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Biomedical subjects

L J Dent

Publications and source records attributed to L J Dent.

5 recordsLinked to original sources

Attempts to facilitate dorsal column axonal regeneration in a neonatal spinal environment.

The response to injury of ascending collaterals of dorsal root axons within the dorsal column (DC) was studied after neonatal spinal overhemisection (OH) made at different levels of the spinal cord. The transganglionic tracer, cholera toxin conjugated to horseradish peroxidase, and the anterograde tracer, biotinylated dextran amine, were used to label dorsal root ganglion cells with peripheral axons contributing to the sciatic nerve. There was no indication of a regenerative attempt by DC axons at acute survival times (3 days and later) after cervical injury, replicating previous work done at chronic survival periods (Lahr and Stelzner [1990] J. Comp. Neurol. 293:377-398). There was also no evidence of DC regeneration after lumbar OH injury even though immunohistochemical studies using the oligodendrocyte markers Rip and myelin basic protein showed few oligodendrocytes in the gracile fasciculus at lumbar levels at birth. Therefore, the lack of myelin in the dorsal funiculus at lumbar levels does not enhance the growth of neonatally axotomized DC axons. In addition, DC axons did not regenerate when presented with fetal spinal tissue implanted into thoracic OH lesions, even though positive control experiments showed that segmental dorsal root axons containing calcition gene-related peptide and corticospinal axons grew into these implants, replicating previous work of others. When a thoracic OH lesion, with or without a fetal spinal implant, was combined with sciatic nerve injury to attempt to stimulate an intracellular regenerative response of DRG neurons, again, no evidence of DC axonal regeneration was detected. Quantitative studies of the L4 and L5 dorsal root ganglia (DRG) showed that OH injury did not result in DRG neuronal loss. However, sciatic nerve injury did result in significant post-axotomy retrograde cell loss of DRG neurons, even in groups receiving thoracic embryonic spinal implants, and is one explanation for the minimal effect of sciatic nerve injury on DC regeneration. Although fetal tissue did not appear to rescue a significant number of DRG neurons, the quantitative analysis showed an enlargement of the largest class of DRG neuron, the class that contributes to the DC projection, in all groups receiving fetal tissue implants. This apparent trophic effect did not affect DC regeneration or neuronal survival after peripheral axotomy. Further studies are needed to determine why DC axons do not regenerate in a neonatal spinal environment or within fetal tissue implants, especially because previous work by others in both the developing and adult spinal cord shows that dorsal root axons will grow within the same type of fetal spinal implant.

Animals↗

Speech perception by four single-channel cochlear implant users.

Four profoundly deaf adults, each a recent recipient of a scala tympani implant, underwent auditory and auditory-visual speech comprehension evaluations. Two subjects had multiple-electrode auditory prostheses, and 2 had single-electrode implants. All subjects were tested preoperatively with a high-power hearing aid, and postoperatively with a single-channel wearable sound processor. Reported here are the results of the first formal speech recognition tests which were conducted during the 8 months after the sound processor fitting. Three subjects had used the single-channel processor on a daily basis for up to 8 months at the time of postoperative testing. The 4th subject was a nonuser. On listening tests, a comparison between pre- and post-implant scores revealed little difference for any subject. On postoperative speechreading tasks, all subjects identified medial consonant phonemes and 2-digit numerals better with stimulation than without. The 3 frequent users of the device experienced significant improvement on connected-discourse tracking, and their speechreading of videotaped and live voice CID Everyday Sentences (Davis & Silverman, 1978) was enhanced with the addition of stimulation. The nonuser was a very proficient speechreader at the outset and exhibited no significant difference on connected-discourse tracking with and without stimulation. Moreover her ability to speechread Everyday Sentences was hampered slightly by the addition of stimulation. This single-channel sound processor functioned as a sensory supplement for the 3 frequent users, but no subject was able to use the processor as a sensory substitute.

Adult↗

Comparison of different speech processing strategies on patients receiving the same implant.

Two subjects with transcutaneously connected 8-electrode scala tympani implants were given subsets of the Minimal Auditory Capabilities test during stimulation with five speech processing strategies--two single channel and three multichannel. While there were significant (p = 0.05%) scores on some items with all types of stimulation, one subject did as well with single channel analog as with multichannel stimulation. She is an enthusiastic full-time user of single channel stimulation. The other, a nonuser of the same device, preferred (and performed better with) one of multichannel stimulation. This is an interim report because neither subject has yet had the opportunity of nonlaboratory use of the multichannel schemes.

Adult↗

Vowel discrimination with the single-electrode cochlear implant: a pilot study.

Eight normal-hearing individuals and six single-electrode cochlear implant users were asked to discriminate tape recorded pairs of spoken monosyllables consisting of 11 English syllabic nuclei (see formula in text) bounded by the consonant frame. A same-different paradigm was used. Most normal-hearing subjects discriminated all pairs intended by the talker as different; two normal listeners confused monosyllables containing (see formula in text). Cochlear implant users showed some intersubject variation, but for the 6 subjects, discriminations were consistent enough to allow the data to be pooled for analysis. The pooled data for these four subjects indicated that high front and high back vowels were discriminable from low vowels. The basis for the discriminations is difficult to evaluate, since the naturally spoken stimuli varied with respect to formant frequencies, fundamental frequency, intensity, and duration.

Adult↗