Graeme Clark Collection
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ItemThe effects of electrode position and stimulus period on the hearing sensations in a multiple-channel cochlear implant patient [Abstract]( 1981)Abstract not available due to copyright.
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ItemPerceptual dissimilarity and discrimination studies using two-electrode stimulation with a multiple-channel cochlear implant patient [Abstract]( 1981)Abstract not available due to copyright.
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ItemPitch and loudness studies on a multiple-channel cochlear implant patient [Abstract]( 1981)Abstract not available due to copyright.
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ItemSignal processing for multichannel cochlear implants: past, present and future [Abstract]( 1994)Since the late 1970's, many groups have worked on developing effective signal processing for multichannel cochlear implants. The main aim of such schemes has been to provide the best possible speech perception for those using the device. Secondary aims of providing awareness and discrimination of environmental sounds and appreciation of music have also been considered. Early designs included some that attempted to simulate the normal cochlea. The application of such complex processing schemes was limited by the technology of the times. In some cases, researchers reverted to the use of single channel systems which could be controlled reliably with the existing technology. In other cases, as with the Australian implant, a simple multichannel processing scheme was devised that allowed a reliable implementation with available electronics. Over the next 15 years, largely due to the improvements in integrated circuit technology, the signal processors have slowly become more complex. Further psychophysical research has shown how additional information can be transferred effectively to implant users via electrical stimulation of the cochlea. This has lead to rapid improvement in the speech perception abilities of adults using cochlear implants. Some of the main developments in signal processing over the last 15 years will be discussed along with the latest speech perception results obtained with the new SPEAK processing scheme for the Australian 22-channel cochlear implant. Initial results for SPEAK show mean scores of 70% (equivalent to 85-90% phoneme scores) for open set monosyllabic word testing for experienced adult users. Although there remains a large range of performance for all users of cochlear implants, average speech perception scores for all implanted adults have also improved significantly with the developments in signal processing. It appears likely that multichannel cochlear implants will be a viable alternative for the treatment of severe hearing loss in the future.
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ItemIssues in long-term management of children with cochlear implants and tactile devices [Abstract]( 1994)For many children with severe and profound hearing losses, conventional hearing aids are unable to provide sufficient amplification to ensure good oral communication and/or in the case of very young children, development of speech and language. Traditionally a number of these children have opted for the use of sign language alone or in Total Communication approaches as a primary means of communication. The advent of multiple channel cochlear implants for children and the continuing development of multiple channel speech processing tactile devices provide auditory approaches to resolving communication difficulties for these children. The successful use of such devices depends on a number of factors including the information provided through the aid; the ease of use, convenience and reliability of the aid; the individual communication needs of the child; and the habilitation and management program used with the device. Long-term data has shown that children continue to show increased speech perception benefits from improvements in speech processing and from further experience with these devices. Habilitation and management programs must therefore be geared to meet the changing needs of children as they progress and of families as children mature and face new challenges. Habilitation must address specific individual needs in speech perception and in speech production. For very young children, benefits of improved speech perception should have an impact on the development of speech and language, and habilitation and management must emphasise the need for language growth.
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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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ItemResults in children using the 22 electrode cochlear implant [Abstract]( 1989)Abstract not available due to copyright.
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ItemSpeech perception with cochlear implants and tactile aids [Abstract]( 1988)Abstract not available due to copyright.
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ItemSpeech recognition performance with a two-formant coding strategy for a multi-channel cochlear prosthesis [Abstract]( 1986)Over the last two years, a new speech coding strategy (F0F1F2) has been developed for the Nucleus multi-channel cochlear prosthesis designed to provide information about the first formant, in addition to the second formant and voicing frequency information provided by the “standard” speech processing strategy (F0F2). This strategy uses quasi-simultaneous stimulation of two electrode pairs within the cochlea at the voice pitch rate. The positions of the two sites of stimulation vary independently according to the frequencies of the first and second formants. The amplitude at each site is determined from the first and second formant amplitudes. Seven patients were changed to this strategy and an initial study showed significant improvements in recognition of open set sentence material (from a mean of 30.4% for F0F2 to 62.9% for F0F1F2) and for speech tracking without lipreading (from 11.8 wpm to 30.5 wpm). Phoneme recognition investigations indicated that: 1) vowel identification was improved due to the addition of first formant frequency information in the new strategy, 2) consonant identification was also improved, due to the extra information provided by the independent variation of the amplitude components. These encouraging results led to the use of the F0F1F2 strategy for all new patients from April 1985. Results for recorded speech testing (MAC battery) three months after surgery have been compared for 13 patients who used the F0F1F2 strategy. Significant improvements were observed for the F0F1F2 group on most of the tests. Mean scores for open set testing were as follows: a) spondee recognition: 13.6% for F0F2 and 26.0% for F0F1F2, b) CID sentences: 15.9% for F0F2 and 37.8% for F0F1F2, c) monosyllabic words: 4.9% for F0F2 and 12.4% for F0F1F2, d) phoneme recognition: 23.1% for F0F2 and 33.4% for F0F1F2.
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ItemA clinical protocol for multiple electrode cochlear implants in children [Abstract]( 1986)A clinical protocol for an experimental study to evaluate the speech perception and production, and communication skills using the multiple electrode cochlear implant in pre-adolescent children has been developed. A single-subject time-series design has been adopted to regularly assess these abilities. During the pre-operative stage the subject's current hearing aids or tactile device are used, and for the post-operative stage the Nucleus multiple electrode intracochlear implant. Training is provided in both stages of the study. Also included in the pre-operative stage are the audiological and medical evaluations to determine whether the subject meets the selection criteria. Speech perception and production, and communication skills are assessed from a large selection of language and developmental-age appropriate materials. Psychophysical studies are also undertaken to measure the subject's abilities to discriminate simple stimuli differing in electrical parameter values.