Graeme Clark Collection
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ItemA multiple-channel cochlear implant: an evaluation using open-set CID sentences( 1981)A multiple-channel cochlear implant and speech processor have been used in two postlingually deaf adult patients with a total hearing loss, to enable them to perceive varying degrees of running speech. The results have been confirmed with open-set CID everyday sentence tests. Using the implant alone, the patients obtained 8% and 14% scores with pre-recorded material, and 34% and 36% scores for "live" presentations. This was equivalent to the perception of 35% of connected discourse. When the implant was used in conjunction with lipreading, improvements of 188% and 386% were obtained over lipreading alone, and the scores were 68% and 98% which were equivalent to the perception of 60% and 95% of connected discourse.
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ItemSpeech processor design for a multiple-channel cochlear implant( 1980)This paper outlines the strategy adopted for a laboratory-based speech processor used to provide speech information to patients with a multiple-channel cochlear implant It also presents the results of vowel and consonant recognition studies and speech test using open sets of words and sentences.
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ItemA protocol for the prevention of infection in cochlear implant surgery(Cambridge University Press, 1980)The reduction of infection to an absolute minimum is a very desirable goal in any form of surgery. It is especially important with a cochlear implant operation as infection in the labyrinth can lead to degeneration of the auditory nerve fibres it is hoped to stimulate electrically (Clark et al, 1975). Furthermore, as the implantation of foreign materials increases the risk of infection, as the operation can last 6-7 hours (Altemeier et al., 1976), and as the operators are in very close proximity to the implant site, more stringent measures for the prevention of infection need to be adopted than with other forms of otological surgery. For these reasons a protocol has been developed for preventing infection in our cochlear implant surgery. This is an overall approach to the prevention of infection and involves pre-operative measures, an operating theatre routine, the use of horizontal laminar flow filter units, correct surgical technique and the use of systemic and local antibiotics.
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ItemSpeech perception results in children using the 22-electrode cochlear implant [Abstract]( 1990)Twenty-one profoundly hearing impaired children ranging in age from 3 to 20 years have been implanted with the 22-electrode cochlear implant (Cochlear Pty ltd) at the University of Melbourne Cochlear Implant Clinic. Five children (aged 6.0 to 14.8 years) have achieved substantial scores on open set speech tests using hearing without lipreading. Phoneme scores in monosyllabic words ranged from 30% to 72%. Word scores in sentences ranged from 26% to 74%. Four of these five children were implanted during preadolescence and the fifth who had a progressive loss, was implanted during adolescence. Eight children (aged 3.0 to 11 years), have either been implanted recently or are too young for detailed assessments. However some have shown using closed set speech perception tests or vowel imitation tasks, that they are beginning to use the auditory input provided by the implant. The remaining children (aged 13.11 to 20.1 years) have not demonstrated open set recognition but are all full time users of the device. This group was implanted during adolescence after a long duration of profound deafness. The results will be discussed with reference to a number of variables which may contribute to successful implant use; such as age of onset of deafness, duration of deafness. age of implantation, educational program and type of training.
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ItemDimensions of the scala tympani in the human and cat with reference to cochlear implants( 1990)The width, height, and cross-sectional area of the scala tympani in both the human and cat were measured to provide dimensional information relevant to the design of scala tympani electrode arrays. Both the height and width of the human scala tympani decrease rapidly within the first 1.5 mm from the round window. Thereafter, they exhibit a gradual reduction in their dimension with increasing distance from the round window. The cross-sectional area of the human scala tympani reflects the changes observed in both the height and width. In contrast, the cat scala tympani exhibits a rapid decrease in its dimensions over the first 6 to B mm from the round window. However, beyond this point the cat scala tympani also exhibits a more gradual decrease in its dimensions. Finally, the width of the scala tympani, in both human and cat, is consistently greater than the height.
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ItemDiscrimination of electrical trajectories by cochlear implant patients [Abstract]( 1990)Abstract not available due to copyright.
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ItemPerception of amplitude envelope variations of pulsatile electrotactile stimuli( 1990)Abstract not available due to copyright.
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ItemResults in children using the 22 electrode cochlear implant [Abstract]( 1989)Abstract not available due to copyright.
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ItemSpeech tracking: verfahrensweise und ergebnisse(Springer-Verlag, 1987)Das Speech Tracking wurde im Jahre 1978 von De Filippo und Scott als Schulungs-und Untersuchungsverfahren fur Einzelpersonen eingefuhrt, die weitgehend oder vollstandig ertaubt waren. Bei diesem Verfahren werden dem Patienten Textpassagen von zwei bis zehn Wortern vorgelesen. Der Zuhorende, in diesem Fall der Cochlear Implant-Trager, versucht die betroffene Passage wortlich zu wiederholen. Versteht der Patient eines der Worter nicht, so wendet der Vorleser Verfahren an, die dem Zuhorenden weitere Informationen uber den Inhalt vermitteln. Nachdem jedes Wort korrekt wiederholt worden ist, wird eine weitere Passage vorgelesen, bis ein Prufungszeitraum von 10 Minuten abgeschlossen ist (Martin et al. 1981, 1985; Chouard et al. 1983; Tong et al. 1980; Mecklenburg et al. 1984; Rosen et al. 1980).
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ItemTemporal coding of speech information for cochlear implant patients( 1987)A modified speech-processing strategy incorporating the temporal coding of information strongly correlated with the first formant of speech was evaluated in a long-term clinical experiment with a single patient. The aim was to assess whether the patient could learn to extract information from the time domain in addition to the time domain cues for voice excitation frequency already received from the initial strategy. It was found that the patient gained no significant advantage from the modified strategy, but there was no disadvantage either, and the patient expressed a preference for the modified strategy for everyday use.