744 research outputs found

    Level discrimination of speech sounds by hearing-impaired individuals with and without hearing amplification

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    Objectives: The current study was designed to see how hearing-impaired individuals judge level differences between speech sounds with and without hearing amplification. It was hypothesized that hearing aid compression should adversely affect the user's ability to judge level differences. Design: Thirty-eight hearing-impaired participants performed an adaptive tracking procedure to determine their level-discrimination thresholds for different word and sentence tokens, as well as speech-spectrum noise, with and without their hearing aids. Eight normal-hearing participants performed the same task for comparison. Results: Level discrimination for different word and sentence tokens was more difficult than the discrimination of stationary noises. Word level discrimination was significantly more difficult than sentence level discrimination. There were no significant differences, however, between mean performance with and without hearing aids and no correlations between performance and various hearing aid measurements. Conclusions: There is a clear difficulty in judging the level differences between words or sentences relative to differences between broadband noises, but this difficulty was found for both hearing-impaired and normal-hearing individuals and had no relation to hearing aid compression measures. The lack of a clear adverse effect of hearing aid compression on level discrimination is suggested to be due to the low effective compression ratios of currently fit hearing aids

    The Sensitivity of Hearing-Impaired Adults to Acoustic Attributes in Simulated Rooms

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    In previous studies we have shown that older hearing-impaired individuals are relatively insensitive to changes in the apparent width of broadband noises when those width changes were based on differences in interaural coherence [W. Whitmer, B. Seeber and M. Akeroyd, J. Acoust. Soc. Am. 132, 369-379 (2012)]. This insensitivity has been linked to senescent difficulties in resolving binaural fine-structure differences. It is therefore possible that interaural coherence, despite its widespread use, may not be the best acoustic surrogate of spatial perception for the aged and impaired. To test this, we simulated the room impulse responses for various acoustic scenarios with differing coherence and lateral (energy) fraction attributes using room modelling software (ODEON). Bilaterally impaired adult participants were asked to sketch the perceived size of speech tokens and musical excerpts that were convolved with these impulse responses and presented to them in a sound-dampened enclosure through a 24-loudspeaker array. Participants' binaural acuity was also measured using an interaural phase discrimination task. Corroborating our previous findings, the results showed less sensitivity to interaural coherence in the auditory source width judgments of older hearing-impaired individuals, indicating that alternate acoustic measurements in the design of spaces for the elderly may be necessary

    Recording and Analysis of Head Movements, Interaural Level and Time Differences in Rooms and Real-World Listening Scenarios

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    The science of how we use interaural differences to localise sounds has been studied for over a century and in many ways is well understood. But in many of these psychophysical experiments listeners are required to keep their head still, as head movements cause changes in interaural level and time differences (ILD and ITD respectively). But a fixed head is unrealistic. Here we report an analysis of the actual ILDs and ITDs that occur as people naturally move and relate them to gyroscope measurements of the actual motion. We used recordings of binaural signals in a number of rooms and listening scenarios (home, office, busy street etc). The listener's head movements were also recorded in synchrony with the audio, using a micro-electromechanical gyroscope. We calculated the instantaneous ILD and ITDs and analysed them over time and frequency, comparing them with measurements of head movements. The results showed that instantaneous ITDs were widely distributed across time and frequency in some multi-source environments while ILDs were less widely distributed. The type of listening environment affected head motion. These findings suggest a complex interaction between interaural cues, egocentric head movement and the identification of sound sources in real-world listening situations

    Concluding remarks

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    A comprehensive survey of hearing questionnaires: how many are there, what do they measure, and how have they been validated?

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    The self-report questionnaire is a popular tool for measuring outcomes in trials of interventions for hearing impairment. Many have been designed over the last fifty years, and there is no single standard questionnaire that is widely accepted and used. We felt it would be a valuable resource to have a comprehensive collection of all adult hearing-loss questionnaires (excluding those wholly devoted to tinnitus, children, or cochlear implants) and to survey their degree of validation. We collated copies of every published hearing difficulty questionnaire that we could find. The search was primarily done by iterative reference searching. Questionnaire topics were obtained by mapping the text of each questionnaire onto a set of categories; reports of validation methods were taken from the primary paper(s) on each questionnaire. In total we found 139 hearing-specific questionnaires (though many others were found that were primarily about something else). Though not formally systematic, we believe that we have included every questionnaire that is important, most of those of some notice, and a fair fraction of those obscure. We classified 111 as “primary” and the remaining 28 as “contractions”, being shortened versions of a primary without any new questions. In total, there were 3618 items across all the primary questionnaires. The median number of items per questionnaire was 20; the maximum was 158. Across all items, about one third were concerned with the person’s own hearing, another third with the repercussions of it, and about a quarter with hearing aids. There was a wide range in validation methods, from only using items chosen statistically from wider pools and with formal validation against independent measures of clinical outcomes, to just reporting a correlation with an audiogram measure of hearing loss. The “state of play” of the field of hearing questionnaires will be discussed

    First lattice evidence for a non-trivial renormalization of the Higgs condensate

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    General arguments related to ``triviality'' predict that, in the broken phase of (λΦ4)4(\lambda\Phi^4)_4 theory, the condensate re-scales by a factor $Z_{\phi}$ different from the conventional wavefunction-renormalization factor, $Z_{prop}$. Using a lattice simulation in the Ising limit we measure $Z_{\phi}=m^2 \chi$ from the physical mass and susceptibility and $Z_{prop}$ from the residue of the shifted-field propagator. We find that the two $Z$'s differ, with the difference increasing rapidly as the continuum limit is approached. Since $Z_{\phi}$ affects the relation of to the Fermi constant it can sizeably affect the present bounds on the Higgs mass.Comment: 10 pages, 3 figures, 1 table, Latex2

    Discrimination of gain increments in speech

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    During a hearing-aid fitting, the gain applied across frequencies is often adjusted from an initial prescription in order to meet individual needs and preferences. These gain adjustments in one or more frequency bands are commonly verified using speech in quiet (e.g., the clinician’s own voice). Such adjustments may be unreliable and inefficient if they are not discriminable. To examine what adjustments are discriminable when made to speech, the current study measured the just-noticeable differences (JNDs) for gain increments in male, single-talker sentences. Sentences were presented with prescribed gains to the better ears of 41 hearing-impaired listeners. JNDs were measured at d' of 1 for octave-band, dual-octave-band and broadband increments using a fixed-level, same-different task. The JNDs and interquartile ranges (IQRs) for 0.25, 1 and 4 kHz octave-band increments were 6.4 [4.0-7.8], 6.7 [4.6-9.1] and 9.6 [7.3-12.4] dB respectively. The JNDs and IQRs for low, mid and high-frequency dual-octave-band increments were 3.7 [2.5-4.6], 3.8 [2.9-4.7] and 6.8 [4.7-9.1] dB, respectively. The JND for broadband increments was 2.0 [1.5-2.7] dB. High-frequency dual-octave-band JNDs were positively correlated with high-frequency pure-tone thresholds and sensation levels, suggesting an effect of audibility for this condition. All other JNDs were independent of pure-tone threshold and sensation level. JNDs were independent of age and hearing-aid experience. These results suggest using large initial adjustments when using short sentences in a hearing-aid fitting to ensure patient focus, followed by smaller subsequent adjustments, if necessary, to ensure audibility, comfort and stability
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