCLUSIONS: The medium and strong settings of the MCTR reduced the annoyance produced by the transients while maintaining their audibility.


Assuntos
Algoritmos , Correção de Deficiência Auditiva/instrumentação , Auxiliares de Audição , Perda Auditiva/reabilitação , Ruído/prevenção & controle , Pessoas com Deficiência Auditiva/reabilitação , Processamento de Sinais Assistido por Computador , Percepção da Fala , Estimulação Acústica , Audiometria da Fala , Limiar Auditivo , Audição , Perda Auditiva/diagnóstico , Perda Auditiva/fisiopatologia , Perda Auditiva/psicologia , Humanos , Humor Irritável , Ruído/efeitos adversos , Preferência do Paciente , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/psicologia
10.
Int J Audiol ; 57(8): 632-637, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29688099

RESUMO

OBJECTIVES: Cochlear dead regions (DRs) are regions in the cochlea where the inner hair cells and/or neurons are not functioning. Adults with extensive high-frequency DRs have enhanced abilities in processing sounds with frequencies just below the edge frequency, fedge, of the DR. It was assessed whether the same is true for children. DESIGN: Performance was compared for children aged 8 to 13 years with: DRs (group DR), hearing impairment but without DRs (group NODR), and normal hearing (group NH). Seven ears in each group were tested. Each ear in the DR group was matched in age and low-frequency hearing with an ear in the NODR group, and in age with an ear in the NH group, giving seven "triplets". Within each triplet, the percent correct identification of vowel-consonant-vowel stimuli was measured using stimuli that were low-pass filtered at fedge and 0.67fedge, based on the ear with a DR. For the hearing-impaired ears, stimuli were given frequency-selective amplification as prescribed by DSL 4.1. RESULTS: No significant differences in performance were found between groups for either low-pass cut-off frequency. CONCLUSION: Unlike adults, the children with DRs did not show enhanced discrimination of speech stimuli with frequencies below fedge.


Assuntos
Cóclea/fisiopatologia , Perda Auditiva/fisiopatologia , Perda Auditiva/psicologia , Pessoas com Deficiência Auditiva/psicologia , Percepção da Fala , Estimulação Acústica , Fatores Etários , Audiometria da Fala , Estudos de Casos e Controles , Discriminação Psicológica , Feminino , Audição , Perda Auditiva/diagnóstico , Humanos , Masculino , Plasticidade Neuronal , Inteligibilidade da Fala
11.
J Biomech Eng ; 139(5)2017 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-28267190

RESUMO

Acute mechanical damage and the resulting joint contact abnormalities are central to the initiation and progression of post-traumatic osteoarthritis (PTOA). Study of PTOA is typically performed in vivo with replicate animals using artificially induced injury features. The goal of this work was to measure changes in a joint contact stress in the knee of a large quadruped after creation of a clinically realistic overload injury and a focal cartilage defect. Whole-joint overload was achieved by excising a 5-mm wedge of the anterior medial meniscus. Focal cartilage defects were created using a custom pneumatic impact gun specifically developed and mechanically characterized for this work. To evaluate the effect of these injuries on joint contact mechanics, Tekscan (Tekscan, Inc., South Boston, MA) measurements were obtained pre-operatively, postmeniscectomy, and postimpact (1.2-J) in a nonrandomized group of axially loaded cadaveric sheep knees. Postmeniscectomy, peak contact stress in the medial compartment is increased by 71% (p = 0.03) and contact area is decreased by 35% (p = 0.001); the center of pressure (CoP) shifted toward the cruciate ligaments in both the medial (p = 0.004) and lateral (p = 0.03) compartments. The creation of a cartilage defect did not significantly change any aspect of contact mechanics measured in the meniscectomized knee. This work characterizes the mechanical environment present in a quadrupedal animal knee joint after two methods to reproducibly induce joint injury features that lead to PTOA.


Assuntos
Cartilagem/lesões , Traumatismos do Joelho/etiologia , Articulação do Joelho , Fenômenos Mecânicos , Meniscectomia/efeitos adversos , Animais , Fenômenos Biomecânicos , Ovinos , Estresse Mecânico
12.
Int J Audiol ; 56(2): 106-120, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27724057

RESUMO

OBJECTIVE: The objective was to assess the degradation of speech sound quality produced by frequency compression for listeners with extensive high-frequency dead regions (DRs). DESIGN: Quality ratings were obtained using values of the starting frequency (Sf) of the frequency compression both below and above the estimated edge frequency, fe, of each DR. Thus, the value of Sf often fell below the lowest value currently used in clinical practice. Several compression ratios were used for each value of Sf. Stimuli were sentences processed via a prototype hearing aid based on Phonak Exélia Art P. STUDY SAMPLE: Five participants (eight ears) with extensive high-frequency DRs were tested. RESULTS: Reductions of sound-quality produced by frequency compression were small to moderate. Ratings decreased significantly with decreasing Sf and increasing CR. The mean ratings were lowest for the lowest Sf and highest CR. Ratings varied across participants, with one participant rating frequency compression lower than no frequency compression even when Sf was above fe. CONCLUSIONS: Frequency compression degraded sound quality somewhat for this small group of participants with extensive high-frequency DRs. The degradation was greater for lower values of Sf relative to fe, and for greater values of CR. Results varied across participants.


Assuntos
Cóclea/fisiopatologia , Correção de Deficiência Auditiva/instrumentação , Auxiliares de Audição , Perda Auditiva Neurossensorial/reabilitação , Audição , Pessoas com Deficiência Auditiva/reabilitação , Percepção da Fala , Estimulação Acústica , Idoso , Audiometria de Tons Puros , Limiar Auditivo , Feminino , Perda Auditiva Neurossensorial/diagnóstico , Perda Auditiva Neurossensorial/fisiopatologia , Perda Auditiva Neurossensorial/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Pessoas com Deficiência Auditiva/psicologia , Processamento de Sinais Assistido por Computador , Inteligibilidade da Fala , Resultado do Tratamento
13.
Ear Hear ; 37(4): 483-91, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26928003

RESUMO

OBJECTIVE: To compare loudness and tone-quality ratings for sounds processed via a simulated five-channel compression hearing aid fitted using NAL-NL2 or using a modification of the fitting designed to be appropriate for the type of listening situation: speech in quiet, speech in noise, music, and noise alone. DESIGN: Ratings of loudness and tone quality were obtained for stimuli presented via a loudspeaker in front of the participant. For normal-hearing participants, levels of 50, 65, and 80 dB SPL were used. For hearing-impaired participants, the stimuli were processed via a simulated hearing aid with five-channel fast-acting compression fitted using NAL-NL2 or using a modified fitting. Input levels to the simulated hearing aid were 50, 65, and 80 dB SPL. All participants listened with one ear plugged. For speech in quiet, the modified fitting was based on the CAM2B method. For speech in noise, the modified fitting used slightly (0 to 2 dB) decreased gains at low frequencies. For music, the modified fitting used increased gains (by 5 to 14 dB) at low frequencies. For noise alone, the modified fitting used decreased gains at all frequencies (by a mean of 1 dB at low frequencies increasing to 8 dB at high frequencies). RESULTS: For speech in quiet, ratings of loudness with the NAL-NL2 fitting were slightly lower than the mean ratings for normal-hearing participants for all levels, while ratings with CAM2B were close to normal for the two lower levels, and slightly greater than normal for the highest level. Ratings of tone quality were close to the optimum value ("just right") for both fittings, except that the CAM2B fitting was rated as very slightly boomy for the 80-dB SPL level. For speech in noise, the ratings of loudness were very close to the normal values and the ratings of tone quality were close to the optimal value for both fittings and for all levels. For music, the ratings of loudness were close to the normal values for NAL-NL2 and slightly above normal for the modified fitting. The tone quality was rated as very slightly tinny for NAL-NL2 and very slightly boomy for the modified fitting. For noise alone, the NAL-NL2 fitting was rated as slightly louder than normal for all levels, while the modified fitting was rated as close to normal. Tone quality was rated as slightly sharper for the NAL-NL2 fitting than for the modified fitting. CONCLUSIONS: Loudness and tone quality can sometimes be made slightly closer to "normal" by modifying gains for different listening situations. The modification for music required to achieve "normal" tone quality appears to be less than used in this study.


Assuntos
Correção de Deficiência Auditiva/métodos , Auxiliares de Audição , Perda Auditiva Neurossensorial/reabilitação , Percepção Sonora , Música , Ruído , Ajuste de Prótese/métodos , Percepção da Fala , Adulto , Idoso , Idoso de 80 Anos ou mais , Percepção Auditiva , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
14.
Proc Natl Acad Sci U S A ; 110(46): 18374-9, 2013 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-24167298

RESUMO

Intravital microscopy is a key means of monitoring cellular function in live organisms, but surgical preparation of a live animal for microscopy often is time-consuming, requires considerable skill, and limits experimental throughput. Here we introduce a spatially precise (<1-µm edge precision), high-speed (<1 s), largely automated, and economical protocol for microsurgical preparation of live animals for optical imaging. Using a 193-nm pulsed excimer laser and the fruit fly as a model, we created observation windows (12- to 350-µm diameters) in the exoskeleton. Through these windows we used two-photon microscopy to image odor-evoked Ca(2+) signaling in projection neuron dendrites of the antennal lobe and Kenyon cells of the mushroom body. The impact of a laser-cut window on fly health appears to be substantially less than that of conventional manual dissection, for our imaging durations of up to 18 h were ∼5-20 times longer than prior in vivo microscopy studies of hand-dissected flies. This improvement will facilitate studies of numerous questions in neuroscience, such as those regarding neuronal plasticity or learning and memory. As a control, we used phototaxis as an exemplary complex behavior in flies and found that laser microsurgery is sufficiently gentle to leave it intact. To demonstrate that our techniques are applicable to other species, we created microsurgical openings in nematodes, ants, and the mouse cranium. In conjunction with emerging robotic methods for handling and mounting flies or other small organisms, our rapid, precisely controllable, and highly repeatable microsurgical techniques should enable automated, high-throughput preparation of live animals for optical experimentation.


Assuntos
Encéfalo/cirurgia , Drosophila melanogaster/fisiologia , Lasers , Microcirurgia/métodos , Fenômenos Fisiológicos do Sistema Nervoso , Imagem Óptica/métodos , Animais , Formigas , Encéfalo/fisiologia , Cálcio/metabolismo , Camundongos , Nematoides , Imagem com Lapso de Tempo/métodos
15.
J Acoust Soc Am ; 138(2): 1143-53, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26328728

RESUMO

The detection of amplitude modulation (AM) of a carrier can be impaired by additional (masker) AM applied to the same carrier (within-carrier modulation masking, MM) or to a different carrier (across-carrier MM). These two types of MM were compared for young normal-hearing and older hearing-impaired subjects. The signal was 4- or 16-Hz sinusoidal AM of a 4000-Hz carrier. Masker AM with depth 0.4 was applied either to the same carrier or to a carrier at 3179 or 2518 Hz. The masker AM rate was 0.25, 0.5, 1, 2, or 4 times the signal rate. The signal AM depth was varied adaptively to determine the threshold. Both within-carrier and across-carrier MM patterns were similar for the two groups, suggesting that the hypothetical modulation filters are not affected by hearing loss or age. The signal AM detection thresholds were also similar for the two groups. Thresholds in the absence of masker AM were lower (better) for the older hearing-impaired than for the young normal-hearing subjects. Since the masked modulation thresholds were similar for the two groups, it seems unlikely that abnormal MM contributes to the difficulties experienced by older hearing-impaired people in understanding speech in background sounds.


Assuntos
Perda Auditiva Neurossensorial/fisiopatologia , Mascaramento Perceptivo/fisiologia , Estimulação Acústica , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Audiometria de Tons Puros , Limiar Auditivo , Feminino , Humanos , Hiperacusia , Masculino , Pessoa de Meia-Idade , Inteligibilidade da Fala , Adulto Jovem
17.
Heliyon ; 10(4): e25751, 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38375315

RESUMO

We speculated that increased blood-plasma levels of Substance P may serve as an indicator of glottal incompetence, which is usually indicated by reduced maximum phonation time. We performed an initial study to test the plausibility of this hypothesis. Patients with dysphonia caused by glottal incompetence were asked to perform vocal exercises for six months to reduce glottal incompetence and we compared the plasma concentration of Substance P before and after the vocal exercise to detect correlation between maximum phonation time and plasma concentration of Substance P. Based on the results, we further hypothesized that patients exhibiting dysphonia with maximum phonation time less than 14 s, in particular less than 10 sec, caused by glottal incompetence may have increased plasma concentration of Substance P with the results of elevated thresholds of cough reflex associated with subclinical aspiration in airways. Further study is needed on patients with decreased Substance P levels, with low scores on Activities of Daily Living and who are hospitalized with aspiration pneumonia.

18.
Ear Hear ; 34(4): 458-69, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23337997

RESUMO

OBJECTIVES: The presence of cochlear dead regions (DRs) can have a significant effect on speech perception. Some studies have reported that adults do not benefit from amplification of frequencies well inside an extensive DR. However, the importance of high-frequency amplification for hearing-impaired children has been emphasized by many researchers. This study investigates the benefit of high-frequency amplification for children with various degrees of high-frequency hearing impairment, with and without DRs. DESIGN: The children, aged 8 to 13 years, were divided into two groups according to the severity of their hearing impairment. Group MS had moderate to severe impairment (9 ears without DRs and 3 ears with restricted DRs). Group SP had severe to profound hearing impairment (7 ears with DRs and 1 ear without a DR). The vowel-consonant-vowel stimuli were subjected to the frequency-gain characteristics prescribed by the desired sensation level fitting method and presented via headphones broadband and under various low-pass filtering conditions. RESULTS: Group MS benefited from high-frequency amplification whether or not a restricted DR was present. In contrast, ears in group SP with continuous extensive DRs showed limited benefit from high-frequency amplification. For the latter, performance improved with increasing cutoff frequency up to approximately 1 octave above the edge frequency of the DR and generally stayed the same, or deteriorated, with further increases in bandwidth. In one case of severe to profound hearing impairment without evidence of DRs, performance increased with increasing cutoff frequency up to 2 kHz and remained almost constant with further increases in bandwidth. CONCLUSIONS: For children with severe to profound hearing impairment and continuous high-frequency DRs commencing from approximately 1 kHz, applying amplification only for frequencies up to approximately 1 octave above the edge frequency of the DR may be of benefit. Tests with more participants are needed to confirm this finding.


Assuntos
Estimulação Acústica/métodos , Cóclea/fisiopatologia , Perda Auditiva Neurossensorial/reabilitação , Percepção da Fala/fisiologia , Adolescente , Criança , Feminino , Perda Auditiva Neurossensorial/fisiopatologia , Humanos , Masculino , Mascaramento Perceptivo , Índice de Gravidade de Doença
19.
J Acoust Soc Am ; 133(5): 2910-20, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23654396

RESUMO

Chen et al. [J. Acoust. Soc. Am. 131, 2987-2998 (2012)] evaluated the effectiveness of an algorithm for enhancing spectral changes over time in improving the intelligibility of speech in background sounds for hearing-impaired subjects. The processing improved intelligibility for speech in steady speech-spectrum noise (SSN) but tended to impair intelligibility in a background of two-talker speech (TTS). Large individual differences were found. The present study assessed whether the effectiveness of the algorithm was improved when the parameters that controlled the degree and type of enhancement were chosen individually for each subject, using a genetic algorithm based on subjective preferences for speech clarity. The parameter values selected by the genetic algorithm varied markedly across subjects. Speech intelligibility was measured for unprocessed stimuli and stimuli processed using the selected parameters, with SSN and TTS maskers and two signal-to-masker ratios (SMRs) for each subject. The intelligibility of speech in the SSN masker at the lower SMR was improved about 14 percentage points by the processing. The overall improvement produced by the processing was significantly larger than the improvement observed in the previous study when the parameter values were fixed across subjects, indicating that use of the genetic algorithm was beneficial.


Assuntos
Algoritmos , Correção de Deficiência Auditiva/instrumentação , Auxiliares de Audição , Pessoas com Deficiência Auditiva/reabilitação , Processamento de Sinais Assistido por Computador , Inteligibilidade da Fala , Percepção da Fala , Estimulação Acústica , Idoso , Limiar Auditivo , Desenho de Equipamento , Humanos , Pessoa de Meia-Idade , Ruído/efeitos adversos , Satisfação do Paciente , Mascaramento Perceptivo , Pessoas com Deficiência Auditiva/psicologia , Espectrografia do Som , Teste do Limiar de Recepção da Fala , Fatores de Tempo
20.
J Arthroplasty ; 28(3): 543.e9-543.e12, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23333257

RESUMO

Damage to metallic bearing surfaces typically involves scratches, scrapes, metal transfer, and organic deposits. This damage can cause accelerated wear of the opposing surface and subsequent implant failure. Photography and viewing of metallic bearing surfaces, for documenting this damage, are hindered by optical reflectivity. This note demonstrates a simple, practical technique for metallic bearing surface photography and viewing that minimizes this reflectivity problem, that does not involve any modification of the bearing surface, and that allows for improved observation and documentation of overall damage. When the metallic bearing surface is placed within a tube of translucent material, the appearance of damage on that bearing surface is dramatically enhanced, showing up against a smooth, even background with excellent contrast and with fine detail achievable.


Assuntos
Análise de Falha de Equipamento/métodos , Prótese Articular/efeitos adversos , Metais/efeitos adversos , Fotografação/métodos , Falha de Prótese , Propriedades de Superfície
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