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Biomedical subjects

H Dillon

Publications and source records attributed to H Dillon.

50 records · Page 3Linked to original sources
PubMed1984

The effects of multichannel compression/expansion amplification on the intelligibility of nonsense syllables in noise.

The effects of six-channel compression and expansion amplification on the intelligibility of nonsense syllables embedded in speech spectrum noise were examined for four hearing-impaired subjects. For one condition (linear) the stimulus was given six-channel amplification with frequency shaping to suit the subject's hearing loss. The other condition (nonlinear) was the same except that low level inputs, to any given channel, received expansion amplification and high level inputs received compression. For each condition, each subject received the nonsense syllables at three different input levels, representing low, average, and high intensity speech. The results of this study, like those of most other studies of multichannel compression, are mainly negative. Nonlinear processing (mainly expansion) of low intensity speech resulted in a significant degradation of speech intelligibility for two subjects and in no improvement for the others. One subject showed a significant improvement in intelligibility for the nonlinearly processed average intensity speech and another subject showed significant improvement for the high intensity input (mainly compression). Clearly, nonlinear processing is beneficial for some subjects, under some listening conditions, but further research is needed to identify the relevent characteristics of such subjects. An acoustic analysis of selected items revealed that the failure of expansion to improve intelligibility was primarily due to the very low intensity consonants /e/ and /k/, in final position, being presented at an even lower intensity in the expansion condition than in the linear condition. Expansion may be worth further investigation with different parameters. Several other problems caused by the multichannel processing were also revealed. These included alteration of spectral shapes and band interaction effects. Ways of overcoming these problems, and of capitalizing on the likely advantages of multichannel amplification, are currently being investigated.

Hearing Aids↗
PubMed1984

Pharmacokinetics of cefoperazone in newborn infants.

We studied the disposition of two 100 mg/kg doses of cefoperazone given intravenously 12 hr apart in ten newborn infants. Peak levels were a mean 352 +/- SD 75 and 371 +/- 68 micrograms/ml immediately after the first and second dose, respectively, with corresponding troughs of 60 +/- 10 and 76 +/- 28 mcg/ml 12 hr later. Mean half-life was 6.5 +/- 0.9 hr and decreased with increasing gestational age and birthweight. Steady-state volume of distribution averaged 410 +/- 40 ml/kg and total clearance 0.78 +/- 0.13 ml/min X kg and neither varied with gestational age nor birthweight. No untoward physical or laboratory effects were noted. Additional studies including postnatal age effects on kinetics, efficacy, and cerebrospinal fluid penetrance are necessary prior to widespread use of this potentially valuable antibiotic in newborn infants.

Cefoperazone↗
PubMed1983

The effect of test difficulty on the sensitivity of speech discrimination tests.

The sensitivity of speech discrimination tests is defined as being large if a small change in experimental conditions causes a large and repeatable change in test score. The aim of this paper is to investigate ways by which test sensitivity can be maximized. The effect of test difficulty on sensitivity is examined by the use of a model based on signal detection theory and subjective similarity rating concepts. For several sets of assumptions about the parameters underlying the perceptual processes, the model indicates that test difficulty should be in the range 73% to 87% to achieve the maximum sensitivity with speech tests using between four and eight response foils. The model results also indicate that the sensitivity increases with the number of response foils. When the variation of test reliability with test difficulty is taken into account, the test difficulty which maximizes the sensitivity/reliability trade-off lies in the range 85% to 90%. It is argued that irrespective of the optimum test difficulty, a maximally sensitive test will contain items equal to one another in difficulty.

Humans↗
PubMed1983

The selection of modulation rates for frequency modulated sound field stimuli.

Frequency modulated (FM) tones are used in sound field audiometry in order to avoid problems caused by standing waves. The FM stimuli to be used must be specified in terms of bandwidth (twice the frequency deviation), modulation rate and modulation waveform. This paper deals with selection of the modulation rate. Improved field uniformity obtained with FM tones relies upon the ear averaging the sound intensity as the frequency sweeps. The modulation rate must be less than about 1/3 of the frequency deviation in order to provide sufficient spectral components to ensure reasonable averaging across the frequency band. If the rate is too low threshold will be determined by the peak intensity during the sweep. For normal listeners a modulation rate of 5 Hz is just satisfactory but in the hearing impaired a higher rate is required because of their altered temporal integration characteristics. A suitable value for the modulation rate can be inferred from the literature on temporal integration and the acoustic characteristics of typical test rooms. The optimum rate increases with the stimulus centre frequency, but a constant rate of 20 Hz appears to be acceptable.

Audiometry↗
PubMedDate not supplied

A quantitative examination of the sources of speech discrimination test score variability.

Several sources of variability inherent in any speech discrimination measurement are outlined. Limitations of the use of the binomial theorem to predict intrasubject (test-retest) variability are examined. First, the underestimation of variability that is caused by the inclusion of items of different degrees of difficulty is quantified by a reanalysis of published data. Second, it is shown that variability will be larger than expected if the subject's ability is different during test and retest sessions. Fortuitously, these two deviations from the model have opposing effects on the score variability. The estimates provided by the binomial theorem are thus better than if only one effect was present. The need for a clear distinction to be maintained between inter- and intra-subject variability and the effect of list differences on test-retest variability are also discussed.

Hearing↗
PubMedDate not supplied

Sound field audiometry: recommended stimuli and procedures.

Comprehensive recommendations are presented for conducting sound field audiometry with frequency specific stimuli. These recommendations are primarily based on a series of investigations by the authors. The rationale for each recommendation is presented, together with a brief overview of the supporting research. The preferred stimuli are frequency modulation tones, triangularly or sinusoidally modulated at a rate of about 20 Hz, or suitably generated narrow bands of noise. The optimal bandwidths of the stimuli, expressed in percentages of the center frequency, vary with frequency. Stimuli suitable for most purposes have bandwidths ranging from about 30% at 0.25 kHz to about 10% at 4 kHz. Stimuli having narrower or broader bandwidths are desirable for some special purposes. The test room should be as nonreverberant as possible and the subject should be seated on an adjustable height chair with headrest. The control microphone method of calibration is preferred but a method is also presented for carrying out the traditional precalibration procedure. The SPL of the complex stimulus should be taken as the peak deflections on a sound level meter set to "RMS-FAST." A conversion table is presented which allows thresholds obtained in the sound field to be expressed as dB HTL. With the materials and methods described here it is possible to achieve the same reliability for sound field testing as for audiometry under earphones.

Acoustic Stimulation↗
PubMedDate not supplied

Hearing protector performance and standard deviation.

The attenuation performance of a hearing protector is used to estimate the protected exposure level of the user. The aim is to reduce the exposed level to an acceptable value. Users should expect the attenuation to fall within a reasonable range of values around a norm. However, an analysis of extensive test data indicates that there is a negative relationship between attenuation performance and the standard deviation. This result is deduced using a variation in the method of calculating a single number rating of attenuation that is more amenable to drawing statistical inferences. As performance is typically specified as a function of the mean attenuation minus one or two standard deviations from the mean to ensure that greater than 50% of the wearer population are well protected, the implication of increasing standard deviation with decreasing attenuation found in this study means that a significant number of users are, in fact, experiencing over-protection. These users may be disinclined to use their hearing protectors because of an increased feeling of acoustic isolation. This problem is exacerbated in areas with lower noise levels.

Australia↗
PubMedDate not supplied

Does the presentation of audiometric test data have a positive effect on the perceptions of workplace noise and noise exposure avoidance?

Research and 'common knowledge' has for many years accepted that education and feedback supplied to individuals during and immediately after workplace health assessments provides valuable information to workers about their health. Further, if more relevant and detailed information could be supplied then awareness and preventative action may increase proportionately. This research carried out with a rural Australian population has shown that preventative action did not increase in proportion to a corresponding increase in the amount and variety of information provided in connection with hearing health status. Two research groups underwent hearing tests, both with pure tone audiometry (PTA) while the second group also underwent otoacoustic emission (OAE) testing. Test results were presented to the subjects at the conclusion of their test session. An analysis of questionnaire responses at six week and twelve months follow up showed that more information did not result in increased preventative action. Barriers seem to exist such that individuals feel that they are not able to effectively act to reduce overall noise exposure. While self-efficacy initially increased, it declined to close to its initial value over the longer period. Other measures such as perceived susceptibility to hearing loss and the benefits of exposure reduction significantly increased and remained at the same increased level after twelve months. So, while overall awareness of noise and the risks of exposure were increased after both types of hearing test there was no increased hearing health benefit due to additional testing and hearing information.

Adult↗