The primary objective of the project was to survey recognized “experts” in the field of neurodiagnostic audiology and practicing audiologists regarding their referral criteria and referral patterns for administering an auditory brainstem response test (ABR). For purposes of this study, “expert” was defined as any recognized audiologist with at least two or more publications and/or seminars in the field of auditory evoked potentials. Responses of experts and practicing audiologists were compared and contrasted to establish: a) if there was a standard referral pattern; b) what, if any, were the apparent critical components of referral patterns; and, c) whether or not current practice reflected the utilization of such critical components. The survey was designed to establish whether the respondent was practicing, in what type of practice setting, and how often ABRs were performed. Specificity and sensitivity of ABR outcomes was also requested. The survey was administered verbally, via telephone, to 3 experts and was sent via e-mail to 178 randomly selected audiologists in the United States. Of the latter 53 returned, 38 reported conducting ABRs. Thus, data analysis was reported on 38 respondents. The survey results did not reveal a consistent standard referral pattern. Critical components for referral were hypothesized based on the “expert” majority response. These include ABR referral based on the presence of: (1) asymmetric sensorineural hearing loss; (2) unilateral tinnitus; (3) positive reflex decay; and, (4) word recognition rollover. The majority of “non-expert” practitioners surveyed reported that these symptoms warranted consideration for referral, thus reflecting utilization of apparent critical components.

Autistic people frequently experience sensory processing difficulties. For many on the autism spectrum, such difficulties can significantly impact important functions and quality of life. We are only beginning to understand the neural mechanisms of atypical sensory processing. However, one established way to measure certain levels of auditory processing is with auditory brainstem responses (ABR). While ABR has been primarily hypothesized in the current literature as a means of early detection/diagnosis in autism, additional research is needed to determine the ABR’s utility in examining sensory processing in this population. Thus, we evaluated ABR in 19 young children with autism during various stimulus (click and tone burst) and intensity conditions by comparing ABR waveform characteristics, such as absolute peak latencies and amplitudes, inter-peak latencies (IPL), inter-aural latency differences (IAD) between age-matched groups of autistic and typically developing children. We also examined within ear waveform cross correlations and inter-aural cross correlations (IACC) to assess replicability and synchrony of participants’ auditory brainstem responses. Though we observed longer peak latencies (esp. wave III and V) and IPLs in both the autism and typically developing groups in different conditions, there were no statistically significant results in cross correlation or IACC. These results indicate that at the level of the brainstem, auditory processing may differ slightly, but is mostly similar between autistic and typically developing children. In terms of sensory processing in autism, future studies should examine the connection between ABR responses and behavioral measures of sensory processing, as well as function at more central levels of the auditory system.

No description available.

The speech auditory brainstem response (sABR) is a promising technique for assessing the function of the auditory system. This non-invasive technique has shown utility as a marker of central processing disorders, some types of learning difficulties in children, and potentially for fitting hearing aids. However, the sABR needs a long recording time to obtain a reliable signal due to the high background noise, which limits its clinical applicability. The objective of this work is to develop methods to detect the sABR in high background noise and enhance it based on a modeling approach and through experimental testing. First, sABR noise estimation based on LQ/QR decomposition is derived, and its mathematical proof is shown. Second, an autoregression model is used to estimate the single-trial sABR which is then used to test several sABR detection and enhancement methods. Third, a novel Artificial Neural Network (ANN) based detection approach is proposed and compared using modeled and recorded data to other detection methods in the literature: Optimal Linear Filter (LF), Online Estimator (OE), Mutual Information (MI) and Artificial Neural Network based on the Discrete Wavelet Transform and Approximate Entropy (ANN DA). Finally, comprehensive evaluation of several sABR enhancement methods is performed, based on the Wiener Filter (WF), Maximum-SNR Filter (Max-SNR), Adaptive Noise Cancellation (ANC) with Least-Mean-Square (LMS), Affine Projection (AP) and Recursive-Least-Square (RLS) adaptation algorithm. The results show that the developed LQ/QR decomposition estimated noise is similar to the actual noise, and the modeled data are statistically similar to the recorded data. Moreover, the proposed ANN-based detection method is more accurate and requires less processing time than other methods, and the comprehensive evaluation of enhancement methods shows that RLS has best overall performance in enhancing the sABR. Therefore, the methods developed and evaluated in this work have the potential to reduce the required recording time for the sABR, and thus make it more practical as a clinical tool.

No description available.

A desnutrição proteico-calórica é um dos maiores problemas de saúde pública no Brasil, especialmente no Nordeste, acometendo, com maior frequência, crianças pré-escolares e determinando possíveis comprometimentos, não só no crescimento ponderal como intelectual e cognitivo, podendo ocasionar déficits irreversíveis, dependendo da sua intensidade e duração. Considerando-se a importância da integridade anatomofisiológica do sistema auditivo periférico e central para o adequado desenvolvimento da plenitude das habilidades auditivas, de linguagem e aquisição de aprendizagem, torna-se fundamental a reflexão sobre os possíveis efeitos deletérios da desnutrição no sistema nervoso auditivo, para que possíveis anormalidades auditivas sejam identificadas e tratadas nessa população. O objetivo deste estudo foi caracterizar as respostas do Potencial Evocado Auditivo de Tronco Encefálico, com estímulos clique e tone burst, em crianças de zero a 60 meses, desnutridas e eutróficas, com função auditiva periférica íntegra, bem como compará-las. Foram examinadas 111 crianças de zero a 60 meses, sendo 57 desnutridas e 54 normonutridas, com avaliação otorrinolaringológica, imitanciometria e Emissões Otoacústicas Evocadas Transientes dentro dos padrões de normalidade. A seguir, os Potenciais Evocados Auditivos do Tronco Encefálico por estímulo clique e tone burst foram registrados. Na análise dos dados, observou-se que as latências das ondas I, III e V e dos interpicos III-V a 80 dBNA com estímulo clique eram significativamente maiores em crianças desnutridas, quando comparadas às eutróficas, assim como do intervalo I-V na faixa etária de 0-24 meses. As latências da onda V nas intensidades de 60, 40 e 30 dBNA também foram significativamente maiores em crianças desnutridas. Na análise do Potencial Evocado Auditivo de Tronco Encefálico tone burst, a onda V mostrou latência maior nas crianças desnutridas em todas as intensidades e frequências testadas, entretanto, essa diferença nas crianças de zero a 24 meses só foi significativa em 2000 Hz; nas de 25 a 60 meses foi significativa apenas em 500 Hz a 80 dBNA, em 2000 Hz a 30 dBNA e em 4000 Hz a 60, 40 e 30 dBNA. Crianças desnutridas apresentaram alterações no Potencial Evocado Auditivo do Tronco Encefálico, caracterizadas pelo atraso na latência das ondas e dos intervalos interpicos, quando comparadas às eutróficas, sugerindo déficit de condução na via auditiva. Sendo assim, concluiu-se que a desnutrição pode provocar efeitos deletérios no processo de desenvolvimento e maturação do sistema nervoso auditivo. / Introduction: protein calorie malnutrition is one of the biggest public health problems in Brazil, especially in the northeast, affecting most often preschool children and determining possible compromises not only the weight growth but also intellectual and cognitive development, which may cause irreversible deficit, depending on its intensity and duration. Considering the importance of anatomical and physiological integrity of the peripheral and central auditory system for the proper development of the fullness of auditory skills, language, and acquisition of learning, this brings out a fundamental reflection over the possible deleterious effects of malnutrition in the auditory nervous system, so that possible auditory abnormalities are identified and addressed in this population. The objective of this study was to characterize the response of the auditory brainstem evoked potentials test with click and tone burst stimuli in malnourished and eutrophic children from 0 to 60 months of age, with normal peripheral auditory function, as well as to compare them. Casuistic and Method: One hundred and eleven children from 0 to 60 months of age were examined, being 57 malnourished and 54 eutrophic. They underwent ENT evaluation, including impedanciometry and transient evoked otoacoustic emission (TEOAE) being those within normal ranges. Folowing, the auditory brainstem evoked potentials with click and tone burst were registered in the intensity of 80, 60, 40 and 30 dBNA. Results: In the analysis of the results, the latencies of waves I, III and V and the interpeak III-V 80 dBNA latencies with click stimuli were significantly higher in all malnourished children, when compared to the eutrophic children, as well as I-V interpeak interval in the 0-24 months of age group. The wave V in 60, 40 and 30 dBNA latencies were also significantly higher in malnourished children. In the analysis of the tone burst auditory brainstem evoked potentials wave V latency showed higher in malnourished children in all intensities and frequencies tested, however this difference in children from 0-24 months were significant only in 2000 Hz; in children from 25-60 months were significant only at 500 Hz to 80 dBHL, in 2000 Hz at 30 dBHL and 4000 Hz to 60, 40, and 30 dBHL.Malnourished children present a higher range of alterations in auditory brainstem evoked potentials, characterized by delayed wave latencies and higher interpeak intervals when compared with eutrophic children, suggesting a peripheral and central deficit in the auditory pathway, thus concluded that malnutrition may cause deleterious effects in the development and maturation of the auditory nervous system.

There is much evidence supporting the idea that pelagic larvae of coral reef fishes are active participants in their dispersal and return to a reef, however, the mechanisms used to navigate are still uncertain. It has been proposed that sensory cues, such as hearing, play a role. Sound is a potentially important cue for organisms in marine environments, especially in noisy environments like coral reefs. Sensory organs, including otolithic organs, of most coral reef fish form within the first few days of life. The auditory brainstem response (ABR) technique was used to measure hearing on a wide size range of sergeant majors (Abudefduf saxatilis). Complete audiograms were measured for 32 fish ranging in size from 11-121 mm. Significant effects of standard length on hearing thresholds at 100 and 200 Hz were detected. At these lower frequencies, thresholds increased with an increase in size. All fish were most sensitive to the lower frequencies (100-400 Hz). The frequency range that fish could detect sounds was dependent upon the size of the fish; the larger fish (>50mm) were more likely to respond to higher frequencies (1000-1600 Hz). A. saxatilis have poor hearing sensitivity in comparison to audiograms of other hearing generalists including other species of Pomacentrids. Due to the high hearing thresholds found in this study in comparison to recorded ambient reef noise, it is unlikely that sound plays a significant role in the navigation of the pelagic larvae of sergeant majors to the return of the reef from large distances.

Objective: The air conduction click is currently the most widespread stimulus used to estimate the pure tone audiogram as part of auditory brainstem response (ABR) testing. The click is characterized by its broad spectral content and rapid onset, which may not make it the best choice for frequency specificity. An alternative stimulus is a short duration tone burst stimuli with notched noise masking. When obtaining an ABR using standard unmasked tone bursts, the brief stimulus onset may cause spectral splatter producing response contributions from unwanted regions of the cochlea; thus reducing the frequency specificity of the ABR. Notched noise masking used in conjunction with the tone burst ABR, limits the evoked response to those frequencies within the notch, thereby reducing the likelihood of spectral splatter and increasing frequency specificity. The presence of a sloping sensory hearing impairment creates additional difficulties for achieving frequency specificity because of the likelihood that lower frequency cochlea regions, with less sensory damage, will contribute to the evoked response. It is theorized that notched noise masking will reduce the neural contributions from regions of the cochlear outside those within the notch, resulting in more frequency specific results than those achieved with a standard unmasked tone burst stimulus. The present study was designed to investigate the differences in Wave V latency between the notched noise ABR and the standard unmasked tone burst ABR as a measure of frequency specificity. Design: Twenty-five participants with normal hearing in at least one ear and 16 participants with bilateral SNHL participated in this investigation. Each participant was given an audiological evaluation, a click ABR screening to determine neural synchrony, a standard tone burst ABR and a notched noise tone burst ABR. Results: An Analysis of Variance (ANOVA) failed to reveal any significant Wave V latency differences between the ABRs obtained with unmasked tone bursts versus ABRs obtained with a notched noise tone burst. Conclusion: The results of this study do not support the use of notched noise tone bursts for improved ABR frequency specificity. This finding is contrary to previously reported results (Stapells & Picton, 1981), which indicated improved frequency specificity when obtaining a tone burst ABR in notched noise versus a standard unmasked tone burst ABR.

Professional research project (Au.D.)--University of South Florida, 2000. / Title from PDF of title page. / Document formatted into pages; contains 48 pages. / Includes bibliographical references. / Text (Electronic thesis) in PDF format. / ABSTRACT: The primary objective of the project was to survey recognized "experts" in the field of neurodiagnostic audiology and practicing audiologists regarding their referral criteria and referral patterns for administering an auditory brainstem response test (ABR). For purposes of this study, "expert" was defined as any recognized audiologist with at least two or more publications and/or seminarsin the field of auditory evoked potentials. / Responses of experts and practicing audiologists were compared and contrasted to establish: a) if there was a standard referral pattern; b) what, if any, were the apparent critical components of referral patterns; and, c) whether or not current practice reflected the utilization of such critical components. The survey was designed to establish whether the respondent was practicing, in what type of practice setting, and how often ABRs were performed. Specificity and sensitivity of ABR outcomes was also requested. / The survey was administered verbally, via telephone, to 3 experts and was sent via e-mail to 178 randomly selected audiologists in the United States. Of the latter 53 returned, 38 reported conducting ABRs. Thus, data analysis was reported on 38 respondents. The survey results did not reveal a consistent standard referral pattern. Critical components for referral were hypothesized based on the "expert" majority response. These include ABR referral based on the presence of: (1) asymmetric sensorineural hearing loss; (2) unilateral tinnitus; (3) positive reflex decay; and, (4) word recognition rollover. The majority of "non-expert" practitioners surveyed reported that these symptoms warranted consideration for referral, thus reflecting utilization of apparent critical components. / System requirements: World Wide Web browser and PDF reader. / Mode of access: World Wide Web.

Auditory evoked potentials (AEPs) have become commonly used to measure hearing thresholds in fish. However, it is uncertain how well AEP thresholds match behavioral hearing thresholds and what effect variability in electrode placement and tank composition has on AEPs. In the first experiment, the effect of testing tank composition and electrode placement on AEPs was determined by recording AEPs in the same individual fish in a steel and PVC cylindrical testing tank, and simultaneously recording AEPs from four locations and two different depths on each of 12 goldfish, Carassius auratus. Results from these studies show that tank composition has an effect AEP strength and hearing thresholds, with steel producing lower thresholds for all frequencies. Electrode placement and depth showed no significant effect on hearing thresholds.In the second experiment, the hearing sensitivity of 12 goldfish was measured using both classical conditioning and AEPs in the same setup. For behavioral conditioning, the fish were trained to reduce their respiration rate in response to a 5s sound paired with a brief shock. Once the behavioral audiogram was completed, the AEP measurements were made without moving the fish. The same sound stimuli were presented and the resultant evoked potentials were recorded for 1,000-6,000 averages. AEP input-output functions were then compared to the behavioral audiogram to compare techniques for estimating behavioral thresholds from AEP data. Results show a large range in variability between behavioral and evoked potential thresholds between fish, with the linear regression evoked potential analysis method producing closer thresholds to behavioral methods. In the third study, the effects of masking were examined on the behavioral and evoked potential audiograms. Behavioral thresholds were first determined with a constant masking noise for two frequencies, followed by threshold measurements with no masking noise.