Early Detection Of Hearing Damage In Children Receiving Anticancer Chemotherapy
Funder
National Health and Medical Research Council
Funding Amount
$197,500.00
Summary
Children surviving cancer are often left with a severe permanent hearing loss. However, very little progress has been made to minimize hearing damage in this special population. Early detection of hearing damage is not possible using traditional assessment tools. The present research seeks to investigate the use of innovative testing techniques to identify hearing damage in the early stages of the disease with high accuracy. If successful, the research will alter standard audiometric practice in ....Children surviving cancer are often left with a severe permanent hearing loss. However, very little progress has been made to minimize hearing damage in this special population. Early detection of hearing damage is not possible using traditional assessment tools. The present research seeks to investigate the use of innovative testing techniques to identify hearing damage in the early stages of the disease with high accuracy. If successful, the research will alter standard audiometric practice in hospital clinics around Australia, hence improving the standard of hearing health care for this group. The early diagnosis of hearing impairment will not only provide a chance for doctors to balance the therapeutic effects of anticancer drugs against the danger of a permanent hearing loss, but also enable allied health professionals and educational specialist to provide timely management strategies. The determination of the rate and extent of hearing dysfunction progression in children receiving chemotherapy, as proposed in this research, enables the ototoxic effects of existing drugs to be compared. With this approach, the ototoxic side effects of new drugs can also be evaluated. In summary, the proposed study will improve the quality and efficiency of audiological service delivery to young children undergoing chemotherapy in Australia and overseas.Read moreRead less
Auditory Processing Deficits In Specific Language Impairment And Specific Reading Disability:Their Effects And Treatment
Funder
National Health and Medical Research Council
Funding Amount
$314,250.00
Summary
One possible cause of specific language impairment (SLI) and specific reading disability (SRD; commonly known as dyslexia) is an inability to discriminate between sounds. Such an impairment could affect the ability to discriminate between simple speech sounds (phonemes) which are the basic building blocks for developing spoken language and reading skills. How many children with SLI or SRD have poor sound discrimination? What pattern of spoken language and reading impairments do these children ha ....One possible cause of specific language impairment (SLI) and specific reading disability (SRD; commonly known as dyslexia) is an inability to discriminate between sounds. Such an impairment could affect the ability to discriminate between simple speech sounds (phonemes) which are the basic building blocks for developing spoken language and reading skills. How many children with SLI or SRD have poor sound discrimination? What pattern of spoken language and reading impairments do these children have as a result of this impairment? Can poor sound discrimination be fixed? If it can, does it improve spoken language and reading impairments? And if it does, does it have an immediate effect or does it take some time to make a difference? These are some of the questions that will be addressed by this research. The answers will help us develop a training program that focuses specifically on improving the sound discrimination abilities of children who really need it. This will be a more efficient and inexpensive (if not free) than the Fast ForWord program that trains multiple non-verbal and verbal processing abilities regardless of whether a child has an impairment in all (or any) of these abilities and is therefore time consuming (approximately 80 hours) and expensive (approximately $AUD2000). The data will also help up better identify the spoken and written language profiles that characterise children who have sound discrimination deficits so we can better predict whether they would benefit from training programs such as Fast ForWord. And the data will tell use whether impaired sound discrimination can be used to predict whether infants might be at risk for later spoken language and reading problems.Read moreRead less
Organization And Function Of Primate Auditory Cortex
Funder
National Health and Medical Research Council
Funding Amount
$271,671.00
Summary
The conscious perception of speech and other sounds depends on processing within a brain region known as the auditory cortex. Compared to other brain areas, relatively little is known about the organization and function of this structure. Recent studies have proposed that the auditory cortex may be anatomically subdivided into functional modules, each of which is specialized for processing different types of information. However, the evidence for multiple processing streams is fragmentary, and n ....The conscious perception of speech and other sounds depends on processing within a brain region known as the auditory cortex. Compared to other brain areas, relatively little is known about the organization and function of this structure. Recent studies have proposed that the auditory cortex may be anatomically subdivided into functional modules, each of which is specialized for processing different types of information. However, the evidence for multiple processing streams is fragmentary, and not entirely consistent. The proposed experiments will combine anatomical and physiological approaches to evaluate the functional organization of auditory cortex in the primate brain. We will map the electrical responses of single brain cells to various complex sounds across the brain surface, and inject dyes to label pathways linking brain areas to one another. The data will allow us to determine whether specific subdivisions of the auditory cortex are specialized for processing different types of infomation, and whether specific subdivisions are linked together to form processing streams specialized for sound recognition and space perception. The results will advance our understanding of the neuronal processing involved in the perception of sound, with possible implications for speech perception. This will help to understand the consequences of brain damage, and may inform the development of hearing aids and artificial voice recognition systems. In addition, this study will help to develop a primate model for studying brain mechanisms of sound recognition that should be useful in research on cochlear implants.Read moreRead less
An Integrated Psychoacoustic And High-field FMRI Study Of Auditory Temporal Processsing Dysfunction In Schiophrenia.
Funder
National Health and Medical Research Council
Funding Amount
$306,000.00
Summary
This research seeks to improve our understanding of the causes of brain dysfunction in schizophrenia. This chronic and debilitating psychiatric disorder is usually accompanied by dramatic symptoms such as hallucinations, delusions, paranoia and disordered patterns of thinking. Based on our interpretation of evidence from a number of fields of schizophrenia research we suspect that the brain dysfunction in schizophrenia may not in the brain areas responsible for those dramatic symptoms but occurs ....This research seeks to improve our understanding of the causes of brain dysfunction in schizophrenia. This chronic and debilitating psychiatric disorder is usually accompanied by dramatic symptoms such as hallucinations, delusions, paranoia and disordered patterns of thinking. Based on our interpretation of evidence from a number of fields of schizophrenia research we suspect that the brain dysfunction in schizophrenia may not in the brain areas responsible for those dramatic symptoms but occurs initially in the very basic sensory regions of the brain. These regions can be thought of as providing the building blocks of our perceptions, that ultimately allow us to see, hear, smell and feel. Our previous research shows that people with schizophrenia have a very specific problem in the way that they perceive sounds. Using measures of brain activity, people with schizophrenia show consistent evidence that their brains do not process some of the timing information contained in sound. This is not the same as saying that people with schizophrenia are deaf, the deficits we see are much more subtle. It's a bit like the chaos theory analogy of a butterfly fluttering in Brazil and causing a typhoon in China. We think that very small alterations in brain activity in the initial stages of sensory processing can cascade through successively more complex stages of the brain, eventually creating the psychotic storm that becomes evident as the primary symptoms of schizophrenia. The brain regions we are interested in are located down at the base of the brain, in the brainstem, and it is only recently that the technology and methods of analysis we need to look at this activity have been developed. In this research we will be using functional magnetic resonance imaging and sophisticated hearing tests to examine whether these brain regions show the alterations we expect. If so, this will mean that the brain dysfunction in schizophrenia is quite different to what is currently believed.Read moreRead less
Exertional Dyspnoea With Increased Filling Pressure - Mechanisms And Treatment Strategies
Funder
National Health and Medical Research Council
Funding Amount
$387,793.00
Summary
Patients with early heart disease often present with shortness of breath with exercise, as myocardial reserve at that stage is usually sufficient to maintain normal function at rest . Indeed, much myocardial dysfunction may originate from the modern lifestyle, including inactivity, obesity, the metabolic syndrome and type II diabetes. The potential benefits of making a definitive early diagnosis are large, because it seems more likely that an impact can be made on the disease process (and theref ....Patients with early heart disease often present with shortness of breath with exercise, as myocardial reserve at that stage is usually sufficient to maintain normal function at rest . Indeed, much myocardial dysfunction may originate from the modern lifestyle, including inactivity, obesity, the metabolic syndrome and type II diabetes. The potential benefits of making a definitive early diagnosis are large, because it seems more likely that an impact can be made on the disease process (and therefore, outcome) than with late stage disease. Current treatment strategies are expensive and because they are directed at end-organ damage (heart failure, heart attacks etc), rather ineffective. This multispecialty, multidisciplinary group will undertake a series of unique studies aimed at identifying early cardiovascular disease. The strategy will involve detection of abnormal filling behaviour at stress echocardiography, with randomization into longterm and short-term trials to examine various therapeutic strategies. Sensitive new cardiovascular imaging techniques will be used to detect preclinical abnormalities in the structure and function of the heart and vasculature, facilitating a mechanistic understanding of the process of increasing filling pressure with exercise.Read moreRead less
Abnormal Auditory System Function In Schizophrenia: An ERP And MEG Study Of Its Origin, Course And Generality.
Funder
National Health and Medical Research Council
Funding Amount
$250,770.00
Summary
In 1991, an Australian group found that schizophrenia patients have a reduced brain response to deviant sounds in a repeating pattern of identical sounds. Deviant sounds produce a brain electrical response known as mismatch negativity which is generated by the auditory cortex in the brain's temporal lobes and by adjacent areas in the frontal lobes. A smaller mismatch negativity in patients has since been replicated in laboratories in the US, Europe and Australia. The importance of this finding i ....In 1991, an Australian group found that schizophrenia patients have a reduced brain response to deviant sounds in a repeating pattern of identical sounds. Deviant sounds produce a brain electrical response known as mismatch negativity which is generated by the auditory cortex in the brain's temporal lobes and by adjacent areas in the frontal lobes. A smaller mismatch negativity in patients has since been replicated in laboratories in the US, Europe and Australia. The importance of this finding is that it had not been previously recognised that patients have low level auditory problems that could potentially have a profound impact on higher level functions. Finnish researchers have gone on to show in healthy individuals that mismatch negativity can reveal important features about how well the auditory system works, e.g., for the brain to respond to a deviant sound, it must have a memory of what happened in the past. Mismatch negativity provides a measure of the integrity of these memory functions. But it also provides an index of how well the auditory system discriminates different aspects of sound, pitch, loudness, and temporal features, such as duration. There are hints in our data and from US researchers that processing of the temporal features of sounds is particularly impaired in schizophrenia. We have also recently discovered that first-degree relatives of patients may have a similar deficit. The aim of this project is to use mismatch negativity to probe what is wrong with the auditory system in schizophrenia and those at risk (first degree relatives). Is it the areas of the brain primarily involved in sound perception (the temporal lobes) that are faulty or is the problem in the frontal lobes? Is it the case that processing of temporal features are particularly compromised and if so, is this a biological marker for schizophrenia. Answers to these questions will greatly enhance our understanding of the nature of the brain dysfunction in schizophrenia.Read moreRead less