Graeme Clark Collection

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    Speech perception in children using cochlear implants: prediction of long-term outcomes.
    Dowell, RC ; Dettman, SJ ; Blamey, PJ ; Barker, EJ ; Clark, GM (Informa UK Limited, 2002-03)
    A group of 102 children using the Nucleus multichannel cochlear implant were assessed for open-set speech perception abilities at six-monthly intervals following implant surgery. The group included a wide range of ages, types of hearing loss, ages at onset of hearing loss, experience with implant use and communication modes. Multivariate analysis indicated that a shorter duration of profound hearing loss, later onset of profound hearing loss, exclusively oral/aural communication and greater experience with the implant were associated with better open-set speech perception. Developmental delay was associated with poorer speech perception and the SPEAK signal coding scheme was shown to provide better speech perception performance than previous signal processors. Results indicated that postoperative speech perception outcomes could be predicted with an accuracy that is clinically useful.
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    Vowel imitation task: results over time for 28 cochlear implant children under the age of eight years
    Dettman, S. J. ; Barker, E. J. ; Dowell, R. C. ; Dawson, P. W. ; Blamey, P. J. ; Clark, Graeme M. ( 1995)
    With increasing numbers of implanted children under the age of 4 years, numerous researchers have reminded us of the need for valid, sensitive, and reliable tests of developing speech perception.1,2 In addition to studies of the efficacy of implanted prostheses, there is a need to investigate the many variables that influence children's communicative performance, such as changes in speech-coding strategy, updated speech-processing systems, the effects of various training regimens, and the selection of educational and communication modes.
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    Results in children using the 22 electrode cochlear implant [Abstract]
    Dawson, Pam W. ; Blamey, Peter J. ; Clark, Graeme M. ; Busby, P. A. ; Rowland, L.C. ; Dettman, S. J. ; Brown, A. M. ; Dowell, Richard C. ; Rickards, Field W. ; Alcantara, Joseph I. ( 1989)
    Abstract not available due to copyright.
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    Latest results for adults & children using cochlear implants & future implications
    Cowan, Robert C. ; Clark, Graeme M. ; Dowell, Richard C. ; Dettman, Shani J ; Barker, Elizabeth ; Latus, Katie ; Hollow, Rod ; Blamey, Peter J. ( 2000)
    The overall success of a cochlear implant procedure is most often quantified by assessing how well implantees can understand speech. This is because a primary aim of the application of cochlear implants is to improve communication, and it is relatively straightforward to obtain accurate measures of speech recognition. The quality of cochlear implant hearing is not well described by measuring an audiogram, as the detection of sound is similar across all implantees if the device is functioning correctly. A commonly used measure of speech understanding is the CID everyday sentence test where the number of correctly identified words within sentences is assessed. In the early days of cochlear implants, subjects could only recognize a few words without lipreading but the most recent results show average scores of 80% without lipreading for this sentence test, after 6 months of experience with the device.
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    Habilitation issues in the management of children using the cochlear multiple-channel cochlear prosthesis
    Galvin Karyn L. ; Dawson Pam W. ; Hollow Rod. ; Dowell Richard C. ; Pyman B. ; Clark Graeme, M. ; Cowan, Robert S. C. ; Barker, Elizabeth J. ; Dettman, Shani J. ; Blamey, Peter J. ; RANCE, GARY ; Zarant, Julia Z. ( 1993)
    Since 1985, a significant proportion of patients seen In the Melbourne cochlear Implant clinic have been children. The children represent a diverse population, with both congenital and acquired hearing-impairment, a wide-range or hearing levels pre-Implant, and an age range from 2 years to 18 years. The habilitation programme developed for the overall group must be flexible enough to be tailored to the Individual needs of each child, and to adapt to the changing needs or children as they progress. Long-term data shows that children are continuing to show Improvements after 5-7 years of device use, particularly In their perception of open-set words and sentences. Habilitation programs must therefore be geared to the long-term needs of children and their families. Both speech perception and speech production need to be addressed In the specific content of the habilitation program for any Individual child. In addition, for young children, the benefits or Improved speech perception should have an Impact on development of speech and language, and the focus of the programme for this age child will reflect this difference In emphasis. Specific materials and approaches will vary for very young children, school-age and teenage children. In addition, educational selling will have a bearing on the Integration of listening and device use Into the classroom environment.