Graeme Clark Collection
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ItemA clinical report on vocabulary skills in cochlear implant users [Abstract]( 1994)Receptive vocabulary results are reported for 32 children, adolescents and prelinguistically deafened adults implanted with the 22-electrode cochlear implant at the Melbourne Cochlear Implant Clinic. Age at implantation ranged from 2 years, 6 months to 20 years and implant use ranged from 1 year to 7 years, 8 months. There were significant gains from pre- to postoperative assessments on the Peabody Picture Vocabulary Test (PPVT) for the majority of subjects. Rates of improvement found are compatible with previous reports on smaller numbers of implant users, but cannot be attributable unambiguously to use of the implant. The group postoperative performance was significantly higher than mean preoperative performance (n =25). The relationship of variables such as duration of implant use, duration of profound deafness and speech perception ability to improvement on the PPVT is discussed. Expressive vocabulary results on the Renfrew Word Finding Vocabulary Scale are reported for 11 of the subjects. Less substantial gains were made on this measure.
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ItemCombined cochlear implant and speech processing hearing aid for implant users with a severe to profound hearing loss in the contralateral ear [Abstract]( 1994)The bimodal device was developed for cochlear implant users who simultaneously wear a hearing aid in the opposite ear having residual hearing of a severe to profound degree. The aim was to create a single device to provide both input signals in a more compatible manner and thus maximise use of the individual's total hearing capabilities. The acoustic component of the bimodal device is very flexible and can implement various speech processing strategies with speed, ease and precision. The Frequency Response Tailoring strategy utilises three filters to fit a frequency gain curve to within 1-2 dB of that desired. Modifications at discrete frequencies, ranges or slopes can be readily made. The Peak Sharpening or Spectral Enhancement strategy amplifies the formant peaks in speech for potential improvement of formant resolution and speech perception in the presence of background noise. The Resynthesis strategy presents specifically selected components of speech in selected combinations and includes the ability to transpose higher frequency information to lower frequency ranges for individuals with no aidable high frequency hearing levels. Different fits can be quickly and easily interchanged for comparison and evaluation and subsequent modifications indicated can be readily effected. Any combination of acoustic and implant speech processing strategy can be presented to optimise speech perception for the individual user.
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ItemFormant-based processing for hearing aids( 1994)A body-worn hearing aid has been developed with the ability to estimate formant frequencies and amplitudes in real time. These parameters can be used to enhance the output signal by "sharpening" the formant peaks, by "mapping" the amplitudes of the formants onto the available dynamic range of hearing at each frequency, or by resynthesizing a speech signal that is suited to the listener�s hearing characteristics. Initial evaluations have indicated small improvements in speech perception for three groups of subjects: users of a combined cochlear implant and speech processing hearing aid, normally hearing listeners in background noise, and a hearing aid user with a severe hearing loss.
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ItemA clinical report on speech production of cochlear implant users [Abstract]( 1994)Speech production results are reported for a group of 15 children, adolescents and prelinguistically deafened adults implanted with the 22-electrode cochlear implant. Age at implantation ranged from 5 years to 20 years and implant experience ranged from 1 year to 4 years, 7 months. On a speech intelligibility test using sentences seven implant users improved significantly over time. Mean group performance (n = 11) improved from 18% preoperatively to 43% postoperatively. Similarly on a test of articulation, eight implant users improved significantly over time and the group mean postoperative performance (n = 11) exceeded the preoperative performance (55% compared to 38%). This group effect was significant for consonants and blends but was nonsignificant for vowels. Improvements occurred for front, middle and back consonants, for stops, nasals, fricatives and glides and for voiceless and voiced consonants. Three implant users showed no significant gain on either test. The results suggest complex relationships between speech production performance and sensory information provided by a multichannel implant.
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ItemPitch perception for different modes of stimulation using the Cochlear multiple-electrode prosthesis( 1994)Abstract not available due to copyright.
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ItemPitch and vowel perception in cochlear implant users( 1994)Two methods of determining the pitch or timbre of electrical stimuli in comparison with acoustic stimuli are described. In the first experiment, the pitch of pure tones and electrical stimuli were compared directly by implant users who have residual hearing in the non-implanted ear. This resulted in a relationship between frequency in the non-implanted ear and position of the best-matched electrode in the implanted ear. In the second experiment, one- and two-formant synthetic vowels, with formant frequencies covering the range from 200 to 4000 Hz, were presented to the same implant users through their implant or through their hearing aid. The listeners categorised each stimulus according to the closest vowel from a set of eleven possibilities, and a vowel centre was calculated for each response category for each ear. Assuming that stimuli at the vowel centres in each ear sound alike, a second relationship between frequency and electrode position was derived. Both experiments showed that electrically-evoked pitch is much lower than that produced by pure tones at the corresponding cochlear location in normally-hearing listeners. This helps to explain why cochlear implants with electrode arrays that rarely extend beyond the basal turn of the cochlea have achieved high levels of speech recognition in postlinguistically deafened adults without major retraining or adaptation by the users. The techniques described also have potential for optimising speech recognition for individual implant users.
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ItemUsing an automatic word-tagger to analyse the spoken language of children with impaired hearing( 1994)The grammatical analysis and description of spoken language of children with impaired hearing is time-consuming, but has important implications for their habilitation and educational management. Word-tagging programs have achieved high levels of accuracy with text and adult spoken language. This paper investigates the accuracy of one automatic word tagger (AUTASYS 3.0 developed for the International Corpus of English project, ICE) on a small corpus of spoken language samples from children using a cochlear implant. The accuracy of the tagging and the usefulness of the results in comparison with more conventional analyses are discussed.
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ItemCombination and comparison of electric stimulation and residual hearing( 1994)Speech processing for cochlear implant users has now reached a level where some severely hearing-impaired hearing aid users may be better aided by a cochlear implant, or a hearing aid and implant together. This paper reviews studies comparing the loudness, pitch, and vowel perception in opposite ears of adults using cochlear implants and hearing aids. A study of nine subjects showed narrow dynamic ranges and steep loudness growth in both ears. Mismatches in aided thresholds and dynamic ranges at different frequencies resulted in highly variable loudness differences between the ears for some subjects. A comparison using pure tones showed that the electric pitch depended on both rate and electrode site. Pitch of electrodes was lower than expected from the characteristic frequency distribution in a normal cochlea. Synthetic vowels were used to show that signals presented via the implant and hearing aid may be perceived as different vowels in the two ears.