PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 14647926

[Automated hearing threshold estimation in newborns using extrapolated DPOAE input/output functions].

T Janssen·A Klein·D D Gehr
View original source ↗Export metadata ↓

Abstract

BACKGROUND AND AIM: A new method for automatically assessing hearing loss by means of extrapolated DPOAE I/O-functions was applied for the first time in newborns. METHODS: DPOAE I/O-functions were recorded in 118 ears of 93 newborns (mean age 3 days) at 12 frequencies between 1 and 8 kHz. L(2) was varied between 20 and 65 dB SPL with L(1)=0.4L(2)+39 and f(2)/f(1)=1.2. Auditory thresholds were constructed using the estimated DPOAE threshold level from extrapolated DPOAE I/O-functions. Follow-up measurements were conducted in 15 ears 4 weeks later. RESULTS: The first measurement revealed a high-frequency hearing loss. The second measurement showed normal hearing function. This fact and the decrease of DPOAE level in the frequency range of the hearing loss, while keeping the compressive shape of the DPOAE I/O-functions, indicate that transitory sound conduction disturbance may be due to amniotic fluid. CONCLUSIONS: The method fulfils the essential criteria for screening newborn hearing. It is fast and easy to handle, and measurement and data analysis are performed automatically. Preliminary results suggest that the new method is able to differentiate between transitory middle-ear dysfunction and persisting cochlear disorders. Due to its better diagnostic capabilities in comparison to TEOAE, DPOAE, and FAEP, this method may provide a new instrument with which to make a fast evaluation of hearing function in children.

Explore related subjects

Acoustic StimulationAudiometry, Evoked ResponseAuditory ThresholdCochleaDiagnosis, Computer-AssistedFemaleFollow-Up StudiesHearing DisordersHumansInfantInfant, NewbornMaleNeonatal ScreeningOtoacoustic Emissions, SpontaneousPitch PerceptionPredictive Value of TestsQuality Assurance, Health CareSignal Processing, Computer-AssistedEnglish AbstractJournal ArticleResearch Support, Non-U.S. Gov't

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

T Janssen, A Klein, D D Gehr. 2003-06-17. [Automated hearing threshold estimation in newborns using extrapolated DPOAE input/output functions].. https://doi.org/10.1007/s00106-003-0856-4

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2008

Sensory filtering phenomenology in PTSD.

Disrupted sensory filtering, or problems with suppressing irrelevant environmental sensory stimuli, has been reported in individuals with posttraumatic stress disorder (PTSD). However, the relationship of sensory filtering deficits to specific PTSD symptoms versus an association with general trauma exposure is unclear. These relationships were examined by administering self-report measures of trauma exposure, PTSD, and sensory gating phenomenology to undergraduate participants with PTSD (n=32), with trauma history but without PTSD (n=144), and with minimal trauma history (n=153). Subjects with PTSD reported greater filtering disruption than individuals in the trauma only and low trauma groups, who did not differ. Individuals endorsing reexperiencing and numbing symptoms, and females endorsing hypervigilance, reported disrupted sensory filtering phenomenology. These results suggest that impaired filtering differentiates between individuals with PTSD symptoms and asymptomatic individuals exposed to multiple traumas and low-trauma controls.

Acoustic Stimulation↗
PubMed2007

Hypoglycemia reduces the blood-oxygenation level dependent signal in primary auditory and visual cortex: a functional magnetic resonance imaging study.

Studies of the effects of hypoglycemia on the brain using neurocognitive testing have suggested that mainly complex functions subserved by secondary and tertiary cortex are affected by mild to moderate hypoglycemia and that intensively treated patients with Type I diabetes mellitus (T1DM) may have altered sensitivity to the central nervous system effects of hypoglycemia. Functional magnetic resonance imaging provides a sensitive, regionally-specific probe of possible neurophysiologic changes related to hypoglycemia in the brain. Eleven intensively-treated T1DM patients and 11 matched non-diabetic controls took part in a 2-day protocol in which functional magnetic resonance imaging (MRI) was used to measure changes in the patterns of brain activation produced by simple auditory and visual stimuli in different conditions. On one day, participants were euglycemic the entire time. On the other day, an initial 50-min euglycemic period was followed by a 50-min hypoglycemic period. Results indicated that hypoglycemia reduced the amplitude of the blood-oxygenation level dependent response in primary auditory and visual cortex to simple auditory and visual stimuli. The latency and duration of the transient hemodynamic response function were not affected. Responses to hypoglycemia were similar in diabetic and non-diabetic participants. These results suggest that mild to moderate hypoglycemia may alter the balance of blood flow and oxygen extraction when glucose levels are lowered. Intensively-treated T1DM, with its attendant frequent hypoglycemic episodes, did not seem to alter hypoglycemic responses in primary visual and auditory cortex.

Acoustic Stimulation↗
PubMed2007

Song discrimination learning in zebra finches induces highly divergent responses to novel songs.

Perceptual biases can shape the evolution of signal form. Understanding the origin and direction of such biases is therefore crucial for understanding signal evolution. Many animals learn about species-specific signals. Discrimination learning using simple stimuli varying in one dimension (e.g. amplitude, wavelength) can result in perceptual biases with preferences for specific novel stimuli, depending on the stimulus dimensions. We examine how this translates to discrimination learning involving complex communication signals; birdsongs. Zebra finches (Taeniopygia guttata) were trained to discriminate between two artificial songs, using a Go/No-Go procedure. The training songs in experiment 1 differed in the number of repeats of a particular element. The songs in experiment 2 differed in the position of an odd element in a series of repeated elements. We examined generalization patterns by presenting novel songs with more or fewer repeated elements (experiment 1), or with the odd element earlier or later in the repeated element sequence (experiment 2). Control birds were trained with only one song. The generalization curves obtained from (i) control birds, (ii) experimental birds in experiment 1, and (iii) experimental birds in experiment 2 showed large and systematic differences from each other. Birds in experiment 1, but not 2, responded more strongly to specific novel songs than to training songs, showing 'peak shift'. The outcome indicates that learning about communication signals may give rise to perceptual biases that may drive signal evolution.

Acoustic Stimulation↗