Comparison of Different Hearing Aid Prescriptions for Children.

Objectives: To assess whether there are significant differences between speech scores for different hearing aid prescription methods, specifically DSL i/o, DSL V, and NAL-NL1, using age-appropriate closed- and open-set speech tests with young children, designed to avoid floor and ceiling effects.

Design: Participants were 44 children with moderate or severe bilateral hearing loss, 8 aged 2 to 3 years, 15 aged 4 to 5 years, and 21 aged 6 to 9 years. Children wore bilateral hearing aids fitted with each prescription method in turn in a balanced double-blind design.

A Loudness Model for Time-Varying Sounds Incorporating Binaural Inhibition.

This article describes a model of loudness for time-varying sounds that incorporates the concept of binaural inhibition, namely, that the signal applied to one ear can reduce the internal response to a signal at the other ear. For each ear, the model includes the following: a filter to allow for the effects of transfer of sound through the outer and middle ear; a short-term spectral analysis with greater frequency resolution at low than at high frequencies; calculation of an excitation pattern, representing the magnitudes of the outputs of the auditory filters as a function of center frequency; application of a compressive nonlinearity to the output of each auditory filter; and smoothing over time of the resulting instantaneous specific loudness pattern using an averaging process resembling an automatic gain control. The resulting short-term specific loudness patterns are used to calculate broadly tuned binaural inhibition functions, the amount of inhibition depending on the relative short-term specific loudness at the two ears.

Representation of Instantaneous and Short-Term Loudness in the Human Cortex.

Acoustic signals pass through numerous transforms in the auditory system before perceptual attributes such as loudness and pitch are derived. However, relatively little is known as to exactly when these transformations happen, and where, cortically or sub-cortically, they occur. In an effort to examine this, we investigated the latencies and locations of cortical entrainment to two transforms predicted by a model of loudness perception for time-varying sounds: the transforms were instantaneous loudness and short-term loudness, where the latter is hypothesized to be derived from the former and therefore should occur later in time.

Measurement and modeling of binaural loudness summation for hearing-impaired listeners.

The summation of loudness across ears is often studied by measuring the level difference required for equal loudness (LDEL) of monaural and diotic sounds. Typically, the LDEL is ∼5-6 dB, consistent with the idea that a diotic sound is ∼1.5 times as loud as the same sound presented monaurally at the same level, as predicted by the loudness model of Moore and Glasberg [J.

Assessing the possible role of frequency-shift detectors in the ability to hear out partials in complex tones.

The possible role of frequency-shift detectors (FSDs) was assessed for a task measuring the ability to hear out individual "inner" partials in a chord with seven partials uniformly spaced on the ERBN-number (Cam) scale. In each of the two intervals in a trial, a pure-tone probe was followed by a chord. In one randomly selected interval, the frequency of the probe was the same as that of a partial in the chord.

Pitch perception of concurrent harmonic tones with overlapping spectra.

Fundamental frequency difference limens (F0DLs) were measured for a target harmonic complex tone with nominal fundamental frequency (F0) of 200 Hz, in the presence and absence of a harmonic masker with overlapping spectrum. The F0 of the masker was 0, ± 3, or ± 6 semitones relative to 200 Hz. The stimuli were bandpass filtered into three regions: 0-1000 Hz (low, L), 1600-2400 Hz (medium, M), and 2800-3600 Hz (high, H), and a background noise was used to mask combination tones and to limit the audibility of components falling on the filter skirts.

Effects of pulsing of a target tone on the ability to hear it out in different types of complex sounds.

Judgments of whether a sinusoidal probe is higher or lower in frequency than the closest partial ("target") in a multi-partial complex are improved when the target is pulsed on and off. These experiments explored the contribution of reduction in perceptual confusion and recovery from adaptation to this effect. In experiment 1, all partials except the target were replaced by noise to reduce perceptual confusion.

A version of the TEN Test for use with ER-3A insert earphones.

Objective: The aim of this study was to develop a version of the threshold-equalizing noise (TEN) test for the diagnosis of dead regions for use with Etymotic ER-3A insert earphones. The use of such earphones is helpful when testing clients with asymmetric hearing loss or clients whose ear canals tend to collapse under the pressure of supra-aural headphones. It can also be useful when ambient noise levels are problematic.

The influence of age and high-frequency hearing loss on sensitivity to temporal fine structure at low frequencies (L).

Sensitivity to temporal fine structure (TFS) at low frequencies may be adversely affected by hearing loss at high frequencies even when absolute thresholds at low frequencies are within the normal range. However, in several studies suggesting this, the effects of hearing loss and age were confounded. Here, interaural phase discrimination (IPD) thresholds for pure tones at 500 and 750 Hz were measured for 39 subjects with ages from 61 to 83 yr.

The effect of hearing loss on the resolution of partials and fundamental frequency discrimination.

The relationship between the ability to hear out partials in complex tones, discrimination of the fundamental frequency (F0) of complex tones, and frequency selectivity was examined for subjects with mild-to-moderate cochlear hearing loss. The ability to hear out partials was measured using a two-interval task. Each interval included a sinusoid followed by a complex tone; one complex contained a partial with the same frequency as the sinusoid, whereas in the other complex that partial was missing.

A new model for calculating auditory excitation patterns and loudness for cases of cochlear hearing loss.

A model for calculating auditory excitation patterns and loudness for steady sounds for normal hearing is extended to deal with cochlear hearing loss. The filters used in the model have a double ROEX-shape, the gain of the narrow active filter being controlled by the output of the broad passive filter. It is assumed that the hearing loss at each audiometric frequency can be partitioned into a loss due to dysfunction of outer hair cells (OHCs) and a loss due to dysfunction of inner hair cells (IHCs).

A new method of calculating auditory excitation patterns and loudness for steady sounds.

A new method for calculating auditory excitation patterns and loudness for steady sounds is described. The method is based on a nonlinear filterbank in which each filter is the sum of a broad passive filter and a sharp active filter. All filters have a rounded-exponential shape.

Perceptual learning of fundamental frequency discrimination: effects of fundamental frequency, harmonic number, and component phase.

Thresholds (F0DLs) were measured for discrimination of the fundamental frequency (F0) of a group of harmonics (group B) embedded in harmonics with a fixed F0. Miyazono and Moore [(2009). Acoust.

The origin of binaural interaction in the modulation domain.

The purpose of these experiments was to assess whether the detection of diotic 5 Hz "probe" modulation of a 4000 Hz sinusoidal carrier was influenced by binaural interaction of "masker" modulators presented separately to each ear and applied to the same carrier. A 50 Hz masker modulator was applied to one ear and the masker modulator applied to the other ear had a frequency of 55 or 27.5 Hz.

The loudness of sounds whose spectra differ at the two ears.

Moore and Glasberg [(2007). J. Acoust.

Development of a new method for deriving initial fittings for hearing aids with multi-channel compression: CAMEQ2-HF.

Moore et al (1999b) described a procedure, CAMEQ, for the initial fitting of multi-channel compression hearing aids. The procedure was derived using a model of loudness perception for impaired hearing. We describe here the development of a new fitting method, CAMEQ2-HF, which differs from CAMEQ in the following ways: (1) CAMEQ2-HF gives recommended gains for centre frequencies up to 10 kHz, whereas the upper limit for CAMEQ is 6 kHz; (2) CAMEQ is based on the assumption that the hearing aid user faces the person they wish to hear and uses a free-field-to-eardrum transfer function for frontal incidence.

AMTAS: automated method for testing auditory sensitivity: validation studies.

Three studies are reported assessing the validity of AMTAS, an automated method for obtaining an audiogram, including air- and bone-conduction thresholds (stimuli delivered by a forehead-placed transducer) with masking noise presented to the non-test ear. In Study 1, six subjects at each of three sites were tested using manual audiometry by two audiologists at each site. The mean differences between the audiograms for the paired audiologists provided a measure of the reliability of traditional audiometry.

The role of temporal fine structure in harmonic segregation through mistuning.

Bernstein and Oxenham [(2008). J. Acoust.

Effects of pulsing of the target tone on the audibility of partials in inharmonic complex tones.

The audibility of partials was measured for complex tones with partials uniformly spaced on an ERB(N)-number scale. On each trial, subjects heard a sinusoidal "probe" followed by a complex tone. The probe was mistuned downwards or upwards (at random) by 3% or 4.

Simplified form of tinnitus retraining therapy in adults: a retrospective study.

Background: Since the first description of tinnitus retraining therapy (TRT), clinicians have modified and customised the method of TRT in order to suit their practice and their patients. A simplified form of TRT is used at Ealing Primary Care Trust Audiology Department. Simplified TRT is different from TRT in the type and (shorter) duration of the counseling but is similar to TRT in the application of sound therapy except for patients exhibiting tinnitus with no hearing loss and no decreased sound tolerance (wearable sound generators were not mandatory or recommended here, whereas they are for TRT).

Spectro-temporal characteristics of speech at high frequencies, and the potential for restoration of audibility to people with mild-to-moderate hearing loss.

Objectives: It is possible for auditory prostheses to provide amplification for frequencies above 6 kHz. However, most current hearing-aid fitting procedures do not give recommended gains for such high frequencies. This study was intended to provide information that could be useful in quantifying appropriate high-frequency gains, and in establishing the population of hearing-impaired people who might benefit from such amplification.

Effects of the build-up and resetting of auditory stream segregation on temporal discrimination.

The tendency to hear a tone sequence as 2 or more streams (segregated) builds up, but a sudden change in properties can reset the percept to 1 stream (integrated). This effect has not hitherto been explored using an objective measure of streaming. Stimuli comprised a 2.

Modeling binaural loudness.

A survey of data on the perception of binaurally presented sounds indicates that loudness summation across ears is less than perfect; a diotic sound is less than twice as loud as the same sound presented monaurally. The loudness model proposed by Moore et al. [J.

Frequency discrimination of complex tones by hearing-impaired subjects: Evidence for loss of ability to use temporal fine structure.

For normally hearing subjects, thresholds for discriminating the fundamental frequency (F0) of a complex tone, F0DLs, increase when the number of the lowest harmonic, N, is above eight. A previous study showed that F0DLs were affected by component phase for N above 7, and it was argued that the increase in F0DLs with increasing N reflects a loss of temporal fine structure information. Here, subjects with moderate hearing loss were tested in a similar experiment.

Effects of level and frequency on the audibility of partials in inharmonic complex tones.

The effect of level and frequency on the audibility of partials was measured for complex tones with partials uniformly spaced on an equivalent rectangular bandwidth (ERB(N)) number scale. On each trial, subjects heard a sinusoidal "probe" followed by a complex tone. The probe was mistuned downwards or upwards (at random) by 4.