Graeme Clark Collection
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ItemThe histological and physiological effects of the auditory brainstem prosthesis of the auditory pathway(Monduzzi Editore, 1997)To rehabilitate profoundly deaf patients who cannot benefit from the cochlear implant due to bilateral interruption of the auditory nerve, particularly from neurofibromatosis II, the histological and physiological effects of an auditory brainstem prosthesis on the cochlear nuclei of guinea pigs were examined in order to establish the safety and the efficacy of this prosthesis.
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ItemSpeech cues for cochlear implantees: spectral discrimination(Monduzzi Editore, 1997)The relationship between the ability of cochlear implantees to perceive speech and their ability to discriminate between stimulation on adjacent electrodes was investigated. Speech perception ability was assessed with monosyllabic words in 8 users Nucleus cochlear prosthesis. The ability of these subjects to discriminate between stimulation on adjacent electrodes, in of random loudness differences between electrodes was determined. Results were averaged in the apical, mid and basal regions of the cochlea. Regression analysis showed that speech perception ability and electrode discrimination ability were correlated in the apical to mid region of the cochlea. but the two factors were not correlated in the basal region. Therefore, these results suggest that implantees require the ability to discriminate between stimulation on adjacent electrodes in the apical to mid region of the cochlea in order to achieve high speech perception scores.
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ItemSpeech perception of hearing aid users versus cochlear implantees(Monduzzi Editore, 1997)Recent improvements in speech recognition abilities for profoundly deaf cochlear implantees suggests that some adults with a severe hearing impairment might benefit from a cochlear implant. Unfortunately, no studies have directly compared the speech perception abilities of the severely hearing impaired with those of cochlear implant users. An investigation of the speech perception performance of people with a severe hearing loss, who use hearing aids, was conducted in the Department of Otolaryngology at The University of Melbourne. Each participant (n=35) took part in a series of speech perception tests which included 11 vowel recognition tests, CNC words, CUNY sentences, and the Connected Speech Test. The results from these severely hearing impaired persons were compared to results from cochlear implant users. The group of severely hearing impaired adults performed better on tests of vowel and word perception but poorer on tests of open set sentence perception in comparison to a group of cochlear implant users.
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ItemSpeech perception in implanted children: effects of speech processing strategy and residual hearing(Mendoza Editor, 1997)The ability of implanted children to adapt to different speech processing strategies has been demonstrated for the Nucleus implant system. Children previously experienced with the Multipeak speech processing strategy. were able to gain significant improvements in consonant, word and sentence perception using the Speak speech processing strategy. suggesting some degree of neural plasticity in neural-auditory coding. Of 192 implanted children with different degrees of preoperative residual hearing, 65% were found to obtain significant scores on open-set speech materials using electrical stimulation alone. Those children with more residual hearing had a greater probability of achieving open-set understanding and at a minimum level, perceived high frequency consonant information which would not have been available through conventional hearing aids.
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ItemCochlear implant research directions(Monduzzi Editore, 1997)Frequency Coding: Initial cochlear implant research (Clark, 1969) showed that with electrical stimulation of the auditory nerve there is an electroneural "bottle-neck" limiting the flow of information from sound to the central auditory nervous system. This electroneural "bottle-neck" is due to the difficulty in simulating with electrical stimulation the temporal as well as the place coding of frequency. One of the main aims of our research is to improve cochlear implant performance by widening the "bottle-neck" with better simulation of the temporal and place coding of frequency. Temporal coding is considered to be due to a direct relationship between the intervals between action potentials and the period of the sound wave. Temporal coding is thought to apply to low frequencies, but its importance for high frequencies is still not clear. Place coding is due to excitation of specific sites within the cochlea and the central auditory pathways 'so that a frequency scale is preserved anatomically (i.e. the brain is organized tonotopically).
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ItemAuditory central nervous system plasticity: application to cochlear implantation(Monduzzi Editore, 1997)There are two types of plasticity in the central auditory nervous system. The first type occurs during the development of neural connections within a critical period after birth. The second type of plasticity results from a change in the central representation of neurons in the mature animal after neural connectivity has been established. Evidence of a critical period for plasticity central auditory system has been demonstrated in the ferret where a marked loss of neurons in the cochlear nucleus occurs after ablation of the cochlea five days after birth (Moore, 1990). However, ablation of the cochlea 24 days post-partem (i.e. a week before the onset of hearing) has little effect.
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ItemAdvances in cochlear implant speech processing(Monduzzi Editore, 1997)A cochlear implant is a device which restores some hearing in severely-to-profoundly deaf people when the organ of Corti has not developed or is destroyed by disease or injury to such an extent no comparable hearing can be obtained with a hearing aid. When the organ of Corti is severely malfunctioning or absent, sound vibrations cannot be transduced into temporo-spatial patterns of action potentials along the auditory nerve for the coding of frequency and intensity. As a result, a hearing aid which amplifies sound is of little or no use. Our early research (Clark, 1969) emphasized that with electrical stimulation there was an electro-neural "bottle-neck" restricting the amount of speech and other acoustic information that could be presented to the nervous system. It also showed the need to use multiple-channel stimulation presented non-simultaneously, to minimize channel interaction (Clark, 1987).
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ItemAn improved model of electrical stimulation of the auditory nerve(Monduzzi Editore, 1997)Mathematical models are a useful means of formally describing and investigating pertinent features of complex systems such as the human auditory system. These features may be deduced from physiological and psychophysical experiments utilising animal models or humans, and from engineering studies. Historically, models of the auditory nerve's (AN) response to electrical stimulation have ignored randomness in single-fiber activity which has been recorded in physiological studies. These models, however, have been unable to accurately predict a number of important psychophysical phenomena. In this study, a model that incorporates random activity of the AN is presented, and is shown to predict psychophysical performance. These results indicate that random activity is indeed an important part of the response of the AN to electrical stimulation.
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ItemHabilitation issues in the management of children using the cochlear multiple-channel cochlear prosthesis( 1993)Since 1985, a significant proportion of patients seen In the Melbourne cochlear Implant clinic have been children. The children represent a diverse population, with both congenital and acquired hearing-impairment, a wide-range or hearing levels pre-Implant, and an age range from 2 years to 18 years. The habilitation programme developed for the overall group must be flexible enough to be tailored to the Individual needs of each child, and to adapt to the changing needs or children as they progress. Long-term data shows that children are continuing to show Improvements after 5-7 years of device use, particularly In their perception of open-set words and sentences. Habilitation programs must therefore be geared to the long-term needs of children and their families. Both speech perception and speech production need to be addressed In the specific content of the habilitation program for any Individual child. In addition, for young children, the benefits or Improved speech perception should have an Impact on development of speech and language, and the focus of the programme for this age child will reflect this difference In emphasis. Specific materials and approaches will vary for very young children, school-age and teenage children. In addition, educational selling will have a bearing on the Integration of listening and device use Into the classroom environment.
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ItemA new algorithm for voicing detection and voice pitch estimation based on the neocognitron( 1992)Over the last decade cochlear implants have been used increasingly to restore hearing to the profoundly deaf. One of the more widely used implants is the Nucleus multi-electrode implant, developed by the University of Melbourne and Cochlear Pty. Ltd. The speech processor used with this implant is the MSP, programmed with the multipeak strategy. This device incorporates circuits to estimate the fundamental frequency (FO) of speech signals, and to decide whether voicing is present. This paper describes a new FO estimator and voicing detection algorithm based on the neocognitron; a neural network modelled on the retina and early visual system. Performance was compared with that of three other FO estimation algorithms: linear predictive coding (LPC), cepstral analysis and the algorithm used in the Multipeak-MSP processor. For the speech samples tested, the neocognitron performed more reliably than the other three systems. On the basis of these results, this work may be able to provide benefits to existing and future cochlear implant users.