A narrative review of the logistic and economic feasibility of cochlear implants in lower-income countries.

Objectives: Globally, less than 1% of people who could benefit from a cochlear implant have one and the problem is particularly acute in lower-income countries. Here we give a narrative review of the economic and logistic feasibility of cochlear implant programmes in lower-income countries and discuss future developments that would enable better healthcare. We review the incidence and aetiology of hearing loss in low- and middle-income countries, screening for hearing loss, implantation criteria, issues concerning imaging and surgery, and the professional expertise required. We also review the cost of cochlear implantation and ongoing costs. Findings: The cost effectiveness of cochlear implants in lower-income countries is more limited by the cost of the device than the cost of surgery, but there are also large ongoing costs that will deter many potential users. Conclusions: We conclude that the main barriers to the future uptake of cochlear implants are likely to be logistical rather than technical and cochlear implant provision should be considered as part of a wider programme to improve the health of those with hearing loss.

Suprathreshold Stochastic Resonance behind Cancer.

Noise in gene expression is pervasive and, in some cases, even fulfills a functional role. Cancer cell populations exploit noise to increase heterogeneity as a defense against therapies. What lies behind this picture is a phenomenon of stochastic resonance led by the collective, rather than by individual cells.

Enhanced processing in arrays of optimally tuned nonlinear biomimetic sensors: A coupling-mediated Ringelmann effect and its dynamical mitigation.

Inspired by recent results on self-tunability in the outer hair cells of the mammalian cochlea, we describe an array of magnetic sensors where each individual sensor can self-tune to an optimal operating regime. The self-tuning gives the array its "biomimetic" features. We show that the overall performance of the array can, as expected, be improved by increasing the number of sensors but, however, coupling between sensors reduces the overall performance even though the individual sensors in the system could see an improvement. We quantify the similarity of this phenomenon to the Ringelmann effect that was formulated 103 years ago to account for productivity losses in human and animal groups. We propose a global feedback scheme that can be used to greatly mitigate the performance degradation that would, normally, stem from the Ringelmann effect.

Channel selection and classification of electroencephalogram signals: an artificial neural network and genetic algorithm-based approach.

OBJECTIVE: An electroencephalogram-based (EEG-based) brain-computer-interface (BCI) provides a new communication channel between the human brain and a computer. Amongst the various available techniques, artificial neural networks (ANNs) are well established in BCI research and have numerous successful applications. However, one of the drawbacks of conventional ANNs is the lack of an explicit input optimization mechanism. In addition, results of ANN learning are usually not easily interpretable. In this paper, we have applied an ANN-based method, the genetic neural mathematic method (GNMM), to two EEG channel selection and classification problems, aiming to address the issues above. METHODS AND MATERIALS: Pre-processing steps include: least-square (LS) approximation to determine the overall signal increase/decrease rate; locally weighted polynomial regression (Loess) and fast Fourier transform (FFT) to smooth the signals to determine the signal strength and variations. The GNMM method consists of three successive steps: (1) a genetic algorithm-based (GA-based) input selection process; (2) multi-layer perceptron-based (MLP-based) modelling; and (3) rule extraction based upon successful training. The fitness function used in the GA is the training error when an MLP is trained for a limited number of epochs. By averaging the appearance of a particular channel in the winning chromosome over several runs, we were able to minimize the error due to randomness and to obtain an energy distribution around the scalp. In the second step, a threshold was used to select a subset of channels to be fed into an MLP, which performed modelling with a large number of iterations, thus fine-tuning the input/output relationship. Upon successful training, neurons in the input layer are divided into four sub-spaces to produce if-then rules (step 3). Two datasets were used as case studies to perform three classifications. The first data were electrocorticography (ECoG) recordings that have been used in the BCI competition III. The data belonged to two categories, imagined movements of either a finger or the tongue. The data were recorded using an 8 × 8 ECoG platinum electrode grid at a sampling rate of 1000 Hz for a total of 378 trials. The second dataset consisted of a 32-channel, 256 Hz EEG recording of 960 trials where participants had to execute a left- or right-hand button-press in response to left- or right-pointing arrow stimuli. The data were used to classify correct/incorrect responses and left/right hand movements. RESULTS: For the first dataset, 100 samples were reserved for testing, and those remaining were for training and validation with a ratio of 90%:10% using K-fold cross-validation. Using the top 10 channels selected by GNMM, we achieved a classification accuracy of 0.80 ± 0.04 for the testing dataset, which compares favourably with results reported in the literature. For the second case, we performed multi-time-windows pre-processing over a single trial. By selecting 6 channels out of 32, we were able to achieve a classification accuracy of about 0.86 for the response correctness classification and 0.82 for the actual responding hand classification, respectively. Furthermore, 139 regression rules were identified after training was completed. CONCLUSIONS: We demonstrate that GNMM is able to perform effective channel selections/reductions, which not only reduces the difficulty of data collection, but also greatly improves the generalization of the classifier. An important step that affects the effectiveness of GNMM is the pre-processing method. In this paper, we also highlight the importance of choosing an appropriate time window position.

Enhancing the resolution of a sensor via negative correlation: a biologically inspired approach.

We demonstrate that a neuronal system, underpinned by "fire-then-reset" dynamics, can display an enhanced resolution R~T(ob)(-1) where T(ob) is the observation time of the measurement; this occurs when the interspike intervals are negatively correlated and T(ob)<Δ/ε, where ε is a parameter characterizing the level of correlation between interspike intervals and Δ is the average interspike interval. We also show that by introducing negative correlations into the time domain response of a nonlinear dynamical sensor it is possible to replicate this enhanced scaling of the resolution. Thus, we demonstrate the potential for designing a novel class of biomimetic sensors that afford improved signal resolution by functionally utilizing negative correlations.

Phase locking below rate threshold in noisy model neurons.

The property of a neuron to phase-lock to an oscillatory stimulus before adapting its spike rate to the stimulus frequency plays an important role for the auditory system. We investigate under which conditions neurons exhibit this phase locking below rate threshold. To this end, we simulate neurons employing the widely used leaky integrate-and-fire (LIF) model. Tuning parameters, we can arrange either an irregular spontaneous or a tonic spiking mode. When the neuron is stimulated in both modes, a significant rise of vector strength prior to a noticeable change of the spike rate can be observed. Combining analytic reasoning with numerical simulations, we trace this observation back to a modulation of interspike intervals, which itself requires spikes to be only loosely coupled. We test the limits of this conception by simulating an LIF model with threshold fatigue, which generates pronounced anticorrelations between subsequent interspike intervals. In addition we evaluate the LIF response for harmonic stimuli of various frequencies and discuss the extension to more complex stimuli. It seems that phase locking below rate threshold occurs generically for all zero mean stimuli. Finally, we discuss our findings in the context of stimulus detection.

Neural population coding is optimized by discrete tuning curves.

The sigmoidal tuning curve that maximizes the mutual information for a Poisson neuron, or population of Poisson neurons, is obtained. The optimal tuning curve is found to have a discrete structure that results in a quantization of the input signal. The number of quantization levels undergoes a hierarchy of phase transitions as the length of the coding window is varied. We postulate, using the mammalian auditory system as an example, that the presence of a subpopulation structure within a neural population is consistent with an optimal neural code.

Maximally informative stimuli and tuning curves for sigmoidal rate-coding neurons and populations.

A general method for deriving maximally informative sigmoidal tuning curves for neural systems with small normalized variability is presented. The optimal tuning curve is a nonlinear function of the cumulative distribution function of the stimulus and depends on the mean-variance relationship of the neural system. The derivation is based on a known relationship between Shannon's mutual information and Fisher information, and the optimality of Jeffrey's prior. It relies on the existence of closed-form solutions to the converse problem of optimizing the stimulus distribution for a given tuning curve. It is shown that maximum mutual information corresponds to constant Fisher information only if the stimulus is uniformly distributed. As an example, the case of sub-Poisson binomial firing statistics is analyzed in detail.

Optimal stimulus and noise distributions for information transmission via suprathreshold stochastic resonance.

Suprathreshold stochastic resonance (SSR) is a form of noise-enhanced signal transmission that occurs in a parallel array of independently noisy identical threshold nonlinearities, including model neurons. Unlike most forms of stochastic resonance, the output response to suprathreshold random input signals of arbitrary magnitude is improved by the presence of even small amounts of noise. In this paper, the information transmission performance of SSR in the limit of a large array size is considered. Using a relationship between Shannon's mutual information and Fisher information, a sufficient condition for optimality, i.e., channel capacity, is derived. It is shown that capacity is achieved when the signal distribution is Jeffrey's prior, as formed from the noise distribution, or when the noise distribution depends on the signal distribution via a cosine relationship. These results provide theoretical verification and justification for previous work in both computational neuroscience and electronics.