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1.
Ear Hear ; 45(2): 486-498, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38178308

RESUMEN

OBJECTIVES: Audiometric testing typically does not include frequencies above 8 kHz. However, recent research suggests that extended high-frequency (EHF) sensitivity could affect hearing in natural communication environments. Clinical assessment of hearing often employs pure tones and frequency-modulated (FM) tones interchangeably regardless of frequency. The present study was designed to evaluate how the stimulus chosen to measure EHF thresholds affects estimates of hearing sensitivity. DESIGN: The first experiment used standard audiometric procedures to measure 8- and 16-kHz thresholds for 5- to 28-year olds with normal hearing in the standard audiometric range (250 to 8000 Hz). Stimuli were steady tones, pulsed tones, and FM tones. The second experiment tested 18- to 28-year olds with normal hearing in the standard audiometric range using psychophysical procedures to evaluate how changes in sensitivity as a function of frequency affect detection of stimuli that differ with respect to bandwidth, including bands of noise. Thresholds were measured using steady tones, pulsed tones, FM tones, narrow bands of noise, and one-third-octave bands of noise at a range of center frequencies in one ear. RESULTS: In experiment 1, thresholds improved with increasing age at 8 kHz and worsened with increasing age at 16 kHz. Thresholds for individual participants were relatively similar for steady, pulsed, and FM tones at 8 kHz. At 16 kHz, mean thresholds were approximately 5 dB lower for FM tones than for steady or pulsed tones. This stimulus effect did not differ as a function of age. Experiment 2 replicated this greater stimulus effect at 16 kHz than at 8 kHz and showed that the slope of the audibility curve accounted for these effects. CONCLUSIONS: Contrary to prior expectations, there was no evidence that the choice of stimulus type affected school-age children more than adults. For individual participants, audiometric thresholds at 16 kHz were as much as 20 dB lower for FM tones than for steady tones. Threshold differences across stimuli at 16 kHz were predicted by differences in audibility across frequency, which can vary markedly between listeners. These results highlight the importance of considering spectral width of the stimulus used to evaluate EHF thresholds.


Asunto(s)
Audiometría , Audición , Adulto , Niño , Humanos , Adolescente , Umbral Auditivo , Audiometría/métodos , Ruido , Pruebas Auditivas
2.
J Acoust Soc Am ; 156(2): 1202-1213, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39158325

RESUMEN

Band importance functions for speech-in-noise recognition, typically determined in the presence of steady background noise, indicate a negligible role for extended high frequencies (EHFs; 8-20 kHz). However, recent findings indicate that EHF cues support speech recognition in multi-talker environments, particularly when the masker has reduced EHF levels relative to the target. This scenario can occur in natural auditory scenes when the target talker is facing the listener, but the maskers are not. In this study, we measured the importance of five bands from 40 to 20 000 Hz for speech-in-speech recognition by notch-filtering the bands individually. Stimuli consisted of a female target talker recorded from 0° and a spatially co-located two-talker female masker recorded either from 0° or 56.25°, simulating a masker either facing the listener or facing away, respectively. Results indicated peak band importance in the 0.4-1.3 kHz band and a negligible effect of removing the EHF band in the facing-masker condition. However, in the non-facing condition, the peak was broader and EHF importance was higher and comparable to that of the 3.3-8.3 kHz band in the facing-masker condition. These findings suggest that EHFs contain important cues for speech recognition in listening conditions with mismatched talker head orientations.


Asunto(s)
Estimulación Acústica , Señales (Psicología) , Ruido , Enmascaramiento Perceptual , Reconocimiento en Psicología , Percepción del Habla , Humanos , Femenino , Percepción del Habla/fisiología , Adulto Joven , Adulto , Masculino , Audiometría del Habla , Inteligibilidad del Habla , Umbral Auditivo , Localización de Sonidos , Acústica del Lenguaje , Espectrografía del Sonido
3.
J Acoust Soc Am ; 156(2): 763-773, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39105574

RESUMEN

The perception of a talker's head orientation is an ecologically relevant task. Humans are able to discriminate changes in talker head orientation using acoustic cues. Factors that may influence measures of this ability have not been well characterized. Here, we examined the minimum audible change in head orientation cues (MACHO) using diotic stimuli. The effects of several factors were tested: talker and gender, stimulus bandwidth (full-band vs low-pass filtered at 8 or 10 kHz), transducer (loudspeaker vs headphone), stimulus uncertainty (interleaved vs blocked presentation of four talkers), and vocal production mode (speech vs singing). The best performance of ∼41° was achieved for full-band, blocked presentation of speech over a loudspeaker. Greater stimulus uncertainty (interleaved presentation) worsened the MACHO by 26%. Bandlimiting at 8 and 10 kHz worsened performance by an additional 22% and 14%, respectively. At equivalent overall sound levels, performance was better for speech than for singing. There was some limited evidence for the transducer influencing the MACHO. These findings suggest the MACHO relies on multiple factors manipulated here. One of the largest, consistent effects was that of talker, suggesting head orientation cues are highly dependent on individual talker characteristics. This may be due to individual variability in speech directivity patterns.


Asunto(s)
Señales (Psicología) , Cabeza , Percepción del Habla , Humanos , Masculino , Femenino , Cabeza/fisiología , Adulto , Adulto Joven , Estimulación Acústica , Localización de Sonidos , Canto , Orientación
4.
J Pediatr ; 262: 113344, 2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-36736889

RESUMEN

OBJECTIVE: To assess changes and deficits in language and auditory exposures consequent to preterm birth and neonatal intensive care unit stay compared with exposures in utero among typically developing fetuses. STUDY DESIGN: We analyzed over 23 000 hours of auditory exposure data in a cohort study of 27 typically-developing fetuses and 24 preterm infants. Extrauterine exposures for fetuses were captured by having pregnant women wear 24-hour audio recording devices. For preterm infants, recording devices were placed in the infant's crib. Multilevel linear regressions were conducted to test for group differences and effects of infant sex, maternal education, and mother' occupation. A linear mixed-effects model was used to test for an effect of speaker gender. RESULTS: Fetuses were exposed to an estimated 2.6 ± 1.8 hours/day of nearby, predominantly female language, nearly 5 times greater than 32 ± 12 minutes/day estimated for preterm infants (P < .001). Preterm infants had greater daily exposure to electronic sounds (5.1 ± 2.5 vs 1.3 ± 0.6 hours; P < .001) and noise (4.4 ± 2.1 vs 2.9 ± 2.8 hours; P < .05), with 4.7 ± 3.9 hours/day of silence. Language and extrauterine sound exposure for fetuses showed a marked day/night cyclical pattern, with low exposure during nighttime hours, but preterm infants' exposures showed significantly less change across the 24-hour cycle (P < .001). Maternal occupation requiring frequent communication predicted greater language exposure (P < .05). CONCLUSIONS: Our findings provide the first comparison of preterm infant auditory exposures to typically-developing fetuses. Some preterm infants may incur deficits of over 150 hours of language exposure over the preterm period. Given known effects of prenatal/preterm language exposure on neurobehavioral outcomes, this magnitude of deficit is alarming.


Asunto(s)
Recien Nacido Prematuro , Nacimiento Prematuro , Lactante , Recién Nacido , Femenino , Humanos , Embarazo , Masculino , Estudios de Cohortes , Lenguaje , Feto
5.
J Acoust Soc Am ; 154(1): 454-462, 2023 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-37489913

RESUMEN

Current evidence supports the contribution of extended high frequencies (EHFs; >8 kHz) to speech recognition, especially for speech-in-speech scenarios. However, it is unclear whether the benefit of EHFs is due to phonetic information in the EHF band, EHF cues to access phonetic information at lower frequencies, talker segregation cues, or some other mechanism. This study investigated the mechanisms of benefit derived from a mismatch in EHF content between target and masker talkers for speech-in-speech recognition. EHF mismatches were generated using full band (FB) speech and speech low-pass filtered at 8 kHz. Four filtering combinations with independently filtered target and masker speech were used to create two EHF-matched and two EHF-mismatched conditions for one- and two-talker maskers. Performance was best with the FB target and the low-pass masker in both one- and two-talker masker conditions, but the effect was larger for the two-talker masker. No benefit of an EHF mismatch was observed for the low-pass filtered target. A word-by-word analysis indicated higher recognition odds with increasing EHF energy level in the target word. These findings suggest that the audibility of target EHFs provides target phonetic information or target segregation and selective attention cues, but that the audibility of masker EHFs does not confer any segregation benefit.


Asunto(s)
Fonética , Habla , Señales (Psicología) , Reconocimiento en Psicología
6.
Ear Hear ; 43(1): 90-100, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34260434

RESUMEN

OBJECTIVES: Masked speech recognition is typically assessed as though the target and background talkers are all directly facing the listener. However, background speech in natural environments is often produced by talkers facing other directions, and talker head orientation affects the spectral content of speech, particularly at the extended high frequencies (EHFs; >8 kHz). This study investigated the effect of masker head orientation and listeners' EHF sensitivity on speech-in-speech recognition and spatial release from masking in children and adults. DESIGN: Participants were 5- to 7-year-olds (n = 15) and adults (n = 34), all with normal hearing up to 8 kHz and a range of EHF hearing thresholds. Speech reception thresholds (SRTs) were measured for target sentences recorded from a microphone directly in front of the talker's mouth and presented from a loudspeaker directly in front of the listener, simulating a target directly in front of and facing the listener. The maskers were two streams of concatenated words recorded from a microphone located at either 0° or 60° azimuth, simulating masker talkers facing the listener or facing away from the listener, respectively. Maskers were presented in one of three spatial conditions: co-located with the target, symmetrically separated on either side of the target (+54° and -54° on the horizontal plane), or asymmetrically separated to the right of the target (both +54° on the horizontal plane). RESULTS: Performance was poorer for the facing than for the nonfacing masker head orientation. This benefit of the nonfacing masker head orientation, or head orientation release from masking (HORM), was largest under the co-located condition, but it was also observed for the symmetric and asymmetric masker spatial separation conditions. SRTs were positively correlated with the mean 16-kHz threshold across ears in adults for the nonfacing conditions but not for the facing masker conditions. In adults with normal EHF thresholds, the HORM was comparable in magnitude to the benefit of a symmetric spatial separation of the target and maskers. Although children benefited from the nonfacing masker head orientation, their HORM was reduced compared to adults with normal EHF thresholds. Spatial release from masking was comparable across age groups for symmetric masker placement, but it was larger in adults than children for the asymmetric masker. CONCLUSIONS: Masker head orientation affects speech-in-speech recognition in children and adults, particularly those with normal EHF thresholds. This is important because masker talkers do not all face the listener under most natural listening conditions, and assuming a midline orientation would tend to overestimate the effect of spatial separation. The benefits associated with EHF audibility for speech-in-speech recognition may warrant clinical evaluation of thresholds above 8 kHz.


Asunto(s)
Percepción del Habla , Habla , Adulto , Niño , Audición , Humanos , Lenguaje , Enmascaramiento Perceptual
7.
J Acoust Soc Am ; 152(3): 1639, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-36182310

RESUMEN

The use of spectrally degraded speech signals deprives listeners of acoustic information that is useful for speech perception. Several popular speech corpora, recorded decades ago, have spectral degradations, including limited extended high-frequency (EHF) (>8 kHz) content. Although frequency content above 8 kHz is often assumed to play little or no role in speech perception, recent research suggests that EHF content in speech can have a significant beneficial impact on speech perception under a wide range of natural listening conditions. This paper provides an analysis of the spectral content of popular speech corpora used for speech perception research to highlight the potential shortcomings of using bandlimited speech materials. Two corpora analyzed here, the TIMIT and NU-6, have substantial low-frequency spectral degradation (<500 Hz) in addition to EHF degradation. We provide an overview of the phenomena potentially missed by using bandlimited speech signals, and the factors to consider when selecting stimuli that are sensitive to these effects.


Asunto(s)
Percepción del Habla , Percepción Auditiva , Habla
8.
J Acoust Soc Am ; 146(6): EL496, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31893732

RESUMEN

Speech energy beyond 8 kHz is often audible for listeners with normal hearing. Limits to audibility in this frequency range are not well described. This study assessed the maximum audible low-pass cutoff frequency for speech, relative to full-bandwidth speech. The mean audible cutoff frequency was approximately 13 kHz, with a small but significant effect of talker sex. Better pure tone thresholds at extended high frequencies correlated with higher audible cutoff frequency. These findings demonstrate that bandlimiting speech even at 13 kHz results in a detectable loss for the average normal-hearing listener, suggesting there is information regarding the speech signal beyond 13 kHz.

9.
J Acoust Soc Am ; 144(1): EL7, 2018 07.
Artículo en Inglés | MEDLINE | ID: mdl-30075666

RESUMEN

Directivity patterns for vocalizations radiating from the human mouth have been examined regularly, but phoneme-specific changes in radiation have rarely been identified. This study reports half-plane horizontal directivity up to 20 kHz with 15° angular resolution for /ɑ/, /e/, /i/, /o/, and /u/ extracted from running speech, compared with long-term averaged speech. An effect of vowel category on the directivity index was observed, with /ɑ/ being most directional. Angle-dependent third-octave band weighting functions, useful for simulating real-world listening conditions, highlighted disparities in directivity between running speech and individual vowels. These findings point to rapidly changing dynamic directivity patterns during speech.


Asunto(s)
Percepción Auditiva/fisiología , Acústica del Lenguaje , Percepción del Habla/fisiología , Habla/fisiología , Adulto , Anciano , Femenino , Humanos , Individualidad , Masculino , Persona de Mediana Edad , Fonética , Adulto Joven
10.
Proc Natl Acad Sci U S A ; 111(13): 4750-5, 2014 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-24639506

RESUMEN

Biological visual systems cannot measure the properties that define the physical world. Nonetheless, visually guided behaviors of humans and other animals are routinely successful. The purpose of this article is to consider how this feat is accomplished. Most concepts of vision propose, explicitly or implicitly, that visual behavior depends on recovering the sources of stimulus features either directly or by a process of statistical inference. Here we argue that, given the inability of the visual system to access the properties of the world, these conceptual frameworks cannot account for the behavioral success of biological vision. The alternative we present is that the visual system links the frequency of occurrence of biologically determined stimuli to useful perceptual and behavioral responses without recovering real-world properties. The evidence for this interpretation of vision is that the frequency of occurrence of stimulus patterns predicts many basic aspects of what we actually see. This strategy provides a different way of conceiving the relationship between objective reality and subjective experience, and offers a way to understand the operating principles of visual circuitry without invoking feature detection, representation, or probabilistic inference.


Asunto(s)
Visión Ocular/fisiología , Percepción Visual/fisiología , Animales , Conducta , Humanos , Estimulación Luminosa , Retina/fisiología
11.
J Acoust Soc Am ; 137(1): EL65-70, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25618101

RESUMEN

Speech perception studies generally focus on the acoustic information present in the frequency regions below 6 kHz. Recent evidence suggests that there is perceptually relevant information in the higher frequencies, including information affecting speech intelligibility. This experiment examined whether listeners are able to accurately identify a subset of vowels and consonants in CV-context when only high-frequency (above 5 kHz) acoustic information is available (through high-pass filtering and masking of lower frequency energy). The findings reveal that listeners are capable of extracting information from these higher frequency regions to accurately identify certain consonants and vowels.


Asunto(s)
Fonética , Percepción de la Altura Tonal/fisiología , Inteligibilidad del Habla/fisiología , Estimulación Acústica , Adulto , Femenino , Humanos , Masculino , Enmascaramiento Perceptual/fisiología , Percepción del Habla , Adulto Joven
12.
J Acoust Soc Am ; 135(1): 400-6, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24437780

RESUMEN

Previous work has shown that human listeners are sensitive to level differences in high-frequency energy (HFE) in isolated vowel sounds produced by male singers. Results indicated that sensitivity to HFE level changes increased with overall HFE level, suggesting that listeners would be more "tuned" to HFE in vocal production exhibiting higher levels of HFE. It follows that sensitivity to HFE level changes should be higher (1) for female vocal production than for male vocal production and (2) for singing than for speech. To test this hypothesis, difference limens for HFE level changes in male and female speech and singing were obtained. Listeners showed significantly greater ability to detect level changes in singing vs speech but not in female vs male speech. Mean differences limen scores for speech and singing were about 5 dB in the 8-kHz octave (5.6-11.3 kHz) but 8-10 dB in the 16-kHz octave (11.3-22 kHz). These scores are lower (better) than those previously reported for isolated vowels and some musical instruments.


Asunto(s)
Discriminación de la Altura Tonal , Canto , Acústica del Lenguaje , Percepción del Habla , Calidad de la Voz , Estimulación Acústica , Adulto , Audiometría del Habla , Femenino , Humanos , Masculino , Psicoacústica , Factores Sexuales , Espectrografía del Sonido , Adulto Joven
13.
Semin Hear ; 44(Suppl 1): S64-S74, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36970650

RESUMEN

Recent work has demonstrated that high-frequency (>6 kHz) and extended high-frequency (EHF; >8 kHz) hearing is valuable for speech-in-noise recognition. Several studies also indicate that EHF pure-tone thresholds predict speech-in-noise performance. These findings contradict the broadly accepted "speech bandwidth" that has historically been limited to below 8 kHz. This growing body of work is a tribute to the work of Pat Stelmachowicz, whose research was instrumental in revealing the limitations of the prior speech bandwidth work, particularly for female talkers and child listeners. Here, we provide a historical review that demonstrates how the work of Stelmachowicz and her colleagues paved the way for subsequent research to measure effects of extended bandwidths and EHF hearing. We also present a reanalysis of previous data collected in our lab, the results of which suggest that 16-kHz pure-tone thresholds are consistent predictors of speech-in-noise performance, regardless of whether EHF cues are present in the speech signal. Based on the work of Stelmachowicz, her colleagues, and those who have come afterward, we argue that it is time to retire the notion of a limited speech bandwidth for speech perception for both children and adults.

14.
J Acoust Soc Am ; 132(1): 433-41, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22779490

RESUMEN

Speech and singing directivity in the horizontal plane was examined using simultaneous multi-channel full-bandwidth recordings to investigate directivity of high-frequency energy, in particular. This method allowed not only for accurate analysis of running speech using the long-term average spectrum, but also for examination of directivity of separate transient phonemes. Several vocal production factors that could affect directivity were examined. Directivity differences were not found between modes of production (speech vs singing) and only slight differences were found between genders and production levels (soft vs normal vs loud), more pronounced in the higher frequencies. Large directivity differences were found between specific voiceless fricatives, with /s,∫/ more directional than /f,θ/ in the 4, 8, 16 kHz octave bands.


Asunto(s)
Música , Habla/fisiología , Voz/fisiología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Espectrografía del Sonido , Acústica del Lenguaje , Medición de la Producción del Habla
15.
J Acoust Soc Am ; 132(3): 1754-64, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22978902

RESUMEN

The human singing and speech spectrum includes energy above 5 kHz. To begin an in-depth exploration of this high-frequency energy (HFE), a database of anechoic high-fidelity recordings of singers and talkers was created and analyzed. Third-octave band analysis from the long-term average spectra showed that production level (soft vs normal vs loud), production mode (singing vs speech), and phoneme (for voiceless fricatives) all significantly affected HFE characteristics. Specifically, increased production level caused an increase in absolute HFE level, but a decrease in relative HFE level. Singing exhibited higher levels of HFE than speech in the soft and normal conditions, but not in the loud condition. Third-octave band levels distinguished phoneme class of voiceless fricatives. Female HFE levels were significantly greater than male levels only above 11 kHz. This information is pertinent to various areas of acoustics, including vocal tract modeling, voice synthesis, augmentative hearing technology (hearing aids and cochlear implants), and training/therapy for singing and speech.


Asunto(s)
Canto , Acústica del Lenguaje , Voz , Adulto , Anciano , Análisis de Varianza , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Procesamiento de Señales Asistido por Computador , Espectrografía del Sonido , Medición de la Producción del Habla , Calidad de la Voz , Adulto Joven
16.
J Acoust Soc Am ; 129(4): 2263-8, 2011 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-21476681

RESUMEN

The human voice spectrum above 5 kHz receives little attention. However, there are reasons to believe that this high-frequency energy (HFE) may play a role in perceived quality of voice in singing and speech. To fulfill this role, differences in HFE must first be detectable. To determine human ability to detect differences in HFE, the levels of the 8- and 16-kHz center-frequency octave bands were individually attenuated in sustained vowel sounds produced by singers and presented to listeners. Relatively small changes in HFE were in fact detectable, suggesting that this frequency range potentially contributes to the perception of especially the singing voice. Detection ability was greater in the 8-kHz octave than in the 16-kHz octave and varied with band energy level.


Asunto(s)
Percepción Auditiva/fisiología , Música , Fonación/fisiología , Voz/fisiología , Adulto , Umbral Auditivo/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Fonética , Presión , Espectrografía del Sonido , Entrenamiento de la Voz , Adulto Joven
17.
Hear Res ; 406: 108230, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33951577

RESUMEN

While the audible frequency range for humans spans approximately 20 Hz to 20 kHz, children display enhanced sensitivity relative to adults when detecting extended high frequencies (frequencies above 8 kHz; EHFs), as indicated by better pure tone thresholds. The impact that this increased hearing sensitivity to EHFs may have on children's speech recognition has not been established. One context in which EHF hearing may be particularly important for children is when recognizing speech in the presence of competing talkers. In the present study, we examined the extent to which school-age children (ages 5-17 years) with normal hearing were able to benefit from EHF cues when recognizing sentences in a two-talker speech masker. Two filtering conditions were tested: all stimuli were either full band or were low-pass filtered at 8 kHz to remove EHFs. Given that EHF energy emission in speech is highly dependent on head orientation of the talker (i.e., radiation becomes more directional with increasing frequency), two masker head angle conditions were tested: both co-located maskers were facing 45°, or both were facing 60° relative to the listener. The results demonstrated that regardless of age, children performed better when EHFs were present. In addition, a small change in masker head orientation also impacted performance, with better recognition at 60° compared to 45°. These findings suggest that EHF energy in the speech signal above 8 kHz is beneficial for children in complex listening situations. The magnitude of benefit from EHF cues and talker head orientation cues did not differ between children and adults. Therefore, while EHFs were beneficial for children as young as 5 years of age, children's generally better EHF hearing relative to adults did not provide any additional benefit.


Asunto(s)
Señales (Psicología) , Percepción del Habla , Habla , Adolescente , Niño , Preescolar , Audición , Humanos , Enmascaramiento Perceptual
18.
Trends Hear ; 24: 2331216520980299, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33345755

RESUMEN

Several studies have demonstrated that extended high frequencies (EHFs; >8 kHz) in speech are not only audible but also have some utility for speech recognition, including for speech-in-speech recognition when maskers are facing away from the listener. However, the contribution of EHF spectral versus temporal information to speech recognition is unknown. Here, we show that access to EHF temporal information improved speech-in-speech recognition relative to speech bandlimited at 8 kHz but that additional access to EHF spectral detail provided an additional small but significant benefit. Results suggest that both EHF spectral structure and the temporal envelope contribute to the observed EHF benefit. Speech recognition performance was quite sensitive to masker head orientation, with a rotation of only 15° providing a highly significant benefit. An exploratory analysis indicated that pure-tone thresholds at EHFs are better predictors of speech recognition performance than low-frequency pure-tone thresholds.


Asunto(s)
Percepción del Habla , Habla , Audiometría de Tonos Puros , Umbral Auditivo , Humanos , Ruido , Enmascaramiento Perceptual
19.
J Perinatol ; 40(4): 600-606, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32020037

RESUMEN

OBJECTIVE: To assess the sound reducing characteristics of modern incubators in the neonatal intensive care unit (NICU) and to better characterize auditory and language exposures for NICU infants. STUDY DESIGN: Sound frequency spectral analysis was conducted on language and noise audio acquired simultaneously inside and outside incubators located in the NICU. RESULTS: Sound transmission into the incubators was nonuniform. Very low-frequency sounds (<100 Hz) were unattenuated or even slightly amplified inside the incubators. Maximal reduction was observed for low-to-mid frequencies (300-600 Hz) and high frequencies (>2000 Hz), which convey important language information. CONCLUSIONS: Sound reductions observed across NICU incubator walls are more severe than those reported for sound transmission into the intrauterine environment, particularly for midrange frequencies that are important for language. Although incubator walls may serve as a protection against noxious noise levels, these findings reveal a potentially detrimental effect on language exposure for infants inside a NICU incubator.


Asunto(s)
Incubadoras para Lactantes , Recien Nacido Prematuro , Ruido , Acústica del Lenguaje , Útero , Femenino , Humanos , Recién Nacido , Recien Nacido Prematuro/fisiología , Unidades de Cuidado Intensivo Neonatal , Desarrollo del Lenguaje , Sonido
20.
Hear Res ; 397: 107922, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32111404

RESUMEN

Extended high frequencies (EHF), above 8 kHz, represent a region of the human hearing spectrum that is generally ignored by clinicians and researchers alike. This article is a compilation of contributions that, together, make the case for an essential role of EHF in both normal hearing and auditory dysfunction. We start with the fundamentals of biological and acoustic determinism - humans have EHF hearing for a purpose, for example, the detection of prey, predators, and mates. EHF hearing may also provide a boost to speech perception in challenging conditions and its loss, conversely, might help explain difficulty with the same task. However, it could be that EHF are a marker for damage in the conventional frequency region that is more related to speech perception difficulties. Measurement of EHF hearing in concert with otoacoustic emissions could provide an early warning of age-related hearing loss. In early life, when EHF hearing sensitivity is optimal, we can use it for enhanced phonetic identification during language learning, but we are also susceptible to diseases that can prematurely damage it. EHF audiometry techniques and standardization are reviewed, providing evidence that they are reliable to measure and provide important information for early detection, monitoring and possible prevention of hearing loss in populations at-risk. To better understand the full contribution of EHF to human hearing, clinicians and researchers can contribute by including its measurement, along with measures of speech in noise and self-report of hearing difficulties and tinnitus in clinical evaluations and studies.


Asunto(s)
Audición , Percepción del Habla , Adulto , Audiometría de Tonos Puros , Umbral Auditivo , Niño , Pérdida Auditiva/diagnóstico , Humanos , Ruido
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