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      Effect of experimentally introduced interaural frequency mismatch on sentence recognition in bilateral cochlear-implant listeners

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          Abstract

          Bilateral cochlear-implant users experience interaural frequency mismatch because of asymmetries in array insertion and frequency-to-electrode assignment. To explore the acute perceptual consequences of such mismatch, sentence recognition in quiet was measured in nine bilateral cochlear-implant listeners as frequency allocations in the poorer ear were shifted by ±1.5, ±3, and ±4.5 mm using experimental programs. Shifts in frequency allocation >3 mm reduced bilateral sentence scores below those for the better ear alone, suggesting that the poorer ear interfered with better-ear perception. This was not a result of fewer active channels; deactivating electrodes without frequency shifting had minimal effect.

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          Most cited references18

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          The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.

          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.
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            Better speech recognition with cochlear implants.

            HIGH levels of speech recognition have been achieved with a new sound processing strategy for multielectrode cochlear implants. A cochlear implant system consists of one or more implanted electrodes for direct electrical activation of the auditory nerve, an external speech processor that transforms a microphone input into stimuli for each electrode, and a transcutaneous (rf-link) or percutaneous (direct) connection between the processor and the electrodes. We report here the comparison of the new strategy and a standard clinical processor. The standard compressed analogue (CA) processor presented analogue waveforms simultaneously to all electrodes, whereas the new continuous interleaved sampling (CIS) strategy presented brief pulses to each electrode in a nonoverlapping sequence. Seven experienced implant users, selected for their excellent performance with the CA processor, participated as subjects. The new strategy produced large improvements in the scores of speech reception tests for all subjects. These results have important implications for the treatment of deafness and for minimal representations of speech at the auditory periphery.
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              IEEE Recommnded Pratice for Speech Quality Measurements

              (1969)
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                Author and article information

                Contributors
                Journal
                JASA Express Lett
                JASA Express Lett
                JELAAE
                Jasa Express Letters
                Acoustical Society of America
                2691-1191
                April 2023
                03 April 2023
                03 April 2023
                : 3
                : 4
                : 044401
                Affiliations
                [1 ]Department of Hearing and Speech Sciences, University of Maryland , College Park, Maryland 20742, USA
                [2 ]National Military Audiology and Speech Pathology Center, Walter Reed National Military Medical Center , Bethesda, Maryland 20889, USA micleary@ 123456umd.edu , klmilvae@ 123456buffalo.edu , nknguyen@ 123456umd.edu , joshua.g.bernstein.civ@ 123456health.mil , goupell@ 123456umd.edu
                Author notes
                [a)]

                Author to whom correspondence should be addressed.

                [b)]

                Also at: Department of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY 14214, USA.

                Author information
                https://orcid.org/0000-0002-7069-2474
                https://orcid.org/0000-0001-7728-2251
                https://orcid.org/0000-0003-2662-3057
                Article
                10.0017705 JASA-EL-02280
                10.1121/10.0017705
                10080388
                55e0916e-86e8-483d-8fca-54d6e30fb48c
                © 2023 Author(s).

                2691-1191/2023/3(4)/044401/8

                All article content, except where otherwise noted, is licensed under a Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 23 December 2022
                : 13 March 2023
                Page count
                Pages: 8
                Funding
                Funded by: National Institute on Deafness and Other Communication Disorders 10.13039/100000055
                Award ID: R01DC015798
                Categories
                Psychological and Physiological Acoustics
                Custom metadata
                Qian-Jie Fu

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