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Preface | |
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Physiological Aspects of Cochlear Hearing Loss | |
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Introduction | |
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Linear and Nonlinear Systems | |
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Structure and Function of the Outer and Middle Ear | |
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Structure and Function of the Normal Cochlea | |
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The cochlea, the basilar membrane and the organ of Corti | |
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Tuning on the basilar membrane | |
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The nonlinearity of input-output functions on the basilar membrane | |
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Two-tone suppression | |
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Combination tone generation | |
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Responses of the basilar membrane to complex sounds | |
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Otoacoustic emissions | |
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Neural Responses in the Normal Auditory Nerve | |
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Spontaneous firing rates and thresholds | |
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Tuning curves and iso-rate contours | |
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Rate-versus-level functions | |
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Two-tone suppression | |
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Phase locking | |
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Types of Hearing Loss | |
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Physiology of the Damaged Cochlea | |
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Basilar membrane responses | |
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Neural responses | |
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Structure-function correlation | |
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Otoacoustic emissions | |
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Phase locking | |
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Conclusions | |
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Absolute Thresholds | |
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Introduction | |
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Measures of Absolute Threshold | |
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Minimum audible pressure (MAP) | |
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Minimum audible field (MAF) | |
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Comparison of MAP and MAF | |
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The audiogram | |
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Descriptions of the Severity of Hearing Loss | |
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Causes of Hearing Loss Due to Cochlear Damage | |
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Perceptual Consequences of Elevated Absolute Thresholds | |
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Masking, Frequency Selectivity and Basilar Membrane Nonlinearity | |
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Introduction | |
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The Measurement of Frequency Selectivity Using Masking | |
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Introduction | |
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The power-spectrum model | |
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Estimating the shape of a filter | |
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Estimating Frequency Selectivity from Masking Experiments | |
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Psychophysical tuning curves | |
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The notched-noise method | |
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Characteristics of the Auditory Filter in Normal Hearing | |
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Variation with centre frequency | |
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Variation with level | |
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Summary | |
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Masking Patterns and Excitation Patterns | |
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Masking patterns | |
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Relationship of the auditory filter to the excitation pattern | |
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Changes in excitation patterns with level | |
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Possible effects of suppression | |
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Non-Simultaneous Masking | |
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Basic properties of non-simultaneous masking | |
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Evidence for suppression from non-simultaneous masking | |
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The enhancement of frequency selectivity revealed in non-simultaneous masking | |
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Relation between the growth of forward masking and the basilar membrane input-output function | |
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The Audibility of Partials in Complex Tones | |
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Effects of Cochlear Damage on Frequency Selectivity in Simultaneous Masking | |
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Complicating factors | |
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Psychophysical tuning curves | |
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Auditory filter shapes measured with notched noise | |
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The Use of Masking to Diagnose Dead Regions | |
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The threshold-equalizing noise (TEN) test | |
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The TEN(HL) test | |
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Prevalence of dead regions assessed using the TEN(HL) test | |
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Effects of Cochlear Damage on Forward Masking and Suppression | |
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Effects of Cochlear Hearing Loss on BM Input-output Functions 88 XII Perceptual Consequences of Reduced Frequency Selectivity, Dead Regions, Loss of Suppression and Steeper BM Input-output Functions | |
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Susceptibility to masking | |
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Timbre perception | |
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Perceptual consequences of dead regions | |
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Loudness Perception and Intensity Resolution | |
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Introduction | |
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Loudness Perception for Normally Hearing People | |
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Equal-loudness contours and loudness level | |
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The scaling of loudness | |
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The detection of intensity changes | |
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Effects of Cochlear Hearing Loss on Loudness Perception | |
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A Model of Normal Loudness Perception | |
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A Model of Loudness Perception Applied to Cochlear Hearing Loss | |
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Introduction | |
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Elevation of absolute threshold | |
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Reduced compressive nonlinearity | |
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Reduced inner hair cell/neural function | |
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Reduced frequency selectivity | |
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Complete loss of functioning IHCs or neurones (dead regions) | |
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Using the model to account for loudness recruitment | |
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Effects of Bandwidth on Loudness | |
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Normal hearing | |
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Impaired hearing | |
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Effects of Cochlear Hearing Loss on Intensity Resolution | |
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Perceptual Consequences of Altered Loudness Perception | |
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Consequences of loudness recruitment and reduced dynamic range | |
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Perceptual consequences of reduced loudness summation | |
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Perceptual consequences of altered intensity discrimination | |
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Temporal Resolution and Temporal Integration | |
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Introduction | |
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Modelling Within-Channel Temporal Resolution in Normal Hearing | |
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Bandpass filtering | |
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The nonlinearity | |
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The sliding temporal integrator | |
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The decision device | |
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Characterizing the nonlinear device and the sliding temporal integrator | |
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Temporal Resolution in Normal Hearing | |
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The effect of centre frequency on gap detection | |
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Temporal modulation transfer functions | |
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The rate of recovery from forward masking | |
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Temporal Resolution in People with Cochlear Damage | |
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The influence of sound level on gap detection and the rate of decay of forward masking | |
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The influence of audible bandwidth on temporal modulation transfer functions and gap detection | |
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The influence of changes in the compressive nonlinearity | |
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Temporal Integration at Threshold | |
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Temporal integration in normally hearing people | |
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Temporal integration in people with cochlear hearing loss | |
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Explanations for reduced temporal integration in people with cochlear hearing loss | |
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Temporal Integration at Suprathreshold Levels | |
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Perceptual Consequences of Abnormal Temporal Processing in People with Cochlear Hearing Loss | |
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Consequences of abnormal temporal resolution | |
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Consequences of reduced temporal integration | |
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Pitch Perception and Frequency Discrimination | |
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Introduction | |
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Theories of Pitch Perception | |
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The Perception of the Pitch of Pure Tones by Normally Hearing People | |
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The frequency discrimination of pure tones | |
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The perception of musical intervals | |
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The effect of level on pitch | |
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Frequency Discrimination of Pure Tones by People with Cochlear Hearing Loss | |
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Difference limens for frequency (DLFs) | |
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Frequency modulation detection limens (FMDLs) | |
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The Perception of Pure-Tone Pitch for Frequencies Falling in a Dead Region | |
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Pitch Anomalies in the Perception of Pure Tones | |
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The Pitch Perception of Complex Tones by Normally Hearing People | |
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The phenomenon of the missing fundamental | |
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Discrimination of the repetition rate of complex tones | |
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Theories of Pitch Perception for Complex Tones | |
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The representation of a complex tone in the peripheral auditory system | |
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Spectro-temporal pitch theories | |
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The relative importance of envelope and temporal fine structure | |
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Pitch Perception of Complex Tones by People with Cochlear Hearing Loss | |
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Theoretical considerations | |
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Experimental studies | |
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Perceptual Consequences of Altered Frequency Discrimination and Pitch Perception | |
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Effects on speech perception | |
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Effects on music perception | |
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Spatial Hearing and Advantages of Binaural Hearing | |
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Introduction | |
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The Localization of Sinusoids | |
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Cues for localization | |
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Performance of normally hearing people in localization and lateralization | |
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Performance of hearing-impaired people in localization and lateralization | |
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The Localization of Complex Sounds | |
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The role of transients and across-frequency comparisons | |
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Performance of normally hearing people | |
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Performance of people with cochlear hearing loss | |
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Reasons for large interaural time difference and interaural level difference thresholds in people with cochlear hearing loss | |
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The Cone of Confusion, Head Movements and Pinna Cues | |
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The cone of confusion | |
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The role of head movements | |
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Information provided by the pinnae | |
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Localization using pinna cues by normally hearing and hearing-impaired people | |
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General Conclusions on Sound Localization | |
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The Precedence Effect | |
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The precedence effect for normal hearing | |
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The precedence effect for impaired hearing | |
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Binaural Masking Level Differences (MLDs) | |
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MLDs for normally hearing people | |
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Mechanisms underlying MLDs | |
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MLDs for people with cochlear hearing loss | |
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Possible reasons for smaller MLDs in people with cochlear damage | |
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Head-Shadow Effects | |
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Benefits of head shadow for normally hearing people | |
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Benefits of head shadow for hearing-impaired people | |
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Release from Informational Masking | |
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Diotic Advantages | |
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Perceptual Consequences of Abnormal Binaural and Spatial Hearing in People with Cochlear Damage | |
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Speech Perception | |
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Introduction | |
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The Magnitude of the Noise Problem | |
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The Role of Audibility | |
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The Articulation Index (AI) and Speech Intelligibility Index (SII) | |
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Use of the AI or SII to predict speech intelligibility for the hearing impaired | |
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The intelligibility of speech in noise at high overall levels | |
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Comparison of detection and recognition for speech in noise | |
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The intelligibility of speech in quiet at high overall levels | |
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Simulation of hearing loss by selective filtering (frequency-dependent attenuation) | |
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Simulation of hearing loss by masking | |
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Conclusions on the role of audibility | |
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Influence of Dead Regions on Speech Perception | |
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Correlation Between Psychoacoustic Abilities and Speech Perception | |
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Assessing the Effects of Frequency Selectivity on Vowel and Consonant Perception | |
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Consonant perception | |
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Vowel perception | |
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Influence of Loss of Sensitivity to Temporal Fine Structure | |
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The Use of Simulations to Assess the Importance of Psychoacoustic Factors in Speech Perception | |
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Simulations of loudness recruitment combined with threshold elevation | |
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Simulations of reduced frequency selectivity | |
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Simulation of the combined effects of threshold elevation, recruitment and reduced frequency selectivity | |
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Simulation of reduced temporal resolution | |
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Conclusions | |
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Hearing Aids | |
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Introduction | |
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Linear Amplification | |
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The difficulty of restoring audibility using linear aids | |
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Prescriptive fitting rules for linear hearing aids | |
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Compression Amplification | |
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Basic characteristics of automatic gain control systems | |
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Varieties of automatic gain control systems | |
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Rationales for the use of multi-band compression (and noise reduction) | |
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Research on the effectiveness of multi-band syllabic compression | |
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Methods for initial fitting of hearing aids with multi-band compression | |
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Methods for fine tuning hearing aids with multi-band compression | |
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Slow-acting automatic gain control systems | |
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Comparisons of slow-acting and fast-acting systems | |
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General conclusions about compression | |
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Some General Problems with Hearing Aids | |
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Inadequate gain at high frequencies | |
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Acoustic feedback | |
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Peakiness of frequency response | |
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The occlusion effect | |
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Time delays | |
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Methods for Improving the Speech-to-Noise Ratio | |
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Multi-channel noise reduction | |
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Directional microphones | |
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Binaural processing algorithms | |
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Transposition Aids for Severe and Profound Hearing Loss | |
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Cochlear Implants | |
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Concluding Remarks | |
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Glossary | |
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References | |
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Index | |