scholarly journals Late Cochlear Implantation in Early-Deafened Adults: A Detailed Analysis of Auditory and Self-Perceived Benefits

2017 ◽  
Vol 22 (6) ◽  
pp. 364-376 ◽  
Author(s):  
Joke Debruyne ◽  
Miranda Janssen ◽  
Jan Brokx

Objectives: It is known that early-deafened cochlear implant (CI) users are a very heterogeneously performing group. To gain more insight into this population, this study investigated (1) postoperative changes in auditory performance over time based on various outcome measures, focusing on poor performers, (2) self-perceived outcomes, (3) relations between auditory and self-perceived outcomes, and (4) preimplantation factors predicting postoperative outcomes. Methods: Outcomes were assessed prospectively in a group of 27 early-deafened, late-implanted CI users, up to 3 years after implantation. Outcome measures included open-set word and sentence recognition, closed-set word recognition, speech tracking and a questionnaire on self-perceived outcomes. Additionally, the relative influence of 8 preimplantation factors on CI outcome was assessed with linear regression analyses. Results: Significant improvements were found for auditory performance measures and most of the questionnaire domains. Significant changes of the closed-set word test, speech tracking and questionnaire were also found for a subgroup of poor performers. Correlations between auditory and self-perceived outcomes were weak and nonsignificant. Preoperative word recognition and preoperative hearing thresholds, both for the implanted ear, were significant predictors of postoperative outcome in the multivariable regression model, explaining 63.5% of the variation. Conclusions: Outcome measurement in this population should be adjusted to the patients’ individual performance level and include self-perceived benefit. There is still a need for more knowledge regarding predictors of CI outcomes in this group, but the current study suggests the importance of the preoperative performance of the ear to be implanted.

1999 ◽  
Vol 106 (4) ◽  
pp. 2177-2177 ◽  
Author(s):  
Ted A. Meyer ◽  
Mario A. Svirsky ◽  
Stefan Frisch ◽  
Adam R. Kaiser ◽  
David B. Pisoni ◽  
...  

1989 ◽  
Vol 32 (4) ◽  
pp. 887-911 ◽  
Author(s):  
Richard S. Tyler ◽  
Brian C. J. Moore ◽  
Francis K. Kuk

The main purpose of this study was to provide an independent corroboration of open-set word recognition in some of the better cochlear-implant patients. These included the Chorimac, Nucleus (one group from the U.S.A. and one group from Hannover, Germany), Symbion, Duren/Cologne and 3M/Vienna implants. Three experiments are reported: (1) word recognition in word lists and in sentences; (2) environmental sound perception, and (3) gap detection. On word recognition, the scores of 6 Chorimac patients averaged 2.5% words and 0.7% words in sentences correct in the French tests. In the German tests, the scores averaged 17% words and 10% words in sentences for 10 Duren/Cologne patients, 15% words and 16% words in sentences for 9 3M/Vienna patients, and 10% words and 16% words in sentences (3% to 26%) for 10 Nucleus/Hannover patients. In the English tests, the scores averaged 11% words and 29.6% words in sentences for l0 Nucleus-U.S.A. patients, and 13.7% words and 35.7% words in sentences for the 9 Symbion patients. The ability to recognize recorded environmental sounds was measured with a closed set of 18 sounds. Performance averaged 23% correct for Chorimac patients, 41% correct for 3M/Vienna patients, 44% correct for Nucleus/Hannover patients, 21% correct for Duren/Cologne patients, 58% correct for Nucleus/U.S.A. patients, and 83% correct for Symbion patients. A multidimensional scaling analysis suggested that patients were, in part, utilizing information about the envelope and about the periodic/aperiodic nature of some of the sounds. Gap detection thresholds with a one-octave wide noise centered at 500 Hz varied widely among patients. Typically, patients with gap thresholds less than 40 ms showed a wide range of performance on speech perception tasks, whereas patients with gap-detection thresholds greater than 40 ms showed poor word recognition skills.


1980 ◽  
Vol 45 (2) ◽  
pp. 223-238 ◽  
Author(s):  
Richard H. Wilson ◽  
June K. Antablin

The Picture Identification Task was developed to estimate the word-recognition performance of nonverbal adults. Four lists of 50 monosyllabic words each were assembled and recorded. Each test word and three rhyming alternatives were illustrated and photographed in a quadrant arrangement. The task of the patient was to point to the picture representing the recorded word that was presented through the earphone. In the first experiment with young adults, no significant differences were found between the Picture Identification Task and the Northwestern University Auditory Test No. 6 materials in an open-set response paradigm. In the second experiment, the Picture Identification Task with the picture-pointing response was compared with the Northwestern University Auditory Test No. 6 in both an open-set and a closed-set response paradigm. The results from this experiment demonstrated significant differences among the three response tasks. The easiest task was a closed-set response to words, the next was a closed-set response to pictures, and the most difficult task was an open-set response. At high stimulus-presentation levels, however, the three tasks produced similar results. Finally, the clinical use of the Picture Identification Task is described along with preliminary results obtained from 30 patients with various communicative impairments.


1984 ◽  
Vol 27 (4) ◽  
pp. 596-604 ◽  
Author(s):  
Richard S. Tyler ◽  
Mary W. Lowder ◽  
Steven R. Otto ◽  
John P. Preece ◽  
Bruce J. Gantz ◽  
...  

Two subjects who use the Melbourne multichannel cochlear implant were studied. Live-voice word, consonant, and vowel recognition tests, and a speech-tracking task were administered at regular intervals during the first 90 days after implantation. Results indicated 30-50% correct recognition of vowels (given 9 alternatives) and about 30-60% correct recognition of consonants (given 12 alternatives). Speech tracking showed from two to three times faster rates with the implant and vision compared to a vision-alone condition. After 3-4 months of implant experience, a number of recorded tests from the Minimal Auditory Capabilities battery and the Iowa Cochlear-Implant tests were then administered. These results indicated about 80% recognition of everyday sounds in a five-choice closed-set condition and about 50% recognition of everyday sounds in an open-set condition. The subjects were 50% correct at identifying the accented words in a sentence and about 50% correct at determining the number of syllables in a word. One subject was unable to recognize a sentence as a statement or a question. Background noise (+10 dB S/N) reduced their performance on a four-choice spondee test to chance. Both subjects were able to identify a sound as either a voice or a modulated noise at 95% correct, and both could recognize speaker sex at 95% correct. Neither could discriminate whether two (successive) sentences were spoken by the same speaker or by two different speakers. Remarkably, one subject identified 45% and the other 85% of the words in sentences that were preceded by a contextual picture using sound alone. One subject identified 13% of the words in sentences in sound alone even without contextual information.


1992 ◽  
Vol 35 (4) ◽  
pp. 913-920 ◽  
Author(s):  
Holly Fryauf-Bertschy ◽  
Richard S. Tyler ◽  
Danielle M. Kelsay ◽  
Bruce J. Gantz

The speech perception performance of 10 congenitally deaf and 3 postlingually deafened children who received the Cochlear Corporation multichannel cochlear implant was examined and compared. The children were tested preimplant and at 6-month intervals up to 2 years using the Monosyllable-Trochee-Spondee test (MTS), the Word Intelligibility by Picture Identification test (WIPI), and Phonetically Balanced Kindergarten (PB-K) or Northwestern University List 6 (NU-6) word lists. The postlingually deafened children exhibited significantly improved performance on open- and closed-set tests of word recognition after 6 months of implant use, a pattern similar to that of postlingually deafened adult implant users. In contrast, the congenitally deaf children did not exhibit measurably improved performance on speech perception tests until after 12 months or more of implant use. With as much as 18–24 months of use, however, some congenitally deaf children demonstrated limited open-set word recognition.


2006 ◽  
Vol 17 (05) ◽  
pp. 331-349 ◽  
Author(s):  
Cynthia G. Clopper ◽  
David B. Pisoni ◽  
Adam T. Tierney

Closed-set tests of spoken word recognition are frequently used in clinical settings to assess the speech discrimination skills of hearing-impaired listeners, particularly children. Speech scientists have reported robust effects of lexical competition and talker variability in open-set tasks but not closed-set tasks, suggesting that closed-set tests of spoken word recognition may not be valid assessments of speech recognition skills. The goal of the current study was to explore some of the task demands that might account for this fundamental difference between open-set and closed-set tasks. In a series of four experiments, we manipulated the number and nature of the response alternatives. Results revealed that as more highly confusable foils were added to the response alternatives, lexical competition and talker variability effects emerged in closed-set tests of spoken word recognition. These results demonstrate a close coupling between task demands and lexical competition effects in lexical access and spoken word recognition processes.


2019 ◽  
Vol 62 (6) ◽  
pp. 2035-2047
Author(s):  
Tzu-Ling J. Yu ◽  
Robert S. Schlauch

Purpose The aim of the study was to examine the precision of forced-choice (closed-set) and open-ended (open-set) word recognition (WR) tasks for identifying a change in hearing. Method WR performance for closed-set (4 and 6 choices) and open-set tasks was obtained from 70 listeners with normal hearing. Speech recognition was degraded by presenting monosyllabic words in noise (−8, −4, 0, and 4 signal-to-noise ratios) or processed by a sine wave vocoder (2, 4, 6, and 8 channels). Results The 2 degraded speech understanding conditions yielded similarly shaped, monotonically increasing psychometric functions with the closed-set tasks having shallower slopes and higher scores than the open-set task for the same listening condition. Fitted psychometric functions to the average data were the input to a computer simulation conducted to assess the ability of each task to identify a change in hearing. Individual data were also analyzed using 95% confidence intervals for significant changes in scores for words and phonemes. These analyses found the following for the most to least efficient condition: open-set (phoneme), open-set (word), closed-set (6 choices), and closed-set (4 choices). Conclusions Closed-set WR testing has distinct advantages for implementation, but its poorer precision for identifying a change than open-set WR testing must be considered.


2020 ◽  
Vol 9 (11) ◽  
pp. 9353-9360
Author(s):  
G. Selvi ◽  
I. Rajasekaran

This paper deals with the concepts of semi generalized closed sets in strong generalized topological spaces such as $sg^{\star \star}_\mu$-closed set, $sg^{\star \star}_\mu$-open set, $g^{\star \star}_\mu$-closed set, $g^{\star \star}_\mu$-open set and studied some of its basic properties included with $sg^{\star \star}_\mu$-continuous maps, $sg^{\star \star}_\mu$-irresolute maps and $T_\frac{1}{2}$-space in strong generalized topological spaces.


2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Clara Borrelli ◽  
Paolo Bestagini ◽  
Fabio Antonacci ◽  
Augusto Sarti ◽  
Stefano Tubaro

AbstractSeveral methods for synthetic audio speech generation have been developed in the literature through the years. With the great technological advances brought by deep learning, many novel synthetic speech techniques achieving incredible realistic results have been recently proposed. As these methods generate convincing fake human voices, they can be used in a malicious way to negatively impact on today’s society (e.g., people impersonation, fake news spreading, opinion formation). For this reason, the ability of detecting whether a speech recording is synthetic or pristine is becoming an urgent necessity. In this work, we develop a synthetic speech detector. This takes as input an audio recording, extracts a series of hand-crafted features motivated by the speech-processing literature, and classify them in either closed-set or open-set. The proposed detector is validated on a publicly available dataset consisting of 17 synthetic speech generation algorithms ranging from old fashioned vocoders to modern deep learning solutions. Results show that the proposed method outperforms recently proposed detectors in the forensics literature.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Adam Goodwin ◽  
Sanket Padmanabhan ◽  
Sanchit Hira ◽  
Margaret Glancey ◽  
Monet Slinowsky ◽  
...  

AbstractWith over 3500 mosquito species described, accurate species identification of the few implicated in disease transmission is critical to mosquito borne disease mitigation. Yet this task is hindered by limited global taxonomic expertise and specimen damage consistent across common capture methods. Convolutional neural networks (CNNs) are promising with limited sets of species, but image database requirements restrict practical implementation. Using an image database of 2696 specimens from 67 mosquito species, we address the practical open-set problem with a detection algorithm for novel species. Closed-set classification of 16 known species achieved 97.04 ± 0.87% accuracy independently, and 89.07 ± 5.58% when cascaded with novelty detection. Closed-set classification of 39 species produces a macro F1-score of 86.07 ± 1.81%. This demonstrates an accurate, scalable, and practical computer vision solution to identify wild-caught mosquitoes for implementation in biosurveillance and targeted vector control programs, without the need for extensive image database development for each new target region.


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