Extended just-noticeable difference for ultralow-luminance displays used in diagnostic imaging

This study investigates the just-noticeable difference (JND) in luminance below the 0.050c d/m 2 threshold not covered by the DICOM standard in medical imaging displays. A total of 21 healthy young adults were tested using an ultralow-luminance liquid crystal display at a viewing distance of 46 cm. The optotype featured a 4 cycle/deg rectangular wave-like stripe. The average percentage of correct responses for JND indices between -18 and 0 was 70.8%. Using the extended JND based on the Barten model that matches the current JND definition, we confirmed the JND at a very low luminance of 0.0500c d/m 2 or less. These findings suggest the feasibility of further refining the gradation differences in medical imaging displays.

An improved V-Net lung nodule segmentation model based on pixel threshold separation and attention mechanism

Accurate labeling of lung nodules in computed tomography (CT) images is crucial in early lung cancer diagnosis and before nodule resection surgery. However, the irregular shape of lung nodules in CT images and the complex lung environment make it much more challenging to segment lung nodules accurately. On this basis, we propose an improved V-Net segmentation method based on pixel threshold separation and attention mechanism for lung nodules. This method first offers a data augment strategy to solve the problem of insufficient samples in 3D medical datasets. In addition, we integrate the feature extraction module based on pixel threshold separation into the model to enhance the feature extraction ability under different thresholds on the one hand. On the other hand, the model introduces channel and spatial attention modules to make the model pay more attention to important semantic information and improve its generalization ability and accuracy. Experiments show that the Dice similarity coefficients of the improved model on the public datasets LUNA16 and LNDb are 94.9% and 81.1% respectively, and the sensitivities reach 92.7% and 76.9% respectively. which is superior to most existing UNet architecture models and comparable to the manual level segmentation results by medical technologists.

Perception of voice cues in school-age children with hearing aids

The just-noticeable differences (JNDs) of the voice cues of voice pitch (F0) and vocal-tract length (VTL) were measured in school-aged children with bilateral hearing aids and children and adults with normal hearing. The JNDs were larger for hearing-aided than normal-hearing children up to the age of 12 for F0 and into adulthood for all ages for VTL. Age was a significant factor for both groups for F0 JNDs, but only for the hearing-aided group for VTL JNDs. Age of maturation was later for F0 than VTL. Individual JNDs of the two groups largely overlapped for F0, but little for VTL. Hearing thresholds (unaided or aided, 500-400 Hz, overlapping with mid-range speech frequencies) did not correlate with the JNDs. However, extended low-frequency hearing thresholds (unaided, 125-250 Hz, overlapping with voice F0 ranges) correlated with the F0 JNDs. Hence, age and hearing status differentially interact with F0 and VTL perception, and VTL perception seems challenging for hearing-aided children. On the other hand, even children with profound hearing loss could do the task, indicating a hearing aid benefit for voice perception. Given the significant age effect and that for F0 the hearing-aided children seem to be catching up with age-typical development, voice cue perception may continue developing in hearing-aided children.

Numerical Representation for Action in Crows Obeys the Weber-Fechner Law

The psychophysical laws governing the judgment of perceived numbers of objects or events, called the number sense, have been studied in detail. However, the behavioral principles of equally important numerical representations for action are largely unexplored in both humans and animals. We trained two male carrion crows (Corvus corone) to judge numerical values of instruction stimuli from one to five and to flexibly perform a matching number of pecks. Our quantitative analysis of the crows' number production performance shows the same behavioral regularities that have previously been demonstrated for the judgment of sensory numerosity, such as the numerical distance effect, the numerical magnitude effect, and the logarithmical compression of the number line. The presence of these psychophysical phenomena in crows producing number of pecks suggests a unified sensorimotor number representation system underlying the judgment of the number of external stimuli and internally generated actions.

The BTPI: An online battery for measuring susceptibility to visual illusions

Visual illusions provide a powerful tool for probing the mechanisms that underlie perception. While most previous studies of visual illusions focused on average group-level performance, less attention has been devoted to individual differences in susceptibility to illusions. Unlike in other perceptual domains, in which there are established, validated tools to measure individual differences, such tools are not yet available in the domain of visual illusions. Here, we describe the development and validation of the BTPI (Ben-Gurion University Test for Perceptual Illusions), a new online battery designed to measure susceptibility to the influence of three prominent size illusions: the Ebbinghaus, the Ponzo, and the height-width illusions. The BTPI also measures perceptual resolution, reflected by the just noticeable difference (JND), to detect size differences in the context of each illusion. In Experiment 1 (N = 143), we examined performance in typical self-paced tasks, whereas in Experiment 2 (N = 69), we employed a fixed presentation duration paradigm. High test-retest reliability scores were found for all illusions, with little evidence for intercorrelations between different illusions. In addition, lower perceptual resolution (larger JND) was associated with a larger susceptibility to the illusory effect. The computerized task battery and analysis codes are freely available online.

Methodological challenges and new perspectives of shifting vegetation phenology in eddy covariance data

While numerous studies report shifts in vegetation phenology, in this regard eddy covariance (EC) data, despite its continuous high-frequency observations, still requires further exploration. Furthermore, there is no general consensus on optimal methodologies for data smoothing and extracting phenological transition dates (PTDs). Here, we revisit existing methodologies and present new prospects to investigate phenological changes in gross primary productivity (GPP) from EC measurements. First, we present a smoothing technique of GPP time series through the derivative of its smoothed annual cumulative sum. Second, we calculate PTDs and their trends from a commonly used threshold method that identifies days with a fixed percentage of the annual maximum GPP. A systematic analysis is performed for various thresholds ranging from 0.1 to 0.7. Lastly, we examine the relation of PTDs trends to trends in GPP across the years on a weekly basis. Results from 47 EC sites with long time series (> 10 years) show that advancing trends in start of season (SOS) are strongest at lower thresholds but for the end of season (EOS) at higher thresholds. Moreover, the trends are variable at different thresholds for individual vegetation types and individual sites, outlining reasonable concerns on using a single threshold value. Relationship of trends in PTDs and weekly GPP reveal association of advanced SOS and delayed EOS to increase in immediate primary productivity, but not to the trends in overall seasonal productivity. Drawing on these analyses, we emphasise on abstaining from subjective choices and investigating relationship of PTDs trend to finer temporal trends of GPP. Our study examines existing methodological challenges and presents approaches that optimize the use of EC data in identifying vegetation phenological changes and their relation to carbon uptake.

Exploiting individual differences to assess the role of place and phase locking cues in auditory frequency discrimination at 2 kHz

The relative role of place and temporal mechanisms in auditory frequency discrimination was assessed for a centre frequency of 2 kHz. Four measures of frequency discrimination were obtained for 63 normal-hearing participants: detection of frequency modulation using modulation rates of 2 Hz (FM2) and 20 Hz (FM20); detection of a change in frequency across successive pure tones (difference limen for frequency, DLF); and detection of changes in the temporal fine structure of bandpass filtered complex tones centred at 2 kHz (TFS). Previous work has suggested that: FM2 depends on the use of both temporal and place cues; FM20 depends primarily on the use of place cues because the temporal mechanism cannot track rapid changes in frequency; DLF depends primarily on temporal cues; TFS depends exclusively on temporal cues. This led to the following predicted patterns of the correlations of scores across participants: DLF and TFS should be highly correlated; FM2 should be correlated with DLF and TFS; FM20 should not be correlated with DLF or TFS. The results were broadly consistent with these predictions and with the idea that frequency discrimination at 2 kHz depends partly or primarily on temporal cues except for frequency modulation detection at a high rate.

Motion-Binding Property Contributes to Accurate Temporal-Order Perception in Audiovisual Synchrony

Temporal perception in multisensory processing is important for an accurate and efficient understanding of the physical world. In general, it is executed in a dynamic environment in our daily lives. In particular, the motion-binding property is important for correctly identifying moving objects in the external environment. However, how this property affects multisensory temporal perception remains unclear. We investigate whether the motion-binding property influences audiovisual temporal integration. The study subjects performed four types of temporal-order judgment (TOJ) task experiments using three types of perception. In Experiment 1, the subjects conducted audiovisual TOJ tasks in the motion-binding condition, between two flashes, and in the simultaneous condition, in which the two flashes are perceived as simultaneous stimuli without motion. In Experiment 2, subjects conducted audiovisual TOJ tasks in the motion-binding condition and the short and long successive interval condition, in which the two stimuli are perceived as successive with no motion. The results revealed that the point of subjective simultaneity (PSS) and the just-noticeable difference (JND) in the motion-binding condition differed significantly from those in the simultaneous and short and long successive interval conditions. Specifically, the PSS in the motion-binding condition was shifted toward a sound-lead stimulus in which the PSS became closer to zero (i.e., physical simultaneity) and the JND became narrower compared to other conditions. This suggests that the motion-binding property contributes to accurate temporal integration in multisensory processing by precisely encoding the temporal order of the physical stimuli.

How we compare areas: The underlying mechanism of the elongation bias

Across four experiments, we investigate the mechanism that underlies the elongation bias. We find individuals tasked with assessing the area of two objects do so by comparing the objects' dimensions, and thus subtle changes in the objects' dimensions can impact area assessments. Because a typical elongation bias experiment places two objects side-by-side horizontally and varies the elongation ratio while maintaining the same area, height is generally easier to compare than width. Thus, there will exist a region where the change in height noticeably crosses a perceptual just noticeable difference boundary, but the corresponding change in width does not, and individuals will tend to perceive that the taller object has a greater area or volume. Consistent with this proposed process, we suggest that, although the elongation bias occurs under a comparative judgment, it does not do so under a single judgment situation. This research contributes to our wider understanding of the visual processes underlying area comparisons.

Defining Allowable Stimulus Ranges for Position and Force Controlled Cutaneous Cues

Haptic cues delivered via wearable devices have great potential to enhance a user's experience by transmitting task information and touch sensations in domains such as virtual reality, teleoperation, and prosthetics. Much is still unknown on how haptic perception, and consequently optimal haptic cue design, varies between individuals. In this work we present three contributions. First, we propose a new metric, the Allowable Stimulus Range (ASR), as a way to capture subject-specific magnitudes for a given cue, using the method of adjustments and the staircase method. Second, we present a modular, grounded, 2-DOF, haptic testbed designed to conduct psychophysical experiments in multiple control schemes and with rapidly-interchangeable haptic interfaces. Third, we demonstrate an application of the testbed and our ASR metric, together with just noticeable differences (JND) measurements, to compare perception of haptic cues delivered via position or force control schemes. Our findings show that users demonstrate higher perceptual resolution in the position-control case, though survey results suggest that force-controlled haptic cues are more comfortable. The results of this work outline a framework to define perceptible and comfortable cue magnitudes for an individual, providing the groundwork to understand haptic variability, and compare the effectiveness of different types of haptic cues.

The full-body illusion changes visual depth perception

Knowing where objects are relative to us implies knowing where we are relative to the external world. Here, we investigated whether space perception can be influenced by an experimentally induced change in perceived self-location. To dissociate real and apparent body positions, we used the full-body illusion. In this illusion, participants see a distant avatar being stroked in virtual reality while their own physical back is simultaneously stroked. After experiencing the discrepancy between the seen and the felt location of the stroking, participants report a forward drift in self-location toward the avatar. We wondered whether this illusion-induced forward drift in self-location would affect where we perceive objects in depth. We applied a psychometric measurement in which participants compared the position of a probe against a reference sphere in a two-alternative forced choice task. We found a significant improvement in task performance for the right visual field, indicated by lower just-noticeable differences, i.e., participants were better at judging the differences of the two spheres in depth. Our results suggest that the full-body illusion is able to facilitate depth perception at least unilaterally, implying that depth perception is influenced by perceived self-location.

RF-Alphabet: Cross Domain Alphabet Recognition System Based on RFID Differential Threshold Similarity Calculation Model

Gesture recognition can help people with a speech impairment to communicate and promote the development of Human-Computer Interaction (HCI) technology. With the development of wireless technology, passive gesture recognition based on RFID has become a research hotspot. In this paper, we propose a low-cost, non-invasive and scalable gesture recognition technology, and successfully implement the RF-alphabet, a gesture recognition system for complex, fine-grained, domain-independent 26 English letters; the RF-alphabet has three major advantages: first, this paper achieves complete capture of complex, fine-grained gesture data by designing a dual-tag, dual-antenna layout. Secondly, to overcome the disadvantages of the large training sets and long training times of traditional deep learning. We design and combine the Difference threshold similarity calculation prediction model to extract digital signal features to achieve real-time feature analysis of gesture signals. Finally, the RF alphabet solves the problem of confusing the signal characteristics of letters. Confused letters are distinguished by comparing the phase values of feature points. The RF-alphabet ends up with an average accuracy of 90.28% and 89.7% in different domains for new users and new environments, respectively, by performing feature analysis on similar signals. The real-time, robustness, and scalability of the RF-alphabet are proven.

Does charitable giving reduce firms' willingness to invest in green innovation?

While corporate charitable giving(CG) can help firms obtain external innovation resource support, it can also crowd out internal innovation resources. The purpose of this study is to clarify the mechanism of CG and government green subsidies(GS) on green innovation(GI). In this regard, we integrated signaling theory and principal-agent theory to provide a new theoretical perspective for simultaneously focus on the impact of external resource acquisition and internal resource allocation on GI. We conducted a threshold regression analysis on the balanced panel data of 863 listed companies of China from 2016 to 2019 to clarify the input boundary between the promoting and inhibiting effects of corporate CG on corporate GI. And we further explored the relationship between GS and GI under the effect of different CG thresholds. Our findings indicate that there is an inverted U-shaped threshold effect of CG on GI. The impact of GS on GI shows a decreasing marginal benefit as the intensity of CG increases. Based on the findings, we propose corresponding countermeasures for the management of enterprises and the government.

Role of perceptual integration in pitch discrimination at high frequenciesa)

At very high frequencies, fundamental-frequency difference limens (F0DLs) for five-component harmonic complex tones can be better than predicted by optimal integration of information, assuming performance is limited by noise at the peripheral level, but are in line with predictions based on more central sources of noise. This study investigates whether there is a minimum number of harmonic components needed for such super-optimal integration effects and if harmonic range or inharmonicity affects this super-optimal integration. Results show super-optimal integration, even with two harmonic components and for most combinations of consecutive harmonic, but not inharmonic, components.

Toward Top-Down Just Noticeable Difference Estimation of Natural Images

Just noticeable difference (JND) of natural images refers to the maximum pixel intensity change magnitude that typical human visual system (HVS) cannot perceive. Existing efforts on JND estimation mainly dedicate to modeling the diverse masking effects in either/both spatial or/and frequency domains, and then fusing them into an overall JND estimate. In this work, we turn to a dramatically different way to address this problem with a top-down design philosophy. Instead of explicitly formulating and fusing different masking effects in a bottom-up way, the proposed JND estimation model dedicates to first predicting a critical perceptual lossless (CPL) counterpart of the original image and then calculating the difference map between the original image and the predicted CPL image as the JND map. We conduct subjective experiments to determine the critical points of 500 images and find that the distribution of cumulative normalized KLT coefficient energy values over all 500 images at these critical points can be well characterized by a Weibull distribution. Given a testing image, its corresponding critical point is determined by a simple weighted average scheme where the weights are determined by a fitted Weibull distribution function. The performance of the proposed JND model is evaluated explicitly with direct JND prediction and implicitly with two applications including JND-guided noise injection and JND-guided image compression. Experimental results have demonstrated that our proposed JND model can achieve better performance than several latest JND models. In addition, we also compare the proposed JND model with existing visual difference predicator (VDP) metrics in terms of the capability in distortion detection and discrimination. The results indicate that our JND model also has a good performance in this task. The code of this work are available at https://github.com/Zhentao-Liu/KLT-JND.

Inadequate pitch-difference sensitivity prevents half of all listeners from discriminating major vs minor tone sequences

Substantial evidence suggests that sensitivity to the difference between the major vs minor musical scales may be bimodally distributed. Much of this evidence comes from experiments using the "3-task." On each trial in the 3-task, the listener hears a rapid, random sequence of tones containing equal numbers of notes of either a G major or G minor triad and strives (with feedback) to judge which type of "tone-scramble" it was. This study asks whether the bimodal distribution in 3-task performance is due to variation (across listeners) in sensitivity to differences in pitch. On each trial in a "pitch-difference task," the listener hears two tones and judges whether the second tone is higher or lower than the first. When the first tone is roved (rather than fixed throughout the task), performance varies dramatically across listeners with median threshold approximately equal to a quarter-tone. Strikingly, nearly all listeners with thresholds higher than a quarter-tone performed near chance in the 3-task. Across listeners with thresholds below a quarter-tone, 3-task performance was uniformly distributed from chance to ceiling; thus, the large, lower mode of the distribution in 3-task performance is produced mainly by listeners with roved pitch-difference thresholds greater than a quarter-tone.

A study of the just noticeable difference of early decay time for symphonic halls

The just noticeable differences (JNDs) of room acoustic parameters are important for the design of concert halls and, in general, research of room acoustics. Precise knowledge of JNDs helps the concert hall designer in assessing the impact that changes in the geometry or materials of the hall will have on its perceived acoustics. When designing a concert hall, creating an appropriate feeling of reverberance for the audience is of prime importance. The early decay time (EDT) parameter has proved to be a better predictor of the perception of reverberance than the classical reverberation time (T30), but no studies have been conducted to specifically determine the EDT JND. In the present study, the EDT JND was investigated for broadband conditions and assessed for individual frequency ranges. A subjective study was conducted with 26 subjects with musical training, in which 21 were considered reliable. The participants listened to orchestral music convolved with measured spatial room impulse responses from three concert halls. The stimuli were auralized in an anechoic chamber using third-order Ambisonic reproduction. The obtained values show that the JNDs for the broadband conditions are lower than those for the individual frequency ranges. The EDT JND for the broadband conditions was found to be approximately 18% of the EDT value.

Effect of Tactile Masking on Multi-Sensory Haptic Perception

Multi-sensory wearable haptic devices are able to encode a variety of information using multiple haptic cues. However, simultaneous cues can be misperceived due to tactile masking effects. In this paper, we investigate the effect of masking on the perception of skin stretch and squeeze. We performed three experiments measuring the just-noticeable difference (JND) and the absolute threshold of skin stretch and squeeze alone and in the presence of simultaneous haptic cues. Additionally, we investigate the relative perceptual amplitudes of these haptic cues. Results indicate that the JND for a skin stretch cue increases with a masking squeeze cue, while the JND for a squeeze cue does not change with a masking stretch cue. Also, masking has a significant effect on the absolute threshold of both skin stretch and squeeze. These results suggest that the effect of masking diminishes as haptic cues become larger in amplitude. The results from the subjective equality experiment suggest a potential nonlinear relationship between perceptual magnitudes. Further testing should be carried out to investigate this relationship. Future multi-sensory devices can use these perceptual experiment findings to ensure the delivery of salient cues to users.

Precision in grasping: Consistent with Weber's law, but constrained by "safety margins"

Whether the visuomotor coding of size in grasping obeys Weber's law is currently debated. Following up on previous work from our laboratory, here we investigated the precision associated with the maximum in-flight index-thumb aperture (MGA) in grasping small-to-medium sized objects. We report three main findings. First, grasp preparation was longer with 5 mm objects and became increasingly faster as object size increased from 10 to 20-40 mm. Second, MGA variable errors increased as sizes increased from 5 to 10-20 mm, whereas they decreased as size reached 40 mm. Third, MGA distributions were symmetrical with 5 mm objects, but became increasingly right-skewed as size increased. These results, as well as a re-analysis of previous findings, suggest that the precision of visuomotor representations varies as a function of size, consistent with the key principle underlying Weber's law. However, a fundamental constraint on precision grips (the MGA must always exceed physical size) changes the skew of the distribution and reduces the variability of MGAs as size increases from very small to medium.

Basic properties of distantly-presented bone-conduction perception. Annu Int Conf IEEE Eng Med Biol Soc 2021;2021:6376-6379. [PMID: 34892571 DOI: 10.1109/embc46164.2021.9629629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0]

Since a vibrator needs to be pressed onto the osseous parts of the head, bone-conduction (BC) is often accompanied by pain and esthetic problems. In order to solve these problems, "distant presentation" has been proposed. In the distant presentation, vibrators are presented to the neck, upper limb or trunk. Our previous studies focused on the perception and propagation characteristics of distantly-presented BC sound in the ultrasonic range and an application to a novel audio-interface. On the other hand, a limited number of studies have been conducted on distantly-presented BC in the audible-frequency range. In this study, to examine the basic properties of the distantly-presented BC perception in the audible-frequency range, hearing thresholds, difference limens for frequency (DLFs) and temporal modulation transfer functions (TMTFs) were measured under the condition that AC sounds were insulated sufficiently. The results obtained indicated that BC sounds can be clearly perceived at distal parts of the body even in the audible-frequency range and no significant degradation of frequency and temporal information occurs in the propagation process in the body.

Practice Makes Transfer Imperfect: Evidence From Auditory Learning

BACKGROUND

Evidence from motor and visual studies suggests that the ability to generalize learning gains to untrained conditions decreases as the training progresses. This decrease in generalization was suggested to reflect a shift from higher to lower levels of neuronal representations of the task following prolonged training. In the auditory modality, however, the few studies that tested the influence of prolonging training on generalization ability showed no decrease and sometimes even an increase in generalization.

OBJECTIVE

To test the impact of extending training in a basic psychoacoustic task on the ability to generalize the gains attained in training to untrained conditions.

DESIGN

Eighty-two young adults participated in two experiments that differed in the specific training regimen. In both experiments, training was conducted using a difference limen for frequency (DLF) task with an adaptive forced-choice procedure, for either a single- or nine-session training. Following training, generalization to the untrained ear and to an untrained frequency was assessed.

RESULTS

(a) Training induced significant learning (i.e., smaller DLF thresholds) following a single session of training, and more so following nine training sessions; (b) results from the combined data from both experiments showed that the ability to generalize the learning gains to the untrained ear and frequency was limited after the extended DLF training; (c) larger improvements under the trained condition resulted in smaller generalization to the untrained conditions.

CONCLUSIONS

The findings of increased specificity with training in the auditory modality support the notion that gradual changes, both quantitative and qualitative, occur in the neural representations of an auditory task during its acquisition. These findings suggest common underlying mechanisms in basic skill learning across different modalities.

Estimation of Torso Vibrotactile Thresholds Using Eccentric Rotating Mass Motors

The characterization of vibrotactile perception is crucial to accurately configure haptic devices and create appropriate stimuli for improving user performance in human-machine interaction systems. This article presents a study aiming to determine the absolute and differential vibrotactile thresholds in different areas of the torso to develop reliable haptic patterns to be displayed using a haptic vest. In the 'absolute threshold' experiment, we measure the minimum detectable vibration using a forced-choice task. Furthermore, in the 'differential threshold' experiment, we measure the minimum frequency change needed for users to discriminate two successive vibrotactile stimuli using a vibration matching task. The first experiment does not show differences between absolute thresholds, opening up the possibility of setting a unique minimal vibration for creating haptic patterns. Similarly, the second experiment does not show differences between differential thresholds. Moreover, as these thresholds follow Weber's law, it is viable to estimate any upper or lower differential threshold for any reference stimulus using a K-value. These results are a first step for creating vibrotactile patterns over the torso with the employed eccentric rotating mass motors. Moreover, the whole study provides a method to obtain these psychophysical values since the usage of different motors can change these results.

Effects of interaural decoherence on sensitivity to interaural level differences across frequency

The interaural level difference (ILD) is a robust indicator of sound source azimuth, and human ILD sensitivity persists under conditions that degrade normally-dominant interaural time difference (ITD) cues. Nonetheless, ILD sensitivity varies somewhat with both stimulus frequency and interaural correlation (coherence). To further investigate the combined binaural perceptual influence of these variables, the present study assessed ILD sensitivity at frequencies 250-4000 Hz using stimuli of varied interaural correlation. In the first of two experiments, ILD discrimination thresholds were modestly elevated, and subjective lateralization slightly reduced, for both half-correlated and uncorrelated narrowband noise tokens relative to correlated tokens. Different from thresholds in the correlated condition, which were worst at 1000 Hz [Grantham, D.W. (1984). J. Acoust. Soc. Am. 75, 1191-1194], thresholds in the decorrelated conditions were independent of frequency. However, intrinsic envelope fluctuations in narrowband stimuli caused moment-to-moment variation of the nominal ILD, complicating interpretation of measured thresholds. Thus, a second experiment employed low-fluctuation noise tokens, revealing a clear effect of interaural decoherence per se that was strongly frequency-dependent, decreasing in magnitude from low to high frequencies. Measurements are consistent with known integration times in ILD-sensitive neurons and also suggest persistent influences of covert ITD cues in putative "ILD" tasks.

Quantification of dark adaptation dynamics in retinitis pigmentosa using non‐linear regression analysis

PURPOSE

Non-linear regression analysis was used to determine dark adaptation indices in people with retinitis pigmentosa and in control subjects.

METHODS

Dark adaptation data were collected for 13 people with retinitis pigmentosa and 21 controls using the Goldmann-Weekers Dark Adaptometer. Data were analysed using an exponential non-linear regression model and dark adaptation indices derived. The results were compared to age-related values.

RESULTS

The mean cone threshold of the group with RP (4.73 +/- 0.19 log units) was significantly greater than that found in the control group (3.69 +/- 0.12 log units). The rate of cone dark adaptation in the RP group was not significantly different from that of the control group. The a break in the RP group (6.46 +/- 0.70 minutes) was delayed when compared to the control group (4.29 +/- 0.21 minutes) and the rate of rod dark adaptation in the RP group was slower (10 +/- 2 per cent per minute) than that of the control group (15 +/- 1 per cent per minute).

CONCLUSIONS

This study has shown that a relatively simple data analysis can provide a more quantitative and intuitive description of dark adaptation rates in people with retinal disease. This technique will enable more effective use of dark adaptometry as a supplement to objective electrophysiology, when monitoring people with retinitis pigmentosa.

Effect of Remote Masking on Tactile Perception of Electrovibration

Masking has been used to study human perception of tactile stimuli, including those created by electrovibration on touch screens. Earlier studies have investigated the effect of on-site masking on tactile perception of electrovibration. In this article, we investigated whether it is possible to change the absolute detection threshold and intensity difference threshold of electrovibration at the fingertip of index finger via remote masking, i.e., by applying a (mechanical) vibrotactile stimulus on the proximal phalanx of the same finger. The masking stimuli were generated by a voice coil (the Haptuator). For 16 participants, we first measured the detection thresholds for electrovibration at the fingertip and for vibrotactile stimuli at the proximal phalanx. Then, the vibrations on the skin were measured at four different locations on the index finger of subjects to investigate how the mechanical masking stimulus propagated as the masking level was varied. Later, masked absolute thresholds of eight participants were measured. Finally, for another group of eight participants, intensity difference thresholds were measured in the presence/absence of vibrotactile masking stimuli. Our results show that vibrotactile masking stimuli generated sub-threshold vibrations around the fingertip, and hence, probably did not mechanically interfere with the electrovibration stimulus. However, there was a clear psychophysical masking effect due to central neural processes. We measured the effect of masking stimuli, up to 40 dB SL, on the difference threshold at four different intensity standards of electrovibration. We proposed two models based on hypothetical neural signals for prediction of the masking effect on intensity difference thresholds for electrovibration: amplitude and energy models. The energy model was able to predict the effect of masking more accurately, especially at high intensity masking levels.

Pitch perception at very high frequencies: On psychometric functions and integration of frequency information

Lau et al. [J. Neurosci. 37, 9013-9021 (2017)] showed that discrimination of the fundamental frequency (F0) of complex tones with components in a high-frequency region was better than predicted from the optimal combination of information from the individual harmonics. The predictions depend on the assumption that psychometric functions for frequency discrimination have a slope of 1 at high frequencies. This was tested by measuring psychometric functions for F0 discrimination and frequency discrimination. Difference limens for F0 (F0DLs) and difference limens for frequency for each frequency component were also measured. Complex tones contained harmonics 6-10 and had F0s of 280 or 1400 Hz. Thresholds were measured using 210-ms tones presented diotically in diotic threshold-equalizing noise (TEN), and 1000-ms tones presented diotically in dichotic TEN. The slopes of the psychometric functions were close to 1 for all frequencies and F0s. The ratio of predicted to observed F0DLs was around 1 or smaller for both F0s, i.e., not super-optimal, and was significantly smaller for the low than for the high F0. The results are consistent with the idea that place information alone can convey pitch, but pitch is more salient when phase-locking information is available.

Patterns of audiometric threshold shifts from pulsatile tinnitus due to sigmoid sinus wall anomalies

PURPOSE

To determine the severity and nature of audiometric threshold shifts for patients with pulsatile tinnitus (PT) due to sigmoid sinus wall anomalies (SSWA).

MATERIALS AND METHODS

38 patients with SSWAs and available pre-operative audiograms were examined. Low- and high-frequency pure tone averages (LF-PTA, HF-PTA) were calculated. Audiometric data were compared between affected and unaffected ears, with the interaural difference (affected-unaffected PTA) representing the change in hearing due to PT. Additionally, post-operative change was examined in 14 patients with available data.

RESULTS

The average pre-operative air conduction (AC) LF-PTA was 17.04 dB on the affected side and 11.38 dB on the unaffected side (p < 0.001). The mean AC HF-PTA was significantly higher on the affected side as well (16.45 dB vs. 14.08 dB, p = 0.008). All shifts were sensorineural, with no significant air-bone gaps, and most subjects still had low-frequency thresholds in the normal range. Though the post-op change was not significant due to attrition, 5/14 patients (35.7%) had complete resolution of their pre-op interaural difference. A similar number developed a HF-PTA post-op threshold elevation in the surgical ear.

CONCLUSIONS

PT due to SSWAs causes a mean 6 dB low-frequency bone-conduction threshold elevation, and smaller high-frequency threshold shifts, due to masking. Patients with larger threshold shifts should have other potential causes of hearing loss explored.

LEVEL OF EVIDENCE

Level IV.

Identification of therapeutic targets and mechanisms of tumorigenesis in non-small cell lung cancer using multiple-microarray analysis

Lung cancer is the most commonly occurring cancer attributed to the leading cause of cancer-related deaths globally. Non-small cell lung cancer (NSCLC) comprises 85% to 90% of lung cancers. The survival rate of patients with advanced stage NSCLC is in months. Moreover, the underlying molecular mechanisms still remain to be understood.We used 2 sets of microarray data in combination with various bioinformatic approaches to identify the differentially expressed genes (DEGs) in NSCLC patients.We identified a total of 419 DEGs using the Limma package. Gene set enrichment analysis demonstrated that "Citrate cycle (TCA cycle)," "RNA degradation," and "Pyrimidine metabolism" pathways were significantly enriched in the NSCLC samples. Gene Ontology annotations of the 419 DEGs primarily comprised "glycosaminoglycan binding," "cargo receptor activity," and "organic acid binding." Kyoto Encyclopedia of Genes and Genomes analysis revealed that DEGs were enriched in pathways related to "Malaria," "Cell cycle," and "IL-17 signaling pathway." Protein protein interaction network analysis showed that the hub genes constituted of CDK1, CDC20, BUB1, BUB1B, TOP2A, CCNA2, KIF20A, CCNB1, KIF2C, and NUSAP1.Taken together, the identified hub genes and pathways will help understand NSCLC tumorigenesis and develop prognostic markers and therapeutic targets against NSCLC.

Difference thresholds for a vehicle on a 4-poster test rig

Improving vibration-induced discomfort often requires a reduction in the vibration experienced by vehicle occupants. Simulation software and test equipment are able to measure changes in vibration that are too small for humans to perceive. It is therefore important to know how large the change in vibration should be, i.e. the difference threshold, for occupants to perceive an improvement in comfort. This study estimates difference thresholds for ten automotive engineers seated in a vehicle on a 4-poster test rig. Participants were exposed to multi-axis vibration. Component ride values were calculated by applying BS 6841 frequency weightings and multiplication factors to seat accelerations in the six directions. Difference thresholds were estimated for two road profiles using the vertical component ride value and combined point ride value (i.e. the root-sums-of-squares of the six component ride values). The two road profiles had different magnitudes, but the same spectral shape, resulting in median vertical component ride values of 0.58 and 1.01 m.s.^-2, root-mean-square. An up-down transformed response rule was used with a three-down-one-up response grouping to estimate difference thresholds at a 79.4% probability level. The median relative difference threshold for the two roads was 10.13% and 8.58% considering the vertical component ride value, and 10.99% and 9.24% considering the combined point ride value. No statistically significant difference was found between the medians of the relative difference threshold over the two roads considering either of the two ride values (p-value = 0.995 in both instances), suggesting that Weber's law holds.

Are you sure? The relationship between response certainty and performance in visual detection using a perimetry-style task

Conventional psychophysical methods ignore the degree of confidence associated with each response. We compared the psychometric function for detection with that for "absolute certainty" in a perimetry-style task, to explore how knowledge of response certainty might aid the estimation of detection thresholds. Five healthy subjects performed a temporal 2-AFC detection task, indicating on each trial whether they were "absolutely certain." The method of constant stimuli was used to characterize the shape of the two psychometric functions. Four eccentricities spanning central and peripheral vision were tested. Where possible, conditions approximated those of the Humphrey Field Analyzer (spot size, duration, background luminance, test locations). Based on the empirical data, adaptive runs (ZEST) were simulated to predict the likely improvement in efficiency obtained by collecting certainty information. Compared to detection, threshold for certainty was 0.5 to 1.0 dB worse, and slope was indistinguishable across all eccentricities tested. A simple two-stage model explained the threshold difference; under this model, psychometric functions for detection and for certainty-given-detection are the same. Exploiting this equivalence is predicted to reduce the number of trials required to achieve a given level of accuracy by approximately 30% to 40%. The chances of detecting a spot and the chances of certainty-given-detection were approximately the same in young, healthy subjects. This means, for example, that a spot detected at threshold was labeled as "certainly" detected approximately half the time. The collection of certainty information could be used to improve the efficiency of estimation of detection thresholds.

Smell dysfunction: a biomarker for COVID-19

BACKGROUND

Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), is responsible for the largest pandemic since the 1918 influenza A virus subtype H1N1 influenza outbreak. The symptoms presently recognized by the World Health Organization are cough, fever, tiredness, and difficulty breathing. Patient-reported smell and taste loss has been associated with COVID-19 infection, yet no empirical olfactory testing on a cohort of COVID-19 patients has been performed.

METHODS

The University of Pennsylvania Smell Identification Test (UPSIT), a well-validated 40-odorant test, was administered to 60 confirmed COVID-19 inpatients and 60 age- and sex-matched controls to assess the magnitude and frequency of their olfactory dysfunction. A mixed effects analysis of variance determined whether meaningful differences in test scores existed between the 2 groups and if the test scores were differentially influenced by sex.

RESULTS

Fifty-nine (98%) of the 60 patients exhibited some smell dysfunction (mean [95% CI] UPSIT score: 20.98 [19.47, 22.48]; controls: 34.10 [33.31, 34.88]; p < 0.0001). Thirty-five of the 60 patients (58%) were either anosmic (15/60; 25%) or severely microsmic (20/60; 33%); 16 exhibited moderate microsmia (16/60; 27%), 8 mild microsmia (8/60; 13%), and 1 normosmia (1/60; 2%). Deficits were evident for all 40 UPSIT odorants. No meaningful relationships between the test scores and sex, disease severity, or comorbidities were found.

CONCLUSION

Quantitative smell testing demonstrates that decreased smell function, but not always anosmia, is a major marker for SARS-CoV-2 infection and suggests the possibility that smell testing may help, in some cases, to identify COVID-19 patients in need of early treatment or quarantine.

Sensation weighting in duration discrimination: A univariate, multivariate, and varied-design study of presentation-order effects

Stimulus discriminability is often assessed by comparisons of two successive stimuli: a fixed standard (St) and a varied comparison stimulus (Co). Hellström's sensation weighting (SW) model describes the subjective difference between St and Co as a difference between two weighted compounds, each comprising a stimulus and its internal reference level (ReL). The presentation order of St and Co has two important effects: Relative overestimation of one stimulus is caused by perceptual time-order errors (TOEs), as well as by judgment biases. Also, sensitivity to changes in Co tends to differ between orders StCo and CoSt: the Type B effect. In three duration discrimination experiments, difference limens (DLs) were estimated by an adaptive staircase method. The SW model was adapted for modeling of DLs generated with this method. In Experiments 1 and 2, St durations were 100, 215, 464, and 1,000 ms in separate blocks. TOEs and Type B effects were assessed with univariate and multivariate analyses, and were well accounted for by the SW model, suggesting that the two effects are closely related, as this model predicts. With short St durations, lower DLs were found with the order CoSt than with StCo, challenging alternative models. In Experiment 3, St durations of 100 and 215 ms, or 464 and 1,000 ms, were intermixed within a block. From the SW model this was predicted to shift the ReL for the first-presented interval, thereby also shifting the TOE. This prediction was confirmed, strengthening the SW model's account of the comparison of stimulus magnitudes.

The size-weight illusion comes along with improved weight discrimination

When people judge the weight of two objects of equal mass but different size, they perceive the smaller one as being heavier. Up to date, there is no consensus about the mechanisms which give rise to this size-weight illusion. We recently suggested a model that describes heaviness perception as a weighted average of two sensory heaviness estimates with correlated noise: one estimate derived from mass, the other one derived from density. The density estimate is first derived from mass and size, but at the final perceptual level, perceived heaviness is biased by an object's density, not by its size. Here, we tested the models' prediction that weight discrimination of equal-size objects is better in lifting conditions which are prone to the size-weight illusion as compared to conditions lacking (the essentially uninformative) size information. This is predicted because in these objects density covaries with mass, and according to the model density serves as an additional sensory cue. Participants performed a two-interval forced-choice weight discrimination task. We manipulated the quality of either haptic (Experiment 1) or visual (Experiment 2) size information and measured just-noticeable differences (JNDs). Both for the haptic and the visual illusion, JNDs were lower in lifting conditions in which size information was available. Thus, when heaviness perception can be influenced by an object's density, it is more reliable. This discrimination benefit under conditions that provide the additional information that objects are of equal size is further support for the role of density and the integration of sensory estimates in the size-weight illusion.

Differences among hemoglobin thresholds for red blood cell transfusions in patients with hematological diseases in teaching hospitals: a real world data in Japan

A hemoglobin (Hb) threshold level of 7 g/dL has been proposed for red blood cell (RBC) transfusion in patients with chronic anemia in the Japanese guideline since 2005. However, Hb thresholds for hematological diseases in clinical practice and factors responsible for higher Hb thresholds remain unclear. Hb thresholds were collected for patients with hematological diseases from 32 Japanese teaching hospitals. Uni- and multivariate analyses were used to analyze relationships between Hb threshold level and various patient and hospital factors. In total, 4996 units of RBC were transfused to 1054 patients with hematological diseases in 2421 transfusions. Median age was 68 years. Myelodysplastic syndrome was the most frequent diagnosis. Overall median Hb threshold level was 6.9 g/dL. Multivariate linear regression analysis detected the following variables associated with Hb threshold level: hospital; cardiovascular disease; symptomatic anemia; and hematopoietic stem cell transplantation. Hospital was the most significant factor. Collectively, median Hb threshold level in clinical practice in Japan was similar to the guidelines. Higher Hb threshold level depended on the hospitals at which the transfusions were performed as well as patient condition. Educational approaches directed toward hospitals may be useful to promote transfusion guidelines.

Assessment of the difference limens for frequency, monosyllable articulation and word intelligibility by distantly-presented bone-conducted ultrasound. Annu Int Conf IEEE Eng Med Biol Soc 2020;2020:3877-3880. [PMID: 33018847 DOI: 10.1109/embc44109.2020.9176626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0]

Ultrasound can be clearly perceived by bone-conduction, and this "bone-conducted ultrasound (BCU)" can transmit speech information by using amplitude modulation (AM). Further, BCU can be perceived not only on the head but also on the distal parts of the body like the neck, trunk and arms. This "distantly-presented BCU" can be applied to the novel interface that can transmit sound information selectively to specific users who touches the vibrator. However, the ability to transmit sound information of distantly-presented BCU is unclear. First, to assess frequency discrimination ability, difference limens for frequency (DLFs) of the distantly-presented AM-BCU were measured with/without a low-pass masking noise that masked the self-demodulated components generated by the nonlinearity of biological tissues. DLFs comparable to that of air-conducted sounds were observed, whereas DLFs significantly increased above 1 kHz under the masking condition. These results suggest that practical frequency discrimination ability can be obtained even when BCUs were presented to distal body parts. Additionally, it is indicated that the demodulated components may contribute to transmitting frequency information above 1 kHz. Second, monosyllable articulation and word intelligibility tests were conducted in Japanese. The intelligibility and articulation at the neck were 55% and 38% respectively, whereas they decreased as the stimulus placement gets farther from the head. The results suggest the distantly-presented BCU device can be applied to transmission of speech information.

Cochlear implantation after traumatic brain injury without otic capsule fracture: A case report and literature review

OBJECTIVE

The aim of this study was to report a case of cochlear implantation (CI) for a patient with an otic capsule-sparing traumatic brain injury (TBI) and to review the relevant literature.

METHODS

A patient with history of TBI received a CI for bilateral profound hearing loss. A systematic review of the literature was performed to identify and compare similar cases.

RESULTS

A 36-year-old male with a history of hearing loss from right acute labyrinthitis was referred for bilateral profound sensorineural hearing loss (SNHL) after a fall with associated injury to the central auditory nervous system (CANS) including the brainstem. On the right, behavioral acoustic threshold measurements were in the profound range with absent OAEs. On the left, testing revealed no measurable behavioral acoustic thresholds and variable physiologic measures. A right unilateral cochlear implant was performed with most recent follow-up demonstrating speech awareness thresholds of 25 dB HL with excellent detection of all 6 Ling sounds. However, the patient also continues to suffer from other neurologic sequelae related to his TBI, which challenge his ability to demonstrate objective and subjective benefit. A systematic review of the literature demonstrates variable outcomes for patients with TBI and SNHL.

CONCLUSIONS

Patients with profound SNHL and TBI present a distinct rehabilitative challenge for clinicians. CI may provide meaningful benefit in this population, though care should be taken in patient selection and counseling.

Effect of lowest harmonic rank on fundamental-frequency difference limens varies with fundamental frequency

This study investigated the relationship between fundamental frequency difference limens (F0DLs) and the lowest harmonic number present over a wide range of F0s (30-2000 Hz) for 12-component harmonic complex tones that were presented in either sine or random phase. For fundamental frequencies (F0s) between 100 and 400 Hz, a transition from low (∼1%) to high (∼5%) F0DLs occurred as the lowest harmonic number increased from about seven to ten, in line with earlier studies. At lower and higher F0s, the transition between low and high F0DLs occurred at lower harmonic numbers. The worsening performance at low F0s was reasonably well predicted by the expected decrease in spectral resolution below about 500 Hz. At higher F0s, the degradation in performance at lower harmonic numbers could not be predicted by changes in spectral resolution but remained relatively good (<2%-3%) in some conditions, even when all harmonics were above 8 kHz, confirming that F0 can be extracted from harmonics even when temporal envelope or fine-structure cues are weak or absent.

Impact of metabolic syndrome on recovery of idiopathic sudden sensorineural hearing loss

PURPOSE

Metabolic syndrome (MetS) was reported to a risk factor of developing idiopathic sudden sensorineural hearing loss (ISSNHL), but limited data exist on its effect on the recovery. The purpose of this study was to evaluate the impact of (MetS) and its components on recovery of patients with ISSNHL.

MATERIAL AND METHODS

228 ISSNHL patients were divided into MetS group and Non-MetS group according to the diagnostic criteria of MetS, and demographic and clinical characteristics and hearing recovery were reviewed between two groups.

RESULTS

In total, 86 (37.7%) patients in MetS group, and 142 (62.3%) patients in Non-MetS group. The rate of hypertension, diabetes mellitus, low HDL-C, high TG and obesity were significantly higher in the MetS group than those in the Non-MetS group (P < 0.05). The complete recovery rate and partial recovery rate were significantly lower in the MetS group than those in the Non-MetS group. According to the multivariate analysis, MetS was significantly associated with a poor prognosis; high initial hearing threshold and presence of diabetes mellitus were correlated with a poor prognosis (P < 0.05).

CONCLUSIONS

These results suggest that MetS has a negative impact on the hearing recovery of ISSNHL. High initial hearing threshold and diabetes mellitus were indictors of a poor prognosis of ISSNHL.

No going back? Reversibility and why it matters for deep brain stimulation

Deep brain stimulation (DBS) is frequently described as a 'reversible' medical treatment, and the reversibility of DBS is often cited as an important reason for preferring it to brain lesioning procedures as a last resort treatment modality for patients suffering from treatment-refractory conditions. Despite its widespread acceptance, the claim that DBS is reversible has recently come under attack. Critics have pointed out that data are beginning to suggest that there can be non-stimulation-dependent effects of DBS. Furthermore, we lack long-term data about other potential irreversible effects of neuromodulation. This has considerable normative implications for comparisons of DBS and brain lesioning procedures. Indeed, Devan Stahl and colleagues have recently argued that psychiatric DBS should be subject to the same legal safeguards as other forms of psychosurgery, supporting their position by forcibly criticising the claim that DBS is reversible. In this paper, I respond to these criticisms by first clarifying the descriptive and evaluative elements of the reversibility claim that supporters of DBS might invoke, and the different senses of 'reversibility' that we might employ in discussing the effects of medical procedures. I go on to suggest that it is possible to defend a nuanced version of the reversibility claim. To do so, I explain how DBS has some effects that are stimulation dependent in the short term, and argue that these effects can have significant normative implications for patient well-being and autonomy. I conclude that we should not abandon a nuanced version of the reversibility claim in the DBS debate.

Usefulness of the vibration perception thresholds measurement as a diagnostic method for diabetic peripheral neuropathy: Results from the Rio de Janeiro type 2 diabetes cohort study

AIMS

To investigate the associated factors with the vibration threshold perception (VPT) in patients with type 2 diabetes and to assess whether it is useful for detection of diabetic peripheral neuropathy (DPN).

METHODS

VPTs were measured with Vibration Sensory Analyzer (VSA-3000) in 426 diabetic patients. The diagnosis of DPN was based on Neuropathy Symptom Score and Neuropathy Disability Score (NDS). ROC curve analysis and multiple linear and logistic regressions were performed to investigate the associations between VPT and DPN.

RESULTS

Values of VPT were progressively higher according to NDS stages. Age, height, diabetes duration, and mean cumulative HbA_1c exposure (partial correlation coefficients: 0.34; 0.27; 0.10; and 0.13; respectively) were the variables independently associated with VPT. Area under ROC curve of VPT for detection of DPN was 0.71 (95% CI: 0.66-0.75) and >8.9 μm was its best cut-off value. VPT, age, female sex, height, diabetes duration and mean HbA_1c levels were the independent correlates of the presence of DPN. An increased VPT triplicate the likelihood of having DPN (OR: 3.24; 95% CI: 2.05-5.11).

CONCLUSIONS

VPT, measured by an automatic device, shares common correlates with DPN and is strongly associated with its presence. VPT testing may be useful as a screening tool for DPN assessment.

Vigilance and Reduction of Uncertainty

Two groups of 20 Ss each received a series of shocks either predictably or unpredictably paired with certain stimuli. Although Ss receiving predictable shocks failed to evidence a group vigilance effect to the stimuli signalling shock, they did report experiencing less anxiety than Ss receiving unpredictable shocks, despite the fact that the stimuli were perceptually difficult to identify. Both groups of Ss rated unexpected shocks as more unpleasant than expected shocks.

Reanalysis of Halstead's Biological Intelligence Factor Matrix

A recent study by Russell did not duplicate Halstead's factors of biological intelligence. As an approach to understanding this finding, Hal-stead's original correlation matrix was subjected to the same orthogonal principal components analysis used in Russell's study as well as an orthogonal and an oblique factor analysis using communalities. All of Halstead's factors appeared in these analyses. The failure to duplicate Halstead's work was evidently not due to use of different factoring methods. In a second analysis which reduced the number of Halstead's variables to the number used by Russell, one of Halstead's factors (P) did not appear. This factor represented tests measuring the visual threshold, and so it appears to be primarily a perceptual factor.

Sensory integration of apparent motion speed and vibration magnitude

Tactile apparent motion can display directional information in an intuitive way. It can for example be used to give directions to visually impaired individuals, or for waypoint navigation while cycling on busy streets, when vision or audition should not be loaded further. However, although humans can detect very short tactile patterns, discriminating between similar motion speeds has been shown to be difficult. Here we develop and investigate a method where the speed of tactile apparent motion around the user's wrist is coupled with vibration magnitude. This redundant coupling is used to produce tactile patterns from slow&weak to fast&strong. We compared the just noticeable difference (JND) of the coupled and the individual variables. The results show that the perception of the coupled variable can be characterised by JND smaller than JNDs of the individual variables. This allowed us to create short tactile pattens (tactons) for display of direction and speed, which can be distinguished significantly better than tactons based on motion alone. Additionally, most subjects were also able to identify the coupled-variable tactons better than the magnitude-based tactons.

Differences in common psychoacoustical tasks by sex, menstrual cycle, and race

The psychoacoustical literature contains multiple reports about small differences in performance depending upon the sex and phase of the menstrual cycle of the subjects. In an attempt to verify these past reports, a large-scale study was implemented. After extensive training, the performance of about 75 listeners was measured on seven common psychoacoustical tasks. For most tasks, the signal was a 3.0-kHz tone. The initial data analyses failed to confirm some past outcomes. Additional analyses, incorporating the limited information available about the racial background of the listeners, did confirm some of the past reports, with the direction and magnitude of the differences often diverging for the White and Non-White listeners. Sex differences and race differences interacted for six of the seven tasks studied. These interactions suggest that racial background needs to be considered when making generalizations about human auditory performance, and when considering failures of reproducibility across studies. Menstrual differences were small, but generally larger for Whites than Non-Whites. Hormonal effects may be responsible for the sex and cycle differences that do exist, and differences in intra-cochlear melanocytes may account for the race differences.

Correlations between otoacoustic emissions and performance in common psychoacoustical tasks

Performance was measured on seven common psychoacoustical tasks for about 75 highly trained subjects. Because some psychoacoustical outcomes varied by race, the subjects were partitioned into White and Non-White categories for analysis. Sex, race, and menstrual-cycle differences in performance are described in a companion paper [McFadden, Pasanen, Maloney, Leshikar, and Pho (2018). J. Acoust. Soc. Am. 143, 2338-2354]. Also measured for all subjects were three types of otoacoustic emissions (OAEs): spontaneous otoacoustic emissions (SOAEs), click-evoked otoacoustic emissions (CEOAEs), and distortion-product otoacoustic emissions (DPOAEs). The experimental question was whether and how OAEs were correlated with psychoacoustical performance. In accord with past findings, the SOAEs and CEOAEs exhibited substantial sex and race differences, but the DPOAEs did not. Somewhat surprisingly, the correlations between OAEs and psychoacoustical performance were generally weak. No form of OAE was highly correlated with any psychoacoustical task for both sexes within a race category. Thus, there was no compelling evidence that the mechanisms underlying OAEs also contribute systematically to performance in any of the simultaneous or temporal masking tasks studied here. Especially surprising were the weak correlations between OAEs and detection of a tone in the quiet. Apparently individual differences in psychoacoustical performance reside more in post-cochlear (neural) mechanisms than in individual differences in the cochlear ("mechanical") mechanisms underlying the OAEs measured here.

Objective Assessment of Cortical Excitability in Migraine With and Without Aura

Recent progress in the genetics of migraine has refocused attention on cortical dysfunction as an important component of the pathophysiology of this disorder. In previous work, we have demonstrated functional changes in the visual cortex of migraine patients, using an objective transcranial magnetic stimulation technique, termed magnetic suppression of perceptual accuracy (MSPA). This study aimed to replicate previous findings in migraine with aura (MA) and to use the technique to examine migraine without aura (MoA). Eight MA patients, 14 MoA patients and 13 migraine-free controls participated. MSPA assessments were undertaken using a standardized protocol in which computer-presented letter targets were followed at a variable delay interval by a single magnetic pulse delivered over the occiput. MSPA performance is expressed as a profile of response accuracy across target-pulse delay intervals. The profiles of migraine-free controls exhibited a normal U-shape. MA patients had significantly shallower profiles, showing little or no suppression at intermediate delay intervals. MoA patients had profiles that were similar to controls. Recent animal evidence strongly indicates that the U-shape of the normal MSPA function is caused by preferential activation of inhibitory neurons. Shallower MPSA profiles in MA patients are therefore likely to indicate a functional hyperexcitability caused by impaired inhibition. The finding of normal MPSA profiles in MoA patients is novel and will require further investigation.

Interval of Uncertainty: An Alternative Approach for the Determination of Decision Thresholds, with an Illustrative Application for the Prediction of Prostate Cancer

Often, for medical decisions based on test scores, a single decision threshold is determined and the test results are dichotomized into positive and negative diagnoses. It is therefore important to identify the decision threshold with the least number of misclassifications. The proposed method uses trichotomization: it defines an Uncertain Interval around the point of intersection between the two distributions of individuals with and without the targeted disease. In this Uncertain Interval the diagnoses are intermixed and the numbers of correct and incorrect diagnoses are (almost) equal. This Uncertain Interval is considered to be a range of test scores that is inconclusive and does not warrant a decision. It is expected that defining such an interval with some precision, prevents a relatively large number of false decisions, and therefore results in an increased accuracy or correct classifications rate (CCR) for the test scores outside this Uncertain Interval. Clinical data and simulation results confirm this. The results show that the CCR is systematically higher outside the Uncertain Interval when compared to the CCR of the decision threshold based on the maximized Youden index. For strong tests with a very small overlap between the two distributions, it can be difficult to determine an Uncertain Interval. In simulations, the comparison with an existing method for test-score trichotomization, the Two-graph Receiver Operating Characteristic (TG-ROC), showed smaller differences between the two distributions for the Uncertain Interval than for TG-ROC's Intermediate Range and consequently a more improved CCR outside the Uncertain Interval. The main conclusion is that the Uncertain Interval method offers two advantages: 1. Identification of patients for whom the test results are inconclusive; 2. A higher estimated rate of correct decisions for the remaining patients.

Age effects in discrimination of intervals within accented tone sequences differing in accent type and sequence presentation rate

The study measured listener sensitivity to increments in the duration of one or two target silent intervals embedded within unaccented tone sequences and sequences that featured a single accented component. The baseline unaccented sequences consisted of six 1000-Hz 40-ms tone bursts that were separated equally by silent intervals to establish a slower tone sequence rate, with tonal inter-onset intervals (IOIs) set to 200 ms, or a faster rate with tonal IOIs set to 100 ms. Stimulus accent was created by doubling the baseline duration of a single sequence component, either the second tone burst (tonal accent), or the second tonal IOI (interval accent). Duration difference limens for increments of the target interval(s) were measured adaptively by varying a single inter-tone silent interval or co-varying two successive inter-tone silent intervals; target intervals occurred at the third, or third and fourth, sequence locations. Listeners included younger normal-hearing adults and groups of older listeners with and without hearing loss. Discrimination for the two older groups was equivalent and poorer than that of the younger listeners, especially for the faster accented sequences. Discrimination was best for stimuli with two successive target intervals, indicating that target repetition within accented sequences acts to improve listener temporal sensitivity.

Relating interaural difference sensitivities for several parameters measured in normal-hearing and hearing-impaired listeners

Just-noticeable differences (JNDs) in interaural time delay (ITD), interaural level difference (ILD), and interaural cross-correlation (ICC) were measured with low- and high-frequency noise bands over multiple sessions for 10 normal-hearing (NH) and 11 hearing-impaired (HI) listeners. Individual subject thresholds tended to improve with training then stabilize. Measured JNDs varied over these experienced listeners, for both subject groups and all tasks. Group JNDs were seldom predictable from hearing level. Individual listeners' JNDs were highly correlated across frequency for each task and group, except for ICC in the HI listeners. Further, ITD JNDs almost always significantly correlated with ILD JNDs within a group. Finally, although the ICC JNDs always significantly correlated with the ITD or ILD JNDs for the NH listeners, they often did not for the HI listeners. These findings suggest that little information about binaural sensitivity is added for NH listeners with multiple ITD, ILD, and ICC measures. For HI listeners, however, while ITD and ILD measures are well correlated, information is added with ICC measures. In general, the results suggest that less information is added with JND measures for NH listeners (15 significant correlations) than for HI listeners (six significant correlations).

Difference Limen for Perception of the Vertical in Monkeys

The experiment was designed to determine the ability of monkeys to visually discriminate the vertical from the non-vertical. Using a simultaneous, two-choice, non-correction technique in a WGTA, 8 mature, experimentally sophisticated monkeys were trained to respond to a vertical line and not to respond to a horizontal one. In the test sessions, the vertical line was randomly paired with 20 displacements (2° to 40°) from the vertical. The Kendall Coefficient of Concordance between 3 training measures and 2 test measures was significant ( p < .001). The DL based on all test trials was 2°. The DLs for the first and second halves of the test sessions were 4° and 1°, respectively. There were large individual differences in the ability to make this discrimination, but after training, monkeys can discriminate less than 2° from the vertical.