Comparison of Speech-in-Noise and Localization Benefits in Unilateral Hearing Loss Subjects Using Contralateral Routing of Signal Hearing Aids or Bone-Anchored Implants.

OBJECTIVE: To compare the benefit of wireless contralateral routing of signal (CROS) technology to bone-anchored implant (BAI) technology in monaural listeners. STUDY DESIGN: Prospective, single-subject. SETTING: Tertiary academic referral center. PATIENTS: Adult English speaking subjects using either a CROS hearing aid or BAI as treatment for unilateral severe-profound hearing loss. INTERVENTIONS: Aided performance utilizing the subjects BAI or CROS hearing device. MAIN OUTCOME MEASURES: Outcome measures included speech-in-noise perception using the QuickSIN (Etymotic Research, Elkgrove Village, IL, 2001) speech-in-noise test and localization ability using narrow and broadband stimuli. Performance was measured in the unaided and aided condition and compared with normal hearing controls. Subjective outcomes measures included the Speech Spatial and Qualities hearing scale and the Glasgow Hearing Aid Benefit Profile. RESULTS: A significant improvement in speech-in-noise performance for monaural listeners (p < 0.0001) was observed, but there was no improvement in localization ability of either CROS or BAI users. There was no significant difference between CROS and BAI subject groups for either outcome measure. BAI recipients demonstrate higher initial disability and handicap over CROS hearing aid users. No significant difference was observed between treatment groups for subjective measures of post-treatment residual disability or satisfaction. CONCLUSIONS: Our data demonstrate that both CROS and BAI systems provide significant benefit for monaural listeners. There is no significant difference between CROS or BAI systems for objective measures of speech-in-noise performance. CROS and BAI hearing devices do not provide any localization benefit in the horizontal plane for monaural listeners and there is no significant difference between systems.

Simultaneous acquisition of high-rate early, middle, and late auditory evoked potentials.

Auditory evoked potentials (AEPs) are typically acquired at rates that facilitate their study as segregated by epochs relative to stimulus onset: early (ABR, 1.5-15 ms), middle (MLR, 15-60 ms), and late (LAEP, ≥60 ms) potentials. In particular, late AEPs are often acquired with stimulus repetition rates between 0.1 Hz and 1 Hz, and are bandpass filtered to contain information only within 1-30 Hz. These low repetition rates, filtering and low SNRs eliminate much of the potential contributions of the early and middle-latency responses in AEP recordings. This study aims to demonstrate a method for acquiring whole-AEP responses at higher stimulus repetition rates of 0.5 Hz to 10 Hz, by utilizing the Continuous Loop Averaging Deconvolution (CLAD) method, increasing the bandwidth of the recordings to 1-300 Hz to include early components, and using short-duration chirps to increase synchronous firing of the cochlear and auditory pathway neurons. Such a method may facilitate diagnostic or functional assessment of single AEP recordings for detection, identification, or evaluation of early, middle and late components of auditory responses.

Measuring and modeling the bubble population produced by an underwater explosion.

Underwater explosions have been studied intensively in the United States since 1941 [e.g., R. H. Cole, Underwater Explosions (Princeton University Press, Princeton, NJ, 1945), pp. 3-13]. Research to date has primarily focused on the initial shock and subsequent pressure waves caused by the oscillations of the "gas-globe" resulting from charge detonation. These phenomena have relatively short timescales (typically less than 2 s). However, after the gas-globe rises through the water column and breaks the surface, there remains behind a cloud of bubbles and perhaps debris from the explosion container which has been markedly less studied. A recent experiment measured the spatial and temporal acoustic response of the bubble cloud resulting from a 13.6 kg PBXN-111 charge detonated at 15.2 m (50 ft) depth. A directional projector was used to propagate linear frequency-modulated (5-65 kHz) and 40 kHz tonal pulses through the bubble cloud. Two hydrophone arrays were positioned so as to measure the energy lost in propagating through the bubble cloud. Three methods have been utilized to invert measurements and estimate the bubble population. The bubble population estimates have been used to develop a model for the bubble population resulting from an underwater explosion.