Graeme Clark Collection

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    A multiple-channel cochlear implant: an evaluation using nonsense syllables
    Clark, Graeme M. ; Tong, Yit Chow ; Martin, Lois F. ; Busby, Peter A. ; Dowell, Richard C. ; Seligman, Peter M. ; Patrick, James F. ( 1981)
    A study using nonsense syllables has shown that a multiple-channel cochlear implant with speech processor is effective in providing information about, voicing and manner and to a lesser extent place distinctions. These distinctions supplement lipreading cues. Furthermore, the average percentage improvements in overall identification scores for multiple-channel electrical stimulation and lipreading compared to lipreading alone were 71% for a laboratory-based speech processor and 122 % for a wearable unit.
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    A multiple-channel cochlear implant: an evaluation using an open-set word test
    Clark, Graeme M. ; Tong, Y. C. ; Martin, L. F. ; Busby, P. A. ( 1981)
    Multiple-channel electrical stimulation of the hearing nerve in conjunction with speech reading has helped two post-lingually deaf patients with total hearing losses understand running speech in every day situations. This has been confirmed using open-set phonetically balanced word tests, where the patients achieved 60% and 40% scores with isolated-words and 80% and 73% for phonemes-in-isolated words. The tests also showed that the cochlear implant improved word recognition by a factor of four in one patient and two in another compared with speechreading alone. The speech processor used extracted the voicing frequency and energy and the frequency and energy of the dominant spectral peak in the mid-frequency range. The parameters for voicing determined the rate of stimulation for all electrodes, and the parameters for the dominant spectral peak in the midfrequency range determined the site of electrode stimulation and current level.
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    Psychophysical and speech perception studies on two multiple-channel cochlear implant patients
    Tong, Y. C. ; Millar, J. B. ; Clark, Graeme M. ; Martin, L. F. ; Busby, P. A. ; Patrick, J. F. (Cambridge University Press, 1980)
    Preliminary studies on our first patient with a multiple channel cochlear implant (Tong et al., 1979) showed that he was able to associate the hearing sensations produced by electrical stimulation of residual auditory nerve fibres with different vowel (spectral) colours. The frequencies characterizing the vowel colours produced by stimulation at single scala tympani electrodes were, in general, closely related to the tonotopical organization of the� cochlea. Furthermore, results from these studies indicated that the pitch produced by single-electrode stimulation increased with pulse rate, and that the loudness increased with current level.
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    Pitch and loudness estimation for single and multiple pulse per period electric pulse rates by cochlear implant patients
    Busby, P. A. ; Clark, Graeme M. ( 1997)
    Abstract not available due to copyright.
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    Gap detection by early-deafened cochlear-implant subjects
    Busby, P. A. ; Clark, Graeme M. ( 1999)
    Abstract not available due to copyright.
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    Modulation detection interference in cochlear implant subjects
    Richardson, Louise M. ; Busby, Peter A. ; Clark, Graeme M. ( 1998)
    Abstract not available due to copyright.
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    Studies of prosody perception by cochlear implant patients
    Richardson, Louise M. ; Busby, Peter A. ; Blamey, Peter J. ; Clark, Graeme M. ( 1998)
    Prosodic information is conveyed to normally-hearing listeners by variations in acoustic fundamental frequency, amplitude envelope, and duration of speech segments. This study measured cochlear implant patients' sensitivity to these parameters in electrically coded speech. The psychophysical discrimination of electric parameters used to code prosodic information, were examined, together with prosody perception using speech processing strategies which modified the contributions of these parameters. Patients were implanted with the Cochlear Limited prosthesis and used the MPEAK speech processing strategy. In the psychophysical studies, difference limens were measured for steady-state and time-varying stimuli, of different pulse rates and pulse durations, over a series of different stimulus durations. These limens were obtained using an adaptive procedure which converged on the 50 per cent correct point. In the prosody perception studies, performance was measured for the MPEAK strategy and for strategies which modified the contributions of pulse rate and pulse duration. Data were collected for five tests of prosodic contrasts. Difference limens for steady-state pulse rates were larger at higher rates (17 per cent at 400 pulses/s) than at lower rates (6 per cent at 100 pulses/s). For some patients, limens for the time-varying pulse rates were larger than those for the steady-state pulse rates while for the other patients, the limens were similar. Difference limens for pulse duration were 0.3 dB, corresponding to 4 per cent of the dynamic range, for steady-state stimuli and doubled in size for the time-varying stimuli. Prosody perception performance was generally poorer for the modified strategies than for the MPEAK strategy, suggesting that the removal of information coded by pulse rate and pulse duration reduced the perception of prosodic contrasts.
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    A clinical report on speech production of cochlear implant users
    Dawson, P. W. ; Blamey, P. J. ; Dettman, S. J. ; Rowland, L. C. ; Barker, E. J. ; Tobey, E. A. ; Busby, P. A. ; Cowan, R. C. ( 1995)
    Objective: The aim was to assess articulation and speech intelligibility over time in a group of cochlear implant users implanted at 8 yr or over. The hypothesis was that the postoperative speech production performance would be greater than the preoperative performance. Design: A test of intelligibility using sentences and an articulation test measuring non-imitative elicited speech were administered to 11 and 10 subjects, respectively, who were implanted with the 22-electrode cochlear implant. Nine subjects received both tests. Age at implantation ranged from 8 yr to 20 yr and implant use ranged from 1 yr to 4 yr 5 mo. Results: For both the intelligibility and articulation tests roughly half of the subjects showed significant improvements over time and group mean postoperative performance significantly exceeded preoperative performance. Improvements occurred for front, middle, and back consonants; for stops, fricatives, and glides and for voiceless and voiced consonants. Conclusions: Despite being deprived of acoustic speech information for many childhood years, roughly half of the patients assessed showed significant gains in speech intelligibility and articulation postimplantation. The lack of a control group of non-implanted patients means that we cannot separate out the influence of the implant on speech production from other influences such as training and tactile-kinaesthetic feedback.
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    Cochlear implant place psychophysics: 1. Pitch estimation with deeply inserted electrodes
    Cohen, Lawrence T. ; Busby, Peter A. ; Whitford, Lesley A. ; Clark, Graeme M. ( 1996)
    Numerical estimation of pitch was performed by 8 adult subjects implanted with cochlear prostheses manufactured by Cochlear Limited. The electrode arrays had been inserted into the scala tympani to between one and one and a half turns of the cochlea. Using bipolar stimulation, the pitch estimates for each subject showed an overall reduction with insertion depth of the stimulated electrode. However, for several subjects, after decreasing regularly for the more basal electrodes, pitch estimates showed an abrupt decrease, followed in some cases by a region of low pitch. Two of the subjects, implanted with a modified electrode array, the '20 + 2' which allowed monopolar in addition to bipolar stimulation, exhibited an abrupt decrease in pitch estimate with bipolar but not with monopolar stimulation. In these two subjects, for stimulating electrodes inserted more deeply than about three quarters of a turn, bipolar stimuli produced lower pitch sensations, and presumably more apical neural excitation patterns, than monopolar stimuli.
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    Cochlear implant place psychophysics: 2. Comparison of forward masking and pitch estimation data
    Cohen, Lawrence T. ; Busby, Peter A. ; Clark, Graeme M. ( 1996)
    Results for forward masking and numerical estimation of pitch were compared in a group of 6 adult subjects implanted with cochlear prostheses manufactured by Cochlear Limited. Data were collected for bipolar +1 stimulation in all subjects, and for stimulation in one other mode, either common ground or monopolar, for all subjects but one. The pitch data show various irregularities and in each case can be seen to be broadly consistent with the corresponding forward masking data. It is shown that a 'centre of gravity' of the forward masking distribution varies with masker electrode in a manner that is qualitatively very similar to the variation of pitch estimate. It is suggested that, while pitch estimation results are consistent with those from forward masking, the latter contain more detailed information that may be useful in understanding intersubject variations in speech comprehension.