OtoRhinoLaryngology by Sfakianakis G.Alexandros Sfakianakis G.Alexandros,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,tel : 00302841026182,00306932607174
Δευτέρα 27 Φεβρουαρίου 2017
Indexing cortical entrainment to natural speech at the phonemic level: Methodological considerations for applied research
Source:Hearing Research
Author(s): Giovanni M. Di Liberto, Edmund C. Lalor
Speech is central to human life. As such, any delay or impairment in receptive speech processing can have a profoundly negative impact on the social and professional life of a person. Thus, being able to assess the integrity of speech processing in different populations is an important goal. Current standardized assessment is mostly based on psychometric measures that do not capture the full extent of a person’s speech processing abilities and that are difficult to administer in some subjects groups. A potential alternative to these tests would be to derive “direct”, objective measures of speech processing from cortical activity. One such approach was recently introduced and showed that it is possible to use electroencephalography (EEG) to index cortical processing at the level of phonemes from responses to continuous natural speech. However, a large amount of data was required for such analyses. This limits the usefulness of this approach for assessing speech processing in particular cohorts for whom data collection is difficult. Here, we used EEG data from 10 subjects to assess whether measures reflecting phoneme-level processing could be reliably obtained using only 10 minutes of recording time from each subject. This was done successfully using a generic modeling approach wherein the data from a training group composed of 9 subjects were combined to derive robust predictions of the EEG signal for new subjects. This allowed the derivation of indices of cortical activity at the level of phonemes and the disambiguation of responses to specific phonetic features (e.g., stop, plosive, and nasal consonants) with limited data. This objective approach has the potential to complement psychometric measures of speech processing in a wide variety of subjects.
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Antibiotics used to treat cystic fibrosis increases risk of permanent hearing loss
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Antibiotics used to treat cystic fibrosis increases risk of permanent hearing loss
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Antibiotics used to treat cystic fibrosis increases risk of permanent hearing loss
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Familial hematuria: A review.
Related Articles |
Familial hematuria: A review.
Medicina (Kaunas). 2017 Jan 31;:
Authors: Plevová P, Gut J, Janda J
Abstract
The most frequent cause of familial glomerular hematuria is thin basement membrane nephropathy (TBMN) caused by germline COL4A3 or COL4A4 gene mutations. Less frequent but important cause with respect to morbidity is Alport syndrome caused by germline COL4A5 gene mutations. The features of Alport syndrome include hematuria, proteinuria and all males with X-linked disease and all individuals with recessive disease will develop end stage renal disease, usually at early youth. In X-linked Alport syndrome, a clear genotype-phenotype correlation is typically observed in men. Deleterious COL4A5 mutations are associated with a more severe renal phenotype and more frequent high-frequency sensorineural hearing loss and ocular abnormalities. Less severe COL4A5 mutations result in a milder phenotype, with less frequent and later onset extrarenal anomalies. The phenotype in females is highly variable, mostly due to inactivation of one of the X chromosomes. Isolated cases may be caused by de novo COL4A5 mutations or by gonosomal mosaicism. Untreated autosomal recessive Alport syndrome, caused by COL4A3 and COL4A4 mutations, is typically associated with ESRD at the age of 23-25 years and extrarenal symptoms in both men and women. The TBMN phenotype is associated with heterozygous carriers of COL4A3, COL4A4 mutations. Molecular genetic testing is the gold standard for diagnosing these diseases. Although genotype-phenotype correlations exist, the phenotype is influenced by modifying factors, which remain mainly undefined. No therapy is available that targets the cause of Alport syndrome; angiotensin-converting enzyme inhibitor therapy delays renal failure and improves lifespan.
PMID: 28236514 [PubMed - as supplied by publisher]
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The accuracy of objective threshold determination at low frequencies: comparison of different auditory brainstem response (ABR) and auditory steady state response (ASSR) methods
The accuracy of objective threshold determination at low frequencies: comparison of different auditory brainstem response (ABR) and auditory steady state response (ASSR) methods
The accuracy of objective threshold determination at low frequencies: comparison of different auditory brainstem response (ABR) and auditory steady state response (ASSR) methods
Vestibular stimulation improves insight into illness in schizophrenia spectrum disorders.
Vestibular stimulation improves insight into illness in schizophrenia spectrum disorders.
Psychiatry Res. 2017 Feb 13;251:333-341
Authors: Gerretsen P, Pothier DD, Falls C, Armstrong M, Balakumar T, Uchida H, Mamo DC, Pollock BG, Graff-Guerrero A
Abstract
Impaired insight into illness (IMP-INS) is common among individuals with schizophrenia spectrum disorders (SSD), contributing to medication nonadherence and poor clinical outcomes. Caloric vestibular simulation (CVS) is typically used to assess peripheral vestibular system function. Left cold CVS is also a transiently effective treatment for IMP-INS and hemineglect secondary to right brain hemisphere stroke, and possibly for IMP-INS and mood stabilization in patients with SSD. Participants with SSD and moderate-to-severe IMP-INS participated in an exploratory double blind, crossover, randomized controlled study of the effects of CVS on IMP-INS. Participants sequentially received all experimental conditions-left cold (4°C), right cold, and body temperature/sham CVS-in a random order. Repeated measures ANOVA were performed to compare changes in IMP-INS, mood and positive symptom severity pre and 30min post CVS. A significant interaction was found between CVS condition, time, and body temperature nystagmus peak slow phase velocity (PSPV) for IMP-INS, indicating that single session left cold CVS transiently improved IMP-INS while right cold CVS may have worsened IMP-INS, particularly in participants with greater vestibular reactivity (i.e. higher PSPV) to body temperature CVS. The procedure's effectiveness is attributed to stimulation of underactive right hemisphere circuits via vestibular nuclei projections to the contralateral hemisphere.
PMID: 28237912 [PubMed - as supplied by publisher]
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Vestibular stimulation improves insight into illness in schizophrenia spectrum disorders.
Vestibular stimulation improves insight into illness in schizophrenia spectrum disorders.
Psychiatry Res. 2017 Feb 13;251:333-341
Authors: Gerretsen P, Pothier DD, Falls C, Armstrong M, Balakumar T, Uchida H, Mamo DC, Pollock BG, Graff-Guerrero A
Abstract
Impaired insight into illness (IMP-INS) is common among individuals with schizophrenia spectrum disorders (SSD), contributing to medication nonadherence and poor clinical outcomes. Caloric vestibular simulation (CVS) is typically used to assess peripheral vestibular system function. Left cold CVS is also a transiently effective treatment for IMP-INS and hemineglect secondary to right brain hemisphere stroke, and possibly for IMP-INS and mood stabilization in patients with SSD. Participants with SSD and moderate-to-severe IMP-INS participated in an exploratory double blind, crossover, randomized controlled study of the effects of CVS on IMP-INS. Participants sequentially received all experimental conditions-left cold (4°C), right cold, and body temperature/sham CVS-in a random order. Repeated measures ANOVA were performed to compare changes in IMP-INS, mood and positive symptom severity pre and 30min post CVS. A significant interaction was found between CVS condition, time, and body temperature nystagmus peak slow phase velocity (PSPV) for IMP-INS, indicating that single session left cold CVS transiently improved IMP-INS while right cold CVS may have worsened IMP-INS, particularly in participants with greater vestibular reactivity (i.e. higher PSPV) to body temperature CVS. The procedure's effectiveness is attributed to stimulation of underactive right hemisphere circuits via vestibular nuclei projections to the contralateral hemisphere.
PMID: 28237912 [PubMed - as supplied by publisher]
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