Several adaptive filters were investigated to enhance speech auditory brainstem responses (speech ABR). The objective was to shorten the long recording time currently needed by the standard coherent averaging method to obtain acceptable performance, which has limited the clinical adoption of speech ABR. Five algorithms were implemented: Wiener Filter (WF), Steepest Descent (SD), Adaptive Noise Cancellation (ANC) based on Least-Mean-Square error (LMS) and normalized LMS error (nLMS), and a multi-adaptive cascade combination of SD and LMS. The performance of the adaptive filters was assessed on speech ABR data gathered from several subjects and compared with coherent averaging using the overall Signal-to-Noise Ratio (SNR), the local SNR around the fundamental frequency and the first formant, and Mean-Square-Error (MSE) in the time and frequency domains. The adaptive filters could reduce the time needed, by at least one order of magnitude, for obtaining comparable signal quality as that obtained with coherent averaging.

Several adaptive filters were investigated to enhance speech auditory brainstem responses (speech ABR). The objective was to shorten the long recording time currently needed by the standard coherent averaging method to obtain acceptable performance, which has limited the clinical adoption of speech ABR. Five algorithms were implemented: Wiener Filter (WF), Steepest Descent (SD), Adaptive Noise Cancellation (ANC) based on Least-Mean-Square error (LMS) and normalized LMS error (nLMS), and a multi-adaptive cascade combination of SD and LMS. The performance of the adaptive filters was assessed on speech ABR data gathered from several subjects and compared with coherent averaging using the overall Signal-to-Noise Ratio (SNR), the local SNR around the fundamental frequency and the first formant, and Mean-Square-Error (MSE) in the time and frequency domains. The adaptive filters could reduce the time needed, by at least one order of magnitude, for obtaining comparable signal quality as that obtained with coherent averaging.

No description available.

Several adaptive filters were investigated to enhance speech auditory brainstem responses (speech ABR). The objective was to shorten the long recording time currently needed by the standard coherent averaging method to obtain acceptable performance, which has limited the clinical adoption of speech ABR. Five algorithms were implemented: Wiener Filter (WF), Steepest Descent (SD), Adaptive Noise Cancellation (ANC) based on Least-Mean-Square error (LMS) and normalized LMS error (nLMS), and a multi-adaptive cascade combination of SD and LMS. The performance of the adaptive filters was assessed on speech ABR data gathered from several subjects and compared with coherent averaging using the overall Signal-to-Noise Ratio (SNR), the local SNR around the fundamental frequency and the first formant, and Mean-Square-Error (MSE) in the time and frequency domains. The adaptive filters could reduce the time needed, by at least one order of magnitude, for obtaining comparable signal quality as that obtained with coherent averaging.

Cochlear implants provide hearing to people who are deaf, by electrically stimulating the auditory nerve. Children with a single cochlear implant suffer deficiencies inherent to unilateral hearing, including inability to locate sounds. A second cochlear implant may improve sound localization, which normally requires interpretation of differences in sound intensity and time of arrival between two ears. Currently, it is unknown whether these cues are available to children who were provided with a second cochlear implant after a period of using one implant alone. We asked whether such children could interpret inter-implant level and timing cues. Results indicated that children using two cochlear implants detected level cues but had difficulty interpreting timing cues. Further, children rarely reported that sounds were perceived to come from the middle. Children receiving bilateral cochlear implants sequentially do not process bilateral auditory cues normally but can use inter-implant level cues to make judgments about where sound is coming from.

Cochlear implants provide hearing to people who are deaf, by electrically stimulating the auditory nerve. Children with a single cochlear implant suffer deficiencies inherent to unilateral hearing, including inability to locate sounds. A second cochlear implant may improve sound localization, which normally requires interpretation of differences in sound intensity and time of arrival between two ears. Currently, it is unknown whether these cues are available to children who were provided with a second cochlear implant after a period of using one implant alone. We asked whether such children could interpret inter-implant level and timing cues. Results indicated that children using two cochlear implants detected level cues but had difficulty interpreting timing cues. Further, children rarely reported that sounds were perceived to come from the middle. Children receiving bilateral cochlear implants sequentially do not process bilateral auditory cues normally but can use inter-implant level cues to make judgments about where sound is coming from.

Cochlear implants (CIs) and auditory brainstem implants (ABIs) are prostheses for hearing used in patients with profound hearing impairment. A CI requires an operational cochlear nerve to function in contrast to an ABI. ABIs were initially designed for adult patients with neurofibromatosis type 2 (NF2), suffering from bilateral vestibular schwannomas. Now ABIs are also used for patients, both adults and children, with congenital cochlear malformations, cochlear nerve hypoplasia/aplasia, and cochlear ossification. The aims of this thesis are to evaluate hearing outcome in patients implanted with a CI after long-term deafness. An extended period of deafness has earlier been considered as a contraindication for CI surgery. Further, we analyzed if electrically evoked auditory brainstem responses (eABRs) can predict CI outcome and pinpoint the optimal selection of treatment such as CI or ABI. We also disclose our experiences from ABI surgery in Uppsala, such as implant use, hearing outcome, complications, and satisfaction among the patients. Finally, we evaluated the results and benefits of ABIs in non-NF2 pediatric patients. Results show that patients with an extended deafness period and durations over 20 years can achieve speech understanding and benefit from CIs. Patients with long-term deafness and limited years of hearing before deafness did not perform as well as those with shorter deafness duration and longer hearing experience did. eABR seems to have a definite role in the diagnostic armamentarium, to better consider alternative surgical strategies such as ABI. No eABR waveform predicted a poor CI outcome. There was no correlation between speech perception and eABR waveform latencies or eABR waveform quality. A majority of the ABI patients used their ABIs and benefited from them for at least some period. ABI assisted voice control in a majority of the full-time users and they reported improved understanding of speech with the implant switched on. No severe complications from ABI surgery or ABI stimulation were noted. The patients were generally satisfied, even if their hearing remained very limited. All pediatric patients but one used the implant continuously and benefited from it.

No description available.

Maternal iron deficiency is a world wide and major public health issue. Despite recent researchers’ interest related to this topic, its impact in the offspring still remains unclear. The aim of this study is to understand the impact of maternal iron deficiency on the auditory functions and serum cortisol levels in the young and adult guinea pig at post-natal day (PNd) 24 and PNd84, respectively. Pregnant guinea pigs were given an iron deficient (ID) or iron sufficient (IS) diet during gestation and lactation. An iron sufficient diet was provided to all pups after weaning day. No significant difference was observed in the hearing threshold and latencies in siblings from both groups at PNd24 and PNd84. However, ID offspring showed a significant higher interpeak latency I-IV at 100 dB than IS pups at PNd24. ID offspring also had significant elevated cortisol levels at PNd24 compared to IS control group. Maternal iron deficiency affects negatively the auditory functions and raises the serum cortisol levels, a biomarker of stress in the offspring.

Maternal iron deficiency is a world wide and major public health issue. Despite recent researchers’ interest related to this topic, its impact in the offspring still remains unclear. The aim of this study is to understand the impact of maternal iron deficiency on the auditory functions and serum cortisol levels in the young and adult guinea pig at post-natal day (PNd) 24 and PNd84, respectively. Pregnant guinea pigs were given an iron deficient (ID) or iron sufficient (IS) diet during gestation and lactation. An iron sufficient diet was provided to all pups after weaning day. No significant difference was observed in the hearing threshold and latencies in siblings from both groups at PNd24 and PNd84. However, ID offspring showed a significant higher interpeak latency I-IV at 100 dB than IS pups at PNd24. ID offspring also had significant elevated cortisol levels at PNd24 compared to IS control group. Maternal iron deficiency affects negatively the auditory functions and raises the serum cortisol levels, a biomarker of stress in the offspring.