Otogenic cavernous sinus thrombosis.
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Biomedical subjects
Publications and source records attributed to K J Doyle.
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Transient hilar and mediastinal lymphadenopathy accompanying right-sided bacterial endocarditis without concurrent roentgenographically-demonstrable pulmonary parenchymal abnormalities has not, to our knowledge, been previously reported. The roentgenographic finding of hilar or mediastinal lymphadenopathy should not be considered incompatible with the diagnosis of bacterial endocarditis in the appropriate clinical setting. Possible mechanisms for the development of lymphadenopathy secondary to bacterial endocarditis are discussed.
We investigated vowel perception by 15 subjects using the single-electrode cochlear implant used at the House Ear Institute in Los Angeles. Subjects were postlingually deaf adults having histories of unsuccessful hearing aid use and a minimum of 6 to 12 months experience with the implant. Eleven American English vowels spoken by a male talker were tape recorded, digitized, analyzed, and controlled for the experiments. The stimuli were audio-recordings of both natural and loudness-matched vowels. Subjects rated the dissimilarity of both the naturally spoken and the loudness-matched vowels, and performed identification of the latter. Two normal-hearing subjects served as controls for the dissimilarity tasks. Multidimensional scaling, hierarchical clustering, and percent correct identification analyses were used to help determine the perceptual features used by the subjects in their judgments. Generally, the normal-hearing subjects took advantage of second formant (F2) frequency information. The cochlear-implant users relied primarily upon fundamental (F0) and first formant (F1) frequency information and demonstrated difficulty in vowel identification. No major differences were noted for the natural versus loudness-matched vowels. F2 information, requisite for accurate vowel recognition, did not correspond to any of the perceptual dimensions discerned in the results obtained from implant subjects.
W-22 lists were given at 40 db re SRT with a Maico MA-24B audiometer and attachments to 20 normal-hearing adults in quiet and in combination with either wide-band or speech-spectrum noise at S/N = 0, monaurally by earphone and binaurally by loudspeaker(s). No systematic L-R differences were observed. DS in quiet by any condition was at or near 100%. Mean DS in noise by monaural earphone was 79.80 +/- 13.3 for wide-band noise and 54.7 +/- 12.7 for speech-spectrum noise. When speech and noise were from two different loudspeakers placed +/- 45 degrees from midline, DS was 90.8 +/- 9.5 for wide-band noise and 88.1 +/- 7.8 for speech-spectrum noise. When both speech and noise came from the same loudspeaker, DS was 79.10 +/- 10.3 for wide-band noise and 57.0 +/- 21.8 for speech-spectrum noise. These values are proposed as provisional norms for clinical facilities using these conditions and employing similar instrumentation.