More Like this

1. Prolonged Auditory Brainstem Response in Universal Hearing Screening of Newborns with Autism Spectrum Disorder

   https://doi.org/10.1002/aur.2422  

   Miron, Oren; Delgado, Rafael E.; Delgado, Christine F.; Simpson, Elizabeth A.; Yu, Kun‐Hsing; Gutierrez, Anibal; Zeng, Guangyu; Gerstenberger, Jillian N.; Kohane, Isaac S. (November 2020, Autism Research)

   null (Ed.)

   Previous studies report prolonged auditory brainstem response (ABR) in children and adults with autism spectrum disorder (ASD). Despite its promise as a biomarker, it is unclear whether healthy newborns who later develop ASD also show ABR abnormalities. In the current study, we extracted ABR data on 139,154 newborns from their Universal Newborn Hearing Screening, including 321 newborns who were later diagnosed with ASD. We found that the ASD newborns had significant prolongations of their ABR phase and V‐negative latency compared with the non‐ASD newborns. Newborns in the ASD group also exhibited greater variance in their latencies compared to previous studies in older ASD samples, likely due in part to the low intensity of the ABR stimulus. These findings suggest that newborns display neurophysiological variation associated with ASD at birth. Future studies with higher‐intensity stimulus ABRs may allow more accurate predictions of ASD risk, which could augment the universal ABR test that currently screens millions of newborns worldwide. 

   more » « less
2. Relationship of cardiovascular disease risk and hearing loss in a clinical population

   https://doi.org/10.1038/s41598-023-28599-9  

   Baiduc, Rachael R.; Sun, Joshua W.; Berry, Caitlin M.; Anderson, Melinda; Vance, Eric A. (December 2023, Scientific Reports)

   Abstract Hearing loss has been associated with individual cardiovascular disease (CVD) risk factors and, to a lesser extent, CVD risk metrics. However, these relationships are understudied in clinical populations. We conducted a retrospective study of electronic health records to evaluate the relationship between hearing loss and CVD risk burden. Hearing loss was defined as puretone average (PTA 0.5,1,2,4 ) > 20 dB hearing level (HL). Optimal CVD risk was defined as nondiabetic, nonsmoking, systolic blood pressure (SBP) < 120 and diastolic (D)BP < 80 mm Hg, and total cholesterol < 180 mg/dL. Major CVD risk factors were diabetes, smoking, hypertension, and total cholesterol ≥ 240 mg/dL or statin use. We identified 6332 patients (mean age = 62.96 years; 45.5% male); 64.0% had hearing loss. Sex-stratified logistic regression adjusted for age, noise exposure, hearing aid use, and body mass index examined associations between hearing loss and CVD risk. For males, diabetes, hypertension, smoking, and ≥ 2 major CVD risk factors were associated with hearing loss. For females, diabetes, smoking, and ≥ 2 major CVD risk factors were significant risk factors. Compared to those with no CVD risk factors, there is a higher likelihood of hearing loss in patients with ≥ 2 major CVD risk factors. Future research to better understand sex dependence in the hearing loss-hypertension relationship is indicated. 

   more » « less
3. Comparing methods for deriving the auditory brainstem response to continuous speech in human listeners

   https://doi.org/10.1162/IMAG.a.19  

   Shan, Tong; Maddox, Ross_K (June 2025, Imaging Neuroscience)

   Abstract Several methods have recently been developed to derive the auditory brainstem response (ABR) from continuous natural speech, facilitating investigation into subcortical encoding of speech. These tools rely on deconvolution to compute the temporal response function (TRF), which models the subcortical auditory pathway as a linear system, where a nonlinearly processed stimulus is taken as the input (i.e., regressor), the electroencephalogram (EEG) data as the output, and the ABR as the impulse response deconvolved from the recorded EEG and the regressor. In this study, we analyzed EEG recordings from subjects listening to both unaltered natural speech and synthesized “peaky speech.” We compared the derived ABR TRFs using three regressors: the half-wave rectified stimulus (HWR) from Maddox and Lee (2018), the glottal pulse train (GP) from Polonenko and Maddox (2021), and the auditory nerve modeled response (ANM; Zilany et al. (2014); (2009)) used in Shan et al. (2024). Our evaluation focused on the signal-to-noise ratio, prediction accuracy, efficiency, and practicality of applying each regressor in both unaltered and peaky speech. The results indicate that the ANM regressor with peaky speech provides the best performance, with the ANM for unaltered speech and the GP regressor for peaky speech close behind, whereas the HWR regressor demonstrated relatively poorer performance. There are, thus, multiple stimulus and analysis tools that can provide high-quality subcortical TRFs, with the choices for which to use dictated by experimental needs. The findings in this study will guide future research and clinical use in selecting the most appropriate paradigm for ABR derivation from continuous, naturalistic speech. 

   more » « less
4. Arterial hypertension and retinal layer thickness: the Beijing Eye Study

   https://doi.org/10.1136/bjo-2022-322229  

   Xie, Hui; Pan, Zhe; Xue, Can Can; Chen, Danny; Jonas, Jost B; Wu, Xiaodong; Wang, Ya Xing (November 2022, British Journal of Ophthalmology)

   Purpose To investigate relationships between blood pressure and the thickness of single retinal layers in the macula. Methods Participants of the population-based Beijing Eye Study, free of retinal or optic nerve disease, underwent medical and ophthalmological examinations including optical coherence tomographic examination of the macula. Applying a multiple-surface segmentation solution, we automatically segmented the retina into its various layers. Results The study included 2237 participants (mean age 61.8±8.4 years, range 50–93 years). Mean thicknesses of the retinal nerve fibre layer (RNFL), ganglion cell layer (GCL), inner plexiform layer, inner nuclear layer (INL), outer plexiform layer, outer nuclear layer/external limiting membrane, ellipsoid zone, photoreceptor outer segments (POS) and retinal pigment epithelium–Bruch membrane were 31.1±2.3 µm, 39.7±3.5 µm, 38.4±3.3 µm, 34.8±2.0 µm, 28.1±3.0 µm, 79.2±7.3 µm, 22.9±0.6 µm, 19.2±3.3 µm and 20.7±1.4 µm, respectively. In multivariable analysis, higher systolic blood pressure (SBP) and diastolic blood pressure (DBP) were associated with thinner GCL and thicker INL, after adjusting for age, sex and axial length (all p<0.0056). Higher SBP was additionally associated with thinner POS and higher DBP with thinner RNFL. For an elevation of SBP/DBP by 10 mm Hg, the RNFL, GCL, INL and POS changed by 2.0, 3.0, 1.5 and 2.0 µm, respectively. Conclusions Thickness of RNFL, GCL and POS was inversely and INL thickness was positively associated with higher blood pressure, while the thickness of the other retinal layers was not significantly correlated with blood pressure. The findings may be helpful for refinement of the morphometric detection of retinal diseases. 

   more » « less
5. Comparisons of Auditory Brainstem Responses Between a Laboratory and Simulated Home Environment

   https://doi.org/10.1044/2020_JSLHR-20-00383  

   Parker, Ashley; Slack, Candace; Skoe, Erika (November 2020, Journal of Speech, Language, and Hearing Research)

   null (Ed.)

   Purpose Miniaturization of digital technologies has created new opportunities for remote health care and neuroscientific fieldwork. The current study assesses comparisons between in-home auditory brainstem response (ABR) recordings and recordings obtained in a traditional lab setting. Method Click-evoked and speech-evoked ABRs were recorded in 12 normal-hearing, young adult participants over three test sessions in (a) a shielded sound booth within a research lab, (b) a simulated home environment, and (c) the research lab once more. The same single-family house was used for all home testing. Results Analyses of ABR latencies, a common clinical metric, showed high repeatability between the home and lab environments across both the click-evoked and speech-evoked ABRs. Like ABR latencies, response consistency and signal-to-noise ratio (SNR) were robust both in the lab and in the home and did not show significant differences between locations, although variability between the home and lab was higher than latencies, with two participants influencing this lower repeatability between locations. Response consistency and SNR also patterned together, with a trend for higher SNRs to pair with more consistent responses in both the home and lab environments. Conclusions Our findings demonstrate the feasibility of obtaining high-quality ABR recordings within a simulated home environment that closely approximate those recorded in a more traditional recording environment. This line of work may open doors to greater accessibility to underserved clinical and research populations. 

   more » « less