Pitch, the perceptual correlate of sound repetition rate or frequency, plays an important role in speech perception, music perception, and listening in complex acoustic environments. Despite the perceptual importance of pitch, the neural mechanisms that underlie it remain poorly understood. Although cortical regions responsive to pitch have been identified, little is known about how pitch information is extracted from the inner ear itself. The two primary theories of peripheral pitch coding involve stimulus-driven spike timing, or phase locking, in the auditory nerve (time code), and the spatial distribution of responses along the length of the cochlear partition (place code). To rule out the use of timing information, we tested pitch discrimination of very high-frequency tones (>8 kHz), well beyond the putative limit of phase locking. We found that high-frequency pure-tone discrimination was poor, but when the tones were combined into a harmonic complex, a dramatic improvement in discrimination ability was observed that exceeded performance predicted by the optimal integration of peripheral information from each of the component frequencies. The results are consistent with the existence of pitch-sensitive neurons that rely only on place-based information from multiple harmonically related components. The results also provide evidence against the common assumption that poor high-frequency pure-tone pitch perception is the result of peripheral neural-coding constraints. The finding that place-based spectral coding is sufficient to elicit complex pitch at high frequencies has important implications for the design of future neural prostheses to restore hearing to deaf individuals. The question of how pitch is represented in the ear has been debated for over a century. Two competing theories involve timing information from neural spikes in the auditory nerve (time code) and the spatial distribution of neural activity along the length of the cochlear partition (place code). By using very high-frequency tones unlikely to be coded via time information, we discovered that information from the individual harmonics is combined so efficiently that performance exceeds theoretical predictions based on the optimal integration of information from each harmonic. The findings have important implications for the design of auditory prostheses because they suggest that enhanced spatial resolution alone may be sufficient to restore pitch via such implants.

Successful speech communication often requires selective attention to a target stream amidst competing sounds, as well as the ability to switch attention among multiple interlocutors. However, auditory attention switching negatively affects both target detection accuracy and reaction time, suggesting that attention switches carry a cognitive cost. Pupillometry is one method of assessing mental effort or cognitive load. Two experiments were conducted to determine whether the effort associated with attention switches is detectable in the pupillary response. In both experiments, pupil dilation, target detection sensitivity, and reaction time were measured; the task required listeners to either maintain or switch attention between two concurrent speech streams. Secondary manipulations explored whether switch-related effort would increase when auditory streaming was harder. In experiment 1, spatially distinct stimuli were degraded by simulating reverberation (compromising across-time streaming cues), and target-masker talker gender match was also varied. In experiment 2, diotic streams separable by talker voice quality and pitch were degraded by noise vocoding, and the time alloted for mid-trial attention switching was varied. All trial manipulations had some effect on target detection sensitivity and/or reaction time; however, only the attention-switching manipulation affected the pupillary response: greater dilation was observed in trials requiring switching attention between talkers.

Analysis of pupil dilation has been used as an index of attentional effort in the auditory domain. Previous work has modeled the pupillary response to attentional effort as a linear time-invariant system with a characteristic impulse response, and used deconvolution to estimate the attentional effort that gives rise to changes in pupil size. Here it is argued that one parameter of the impulse response (the latency of response maximum, t(max)) has been mis-estimated in the literature; a different estimate is presented, and it is shown how deconvolution with this value of t(max) yields more intuitively plausible and informative results.

A hallmark of complex pitch perception is that the pitch of a harmonic complex is the same whether or not the fundamental frequency is present. By 7 months, infants appear to discriminate on the basis of the pitch of the missing fundamental (MF). Although electrophysiological cortical responses to MF pitch changes have been recorded in infants younger than 7 months, no psychophysical studies have been published. This study investigated the ability of 3-and 4-month-olds to perceive the pitch of MF harmonic complexes based on fundamentals of 160 Hz and 200 Hz using an observer-based method. In experiment I, to demonstrate MF pitch discrimination, 3-and 4-month-olds were required to ignore spectral changes in complexes with the same fundamental and to respond only when the fundamental changed. In experiment II, a 60-260 Hz noise was presented with complexes to mask combination tones at the fundamental frequency. In experiment III, complexes were bandpass filtered with a À12 dB/octave slope to limit use of spectral edge cues and presented with a pink noise to mask all distortion products. Nearly all infants tested categorized complexes by MF pitch in these experiments, suggesting perception of the missing fundamental at 3 months.

Variability in extent and complexity of hepatic resection complicates prior laparoscopic (LH) and open (OH) hepatectomy comparisons. This study compares the 30-day outcomes of formal anatomical LH and OH by matching patients by location and extent of resection. A retrospective review was conducted for patients undergoing formal anatomical hepatectomies from January 2008 to November 2014. Of 580 liver procedures, 78 formal OH and 47 LH meeting criteria were identified. A total of 26 pairs were strictly matched based on resection extent and location, underlying pathology, age, and gender. The primary outcome was complication rate. Secondary outcomes were intraoperative blood loss estimated blood loss, procedure time, transfusion, and hospital stay. The groups were similar with regard to patient demographics. Right or left hepatectomy were most common (14 pairs, 53.8%). On average, 2.8 liver segments were resected. Nine LH cases (36%) were converted to open. Using intention to treat analysis, there were no significant differences in overall complications (46% vs 54%, P = 0.274) or major (Clavien ≥ 3) complications (19% vs 8%, P = 0.223), mean estimated blood loss (386 vs 556 mL, P = 0.216), procedure time (269 vs 255 minutes, P = 0.406, or hospital stay (6.0 vs 5.6 days, P = 0.643). When appropriately matched, there were equivalent short-term outcomes between formal LH and OH.