Searched for: Department/Unit:Neuroscience Institute
Effect of Hearing Aid Bandwidth on Speech Recognition Performance of Listeners Using a Cochlear Implant and Contralateral Hearing Aid (Bimodal Hearing)
Neuman, Arlene C; Svirsky, Mario A
OBJECTIVES:: The purpose of this study was to determine how the bandwidth of the hearing aid (HA) fitting affects bimodal speech recognition of listeners with a cochlear implant (CI) in one ear and severe-to-profound hearing loss in the unimplanted ear (but with residual hearing sufficient for wideband amplification using National Acoustic Laboratories Revised, Profound [NAL-RP] prescriptive guidelines; unaided thresholds no poorer than 95 dB HL through 2000 Hz). DESIGN:: Recognition of sentence material in quiet and in noise was measured with the CI alone and with CI plus HA as the amplification provided by the HA in the high and mid-frequency regions was systematically reduced from the wideband condition (NAL-RP prescription). Modified bandwidths included upper frequency cutoffs of 2000, 1000, or 500 Hz. RESULTS:: On average, significant bimodal benefit was obtained when the HA provided amplification at all frequencies with aidable residual hearing. Limiting the HA bandwidth to only low-frequency amplification (below 1000 Hz) did not yield significant improvements in performance over listening with the CI alone. CONCLUSIONS:: These data suggest the importance of providing amplification across as wide a frequency region as permitted by audiometric thresholds in the HA used by bimodal users.
PMCID:3748228
PMID: 23632973
ISSN: 0196-0202
CID: 484982
Neural correlates of adaptation in freely-moving normal hearing subjects under cochlear implant acoustic simulations
Smalt, Christopher J; Gonzalez-Castillo, Javier; Talavage, Thomas M; Pisoni, David B; Svirsky, Mario A
Neurobiological correlates of adaptation to spectrally degraded speech were investigated with fMRI before and after exposure to a portable real-time speech processor that implements an acoustic simulation model of a cochlear implant (CI). The speech processor, in conjunction with isolating insert earphones and a microphone to capture environment sounds, was worn by participants over a two week chronic exposure period. fMRI and behavioral speech comprehension testing were conducted before and after this two week period. After using the simulator each day for 2h, participants significantly improved in word and sentence recognition scores. fMRI shows that these improvements came accompanied by changes in patterns of neuronal activation. In particular, we found additional recruitment of visual, motor, and working memory areas after the perceptual training period. These findings suggest that the human brain is able to adapt in a short period of time to a degraded auditory signal under a natural learning environment, and gives insight on how a CI might interact with the central nervous system. This paradigm can be furthered to investigate neural correlates of new rehabilitation, training, and signal processing strategies non-invasively in normal hearing listeners to improve CI patient outcomes.
PMCID:3764992
PMID: 23751864
ISSN: 1053-8119
CID: 484972
Stochastic aspects of motor behavior and their dependence on auditory feedback in experienced cellists
Chen, Jessie; Woollacott, Marjorie; Pologe, Steve; Moore, George P
This study aimed to investigate movement accuracy of experienced cellists, the statistical properties of their note sequences during a reciprocal task, and the degree to which these movement characteristics depend on auditory feedback. Nine experienced cellists were asked to shift alternately between two notes using only their index finger to make contact with the string and fingerboard. Shifting sequences continued for two minutes at a rate of one note per second. The task was performed under two conditions: with auditory feedback (provided by the bow) or without auditory feedback (i.e., without the use of bow). When the bow was used, subjects had no difficulty in shifting between target notes with precision and stability. Some variability was present, but notes in these sequences were generally uncorrelated. The contact data and correlations in most bowed trials resembled those expected of a renewal process, a process in which successive values are statistically independent and identically distributed. Without the bow, subjects lost their ability to reach the same target positions accurately; contact locations tended to drift and had a random quality, indicating that without the bow subjects were uncertain of the target location in relation to the spatial location of their fingertips. Within these unbowed sequences, finger positions were highly correlated-within and between note sequences. In some trials without the bow, the statistical correlation patterns of the sequence were consistent with the expectations of a discrete Wiener process. Throughout our study, computer simulations of renewal and Wiener processes enabled us to determine the types of correlations to be expected from these theoretical models. The implications of the statistical results in terms of subject behavior are discussed.
PMCID:3728976
PMID: 23914166
ISSN: 1662-5161
CID: 484162
Review: Thiazide, citrate, or allopurinol reduces recurrence after >/= 2 kidney stone episodes
Goldfarb, David S
PMID: 23856698
ISSN: 0003-4819
CID: 470522
Clinical overview and treatment options for non-skeletal manifestations of mucopolysaccharidosis type IVA
Hendriksz, Christian J; Al-Jawad, Maisoon; Berger, Kenneth I; Hawley, Sara M; Lawrence, Rebecca; Mc Ardle, Ciaran; Summers, C Gail; Wright, Elizabeth; Braunlin, Elizabeth
Mucopolysaccharidosis type IVA (MPS IVA) or Morquio syndrome is a multisystem disorder caused by galactosamine-6-sulfatase deficiency. Skeletal manifestations, including short stature, skeletal dysplasia, cervical instability, and joint destruction, are known to be associated with this condition. Due to the severity of these skeletal manifestations, the non-skeletal manifestations are frequently overlooked despite their significant contribution to disease progression and impact on quality of life. This review provides detailed information regarding the non-skeletal manifestations and suggests long-term assessment guidelines. The visual, auditory, digestive, cardiovascular, and respiratory systems are addressed and overall quality of life as measured by endurance and other functional abilities is discussed. Impairments such as corneal clouding, astigmatism, glaucoma, hearing loss, hernias, hepatomegaly, dental abnormalities, cardiac valve thickening and regurgitation, obstructive sleep apnea, tracheomalacia, restrictive and obstructive respiratory compromise, and muscular weakness are discussed. Increased awareness of these non-skeletal features is needed to improve patient care.
PMCID:3590399
PMID: 22358740
ISSN: 0141-8955
CID: 464632
Tract-specific white matter correlates of fatigue and cognitive impairment in benign multiple sclerosis
Bester, Maxim; Lazar, Mariana; Petracca, Maria; Babb, James S; Herbert, Joseph; Grossman, Robert I; Inglese, Matilde
BACKGROUND: Although benign multiple sclerosis (BMS) is traditionally defined by the presence of mild motor involvement decades after disease onset, symptoms of fatigue and cognitive impairment are very common. OBJECTIVE: To investigate the association between micro-structural damage in the anterior thalamic (AT) tracts and in the corpus callosum (CC), as measured by diffusion tensor imaging (DTI) tractography, and fatigue and cognitive deficits. METHODS: DTI data were acquired from 26 BMS patients and 24 sex- and age-matched healthy controls. RESULTS: General and mental fatigue scores were significantly impaired in patients compared with controls (p=0.05 for both) and 38% of patients resulted cognitively impaired. Mean diffusivity (MD) of the AT and CC tracts was significantly higher and fractional anisotropy (FA) was lower in patients compared with controls (p<0.001 for all). Fatigue was associated with increased MD (p=0.01) of the AT tracts whereas deficit of executive functions and verbal learning were associated with decreased FA in the body (p=0.004) and genu (p=0.008) of the CC. Deficits in processing speed and attention were associated with the T2 lesion volume of the AT tracts (p<0.01 for all). DISCUSSION: These findings suggest that fatigue and cognitive impairment are quite frequent in BMS patients and are, at least in part, related to micro-structural damage and T2LV of WM tracts connecting the brain cortical and sub-cortical regions of the two hemispheres.
PMCID:4651179
PMID: 23643443
ISSN: 0022-510x
CID: 464162
Spatiotemporal dynamics of neuronal population response in the primary visual cortex
Zhou, Douglas; Rangan, Aaditya V; McLaughlin, David W; Cai, David
One of the fundamental questions in system neuroscience is how the brain encodes external stimuli in the early sensory cortex. It has been found in experiments that even some simple sensory stimuli can activate large populations of neurons. It is believed that information can be encoded in the spatiotemporal profile of these collective neuronal responses. Here, we use a large-scale computational model of the primary visual cortex (V1) to study the population responses in V1 as observed in experiments in which monkeys performed visual detection tasks. We show that our model can capture very well spatiotemporal activities measured by voltage-sensitive-dye-based optical imaging in V1 of the awake state. In our model, the properties of horizontal long-range connections with NMDA conductance play an important role in the correlated population responses and have strong implications for spatiotemporal coding of neuronal populations. Our computational modeling approach allows us to reveal intrinsic cortical dynamics, separating them from those statistical effects arising from averaging procedures in experiment. For example, in experiments, it was shown that there was a spatially antagonistic center-surround structure in optimal weights in signal detection theory, which was believed to underlie the efficiency of population coding. However, our study shows that this feature is an artifact of data processing.
PMCID:3677434
PMID: 23696666
ISSN: 0027-8424
CID: 464242
Impact of Perinatal Choline Supplementation on Basal Forebrain Cholinergic Neuron Transciptome and Efferents in Adult Ts65Dn Mice, a Model of Down Syndrome [Meeting Abstract]
Kelley, CM; Powers, BE; Velazquez, R; Ash, JA; Ginsberg, SD; Strupp, BJ; Mufson, EJ
ORIGINAL:0008400
ISSN: 0963-6897
CID: 463362
The clinical and biologic impact of PPP6C mutations in melanoma [Meeting Abstract]
Gold, H L; Wengrod, J; Tian, J; Vega-Saenz, de Miera E; Nadeem, Z; Fleming, N H; Shapiro, R; Hernando-Monge, E; Gardner, L; Osman, I
Background: PP6C binds to regulatory units toaffect a number of important pathways including cell proliferation and DNA repair. Recently two independent groups reported for the first time the presence of somatic mutations in the PPP6C gene in ~10% of short term cultures and limited number of human melanoma tissues. However, the clinical or biological relevance of PPP6C mutations in melanoma patients is unknown. Our objectives were to examine the clinical relevance of PPP6C mutations in a well characterized cohort of melanoma specimens linked to extensive, prospectively-collected clinical information and to explore the functional consequence of different categories of mutations. Methods: Sanger dideoxy sequencing was performed on PCR-amplified DNA from macro-dissected FFPE tumors. Associations between PPP6C mutations and baseline characteristics, recurrence, survival, and BRAF/ NRAS mutational status were examined. The impact of mutations on binding PP6C regulatory units was assessed as well as the effect on additional downstream pathways. Results: 308 primary melanoma patients (118 Stage I, 92 Stage II, and 98 Stage III) were examined (median follow up: 5.3 years). 50 PPP6C mutations in 33 patients (10.7%) were identified with 11 tumors harboring more than one mutation. One mutation (R301C) was identified in 6 patients. PPP6C mutations occurred with similar frequencies across stages and showed no association with BRAF or NRAS mutations.Mutations were categorized into 3 groups: Mutations resulting in premature stop codon (n=9), those occurring in the active site (n=16) and others (n=8). 8/9 (89%) patients with stop mutations recurred and developed visceral metastases. Functional studies revealed that PPP6C mutants also behaved differently; some PPP6C mutations led to decreased binding to regulatory subunits, others, including the R301C mutation did not. Conclusions: Our data suggest that PPP6C mutation is an early event in melanoma progression and independent of BRAF or NRAS mutations. Data also!
EMBASE:71099917
ISSN: 0732-183x
CID: 451882
Impact of age on treatment of primary melanoma patients [Meeting Abstract]
Fleming, N H; Tian, J; De, Miera E V -S; Gold, H L; Darvishian, F; Pavlick, A C; Berman, R S; Shapiro, R L; Polsky, D; Osman, I
Background: Although patient age at diagnosis is not currently included in guidelines for treatment of primary melanoma, several lines of evidence suggest that patient age is an important, yet understudied, factor when considering treatment options. Here, we attempt to address the limited knowledge of the impact of age on primary melanoma treatment. Methods: In a prospectively enrolled and followed-up cohort of melanoma patients at NYU, we used logistic regression models to evaluate the association between patient age at diagnosis, tumor baseline characteristics, including BRAF and NRAS mutation status, and likelihood of receiving and responding to adjuvant therapy. We examined adjuvant therapy effectiveness using recurrence and melanoma-specific survival as endpoints. Results: 444 primary melanoma patients were included in the study (median follow-up: 6.3 years; age range: 19-95 years). Age was categorized into three groups spanning the range of age at presentation: younger (19-45 years; 24%), middle (46-70 years; 50%), and older (71-95 years; 26%). Older patients were significantly more likely to have advanced stage, nodular subtype (P < 0.01, both variables), and BRAF wildtype tumors (P = 0.04). Controlling for these factors as well as gender, older patients experienced a higher risk of recurrence (HR older vs. younger 3.34, 95% CI 1.53-7.25; P < 0.01). Of the 128/444 (29%) patients who were eligible for adjuvant treatment (clinical stage IIB), only 67/128 (52%) received treatment. Using a propensity score that accounts for stage at presentation, patients in the middle age group were more likely to receive adjuvant therapy than those in the older group (OR 2.61, 95% CI 1.12-6.08; P = 0.03). In addition, a trend suggesting benefit from adjuvant therapy (defined as longer melanoma-specific survival) was observed only in the middle age group (P = 0.07). Conclusions: Our data suggest that older melanoma patients, despite having a significantly worse prognosis, are less likely to receive and bene!
EMBASE:71099904
ISSN: 0732-183x
CID: 451902