Graeme Clark Collection
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ItemChronic electrical stimulation of the auditory nerve at high rates: I. Effect on residual hearing [Abstract]( 1996)In addition to direct excitation of auditory nerve fibres, cochlear implant patients with small amounts of residual hearing may receive important additional auditory cues via electrophonic activation of hair cells 1. Before incorporating electrophonic hearing into speech processing strategies, the extent of hair cell survival following cochlear implantation must first be determined. We have recently demonstrated widespread survival of hair cells apical to electrode arrays implanted for periods of up to three years, the present report describes the effects of chronic electrical stimulation on hair cell survival.
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ItemChronic electrical stimulation of the auditory nerve at high rates: II. Cochlear pathophysiology [Abstract]( 1996)A major factor in the improved performance of cochlear implant patients has been the use of high stimulus rate speech processing strategies. While these strategies show clear clinical advantage, we know little of their long-term safety. Indeed, recent studies have indicated that high stimulus rates at intensities above clinical limits, can result in neural damage as a result of prolonged neuronal hyperactivity. The present study was designed to evaluate the effects of chronic electrical stimulation of the auditory nerve at high rates, using intensities within clinical limits.
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ItemSpatial representation of the cochlea within the inferior colliculus of neonatally deafened kittens following chronic electrical stimulation of the auditory nerve [Abstract]( 1995)The orderly tonotopic representation of the cochlea is accurately reproduced within the central auditory system of normal hearing animals. Any degradation of this representation as a result of a neonatal hearing loss or chronic electrical stimulation during development could have important implications for the use of multichannel cochlear implants in young children. In the present study we have used 2-deoxyglucose autoradiography (2-00) to examine the topographic representation of the cochlea within the inferior colliculus (IC) of neonatally deafened kittens following periods of chronic intracochlear electrical stimulation.
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ItemAuditory evoked potentials and auditory sequential memory [Abstract]( 1974)The evaluation of intelligence in infants and young children is important in assessing their prognosis and institutional placement, and is difficult with present clinical methods. Therefore, the recent studies which show a correlation between visual evoked responses and intelligence are of value. It is also of importance to determine if auditory evoked potentials may be used in assessing children with communication disorders, as their defect frequently involves the auditory system, and they will often require evoked response audiometry to exclude loss of hearing from the diagnosis.
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ItemAuditory evoked responses to frequency and amplitude modulated sound( 1973)Auditory evoked responses to pure tone bursts have been described in a number of studies and have been characterized by the P1, N1 and P2 components. The presence of later components, namely N2, P3 and the Contingent Negative Variation, depends largely on the cerebral processing of the stimulus. These evoked responses have been recorded using tone bursts. However, neurophysiological studies have shown that the cortex codes complex sounds. Therefore, we performed a set of acute experiments on the cat, using frequency and amplitude modulated sounds. This was reported in a previous study (Richards and Clark, 1972) which showed that similar onset and later waves could be recorded from the cortex of the cat. In some areas of the cortex the later waves were in synchrony with the modulation envelope.
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ItemThe design of an ear bar system for auditory neruophysiological research( 1972)Absolute sound intensity measurements at the ear drum are important in auditory research. Previous attempts to measure sound intensity using a small bore probe tube coupled to a microphone have proved unsatisfactory. In the present investigation an alternative system employing two condenser microphones coupled to the input end of the ear bar was used to estimate the sound intensity at the ear drum. Consideration was also given to minimizing harmonic distortion and resonance in the system.
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ItemImproved sound processing for cochlear implants( 2002)Four signal processing schemes currently under development aim to improve the perception of sounds/ especially speech, for children and adults using the Nucleus cochlear implant system. The schemes are (1) fast-acting input-signal compression, (2) Adaptive Dynamic Range Optimisation (ADRO), (3) TESM, a scheme that emphasises transients in signals, and (4) DRSP, a strategy that applies different stimulation rates to selected sets of electrodes.
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ItemBrainstem encoding of short voice onset times in natural speech( 2001)An auditory nerve study has shown that short voice onset times (VOTs) in synthetic consonant-vowel syllables are not accurately encoded by the fibres' discharge rate. We have re-examined this issue within the ventral Cochlear nucleus (VCN), using natural speech and a fine-grain analysis of single unit responses. We recorded extracellularly from 93 VCN neurons in rats anaesthetised with urethane (2.5 g/kg ip). After identifying a cell's response type and best frequency (BF), 3 syllables spoken by a male were presented at double rate and 3 intensities (/bεt/, /dεt/, and /gεt/, at 45, 65, and 75 dB SPL). These three syllables differ in their VOTs (the interval between consonant release and the onset of glottal pulses associated with voicing) due to the different points of articulation of the three initial stop consonants. In many neurons (particularly onset cells), these syllables evoked a clear response to consonant release, followed by an interval of inactivity or reduced activity before the periodic response to the vowel's voicing frequency commenced. This interval of reduced or no activity corresponded to a given syllable's VOT. The responses of all cells (BFs: 0.9-19 kHz) to the 9 different syllable-SPL combinations were plotted as Grand Average post-stimulus time histograms. In 8/9 combinations, syllable onset was associated with a statistically significant peak in activity and the next significant peak in discharge rate occurred at the time of voice onset (± I ms). These results indicate that the prominent responses to consonant release and voice onset, produced by the synchronous firing of neurons with a wide range of BFs, accurately encode short VOTs.
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ItemImplantation of the new nucleus C1-3 receiver stimulator and electrode array [Abstract]( 1997)There is an important need to fix the cochlear implant electrode array at a site close to the cochlea, so that the electrode will not slide out, or be subject to differential movement with growth changes. Fixation sites have been in the region of the posterior root of the zygoma and the floor of the antrum. Fixation has been by Dacron mesh ties platinum wire ties, or clips inserted with-special instruments. Biological cements have previously been tried but found to be toxic. The most ideal site is in the region of the cochleostomy.
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ItemTemporal coding for sound and tempor-spatial patterns of electrical stimulation [Abstract]( 1997)The anterior division of the ventral cochlear nucleus (AVCN) is the first relay station of the auditory pathway. It receives auditory information via the auditory nerves emanating from the cochlea. Electrical stimulation via current cochlear implants [ ] does not lead to responses at the cochlear nucleus that exactly match tho elicited by comparable auditory stimulation. Complex temporal patterns of electrical stimulation may provide a better simulation of the acoustic input.
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