Biomedical subjects

Benjamin W Y Hornsby

Publications and source records attributed to Benjamin W Y Hornsby.

10 recordsLinked to original sources

PubMed2006

Directional hearing aid benefit in listeners with severe hearing loss.

The purpose of this investigation was to examine the potential for directional hearing aid benefit in listeners with severe hearing loss at multiple SNRs for both auditory only and audio-visual presentation modes. Speech recognition performance was measured using the connected speech test at six SNRs individually determined for each subject in order to avoid floor and ceiling effects. The results revealed significant directional benefit was present at all tested SNRs in the presence of visual information. For auditory only presentations, significant directional benefit was only present at the least positive SNR. The largest directional benefit was measured at the poorest tested SNR for both auditory only and audiovisual presentation modes. The results of this study generally support small but significant directional for listeners with severe hearing loss benefit in a difficult listening environment both with and without the presence of visual information.

Acoustic Stimulation↗

PubMed2006

The effects of hearing loss on the contribution of high- and low-frequency speech information to speech understanding. II. Sloping hearing loss.

The speech understanding of persons with sloping high-frequency (HF) hearing impairment (HI) was compared to normal hearing (NH) controls and previous research on persons with "flat" losses [Hornsby and Ricketts (2003). J. Acoust. Soc. Am. 113, 1706-1717] to examine how hearing loss configuration affects the contribution of speech information in various frequency regions. Speech understanding was assessed at multiple low- and high-pass filter cutoff frequencies. Crossover frequencies, defined as the cutoff frequencies at which low- and high-pass filtering yielded equivalent performance, were significantly lower for the sloping HI, compared to NH, group suggesting that HF HI limits the utility of HF speech information. Speech intelligibility index calculations suggest this limited utility was not due simply to reduced audibility but also to the negative effects of high presentation levels and a poorer-than-normal use of speech information in the frequency region with the greatest hearing loss (the HF regions). This deficit was comparable, however, to that seen in low-frequency regions of persons with similar HF thresholds and "flat" hearing losses suggesting that sensorineural HI results in a "uniform," rather than frequency-specific, deficit in speech understanding, at least for persons with HF thresholds up to 60-80 dB HL.

Adult↗

PubMed2006

The effects of digital noise reduction on the acceptance of background noise.

Modern hearing aids commonly employ digital noise reduction (DNR) algorithms. The potential benefit of these algorithms is to provide improved speech understanding in noise or, at the least, to provide relaxed listening or increased ease of listening. In this study, 22 adults were fitted with 16-channel wide-dynamic-range compression hearing aids containing DNR processing. The DNR includes both modulation-based and Wiener-filter-type algorithms working simultaneously. Both speech intelligibility and acceptable noise level (ANL) were assessed using the Hearing in Noise Test (HINT) with DNR on and DNR off. The ANL was also assessed without hearing aids. The results showed a significant mean improvement for the ANL (4.2 dB) for the DNR-on condition when compared to DNR-off condition. Moreover, there was a significant correlation between the magnitude of ANL improvement (relative to DNR on) and the DNR-off ANL. There was no significant mean improvement for the HINT for the DNR on condition, and on an individual basis, the HINT score did not significantly correlate with either aided ANL (DNR on or DNR off). These findings suggest that at least within the constraints of the DNR algorithms and test conditions employed in this study, DNR can significantly improve the clinically measured ANL, which may result in improved ease of listening for speech-in-noise situations.

Adult↗

PubMed2006

The effects of speech and speechlike maskers on unaided and aided speech recognition in persons with hearing loss.

Speech understanding in noise is affected by both the energetic and informational masking components of the background noise. In addition, when the background noise is everyday speech, the relative contributions of the energetic and informational masking components to the overall difficulties in understanding speech are unclear. This study estimated informational masking effects, in conversational speech settings, on the speech understanding of persons with and without hearing loss. The benefits and limitations of amplification in settings containing both informational and energetic masking components were also explored. Speech recognition was assessed in the presence of two types of maskers (speech and noise) that varied in the amount of informational masking they were expected to produce. Persons with hearing loss were tested both unaided and aided. Study results suggest that background noise, consisting of individual talkers, results in both informational and energetic masking. In addition, the benefits of amplification are limited when the background noise contains both informational and energetic masking components.

Adult↗

PubMed2005

Application of frequency importance functions to directivity for prediction of benefit in uniform fields.

OBJECTIVE: The purpose of the current investigation was to systematically examine two of the assumptions central to the application of Articulation Index weighted Directivity Index (AI-DI) to the prediction of directional benefit across three groups of listeners differentiated by degree and configuration of hearing loss. Specifically, the assumption that (1) changes in speech recognition performance are predictable from frequency specific changes in calculated audibility after applying directivity index (DI) values and (2) applying appropriate frequency importance functions would increase the accuracy of AI-DI predictions of directional benefit were evaluated. DESIGN: The output of a single hearing aid for a speech in noise input was recorded to produce high and low directivity (directional and omnidirectional microphone modes) segments. These segments were then high-pass and low-pass filtered into low- and high-frequency regions and acoustically mixed to generate the eight frequency-specific directivity combinations. All recordings were made through an acoustic manikin placed in a single room, surrounded by five uncorrelated noise sources. The aided sentence recognition, in noise, for three groups of 12 adult participants with symmetrical sensorineural hearing impairment, was then measured across the eight listening conditions. The three groups were differentiated by degree and type of hearing loss including "sloping," "flat," and "severe" configurations. The frequency-specific DI values for each of the eight listening conditions were applied to the calculation of frequency specific noise levels. These corrected noise levels were then used to calculate an Articulation Index using the Speech Intelligibility Index (SII, ). These SII values were then compared with measured speech recognition under the same eight listening conditions. Directional benefit values were then calculated by subtracting the performance of individual participants on the Connected Speech Test (CST) in omnidirectional mode from performance in all other filter conditions. The changes in average DI and AI-DI (using three different frequency importance functions) that existed between omnidirectional and the other seven filter conditions were then calculated for comparison to directional benefit values. RESULTS: The speech recognition data revealed a complex interaction between filter condition and group. Despite this interaction, highly significant positive correlations were found between participants' speech recognition scores and the corresponding SII calculation for all three hearing loss groups. Individual subjects' measured directional benefit was highly correlated with changes in DI. Similar correlations were found for average DI and all three AI-DI weighting methods. CONCLUSIONS: As expected, performance and calculated SII values were in good agreement across conditions supporting the hypothesis that DI provides a reasonable frequency-specific estimate of signal-to-noise ratio changes in the test environment. The results further support the use of AI-DI or average DI for prediction of directional benefit. The choice of importance weighting across frequency (flat or frequency importance function based), however, did not improve the accuracy of these predictions; therefore, a simple average DI is advocated. Further, the prediction of absolute directional benefit across hearing loss groups from traditional AI-DI calculations may lead to error if the negative effects of hearing loss on speech understanding, and how these effects vary with degree of hearing loss, are not considered as a contributing factor.

Audiometry, Pure-Tone↗

PubMed2005

The effects of high presentation levels on consonant feature transmission.

The effect of high speech presentation levels on consonant recognition and feature transmission was assessed in eight participants with normal hearing. Consonant recognition in noise (0 dB signal-to-noise ratio) was measured at five overall speech levels ranging from 65 to 100 dB SPL. Consistent with the work of others, overall percent correct performance decreased as the presentation level of speech increased [e.g., G. A. Studebaker, R. L. Sherbecoe, D. M. McDaniel, and C. A. Gwaltney, J. Acoust. Soc. Am. 105(4), 2431-2444 (1999)]. Confusion matrices were analyzed in terms of relative percent information transmitted at each speech presentation level, as a function of feature. Six feature sets (voicing, place, nasality, duration, frication, and sonorance) were analyzed. Results showed the feature duration (long consonant duration fricatives) to be most affected by increases in level, while the voicing feature was relatively unaffected by increases in level. In addition, alveolar consonants were substantially affected by level, while palatal consonants were not. While the underlying mechanisms responsible for decreases in performance with level increases are unclear, an analysis of common error patterns at high levels suggests that saturation of the neural response and/or a loss of neural synchrony may play a role.

Acoustic Stimulation↗

PubMed2005

Sound quality measures for speech in noise through a commercial hearing aid implementing digital noise reduction.

This brief report discusses the affect of digital noise reduction (DNR) processing on aided speech recognition and sound quality measures in 14 adults fitted with a commercial hearing aid. Measures of speech recognition and sound quality were obtained in two different speech-in-noise conditions (71 dBA speech, +6 dB SNR and 75 dBA speech, +1 dB SNR). The results revealed that the presence or absence of DNR processing did not impact speech recognition in noise (either positively or negatively). Paired comparisons of sound quality for the same speech in noise signals, however, revealed a strong preference for DNR processing. These data suggest that at least one implementation of DNR processing is capable of providing improved sound quality, for speech in noise, in the absence of improved speech recognition.

Adult↗

PubMed2003

Distance and reverberation effects on directional benefit.

OBJECTIVE: Understanding the potential benefits and limitations of directional hearing aids across a wide range of listening environments is important when counseling persons with hearing loss regarding realistic expectations for these devices. The purpose of this study was to examine the impact of speaker-to-listener distance on directional benefit in two reverberant environments, in which the dominate noise sources were placed close to the hearing aid wearer. In addition, speech transmission index (STI) measures made in the test environments were compared to measured sentence recognition to determine if performance was predictable across changes in distance, reverberation and microphone mode. DESIGN: The aided sentence recognition, in noise, for fourteen adult participants with symmetrical sensorineural hearing impairment was measured in six environmental conditions in both directional and omnidirectional modes. A single room, containing four uncorrelated noise sources served as the test environment. The room was modified to exhibit either low (RT60 = 0.3 sec) or moderate (RT60 = 0.9 sec) levels of reverberation. Sentence recognition was measured in both reverberant environments at three different speech loudspeaker-to-listener distances (1.2 m, 2.4 m, and 4.8 m). STI measures also were made in each of the 12 listening conditions (2 microphone modes x 3 distances x 2 reverberation environments). RESULTS: A decrease in directional benefit was measured with increasing distance in the moderate reverberation condition. Although reduced, directional benefit was still present in the moderately reverberant environment at the farthest speech speaker-to-listener distance tested in this experiment. A similar decrease with increasing speaker-to-listener distance was not measured in the low reverberation condition. The pattern of average sentence recognition results across varying distances and two different reverberation times agreed with the pattern of STI values measured under the same conditions. CONCLUSIONS: Although these data support increased directional benefit in noise for reduced speaker-to-listener distance, some benefit was still obtained by listeners when listening beyond "effective" critical distance under conditions of low (300 msec) to moderate (900 msec) reverberation. It is assumed that the directional benefit was due to the reduction of the direct sound energy from the noise sources near the listener. The use of aided STI values for the prediction of average word recognition across listening conditions that differ in reverberation, microphone directivity, and speaker-to-listener distance also was supported.

Adult↗

PubMed2003

The effects of hearing loss on the contribution of high- and low-frequency speech information to speech understanding.

The speech understanding of persons with "flat" hearing loss (HI) was compared to a normal-hearing (NH) control group to examine how hearing loss affects the contribution of speech information in various frequency regions. Speech understanding in noise was assessed at multiple low- and high-pass filter cutoff frequencies. Noise levels were chosen to ensure that the noise, rather than quiet thresholds, determined audibility. The performance of HI subjects was compared to a NH group listening at the same signal-to-noise ratio and a comparable presentation level. Although absolute speech scores for the HI group were reduced, performance improvements as the speech and noise bandwidth increased were comparable between groups. These data suggest that the presence of hearing loss results in a uniform, rather than frequency-specific, deficit in the contribution of speech information. Measures of auditory thresholds in noise and speech intelligibility index (SII) calculations were also performed. These data suggest that differences in performance between the HI and NH groups are due primarily to audibility differences between groups. Measures of auditory thresholds in noise showed the "effective masking spectrum" of the noise was greater for the HI than the NH subjects.

Adult↗

PubMed2003

Auditory spatial resolution in horizontal, vertical, and diagonal planes.

Minimum audible angle (MAA) and minimum audible movement angle (MAMA) thresholds were measured for stimuli in horizontal, vertical, and diagonal (60 degrees) planes. A pseudovirtual technique was employed in which signals were recorded through KEMAR's ears and played back to subjects through insert earphones. Thresholds were obtained for wideband, high-pass, and low-pass noises. Only 6 of 20 subjects obtained wideband vertical-plane MAAs less than 10 degrees, and only these 6 subjects were retained for the complete study. For all three filter conditions thresholds were lowest in the horizontal plane, slightly (but significantly) higher in the diagonal plane, and highest for the vertical plane. These results were similar in magnitude and pattern to those reported by Perrott and Saberi [J. Acoust. Soc. Am. 87, 1728-1731 (1990)] and Saberi and Perrott [J. Acoust. Soc. Am. 88, 2639-2644 (1990)], except that these investigators generally found that thresholds for diagonal planes were as good as those for the horizontal plane. The present results are consistent with the hypothesis that diagonal-plane performance is based on independent contributions from a horizontal-plane system (sensitive to interaural differences) and a vertical-plane system (sensitive to pinna-based spectral changes). Measurements of the stimuli recorded through KEMAR indicated that sources presented from diagonal planes can produce larger interaural level differences (ILDs) in certain frequency regions than would be expected based on the horizontal projection of the trajectory. Such frequency-specific ILD cues may underlie the very good performance reported in previous studies for diagonal spatial resolution. Subjects in the present study could apparently not take advantage of these cues in the diagonal-plane condition, possibly because they did not externalize the images to their appropriate positions in space or possibly because of the absence of a patterned visual field.

Adolescent↗