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Sample records for adult hearing aid

  1. Use of Hearing Aids by Adults with Hearing Loss

    Science.gov (United States)

    ... Health Info » Statistics and Epidemiology Use of Hearing Aids by Adults with Hearing Loss [text version] Note: ... displays time trends in the use of hearing aids for adults (20–69 years) and older adults ( ...

  2. Formal auditory training in adult hearing aid users

    Directory of Open Access Journals (Sweden)

    Daniela Gil

    2010-01-01

    Full Text Available INTRODUCTION: Individuals with sensorineural hearing loss are often able to regain some lost auditory function with the help of hearing aids. However, hearing aids are not able to overcome auditory distortions such as impaired frequency resolution and speech understanding in noisy environments. The coexistence of peripheral hearing loss and a central auditory deficit may contribute to patient dissatisfaction with amplification, even when audiological tests indicate nearly normal hearing thresholds. OBJECTIVE: This study was designed to validate the effects of a formal auditory training program in adult hearing aid users with mild to moderate sensorineural hearing loss. METHODS: Fourteen bilateral hearing aid users were divided into two groups: seven who received auditory training and seven who did not. The training program was designed to improve auditory closure, figure-to-ground for verbal and nonverbal sounds and temporal processing (frequency and duration of sounds. Pre- and post-training evaluations included measuring electrophysiological and behavioral auditory processing and administration of the Abbreviated Profile of Hearing Aid Benefit (APHAB self-report scale. RESULTS: The post-training evaluation of the experimental group demonstrated a statistically significant reduction in P3 latency, improved performance in some of the behavioral auditory processing tests and higher hearing aid benefit in noisy situations (p-value < 0,05. No changes were noted for the control group (p-value <0,05. CONCLUSION: The results demonstrated that auditory training in adult hearing aid users can lead to a reduction in P3 latency, improvements in sound localization, memory for nonverbal sounds in sequence, auditory closure, figure-to-ground for verbal sounds and greater benefits in reverberant and noisy environments.

  3. Hearing Aids

    Science.gov (United States)

    ... more in both quiet and noisy situations. Hearing aids help people who have hearing loss from damage ... your doctor. There are different kinds of hearing aids. They differ by size, their placement on or ...

  4. Types of Hearing Aids

    Science.gov (United States)

    ... Devices Consumer Products Hearing Aids Types of Hearing Aids Share Tweet Linkedin Pin it More sharing options ... some features for hearing aids? What are hearing aids? Hearing aids are sound-amplifying devices designed to ...

  5. Systematic review of barriers and facilitators to hearing aid uptake in older adults

    Directory of Open Access Journals (Sweden)

    L. Jenstad

    2011-03-01

    Full Text Available A key element to success in the implementation of any screening for a health condition is that an effective treatment is available, accessible, and complied with. As the main treatment for adult-onset hearing loss is hearing aids, but only about 25% of those who could benefit from hearing aids actually use them (e.g., Kochkin, 2000; Meister, et al., 2008, it is necessary to identify the factors that affect compliance with this treatment recommendation. Several investigators have explored the barriers that may prevent those with hearing loss from choosing to purchase and use hearing aids to assist with their communication needs (e.g., Meister, et al., 2008. Among some of the barriers to hearing aid use are stigmatization, underestimation of hearing loss by the individual, coping strategies, personality factors, low trust in hearing aid benefit, cognitive and functional restrictions, cost, false expectations (Meister, et al., 2008, and communication styles (Helvik, et al., 2008. The goal of this study was to conduct a systematic review of the literature to identify the main barriers and facilitators to hearing aid (HA uptake in healthy elderly (age 65+ non-users of hearing aids who have hearing loss (i.e., have been diagnosed as having hearing loss and had hearing aids recommended, but did not purchase aids.

  6. Hearing Aids

    Science.gov (United States)

    ... slightly different from the ITC and is nearly hidden in the ear canal. Both canal hearing aids ... Privacy Policy & Terms of Use Visit the Nemours Web site. Note: All information on TeensHealth® is for ...

  7. Development of a music perception test for adult hearing-aid users

    Directory of Open Access Journals (Sweden)

    Marinda Uys

    2011-11-01

    Full Text Available The purpose of this research was two-fold. Firstly to develop a music perception test for hearing aid users and secondly to evaluate the influence of non-linear frequency compression (NFC on music perception with the use of the self-compiled test. This article focuses on the description of the development and validation of a music perception test. To date, the main direction in frequency lowering hearing aid studies has been in relation to speech perception abilities. With improvements in hearing aid technology, interest in musical perception as a dimension that could improve hearing aid users’ quality of life grew. The Music Perception Test (MPT was designed to evaluate different aspects of rhythm, timbre, pitch and melody. The development of the MPT could be described as design based. Phase 1 of the study included test development and recording while Phase 2 entailed presentation of stimuli to normal hearing listeners (n=15 and hearing aid users (n=4. Based on the findings of Phase 2, item analysis was performed to eliminate or change stimuli that resulted in high error rates. During Phase 3 the adapted version of the test was performed on a smaller group of normal hearing listeners (n=4 and twenty hearing aid users. Results proved that normal hearing adults as well as adults using hearing aids were able to complete all the sub-tests of the MPT although hearing aid users scored less on the various sub-tests than normal hearing listeners. For the rhythm section of the MPT normal hearing listeners scored on average 93.8% versus 75.5% of hearing aid users and 83% for the timbre section compared to 62.3% by hearing aid users. Normal hearing listeners obtained an average score of 86.3% for the pitch section and 88.2% for the melody section compared to the 70.8% and 61.9% respectively obtained by hearing aid users. This implicates that the MPT can be used successfully for assessment of music perception in hearing aid users within the South African

  8. Sensitivity to temporal fine structure and hearing-aid outcomes in older adults

    Directory of Open Access Journals (Sweden)

    Elvira ePerez Vallejos

    2014-02-01

    Full Text Available Objective: to investigate the effect of sensitivity to temporal fine structure on subjective measures of hearing aid outcome.Design: Prior to receiving hearing aids, participants completed a test to assess sensitivity to temporal fine structure (TFS, the Glasgow Hearing Aid Benefit Profile (GHABP, and the Speech, Spatial and Qualities of hearing (SSQ-A. Follow-up appointments, comprised the GHABP, the SSQ-B , and the International Outcome Inventory for Hearing Aid Outcomes (IOI-HA.Study sample: 75 adults were recruited from direct referral clinics. Results: Two thirds of participants were found to have good sensitivity to TFS; listeners with good sensitivity to TFS rated their hearing abilities higher at pre-fitting (SSQ-A than those with poor sensitivity to TFS. At follow-up, participants with good sensitivity to TFS showed a small improvement on SSQ-B over listeners with poor sensitivity to TFS. Conclusions: The clinical identification of a patient’s ability to process TFS information at an early stage in the treatment pathway could prove useful in managing expectations about hearing aid outcomes.

  9. Self-reported outcomes of aural rehabilitation for adult hearing aid users in a developing South African context

    Directory of Open Access Journals (Sweden)

    Elaine Pienaar

    2010-12-01

    Full Text Available Hearing impairment has far reaching consequences for affected individuals, in terms of quality of life indicators. In a developing South African context the hearing impaired population is faced with limited aural rehabilitation services. This study evaluated self-reported outcomes of aural rehabilitation in a group of adults in the public healthcare sector with a standardized outcomes measurement tool (IOI-HA. Sixty-one respondents participated (44% males; 56% females, with a mean age of 69.7 years. Results revealed that the majority of respondents experienced favourable outcomes in all domains of the inventory comprising of: daily use of hearing aids, benefits provided by hearing aids, residual activity limitation, satisfaction with hearing aids, residual participation restriction, impact of hearing difficulties on others, and changes in quality of life. Statistically significant relationships were obtained between the daily use of hearing aids, the degree of hearing loss, and the type of hearing aids fitted, as well as the benefits received from hearing aids in difficult listening environments (p < 0.05. Despite challenges of developing contexts, the mean scores distribution compared positively to similar reports from developed countries. Outcomes of improved quality of life emphasize the importance of providing affordable hearing aids and services to all hearing impaired individuals in South Africa.

  10. Hearing Aid

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    A man realized that he needed to purchase ahearing aid, but he was unwilling to spend muchmoney. "How much do they run?"he asked theclerk. "That depends," said. the salesman. "Theyrun from 2 to 2000."

  11. Music and hearing aids.

    Science.gov (United States)

    Madsen, Sara M K; Moore, Brian C J

    2014-10-31

    The signal processing and fitting methods used for hearing aids have mainly been designed to optimize the intelligibility of speech. Little attention has been paid to the effectiveness of hearing aids for listening to music. Perhaps as a consequence, many hearing-aid users complain that they are not satisfied with their hearing aids when listening to music. This issue inspired the Internet-based survey presented here. The survey was designed to identify the nature and prevalence of problems associated with listening to live and reproduced music with hearing aids. Responses from 523 hearing-aid users to 21 multiple-choice questions are presented and analyzed, and the relationships between responses to questions regarding music and questions concerned with information about the respondents, their hearing aids, and their hearing loss are described. Large proportions of the respondents reported that they found their hearing aids to be helpful for listening to both live and reproduced music, although less so for the former. The survey also identified problems such as distortion, acoustic feedback, insufficient or excessive gain, unbalanced frequency response, and reduced tone quality. The results indicate that the enjoyment of listening to music with hearing aids could be improved by an increase of the input and output dynamic range, extension of the low-frequency response, and improvement of feedback cancellation and automatic gain control systems.

  12. Self-Assessment of Hearing and Purchase of Hearing Aids by Middle-Aged and Elderly Adults

    Directory of Open Access Journals (Sweden)

    Otavio, Andressa Colares da Costa

    2015-06-01

    Full Text Available Introduction Presbycusis is a consequence of aging. Prescription of hearing aids is part of the treatment, although the prevalence of use by elderly people is still small. Objective To verify whether or not self-assessment of hearing is a predictor for purchase of hearing aids. Methods Quantitative, cross-sectional, descriptive, and observational study. Participants were subjects who sought a private hearing center for selection of hearing aids. During the diagnostic interview, subjects answered the following question: “On a scale of 1 to 10, with 1 being the worst and 10 the best, how would you rate your overall hearing ability?” After that, subjects underwent audiometry, selected a hearing aid, performed a home trial, and decided whether or not to purchase the hearing aid. The variables were associated and analyzed statistically. Results The sample was comprised of 32 subjects, both men and women, with a higher number of women. Mean age was 71.41 ± 12.14 years. Self-assessment of hearing ranged from 2 to 9 points. Overall, 71.9% of the subjects purchased hearing aids. There was no association between scores in the self-assessment and the purchase of hearing aids (p = 0.263. Among those who scored between 2 and 5 points, 64.7% purchased the device; between 6 and 7 points, 76.09% purchased the device; and between 8 and 9 points, 50% purchased the device, respectively. Conclusion There is evidence that low self-assessment scores lead to the purchase of hearing aids, although no significant association was observed in the sample.

  13. Hearing Aids Communication

    DEFF Research Database (Denmark)

    Globally, hearing loss is the second most frequent disability. About 80% of the persons affected by hearing loss do not use hearing aids. The goal of this edited volume is to present a theoretically founded, interdisciplinary approach geared at understanding and improving social interaction impac...

  14. Magnetic Implants Aid Hearing

    Institute of Scientific and Technical Information of China (English)

    陈宏

    1995-01-01

    The next generation of hearing aids may use tiny magnets that fit inside the ear. Researchersat a California company and an engineer at the University of Virginia are both developing systems that rely on magnets to convey sounds. Conventional hearing aids have three components:a microphone, an amplifier, and a speaker. The microphone picks up sounds and sends them to the am-

  15. Acceptable noise level as a deciding factor for prescribing hearing aids for older adults with cochlear hearing loss e A scoping review

    Institute of Scientific and Technical Information of China (English)

    Hemanth Narayan Shetty; Swathi Subbanna

    2015-01-01

    Older adults often find it difficult to perceive speech, especially in noisy conditions. Though hearing aid is one of the rehabilitative devices available to older adults to alleviate hearing loss, some of them may experience annoyance through hearing aid and hence reject it, may be due to circuitry noise and/or background noise. Acceptable noise level is a direct behavioural measure to estimate the extent of how much a person is able to put up with noise while simultaneously listening to speech. Acceptable noise level is a central auditory measure and it is not influenced by age, gender, presentation level or speaker. Using this measure, we can quantify the annoyance level experienced by an individual. This in-formation is of utmost importance and caution should be paid before setting the parameters in hearing aid, especially for those who are unable to accept noise. In this review article, an attempt has been made to document how to optimize the hearing aid program by setting parameters such as noise reduction circuit, microphone sensitivity and gain. These adjustments of parameters might help to reduce rejection rate of hearing aids, especially in those individuals who are annoyed by background noise. Copyright © 2015 The Authors. Production & hosting by Elsevier (Singapore) Pte Ltd On behalf of PLA General Hospital Department of Otolaryngology Head and Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

  16. The effect of hearing loss and hearing aids on the use of information and communication technologies by community-living older adults.

    Science.gov (United States)

    Gonsalves, Chris; Pichora-Fuller, Margaret Kathleen

    2008-01-01

    Innovations in information and communication technologies are changing society, but only 1 in 15 Canadian seniors used a computer at the turn of the millennium (Statistics Canada, 2000). Furthermore, about 1 in 5 Canadian seniors has difficulty hearing, seeing, or communicating. The primary goal of the study was to investigate the relationship between hearing impairment and the use of information and communication technologies by older adults. A questionnaire about use of technologies was administered to 135 older adults and hearing was measured using audiometry. Hearing was found to be related to the extent of use of communication technologies, especially newer and more specialized technologies. Those with hearing loss who did not use a hearing aid did not use other technologies as much as peers with good hearing or hearing-aid users. Overall, the extent of and ability to use information and communication technologies was greater for the study sample than in previous findings for a national sample; however, the patterns of usage of various technologies and the factors influencing use were similar in the two samples. Recommendations are made for future research, health education programs, and universal design.

  17. Buying a Hearing Aid

    Science.gov (United States)

    ... Contact Us Calendar ENTCareers Marketplace ENT Careers Marketplace Log in b Log in Toggle navigation b Join Now Donate Now ... using your hearing aids in quiet surroundings, gradually building up to noisier environments. Then eventually work up ...

  18. Hearing Aid Personalization

    DEFF Research Database (Denmark)

    Nielsen, Jens Brehm; Nielsen, Jakob; Jensen, Bjørn Sand

    2013-01-01

    Modern digital hearing aids require and offer a great level of personalization. Today, this personalization is not performed based directly on what the user actually perceives, but on a hearing-care professional’s interpretation of what the user explains about what is perceived. In this paper, an...

  19. Auditory Condition and Hearing Aids in 91 Adults with Hearing-impairment%91例成人听力状况及助听效果分析

    Institute of Scientific and Technical Information of China (English)

    邱素梅; 冯娟; 邹建华

    2014-01-01

    Objective To investigate the auditory condition in adults with hearing-impairment and evaluate the outcome of the hearing aid. Methods The threshold of air-bone-conduction audiometry and binaural hearing aid in 91 adults were determined with pure tone audi-ometry, and their satisfaction to hearing aids were investigated with free interview. Results The threshold of hearing and hearing aid were positively correlated. The satisfaction did not significantly correlate with the threshold of hearing aid, but with the time of deprivation of hearing. The hearing threshold classification was better in the patients with the audiogram of flat, raising, slow down type than with audio-gram of Shu type, which defined as hearing reacted only in 1 or 2 frequency. Conclusion It is important to improve the primary otology pro-tection, as well as the rehabilitation from the hearing aids.%目的:了解成人听力状况,评价助听效果。方法回顾性分析91例听力损害成人纯音测听法双耳气骨导听阈及助听听阈;通过与患者的日常用语交谈确定患者满意程度。结果裸耳听阈与助听听阈呈正相关;助听效果最适并不代表患者心理感知最好;听力剥夺时间越短,佩戴助听器后的心理感知越好;听力曲线呈平坦型、上升型、缓降型的助听效果较佳,蜀型助听效果较差。结论应加强耳科初级保护,及时发现听力问题,同时保证助听器发挥最大作用。

  20. Parent Hearing Aid Experiences

    Science.gov (United States)

    Munoz, Karen; Roberts, Mallory; Mullings, Day; Harward, Richard

    2012-01-01

    This study addresses parent experiences in obtaining and managing hearing aids for their young child. The purpose was to identify challenges parents encounter to determine what state agencies can do to improve parent access to amplification. Data were collected July through September of 2010; 40 parents of children ages birth to 3 years old…

  1. Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults.

    Science.gov (United States)

    Castiglione, Alessandro; Benatti, Alice; Velardita, Carmelita; Favaro, Diego; Padoan, Elisa; Severi, Daniele; Pagliaro, Michela; Bovo, Roberto; Vallesi, Antonino; Gabelli, Carlo; Martini, Alessandro

    2016-01-01

    A growing interest in cognitive effects associated with speech and hearing processes is spreading throughout the scientific community essentially guided by evidence that central and peripheral hearing loss is associated with cognitive decline. For the present research, 125 participants older than 65 years of age (105 with hearing impairment and 20 with normal hearing) were enrolled, divided into 6 groups according to their degree of hearing loss and assessed to determine the effects of the treatment applied. Patients in our research program routinely undergo an extensive audiological and cognitive evaluation protocol providing results from the Digit Span test, Stroop color-word test, Montreal Cognitive Assessment and Geriatric Depression Scale, before and after rehabilitation. Data analysis was performed for a cross-sectional and longitudinal study of the outcomes for the different treatment groups. Each group demonstrated improvement after auditory rehabilitation or training on short- and long-term memory tasks, level of depression and cognitive status scores. Auditory rehabilitation by cochlear implants or hearing aids is effective also among older adults (median age of 74 years) with different degrees of hearing loss, and enables positive improvements in terms of social isolation, depression and cognitive performance.

  2. Hearing aid adjustment

    DEFF Research Database (Denmark)

    Heinemann, Trine; Matthews, Ben; Raudaskoski, Pirkko Liisa

    2012-01-01

    to the interaction during hearing aid fitting. This report of a Danish pilot study describes two such problems. The first problem arises from the requirement that the audiologist needs to ‘translate’ the patient’s subjective hearing description for making technological decisions. The second problem is the way......Conversation analytic research on clinical encounters shows that interactional conduct can be consequential for diagnosis, treatment and compliance. Problems reported for doctor-patient interaction can also be identified in Danish audiological encounters. There are, however, also specific aspects...

  3. How to Get Hearing Aids

    Science.gov (United States)

    ... records from your hearing healthcare professional, and may purchase your hearing aid elsewhere (ex: by mail order, ... feeds Follow FDA on Twitter Follow FDA on Facebook View FDA videos on YouTube View FDA photos ...

  4. Different Styles of Hearing Aids

    Science.gov (United States)

    ... Careers Certification Publications Events Advocacy Continuing Education Practice Management Research Home / Information for the Public / Hearing and Balance Different Styles of Hearing Aids In-the-Canal (ITC) and ...

  5. Satisfaction of Elderly Hearing Aid Users.

    Science.gov (United States)

    Kozlowski, Lorena; Ribas, Angela; Almeida, Gleide; Luz, Idalina

    2017-01-01

    Introduction The impact of auditory sensory deprivation in the life of an individual is enormous because it not only affects one's ability to properly understand auditory information, but also the way people relate to their environment and their culture. The monitoring of adult and elderly subjects with hearing loss is intended to minimize the difficulties and handicaps that occur as a consequence of this pathology. Objective To evaluate the level of user satisfaction with hearing aids. Methods A clinical and experimental study involving 91 elderly hearing aid users. We used the questionnaire Satisfaction with Amplification in Daily Life to determine the degree of the satisfaction provided by hearing aids. We evaluated mean global score, subscales, as well as the variables time to use, age, and degree of hearing loss. Results Mean global score was 4.73, the score for Positive Effects 5.45, Negative Factors 3.2, demonstrating that they were satisfied; Services and Costs 5.98: very satisfied ; 3.65 Personal Image: dissatisfied. We observed statistically significant difference for the time of hearing aid use, age, and degree of hearing loss. Conclusion The SADL is a tool, simple and easy to apply and in this study we can demonstrate the high degree of satisfaction with the hearing aids by the majority of the sample collected, increasing with time of use and a greater degree of hearing loss.

  6. Contribution of a Contralateral Hearing Aid to Perception of Consonant Voicing, Intonation, and Emotional State in Adult Cochlear Implantees

    Science.gov (United States)

    Most, Tova; Gaon-Sivan, Gal; Shpak, Talma; Luntz, Michal

    2012-01-01

    Binaural hearing in cochlear implant (CI) users can be achieved either by bilateral implantation or bimodally with a contralateral hearing aid (HA). Binaural-bimodal hearing has the advantage of complementing the high-frequency electric information from the CI by low-frequency acoustic information from the HA. We examined the contribution of a…

  7. Restaurant noise, hearing loss, and hearing aids.

    OpenAIRE

    Lebo, C P; M.F. Smith; Mosher, E R; Jelonek, S J; Schwind, D R; Decker, K E; Krusemark, H J; Kurz, P L

    1994-01-01

    Our multidisciplinary team obtained noise data in 27 San Francisco Bay Area restaurants. These data included typical minimum, peak, and average sound pressure levels; digital tape recordings; subjective noise ratings; and on-site unaided and aided speech discrimination tests. We report the details and implications of these noise measurements and provide basic information on selecting hearing aids and suggestions for coping with restaurant noise.

  8. Restaurant noise, hearing loss, and hearing aids.

    Science.gov (United States)

    Lebo, C P; Smith, M F; Mosher, E R; Jelonek, S J; Schwind, D R; Decker, K E; Krusemark, H J; Kurz, P L

    1994-07-01

    Our multidisciplinary team obtained noise data in 27 San Francisco Bay Area restaurants. These data included typical minimum, peak, and average sound pressure levels; digital tape recordings; subjective noise ratings; and on-site unaided and aided speech discrimination tests. We report the details and implications of these noise measurements and provide basic information on selecting hearing aids and suggestions for coping with restaurant noise.

  9. A Hearing Aid Primer 1

    Science.gov (United States)

    Yetter, Carol J.

    2009-01-01

    This hearing aid primer is designed to define the differences among the three levels of hearing instrument technology: conventional analog circuit technology (most basic), digitally programmable/analog circuit technology (moderately advanced), and fully digital technology (most advanced). Both moderate and advanced technologies mean that hearing…

  10. 21 CFR 874.3300 - Hearing Aid.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing Aid. 874.3300 Section 874.3300 Food and... EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3300 Hearing Aid. (a) Identification. A hearing aid is wearable sound-amplifying device that is intended to compensate for impaired hearing....

  11. Hearing Aid Fitting & Electrophysiologic Procedure

    Directory of Open Access Journals (Sweden)

    Bahram Jalaei

    2001-05-01

    Full Text Available Rehabilitation of deaf individual is one of the important subjects that has attracted attention of many researchers during past centuries. Different opinions have been established in this direction. Electrophysiologic tests were established and developed parallel to developments in rehabilitation. Therefore, opinion of using electrophysiologic test for evaluation and fitting of hearing aid became gradually popular. Ultimately, the electrophysiologic tests are used in evaluation and fitting of hearing aid in two ways: 1-Direct way 2- Indirect way "nIn direct way aided ABR is obtained and special attention is paid to wave V. This technique has many difficulties. Inindirect way, electrophysiologic tests such, ECochG, OAE and ABR, AMLR, ALR and P300 and other objective tests are used, especially in infants and neonates for evaluating the state of hearing. Researches are continuing in this field. It is probable to have aided electrophysiologic responses with speech stimuli in near future.

  12. The bone-anchored hearing aid for children: recent developments.

    NARCIS (Netherlands)

    Snik, A.F.M.; Leijendeckers, J.M.; Hol, M.K.S.; Mylanus, E.A.M.; Cremers, C.

    2008-01-01

    In 1984 the Bone-Anchored Hearing Aid, or BAHA, system was introduced. Its transducer is coupled directly to the skull percutaneously to form a highly effective bone-conduction hearing device. Clinical studies on adults with conductive hearing loss have shown that the BAHA system outperforms convent

  13. Adult hearing screening: the Cyprus Pilot Program

    Directory of Open Access Journals (Sweden)

    C. Thodi

    2011-03-01

    Full Text Available Hearing loss is the third most common condition affecting adults over 65 (Cruickshanks et al., 1998. It can affect quality of life, limiting the ability to communicate efficiently, and leading to isolation, psychological strain, and functional decline (LaForge, Spector, Sternberg, 1992; Yueh, Shapiro, MacLean, Shekelle, 2003. Communication limitations impinge on the person directly, as well as the family, friends, and social circle. Reports on hearing loss among adults indicate that less than 25% of people who can benefit from amplification are actually using hearing aids, and that people diagnosed with a hearing loss delay seeking amplification by about seven years (Kochkin, 1997. Often, family members are the driving force behind a person with a hearing loss who decides to seek help. Adult hearing screening programs might have a positive effect on raising public awareness on hearing loss and its implications, and shortening delay time for intervention. There is no routine hearing screening for the adult population in Cyprus. The health system provides hearing tests for beneficiaries upon physician recommendation or self-referral. The Cyprus pilot adult hearing screening program (ΑΠΑΣ- EVERYONE- Greek acronym for Screening- Intervention-Hearing-Participation to Life screened hearing in retired adults.

  14. Hearing loss and cognition: the role of hearing AIDS, social isolation and depression.

    Directory of Open Access Journals (Sweden)

    Piers Dawes

    Full Text Available Hearing loss is associated with poor cognitive performance and incident dementia and may contribute to cognitive decline. Treating hearing loss with hearing aids may ameliorate cognitive decline. The purpose of this study was to test whether use of hearing aids was associated with better cognitive performance, and if this relationship was mediated via social isolation and/or depression. Structural equation modelling of associations between hearing loss, cognitive performance, social isolation, depression and hearing aid use was carried out with a subsample of the UK Biobank data set (n = 164,770 of UK adults aged 40 to 69 years who completed a hearing test. Age, sex, general health and socioeconomic status were controlled for as potential confounders. Hearing aid use was associated with better cognition, independently of social isolation and depression. This finding was consistent with the hypothesis that hearing aids may improve cognitive performance, although if hearing aids do have a positive effect on cognition it is not likely to be via reduction of the adverse effects of hearing loss on social isolation or depression. We suggest that any positive effects of hearing aid use on cognition may be via improvement in audibility or associated increases in self-efficacy. Alternatively, positive associations between hearing aid use and cognition may be accounted for by more cognitively able people seeking and using hearing aids. Further research is required to determine the direction of association, if there is any direct causal relationship between hearing aid use and better cognition, and whether hearing aid use results in reduction in rates of cognitive decline measured longitudinally.

  15. Finally, Proof That Hearing Aids Help

    Science.gov (United States)

    ... news/fullstory_163889.html Finally, Proof That Hearing Aids Help High-quality digital devices provide 'significant benefit' ... but solid evidence about the value of hearing aids has been lacking -- until now. New research findings " ...

  16. Acceptable noise level (ANL) with Danish and non-semantic speech materials in adult hearing-aid users

    DEFF Research Database (Denmark)

    Olsen, Steen Østergaard; Lantz, Johannes; Nielsen, Lars Holme;

    2012-01-01

    The acceptable noise level (ANL) test is used for quantification of the amount of background noise subjects accept when listening to speech. This study investigates Danish hearing-aid users' ANL performance using Danish and non-semantic speech signals, the repeatability of ANL, and the association...

  17. Acceptable noise level (ANL) with Danish and non-semantic speech materials in adult hearing-aid users

    DEFF Research Database (Denmark)

    Olsen, Steen Østergaard; Lantz, Johannes; Nielsen, Lars Holme;

    2012-01-01

    The acceptable noise level (ANL) test is used for quantification of the amount of background noise subjects accept when listening to speech. This study investigates Danish hearing-aid users' ANL performance using Danish and non-semantic speech signals, the repeatability of ANL, and the associatio...

  18. Hearing Aid with Visual Indicator

    DEFF Research Database (Denmark)

    2004-01-01

    The invention comprises a hearing aid, which has a casing containing a signal receiving part for receiving an audio signal, an audio transducer for providing an audio signal to the user, a signal transmission path between the signal receiving part and the audio transducer, whereby a battery is pr...

  19. Hearing aids with no batteries

    DEFF Research Database (Denmark)

    Day, Dennis

    2011-01-01

    part of design practices concerning the development of hearing aids. Within design studies, the idea of a skilled practitioner has a host of brothers and sisters all prefaced with the family name 'skilled'- skilled users, skilled workers, skilled employees - but the basic idea is the same for all...

  20. An economic model of adult hearing screening

    Directory of Open Access Journals (Sweden)

    A. Morris

    2011-03-01

    Full Text Available Populations are ageing and older adults make an increasing contribution to society, yet uncorrected hearing loss is common over the age of 50 years, increasing in prevalence and severity with age. The consequences of uncorrected hearing loss can be profound for hearing-impaired individuals and their communication partners but there is evidence that adults commonly delay 10-15 years before seeking help for hearing difficulty (Stephens et al., 1990; Davis et al., 2007 and the most common reason is the belief that their hearing is not bad enough (Ipsos-Mori/RNID survey, 2005. Hearing aids are currently the mainstay of intervention for hearing loss; evidence shows benefit to social functioning and quality of life even for mild hearing loss (Mulrow et al., 1990; Chisolm et al., 2007 and long term outcomes are better when they are obtained early (Davis et al., 2007. Screening adults for hearing loss would expedite intervention and reduce unmet need, leading to improved quality of life for many older adults. Previous work suggests adult hearing screening (AHS should target adults aged 50-65 years, old enough for prevalence to justify screening but young enough to gain from early intervention...

  1. Development of a theory-based, multi-level, low-intensity, low-cost intervention to improve long-term hearing aid use in adult auditory rehabilitation.

    OpenAIRE

    Barker, Fiona C.

    2016-01-01

    Poorly managed hearing loss can lead to cognitive decline, depression and reduced quality of life. Using a hearing aid can help but evidence suggests up to 40% of people who are fitted with a hearing aid do not use it. While there are many reported reasons for non-use, research suggests that audiologist behaviour in the fitting consultation could play a key role in supporting hearing aid use. Following a systematic review of interventions to improve hearing aid use, this research used the ...

  2. Self-Fitting Hearing Aids

    Directory of Open Access Journals (Sweden)

    Gitte Keidser

    2016-04-01

    Full Text Available A self-contained, self-fitting hearing aid (SFHA is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model.

  3. Fitting hearing aids with the Articulation Index: impact on hearing aid effectiveness.

    Science.gov (United States)

    Souza, P E; Yueh, B; Sarubbi, M; Loovis, C F

    2000-01-01

    Although most clinical tests focus on how much a particular hearing aid improves speech audibility under controlled conditions, it is unclear how these measures relate to hearing aid effectiveness, or the benefit perceived by the patient under everyday conditions. In this study, the relationship between audibility and hearing aid effectiveness was examined in a cohort of patients who obtained hearing aids through the Veteran's Administration. The measure of audibility was the Articulation Index, a common index of speech audibility. Measures of effectiveness included two hearing-specific surveys and self-reported ratings of global satisfaction and hearing aid use adherence. Results indicated that there were no systematic relationships between measurements of improved audibility and patient ratings of communication ability. Additionally, improved audibility was not related to overall satisfaction with the amplification characteristics of the hearing aid (fitting). However, improved audibility is related to hearing aid use adherence, with patients who achieve better audibility reporting that they use their hearing aids more frequently.

  4. Challenges in IC design for hearing aids

    DEFF Research Database (Denmark)

    Jørgensen, Ivan Harald Holger

    2012-01-01

    Designing modern hearing aids is a formidable challenge. The size of hearing aids is constantly decreasing, making them virtually invisible today. Still, as in all other modern electronics, more and more features are added to these devices driven by the development in modern IC technology....... The demands for performance and features at very low supply voltage and power consumption constantly prove a challenge to the physical design of hearing aids and not at least the design of the ICs for these. As a result of this all large hearing aid manufacturers use fully customized ASICs in their products....... The size of the amplifier is critical for the size of the final hearing aid and a study of the size of these for different manufactures will be presented. Designing the ICs for hearing aids poses many challenges and is a constant compromise between size, power consumption and performance of the individual...

  5. Personal Sound Amplifiers for Adults with Hearing Loss.

    Science.gov (United States)

    Mamo, Sara K; Reed, Nicholas S; Nieman, Carrie L; Oh, Esther S; Lin, Frank R

    2016-03-01

    Age-related hearing loss is highly prevalent and often untreated. Use of hearing aids has been associated with improvements in communication and quality of life, but such treatment is unaffordable or inaccessible for many adults. The purpose of this review is to provide a practical guide for physicians who work with older adults who are experiencing hearing and communication difficulties. Specifically, we review direct-to-consumer amplification products that can be used to address hearing loss in adults. Helping adults with hearing loss navigate hearing loss treatment options ranging from being professionally fitted with hearing aids to using direct-to-consumer amplification options is important for primary care clinicians to understand given our increasing understanding of the impact of hearing loss on cognitive, social, and physical functioning.

  6. Efficient individualization of hearing aid processed sound

    DEFF Research Database (Denmark)

    Nielsen, Jens Brehm; Nielsen, Jakob

    2013-01-01

    Due to the large amount of options offered by the vast number of adjustable parameters in modern digital hearing aids, it is becoming increasingly daunting—even for a fine-tuning professional—to perform parameter fine tuning to satisfactorily meet the preference of the hearing aid user. In addition......, the communication between the fine-tuning professional and the hearing aid user might muddle the task. In the present paper, an interactive system is proposed to ease and speed up fine tuning of hearing aids to suit the preference of the individual user. The system simultaneously makes the user conscious of his own...... preferences while the system itself learns the user’s preference. Since the learning is based on probabilistic modeling concepts, the system handles inconsistent user feedback efficiently. Experiments with hearing impaired subjects show that the system quickly discovers individual preferred hearing-aid...

  7. Noise-induced hearing loss and hearing aids requirement

    OpenAIRE

    Giordano, C; Garzaro, M; Nadalin, J; Pecorari, G; Boggero, R; Argentero, P.; Albera, R.

    2008-01-01

    Subjective disturbances, due to hearing loss, are auditory disability and handicap which can be evaluated with a questionnaire. The present study refers to a population of industrial workers affected by noise-induced hearing loss. Aim of the study is to identify the minimal level of hearing loss over which the patient felt changes in his quality of life, and the average auditory threshold at which the patient considered the application of a hearing aid useful or necessary. The sample comprise...

  8. General Framework of Hearing Aid Fitting Management.

    Science.gov (United States)

    Oh, Soo Hee; Lee, Junghak

    2016-04-01

    Hearing aids are one of the most widely used treatment options for the hearing impaired and optimal outcomes of hearing aids are supported by comprehensive hearing aid fitting protocols. Currently, the term 'hearing aid fitting' is prevalently used among service and industry sectors with its comprehensive procedures not systematically explicated. In addition, a variety of non-normalized guidelines for hearing aid fitting has led to non-uniform care, outcome variability, and dissatisfaction of the use of hearing aids. The main purpose of the present study is to suggest a general framework of standardized practice for hearing aid fitting management including its pre- and post-fitting stages. The management framework centers on its fitting process with its prior steps of assessment as well as its posterior steps of follow-up, thereby eliminating diverging interpretations and non-uniform practices. Outcomes of this study are also expected to improve potential benefits such as quality of hearing aid fitting, user satisfaction, and cost effectiveness across relevant stakeholders.

  9. Hearing aid comprising an array of microphones

    NARCIS (Netherlands)

    Boone, M.M.; Berkhout, A.J.; Merks, I.L.D.M.

    1999-01-01

    Hearing aid for improving the hearing ability of the hard of hearing, comprising an array of microphones, the electrical output signals of which are fed to at least one transmission path belonging to an ear. Means are provided for deriving two array output signals from the output signals of the micr

  10. Degree of satisfaction among hearing aid users

    Directory of Open Access Journals (Sweden)

    Mondelli, Maria Fernanda Capoani Garcia

    2013-01-01

    Full Text Available Introduction: Hearing loss (HL is defined as the complete or partial loss of hearing ability. Aims: To characterize (1 the degree of satisfaction among adult and elderly hearing aid (HA users who were treated by a public hearing health service and (2 the relationship between satisfaction and the variables of gender, age, degree of HL, and type of HA. Method: The clinical and experimental study included the administration of the Satisfaction with Amplification in Daily Life (SADL questionnaire to 110 patients who had used HAs for more than 3 months and were 18 years of age or older. Results: Test patients were sex-balanced (48% were women and had a mean age of 67 years. A relatively high incidence of sensorineural moderate HL was detected in the study patients (66% and device B was the most commonly used HA type (48%. No significant differences were evident between HA satisfaction and sex. The importance placed on services/costs and personal image varied between age groups. Correlation was evident at all levels between user satisfaction and amplification. Decreased satisfaction was observed in individuals with severe and/or profound HL. The type of HA used yielded statistically significant differences in the positive effects referring. Conclusion: No correlations were evident between the different factors proposed. HA users exhibited high levels of satisfaction in all SADL areas.

  11. HEARING AID. MEASUREMENT OF ELECTROACOUSTICAL CHARACTERISTICS

    Directory of Open Access Journals (Sweden)

    S. J. Pérez-Ruiz

    2004-12-01

    Full Text Available In this work we show the results obtained from several measurements, on hearing aid (HA prototype carried out atthe Acoustic Laboratory of the Centro de Ciencias Aplicadas y Desarrollo Tecnológico (CCADET at the UniversidadNacional Autónoma de México (UNAM. The hearing aid has been developed at the Electronics Laboratory of thesame Center. All the electroacoustic measurements have been made according to the recommendationsestablished in the ANSI and IEC Standards for hearing aids.

  12. 21 CFR 874.3330 - Master hearing aid.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Master hearing aid. 874.3330 Section 874.3330 Food... DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3330 Master hearing aid. (a) Identification. A master hearing aid is an electronic device intended to simulate a hearing aid during...

  13. Cognitive hearing aids? Insights and possibilities

    Science.gov (United States)

    Petersen, Eline Borch; Lunner, Thomas

    2015-12-01

    The working memory plays an important role in successfully overcoming adverse listening conditions and should consequently be considered when designing and testing hearing aids. A number of studies have established the relationship between hearing in noise and working memory involvement, but with the Sentence-final Word Identification and Recall (SWIRL) test, it is possible to show that working memory is also involved in listening under favorable conditions and that noise reduction has a positive influence in situation with very little noise. Although the capacity of the working memory is a finite individual size, its involvement can differ with fatigue and other factors and individualization of hearing aids should take this into account to obtain the best performance. A way of individually adapting hearing aids is based on changes in the electrical activity of the brain (EEG). Here we present the possibilities that arise from using EEG and show that ear-mounted electrodes is able to record useful EEG that can be explored for individualization of hearing aids. Such an adaptation could be done based on changes in the electrical activity of the brain (EEG). Here we present the possibilities that arise from using EEG and show that ear-mounted electrodes is able to record useful EEG that can be explored for individualization of hearing aids.

  14. Introduction to audiology: Some basics about hearing loss, hearing technologies and barriers to hearing aid use

    DEFF Research Database (Denmark)

    Mourtou, Eleni; Meis, Markus

    2012-01-01

    loss and their various effects on communication, (3) the different degrees of hearing loss as defined by different national and international organizations, (4) statistics on the preva- lence of hearing loss worldwide, (5) some technological aspects of hearing instruments, (6) sta- tistics on non......This chapter provides background information for researchers who wish to become familiar with some basic medical and audiological aspects of hearing loss and the technology of hearing aids. It introduces (1) the disciplines involved in research on hearing loss, (2) the medical categories of hearing...

  15. Vibrant SoundBridge application to middle ear windows versus conventional hearing aids: a comparative study based on international outcome inventory for hearing aids.

    Science.gov (United States)

    Atas, Ahmet; Tutar, Hakan; Gunduz, Bulent; Bayazıt, Yıldırım A

    2014-01-01

    In this study, we aimed to compare the outcomes of satisfaction of the patients who used hearing aids preceding the vibrant sound bridge (VSB) application on middle ear windows (14 oval window and 5 round window). Nineteen adult patients with conductive or mixed hearing loss were included in the study. All patients used behind the ear hearing aids on the site which was selected for VSB application. The patients used hearing aids for at least 3 months before the VSB operation. The floating mass transducer (FMT) was placed on one of the middle ear windows (oval or round) in VSB operation. The patients were evaluated with International Outcome Inventory for Hearing Aids (IOI-HA) preoperatively after at least 3 months trial of conventional hearing aid and postoperatively after 3 months use of VSB. No perioperative problem was encountered. The total score of IOI-HA was significantly higher with VSB compared with conventional hearing aids (p 0.05). The IOI-HA scores were significantly higher with the middle ear implant than the conventional hearing aid regarding benefit and residual participation restrictions (p VSB and hearing aid use, there was a superiority of VSB in terms of benefit and residual participation restrictions as well as overall IOI-HA scores as the FMT was placed on one of the middle ear windows.

  16. Level of User Satisfaction with Hearing Aids and Environment: The International Outcome Inventory for Hearing Aids

    Directory of Open Access Journals (Sweden)

    Kozlowski, Lorena

    2014-01-01

    Full Text Available Introduction The main function of hearing is to enable oral communication. Hearing loss impairs communication skills. Objective To evaluate the level of user satisfaction with hearing aids. Methods This is a cross-sectional group study comprising 108 subjects (56% men and 44% women. The average age of the subjects was 77 years. These subjects had been recently fitted with their hearing aids and showed sensorineural (90% and mixed (10% hearing loss as determined via the Questionnaire International Outcome Inventory for Hearing Aids Outcome Inventory (IOI-HA, which determined the benefit and satisfaction obtained by sound amplification. Results The hearing aids improved the quality of life of 52.78% of the patients, which was revealed by their high scores (mean = 27.3. The relationship of the user with the environment was significantly better (p < 0.001 than that of the user with the hearing aid. Conclusion IOI-HA is a simple and easy-to-use tool. Based on the results of this study, we can show a high degree of satisfaction with their hearing aids in the majority of the participants, which improved the quality of life.

  17. Intelligent hearing aids: the next revolution.

    Science.gov (United States)

    Tao Zhang; Mustiere, Fred; Micheyl, Christophe

    2016-08-01

    The first revolution in hearing aids came from nonlinear amplification, which allows better compensation for both soft and loud sounds. The second revolution stemmed from the introduction of digital signal processing, which allows better programmability and more sophisticated algorithms. The third revolution in hearing aids is wireless, which allows seamless connectivity between a pair of hearing aids and with more and more external devices. Each revolution has fundamentally transformed hearing aids and pushed the entire industry forward significantly. Machine learning has received significant attention in recent years and has been applied in many other industries, e.g., robotics, speech recognition, genetics, and crowdsourcing. We argue that the next revolution in hearing aids is machine intelligence. In fact, this revolution is already quietly happening. We will review the development in at least three major areas: applications of machine learning in speech enhancement; applications of machine learning in individualization and customization of signal processing algorithms; applications of machine learning in improving the efficiency and effectiveness of clinical tests. With the advent of the internet of things, the above developments will accelerate. This revolution will bring patient satisfactions to a new level that has never been seen before.

  18. Investigation of internal feedback in hearing aids

    DEFF Research Database (Denmark)

    Friis, Lars

    2009-01-01

    There are many aesthetics and structural design requirements to modern hearing aids and their size has been reduced considerably during the last decades. This has led to designs where the receiver (loudspeaker) and microphones are placed closely together. As a consequence, problems with vibroacou......There are many aesthetics and structural design requirements to modern hearing aids and their size has been reduced considerably during the last decades. This has led to designs where the receiver (loudspeaker) and microphones are placed closely together. As a consequence, problems...... with vibroacoustic transmission from the receiver to the microphones often occur during the use of hearing aids. This transmission causes feedback at certain critical gain levels where it produces a loud uncomfortable squealing. Consequently feedback often constitutes the limiting factor for the maximum obtainable...... gain in the hearing aid and it therefore represents a critical design problem. Feedback in hearing aids is usually divided into external and internal feedback. External feedback is caused by the leakage of sound from the ear canal whereas internal feedback is due to transmission of sound and vibrations...

  19. Education qualification levels and school careers of unilateral versus bilateral hearing aid users.

    NARCIS (Netherlands)

    Beijen, J.W.; Mylanus, E.A.M.; Snik, A.F.M.

    2007-01-01

    OBJECTIVE: Analyse the difference in school careers and secondary school qualification levels between unilateral hearing aid users and bilateral hearing aid users. STUDY DESIGN: Retrospective questionnaire study. SETTING: Postal-based questionnaire. PARTICIPANTS: Names of adults known to have been f

  20. Predicting hearing aid microphone preference in everyday listening.

    Science.gov (United States)

    Walden, Brian E; Surr, Rauna K; Cord, Mary T; Dyrlund, Ole

    2004-05-01

    Seventeen hearing-impaired adults were fit with omnidirectional/directional hearing aids, which they wore during a four-week trial. For each listening situation encountered in daily living during a total of seven days, participants selected the preferred microphone mode and described the listening situation in terms of five environmental variables, using a paper and pencil form. Results indicated that hearing-impaired adults typically spend the majority of their active listening time in situations with background noise present and surrounding the listener, and the signal source located in front and relatively near. Microphone preferences were fairly evenly distributed across listening situations but differed depending on the characteristics of the listening environment. The omnidirectional mode tended to be preferred in relatively quiet listening situations or, in the presence of background noise, when the signal source was relatively far away. The directional mode tended to be preferred when background noise was present and the signal source was located in front of and relatively near the listener. Results suggest that knowing only signal location and distance and whether background noise is present or absent, omnidirectional/directional hearing aids can be set in the preferred mode in most everyday listening situations. These findings have relevance for counseling patients when to set manually switchable omnidirectional/directional hearing aids in each microphone mode, as well as for the development of automatic algorithms for selecting omnidirectional versus directional microphone processing.

  1. Using a Shape Model in the Design of Hearing Aids

    DEFF Research Database (Denmark)

    Paulsen, Rasmus Reinhold; Nielsen, Claus; Laugesen, Søren;

    2004-01-01

    Today the design of custom completely-in-the-canal hearing aids is a manual process and therefore there is a variation in the quality of the finished hearing aids. Especially the placement of the so-called faceplate on the hearing aid strongly influences the size and shape of the hearing aid. Since...... the future hearing aid production will be less manual there is a need for algorithms that mimic the craftsmanship of skilled operators. In this paper it is described how a statistical shape model of the ear canal can be used to predict the placement of the faceplate on a hearing aid made for a given ear...

  2. The Modern Hearing Aid – an Extreme System Integration Challenge

    DEFF Research Database (Denmark)

    Jørgensen, Ivan Harald Holger

    by the development in modern IC technology. This has resulted in the modern hearing aid being highly advanced devices where the demands for performance and features at very low supply voltage and power consumption constantly prove a huge challenge to the physical design of hearing aids and not at least the design......People with reduced hearing generally want to hide this disability and thus the size of hearing aids is constantly decreasing in the effort to make them virtually invisible. However, as for all other modern electrical devices more and more features are constantly added to hearing aids driven...... by showing how a modern hearing is constructed identifying amplifier as the key component in the modern hearing aid. The size of the amplifier is critical for the size of the final hearing aid and a study of the size of these for different manufactures will be presented. Designing the ICs for hearing aids...

  3. Factors influencing the choice of prescribed hearing aid

    OpenAIRE

    Živić Ljubica; Živić Danijela

    2012-01-01

    In our paper we would like to emphasize the complexity of hearing aid prescription process. It is connected to a series of factors which impact the choice of hearing aid; type of hearing loss, degree of hearing loss according to the average hearing threshold expressed within the range from 500 Hz to 4000 Hz on a tonal audiogram, audiometric curve configuration, speech discrimination ability, patients’ age at which the hearing impairment occurred, time elapsed between the occurrence of h...

  4. The Effect of Hearing Loss and Hearing Aids on the Use of Information and Communication Technologies by Community-Living Older Adults

    Science.gov (United States)

    Gonsalves, Chris; Pichora-Fuller, Margaret Kathleen

    2008-01-01

    Innovations in information and communication technologies are changing society, but only 1 in 15 Canadian seniors used a computer at the turn of the millennium (Statistics Canada, 2000). Furthermore, about 1 in 5 Canadian seniors has difficulty hearing, seeing, or communicating. The primary goal of the study was to investigate the relationship…

  5. Hearing Aids: How to Choose the Right One

    Science.gov (United States)

    ... audio from a television, a computer or a music device with a cord. Variable programming. Some hearing aids can store several preprogrammed settings for various listening needs and environments. Environmental noise control. Some hearing aids offer noise cancellation, which ...

  6. Factors influencing the choice of prescribed hearing aid

    Directory of Open Access Journals (Sweden)

    Živić Ljubica

    2012-01-01

    Full Text Available In our paper we would like to emphasize the complexity of hearing aid prescription process. It is connected to a series of factors which impact the choice of hearing aid; type of hearing loss, degree of hearing loss according to the average hearing threshold expressed within the range from 500 Hz to 4000 Hz on a tonal audiogram, audiometric curve configuration, speech discrimination ability, patients’ age at which the hearing impairment occurred, time elapsed between the occurrence of hearing impairment and prescription of a hearing aid, patients’ age, physical and mental health and their cognitive function, anatomical characteristics of the auricle and external auditory canal, patient and parent motivation, cosmetic factors, financial abilities, cooperation with hearing aids manufacturers. This paper is important for everyday practice and can be used as a kind of guideline to the hearing aid prescription process.

  7. Factors influencing the choice of prescribed hearing aid.

    Science.gov (United States)

    Zivić, Ljubica; Zivić, Danijela

    2012-01-01

    In our paper we would like to emphasize the complexity of hearing aid prescription process. It is connected to a series of factors which impact the choice of hearing aid; type of hearing loss, degree of hearing loss according to the average hearing threshold expressed within the range from 500 Hz to 4000 Hz on a tonal audiogram, audiometric curve configuration, speech discrimination ability, patients' age at which the hearing impairment occurred, time elapsed between the occurrence of hearing impairment and prescription of a hearing aid, patients' age, physical and mental health and their cognitive function, anatomical characteristics of the auricle and external auditory canal, patient and parent motivation, cosmetic factors, financial abilities, cooperation with hearing aids manufacturers. This paper is important for everyday practice and can be used as a kind of guideline to the hearing aid prescription process.

  8. Masking Release in Children and Adults with Hearing Loss When Using Amplification

    Science.gov (United States)

    Brennan, Marc; McCreery, Ryan; Kopun, Judy; Lewis, Dawna; Alexander, Joshua; Stelmachowicz, Patricia

    2016-01-01

    Purpose: This study compared masking release for adults and children with normal hearing and hearing loss. For the participants with hearing loss, masking release using simulated hearing aid amplification with 2 different compression speeds (slow, fast) was compared. Method: Sentence recognition in unmodulated noise was compared with recognition…

  9. Acceptance of Noise Growth Patterns in Hearing Aid Users

    Science.gov (United States)

    Freyaldenhoven, Melinda C.; Plyler, Patrick N.; Thelin, James W.; Muenchen, Robert A.

    2008-01-01

    Purpose: To examine whether the effects of speech presentation level on acceptance of noise could differentiate full-time, part-time, and nonusers of hearing aids and whether these effects could predict hearing aid use. Method: Participants were separated into 3 groups on the basis of hearing aid use: (a) full-time use, (b) part-time use, or (c)…

  10. The bone-anchored hearing aid

    DEFF Research Database (Denmark)

    Foghsgaard, Søren

    2014-01-01

    The bone-anchored hearing aid (Baha) was introduced in 1977 by Tjellström and colleagues and has now been used clinically for over 30 years. Generally, the outcomes are good, and several studies have shown improved audiological- and quality of life outcomes. The principle of the Baha is, that sound...

  11. Health behavior theories as predictors of hearing-aid uptake and outcomes

    OpenAIRE

    2016-01-01

    Objective: To understand hearing behaviors of adults seeking help for the first time through the application of two models of health behavior change: the transtheoretical model and the health belief model. Design: The relationships between attitudes and beliefs were examined relative to hearing-aid uptake and outcomes six months later. Study sample: One hundred and sixty adults completed the University of Rhode Island change assessment (targeting the transtheoretical model), and the hearing b...

  12. Vibrant soundbridge: a new implantable alternative to conventional hearing AIDS in children.

    Science.gov (United States)

    Sia, K J; Chai, C K; Tang, I P; Prepageran, N

    2012-12-01

    The Vibrant Soundbridge is a new middle ear implantable hearing device. It was first introduced for adult patients with moderate to severe sensorineural hearing loss. With the innovation of the surgical techniques, its usage had been broadened for children and those patients with conductive and mixed hearing loss. We report first two cases of monoaural Vibrant Soundbridge implantation in Malaysia. They were children with bilateral conductive hearing loss who had failed to benefit from previous hearing aids. Floating mass transducers were attached in oval window and long process of incus respectively. Remarkable hearing yield was observed without surgical complication.

  13. Satisfaction with Hearing Aids Based on Technology and Style among Hearing Impaired Persons

    Science.gov (United States)

    Faraji- Khiavi, Farzad; Dashti, Rezvan; Sameni, Seyyed-Jalal; Bayat, Arash

    2016-01-01

    Introduction: Hearing loss is one of the most disabling impairments. Using a hearing aid as an attempt to improve the hearing problem can positively affect the quality of life for these people. This research was aimed to assess satisfaction of hearing impaired patients with their hearing aids regarding the employed technology and style. Materials and Methods: This descriptive-analytic cross-sectional research was conducted on 187 subjects with hearing loss who were using a hearing aid. The subjects were over 18 years of age and were using a hearing aid for at least 6 months. The Persian version of Satisfaction with Amplification in Daily Life (SADL) questionnaire was the instrument which was used for assessing satisfaction with the hearing aid. Cronbach’s alpha was calculated to be 0.80 for instrument reliability. Results: A significant difference was observed among satisfaction subscales’ mean scores with hearing aid technology. Also a significant difference was observed between the total satisfaction score and the hearing aid model. With respect to the analysis of satisfaction with the hearing aid and its style, cost and services was the only subscale which showed a significant difference (P=0.005). Conclusion: Respondents using hearing aids with different technology and style were estimated to be quite satisfied. Training audiologists in using more appropriate and fitting hearing aids in addition to using self-reporting questionnaires like SADL for estimating patients’ social condition and participation in their life can essentially change their disability condition and countervail their hearing loss. PMID:27738608

  14. Interventions after screening for hearing difficulties: a retrospective investigation of interventions other than hearing aids

    Directory of Open Access Journals (Sweden)

    Dafydd Stephens

    2011-03-01

    Full Text Available There have been a number of studies on screening of hearing in adult populations. Despite the high importance of interventions following screening for hearing (Wilson and Jungner, 1968 there is a dearth of information on the nature of interventions following such screening, other than hearing aid fitting (HA or referral to audiology/ENT departments (Pronk et al., 2011. In the late 1980s and early 1990s four studies were performed in Wales, which offered such other interventions to those individuals indicating hearing disabilities in screening questionnaires (eg Stephens et al., 1990; Davis et al., 1992. The majority of the patient notes from these studies were still accessible and have been examined to extract the following information: - what interventions were used other than hearing aids? - who received these interventions? - would they have been more appropriate than HAs for some of those fitted? The aim of this paper is to list the interventions provided in these studies and relate them to the initial complaints of those indicating hearing problems.

  15. HEARING AID USE IN PATIENTS WITH PRESBYACUSIS: A QUESTIONNAIRE SURVEY

    Directory of Open Access Journals (Sweden)

    A. Karimaneh A. Eftekharian

    2004-11-01

    Full Text Available The acceptability of hearing aids in people with presbyacusis has been improved but assessment of whether there is a need for more counseling to increase the number of regular hearing-aid users seems to be important. The aim of this study was to determine if the hearing aid was worn regularly and over a long period of time in people with presbyacusis. A questionnaire survey of patients with presbyacusis who had been fitted with a monaural behind the ear hearing aid for the first time was undertaken. The patients were divided into four groups ranging from 6 months to 3 years after fitting. Overall regular long-term use of the hearing aid was found in the majority of patients with presbyacusis. The main dropout point was within the first year after fitting the hearing aid. The study furthermore revealed a relatively high demand for further help and advice with the hearing aid in all groups.

  16. Study of the Ability of Articulation Index (Al for Predicting the Unaided and Aided Speech Recognition Performance of 25 to 65 Years Old Hearing-Impaired Adults

    Directory of Open Access Journals (Sweden)

    Ghasem Mohammad Khani

    2001-05-01

    Full Text Available Background: In recent years there has been increased interest in the use of Al for assessing hearing handicap and for measuring the potential effectiveness of amplification system. AI is an expression of proportion of average speech signal that is audible to a given patient, and it can vary between 0.0 to 1.0. Method and Materials: This cross-sectional analytical study was carried out in department of audiology, rehabilitation, faculty, IUMS form 31 Oct 98 to 7 March 1999, on 40 normal hearing persons (80 ears; 19 males and 21 females and 40 hearing impaired persons (61 ears; 36 males and 25 females, 25-65 years old with moderate to moderately severe SNI-IL The pavlovic procedure (1988 for calculating Al, open set taped standard mono syllabic word lists, and the real -ear probe- tube microphone system to measure insertion gain were used, through test-retest. Results: 1/A significant correlation was shown between the Al scores and the speech recognition scores of normal hearing and hearing-impaired group with and without the hearing aid (P<0.05 2/ There was no significant differences in age group & sex: also 3 In test-retest measures of the insertion gain in each test and 4/No significant in test-retest of speech recognition test score. Conclusion: According to these results the Al can predict the unaided and aided monosyllabic recognition test scores very well, and age and sex variables have no effect on its ability. Therefore with respect to high reliability of the Al results and its simplicity, easy -to- use, cost effective, and little time consuming for calculation, its recommended the wide use of the Al, especially in clinical situation.

  17. Hearing aid fitting in older persons with hearing impairment: the influence of cognitive function, age, and hearing loss on hearing aid benefit

    Directory of Open Access Journals (Sweden)

    Meister H

    2015-02-01

    Full Text Available Hartmut Meister,1 Sebastian Rählmann,1 Martin Walger,2 Sabine Margolf-Hackl,3 Jürgen Kießling3 1Jean Uhrmacher Institute for Clinical ENT-Research, University of Cologne, Cologne, Germany; 2Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany; 3Department of Othorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen, Germany Purpose: To examine the association of cognitive function, age, and hearing loss with clinically assessed hearing aid benefit in older hearing-impaired persons.Methods: Hearing aid benefit was assessed using objective measures regarding speech recognition in quiet and noisy environments as well as a subjective measure reflecting everyday situations captured using a standardized questionnaire. A broad range of general cognitive functions such as attention, memory, and intelligence were determined using different neuropsychological tests. Linear regression analyses were conducted with the outcome of the neuropsychological tests as well as age and hearing loss as independent variables and the benefit measures as dependent variables. Thirty experienced older hearing aid users with typical age-related hearing impairment participated.Results: Most of the benefit measures revealed that the participants obtained significant improvement with their hearing aids. Regression models showed a significant relationship between a fluid intelligence measure and objective hearing aid benefit. When individual hearing thresholds were considered as an additional independent variable, hearing loss was the only significant contributor to the benefit models. Lower cognitive capacity – as determined by the fluid intelligence measure – was significantly associated with greater hearing loss. Subjective benefit could not be predicted by any of the variables considered.Conclusion: The present study does not give evidence that hearing aid benefit is critically associated with cognitive

  18. Evaluation of the Hearing Aid Rehabilitation Questionnaire in Dutch: examination of its psychometric properties and potential use as a screening instrument

    Directory of Open Access Journals (Sweden)

    Michelene N. Chenault

    2013-10-01

    Full Text Available Items pertaining to hearing and hearing aids from the Hearing Aid Rehabilitation Questionnaire were applied to a heterogeneous sample of Dutch patients aged 55 years and more to evaluate their potential use in hearing screening. Subjects aged 55+ were recruited from a large general practitioners practice to participate. Three groups were formed: a group of 63 persons with a hearing aid, a group of 64 without a hearing aid but with sufficient hearing impairment to qualify for hearing aid reimbursement, and a group of 85 non-hearing impaired persons. Factor and reliability analyses revealed a structure with two scales regarding hearing, namely functionality and social hearing and three scales pertaining to hearing aids, namely hearing aid stigma, pressure to be assessed and not wanting a hearing aid. Scale validity was assessed with pure tone averages over the frequencies 1, 2 and 4 kHz and with a visual analogue scale for subjective hearing. The derived scales can be applied reliably in audiological assessment in an adult hearing screen setting to detect experienced hearing problems as well as attitudes related to hearing and hearing aids.

  19. [The importance of hearing-aid testing by the otorhinolaryngologist].

    Science.gov (United States)

    Schorn, K

    1983-12-01

    In a period of 16 months, 312 patients suffering from impaired hearing were supplied with hearing aids after undergoing conventional hearing tests conducted by acousticians. During the hearing follow-up tests, it was found that 111 patients (35.5%) had been optimally supplied with hearing aids and that for 98 hard-of-hearing persons (31.4%) merely fine adjustments had to be made on the hearing aids. In some cases a second bore had to be drilled into the ear mould. We had to completely refit 103 patients (33.0%) with hearing aids, since the previously fitted devices no longer complied with the type and degree of a hearing impairment based on the frequency characteristics, amplification, and dynamic range. The fitting reports had not been filled out satisfactorily in the case of 224 patients (71.8%). This was especially true of the stereophonic adjustment reports.

  20. Wireless communication for hearing aid system

    DEFF Research Database (Denmark)

    Nour, Baqer

    This thesis focuses on the wireless coupling between hearing aids close to a human head. Hearing aids constitute devices withadvanced technology and the wireless communication enables the introduction of a range of completely new functionalities. Such devices are small and the available power...... the ear-to-ear wireless communication channel by understanding the mechanisms that control the propagations of the signals and the losses. The second objective isto investigate the properties of magneto-dielectric materials and their potential in antenna miniaturization. There are three approaches...... understanding of the ear-to-ear wireless communication channel. A circular patch antenna was used to study the properties of the magneto-dielectric materials. In the thesis, we focused on three properties; efficiency, quality factor and bandwidth of the antenna. An analytical method is used to calculatethe...

  1. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatible telephones. 68.4 Section... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing aid-compatible... for export) or imported for use in the United States after August 16, 1989, must be hearing...

  2. 21 CFR 874.3310 - Hearing aid calibrator and analysis system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing aid calibrator and analysis system. 874... aid calibrator and analysis system. (a) Identification. A hearing aid calibrator and analysis system... sound intensity characteristics emanating from a hearing aid, master hearing aid, group hearing aid...

  3. [Hearing aid efficacy according to the data from the Tula regional Deaf and Dumb Centre].

    Science.gov (United States)

    Pekarskiĭ, S I; Kiriushin, P V

    2009-01-01

    Auditory inefficiency creates a serious social problem due to the ever increasing number of people with this pathology. The use of hearing aids constitutes the basis of rehabilitative measures for these patients. The authors present results of the analysis of hearing aid efficacy among adult subjects residing in the Tula region carried out in the framework of the relevant Federal program during the last 3 years. Criteria for the assessment of the efficacy of hearing aids are proposed and factors on which it depends are considered.

  4. Students' Attitudes toward the Use of Hearing Aids in Al-Ahsa, Kingdom of Saudi Arabia

    Science.gov (United States)

    Alodail, Abdullah Kholifh

    2011-01-01

    Hearing aid devices are worn within people's ears to help them hear the sounds around them. Teachers have to accept the use of hearing aids in the classroom as a device to assist students with hearing loss (Plumley, 2008). Further study is helpful to hearing aid research because it demonstrates the importance of hearing aid benefit awareness in…

  5. Age-related changes in auditory and cognitive abilities in elderly persons with hearing aids fitted at the initial stages of hearing loss

    Directory of Open Access Journals (Sweden)

    C. Obuchi

    2011-03-01

    Full Text Available In this study, we investigated the relation between the use of hearing aids at the initial stages of hearing loss and age-related changes in the auditory and cognitive abilities of elderly persons. 12 healthy elderly persons participated in an annual auditory and cognitive longitudinal examination for three years. According to their hearing level, they were divided into 3 subgroups - the normal hearing group, the hearing loss without hearing aids group, and the hearing loss with hearing aids group. All the subjects underwent 4 tests: pure-tone audiometry, syllable intelligibility test, dichotic listening test (DLT, and Wechsler Adult Intelligence Scale-Revised (WAIS-R Short Forms. Comparison between the 3 groups revealed that the hearing loss without hearing aids group showed the lowest scores for the performance tasks, in contrast to the hearing level and intelligibility results. The other groups showed no significant difference in the WAIS-R subtests. This result indicates that prescription of a hearing aid during the early stages of hearing loss is related to the retention of cognitive abilities in such elderly people. However, there were no statistical significant correlations between the auditory and cognitive tasks.

  6. Guidance to the user of the hearing aid: retention of information

    Directory of Open Access Journals (Sweden)

    Geraldo, Tatiane

    Full Text Available Introduction: Different informations are transmitted to the new user of the hearing aid, in a short period of time. The user needs to understand and retain the information to subsequent recovery and action, ensuring the proper use of the device. Objective: check the information retention about the hearing loss and use/care with the hearing aid in new users of these devices. Examine whether there is influence of demographic data and audiologic. Method: Prospective study. Participants: 30 hearing impaired (18 women and 12 men, aged between 18 and 88 years. Were offered verbal orientation supported with ilustrations at the time of audiological diagnosis and adaptation of the hearing aid. There was practice for manipulation of the prosthesis. Three weeks after the adaptation, was performed a evaluation of the retention of information about hearing loss (free recall and use/care with the prosthesis (aided recall. The manipulation of the prosthesis was also evaluated. The responses and comments of the evaluator were noted in a specific protocol and scored. Results: On average the participants retained, respectively, 31,6% and 83,6% of informations about hearing loss in adults and elderly. There was no correlation between the retention of information with the degree in hearing loss, education and socioeconomic level. Conclusion: It's necessary the use of strategies that facilitate and improve the retention of the information about the audiological diagnosis, use and care with the hearing aid for new users of this device.

  7. Effectiveness of a teleaudiology approach to hearing aid fitting.

    Science.gov (United States)

    Blamey, Peter J; Blamey, Jeremy K; Saunders, Elaine

    2015-12-01

    This research was conducted to evaluate the efficacy of an online speech perception test (SPT) for the measurement of hearing and hearing aid fitting in comparison with conventional methods. Phase 1 was performed with 88 people to evaluate the SPT for the detection of significant hearing loss. The SPT had high sensitivity (94%) and high selectivity (98%). In Phase 2, phonetic stimulus-response matrices derived from the SPT results for 408 people were used to calculate "Infograms™." At every frequency, there was a highly significant correlation (p hearing thresholds derived from the Infogram and conventional audiograms. In Phase 3, initial hearing aid fittings were derived from conventional audiograms and Infograms for two groups of hearing impaired people. Unaided and aided SPTs were used to measure the perceptual benefit of the aids for the two groups. The mean increases between unaided and aided SPT scores were 19.6%, and 22.2% (n = 517, 484; t = 2.2; p hearing aids fitted using conventional audiograms and Infograms respectively. The research provided evidence that the SPT is a highly effective tool for the detection and measurement of hearing loss and hearing aid fitting. Use of the SPT reduces the costs and increases the effectiveness of hearing aid fitting, thereby enabling a sustainable teleaudiology business model.

  8. Hearing aids and tinnitus--an experimental group study.

    Science.gov (United States)

    Melin, L; Scott, B; Lindberg, P; Lyttkens, L

    1987-05-01

    From a waiting list consisting of hearing-impaired patients waiting for hearing aids to be fitted, 39 subjects who at interview also stated that they had tinnitus took part in an experimental group study with the aim of investigating the effect of a hearing aid on tinnitus. No subject had any previous experience of hearing aids. The subjects were randomly allocated to a treatment and a waiting list control group. After an initial interview, the routine programme for the fitting of hearing aids started in the treatment group, while the waiting list control group had to wait for 6 weeks before starting the same hearing aid rehabilitation programme. The hearing aids were fitted exclusively for hearing purposes. As expected, the hearing aids improved the hearing capacity, but they did not reduce tinnitus as recorded on a visual analogue scale. According to information obtained at the final interview, there were significant differences in tinnitus between subjects who used their aid for more than 2 hours daily and those who used it for less than 2 hours. However, the results of scaling (pre- and post-fitting) did not support this finding. The discrepancy between the scaling and interview data is probably due to demand characteristics.

  9. Hearing aid evaluation using psychoacoustical proximity between Japanese monosyllables.

    Science.gov (United States)

    Hosoi, H; Imaizumi, S; Murata, K; Ohta, F

    1989-01-01

    To facilitate hearing aid selection, a new method was developed to assess the qualitative changes in speech perception with and without a hearing aid. This method utilizes maps of the Japanese monosyllables where the degrees of confusion are represented by distances between the monosyllables. On these maps, perceptual failures of the monosyllables can be simply analyzed by connecting confused stimuli and the corresponding wrong responses. The qualitative characteristics of monosyllable confusion for 53 patients with hearing impairment were comparatively analyzed with and without hearing aids. Results show that this method is useful for describing the qualitative effects of hearing aids on speech perception, and that it thus provides important information for hearing aid selection.

  10. Auditory profiling and hearing-aid satisfaction in hearing-aid candidates

    DEFF Research Database (Denmark)

    Santurette, Sébastien; Thorup, Nicoline; Jørgensen, Søren;

    2016-01-01

    Hearing-impaired (HI) listeners often complain about difficulties communicating in the presence of background noise, although audibility may be restored by a hearing-aid (HA). The audiogram typically forms the basis for HA fitting, i.e. people with similar audiograms are given the same prescription...... by default. This study aimed at identifying clinically relevant tests that may serve as an informative addition to the audiogram and which may relate more directly to HA satisfaction than the audiogram does. METHODS: A total of 29 HI and 26 normal-hearing listeners performed tests of spectral and temporal...... resolution, binaural hearing, speech intelligibility in stationary and fluctuating noise and a working-memory test. Six weeks after HA fitting, the HI listeners answered a questionnaire evaluating HA treatment. RESULTS: No other measures than masking release between fluctuating and stationary noise...

  11. Hearing aid effectiveness after aural rehabilitation - individual versus group (HEARING) trial: RCT design and baseline characteristics

    OpenAIRE

    Heagerty Patrick J; Liu Chuan-Fen; Souza Pamela E; Collins Margaret P; Amtmann Dagmar; Yueh Bevan

    2009-01-01

    Abstract Background Hearing impairment is the most common body system disability in veterans. In 2008, nearly 520,000 veterans had a disability for hearing loss through the Department of Veterans Affairs (VA). Changes in eligibility for hearing aid services, along with the aging population, contributed to a greater than 300% increase in the number of hearing aids dispensed from 1996 to 2006. In 2006, the VA committed to having no wait times for patient visits while providing quality clinicall...

  12. The impact of hearing loss in the life of adults: A comparison between congenital versus late onset hearing loss

    Directory of Open Access Journals (Sweden)

    Swapna Sebastian

    2015-01-01

    Full Text Available Aim of the Study: The aim of our study was to compare the impact of hearing loss in the life of adults who had congenital hearing loss with that of adults with acquired adult onset hearing loss (auditory neuropathy. Methodology: The quality of life scale questionnaire was administered on two groups. One group consisted of 10 adults with prelingual bilateral severe to profound hearing loss identified before the age of 3 years and who were using hearing aids and had received regular intervention for speech and language development by a qualified speech language pathologist. Second group consisted of 10 adults with auditory neuropathy. Results and Discussion: Wilcoxon rank sum test was used to compare the domains across the groups and the gender distributions between two groups were analyzed using Fisher′s exact test. The results revealed that differences between the adults with early-onset hearing loss and late onset hearing loss was statistically significant for most of the domains. The results indicated the fact that accepting a hearing loss during adulthood leads to more psychological trauma than adjusting and living with the hearing loss from the early years of life. Loss of hearing is quite traumatic to adults. Psychological trauma that they undergo is as important as their physiological problem and psychological referral to a clinical psychologist may be beneficial to many of them.

  13. Elderly With Different Types of Hearing Loss and Comorbidities: Satisfaction With Hearing Aids

    Directory of Open Access Journals (Sweden)

    Dashti

    2015-07-01

    Full Text Available Background Hearing loss is developing when age is rising. Initiation and progression rates of hearing loss vary among different individuals and groups. Objectives The current study aimed to determine satisfaction of the elderly with their hearing aids in different types of hearing loss and comorbidities. Patients and Methods The study was conducted on 40 elderly subjects suffering from hearing loss and using hearing aids. The data collection method included assessment of hearing loss in addition to using a questionnaire to estimate respondents' satisfaction with their hearing aids in daily life. The Persian version of the Satisfaction with Amplification in Daily Life (SADL questionnaire was administered. The data were analyzed using descriptive and inferential statistics by SPSS software version19. Results The mean satisfaction scores of the elderly were 4.83 ± 0.51 and 5.36 ± 0.30 in the sensorineural loss groups. There was no significant difference between different comorbidities. There was a significant difference between satisfaction level of cost and services subscales in the symmetrical styles of hearing loss (P value = 0.04. Conclusions The findings of the study indicated a high satisfaction of the elderly with their hearing aids, considering the type of hearing loss. Despite all the efforts to improve the audiologic services during verification process, the elderly should be consulted specifically in order to fit their hearing aid as well as their expectations from aid.

  14. Perception of Suprasegmental Speech Features via Bimodal Stimulation: Cochlear Implant on One Ear and Hearing Aid on the Other

    Science.gov (United States)

    Most, Tova; Harel, Tamar; Shpak, Talma; Luntz, Michal

    2011-01-01

    Purpose: The purpose of the study was to evaluate the contribution of acoustic hearing to the perception of suprasegmental features by adults who use a cochlear implant (CI) and a hearing aid (HA) in opposite ears. Method: 23 adults participated in this study. Perception of suprasegmental features--intonation, syllable stress, and word…

  15. 47 CFR 68.414 - Hearing aid-compatibility: Enforcement.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatibility: Enforcement. 68.414... (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.414 Hearing aid-compatibility: Enforcement. Enforcement of §§ 68.4 and 68.112 is hereby delegated to those...

  16. 47 CFR 68.112 - Hearing aid-compatibility.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatibility. 68.112 Section 68.112 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED... Hearing aid-compatibility. (a) Coin telephones. All new and existing coin-operated telephones,...

  17. Concerns regarding Direct-to-Consumer Hearing Aid Purchasing

    Science.gov (United States)

    Kimball, Suzanne H.

    2010-01-01

    An individual over age 18 can purchase a hearing aid online or through mail order if they sign a waiver declining a medical evaluation, while those under 18 are required to be seen by a physician to obtain medical consent. However, in many states there is nothing to prevent a parent or caregiver from purchasing hearing aids for their child from a…

  18. Audiometric evaluation of bilaterally fitted bone-anchored hearing aids.

    NARCIS (Netherlands)

    Bosman, A.J.; Snik, A.F.M.; Pouw, C.T.M. van der; Mylanus, E.A.M.; Cremers, C.W.R.J.

    2001-01-01

    Bilateral fittings of bone-anchored hearing aids (BAHA) were evaluated in 25 patients with at least 3 months experience with using two BAHAs. For all patients, air conduction hearing aids were contraindicated due to either recurrent otorrhoea or otitis externa (19 cases) or to congenital aural atres

  19. Perceptual evaluation of noise reduction in hearing aids

    NARCIS (Netherlands)

    Brons, I.

    2013-01-01

    Difficulty to understand speech in noisy situations is the number-one complaint of hearing aid users. Hearing aid manufacturers take measures against the problem of speech in noise by implementing signal-processing algorithms that should reduce background noise. The most widely applied measure again

  20. Some characteristics of amplified music through hearing aids.

    Science.gov (United States)

    Chasin, Marshall; Hockley, Neil S

    2014-02-01

    Hearing aids are a relatively non-invasive means of reducing the negative effects of hearing loss on an individual who does not require a cochlear implant. Music amplified through hearing aids has some interesting characteristics but high fidelity is not typically one of them. This poses a serious problem for the investigator who wants to perform research on music with hearing impaired individuals who wear hearing aids. If the signal at the tympanic membrane is somewhat distorted then this has consequences for the assessment of music processing when examining both the peripheral and the central auditory system. In this review article on the subject of hearing aids and music, some of the acoustical differences between speech and music will be described. Following this, a discussion about what hearing aids do well and also less well for music as an input will be presented. Finally, some recommendations are made about what can be done for hearing-impaired individuals who wear hearing aids to listen to music.

  1. The Need for Improved Detection and Management of Adult-Onset Hearing Loss in Australia

    Directory of Open Access Journals (Sweden)

    Catherine M. McMahon

    2013-01-01

    Full Text Available Adult-onset hearing loss is insidious and typically diagnosed and managed several years after onset. Often, this is after the loss having led to multiple negative consequences including effects on employment, depressive symptoms, and increased risk of mortality. In contrast, the use of hearing aids is associated with reduced depression, longer life expectancy, and retention in the workplace. Despite this, several studies indicate high levels of unmet need for hearing health services in older adults and poor use of prescribed hearing aids, often leading to their abandonment. In Australia, the largest component of financial cost of hearing loss (excluding the loss of well-being is due to lost workplace productivity. Nonetheless, the Australian public health system does not have an effective and sustainable hearing screening strategy to tackle the problem of poor detection of adult-onset hearing loss. Given the increasing prevalence and disease burden of hearing impairment in adults, two key areas are not adequately met in the Australian healthcare system: (1 early identification of persons with chronic hearing impairment; (2 appropriate and targeted referral of these patients to hearing health service providers. This paper reviews the current literature, including population-based data from the Blue Mountains Hearing Study, and suggests different models for early detection of adult-onset hearing loss.

  2. The need for improved detection and management of adult-onset hearing loss in australia.

    Science.gov (United States)

    McMahon, Catherine M; Gopinath, Bamini; Schneider, Julie; Reath, Jennifer; Hickson, Louise; Leeder, Stephen R; Mitchell, Paul; Cowan, Robert

    2013-01-01

    Adult-onset hearing loss is insidious and typically diagnosed and managed several years after onset. Often, this is after the loss having led to multiple negative consequences including effects on employment, depressive symptoms, and increased risk of mortality. In contrast, the use of hearing aids is associated with reduced depression, longer life expectancy, and retention in the workplace. Despite this, several studies indicate high levels of unmet need for hearing health services in older adults and poor use of prescribed hearing aids, often leading to their abandonment. In Australia, the largest component of financial cost of hearing loss (excluding the loss of well-being) is due to lost workplace productivity. Nonetheless, the Australian public health system does not have an effective and sustainable hearing screening strategy to tackle the problem of poor detection of adult-onset hearing loss. Given the increasing prevalence and disease burden of hearing impairment in adults, two key areas are not adequately met in the Australian healthcare system: (1) early identification of persons with chronic hearing impairment; (2) appropriate and targeted referral of these patients to hearing health service providers. This paper reviews the current literature, including population-based data from the Blue Mountains Hearing Study, and suggests different models for early detection of adult-onset hearing loss.

  3. Choosing which ear to implant in adult candidates with functional residual hearing.

    Science.gov (United States)

    Fielden, Claire A; Mehta, Rajnikant L; Kitterick, Pádraig T

    2016-04-01

    This study examined whether audiologists consider the potential benefits of contralateral hearing aid use following cochlear implantation when recommending which ear to implant in UK adult candidates with residual hearing. Thirty-four audiologists from providers of adult implantation services completed a decision-choice experiment. Clinicians were willing to consider recommending that the poorer ear be implanted, provided it had been aided continuously, suggesting that their decision making seeks to preserve access to residual hearing in the non-implanted ear where possible. Future approaches to determining candidacy should therefore consider that a sub-set of patients may obtain additional benefit from this residual hearing following implantation.

  4. Visual aid for the hearing impaired

    Science.gov (United States)

    Jhabvala, Murzban D.; Lin, Hung C.

    1991-07-01

    A multichannel electronic visual aid device which is able to signal to the user whether sound is coming from the left or right, front or back, or both is presented. For the plurality of channels, which may operate in pairs, the sound is picked up by a respective microphone and amplified and rectified into a DC voltage. The DC voltage is next fed to an analog to digital converter and then to a digital encoder. The binary code from the encoder is coupled into a logic circuit where the binary code is decoded to proved a plurality of output levels which are used to drive an indicator which, in turn, provides a visual indication of the sound level received. The binary codes for each pair of channels are also fed into a digital comparator. The output of the comparator is used to enable the logic circuits of the two channels such that if, for example, the signal coming from the right is louder than that coming from the left, the output of the logic unit of the right channel will be enabled and the corresponding indicator activated, indicating the sound source on the right. An indication of the loudness is also provided. One embodiment of the invention may be carried by the hearing impaired or deaf, as a system which is embedded into eye glasses or a cap. Another embodiment of the invention may be integrated with a vehicle to give a hearing impaired or deaf driver a warning, with a directional indication, that an emergency vehicle is in the vicinity. In this second embodiment, the emergency vehicle transmits a radio frequency signal which would be used as an enabling signal for the visual aid device to avoid false alarms from traffic and other sound sources in the vicinity of the driver's vehicle.

  5. Outcome of Vibrant Soundbridge Middle Ear Implant in Cantonese-Speaking Mixed Hearing Loss Adults

    OpenAIRE

    Yu, Joannie Ka Yin; Tsang, Willis Sung Shan; Wong, Terence Ka Cheong; Tong, Michael Chi Fai

    2012-01-01

    Objectives To investigate the aided benefits, speech recognition in quiet and in noise, change in hearing and subjective report of satisfaction on mixed hearing loss adults implanted with Vibrant Soundbridge (VSB) middle ear implant. Methods Eight Cantonese speaking adult patients with mixed hearing loss were enrolled in a single-subject, repeated measures prospective study design. Audiometric testing, including air and bone conduction and word recognition under sound-field were conducted bef...

  6. Rate-Constrained Beamforming in Binaural Hearing Aids

    Science.gov (United States)

    Srinivasan, Sriram; den Brinker, Albertus C.

    2009-12-01

    Recently, hearing aid systems where the left and right ear devices collaborate with one another have received much attention. Apart from supporting natural binaural hearing, such systems hold great potential for improving the intelligibility of speech in the presence of noise through beamforming algorithms. Binaural beamforming for hearing aids requires an exchange of microphone signals between the two devices over a wireless link. This paper studies two problems: which signal to transmit from one ear to the other, and at what bit-rate. The first problem is relevant as modern hearing aids usually contain multiple microphones, and the optimal choice for the signal to be transmitted is not obvious. The second problem is relevant as the capacity of the wireless link is limited by stringent power consumption constraints imposed by the limited battery life of hearing aids.

  7. Rate-Constrained Beamforming in Binaural Hearing Aids

    Directory of Open Access Journals (Sweden)

    Sriram Srinivasan

    2009-01-01

    Full Text Available Recently, hearing aid systems where the left and right ear devices collaborate with one another have received much attention. Apart from supporting natural binaural hearing, such systems hold great potential for improving the intelligibility of speech in the presence of noise through beamforming algorithms. Binaural beamforming for hearing aids requires an exchange of microphone signals between the two devices over a wireless link. This paper studies two problems: which signal to transmit from one ear to the other, and at what bit-rate. The first problem is relevant as modern hearing aids usually contain multiple microphones, and the optimal choice for the signal to be transmitted is not obvious. The second problem is relevant as the capacity of the wireless link is limited by stringent power consumption constraints imposed by the limited battery life of hearing aids.

  8. Pragmatic Abilities of Children with Hearing Loss Using Cochlear Implants or Hearing Aids Compared to Hearing Children

    Science.gov (United States)

    Most, Tova; Shina-August, Ella; Meilijson, Sara

    2010-01-01

    This study characterized the profile of pragmatic abilities among 24 children with hearing loss (HL) aged 6.3-9.4 years, 13 using hearing aids (HAs) and 11 using cochlear implants (CIs), in comparison to those of 13 hearing children with similar chronological and language ages. All the children with HL used spoken language, attended regular…

  9. Numerical Estimation in Deaf and Hearing Adults

    OpenAIRE

    Bull, Rebecca; Marschark, Marc; Sapere, Patty; Davidson, Wendy A.; Murphy, Derek; Nordmann, Emily

    2011-01-01

    Deaf students often lag behind hearing peers in numerical and mathematical abilities. Studies of hearing children with mathematical difficulties highlight the importance of estimation skills as the foundation for formal mathematical abilities, but research with adults is limited. Deaf and hearing college students were assessed on the Number-to-Position task as a measure of estimation, and completed standardised assessments of arithmetical and mathematical reasoning. Deaf students performed si...

  10. Hearing aid effectiveness after aural rehabilitation - individual versus group (HEARING trial: RCT design and baseline characteristics

    Directory of Open Access Journals (Sweden)

    Heagerty Patrick J

    2009-12-01

    Full Text Available Abstract Background Hearing impairment is the most common body system disability in veterans. In 2008, nearly 520,000 veterans had a disability for hearing loss through the Department of Veterans Affairs (VA. Changes in eligibility for hearing aid services, along with the aging population, contributed to a greater than 300% increase in the number of hearing aids dispensed from 1996 to 2006. In 2006, the VA committed to having no wait times for patient visits while providing quality clinically-appropriate care. One approach to achieving this goal is the use of group visits as an alternative to individual visits. We sought to determine: 1 if group hearing aid fitting and follow-up visits were at least as effective as individual visits, and 2 whether group visits lead to cost savings through the six month period after the hearing aid fitting. We describe the rationale, design, and characteristics of the baseline cohort of the first randomized clinical trial to study the impact of group versus individual hearing aid fitting and follow-up visits. Methods Participants were recruited from the VA Puget Sound Health Care System Audiology Clinic. Eligible patients had no previous hearing aid use and monaural or binaural air-conduction hearing aids were ordered at the evaluation visit. Participants were randomized to receive the hearing aid fitting and the hearing aid follow-up in an individual or group visit. The primary outcomes were hearing-related function, measured with the first module of the Effectiveness of Aural Rehabilitation (Inner EAR, and hearing aid adherence. We tracked the total cost of planned and unplanned audiology visits over the 6-month interval after the hearing aid fitting. Discussion A cohort of 659 participants was randomized to receive group or individual hearing aid fitting and follow-up visits. Baseline demographic and self-reported health status and hearing-related measures were evenly distributed across the treatment arms

  11. Auditory and language skills of children using hearing aids

    Directory of Open Access Journals (Sweden)

    Leticia Macedo Penna

    2015-04-01

    Full Text Available INTRODUCTION: Hearing loss may impair the development of a child. The rehabilitation process for individuals with hearing loss depends on effective interventions.OBJECTIVE: To describe the linguistic profile and the hearing skills of children using hearing aids, to characterize the rehabilitation process and to analyze its association with the children's degree of hearing loss.METHODS: Cross-sectional study with a non-probabilistic sample of 110 children using hearing aids (6-10 years of age for mild to profound hearing loss. Tests of language, speech perception, phonemic discrimination, and school performance were performed. The associations were verified by the following tests: chi-squared for linear trend and Kruskal-Wallis.RESULTS: About 65% of the children had altered vocabulary, whereas 89% and 94% had altered phonology and inferior school performance, respectively. The degree of hearing loss was associated with differences in the median age of diagnosis; the age at which the hearing aids were adapted and at which speech therapy was started; and the performance on auditory tests and the type of communication used.CONCLUSION: The diagnosis of hearing loss and the clinical interventions occurred late, contributing to impairments in auditory and language development.

  12. Hearing in adults with Pompe disease.

    Science.gov (United States)

    van der Beek, Nadine A M E; Verschuure, Hans; Reuser, Arnold J J; van der Ploeg, Ans T; van Doorn, Pieter A; Poublon, René M L

    2012-03-01

    Hearing loss has been recognized as an important cause of morbidity in infants with Pompe disease, a metabolic disorder caused by deficiency of acid α-glucosidase. It is unknown whether hearing is also affected in adult Pompe patients. We have studied the prevalence, severity, and type of hearing loss in 58 adult patients using tympanometry and pure-tone audiometry. Compared to normative data (International Organisation for Standardisation standard 7029), 72% of patients had impaired hearing thresholds at one or more frequencies in at least one ear. All measured frequencies were equally affected. All patients had a sensorineural type of hearing loss, pointing to cochlear or retrocochlear pathology. Categorised according to the standards of the World Health Organisation 21% of patients had a clinically relevant hearing loss (16% slight, 3% moderate, 2% profound). Though this suggests that hearing loss occurs in a considerable number of patients with Pompe disease, this prevalence is similar to that in the general population. Therefore, we conclude that hearing loss is not a specific feature of Pompe disease in adults.

  13. 21 CFR 801.421 - Hearing aid devices; conditions for sale.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing aid devices; conditions for sale. 801.421... (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid devices...) of this section, a hearing aid dispenser shall not sell a hearing aid unless the prospective user...

  14. 21 CFR 874.3950 - Transcutaneous air conduction hearing aid system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Transcutaneous air conduction hearing aid system... Transcutaneous air conduction hearing aid system. (a) Identification. A transcutaneous air conduction hearing aid... occluding the ear canal. The device consists of an air conduction hearing aid attached to a...

  15. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    Directory of Open Access Journals (Sweden)

    José Fernando Polanski

    2015-12-01

    Full Text Available Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS. Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome.

  16. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    Science.gov (United States)

    Polanski, José Fernando; Plawiak, Anna Clara; Ribas, Angela

    2015-01-01

    Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS). Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome. PMID:26298651

  17. The benefit method: fitting hearing aids in noise.

    Science.gov (United States)

    Svard, I; Spens, K E; Back, L; Ahlner, B H; Barrenas, M L

    2005-01-01

    The most common complaint among individuals with hearing impairment is the inability to follow a conversation when several people are talking simultaneously, a noisy listening situation which is completely different from the quiet surrounding of the conventional pure tone audiometry used as basis for the hearing aid settings. The purpose of this report was to present important characteristics of the BeneFit Method (BFM), a procedure that fits the hearing aid under simulated conditions of competing speech and also a clinical pilot evaluation study comparing the BFM to the NAL-R recommendations and also to the Logic procedure, a GN resound proprietary fitting algorithm representing a modern digital hearing aid fitting procedure. Speech recognition scores in noise (SRSN) using monosyllabic words presented under different background noise levels were evaluated on 21 randomly selected subjects with hearing impairment. The subjects were fitted with the same type of hearing aid Danalogic 163D according to the BFM procedure as well as the logic procedure, the latter developed and recommended by the manufacturer. A comparison of the SRSN when using the subjects' current hearing aid fitted according to the NAL-R procedure was also made. Only the BFM procedure provided a significant SRSN improvement compared to the unaided condition (Ppatients performed significantly higher SRSN when fitted according to the BFM, than when fitted according the Logic or NAL-R procedures. The BFM procedure, which is based on individual and functional detection of hearing thresholds in noise levels corresponding to a cocktail party condition, can improve SRSN significantly. Hearing aids should be fitted under conditions similar to those when the hearing disability is perceived the most, i.e, in an environment with background noise.

  18. Effect of microphone location in ITE versus BTE hearing aids.

    Science.gov (United States)

    Gartrell, E L; Church, G T

    1990-07-01

    Sound pressure measurements were made at the hearing aid microphones of 20 subjects with their in-the-ear (ITE) hearing aids and a behind-the-ear (BTE) hearing aid to determine the influence of microphone location on hearing aid input. A probe tube microphone was used to measure the difference in dB SPL between the ITE and BTE microphone locations. ITE microphone location resulted in a maximum high frequency advantage of 9.2 dB in the 2500 to 5000 Hz range. However, the frequency location of this maximal advantage varied a great deal between individuals, precluding the use of a standard ITE microphone correction factor for 2cc coupler to functional gain conversions.

  19. Hearing aid-related satisfaction based on type and degree of hearing loss in elderly

    Directory of Open Access Journals (Sweden)

    Farzad FarajiKhiavi

    2015-02-01

    Full Text Available Background and Aim: Hearing loss is one of the most prevalent chronic diseases in the elderly; using a hearing aid to alleviate auditory impairment can positively affect their quality of life. This research aimed to determine the level of satisfaction concerning hearing aids in elderly people with hearing impairment based on the type and degree of hearing loss.Methods: An analytic cross-sectional research design was used ; the sample included 40 elderly people who used hearing aids. According to the World Health Organization (WHO age classification, participants were divided into two age groups: 65-74 years (n=20 and 75-90 years (n=20. Satisfaction levels were assessed using a standard satisfaction with amplification in daily life (SADL questionnaire.Results: Satisfaction levels in the 65-74 age group were significantly higher than that in the 75-90 age group (p=0.02. Participants with mixed hearing loss revealed higher satisfaction levels than participants with sensorineural hearing loss (p=0.02. On the negative effects dimension, participants with severe hearing loss exhibited significantly higher satisfaction levels than participants with moderate or moderate to severe hearing loss (p=0.01.Conclusion: Total satisfaction mean scores were relatively high in the elderly participants . Negative features could be reduced via careful consultation regarding the aids’ amplifying capabilities and limitations in groups with moderate or moderate to severe hearing loss.

  20. Prelingual deafness: Benefits from cochlear implants versus conventional hearing aids

    Science.gov (United States)

    Bittencourt, Aline Gomes; Torre, Ana Adelina Giantomassi Della; Bento, Ricardo Ferreira; Tsuji, Robinson Koji; Brito, Rubens de

    2012-01-01

    Summary Introduction: The majority of patients with hearing loss, including those with severe hearing loss, benefits from the use of hearing aids. The cochlear implant is believed to achieve better results in a child with hearing loss in cases where the severity of disability renders hearing aids incapable of providing adequate sound information, as they require sufficient cochlear reserve so that acoustic detention occurs. Objective: To assess if cochlear implants provide more benefit than conventional hearing aids in prelingually deaf patients. Summary of the findings: The study was a systematic review of scientific papers selected by a search of the SciELO, Cochrane, MEDLINE, and LILACS-BIREME databases. Among the 2169 articles found, 12 studies proved relevant to the issue and presented an evidence strength rating of B. No publications rated evidence strength A. Seven of the studies analyzed were prospective cohorts and 5 were cross-sectional studies. Conclusion: Based on several studies, cochlear implants were demonstrated to be the best current alternative for bilateral severe or profound hearing loss, achieving better results in speech perception and development in prelingual children when compared to conventional hearing aids. PMID:25991962

  1. Experiences of adult patients hearing loss postlingually with Cochlear Implant

    Directory of Open Access Journals (Sweden)

    Teresa María Lizcano Tejado

    2013-09-01

    Full Text Available Hearing loss is a significant public health problem. The incidence is difficult to establish because of the lack of data in people under age three, but is estimated about 1 per thousand for severe and profound hearing loss.A cochlear implant (CI is a device that converts sounds into electrical energy that triggers a sensation of hearing. The IC is indicated in patients with severe bilateral sensorineural hearing loss with null or poor benefit use of hearing aids.The general objective of this project is to understand the experiences of adult patients with severe-profound sensorineural hearing loss with IC postlingually throughout the implementation process.A personal vision of those implemented will allow us to learn how to face the possibility to hear and interact with their environment, applying this information to improve health care provided to them and identifying those areas where such assistance should be improved. Also allow us to compare the initial expectations and have been achieved, creating realistic expectations for future candidates.For its development we have designed a qualitative study, based on the principles and procedures of grounded theory, semistructured interviews, participant observation and discussion groups.The data will be analyzed using the software Nudist ViVo 9.

  2. [Evaluation of hearing aid rehabilitation using the Freiburg Monosyllabic Test].

    Science.gov (United States)

    Hoppe, U

    2016-08-01

    The benefit of hearing aids is not always directly subjectively perceivable. Therefore, objective and quantifiable speech audiometric measurements are required. Beside acoustic gain measurements and structured interviews, speech audiometry in quiet and in noise is one of the three pillars of hearing aid evaluation.The Freiburg monosyllabic test has been used for decades for hearing aid prescription and evaluation in German speaking countries. Relative and absolute targets can be individually defined for the rehabilitation of speech perception by hearing aids as assessed by the Freiburg monosyllabic test in quiet and at conversational levels.The general applicability of speech audiometric measurements in noise is limited. Alternative ("modern") methods and the definitions of noise situations relevant to everyday life have been discussed for years. However, the introduction of these methods into everyday use has proven difficult. On one hand, there is comparatively little practical experience; on the other, it has not yet been demonstrated what additional benefits these more complicated measurements might have for standard hearing aid evaluations and hearing aid users.

  3. The bone-anchored hearing aid : quality-of-life assessment

    NARCIS (Netherlands)

    Hol, Myrthe K S; Spath, Marian A; Krabbe, Paul F M; van der Pouw, Catharina T M; Snik, Ad F M; Cremers, Cor W R J; Mylanus, Emmanuel A M

    2004-01-01

    OBJECTIVES: To assess the impact of a bone-anchored hearing aid (BAHA) on the quality of life (QOL) of adults and to test the hypothesis that a BAHA improves QOL because otorrhea and/or skin irritations decrease. DESIGN: Prospective postal-based questionnaire study using validated health-related QOL

  4. The Need for Improved Detection and Management of Adult-Onset Hearing Loss in Australia

    OpenAIRE

    McMahon, Catherine M.; Bamini Gopinath; Julie Schneider; Jennifer Reath; Louise Hickson; Leeder, Stephen R; Paul Mitchell; Robert Cowan

    2013-01-01

    Adult-onset hearing loss is insidious and typically diagnosed and managed several years after onset. Often, this is after the loss having led to multiple negative consequences including effects on employment, depressive symptoms, and increased risk of mortality. In contrast, the use of hearing aids is associated with reduced depression, longer life expectancy, and retention in the workplace. Despite this, several studies indicate high levels of unmet need for hearing health services in older ...

  5. Hearing Loss and Older Adults

    Science.gov (United States)

    ... embarrassed when you meet new people because you struggle to hear? YES NO Do you feel frustrated ... talk and for people to get used to speaking louder and more clearly. Be patient and continue ...

  6. Predictors of Hearing Aid Use Time in Children with Mild-to-Severe Hearing Loss

    Science.gov (United States)

    Walker, Elizabeth A.; Spratford, Meredith; Moeller, Mary Pat; Oleson, Jacob; Ou, Hua; Roush, Patricia; Jacobs, Shana

    2013-01-01

    Purpose: This study investigated predictors of hearing aid (HA) use time for children with mild-to-severe hearing loss (HL). Barriers to consistent HA use and reliability of parent report measures were also examined. Method: Participants included parents of 272 children with HL. Parents estimated the amount of time the child used HAs daily.…

  7. Phonological Abilities of Hearing-Impaired Cantonese-Speaking Children with Cochlear Implants or Hearing Aids

    Science.gov (United States)

    Law, Zoe W. Y.; So, Lydia K. H.

    2006-01-01

    Purpose: This article examined the phonological skills of 2 groups of Cantonese-speaking children with prelingual, profound bilateral hearing loss. The phonological abilities of 7 children fitted with hearing aids were compared with the abilities of 7 children who wore cochlear implants. Method: Participants in each group ranged in age from 5;1…

  8. Aspects of Hearing Aid Fitting Procedures

    NARCIS (Netherlands)

    R.M. Metselaar (Mick)

    2010-01-01

    textabstractSensorineural hearing loss is a common and chronic disorder that affects almost ten percent of the world population. In the Netherlands, it is also the major disorder in the working population [NCvB, 2008]. Hearing loss leads to restriction in the interaction with others and withdrawal f

  9. Case Factors Affecting Hearing Aid Recommendations by Hearing Care Professionals

    DEFF Research Database (Denmark)

    Gioia, Carmine; Ben-Akiva, Moshe; Jørgensen, Ole;

    2015-01-01

    Background: Professional recommendations to patients concerning hearing instrument (HI) technology levels are not currently evidence-based. Pre-fitting parameters have not been proven to be the primary indicators for optimal patient outcome with different HI technology levels. This results...... in subjective decision-making as regards the technology level recommendation made by professionals. Purpose: The objective of this study is to gain insight into the decision-making criteria utilized by professionals when recommending HI technology levels to hearing-impaired patients....

  10. [The application of implantable hearing aids using the Vibrant Soundbridge as an example].

    Science.gov (United States)

    Strenger, T; Stark, T

    2012-02-01

    Over the last decade, bone conducting hearing aids, cochlear implants and implantable hearing aids have come to represent additional treatment options in clinical routine-alongside conventional hearing aids-for hearing impaired patients. Thanks to experience gained in recent years with implantable hearing aids and the consistent evaluation of functional results, the original spectrum of indications has been progressively extended. Today, implantable hearing aids are available for the hearing (re)habilitation of various forms of middle ear pathology as well as sensorineural hearing loss within the audiological criteria. With CE certification for children, the treatment of younger patients with implantable hearing aids has also become possible. Using the Vibrant Soundbridge as an example, the function, indications and contraindications of implantable hearing aids are described and the surgical procedure and post-operative care discussed.

  11. Opening the Market for Lower Cost Hearing Aids: Regulatory Change Can Improve the Health of Older Americans.

    Science.gov (United States)

    Blustein, Jan; Weinstein, Barbara E

    2016-06-01

    Hearing loss is a leading cause of disability among older people. Yet only one in seven US adults who could benefit from a hearing aid uses one. This fraction has not increased over the past 30 years, nor have hearing aid prices dropped, despite trends of steady improvements and price reductions in the consumer electronics industry. The President's Council on Science and Technology has proposed changes in the regulation of hearing aids, including the creation of a "basic" low-cost over-the-counter category of devices. We discuss the potential to reduce disability as well as to improve public health, stakeholder responses to the president's council's proposal, and public health efforts to further mitigate the burden of disability stemming from age-related hearing loss.

  12. The influence of hearing aids on the speech and language development of children with hearing loss.

    Science.gov (United States)

    Tomblin, J Bruce; Oleson, Jacob J; Ambrose, Sophie E; Walker, Elizabeth; Moeller, Mary Pat

    2014-05-01

    IMPORTANCE Hearing loss (HL) in children can be deleterious to their speech and language development. The standard of practice has been early provision of hearing aids (HAs) to moderate these effects; however, there have been few empirical studies evaluating the effectiveness of this practice on speech and language development among children with mild-to-severe HL. OBJECTIVE To investigate the contributions of aided hearing and duration of HA use to speech and language outcomes in children with mild-to-severe HL. DESIGN, SETTING, AND PARTICIPANTS An observational cross-sectional design was used to examine the association of aided hearing levels and length of HA use with levels of speech and language outcomes. One hundred eighty 3- and 5-year-old children with HL were recruited through records of Universal Newborn Hearing Screening and referrals from clinical service providers in the general community in 6 US states. INTERVENTIONS All but 4 children had been fitted with HAs, and measures of aided hearing and the duration of HA use were obtained. MAIN OUTCOMES AND MEASURES Standardized measures of speech and language ability were obtained. RESULTS Measures of the gain in hearing ability for speech provided by the HA were significantly correlated with levels of speech (ρ179 = 0.20; P = .008) and language: ρ155 = 0.21; P = .01) ability. These correlations were indicative of modest levels of association between aided hearing and speech and language outcomes. These benefits were found for children with mild and moderate-to-severe HL. In addition, the amount of benefit from aided hearing interacted with the duration of HA experience (Speech: F4,161 = 4.98; P hearing. CONCLUSIONS AND RELEVANCE The degree of improved hearing provided by HAs was associated with better speech and language development in children. In addition, the duration of HA experience interacted with the aided hearing to influence outcomes. These results provide support for the

  13. Factors affecting the use and perceived benefit of ITE and BTE hearing aids.

    Science.gov (United States)

    Baumfield, A; Dillon, H

    2001-08-01

    The aim of the present study was to investigate factors that might affect hearing aid use, satisfaction and perceived benefit. A further aim was to look at which variables affect the choice of hearing aid, in particular, an in-the-ear (ITE) versus a behind-the-ear (BTE) device. Twenty-nine elderly hearing-impaired people with a mild-to-moderate hearing loss were fitted with both an ITE and a BTE hearing aid with similar electroacoustic performance. Both hearing aids were linear with output compression limiting and were fitted in a randomized order. After wearing each device for a six-week period, subj ets were asked to select the hearing aid they preferred. Variables significantly related to hearing aid choice, use and perceived benefit included ease of management, accuracy with which the NAL-R insertion gain target was achieved, earmould comfort and the type of hearing aid the client preferred initially.

  14. Costs and health effects of screening and delivery of hearing aids in Tamil Nadu, India: an observational study

    Directory of Open Access Journals (Sweden)

    Job Anand

    2009-05-01

    Full Text Available Abstract Background The burden of disease of hearing disorders among adults is high, but a significant part goes undetected. Screening programs in combination with the delivery of hearing aids can alleviate this situation, but the economic attractiveness of such programs is unknown. This study aims to evaluate the population-level costs, effects and cost-effectiveness of alternative delivering hearing aids models in Tamil Nadu, India Methods In an observational study design, we estimated total costs and effects of two active screening programs in the community in combination with the provision of hearing aids at secondary care level, and the costs and effects of the provision of hearing aids at tertiary care level. Screening and hearing aid delivery costs were estimated on the basis of program records and an empirical assessment of health personnel time input. Household costs for seeking and undergoing hearing health care were collected with a questionnaire (see Additional file 2. Health effects were estimated on the basis of compliance with the hearing aid, and associated changes in disability, and were expressed in disability-adjusted life years (DALYs averted. Results Active screening and provision of hearing aids at the secondary care level costs around Rs.7,000 (US$152 per patient, whereas provision of hearing aids at the tertiary care level costs Rs 5,693 (US$122 per patient. The cost per DALY averted was around RS 42,200 (US$900 at secondary care level and Rs 33,900 (US$720 at tertiary care level. The majority of people did consult other providers before being screened in the community. Costs of food and transport ranged between Rs. 2 (US$0,04 and Rs. 39 (US$0,83. Conclusion Active screening and provision of hearing aids at the secondary care level is slightly more costly than passive screening and fitting of hearing aids at the tertiary care level, but seems also able to reach a higher coverage of hearing aids services. Although crude

  15. A programmable sound processor for advanced hearing aid research.

    Science.gov (United States)

    McDermott, H

    1998-03-01

    A portable sound processor has been developed to facilitate research on advanced hearing aids. Because it is based on a digital signal processing integrated circuit (Motorola DSP56001), it can readily be programmed to execute novel algorithms. Furthermore, the parameters of these algorithms can be adjusted quickly and easily to suit the specific hearing characteristics of users. In the processor, microphone signals are digitized to a precision of 12 bits at a sampling rate of approximately 12 kHz for input to the DSP device. Subsequently, processed samples are delivered to the earphone by a novel, fully-digital class-D driver. This driver provides the advantages of a conventional class-D amplifier (high maximum output, low power consumption, low distortion) without some of the disadvantages (such as the need for precise analog circuitry). In addition, a cochlear implant driver is provided so that the processor is suitable for hearing-impaired people who use an implant and an acoustic hearing aid together. To reduce the computational demands on the DSP device, and therefore the power consumption, a running spectral analysis of incoming signals is provided by a custom-designed switched-capacitor integrated circuit incorporating 20 bandpass filters. The complete processor is pocket-sized and powered by batteries. An example is described of its use in providing frequency-shaped amplification for aid users with severe hearing impairment. Speech perception tests confirmed that the processor performed significantly better than the subjects' own hearing aids, probably because the digital filter provided a frequency response generally closer to the optimum for each user than the simpler analog aids.

  16. Threshold improvement and acoustic gain with hearing aids.

    Science.gov (United States)

    Walden, B E; Kasten, R N

    1976-01-01

    Aided speech reception thresholds were obtained from 20 hearing-impaired listeners with three hearing aids adjusted to confort settings, and with the aids adjusted to deliver 40 dB of acoustic gain. The aided speech reception threshold under each condition was substracted from the unaided speech reception threshold to yield a measure of threshold improvement. Threshold improvement and acoustic gain comparisons revealed that, at comfort setting, these two measures were quite similar. However, at the 40-dB gain setting, acoustic gain exceeded threshold improvement by an average of 5.6 dB. For the high-gain condition, it appeared that the threshold improvement obtained by subjects with relatively good unaided sensitivity was limited by the ambient noise in the test chamber.

  17. A holistic model for matching high-tech hearing aid features to elderly patients.

    Science.gov (United States)

    Johnson, C E; Danhauer, J L; Krishnamurti, S

    2000-12-01

    Successful hearing aid fittings using high-technology features for elderly patients require consideration of factors beyond results obtained from routine audiologic evaluations. A holistic hearing aid selection, fitting, and evaluation approach that considers patient characteristics from communication, physical, psychological, and social assessment domains is presented here along with a checklist and flowcharts for matching high-tech hearing aid features to older persons who are hearing aid candidates.

  18. Self-reported disability and handicap after hearing-aid fitting and benefit of hearing aids: comparison of fitting procedures, degree of hearing loss, experience with hearing aids and uni- and bilateral fittings

    NARCIS (Netherlands)

    M. Metselaar; B. Maat; P. Krijnen; H. Verschuure; W.A. Dreschler; L. Feenstra

    2009-01-01

    Self-reported outcome on hearing disability and handicap as well as overall health-related quality of life were measured after hearing-aid fitting in a large-scale clinical population. Fitting was performed according to two different procedures in a double-blind study design. We used a comparative p

  19. Self-reported disability and handicap after hearing-aid fitting and benefit of hearing aids : comparison of fitting procedures, degree of hearing loss, experience with hearing aids and uni- and bilateral fittings

    NARCIS (Netherlands)

    Metselaar, Mick; Maat, Bert; Krijnen, Pieta; Verschuure, Hans; Dreschler, Wouter A; Feenstra, Louw

    2009-01-01

    Self-reported outcome on hearing disability and handicap as well as overall health-related quality of life were measured after hearing-aid fitting in a large-scale clinical population. Fitting was performed according to two different procedures in a double-blind study design. We used a comparative p

  20. Biologically inspired binaural hearing aid algorithms: Design principles and effectiveness

    Science.gov (United States)

    Feng, Albert

    2002-05-01

    Despite rapid advances in the sophistication of hearing aid technology and microelectronics, listening in noise remains problematic for people with hearing impairment. To solve this problem two algorithms were designed for use in binaural hearing aid systems. The signal processing strategies are based on principles in auditory physiology and psychophysics: (a) the location/extraction (L/E) binaural computational scheme determines the directions of source locations and cancels noise by applying a simple subtraction method over every frequency band; and (b) the frequency-domain minimum-variance (FMV) scheme extracts a target sound from a known direction amidst multiple interfering sound sources. Both algorithms were evaluated using standard metrics such as signal-to-noise-ratio gain and articulation index. Results were compared with those from conventional adaptive beam-forming algorithms. In free-field tests with multiple interfering sound sources our algorithms performed better than conventional algorithms. Preliminary intelligibility and speech reception results in multitalker environments showed gains for every listener with normal or impaired hearing when the signals were processed in real time with the FMV binaural hearing aid algorithm. [Work supported by NIH-NIDCD Grant No. R21DC04840 and the Beckman Institute.

  1. Characteristics of Patients with Hearing Aids according to the Degree and Pattern of Hearing Loss

    OpenAIRE

    Byun, Young Seok; Kim, Sung Su; Park, Sang Hyun; Park, Eun Bin; Kim, Ho Joong; Kim, Sang Hoon; Yeo, Seung Geun

    2016-01-01

    Background and Objectives This study was designed to assess the characteristics of patients according to the degree and audiogram shape of hearing loss and the association of these characteristics with hearing aids (HA) choice, return rate, and cause of return. Subjects and Methods This study included 460 individuals who received HAs from 2011 to 2015. The relationships between type of HA and age, primary and accompanying symptoms, HA choice and return and cause of return were evaluated accor...

  2. Towards Cognizant Hearing Aids: Modeling of Content, Affect and Attention

    DEFF Research Database (Denmark)

    Karadogan, Seliz

    Hearing aids improved significantly after the integration of advanced digital signal processing applications. This improvement will continue and evolve through obtaining intelligent, individualized hearing aids integrating top-down (knowledge-based) and bottom-up (signal-based) approaches by making...... use of research done within cognitive science that is the interdisciplinary study of mind and intelligence bringing together various disciplines including Artificial Intelligence, Cognitive Psychology, and Neuroscience. This thesis focuses on three subjects within cognitive science related to hearing...... attention is studied. A computational top-down attention model is presented and behavioral experiments are carried out to investigate the role of top-down task driven attention in the cocktail party problem. Finally, automatic emotion recognition from speech is studied using a dimensional approach...

  3. 47 CFR 64.608 - Provision of hearing aid compatible telephones by exchange carriers.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Provision of hearing aid compatible telephones... Provision of hearing aid compatible telephones by exchange carriers. In the absence of alternative suppliers in an exchange area, an exchange carrier must provide a hearing aid compatible telephone, as...

  4. 47 CFR 68.415 - Hearing aid-compatibility and volume control informal complaints.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatibility and volume control... Procedures § 68.415 Hearing aid-compatibility and volume control informal complaints. Persons with complaints... complaints regarding rules in this part pertaining to hearing aid compatibility and volume control, may...

  5. 47 CFR 68.224 - Notice of non-hearing aid compatibility.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Notice of non-hearing aid compatibility. 68.224 Section 68.224 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES... § 68.224 Notice of non-hearing aid compatibility. Every non-hearing aid compatible telephone...

  6. Directional Microphone Hearing Aids in School Environments: Working toward Optimization

    Science.gov (United States)

    Ricketts, Todd A.; Picou, Erin M.; Galster, Jason

    2017-01-01

    Purpose: The hearing aid microphone setting (omnidirectional or directional) can be selected manually or automatically. This study examined the percentage of time the microphone setting selected using each method was judged to provide the best signalto-noise ratio (SNR) for the talkers of interest in school environments. Method: A total of 26…

  7. An Introduction to Neural Networks for Hearing Aid Noise Recognition.

    Science.gov (United States)

    Kim, Jun W.; Tyler, Richard S.

    1995-01-01

    This article introduces the use of multilayered artificial neural networks in hearing aid noise recognition. It reviews basic principles of neural networks, and offers an example of an application in which a neural network is used to identify the presence or absence of noise in speech. The ability of neural networks to "learn" the…

  8. History of the technological development of air conduction hearing aids.

    Science.gov (United States)

    Mudry, A; Dodelé, L

    2000-06-01

    This was a study of the history of the technological development of air conduction hearing aids, and a review of international literature on the subject. The technological evolution of amplification devices, from their origin to the present day, can be divided into seven distinct periods: the period of sound collectors, the period of hearing devices constructed from carbon, the period of vacuum tubes, the transistor period, the period of integrated circuits, the microprocessor period and the period of digital hearing instruments. Throughout these different stages, hearing instruments have progressively developed reaching their present state. The current era is itself undergoing constant development and change. With the introduction of new technologies, we expect that the rate of change will increase rapidly in the future.

  9. Waveguide model of the hearing aid earmold system

    Directory of Open Access Journals (Sweden)

    Kostek Bozena

    2006-05-01

    Full Text Available Abstract Background The earmold system of the Behind-The-Ear hearing aid is an acoustic system that modifies the spectrum of the propagated sound waves. Improper selection of the earmold system may result in deterioration of sound quality and speech intelligibility. Computer modeling methods may be useful in the process of hearing aid fitting, allowing physician to examine various earmold system configurations and choose the optimum one for the hearing aid user. Methods In this paper, a computer model adequate for this task is proposed. This model is based on the waveguide modeling method. The waveguide model simulates the propagation of sound waves in the system of cylindrical tubes. Frequency response of the hearing aid receiver is simulated in the model and the influence of the ear canal and the eardrum on the earmold system is taken into account. The model parameters are easily calculated from parameters of a physical hearing aid system. Transfer function of the model is calculated and frequency response plots are obtained using the Matlab system. Results The frequency response plots of the earmold model were compared to the measurement plots of the corresponding physical earmold systems. The same changes in frequency responses caused by modification of length or diameter of a selected waveguide section, are observed in both measurement data of a real earmold system and in computed model responses. Conclusion Comparison of model responses obtained for various sets of parameters with measurement data proved that the proposed model accurately simulates the real earmold system and the developed model may be used to construct a computer system assisting the physician who performs earmold system fitting.

  10. Hearing aid manipulation skills in an elderly population: a comparison of ITE, BTE, and ITC aids.

    Science.gov (United States)

    Upfold, L J; May, A E; Battaglia, J A

    1990-10-01

    In-the-ear, in-the-canal and behind-the-ear hearing aids were compared for ease of management by elderly people. Two hundred and forty-four clients were randomly assigned to be fitted with one aid type, and rated for ability to perform the manipulative tasks necessary to enable effective use of the aid. It was found that in-the-ear aids were easiest to use, that females experienced greater difficulties in manipulation than males and that some tasks were easier to perform and more quickly learned than others. The findings are discussed in terms of design requirements and aid fitting practices.

  11. Characterization of the dominant structural vibration of hearing aid receivers: Towards the moderation of mechanical feedback in hearing aids

    Science.gov (United States)

    Varanda, Brenno R.

    Presented are the results from the experimental, analytical, and computational analyses accomplished to characterize the mechanical vibration of hearing aid receivers, a key electro-acoustic component of hearing aids. The function of a receiver in a hearing aid is to provide an amplified sound signal into the ear canal. Unfortunately, as the receiver produces sound, it also undergoes vibration which can be transmitted through the hearing aid package to the microphones, resulting in undesirable feedback oscillations. To gain more knowledge and control on the source of these feedback oscillations, a dynamic rigid body model of the receiver is proposed. The rigid body model captures the essential dynamic features of the receiver. The model is represented by two hinged rigid bodies, under an equal and opposite dynamic moment load, and connected to each other by a torsional spring and damper. The mechanical coupling ratio between the two rigid bodies is proved to be acoustically independent. A method is introduced to estimate the parameters for the proposed model using experimental data. An equivalent finite element analysis model is established and tested against a known and characterized mechanical attachment. The simulated model successfully predicts the structural dynamic response showing excellent agreement between the finite element analysis and measured results.

  12. Characteristics of Patients with Hearing Aids according to the Degree and Pattern of Hearing Loss

    Science.gov (United States)

    Byun, Young Seok; Kim, Sung Su; Park, Sang Hyun; Park, Eun Bin; Kim, Ho Joong; Kim, Sang Hoon

    2016-01-01

    Background and Objectives This study was designed to assess the characteristics of patients according to the degree and audiogram shape of hearing loss and the association of these characteristics with hearing aids (HA) choice, return rate, and cause of return. Subjects and Methods This study included 460 individuals who received HAs from 2011 to 2015. The relationships between type of HA and age, primary and accompanying symptoms, HA choice and return and cause of return were evaluated according to the degree and pattern of hearing loss. Results HA type did not differ significantly according to the degree and pattern of hearing loss. Intensity of hearing loss was greater in male than in female (phearing loss intensified, behind-the-ear and in-the-ear types increased and Open type decreased (phearing loss. The main causes of HA return were costs, psychological fears and adaptive failure. Conclusions Choice of HA is affected by age, sex, and degree and pattern of hearing loss. HA for hearing rehabilitation in patients with hearing loss can be personalized according to each patient's characteristics and tendencies. PMID:27942600

  13. Achieving effective hearing aid fitting within one month after identification of childhood permanent hearing impairment.

    Science.gov (United States)

    Bastanza, G; Gallus, R; De Carlini, M; Picciotti, P M; Muzzi, E; Ciciriello, E; Orzan, E; Conti, G

    2016-02-01

    Diagnosis of child permanent hearing impairment (PHI) can be made with extreme timeliness compared to the past thanks to improvements in PHI identification through newborn hearing screening programmes. It now becomes essential to provide an effective amplification as quickly as possible in order to restore auditory function and favour speech and language development. The early fitting of hearing aids and possible later cochlear implantation indeed prompts the development of central auditory pathways, connections with secondary sensory brain areas, as well as with motor and articulatory cortex. The aim of this paper is to report the results of a strategic analysis that involves identification of strengths, weaknesses, opportunities and threats regarding the process of achieving early amplification in all cases of significant childhood PHI. The analysis is focused on the Italian situation and is part of the Italian Ministry of Health project CCM 2013 "Preventing Communication Disorders: a Regional Program for Early Identification, Intervention and Care of Hearing Impaired Children".

  14. Self-Fitting Hearing Aids: Status Quo and Future Predictions.

    Science.gov (United States)

    Keidser, Gitte; Convery, Elizabeth

    2016-04-12

    A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model.

  15. Modern prescription theory and application: realistic expectations for speech recognition with hearing AIDS.

    Science.gov (United States)

    Johnson, Earl E

    2013-01-01

    A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160-10000 Hz) and input levels (e.g., 50-75 dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories-Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) and high-frequency audibility were traded against a potential risk (i.e., loudness). The modeled performance of each prescription was compared one with another and with the efficient frontier of normal hearing sensitivity (i.e., a reference point for the most return with the least risk). For the pediatric population, NAL-NL2 was more efficient for SII, while DSL m[i/o] was more efficient for high-frequency audibility. For the adult population, NAL-NL2 was more efficient for SII, while the two prescriptions were similar with regard to high-frequency audibility. In terms of absolute return (i.e., not considering the risk of loudness), however, DSL m[i/o] prescribed more outright high-frequency audibility than NAL-NL2 for either aged population, particularly, as hearing loss increased. Given the principles and demonstrated accuracy of desensitization (reduced utility of audibility with increasing hearing loss) observed at the group level, additional high-frequency audibility beyond that of NAL-NL2 is not expected to make further contributions to speech intelligibility (recognition) for the average listener.

  16. Working memory and intelligibility of hearing-aid processed speech.

    Science.gov (United States)

    Souza, Pamela E; Arehart, Kathryn H; Shen, Jing; Anderson, Melinda; Kates, James M

    2015-01-01

    Previous work suggested that individuals with low working memory capacity may be at a disadvantage in adverse listening environments, including situations with background noise or substantial modification of the acoustic signal. This study explored the relationship between patient factors (including working memory capacity) and intelligibility and quality of modified speech for older individuals with sensorineural hearing loss. The modification was created using a combination of hearing aid processing [wide-dynamic range compression (WDRC) and frequency compression (FC)] applied to sentences in multitalker babble. The extent of signal modification was quantified via an envelope fidelity index. We also explored the contribution of components of working memory by including measures of processing speed and executive function. We hypothesized that listeners with low working memory capacity would perform more poorly than those with high working memory capacity across all situations, and would also be differentially affected by high amounts of signal modification. Results showed a significant effect of working memory capacity for speech intelligibility, and an interaction between working memory, amount of hearing loss and signal modification. Signal modification was the major predictor of quality ratings. These data add to the literature on hearing-aid processing and working memory by suggesting that the working memory-intelligibility effects may be related to aggregate signal fidelity, rather than to the specific signal manipulation. They also suggest that for individuals with low working memory capacity, sensorineural loss may be most appropriately addressed with WDRC and/or FC parameters that maintain the fidelity of the signal envelope.

  17. A digital processing strategy to optimize hearing aid outputs directly.

    Science.gov (United States)

    Blamey, Peter J; Martin, Lois F A; Fiket, Hayley J

    2004-01-01

    A new amplification strategy (ADRO), based on 64 independently operating channels, was compared with a nine-channel wide dynamic range compression strategy (WDRC). Open-platform in-the-ear hearing instruments were configured either with ADRO or the manufacturer's WDRC strategy. Twenty-two subjects with mild to moderate hearing loss took home the ADRO or WDRC hearing aids. After three weeks' acclimatization, the aids were evaluated using monosyllables in quiet at 50 to 65 dB SPL and sentences in eight-talker babble. The acclimatization and evaluation were repeated in the second phase of the balanced reverse-block blind experimental design. The ADRO program showed a statistically significant mean advantage of 7.85% word score (95% confidence interval 3.19% to 12.51%; p = 0.002) and 6.41% phoneme score for the monosyllables in quiet (95% confidence interval 2.03% to 10.79%; p = 0.006). A statistically significant advantage of 7.25% was also found for the ADRO program in background noise (95% confidence interval 1.95% to 12.55%; p = 0.010). The results are consistent with earlier data for listeners with moderate to severe hearing loss.

  18. Smartphone-Based System for Learning and Inferring Hearing Aid Settings

    Science.gov (United States)

    Aldaz, Gabriel; Puria, Sunil; Leifer, Larry J.

    2017-01-01

    Background Previous research has shown that hearing aid wearers can successfully self-train their instruments’ gain-frequency response and compression parameters in everyday situations. Combining hearing aids with a smartphone introduces additional computing power, memory, and a graphical user interface that may enable greater setting personalization. To explore the benefits of self-training with a smartphone-based hearing system, a parameter space was chosen with four possible combinations of microphone mode (omnidirectional and directional) and noise reduction state (active and off). The baseline for comparison was the “untrained system,” that is, the manufacturer’s algorithm for automatically selecting microphone mode and noise reduction state based on acoustic environment. The “trained system” first learned each individual’s preferences, self-entered via a smartphone in real-world situations, to build a trained model. The system then predicted the optimal setting (among available choices) using an inference engine, which considered the trained model and current context (e.g., sound environment, location, and time). Purpose To develop a smartphone-based prototype hearing system that can be trained to learn preferred user settings. Determine whether user study participants showed a preference for trained over untrained system settings. Research Design An experimental within-participants study. Participants used a prototype hearing system—comprising two hearing aids, Android smartphone, and body-worn gateway device—for ~6 weeks. Study Sample Sixteen adults with mild-to-moderate sensorineural hearing loss (HL) (ten males, six females; mean age = 55.5 yr). Fifteen had ≥6 mo of experience wearing hearing aids, and 14 had previous experience using smartphones. Intervention Participants were fitted and instructed to perform daily comparisons of settings (“listening evaluations”) through a smartphone-based software application called Hearing Aid

  19. Indication criteria for cochlear implants and hearing aids: impact of audiological and non-audiological findings

    Directory of Open Access Journals (Sweden)

    Sabine Haumann

    2012-08-01

    Full Text Available Owing to technological progress and a growing body of clinical experience, indication criteria for cochlear implants (CI are being extended to less severe hearing impairments. It is, therefore, worth reconsidering these indication criteria by introducing novel testing procedures. The diagnostic evidence collected will be evaluated. The investigation includes postlingually deafened adults seeking a CI. Prior to surgery, speech perception tests [Freiburg Speech Test and Oldenburg sentence (OLSA test] were performed unaided and aided using the Oldenburg Master Hearing Aid (MHA system. Linguistic skills were assessed with the visual Text Reception Threshold (TRT test, and general state of health, socio-economic status (SES and subjective hearing were evaluated through questionnaires. After surgery, the speech tests were repeated aided with a CI. To date, 97 complete data sets are available for evaluation. Statistical analyses showed significant correlations between postsurgical speech reception threshold (SRT measured with the adaptive OLSA test and pre-surgical data such as the TRT test (r=-0.29, SES (r=-0.22 and (if available aided SRT (r=0.53. The results suggest that new measures and setups such as the TRT test, SES and speech perception with the MHA provide valuable extra information regarding indication for CI.

  20. Effect of Hearing Aids on Auditory Function in Infants with Perinatal Brain Injury and Severe Hearing Loss

    Science.gov (United States)

    Moreno-Aguirre, Alma Janeth; Santiago-Rodríguez, Efraín; Harmony, Thalía; Fernández-Bouzas, Antonio

    2012-01-01

    Background Approximately 2–4% of newborns with perinatal risk factors present with hearing loss. Our aim was to analyze the effect of hearing aid use on auditory function evaluated based on otoacoustic emissions (OAEs), auditory brain responses (ABRs) and auditory steady state responses (ASSRs) in infants with perinatal brain injury and profound hearing loss. Methodology/Principal Findings A prospective, longitudinal study of auditory function in infants with profound hearing loss. Right side hearing before and after hearing aid use was compared with left side hearing (not stimulated and used as control). All infants were subjected to OAE, ABR and ASSR evaluations before and after hearing aid use. The average ABR threshold decreased from 90.0 to 80.0 dB (p = 0.003) after six months of hearing aid use. In the left ear, which was used as a control, the ABR threshold decreased from 94.6 to 87.6 dB, which was not significant (p>0.05). In addition, the ASSR threshold in the 4000-Hz frequency decreased from 89 dB to 72 dB (p = 0.013) after six months of right ear hearing aid use; the other frequencies in the right ear and all frequencies in the left ear did not show significant differences in any of the measured parameters (p>0.05). OAEs were absent in the baseline test and showed no changes after hearing aid use in the right ear (p>0.05). Conclusions/Significance This study provides evidence that early hearing aid use decreases the hearing threshold in ABR and ASSR assessments with no functional modifications in the auditory receptor, as evaluated by OAEs. PMID:22808289

  1. Relationship between Acceptable Noise Level and the Abbreviated Profile of Hearing Aid Benefit

    Science.gov (United States)

    Freyaldenhoven, Melinda C.; Nabelek, Anna K.; Tampas, Joanna W.

    2008-01-01

    Purpose: This study investigated the relationship between acceptable noise levels (ANLs) and the Abbreviated Profile of Hearing Aid Benefit (APHAB; R. M. Cox & G. C. Alexander, 1995). This study further examined the APHAB's ability to predict hearing aid use. Method: ANL and APHAB data were collected for 191 listeners with impaired hearing,…

  2. 75 FR 63764 - Hearing Aid Compatibility Proceeding; Request That Comments Address Effects of New Legislation

    Science.gov (United States)

    2010-10-18

    ... to the rules governing hearing aid compatibility of mobile handsets. 75 FR 54546 (Sept. 8, 2010... COMMISSION 47 CFR Part 20 Hearing Aid Compatibility Proceeding; Request That Comments Address Effects of New..., the Wireless Telecommunications Bureau requests that the comments in the pending Hearing...

  3. Perception of Suprasegmental Features of Speech by Children with Cochlear Implants and Children with Hearing Aids

    Science.gov (United States)

    Most, Tova; Peled, Miriam

    2007-01-01

    This study assessed perception of suprasegmental features of speech by 30 prelingual children with sensorineural hearing loss. Ten children had cochlear implants (CIs), and 20 children wore hearing aids (HA): 10 with severe hearing loss and 10 with profound hearing loss. Perception of intonation, syllable stress, word emphasis, and word pattern…

  4. Aided and unaided speech perception by older hearing impaired listeners.

    Directory of Open Access Journals (Sweden)

    David L Woods

    Full Text Available The most common complaint of older hearing impaired (OHI listeners is difficulty understanding speech in the presence of noise. However, tests of consonant-identification and sentence reception threshold (SeRT provide different perspectives on the magnitude of impairment. Here we quantified speech perception difficulties in 24 OHI listeners in unaided and aided conditions by analyzing (1 consonant-identification thresholds and consonant confusions for 20 onset and 20 coda consonants in consonant-vowel-consonant (CVC syllables presented at consonant-specific signal-to-noise (SNR levels, and (2 SeRTs obtained with the Quick Speech in Noise Test (QSIN and the Hearing in Noise Test (HINT. Compared to older normal hearing (ONH listeners, nearly all unaided OHI listeners showed abnormal consonant-identification thresholds, abnormal consonant confusions, and reduced psychometric function slopes. Average elevations in consonant-identification thresholds exceeded 35 dB, correlated strongly with impairments in mid-frequency hearing, and were greater for hard-to-identify consonants. Advanced digital hearing aids (HAs improved average consonant-identification thresholds by more than 17 dB, with significant HA benefit seen in 83% of OHI listeners. HAs partially normalized consonant-identification thresholds, reduced abnormal consonant confusions, and increased the slope of psychometric functions. Unaided OHI listeners showed much smaller elevations in SeRTs (mean 6.9 dB than in consonant-identification thresholds and SeRTs in unaided listening conditions correlated strongly (r = 0.91 with identification thresholds of easily identified consonants. HAs produced minimal SeRT benefit (2.0 dB, with only 38% of OHI listeners showing significant improvement. HA benefit on SeRTs was accurately predicted (r = 0.86 by HA benefit on easily identified consonants. Consonant-identification tests can accurately predict sentence processing deficits and HA benefit in OHI

  5. Hearing in young adults. Part I: The effects of attitudes and beliefs toward noise, hearing loss, and hearing protector devices.

    Science.gov (United States)

    Keppler, Hannah; Dhooge, Ingeborg; Vinck, Bart

    2015-01-01

    There is great concern regarding the development of noise-induced hearing loss (NIHL) in youth caused by high sound levels during various leisure activities. Health-orientated behavior of young adults might be linked to the beliefs and attitudes toward noise, hearing loss, and hearing protector devices (HPDs). The objective of the current study was to evaluate the effects of attitudes and beliefs toward noise, hearing loss, and HPDs on young adults' hearing status. A questionnaire and an audiological test battery were completed by 163 subjects (aged 18-30 years). The questionnaire contained the Youth Attitude to Noise Scale (YANS) and Beliefs about Hearing Protection and Hearing Loss (BAHPHL). A more positive attitude or belief represented an attitude where noise or hearing loss is seen as unproblematic and attitudes and beliefs regarding HPDs is worse. Hearing was evaluated using (high frequency) pure tone audiometry (PTA), transient evoked and distortion product otoacoustic emissions. First, mean differences in hearing between the groups with different attitudes and beliefs were evaluated using one-way analysis of variance (ANOVA). Second, a χ² test was used to examine the usage of HPDs by the different groups with different attitudes and beliefs. Young adults with a positive attitude had significantly more deteriorated hearing and used HPDs less than the other subjects. Hearing conservation programs (HCPs) for young adults should provide information and knowledge regarding noise, hearing loss, and HPDs. Barriers wearing HPDs should especially be discussed. Further, those campaigns should focus on self-experienced hearing related symptoms that might serve as triggers for attitudinal and behavioral changes.

  6. Adult Hearing Screening : Follow-Up and Outcomes

    NARCIS (Netherlands)

    Thodi, C.; Parazzini, M.; Kramer, S. E.; Davis, A.; Stenfelt, S.; Janssen, T.; Smith, P.; Stephens, D.; Pronk, M.; Anteunis, L. I.; Schirkonyer, V.; Grandori, F.

    2013-01-01

    Purpose: To screen hearing and evaluate outcomes in community-dwelling older adults. Method: Three thousand and twenty-five adults responded to an invitation to be screened by questionnaire, otoscopy, and pure-tone audiometry. Pure-tone average (PTA) >35 dB HL in the worse ear, unilateral hearing lo

  7. Historical background of bone conduction hearing devices and bone conduction hearing aids.

    Science.gov (United States)

    Mudry, Albert; Tjellström, Anders

    2011-01-01

    During the last 20 years, bone-anchored hearing aids (Baha(®)) became a familiar solution in the treatment of some types of hearing loss. The aim of this chapter is to present the different historical steps which have permitted the production of this new bone conduction hearing device. The recognition of bone conduction hearing is old and was known at least in Antiquity. During the Renaissance, Girolamo Cardano demonstrated a method by which sound may be transmitted to the ear by means of a rod or the shaft of a spear held between one's teeth: this was the beginning of teeth stimulators to improve hearing, firstly in connection with a musical instrument and then, in the second part of the 19th century, with the speaker. The development of the carbon microphone at the beginning of the 20th century allowed the construction of the bone conduction vibrator placed on the mastoid area, notably supported by eyeglasses since the 1950s. Confronted by various problems, and notably the loss of part of sound in the soft tissue of the external mastoid, the idea to implant the vibrator into the mastoid bone was developed in Göteborg, and the first Baha was implanted in 1977 by Anders Tjellström. From that date, various improvements allowed the development of the actual Baha. These different steps are presented in this study, supported by original documentation.

  8. The Personal Hearing System—A Software Hearing Aid for a Personal Communication System

    Directory of Open Access Journals (Sweden)

    Giso Grimm

    2009-01-01

    Full Text Available A concept and architecture of a personal communication system (PCS is introduced that integrates audio communication and hearing support for the elderly and hearing-impaired through a personal hearing system (PHS. The concept envisions a central processor connected to audio headsets via a wireless body area network (WBAN. To demonstrate the concept, a prototype PCS is presented that is implemented on a netbook computer with a dedicated audio interface in combination with a mobile phone. The prototype can be used for field-testing possible applications and to reveal possibilities and limitations of the concept of integrating hearing support in consumer audio communication devices. It is shown that the prototype PCS can integrate hearing aid functionality, telephony, public announcement systems, and home entertainment. An exemplary binaural speech enhancement scheme that represents a large class of possible PHS processing schemes is shown to be compatible with the general concept. However, an analysis of hardware and software architectures shows that the implementation of a PCS on future advanced cell phone-like devices is challenging. Because of limitations in processing power, recoding of prototype implementations into fixed point arithmetic will be required and WBAN performance is still a limiting factor in terms of data rate and delay.

  9. A CMOS single-supply logarithmic amplifier for hearing aids

    Science.gov (United States)

    Jarng, Soon Suck; Chen, Lingfeng; Kwon, You Jung

    2005-12-01

    The Log Amplifier described in this paper is designed for hearing aids (HA) application. It works on a low single-supply voltage (1.3V). The input signal varies between 0.01mV and 100mV. To give enough compensation to the hearing impairment, the amplifier provides a very large gain. The output swing is limited because of the low supply voltage and the large gain. Therefore, the logarithmic amplifier introduced into the design of HA to compress input signal so that the output distortion can be avoid. Another factor we use it here is that the amplifier has enough sensitivity and gain to deal with the compressed input signal without getting extra distortion coursed by the pre-process on input signal. The short channel CMOS devices play an important role in reduction of the supply voltage. DONG-BU ANAM 0.18 μm process is selected.

  10. Long-term asymmetric hearing affects cochlear implantation outcomes differently in adults with pre- and postlingual hearing loss.

    Science.gov (United States)

    Boisvert, Isabelle; McMahon, Catherine M; Dowell, Richard C; Lyxell, Björn

    2015-01-01

    In many countries, a single cochlear implant is offered as a treatment for a bilateral hearing loss. In cases where there is asymmetry in the amount of sound deprivation between the ears, there is a dilemma in choosing which ear should be implanted. In many clinics, the choice of ear has been guided by an assumption that the reorganisation of the auditory pathways caused by longer duration of deafness in one ear is associated with poorer implantation outcomes for that ear. This assumption, however, is mainly derived from studies of early childhood deafness. This study compared outcomes following implantation of the better or poorer ear in cases of long-term hearing asymmetries. Audiological records of 146 adults with bilateral hearing loss using a single hearing aid were reviewed. The unaided ear had 15 to 72 years of unaided severe to profound hearing loss before unilateral cochlear implantation. 98 received the implant in their long-term sound-deprived ear. A multiple regression analysis was conducted to assess the relative contribution of potential predictors to speech recognition performance after implantation. Duration of bilateral significant hearing loss and the presence of a prelingual hearing loss explained the majority of variance in speech recognition performance following cochlear implantation. For participants with postlingual hearing loss, similar outcomes were obtained by implanting either ear. With prelingual hearing loss, poorer outcomes were obtained when implanting the long-term sound-deprived ear, but the duration of the sound deprivation in the implanted ear did not reliably predict outcomes. Contrary to an apparent clinical consensus, duration of sound deprivation in one ear has limited value in predicting speech recognition outcomes of cochlear implantation in that ear. Outcomes of cochlear implantation are more closely related to the period of time for which the brain is deprived of auditory stimulation from both ears.

  11. Hearing in young adults. Part I: The effects of attitudes and beliefs toward noise, hearing loss, and hearing protector devices

    Directory of Open Access Journals (Sweden)

    Hannah Keppler

    2015-01-01

    Full Text Available There is great concern regarding the development of noise-induced hearing loss (NIHL in youth caused by high sound levels during various leisure activities. Health-orientated behavior of young adults might be linked to the beliefs and attitudes toward noise, hearing loss, and hearing protector devices (HPDs. The objective of the current study was to evaluate the effects of attitudes and beliefs toward noise, hearing loss, and HPDs on young adults′ hearing status. A questionnaire and an audiological test battery were completed by 163 subjects (aged 18-30 years. The questionnaire contained the Youth Attitude to Noise Scale (YANS and Beliefs about Hearing Protection and Hearing Loss (BAHPHL. A more positive attitude or belief represented an attitude where noise or hearing loss is seen as unproblematic and attitudes and beliefs regarding HPDs is worse. Hearing was evaluated using (high frequency pure tone audiometry (PTA, transient evoked and distortion product otoacoustic emissions. First, mean differences in hearing between the groups with different attitudes and beliefs were evaluated using one-way analysis of variance (ANOVA. Second, a χ2 test was used to examine the usage of HPDs by the different groups with different attitudes and beliefs. Young adults with a positive attitude had significantly more deteriorated hearing and used HPDs less than the other subjects. Hearing conservation programs (HCPs for young adults should provide information and knowledge regarding noise, hearing loss, and HPDs. Barriers wearing HPDs should especially be discussed. Further, those campaigns should focus on self-experienced hearing related symptoms that might serve as triggers for attitudinal and behavioral changes.

  12. Working memory and intelligibility of hearing-aid processed speech

    Directory of Open Access Journals (Sweden)

    Pamela eSouza

    2015-05-01

    Full Text Available Previous work suggested that individuals with low working memory capacity may be at a disadvantage in adverse listening environments, including situations with background noise or substantial modification of the acoustic signal. This study explored the relationship between patient factors (including working memory capacity and intelligibility and quality of modified speech for older individuals with sensorineural hearing loss. The modification was created using a combination of hearing aid processing (wide-dynamic range compression and frequency compression applied to sentences in multitalker babble. The extent of signal modification was quantified via an envelope fidelity index. We also explored the contribution of components of working memory by including measures of processing speed and executive function. We hypothesized that listeners with low working memory capacity would perform more poorly than those with high working memory capacity across all situations, and would also be differentially affected by high amounts of signal modification. Results showed a significant effect of working memory capacity for speech intelligibility, and an interaction between working memory, amount of hearing loss and signal modification. Signal modification was the major predictor of quality ratings. These data add to the literature on hearing-aid processing and working memory by suggesting that the working memory-intelligibility effects may be related to aggregate signal fidelity, rather than on the specific signal manipulation. They also suggest that for individuals with low working memory capacity, sensorineural loss may be most appropriately addressed with wide-dynamic range compression and/or frequency compression parameters that maintain the fidelity of the signal envelope.

  13. Experimental investigation on corrosion properties of LDS MID for Hearing Aid applications

    DEFF Research Database (Denmark)

    Islam, Aminul; Hansen, Hans Nørgaard; Risager, Flemming;

    2014-01-01

    The trend towards miniaturization is ever going in the hearing aid industry. The Moulded Interconnect Device (MID) technology can offer the unique possibility to reduce the size of the hearing aids by combining electrical and mechanical functions in the same components. On the other hand, one...... of the main concerns for MIDs in hearing aids is the corrosion of metal tracks. This paper investigates the corrosion of the MID parts based on different base materials, layer thickness and mechanical wear of the MIDs. The results presented in the paper will be useful for designing MIDs in hearing aids...

  14. Qualidade de vida em idosos antes e após a adaptação do AASI Quality of life in elderly adults before and after hearing aid fitting

    Directory of Open Access Journals (Sweden)

    Maria Fernanda Capoani Garcia Mondelli

    2012-06-01

    Full Text Available A presbiacusia é um dos distúrbios comum nos idosos, que causa perda auditiva, podendo contribuir para o desenvolvimento de alguns distúrbios psiquiátricos, favorecendo o isolamento, devido à dificuldade de comunicação com o meio social. OBJETIVO: Verificar por meio do instrumento WHOQOL (World Health Organization of Life Questionnaire, a qualidade de vida do indivíduo deficiente auditivo antes e após a adaptação do aparelho de amplificação sonora individual (AASI. MÉTODO: Participaram da pesquisa 30 indivíduos portadores de perda auditiva, com mais de 60 anos, atendidos em uma Clínica de Fonoaudiologia. O paciente respondeu às questões do instrumento WHOQOL, sem o uso do AASI e após uso efetivo da amplificação por um período de três meses responderam novamente o questionário. O WHOQOL - Bref é formado por 26 questões, duas gerais, associadas à qualidade de vida e 24 que discriminam quatro aspectos: físico, psicológico, meio ambiente e relações sociais. RESULTADOS: Houve melhora significativa na qualidade de vida em geral quanto às oportunidades de atividades de lazer; não houve grandes mudanças quanto à frequência de sentimentos negativos; mesmo após a adaptação do AASI, os pacientes continuam apresentando tais sentimentos. CONCLUSÃO:O uso do AASI favoreceu a qualidade de vida geral dos indivíduos avaliados.Presbycusis is a common disorder in the elderly, which causes hearing loss and may contribute to the development of some psychiatric disorders, leading to isolation due to communication difficulties in the social environment. OBJECTIVE: To identify through the WHOQOL (World Health Organization Quality of Life Questionnaire, the quality of life of hearing impaired individuals before and after hearing aid fittings. METHOD: We had 30 individuals with hearing loss, all over 60 years of age - patients from a Speech Therapy Clinic. The patients answered the WHOQOL questions without the use of hearing aids

  15. Effect of hearing aid release time and presentation level on speech perception in noise in elderly individuals with hearing loss.

    Science.gov (United States)

    Pottackal Mathai, Jijo; Mohammed, Hasheem

    2017-02-01

    To investigate the effect of compression time settings and presentation levels on speech perception in noise for elderly individuals with hearing loss. To compare aided speech perception performance in these individuals with age-matched normal hearing subjects. Twenty (normal hearing) participants within the age range of 60-68 years and 20 (mild-to-moderate sensorineural hearing loss) in the age range of 60-70 years were randomly recruited for the study. In the former group, SNR-50 was determined using phonetically balanced sentences that were mixed with speech-shaped noise presented at the most comfortable level. In the SNHL group, aided SNR-50 was determined at three different presentation levels (40, 60, and 80 dB HL) after fitting binaural hearing aids that had different compression time settings (fast and slow). In the SNHL group, slow compression time settings showed significantly better SNR-50 compared to fast release time. In addition, the mean of SNR-50 in the SNHL group was comparable to normal hearing participants while using a slow release time. A hearing aid with slow compression time settings led to significantly better speech perception in noise, compared to that of a hearing aid that had fast compression time settings.

  16. Reorganization of auditory cortex in early-deaf people: functional connectivity and relationship to hearing aid use.

    Science.gov (United States)

    Shiell, Martha M; Champoux, François; Zatorre, Robert J

    2015-01-01

    Cross-modal reorganization after sensory deprivation is a model for understanding brain plasticity. Although it is a well-documented phenomenon, we still know little of the mechanisms underlying it or the factors that constrain and promote it. Using fMRI, we identified visual motion-related activity in 17 early-deaf and 17 hearing adults. We found that, in the deaf, the posterior superior temporal gyrus (STG) was responsive to visual motion. We compared functional connectivity of this reorganized cortex between groups to identify differences in functional networks associated with reorganization. In the deaf more than the hearing, the STG displayed increased functional connectivity with a region in the calcarine fissure. We also explored the role of hearing aid use, a factor that may contribute to variability in cross-modal reorganization. We found that both the cross-modal activity in STG and the functional connectivity between STG and calcarine cortex correlated with duration of hearing aid use, supporting the hypothesis that residual hearing affects cross-modal reorganization. We conclude that early auditory deprivation alters not only the organization of auditory regions but also the interactions between auditory and primary visual cortex and that auditory input, as indexed by hearing aid use, may inhibit cross-modal reorganization in early-deaf people.

  17. The Effects of the Consonant Stressing Function of the HD-10 Digital Hearing Aid

    Science.gov (United States)

    Nagai, K.; Kamei, T.; Tsukada, H.; Oharazawa, M.; Sakurai, T.; Ito, H.; Ikegami, T.

    1997-08-01

    The effects of the consonant stressing function of the HD-10 digital hearing aid (abbr. HD-10) on speech discrimination scores were studied in 15 patients with moderate or severe sensorineural hearing loss and compared with analogue hearing aids. When the electroacoustic characteristics were set identical for both hearing aids, the speech discrimination scores for the HD-10 without the consonant stressing function were the same as those for the analogue hearing aids in 12 cases. However, the results for the HD-10 with the consonant stressing function were better than those for the analogue hearing aids in eight cases. With the consonant stressing function, the discrimination of Japanese consonants was significantly improved, in particular in voiceless consonant /s/, voiced consonant /b/, fricative consonants /g/ and /z/, bound consonant /r/ and semi-vowels /w/ and /y/.

  18. A study of mercuric oxide and zinc-air battery life in hearing aids.

    Science.gov (United States)

    Sparkes, C; Lacey, N K

    1997-09-01

    The requirement to phase out mercuric oxide (mercury) batteries on environmental grounds has led to the widespread introduction of zinc-air technology. The possibility arises that high drain hearing aids may not be adequately catered for by zinc-air cells, leading to poor performance. This study investigated the hearing aid user's ability to perceive differences between zinc-air and mercury cells in normal everyday usage. The data was collected for 100 experienced hearing aid users in field trials. Users report 50 per cent greater life for zinc-air cells in high power aids and 28 per cent in low power aids. The average life of the zinc-air cells range from 15 days in high power to 34 days in low power aids. Users are able to perceive a difference in sound quality in favour of zinc-air cells for low and medium power aids. The hearing aid population is not disadvantaged by phasing out mercury cells.

  19. Auditory, Visual, and Auditory-Visual Perception of Emotions by Individuals with Cochlear Implants, Hearing Aids, and Normal Hearing

    Science.gov (United States)

    Most, Tova; Aviner, Chen

    2009-01-01

    This study evaluated the benefits of cochlear implant (CI) with regard to emotion perception of participants differing in their age of implantation, in comparison to hearing aid users and adolescents with normal hearing (NH). Emotion perception was examined by having the participants identify happiness, anger, surprise, sadness, fear, and disgust.…

  20. A micro-drive hearing aid: a novel non-invasive hearing prosthesis actuator.

    Science.gov (United States)

    Paulick, Peyton Elizabeth; Merlo, Mark W; Mahboubi, Hossein; Djalilian, Hamid R; Bachman, Mark

    2014-12-01

    The direct hearing device (DHD) is a new auditory prosthesis that combines conventional hearing aid and middle ear implant technologies into a single device. The DHD is located deep in the ear canal and recreates sounds with mechanical movements of the tympanic membrane. A critical component of the DHD is the microactuator, which must be capable of moving the tympanic membrane at frequencies and magnitudes appropriate for normal hearing, with little distortion. The DHD actuator reported here utilized a voice coil actuator design and was 3.7 mm in diameter. The device has a smoothly varying frequency response and produces a precisely controllable force. The total harmonic distortion between 425 Hz and 10 kHz is below 0.5 % and acoustic noise generation is minimal. The device was tested as a tympanic membrane driver on cadaveric temporal bones where the device was coupled to the umbo of the tympanic membrane. The DHD successfully recreated ossicular chain movements across the frequencies of human hearing while demonstrating controllable magnitude. Moreover, the micro-actuator was validated in a short-term human clinical performance study where sound matching and complex audio waveforms were evaluated by a healthy subject.

  1. Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation.

    Science.gov (United States)

    Öberg, Maria

    2016-03-23

    Self-reports of subjective hearing difficulties by people with hearing loss may be a useful complement to audiometry in hearing aid rehabilitation. To be useful, such self-reports need to be reliable. This study investigated the reliability and the validity of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version; HHIE-S). Sixty-nine participants completed a questionnaire before hearing aid rehabilitation. Of these individuals, 49 completed hearing aid rehabilitation (aged between 23 and 94 years), and 41 of these 49 participants completed the questionnaire after completing the rehabilitation. The Swedish HHIE-S exhibited good internal consistency (Cronbach's alpha coefficient of .77). The questionnaire was effective for evaluating hearing aid rehabilitation, and a statistically significant reduction in hearing difficulties was observed. The clinicians found the questionnaire easy to administer and effective in hearing aid rehabilitation. The findings from the study support the use of the HHIE-S in clinical practice.

  2. Ormiaochracea as a Model Organism in Sound Localization Experiments and in Inventing Hearing Aids.

    Directory of Open Access Journals (Sweden)

    - -

    1998-09-01

    Full Text Available Hearing aid prescription for patients suffering hearing loss has always been one of the main concerns of the audiologists. Thanks to technology that has provided Hearing aids with digital and computerized systems which has improved the quality of sound heard by hearing aids. Though we can learn from nature in inventing such instruments as in the current article that has been channeled to a kind of fruit fly. Ormiaochracea is a small yellow nocturnal fly, a parasitoid of crickets. It is notable because of its exceptionally acute directional hearing. In the current article we will discuss how it has become a model organism in sound localization experiments and in inventing hearing aids.

  3. 76 FR 77747 - Amendment of the Commission's Rules Governing Hearing Aid-Compatible Mobile Handsets

    Science.gov (United States)

    2011-12-14

    ... is considered hearing aid- compatible for inductive coupling if it meets a rating of at least T3. The... (inductive coupling) to gauge the hearing aid compatibility of handsets. Specifically, the SFNPRM seeks.... 5. Steps Proposed To Minimize Significant Economic Impact on Small Entities, and...

  4. Acoustical and Perceptual Comparison of Noise Reduction and Compression in Hearing Aids

    Science.gov (United States)

    Brons, Inge; Houben, Rolph; Dreschler, Wouter A.

    2015-01-01

    Purpose: Noise reduction and dynamic-range compression are generally applied together in hearing aids but may have opposite effects on amplification. This study evaluated the acoustical and perceptual effects of separate and combined processing of noise reduction and compression. Design: Recordings of the output of 4 hearing aids for speech in…

  5. Comparative studies on hearing aid selection and fitting procedures : a review of the literature

    NARCIS (Netherlands)

    Metselaar, Mick; Maat, Bert; Verschuure, Hans; Dreschler, Wouter A; Feenstra, Louw

    2008-01-01

    Although a large number of fitting procedures have been developed and are nowadays generally applied in modern hearing aid fitting technology, little is known about their effectiveness in comparison with each other. This paper argues the need for comparative validation studies on hearing aid fitting

  6. Electroacoustic Evaluation of Frequency-Modulated Receivers Interfaced with Personal Hearing Aids

    Science.gov (United States)

    Schafer, Erin C.; Thibodeau, Linda M.; Whalen, Holly S.; Overson, Gary J.

    2007-01-01

    Purpose: The purpose of this study was to compare the electroacoustic outputs of frequency-modulated (FM) systems coupled to hearing aids. Method: Electroacoustic performance of FM systems coupled to hearing aids was determined for 3 FM receivers: body-worn with neck loop, ear-level nonprogrammable, and ear-level programmable. Systems were…

  7. 47 CFR 20.19 - Hearing aid-compatible mobile handsets.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 2 2010-10-01 2010-10-01 false Hearing aid-compatible mobile handsets. 20.19... COMMERCIAL MOBILE RADIO SERVICES § 20.19 Hearing aid-compatible mobile handsets. (a) Scope of section... and Technology, Federal Communications Commission, 445 12th Street, SW., Washington, DC 20554. (5)...

  8. Vibrant Soundbridge and Bone Conduction Hearing Aid in Patients with Bilateral Malformation of External Ear

    OpenAIRE

    Mondelli, Maria Fernanda Capoani Garcia; Mariano, Thais Cristina Barbosa; Heitor Marques HONÓRIO; Brito, Rubens Vuono de

    2016-01-01

    Introduction Hearing loss is the most common clinical finding in patients with malformation of the external ear canal. Among the possibilities of treatment, there is the adaptation of hearing aids by bone conduction and the adaptation of implantable hearing aids. Objective To assess speech perception with the use of Vibrant Soundbridge (VBS - MED-EL, Innsbruck, Austria) associated with additional amplification in patients with bilateral craniofacial malformation. Method We evaluated 11 p...

  9. Sound quality measures for speech in noise through a commercial hearing aid implementing digital noise reduction.

    Science.gov (United States)

    Ricketts, Todd A; Hornsby, Benjamin W Y

    2005-05-01

    This brief report discusses the affect of digital noise reduction (DNR) processing on aided speech recognition and sound quality measures in 14 adults fitted with a commercial hearing aid. Measures of speech recognition and sound quality were obtained in two different speech-in-noise conditions (71 dBA speech, +6 dB SNR and 75 dBA speech, +1 dB SNR). The results revealed that the presence or absence of DNR processing did not impact speech recognition in noise (either positively or negatively). Paired comparisons of sound quality for the same speech in noise signals, however, revealed a strong preference for DNR processing. These data suggest that at least one implementation of DNR processing is capable of providing improved sound quality, for speech in noise, in the absence of improved speech recognition.

  10. Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

    Science.gov (United States)

    Penteado, Silvio Pires; Ramos, Sueli de Lima; Battistella, Linamara Rizzo; Marone, Silvio Antonio Monteiro; Bento, Ricardo Ferreira

    2012-01-01

    Summary Introduction: Currently, the Brazilian government has certificated nearly 140 specialized centers in hearing aid fittings through the Brazilian National Health System (SUS). Remote fitting through the Internet can allow a broader and more efficient coverage with a higher likelihood of success for patients covered by the SUS, as they can receive fittings from their own homes instead of going to the few and distant specialized centers. Aim: To describe a case of remote fitting between 2 cities, with revision of the literature. Method: Computer gears, a universal interface, and hearing aids were used. Case study: An audiologist located in a specialized center introduced a new hearing aid and its fitting procedure to a remote center (200 km away). The specialized center helped the remote center in fitting a hearing aid in 2 patients, and performed fitting in one of its own patients. The whole process was done through the Internet with audio and video in real time. Results: Three patients were fitted remotely. Three audiologists were remotely trained on how to fit the hearing aids. Conclusions: Remote fitting of hearing aids is possible through the Internet, as well as further supplying technical training to a remote center about the fitting procedures. Such a technological approach can help the government advance public policies on hearing rehabilitation, as patients can be motivated about maintaining their use of hearing aids with the option to ask for help in the comfort of their own homes. PMID:25991960

  11. The Frequency of Hearing Loss and Hearing Aid Prescription in the Clients of the Avesina Education and Health Center, Audiometry Clinic, 1377

    Directory of Open Access Journals (Sweden)

    Abbas Bastani

    2003-08-01

    Full Text Available Objective: Determining the frequency of hearing disorders and hearing aid using in the clients referring to the Avesina education and health center, audiometry clinic, 1377. Method and Material: This is an assesive-descriptive survey that conducted on more than 2053 (1234 males and 819 females who referred for audiometry after examination by a physician. Case history, otoscopy, PTA, speech and immittance audiometry were conducted for all the clients. The findings were expressed in tables and diagrams of frequency. The age and sex relationship. All types of hearing losses and the number of the hearing-impaired clients need a hearing aid were assessed. Findings: 56% of this population were hearing-impaired and 44% had normal hearing were hearing. 60% were males and 40% females. Of the hearing-impaired, 44% had SNHL, 35.6% CHL and 8.2% mixed hearing loss. The hearing aid was prescribed for 204 (83 females and121 males if they need that only 20 females and 32 males wear it. Conclusion: It this sample, SNHL is of higher frequency. According to this survey, the more the age, the more the hearing aid is accepted (85% of wearer are more than 49 the prevalence of the hearing impaired males are more than females (60% versus 40%. Only 25% of the hearing-impaired wear hearing aids.

  12. Sound exposure measurements using hearing-aid technology

    DEFF Research Database (Denmark)

    Jensen, Simon Boelt; Drastrup, Mads; Morales, Esteban Chávez

    2016-01-01

    scenarios. The purpose of this work is to document the use of a modified behind-the-ear (BTE) hearing-aid as a portable sound pressure level (SPL) meter. In order to obtain sound level measurements with a BTE device comparable to sound field values that can be used with existing risk assessment strategies......, differences due to microphone positions and the presence of a person in the measurement must be taken into account. The present study presents measurements carried out to document the characteristics of the BTE device, using the same framework presented in the ISO 11904 standard series. The responses...... at the BTE position on a head and torso simulator (HATS) were measured and combined with the A-weighting filter, frequency weigted sound field values. The compensation filters improved the accuracy of the BTE devices especially in laboratory conditions. Field tests corroborate the necessity of both diffuse...

  13. An Intrinsically Digital Amplification Scheme for Hearing Aids

    Directory of Open Access Journals (Sweden)

    Brenton R. Steele

    2005-11-01

    Full Text Available Results for linear and wide-dynamic range compression were compared with a new 64-channel digital amplification strategy in three separate studies. The new strategy addresses the requirements of the hearing aid user with efficient computations on an open-platform digital signal processor (DSP. The new amplification strategy is not modeled on prior analog strategies like compression and linear amplification, but uses statistical analysis of the signal to optimize the output dynamic range in each frequency band independently. Using the open-platform DSP processor also provided the opportunity for blind trial comparisons of the different processing schemes in BTE and ITE devices of a high commercial standard. The speech perception scores and questionnaire results show that it is possible to provide improved audibility for sound in many narrow frequency bands while simultaneously improving comfort, speech intelligibility in noise, and sound quality.

  14. Smartphone-based hearing test as an aid in the initial evaluation of unilateral sudden sensorineural hearing loss.

    Science.gov (United States)

    Handzel, Ophir; Ben-Ari, Oded; Damian, Doris; Priel, Maayan M; Cohen, Jacob; Himmelfarb, Mordechai

    2013-01-01

    Sudden sensorineural hearing loss (SSNHL) can cause significant morbidity. Treatment with steroids can improve outcome. Delay in initiation of treatment reduces the chance to regain hearing. For this reason SSNHL is considered an emergency. Diagnosis is based on history, physical examination and a standard audiogram, the latter requiring specialized equipment and personnel. Standard audiogram may not be available at the time and place of patient presentation. A smartphone or tablet computer-based hearing test may aid in the decision to prescribe steroids in this setting. In this study the uHear™ hearing test application was utilized. The output of this ear-level air conduction hearing test is reported in hearing grades for 6 frequencies ranging from 250 to 6000 Hz. A total of 32 patients with unilateral SSNHL proven by a standard audiogram were tested. The results of standard and iPod hearing tests were compared. Based on the accepted criterion of SSNHL (at least 30 dB loss - or 2 hearing grades - in 3 consecutive frequencies) the test had a sensitivity of 0.76 and specificity of 0.91. Using a less stringent criterion of a loss of 2 hearing grades over at least 2 frequencies the sensitivity was 0.96 and specificity 0.86. The correlation coefficient for the comparison of the average hearing grade across the 6 measured frequencies of the study and standard audiogram was 0.83. uHear more accurately reflected hearing thresholds at mid and high tones. Similarly to previously published data, low frequency thresholds could be artificially elevated. In conclusion, uHear can be useful in the initial evaluation of patients with single-sided SSNHL by providing important information guiding the decision to initiate treatment before a standard audiogram is available.

  15. Using a reflection model for modeling the dynamic feedback path of digital hearing aids

    DEFF Research Database (Denmark)

    Ma, Guilin; Gran, Fredrik; Jacobsen, Finn;

    2010-01-01

    Feedback whistling is one of the severe problems with hearing aids, especially in dynamic situations when the users hug, pick up a telephone, etc. This paper investigates the properties of the dynamic feedback paths of digital hearing aids and proposes a model based on a reflection assumption...... gain. The method is also extended to dual-microphone hearing aids to assess the possibility of relating the two dynamic feedback paths through the reflection model. However, it is found that in a complicated acoustic environment, the relation between the two feedback paths can be very intricate...

  16. Verification and validation of hearing aids:Opportunity not an obstacle

    Institute of Scientific and Technical Information of China (English)

    Lindsey E. Jorgensen

    2016-01-01

    Verification and validation are objective and subjective measurements of hearing aid function. Many studies have provided rationales for performing these measurements as necessary for hearing aid practitioners to provide the highest level of care. Several researchers have suggested that completing these measurements as part of routine clinical care will reduce the number of return visits, reduce the number of aids returned for credit, and increase patient satisfaction. The purpose of this review article is to provide background, method and rationale for practitioners to use these measurements to improve their practice of hearing healthcare.

  17. Semi-non-intrusive objective intelligibility measure using spatial filtering in hearing aids

    DEFF Research Database (Denmark)

    Sørensen, Charlotte; Boldt, Jesper Bünsow; Gran, Frederik;

    2016-01-01

    Reliable non-intrusive online assessment of speech intelligibility can play a key role for the functioning of hearing aids, e.g. as guidance for adjusting the hearing aid settings to the environment. While existing intrusive metrics can provide a precise and reliable measure, the current non......-intrusive metrics have not been able to achieve acceptable intelligibility predictions. This paper presents a new semi-non-intrusive intelligibility measure based on an existing intrusive measure, STOI, where an estimate of the clean speech is extracted using spatial filtering in the hearing aid. The results...

  18. Vibrant Soundbridge and Bone Conduction Hearing Aid in Patients with Bilateral Malformation of External Ear.

    Science.gov (United States)

    Mondelli, Maria Fernanda Capoani Garcia; Mariano, Thais Cristina Barbosa; Honório, Heitor Marques; Brito, Rubens Vuono de

    2016-01-01

    Introduction Hearing loss is the most common clinical finding in patients with malformation of the external ear canal. Among the possibilities of treatment, there is the adaptation of hearing aids by bone conduction and the adaptation of implantable hearing aids. Objective To assess speech perception with the use of Vibrant Soundbridge (VBS - MED-EL, Innsbruck, Austria) associated with additional amplification in patients with bilateral craniofacial malformation. Method We evaluated 11 patients with bilateral malformation over 12 years with mixed hearing loss or bilateral conductive. They were using the Softband (Oticon Medical, Sweden) and bone conduction hearing aid in the ear opposite the one with the VSB. We performed the evaluation of speech perception using the Hearing in Noise Test. Results Participants were eight men and three women with a mean of 19.5 years. The signal / noise ratio presented significant results in patients fitted with VSB and bone conduction hearing aid. Conclusion The results of speech perception were significantly better with use of VBS combined with bone conduction hearing aids.

  19. Vibrant Soundbridge and Bone Conduction Hearing Aid in Patients with Bilateral Malformation of External Ear

    Directory of Open Access Journals (Sweden)

    Mondelli, Maria Fernanda Capoani Garcia

    2015-10-01

    Full Text Available Introduction Hearing loss is the most common clinical finding in patients with malformation of the external ear canal. Among the possibilities of treatment, there is the adaptation of hearing aids by bone conduction and the adaptation of implantable hearing aids. Objective To assess speech perception with the use of Vibrant Soundbridge (VBS - MED-EL, Innsbruck, Austria associated with additional amplification in patients with bilateral craniofacial malformation. Method We evaluated 11 patients with bilateral malformation over 12 years with mixed hearing loss or bilateral conductive. They were using the Softband (Oticon Medical, Sweden and bone conduction hearing aid in the ear opposite the one with the VSB. We performed the evaluation of speech perception using the Hearing in Noise Test. Results Participants were eight men and three women with a mean of 19.5 years. The signal / noise ratio presented significant results in patients fitted with VSB and bone conduction hearing aid. Conclusion The results of speech perception were significantly better with use of VBS combined with bone conduction hearing aids.

  20. Implantable and semi-implantable hearing AIDS: a review of history, indications, and surgery.

    Science.gov (United States)

    Bittencourt, Aline Gomes; Burke, Patrick Rademaker; Jardim, Isabela de Souza; Brito, Rubens de; Tsuji, Robinson Koji; Fonseca, Anna Carolina de Oliveira; Bento, Ricardo Ferreira

    2014-07-01

    Introduction The complaints associated with the use of conventional amplifying hearing aids prompted research at several centers worldwide that ultimately led to the development of implantable devices for aural rehabilitation. Objectives To review the history, indications, and surgical aspects of the implantable middle ear hearing devices. Data Synthesis Implantable hearing aids, such as the Vibrant Soundbridge system (Med-El Corporation, Innsbruck, Austria), the Maxum system (Ototronix LLC, Houston, Texas, United States), the fourth-generation of Carina prosthesis (Otologics LLC, Boulder, Colorado, United States), and the Esteem device (Envoy Medical Corporation - Minnesota, United States), have their own peculiarities on candidacy and surgical procedure. Conclusion Implantable hearing aids, which are currently in the early stages of development, will unquestionably be the major drivers of advancement in otologic practice in the 21st century, improving the quality of life of an increasingly aged population, which will consequently require increased levels of hearing support.

  1. Smartphone-based noise adaptive speech enhancement for hearing aid applications.

    Science.gov (United States)

    Panahi, Issa; Kehtarnavaz, Nasser; Thibodeau, Linda; Panahi, Issa; Kehtarnavaz, Nasser; Thibodeau, Linda; Panahi, Issa; Kehtarnavaz, Nasser; Thibodeau, Linda

    2016-08-01

    It is well established that the presence of environmental noises has a negative impact on the performance of hearing aid devices. This paper addresses a noise adaptive speech enhancement solution for the purpose of improving the performance of hearing aid devices in noisy environments. Depending on three noise types of babble, machinery, and driving car, the parameters of a recently developed speech enhancement algorithm are appropriately adjusted to gain improved speech understanding performance in noisy environments. This solution is implemented on smartphone platforms as an app and interfaced with a hearing aid device. A clinical testing protocol is devised to evaluate the performance of the app in participants with normal hearing and hearing impairments. The clinical testing results have indicated that statistically significant improvement in speech understanding is gained between the unprocessed and processed conditions using the developed noise adaptive speech enhancement solution.

  2. Implantable and Semi-Implantable Hearing Aids: A Review of History, Indications, and Surgery

    Directory of Open Access Journals (Sweden)

    Bittencourt, Aline Gomes

    2014-04-01

    Full Text Available Introduction The complaints associated with the use of conventional amplifying hearing aids prompted research at several centers worldwide that ultimately led to the development of implantable devices for aural rehabilitation. Objectives To review the history, indications, and surgical aspects of the implantable middle ear hearing devices. Data Synthesis Implantable hearing aids, such as the Vibrant Soundbridge system (Med-El Corporation, Innsbruck, Austria, the Maxum system (Ototronix LLC, Houston, Texas, United States, the fourth-generation of Carina prosthesis (Otologics LLC, Boulder, Colorado, United States, and the Esteem device (Envoy Medical Corporation - Minnesota, United States, have their own peculiarities on candidacy and surgical procedure. Conclusion Implantable hearing aids, which are currently in the early stages of development, will unquestionably be the major drivers of advancement in otologic practice in the 21st century, improving the quality of life of an increasingly aged population, which will consequently require increased levels of hearing support.

  3. The effect of a hearing aid noise reduction algorithm on the acquisition of novel speech contrasts.

    Science.gov (United States)

    Marcoux, André M; Yathiraj, Asha; Côté, Isabelle; Logan, John

    2006-12-01

    Audiologists are reluctant to prescribe digital hearing aids with active digital noise reduction (DNR) to pre-verbal children due to their potential for an adverse effect on the acquisition of language. The present study investigated the relation between DNR and language acquisition by modeling pre-verbal language acquisition using adult listeners presented with a non-native speech contrast. Two groups of normal-hearing, monolingual Anglophone subjects were trained over four testing sessions to discriminate novel, difficult to discriminate, non-native Hindi speech contrasts in continuous noise, where one group listened to both speech items and noise processed with DNR, and where the other group listened to unprocessed speech in noise. Results did not reveal a significant difference in performance between groups across testing sessions. A significant learning effect was noted for both groups between the first and second testing sessions only. Overall, DNR does not appear to enhance or impair the acquisition of novel speech contrasts by adult listeners.

  4. Cortical Electrophysiological Markers of Language Abilities in Children with Hearing Aids: A Pilot Study

    OpenAIRE

    2014-01-01

    Objective. To investigate cortical auditory evoked potentials (CAEPs) in pediatric hearing aid (HA) users, with and without language impairment. Design. CAEPs were measured in 11 pediatric HA users (age: 8–12 years) with moderate bilateral sensorineural hearing loss (HL); participants were classified according to language ability. CAEPs were also measured for a control group of 11 age-matched, normal-hearing (NH) children. Results. HL children without language impairment exhibited normal CAEP...

  5. A New Probe Noise Approach For Acoustic Feedback Cancellation In Hearing Aids

    DEFF Research Database (Denmark)

    Guo, Meng; Jensen, Søren Holdt; Jensen, Jesper

    Acoustic feedback is a big challenge in hearing aids. If not appropriately treated, the feedback limits the maximum possible amplification and may lead to significant sound distortions. In a state-of-the-art hearing aid, an acoustic feedback cancellation (AFC) system is used to compensate...... systems is the biased adaptive filter estimation problem, especially when tonal signals such as music and alarm tones enter the hearing aid microphones. The consequences of this biased estimation might be significant sound distortion or even worse, howling. In principle, unbiased adaptive filter...... estimation can be achieved by adding a probe noise signal to the receiver signal and basing the estimation on the probe noise signal. However, the traditional probe noise approach requires a high-level probe noise signal, which is clearly audible and annoying for the hearing aid user. Hence, this high probe...

  6. 75 FR 54508 - Amendment of the Commission's Rules Governing Hearing Aid-Compatible Mobile Handsets

    Science.gov (United States)

    2010-09-08

    ... completed an initial round of balloting and round- robin testing, and that it expects final balloting to be... handsets, place a high enough priority on hearing aid compatibility to meet these standards for at...

  7. Development and assessment of two fixed-array microphones for use with hearing aids

    NARCIS (Netherlands)

    Bilsen, F.A.; Soede, W.; Berkhout, A.J.

    1993-01-01

    Hearing-impaired listeners often have great difficulty understanding speech in situations with background noise (e.g., meetings, parties) . Conventional hearing aids offer insufficient directivity to significantly reduce background noise relative to the desired speech signal . Based on array techniq

  8. Hearing Aids: Expectations and Satisfaction of People with an Intellectual Disability, a Descriptive Pilot Study

    Science.gov (United States)

    Meuwese-Jongejeugd, A.; Verschuure, H.; Evenhuis, H. M.

    2007-01-01

    Background: In spite of an increased risk of hearing impairment in persons with an intellectual disability (ID), rehabilitation with hearing aids often fails. We performed a descriptive pilot study with the following study questions: (1) Do comparable elements as in the general population contribute to expectations of and satisfaction with hearing…

  9. Binaural Model-Based Speech Intelligibility Enhancement and Assessment in Hearing Aids

    NARCIS (Netherlands)

    Schlesinger, A.

    2012-01-01

    The enhancement of speech intelligibility in noise is still the main subject in hearing aid research. Based on the advanced results obtained with the hearing glasses, in the present research the speech intelligibility is even further improved by the application of binaural post-filters. The function

  10. Dispensing Rates of Four Common Hearing Aid Product Features: Associations With Variations in Practice Among Audiologists

    OpenAIRE

    Johnson, Earl E.; Ricketts, Todd A.

    2010-01-01

    The purpose of the study was to develop and examine a list of potential variables that may account for variability in the dispensing rates of four common hearing aid features. A total of 29 potential variables were identified and placed into the following categories: (1) characteristics of the audiologist, (2) characteristics of the hearing aids dispensed by the audiologist, (3) characteristics of the audiologist's patient population, and (4) evidence-based practice grades of recommendation f...

  11. Data mining of audiology patient records: factors influencing the choice of hearing aid type

    Directory of Open Access Journals (Sweden)

    Anwar Muhammad N

    2012-04-01

    Full Text Available Abstract Background This paper describes the analysis of a database of over 180,000 patient records, collected from over 23,000 patients, by the hearing aid clinic at James Cook University Hospital in Middlesbrough, UK. These records consist of audiograms (graphs of the faintest sounds audible to the patient at six different pitches, categorical data (such as age, gender, diagnosis and hearing aid type and brief free text notes made by the technicians. This data is mined to determine which factors contribute to the decision to fit a BTE (worn behind the ear hearing aid as opposed to an ITE (worn in the ear hearing aid. Methods From PCA (principal component analysis four main audiogram types are determined, and are related to the type of hearing aid chosen. The effects of age, gender, diagnosis, masker, mould and individual audiogram frequencies are combined into a single model by means of logistic regression. Some significant keywords are also discovered in the free text fields by using the chi-squared (χ2 test, which can also be used in the model. The final model can act a decision support tool to help decide whether an individual patient should be offered a BTE or an ITE hearing aid. Results The final model was tested using 5-fold cross validation, and was able to replicate the decisions of audiologists whether to fit an ITE or a BTE hearing aid with precision in the range 0.79 to 0.87. Conclusions A decision support system was produced to predict the type of hearing aid which should be prescribed, with an explanation facility explaining how that decision was arrived at. This system should prove useful in providing a "second opinion" for audiologists.

  12. Sound Classification in Hearing Aids Inspired by Auditory Scene Analysis

    Directory of Open Access Journals (Sweden)

    Norbert Dillier

    2005-11-01

    Full Text Available A sound classification system for the automatic recognition of the acoustic environment in a hearing aid is discussed. The system distinguishes the four sound classes “clean speech,” “speech in noise,” “noise,” and “music.” A number of features that are inspired by auditory scene analysis are extracted from the sound signal. These features describe amplitude modulations, spectral profile, harmonicity, amplitude onsets, and rhythm. They are evaluated together with different pattern classifiers. Simple classifiers, such as rule-based and minimum-distance classifiers, are compared with more complex approaches, such as Bayes classifier, neural network, and hidden Markov model. Sounds from a large database are employed for both training and testing of the system. The achieved recognition rates are very high except for the class “speech in noise.” Problems arise in the classification of compressed pop music, strongly reverberated speech, and tonal or fluctuating noises.

  13. Open Versus Closed Hearing-Aid Fittings: A Literature Review of Both Fitting Approaches.

    Science.gov (United States)

    Winkler, Alexandra; Latzel, Matthias; Holube, Inga

    2016-02-15

    One of the main issues in hearing-aid fittings is the abnormal perception of the user's own voice as too loud, "boomy," or "hollow." This phenomenon known as the occlusion effect be reduced by large vents in the earmolds or by open-fit hearing aids. This review provides an overview of publications related to open and closed hearing-aid fittings. First, the occlusion effect and its consequences for perception while using hearing aids are described. Then, the advantages and disadvantages of open compared with closed fittings and their impact on the fitting process are addressed. The advantages include less occlusion, improved own-voice perception and sound quality, and increased localization performance. The disadvantages associated with open-fit hearing aids include reduced benefits of directional microphones and noise reduction, as well as less compression and less available gain before feedback. The final part of this review addresses the need for new approaches to combine the advantages of open and closed hearing-aid fittings.

  14. Auditory and Cognitive Factors Underlying Individual Differences in Aided Speech-Understanding among Older Adults

    Directory of Open Access Journals (Sweden)

    Larry E. Humes

    2013-10-01

    Full Text Available This study was designed to address individual differences in aided speech understanding among a relatively large group of older adults. The group of older adults consisted of 98 adults (50 female and 48 male ranging in age from 60 to 86 (mean = 69.2. Hearing loss was typical for this age group and about 90% had not worn hearing aids. All subjects completed a battery of tests, including cognitive (6 measures, psychophysical (17 measures, and speech-understanding (9 measures, as well as the Speech, Spatial and Qualities of Hearing (SSQ self-report scale. Most of the speech-understanding measures made use of competing speech and the non-speech psychophysical measures were designed to tap phenomena thought to be relevant for the perception of speech in competing speech (e.g., stream segregation, modulation-detection interference. All measures of speech understanding were administered with spectral shaping applied to the speech stimuli to fully restore audibility through at least 4000 Hz. The measures used were demonstrated to be reliable in older adults and, when compared to a reference group of 28 young normal-hearing adults, age-group differences were observed on many of the measures. Principal-components factor analysis was applied successfully to reduce the number of independent and dependent (speech understanding measures for a multiple-regression analysis. Doing so yielded one global cognitive-processing factor and five non-speech psychoacoustic factors (hearing loss, dichotic signal detection, multi-burst masking, stream segregation, and modulation detection as potential predictors. To this set of six potential predictor variables were added subject age, Environmental Sound Identification (ESI, and performance on the text-recognition-threshold (TRT task (a visual analog of interrupted speech recognition. These variables were used to successfully predict one global aided speech-understanding factor, accounting for about 60% of the variance.

  15. Impact of CDMA wireless phone power output and puncture rate on hearing aid interference levels.

    Science.gov (United States)

    Fry, T L; Schlegel, R E; Grant, H

    2000-01-01

    Interference between digital wireless phones and hearing aids occurs when the radiofrequency bursts from the phone transmission are demodulated by the hearing aid amplifier. The amplified interference signal is heard as a "buzz" or "static" by the hearing aid wearer. Most research and standards development activity has focused on worst-case scenarios with the phone operating at its maximum power. Since this power level is often not typical in urban and suburban settings, it is of value to determine the impact of lower power levels on the overall level of audible interference. Using a frequency analyzer, and several hearings aids and code division multiple access (CDMA) phones, the audio frequency spectrum of interference was recorded for each phone-aid combination and for a range of power levels producing from no interference to maximum interference. As phone power is increased, the interference signal becomes distinguishable from the ambient noise level and a linear response region is observed in which a specified increase in power output results in a proportional increase in the overall input referenced interference level (OIRIL). As power is increased beyond the linear region, the hearing aid enters a saturation region where an additional power increase results in a reduction or no increase in the OIRIL. The numeric differences in interference documented in this study were used in conjunction with the results of a previous study by the authors to determine the impact of reduced power on speech intelligibility and annoyance. The amount of improvement for a given power reduction depends on the radiofrequency immunity of the hearing aid and is substantial for hearing aids with poor immunity. For high-immunity aids, the level of audible interference remains low even at high phone power levels.

  16. Dual Language versus English-Only Support for Bilingual Children with Hearing Loss Who Use Cochlear Implants and Hearing Aids

    Science.gov (United States)

    Bunta, Ferenc; Douglas, Michael; Dickson, Hanna; Cantu, Amy; Wickesberg, Jennifer; Gifford, René H.

    2016-01-01

    Background: There is a critical need to understand better speech and language development in bilingual children learning two spoken languages who use cochlear implants (CIs) and hearing aids (HAs). The paucity of knowledge in this area poses a significant barrier to providing maximal communicative outcomes to a growing number of children who have…

  17. Relationship between Otolaryngologic Complaints and Systemic Comorbidities Observed in a Group of Hearing Aid Users

    Directory of Open Access Journals (Sweden)

    Ribas, Angela

    2014-11-01

    Full Text Available Introduction Optimization of the selection, adaptation, and benefit of hearing aids is necessary to characterize and manage hearing loss, user expectations, otolaryngologic symptoms, and systemic comorbidities. Objective To compare the occurrence of otologic complaints, systemic diseases, and effective use of hearing aids in men and women with deafness. Methods Patients from a Unified Health System–accredited hearing health service, who reported problems in adapting to their hearing aids, were evaluated by a physician and audiologist. An anamnesis, ENT evaluation, and audiological evaluation were performed. Results During the data collection period, 278 subjects came in for follow-up visits; of these, 61 (21% reported otologic or operational problems with their equipment. The most prevalent type of hearing loss was basocochlear, a characteristic of presbycusis, in both men and women; the most frequently reported comorbidities were hypercholesterolemia (more significant in women and hypertension (more significant in men. Fourteen subjects reported using their device discontinuously, with no significant difference between genders; the reasons for discontinuation of use were itching and ringing, with more complaints from women. Conclusion The incidence of systemic and audiological complaints is high in this population. These patients should be evaluated thoroughly, as resolutions of these complaints can contribute to improving the quality of life and assist in the process of hearing aid fitting.

  18. Signal Processing in High-End Hearing Aids: State of the Art, Challenges, and Future Trends

    Directory of Open Access Journals (Sweden)

    U. Rass

    2005-11-01

    Full Text Available The development of hearing aids incorporates two aspects, namely, the audiological and the technical point of view. The former focuses on items like the recruitment phenomenon, the speech intelligibility of hearing-impaired persons, or just on the question of hearing comfort. Concerning these subjects, different algorithms intending to improve the hearing ability are presented in this paper. These are automatic gain controls, directional microphones, and noise reduction algorithms. Besides the audiological point of view, there are several purely technical problems which have to be solved. An important one is the acoustic feedback. Another instance is the proper automatic control of all hearing aid components by means of a classification unit. In addition to an overview of state-of-the-art algorithms, this paper focuses on future trends.

  19. Evaluation of a clinical auditory profile in hearing-aid candidates

    DEFF Research Database (Denmark)

    Thorup, Nicoline; Santurette, Sébastien; Jørgensen, Søren;

    2015-01-01

    Hearing-impaired (HI) listeners often complain about communicating in the presence of background noise, although audibility may be restored by a hearing-aid (HA). The audiogram typically forms the basis for HA fitting, such that people with similar audiograms are given the same prescription...... and temporal resolution, binaural hearing, speech intelligibility in stationary and fluctuating noise, and a working-memory test. Six weeks after HA fitting they answered the International Outcome Inventory – Hearing Aid evaluation. The HI group was homogeneous based on the audiogram, but only one test...... was correlated to pure-tone hearing thresholds. Moreover, HI listeners who took the least advantage from fluctuations in background noise in terms of speech intelligibility experienced greater HA benefit. Further analysis of whether specific outcomes are directly related to speech intelligibility in fluctuating...

  20. Pilot initiatives of adult hearing screening in Italy

    Directory of Open Access Journals (Sweden)

    A. Paglialonga

    2011-03-01

    Full Text Available A series of pilot initiatives of adult hearing screening programs were organized in eight large and small-size cities in Italy in the past two years. The screening initiatives were held in public places, supermarkets, drugstores, and in some universities of the third age, and involved an overall population of 2,278 screened subjects with age ranging from 13 to 93 years. Three different screening tests were used to assess hearing ability in the participants, i.e.: screening pure tone audiometry (PTA, an automated speech-in-noise screening test (the SUN-test, and a screening questionnaire of self-perceived hearing handicap (the HHIE-S. This paper describes the organization and management of these screening initiatives and reviews the main results obtained in the screened population, using the three different screening tests. Results obtained in these pilot initiatives showed that screening adults for hearing problems might be feasible, on a local level, in non clinical settings and can be performed quite easily with the support of local coordinators and partners, such as associations or local authorities. It is recognized that further initiatives and studies will have to be performed to better define the key aspects related to the organization and management of adult hearing screening programs, either at a local, regional, or national level.

  1. Real-Time Implementation of an Efficient Speech Enhancement Algorithm for Digital Hearing Aids

    Institute of Scientific and Technical Information of China (English)

    GAO Jie; ZHANG Hui; HU Guangshu

    2006-01-01

    In order to remove background noise and improve the quality of speech for digital hearing aids, a single-channel speech enhancement algorithm is proposed. The algorithm is implemented and assessed on a digital hearing aid platform based on the TI DSP TMS320VC5502 chip. Assuming that background noise is stationary or varies slowly, an energy-based voice activity detection algorithm is adopted by adaptively tracking the minima and maxima of the power envelope in noisy speech. The target speech is then enhanced by using a Wiener filter, on the basis of a short-term power spectral estimation. To deal with the distracting musical noise of the processed speech, phase randomization, along with adjacent spectral averaging, is adopted. Objective measures and an informal hearing test both show an improved performance as well as obvious attenuation of residual noise. The low power consumption and high efficiency render the whole algorithm very applicable for use in digital hearing aids.

  2. e-Health technologies for adult hearing screening

    Directory of Open Access Journals (Sweden)

    S. Stenfelt

    2011-03-01

    Full Text Available The development of hearing diagnosis methods and hearing screening methods are not isolated phenomena: they are intimately related to changes in the cultural background and to advances in fields of medicine and engineering. In the recent years, there has been a rapid evolution in the development of fast, easy and reliable techniques for lowcost hearing screening initiatives. Since adults and elderly people typically experience a reduced hearing ability in challenging listening situations [e.g., in background noise, in reverberation, or with competing speech (Pichora‑Fuller & Souza, 2003], these newly developed screening tests mainly rely on the recognition of speech stimuli in noise, so that the real experienced listening difficulties can be effectively targeted (Killion & Niquette, 2000. New tests based on the recognition of speech in noise are being developed on portable, battery- operated devices (see, for example, Paglialonga et al., 2011, or distributed diffusely using information and communication technologies. The evolutions of e-Health and telemedicine have shifted focus from patients coming to the hearing clinic for hearing health evaluation towards the possibility of evaluating the hearing status remotely at home. So far, two ways of distributing the hearing test have primarily been used: ordinary telephone networks (excluding mobile networks and the internet. When using the telephone network for hearing screening, the predominantly test is a speech-in-noise test often referred to as the digit triplet test where the subjects hearing status is evaluated as the speech-to-noise threshold for spoken digits. This test is today available in some ten countries in Europe, North America and Australia. The use of internet as testing platform allows several different types of hearing assessment tests such as questionnaires, different types of speech in noise tests, temporal gap detection, sound localization (minimum audible angle, and spectral

  3. Evaluation of user satisfaction of hearing aids (HA in the Amazon

    Directory of Open Access Journals (Sweden)

    Arakawa, Aline Megumi

    2010-03-01

    Full Text Available Introduction: The main function of human hearing is enabling oral communication. In this sense, hearing loss impairs severely communication skills and social relationships of individuals. Therefore, the project "USP in Rondônia" of FOB/USP conducts expeditions travelling to the municipality from Monte Negro/RO allowing the promotion of hearing health. Objective: To assess the level of satisfaction user with hearing aids (HA. Method: Was accomplished a prospective study of 18 individuals with hearing loss fitted with hearing aids in the Clinic of Oral and Fono Audiological Health from Monte Negro/RO. For the evaluation, we used the questionnaire for self-assessment IOI-HA (International Outcome Inventory for Hearing Aids. Results: Concerning the seven domains assessed, it was verified that the average referring to the use was 4.2, the benefit was 3.9, the limiting of residual activity was 3.7; the satisfaction was 4.4, the restriction of participation of residual activity was 3.8, the impact on others was 4.3 and 3.9 for the quality of life. Respecting the factors one and two, it was applied the statistical test t-Student founding no statistically significant difference. However, the analysis of the score relative to factors one and two showed good results as the individual's interaction with his hearing aid and with their environment, respectively. Conclusion: With this study, we can demonstrate the high grade of satisfaction from the use of hearing aids presented by the majority of the sample collected in all domains analyzed.

  4. Using Speech Recall in Hearing Aid Fitting and Outcome Evaluation Under Ecological Test Conditions.

    Science.gov (United States)

    Lunner, Thomas; Rudner, Mary; Rosenbom, Tove; Ågren, Jessica; Ng, Elaine Hoi Ning

    2016-01-01

    In adaptive Speech Reception Threshold (SRT) tests used in the audiological clinic, speech is presented at signal to noise ratios (SNRs) that are lower than those generally encountered in real-life communication situations. At higher, ecologically valid SNRs, however, SRTs are insensitive to changes in hearing aid signal processing that may be of benefit to listeners who are hard of hearing. Previous studies conducted in Swedish using the Sentence-final Word Identification and Recall test (SWIR) have indicated that at such SNRs, the ability to recall spoken words may be a more informative measure. In the present study, a Danish version of SWIR, known as the Sentence-final Word Identification and Recall Test in a New Language (SWIRL) was introduced and evaluated in two experiments. The objective of experiment 1 was to determine if the Swedish results demonstrating benefit from noise reduction signal processing for hearing aid wearers could be replicated in 25 Danish participants with mild to moderate symmetrical sensorineural hearing loss. The objective of experiment 2 was to compare direct-drive and skin-drive transmission in 16 Danish users of bone-anchored hearing aids with conductive hearing loss or mixed sensorineural and conductive hearing loss. In experiment 1, performance on SWIRL improved when hearing aid noise reduction was used, replicating the Swedish results and generalizing them across languages. In experiment 2, performance on SWIRL was better for direct-drive compared with skin-drive transmission conditions. These findings indicate that spoken word recall can be used to identify benefits from hearing aid signal processing at ecologically valid, positive SNRs where SRTs are insensitive.

  5. Use of Hearing Aids and Functional Capacity in Middle-Aged and Elderly Individuals

    Directory of Open Access Journals (Sweden)

    Carioli, Juliana

    2014-04-01

    Full Text Available Introduction Hearing loss is among the sensory changes strongly associated with loss of functional capacity. Objective It aims to determine whether the use of hearing aid contributes to the improvement of instrumental activities of daily living (IADL for middle aged and elderly hearing-impaired individuals. Methods This is a descriptive, longitudinal, and interventional study. We evaluated 17 subjects, 13 (76.5% female, aged between 58 and 96 years old (mean 77.1 ± 10.4 years. All were new users of hearing aids. Evaluation included social history, pure tone audiometry, and scale of IADL developed by Lawton and Brody. The subjects were presented daily life situations and were expected to respond if they could do them without assistance (3 points, partially assisted (2 points or if they were unable to perform them (1 point. IADL was applied before the use of hearing aids adaptation and after a three- and six-month period of use. Results Data analysis revealed that before the use of hearing aids the average score obtained by the subjects was 22.94 ± 4.04 points. Three months after beginning the use the average score was 23.29 ± 4.12 and after six months the average score was 23.71 ± 3.69 points. Statistical analysis revealed a significant difference between scores obtained before the use of hearing aids and six months post-fitting (p = 0.015* Conclusion The use of hearing aids among the subjects evaluated promoted positive changes in performing IADL, especially to using the telephone.

  6. Audiological application criteria for implantable hearing aid devices: a clinical experience at the Nijmegen ORL clinic.

    NARCIS (Netherlands)

    Verhaegen, V.J.O.; Mylanus, E.A.M.; Cremers, C.W.R.J.; Snik, A.F.M.

    2008-01-01

    OBJECTIVES/HYPOTHESIS: To define audiological application criteria for different implantable hearing aid devices. STUDY DESIGN: Retrospective study. METHODS: Comparisons were made between aided speech recognition scores obtained at conversational level (65 dB) in patients with the Vibrant Soundbridg

  7. The Effects of Unilateral Adaptation of Hearing Aids on Symptoms of Depression and Social Activity Constraints of Elderly

    Directory of Open Access Journals (Sweden)

    Santos, Fernanda Dutra dos

    2015-01-01

    Full Text Available Introduction Hearing loss is one of the most common problems in the elderly population. Besides compromising oral communication, it directly affects social relations and prevents elderly patients from living actively in society, possibly leading to the onset of depression or other conditions. Objective To analyze the effects of unilateral adaptation of hearing aids on symptoms of depression and the social activity constraints of elderly subjects with hearing impairment. Methods The sample consisted of elderly subjects with hearing loss who did not use hearing aids. Data were collected in two phases. Initially, all participants underwent an audiological assessment and answered the Hearing Handicap Inventory for Elderly (summarized version and the Geriatric Depression Scale. All subjects participated in the selection and hearing aid adaptation processes and became monaural hearing aid users. After 30 days of hearing aid use, they were assessed with the same instruments. The results of the questionnaires before and after hearing aid adaptation were compared. Results The sample consisted of 13 individuals, between 60 and 90 years old (mean 72.85 ± 11.05 years. Data analysis showed that there was significant improvement in social activity constraints (p < 0.001 and in symptoms of depression (p = 0.031. Conclusion Results show that, in the sample studied, unilateral hearing aid adaptation reduced social activity constraints and depression symptoms.

  8. The Effects of Unilateral Adaptation of Hearing Aids on Symptoms of Depression and Social Activity Constraints of Elderly.

    Science.gov (United States)

    Santos, Fernanda Dutra Dos; Teixeira, Adriane Ribeiro

    2015-07-01

    Introduction Hearing loss is one of the most common problems in the elderly population. Besides compromising oral communication, it directly affects social relations and prevents elderly patients from living actively in society, possibly leading to the onset of depression or other conditions. Objective To analyze the effects of unilateral adaptation of hearing aids on symptoms of depression and the social activity constraints of elderly subjects with hearing impairment. Methods The sample consisted of elderly subjects with hearing loss who did not use hearing aids. Data were collected in two phases. Initially, all participants underwent an audiological assessment and answered the Hearing Handicap Inventory for Elderly (summarized version) and the Geriatric Depression Scale. All subjects participated in the selection and hearing aid adaptation processes and became monaural hearing aid users. After 30 days of hearing aid use, they were assessed with the same instruments. The results of the questionnaires before and after hearing aid adaptation were compared. Results The sample consisted of 13 individuals, between 60 and 90 years old (mean 72.85 ± 11.05 years). Data analysis showed that there was significant improvement in social activity constraints (p depression (p = 0.031). Conclusion Results show that, in the sample studied, unilateral hearing aid adaptation reduced social activity constraints and depression symptoms.

  9. Dynamic Relation Between Working Memory Capacity and Speech Recognition in Noise During the First 6 Months of Hearing Aid Use

    Directory of Open Access Journals (Sweden)

    Elaine H. N. Ng

    2014-11-01

    Full Text Available The present study aimed to investigate the changing relationship between aided speech recognition and cognitive function during the first 6 months of hearing aid use. Twenty-seven first-time hearing aid users with symmetrical mild to moderate sensorineural hearing loss were recruited. Aided speech recognition thresholds in noise were obtained in the hearing aid fitting session as well as at 3 and 6 months postfitting. Cognitive abilities were assessed using a reading span test, which is a measure of working memory capacity, and a cognitive test battery. Results showed a significant correlation between reading span and speech reception threshold during the hearing aid fitting session. This relation was significantly weakened over the first 6 months of hearing aid use. Multiple regression analysis showed that reading span was the main predictor of speech recognition thresholds in noise when hearing aids were first fitted, but that the pure-tone average hearing threshold was the main predictor 6 months later. One way of explaining the results is that working memory capacity plays a more important role in speech recognition in noise initially rather than after 6 months of use. We propose that new hearing aid users engage working memory capacity to recognize unfamiliar processed speech signals because the phonological form of these signals cannot be automatically matched to phonological representations in long-term memory. As familiarization proceeds, the mismatch effect is alleviated, and the engagement of working memory capacity is reduced.

  10. Dispensing rates of four common hearing aid product features: associations with variations in practice among audiologists.

    Science.gov (United States)

    Johnson, Earl E; Ricketts, Todd A

    2010-03-01

    The purpose of the study was to develop and examine a list of potential variables that may account for variability in the dispensing rates of four common hearing aid features. A total of 29 potential variables were identified and placed into the following categories: (1) characteristics of the audiologist, (2) characteristics of the hearing aids dispensed by the audiologist, (3) characteristics of the audiologist's patient population, and (4) evidence-based practice grades of recommendation for each feature. The potentially associative variables then were examined using regression analyses from the responses of 257 audiologists to a dispensing practice survey. There was a direct relation between price and level of hearing aid technology with the frequency of dispensing product features. There was also a direct relation between the belief by the audiologist that a feature might benefit patients and the frequency of dispensing that feature. In general, the results suggested that personal differences among audiologists and the hearing aids audiologists choose to dispense are related more strongly to dispensing rates of product features than to differences in characteristics of the patient population served by audiologists. An additional finding indicated that evidence-based practice recommendations were inversely related to dispensing rates of product features. This finding, however, may not be the result of dispensing trends as much as hearing aid manufacturing trends.

  11. Auditory performances of a 3-4-7 programmable numeric filter hearing aid.

    Science.gov (United States)

    Chouard, C H; Ouayoun, M; Meyer, B; Coudert, C; Sequeville, T; Bachelot, G; Génin, J

    1997-01-01

    We designed a non-portable prototype seven-filter digital auditory hearing aid. For each of the filters, frequency bandwidth, amplification and compression were programmable in order to adapt these parameters to the deaf patient's audiometric characteristics. We compared the hearing improvement it was possible to obtain either with the three-analogue filter auditory prosthesis Triton 3004 hearing aid from Siemens or with our prototype as a function of the number of filters (three, four or seven) and their frequency bandwidth programmability. We tested 21 patients suffering from moderate to severe sensorineural hearing loss. This study allowed us to demonstrate that a seven programmable-width filter strategy seems to be more effective than the present analogue T004 device. Further studies with improvement of our prototype and finer audiometric adjustment of filter strategies, together with long-term clinical studies, need to be carried out.

  12. 76 FR 2625 - Comment Sought on 2010 Review of Hearing Aid Compatibility Regulations

    Science.gov (United States)

    2011-01-14

    ... CDMA-Only 134 133 105 CDMA/WCDMA 1 1 1 GSM-Only 60 33 26 ] GSM/CDMA 3 3 3 GSM/WCDMA 88 44 31 iDEN 16 14... CDMA than for GSM? d. Are hearing aid-compatible handsets widely available across all market segments... the CDMA air interface, given that nearly all CDMA phones produced today meet hearing...

  13. Bone-anchored hearing aids are effective and associated with a high degree of satisfaction

    DEFF Research Database (Denmark)

    Gardell, Ida Sofie Kristina; Andresen, Kathrine; Faber, Christian Emil;

    2015-01-01

    INTRODUCTION: The objective of this study was to evaluate patients' satisfaction with bone-anchored hearing aids (BAHA). METHODS: This study was retrospective and based on a postal questionnaire. The study sample consisted of patients undergoing surgery at Odense University Hospital in the 1992......-2013-period. The questionnaire was a combination of Satisfaction with Amplification in Daily Life questions from the Hearing Aid Research Lab at the University of Memphis and questions used in a previous Danish study. We also used data from each patient's medical records. All information was collected...... in one-on-one conversations. CONCLUSION: BAHA is helpful in one-on-one conversations in quiet surroundings. Sound quality in group situations seems to be the main problem associated with BAHA. However, this study showed that BAHA is an effective hearing aid that is associated with a high degree...

  14. Talker Differences in Clear and Conversational Speech: Vowel Intelligibility for Older Adults with Hearing Loss

    Science.gov (United States)

    Ferguson, Sarah Hargus

    2012-01-01

    Purpose: To establish the range of talker variability for vowel intelligibility in clear versus conversational speech for older adults with hearing loss and to determine whether talkers who produced a clear speech benefit for young listeners with normal hearing also did so for older adults with hearing loss. Method: Clear and conversational vowels…

  15. A Reconfigurable Sound Wave Decomposition Filterbank for Hearing Aids Based on Nonlinear Transformation.

    Science.gov (United States)

    Huang, Shaoguang; Tian, Lan; Ma, Xiaojie; Wei, Ying

    2016-04-01

    Hearing impaired people have their own hearing loss characteristics and listening preferences. Therefore hearing aid system should become more natural, humanized and personalized, which requires the filterbank in hearing aids provides flexible sound wave decomposition schemes, so that patients are likely to use the most suitable scheme for their own hearing compensation strategy. In this paper, a reconfigurable sound wave decomposition filterbank is proposed. The prototype filter is first cosine modulated to generate uniform subbands. Then by non-linear transformation the uniform subbands are mapped to nonuniform subbands. By changing the control parameters, the nonlinear transformation changes which leads to different subbands allocations. It provides four different sound wave decomposition schemes without changing the structure of the filterbank. The performance of the proposed reconfigurable filterbank was compared with that of fixed filerbanks, fully customizable filterbanks and other existing reconfigurable filterbanks. It is shown that the proposed filterbank provides satisfactory matching performance as well as low complexity and delay, which make it suitable for real hearing aid applications.

  16. ADAPTIVE EXPERT SYSTEM FOR CALCULATION OF REAL EAR INSERTION GAIN FOR DIGITAL HEARING AID

    Directory of Open Access Journals (Sweden)

    Sadagopan Rajkumar

    2013-01-01

    Full Text Available The various gain calculating formulae for digital hearing aids is analyzed for different subjects to find out suitable adaptive gain formula for most successful gain recommendations. The object of the work is to design and develop an adaptive expert system, which could be effectively used to perform screening tests to identify the level of hearing impairment and recommend suitable gain suggestions for frequency bands of digital hearing aid. Initially, the design requirements for a digital hearing aid are being arrived by using the standard gain formulae followed such as National Acoustic Laboratory Revised (NAL-R and Prescription of Gain Output (POGO II. The test is carried with 272 subjects aging from 25 to 72 and 221 male and 51 female. Of which gain is recommended for 127 subjects with the standard gain formula. When the recommendations are verified for satisfaction among the hearing aid users only 28 received satisfaction with NAL-R and 25 received satisfactions with POGO II. Remaining subjects received satisfaction only after fine tuning the gain value and recommended gains are stored in adaptive expert system. Subsequently, based on the suggested value of gains and additional data from expert audiologists, gain formula could be made distinct for every language.

  17. Auditory, Visual, and Auditory-Visual Speech Perception by Individuals with Cochlear Implants versus Individuals with Hearing Aids

    Science.gov (United States)

    Most, Tova; Rothem, Hilla; Luntz, Michal

    2009-01-01

    The researchers evaluated the contribution of cochlear implants (CIs) to speech perception by a sample of prelingually deaf individuals implanted after age 8 years. This group was compared with a group with profound hearing impairment (HA-P), and with a group with severe hearing impairment (HA-S), both of which used hearing aids. Words and…

  18. Point Vowel Duration in Children with Hearing Aids and Cochlear Implants at 4 and 5 Years of Age

    Science.gov (United States)

    Vandam, Mark; Ide-Helvie, Dana; Moeller, Mary Pat

    2011-01-01

    This work investigates the developmental aspects of the duration of point vowels in children with normal hearing compared with those with hearing aids and cochlear implants at 4 and 5 years of age. Younger children produced longer vowels than older children, and children with hearing loss (HL) produced longer and more variable vowels than their…

  19. [Treating age-related hearing loss: hearing aids are not very popular

    NARCIS (Netherlands)

    Snik, A.F.M.; Leijendeckers, J.M.; Marres, H.A.M.

    2013-01-01

    Presbycusis means the deterioration of hearing resulting from the ageing process. Presbycusis can greatly affect one's quality of life; impaired hearing restricts communication and untreated presbycusis could result in social isolation and even depression. Nevertheless, only a minority of elderly wi

  20. System-Level Optimization of a DAC for Hearing-Aid Audio Class D Output Stage

    DEFF Research Database (Denmark)

    Pracný, Peter; Jørgensen, Ivan Harald Holger; Bruun, Erik

    2013-01-01

    This paper deals with system-level optimization of a digital-to-analog converter (DAC) for hearing-aid audio Class D output stage. We discuss the ΣΔ modulator system-level design parameters – the order, the oversampling ratio (OSR) and the number of bits in the quantizer. We show that combining...... by comparing two ΣΔ modulator designs. The proposed optimization has impact on the whole hearing-aid audio back-end system including less hardware in the interpolation filter and half the switching rate in the digital-pulse-width-modulation (DPWM) block and Class D output stage...

  1. Adaptive Feedback Cancellation With Band-Limited LPC Vocoder in Digital Hearing Aids

    DEFF Research Database (Denmark)

    Ma, Guilin; Gran, Fredrik; Jacobsen, Finn;

    2011-01-01

    Feedback oscillation is one of the major issues with hearing aids. An effective way of feedback suppression is adaptive feedback cancellation, which uses an adaptive filter to estimate the feedback path. However, when the external input signal is correlated with the receiver input signal......, the estimate of the feedback path is biased. This so-called “bias problem” results in a large modeling error and a cancellation of the desired signal. This paper proposes a band-limited linear predictive coding based approach to reduce the bias. The idea is to replace the hearing-aid output with a synthesized...

  2. Feasibility study of injection mouldable conductive plastic for the hearing aid applications

    DEFF Research Database (Denmark)

    Merca, Timea D.den; Lindberg, Torbjörn; Islam, Aminul

    2016-01-01

    Electrically conductive polymers can combine the advantage of plastic processing with the unique electrical properties which are usually found in metals. This article presents a feasibility study of an electrically conductive plastic for hearing aid antennas. Focus will be placed to critically...... analyse the electrical properties of the potential conductive plastic in a two component injection moulding process chain. The purpose of this experimental study is to mimic the real scenario in a hearing aid device and conclude the antenna’s efficiency based on the results obtained with OTA (over the air...

  3. Validation of a Virtual Sound Environment System for Testing Hearing Aids

    DEFF Research Database (Denmark)

    Cubick, Jens; Dau, Torsten

    2016-01-01

    reverberation, background noise, and multiple interfering talkers. Loudspeaker-based sound field reproduction techniques, such as higher-order Ambisonics, allow for the simulation of such complex sound environments and can be used for realistic listening experiments with hearing aids. However, to successfully...... of that room auralized via a spherical array of 29 loudspeakers, using either Ambisonics or a nearest loudspeaker method. The benefit from a static beamforming algorithm was considered in comparison to a hearing aid setting with omnidirectional microphones. The measured SRTs were about 2-4 dB higher...

  4. Maximum likelihood based multi-channel isotropic reverberation reduction for hearing aids

    DEFF Research Database (Denmark)

    Kuklasiński, Adam; Doclo, Simon; Jensen, Søren Holdt;

    2014-01-01

    We propose a multi-channel Wiener filter for speech dereverberation in hearing aids. The proposed algorithm uses joint maximum likelihood estimation of the speech and late reverberation spectral variances, under the assumption that the late reverberant sound field is cylindrically isotropic....... The dereverberation performance of the algorithm is evaluated using computer simulations with realistic hearing aid microphone signals including head-related effects. The algorithm is shown to work well with signals reverberated both by synthetic and by measured room impulse responses, achieving improvements...

  5. [Modern hearing-aids at the cutting edge of microelectronics. Increased possibilities for individual customization].

    Science.gov (United States)

    Arlinger, S

    1999-08-25

    The development of modern hearing aids has been so great that they now represent the cutting edge of micro-electronics. Flexibility has been enhanced by computer-aided programming of the devices, and particularly by digital signal processing, developments which enable improved customization. Increased knowledge of the pathophysiology of the auditory system, fundamental processes in central auditory pathways, and cognitive function enable technological developments to be exploited, thus enhancing our ability to cope with an increasingly broad spectrum of hearing impairment, ranging from mild high-frequency loss to severe loss across the entire frequency range.

  6. Clinical evaluation of an over-the-counter hearing aid (TEO First®) in elderly patients suffering of mild to moderate hearing loss

    OpenAIRE

    Sacco, Guillaume; Gonfrier, Sébastien; Teboul, Bernard; Gahide, Ivan; Prate, Fredéric; Demory-Zory, Mathilde; Turpin, Jean-Michel; Vuagnoux, Claire; Genovese, Philippe; Schneider, Stéphane; Guérin, Olivier; Guevara, Nicolas

    2016-01-01

    Background Presbycusis has a direct influence on autonomy of the elderly but hearing aids lack of affordability. Moreover a recent review demonstrate that electroacoustic characteristics of OTC hearing aids were generally not suitable for the elderly people. In our study, we assessed the clinical value of a new over-the-counter (OTC) hearing aid device (TEO First®) in the elderly. Method This prospective monocentric open label study included patients over 60 years of age with a mild to modera...

  7. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices.

    Science.gov (United States)

    2010-07-01

    ... components of surgically implanted medical devices. 300.113 Section 300.113 Education Regulations of the... surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids worn...) External components of surgically implanted medical devices. (1) Subject to paragraph (b)(2) of...

  8. Seeing the Talker's Face Improves Free Recall of Speech for Young Adults with Normal Hearing but Not Older Adults with Hearing Loss

    Science.gov (United States)

    Rudner, Mary; Mishra, Sushmit; Stenfelt, Stefan; Lunner, Thomas; Rönnberg, Jerker

    2016-01-01

    Purpose: Seeing the talker's face improves speech understanding in noise, possibly releasing resources for cognitive processing. We investigated whether it improves free recall of spoken two-digit numbers. Method: Twenty younger adults with normal hearing and 24 older adults with hearing loss listened to and subsequently recalled lists of 13…

  9. Rethinking Hearing Aid Fitting by Learning From Behavioral Patterns

    DEFF Research Database (Denmark)

    Johansen, Benjamin; Petersen, Michael Kai; Pontoppidan, Niels Henrik

    2017-01-01

    users to remotely enhance auditory focus and attenuate background noise to improve speech intelligibility. N=5, participants changed program settings and adjusted volume on their hearing instruments using their smartphones. We found that individual behavioral patterns affected the usage of the devices....... A significant difference between program usage, and weekdays versus weekends, were found. Users not only changed programs to modify aspects of directionality and noise reduction, but also continuously adjusted the volume. Rethinking hearing instruments as devices that adaptively learn behavioral patterns based...

  10. Development and application of bone-anchored hearing aid%骨锚式助听器的发展及应用

    Institute of Scientific and Technical Information of China (English)

    刘宇鹏

    2013-01-01

    Bone-anchored hearing aid is a hearing assisting technology that raise the hearing level via bone conduct and is also the only implantable hearing assisting device working by bone conduct. Because of the superior performance and simple process of implantation, it brings gospel to the patients who are not fitting the air conducting hearing devices. This article is a review of bone-anchored hearing aid from 6 aspects, including history, principle, indication, consulting, surgery and complication.

  11. The effects of a hearing education program on recreational noise exposure, attitudes and beliefs toward noise, hearing loss, and hearing protector devices in young adults.

    Science.gov (United States)

    Keppler, Hannah; Ingeborg, Dhooge; Sofie, Degeest; Bart, Vinck

    2015-01-01

    Excessive recreational noise exposure in young adults might result in noise-induced hearing loss (NIHL) and tinnitus. Inducing behavioral change in young adults is one of the aims of a hearing conservation program (HCP). The goal of the current study was to evaluate the effect of a hearing education program after 6 months in young adults in relation to knowledge regarding their individual hearing status. The results of a questionnaire regarding the weekly equivalent recreational noise exposure, attitudes and beliefs toward noise, and hearing loss and hearing protector devices (HPDs) were compared between both sessions. Seventy-eight young adults completed the questionnaire concerning recreational noise exposure, youth attitude to noise scale (YANS), and beliefs about hearing protection and hearing loss (BAHPHL). Their hearing status was evaluated based on admittance measures, audiometry, transient-evoked otoacoustic emissions (TEOAEs), and distortion-product otoacoustic emissions (DPOAEs). The main analysis consisted of a mixed model analysis of variance with dependent variables of either the noise exposure or the scores on (subscales of) YANS and BAHPHL. The independent variables were hearing status and session one versus session two. There was a significant decrease in recreational noise exposure and several (sub) scales of YANS and BAHPHL between both the sessions. This behavioral change resulted in a more frequent use of HPDs in 12% of the participants. However, the behavioral change was not completely related to the knowledge of young adults' individual hearing status. To prevent hearing damage in young people, investing in HCPs is necessary, apart from regulating sound levels and its compliance at various leisure-time activities. Also, the long-term effect of HCPs and their most cost-efficient repetition rates should be further investigated.

  12. [Value of in situ measurement for evaluating effective hearing aid amplification at high sound pressure levels].

    Science.gov (United States)

    Brügel, F J; Schorn, K

    1993-06-01

    A careful hearing aid fitting requires consideration of various characteristics of inner ear pathology. The recruitment phenomenon restricts the dynamic range of the impaired hearing and this increase the demands on the hearing aids for a satisfactory correction of the frequency characteristics as well as for an intensity reduction at higher sound pressure level SPL. For years data from coupler or KEMAR (Knowles Electronics Manikin of Acoustical Research) have served to estimate the real ear gain of a hearing aid at higher input levels. In previous papers we reported on some of the differences between coupler measurement and probe tube measurement. The object of this study was to investigate the differences between these two methods at higher input SPL. Therefore, we measured the real ear insertion gain as well as the output characteristics with a 2 cm3 coupler in 80 patients at input levels of 60 dB, 80 dB and 100 dB. The results show differences between the two methods up to 30 dB in both directions in the single patient. Furthermore, the highest compression rate was found in the middle and high frequency range which are crucial for speech discrimination. Consequently, probe tube measurement should be used not only to adjust the frequency characteristics of the hearing aid but also to characterise the real effect of Automatic Gain Control AGC and Peak Clipping PC on insertion gain at higher input SPL. Multichannel hearing aids should be used whenever possible to reduce the disturbances to speech discrimination at low frequencies.

  13. Rate-constrained source separation for speech enhancement in wireless-communicated binaural hearing aids

    Science.gov (United States)

    Ayllón, David; Gil-Pita, Roberto; Rosa-Zurera, Manuel

    2013-12-01

    A recent trend in hearing aids is the connection of the left and right devices to collaborate between them. Binaural systems can provide natural binaural hearing and support the improvement of speech intelligibility in noise, but they require data transmission between both devices, which increases the power consumption. This paper presents a novel sound source separation algorithm for binaural speech enhancement based on supervised machine learning and time-frequency masking. The system is designed considering the power restrictions in hearing aids, constraining both the computational cost of the algorithm and the transmission bit rate. The transmission schema is optimized using a tailored evolutionary algorithm that assigns a different number of bits to each frequency band. The proposed algorithm requires less than 10% of the available computational resources for signal processing and obtains good separation performance using bit rates lower than 64 kbps.

  14. Development of the Speech Intelligibility Rating (SIR) test for hearing aid comparisons.

    Science.gov (United States)

    Cox, R M; McDaniel, D M

    1989-06-01

    The Speech Intelligibility Rating (SIR) Test has been developed for use in clinical comparisons of hearing aid conditions. After listening to a short passage of connected speech, subjects generate a rating proportional to its intelligibility using an equal-appearing interval scale from 0 to 10. Before test passages are presented, the signal-to-babble ratio (SBR) is adjusted to a level that elicits intelligibility ratings of 7-8 for a "setup" passage. Then, with SBR held constant, three or more test passages are rated and the results averaged for each aided condition. This paper describes the generation of recorded test materials and their investigation using normally hearing listeners. Based on these data, a critical difference of about 2 scale intervals is recommended. A future paper will deal with results for hearing-impaired subjects.

  15. 77 FR 70407 - Updated Information and Comment Sought on Review of Hearing Aid Compatibility Regulations

    Science.gov (United States)

    2012-11-26

    ... comment on whether, in light of technological and market developments, the Commission's deployment... Act of 2010 (CVAA, Pub. L. 111-260) became law, ensuring that individuals with disabilities have... handsets' hearing aid compatibility? With the introduction of devices in new sizes and form factors, is...

  16. 75 FR 54546 - Amendment of the Commission's Rules Governing Hearing Aid-Compatible Mobile Handsets

    Science.gov (United States)

    2010-09-08

    ... test the hearing aid compatibility of voice functions that are not initially installed into the phone... modifications needed to achieve inductive coupling capability did not appear unduly costly, and increased demand..., their size, or other considerations. 20. In addition to allowing consumers to test handsets,...

  17. A Combined Feedback and Noise Cancellation Algorithm for Binaural Hearing Aids

    Directory of Open Access Journals (Sweden)

    LEE, H.-W.

    2011-08-01

    Full Text Available This paper proposes an adaptive algorithm for the combined acoustic feedback and noise cancellation in the binaural hearing aids. The proposed algorithm is based on dual microphones for feedback cancellation and the beamforming method for noise cancellation. The coefficients of feedback canceller are updated after subtracting the speech signal from the input signal by dual microphones. And the noise canceller reduces the noise signal in the residual signal excluding the speech by the beamforming method. Firstly, the feedback canceller operates to cancel the feedback signal in the microphone signal, and then the noise canceller operates to reduce the noise in the residual signal. Also, to assure the stable convergence of binaural hearing aids in the training mode, the coefficients of the left hearing aid are firstly updated, then the coefficients of the right hearing aid are updated. In the normal mode, the feedback and the noise canceller are operated without updating coefficients except an unstable case. To verify performances of the proposed algorithm, we analyzed its convergence behavior and simulated for real speech. From the results of simulations, it was proved that we can advance 14.43dB SFR(speech-to-feedback ratio on average in the feedback canceller, 10.19dB SNR(speech-to-noise ratio improvement on average in the noise canceller, in the case of applying the proposed algorithm.

  18. Reading and Spelling Abilities of Deaf Adolescents with Cochlear Implants and Hearing Aids

    Science.gov (United States)

    Harris, Margaret; Terlektsi, Emmanouela

    2011-01-01

    A total of 86 deaf children aged between 12 and 16 years were recruited from schools for the deaf, specialist units attached to a school, and mainstream schools. Approximately one-third used hearing aids, one-third had received a cochlear implant before 42 months, and one-third had been implanted later. The 3 subgroups were matched for age and…

  19. Binaural Integrated Active Noise Control and Noise Reduction in Hearing Aids

    DEFF Research Database (Denmark)

    Serizel, Romain; Moonen, Marc; Wouters, Jan;

    2013-01-01

    This paper presents a binaural approach to integrated active noise control and noise reduction in hearing aids and aims at demonstrating that a binaural setup indeed provides significant advantages in terms of the number of noise sources that can be compensated for and in terms of the causality...

  20. Perception-Based Personalization of Hearing Aids Using Gaussian Processes and Active Learning

    DEFF Research Database (Denmark)

    Nielsen, Jens Brehm; Nielsen, Jakob; Larsen, Jan

    2015-01-01

    —equivalent to 5-10 min—is sufficient for personalization of up to four hearing-aid parameters. A setting obtained by the system was significantly preferred by the subject over the initial fitting, and the obtained setting could be reproduced with reasonable precision. The system may have potential for clinical...

  1. Extracting the invariant model from the feedback paths of digital hearing aids

    DEFF Research Database (Denmark)

    Ma, Guilin; Gran, Fredrik; Jacobsen, Finn;

    2011-01-01

    Feedback whistling is a severe problem with hearing aids. A typical acoustical feedback path represents a wave propagation path from the receiver to the microphone and includes many complicated effects among which some are invariant or nearly invariant for all users and in all acoustical environm...

  2. Evaluation of State-of-the-Art Acoustic Feedback Cancellation Systems for Hearing Aids

    DEFF Research Database (Denmark)

    Guo, Meng; Jensen, Søren Holdt; Jensen, Jesper

    2013-01-01

    This research evaluates four state-of-the-art acoustic feedback cancellation systems in hearing aids in terms of the cancellation performance, sound quality degradation, and computational complexity. The authors compared a traditional full-band system to a system with a prediction error method...

  3. A conceptual framework for designing micro electrical connectors for hearing aid instruments

    DEFF Research Database (Denmark)

    Doagou Rad, Saeed; Islam, Aminul; Fuglsang-Philip, M.

    2016-01-01

    technological advancements have urged them to incorporate increased number of electrical contacts. The current paper presents a conceptual framework for designing and manufacturing novel plug and socket systems for hearing aid instruments by using the state of art manufacturing technologies for micro components...

  4. Quality investigation of miniaturized Moulded Interconnect Devices (MIDs) for hearing aid applications

    DEFF Research Database (Denmark)

    Islam, Aminul; Hansen, Hans Nørgaard; Giannekas, Nikolaos

    2015-01-01

    of positioning accuracies, dimensional fidelity and surface topography of the metal tracks. The paper proposes a novel method for the corrosion protection of the MID metal surface. The results obtained from the tests demonstrate the feasibility of the use of MIDs in the hearing aid application and an efficient...... protection of the MIDs from corrosion induced by harsh application environment....

  5. [Improvement in Phoneme Discrimination in Noise in Normal Hearing Adults].

    Science.gov (United States)

    Schumann, A; Garea Garcia, L; Hoppe, U

    2017-02-01

    Objective: The study's aim was to examine the possibility to train phoneme-discrimination in noise with normal hearing adults, and its effectivity on speech recognition in noise. A specific computerised training program was used, consisting of special nonsense-syllables with background noise, to train participants' discrimination ability. Material and Methods: 46 normal hearing subjects took part in this study, 28 as training group participants, 18 as control group participants. Only the training group subjects were asked to train over a period of 3 weeks, twice a week for an hour with a computer-based training program. Speech recognition in noise were measured pre- to posttraining for the training group subjects with the Freiburger Einsilber Test. The control group subjects obtained test and restest measures within a 2-3 week break. For the training group follow-up speech recognition was measured 2-3 months after the end of the training. Results: The majority of training group subjects improved their phoneme discrimination significantly. Besides, their speech recognition in noise improved significantly during the training compared to the control group, and remained stable for a period of time. Conclusions: Phonem-Discrimination in noise can be trained by normal hearing adults. The improvements have got a positiv effect on speech recognition in noise, also for a longer period of time.

  6. Designing of a digital behind-the-ear hearing aid to meet the World Health Organization requirements.

    Science.gov (United States)

    Bento, Ricardo Ferreira; Penteado, Silvio Pires

    2010-06-01

    Hearing loss is a common health issue that affects nearly 10% of the world population as indicated by many international studies. The hearing impaired typically experience more frustration, anxiety, irritability, depression, and disorientation than those with normal hearing levels. The standard rehabilitation tool for hearing impairment is an electronic hearing aid whose main components are transducers (microphone and receiver) and a digital signal processor. These electronic components are manufactured by supply chain rather than by hearing aid manufacturers. Manufacturers can use custom-designed components or generic off-the-shelf components. These electronic components are available as application-specific or off-the-shelf products, with the former designed for a specific manufacturer and the latter for a generic approach. The choice of custom or generic components will affect the product specifications, pricing, manufacturing, life cycle, and marketing strategies of the product. The World Health Organization is interested in making available to developing countries hearing aids that are inexpensive to purchase and maintain. The hearing aid presented in this article was developed with these specifications in mind together with additional contemporary features such as four channels with wide dynamic range compression, an adjustable compression rate for each channel, four comfort programs, an adaptive feedback manager, and full volume control. This digital hearing aid is fitted using a personal computer with minimal hardware requirements in intuitive three-step fitting software. A trimmer-adjusted version can be developed where human and material resources are scarce.

  7. Application of the Consumer Decision-Making Model to Hearing Aid Adoption in First-Time Users.

    Science.gov (United States)

    Amlani, Amyn M

    2016-05-01

    Since 1980, hearing aid adoption rates have remained essentially the same, increasing at a rate equal to the organic growth of the population. Researchers have used theoretical models from psychology and sociology to determine those factors or constructs that lead to the adoption of hearing aids by first-time impaired listeners entering the market. In this article, a theoretical model, the Consumer Decision-Making Model (CDM), premised on the neobehavioral approach that considers an individual's psychological and cognitive emphasis toward a product or service, is described. Three theoretical models (i.e., transtheoretical, social model of disability, Health Belief Model), and their relevant findings to the hearing aid market, are initially described. The CDM is then presented, along with supporting evidence of the model's various factors from the hearing aid literature. Future applications of the CDM to hearing health care also are discussed.

  8. “对证选配”助听器%Individualized Hearing Aid Fitting Strategies:Basics and Application

    Institute of Scientific and Technical Information of China (English)

    张建一; 西品香; 马佳; 李媛媛

    2013-01-01

    The maximization of comfortableness and intelligibility for hearing aid users are two objectives in hearing aid fitting. When fitting hearing aids for people with sensorineural hearing loss, the hearing aid fitters are supposed to conduct accurate audiological evaluation, choose and fit hearing aids according to individual conditions, assess the effects of hearing aids properly, have a good command of necessary psychological knowledge and have a good affinity, language ability and ability to communicate with hearing-impaired people.%  助听器配戴者的舒适度和清晰度最大化是助听器验配的两大目标。助听器验配师在为感音神经性聋患者验配助听器时,应进行准确的听力学评估,对证选择助听器,对证调试助听器,科学评估助听器的效果,掌握必要的心理学知识,并具备良好的亲和力、表达能力和沟通能力。

  9. Long-term tinnitus suppression with linear octave frequency transposition hearing AIDS.

    Directory of Open Access Journals (Sweden)

    Elisabeth Peltier

    Full Text Available Over the last three years of hearing aid dispensing, it was observed that among 74 subjects fitted with a linear octave frequency transposition (LOFT hearing aid, 60 reported partial or complete tinnitus suppression during day and night, an effect still lasting after several months or years of daily use. We report in more details on 38 subjects from whom we obtained quantified measures of tinnitus suppression through visual analog scaling and several additional psychoacoustic and audiometric measures. The long-term suppression seems independent of subject age, and of duration and subjective localization of tinnitus. A small but significant correlation was found with audiogram losses but not with high frequency loss slope. Long-term tinnitus suppression was observed for different etiologies, but with a low success rate for sudden deafness. It should be noted that a majority of subjects (23 had a history of noise exposure. Tinnitus suppression started after a few days of LOFT hearing aid use and reached a maximum after a few weeks of daily use. For nine subjects different amounts of frequency shifting were tried and found more or less successful for long-term tinnitus suppression, no correlation was found with tinnitus pitch. When the use of the LOFT hearing aid was stopped tinnitus reappeared within a day, and after re-using the LOFT aid it disappeared again within a day. For about one third of the 38 subjects a classical amplification or a non linear frequency compression aid was also tried, and no such tinnitus suppression was observed. Besides improvements in audiometric sensitivity to high frequencies and in speech discrimination scores, LOFT can be considered as a remarkable opportunity to suppress tinnitus over a long time scale. From a pathophysiological viewpoint these observations seem to fit with a possible re-attribution of activity to previously deprived cerebral areas corresponding to high frequency coding.

  10. Auditory-model based assessment of the effects of hearing loss and hearing-aid compression on spectral and temporal resolution

    DEFF Research Database (Denmark)

    Kowalewski, Borys; MacDonald, Ewen; Strelcyk, Olaf

    2016-01-01

    Most state-of-the-art hearing aids apply multi-channel dynamic-range compression (DRC). Such designs have the potential to emulate, at least to some degree, the processing that takes place in the healthy auditory system. One way to assess hearing-aid performance is to measure speech intelligibility....... However, due to the complexity of speech and its robustness to spectral and temporal alterations, the effects of DRC on speech perception have been mixed and controversial. The goal of the present study was to obtain a clearer understanding of the interplay between hearing loss and DRC by means...

  11. Adaptive dynamic range optimization (ADRO): a digital amplification strategy for hearing aids and cochlear implants.

    Science.gov (United States)

    Blamey, Peter J

    2005-01-01

    Adaptive dynamic range optimization (ADRO) is an amplification strategy that uses digital signal processing techniques to improve the audibility, comfort, and intelligibility of sounds for people who use cochlear implants and/or hearing aids. The strategy uses statistical analysis to select the most information-rich section of the input dynamic range in multiple-frequency channels. Fuzzy logic rules control the gain in each frequency channel so that the selected section of the dynamic range is presented at an audible and comfortable level. The ADRO processing thus adaptively optimizes the dynamic range of the signal in multiple-frequency channels. Clinical studies show that ADRO can be fitted easily to all degrees of hearing loss for hearing aids and cochlear implants in a direct and intuitive manner, taking the preferences of the listener into account. The result is high acceptance by new and experienced hearing aid users and strong preferences for ADRO compared with alternative amplification strategies. The ADRO processing is particularly well suited to bimodal and hybrid stimulation which combine electric and acoustic stimulation in opposite ears or in the same ear, respectively.

  12. Development of the Three-Clinic Hearing Aid Selection Profile (HASP).

    Science.gov (United States)

    Jacobson, G P; Newman, C W; Fabry, D A; Sandridge, S A

    2001-03-01

    The Three-Clinic Hearing Aid Selection Profile (HASP) was developed to assess a patient's beliefs about a number of basic considerations felt to be critical to the hearing aid selection (HAS) process. These characteristics are felt to be key to the acceptance of amplification and include motivation, expectations, cost of goods and services, appearance (cosmesis), attitudes about technology, physical function/limitations, communication needs, and lifestyle. The results of the first investigation suggest that we have been successful in developing a 40-item metric with adequate internal consistency reliability that assesses the aforementioned characteristics. Second, results of the administration of this tool to a large group of individuals indicated that (1) age impacted scores on the Technology, Physical Function, and Communicative Needs subscales; (2) gender impacted scores on the Motivation, Expectation, Technology, Communicative Needs, and Appearance subscales; (3) previous hearing aid use affected scores on the Motivation subscale; (4) level of education impacted scores on the Physical Function and Lifestyle subscales; and (5) self-perceived hearing handicap had an effect on Motivation and Communicative Needs subscale scores. Percentile data collected from this subject sample are presented as a benchmark against which to evaluate responses from individual patients. Case studies are presented to illustrate the potential clinical utility of this device.

  13. Intention to use hearing aids: a survey based on the theory of planned behavior

    Directory of Open Access Journals (Sweden)

    Meister H

    2014-09-01

    Full Text Available Hartmut Meister,1 Linda Grugel,1 Markus Meis2 1Jean Uhrmacher Institute for Clinical ENT Research, University of Cologne, Cologne, Germany; 2Hoerzentrum Oldenburg, Oldenburg, Germany Objective: To determine the intention to use hearing aids (HAs by applying the theory of planned behavior (TPB. Design: The TPB is a widely used decision-making model based on three constructs hypothesized to influence the intention to perform a specific behavior; namely, “attitude toward the behavior”, “subjective norm”, and “behavioral control”. The survey was based on a TPB-specific questionnaire addressing factors relevant to HA provision. Study sample: Data from 204 individuals reporting hearing problems were analyzed. Different subgroups were established according to the stage of their hearing help-seeking. Results: The TPB models’ outcome depended on the subgroup. The intention of those participants who had recognized their hearing problems but had not yet consulted an ear, nose, and throat specialist was largely dominated by the “subjective norm” construct, whereas those who had already consulted an ear, nose, and throat specialist or had already tried out HAs were significantly influenced by all constructs. The intention of participants who already owned HAs was clearly less affected by the “subjective norm” construct but was largely dominated by their “attitude toward HAs”. Conclusion: The intention to use HAs can be modeled on the basis of the constructs “attitude toward the behavior”, “subjective norm”, and “behavioral control”. Individual contribution of the constructs to the model depends on the patient’s stage of hearing help-seeking. The results speak well for counseling strategies that explicitly consider the individual trajectory of hearing help-seeking. Keywords: hearing aid uptake, motivation, attitude, subjective norm, behavioral control

  14. Self-Assessed Hearing Handicap in Older Adults with Poorer-than-Predicted Speech Recognition in Noise

    Science.gov (United States)

    Eckert, Mark A.; Matthews, Lois J.; Dubno, Judy R.

    2017-01-01

    Purpose: Even older adults with relatively mild hearing loss report hearing handicap, suggesting that hearing handicap is not completely explained by reduced speech audibility. Method: We examined the extent to which self-assessed ratings of hearing handicap using the Hearing Handicap Inventory for the Elderly (HHIE; Ventry & Weinstein, 1982)…

  15. Dual-microphone and binaural noise reduction techniques for improved speech intelligibility by hearing aid users

    Science.gov (United States)

    Yousefian Jazi, Nima

    Spatial filtering and directional discrimination has been shown to be an effective pre-processing approach for noise reduction in microphone array systems. In dual-microphone hearing aids, fixed and adaptive beamforming techniques are the most common solutions for enhancing the desired speech and rejecting unwanted signals captured by the microphones. In fact, beamformers are widely utilized in systems where spatial properties of target source (usually in front of the listener) is assumed to be known. In this dissertation, some dual-microphone coherence-based speech enhancement techniques applicable to hearing aids are proposed. All proposed algorithms operate in the frequency domain and (like traditional beamforming techniques) are purely based on the spatial properties of the desired speech source and does not require any knowledge of noise statistics for calculating the noise reduction filter. This benefit gives our algorithms the ability to address adverse noise conditions, such as situations where interfering talker(s) speaks simultaneously with the target speaker. In such cases, the (adaptive) beamformers lose their effectiveness in suppressing interference, since the noise channel (reference) cannot be built and updated accordingly. This difference is the main advantage of the proposed techniques in the dissertation over traditional adaptive beamformers. Furthermore, since the suggested algorithms are independent of noise estimation, they offer significant improvement in scenarios that the power level of interfering sources are much more than that of target speech. The dissertation also shows the premise behind the proposed algorithms can be extended and employed to binaural hearing aids. The main purpose of the investigated techniques is to enhance the intelligibility level of speech, measured through subjective listening tests with normal hearing and cochlear implant listeners. However, the improvement in quality of the output speech achieved by the

  16. Proposed use of a digital signal processor in an experimental tactile hearing aid for the profoundly deaf: preliminary communication.

    Science.gov (United States)

    Mathijssen, R W; Leliveld, W H

    1989-01-01

    An experimental system for a tactile hearing aid using a digital signal processor (DSP) is being developed. This system can be used to test and evaluate not only the familiar techniques for a tactile hearing aid, such as energy level display, filterbank analysis, etc., but also novel techniques. The system is being developed especially to try out new recognition strategies, because the currently available strategies are not satisfactory. A portable tactile hearing aid that can recognize certain environmental sounds (alarm sounds) and certain features from the speech signal (such as pitch, voiced/voiceless, or even complete phonemes), being a good support for lipreading, should be the final result of the experiments.

  17. 8 Pin RIC Socket for Hearing Aid Applications

    DEFF Research Database (Denmark)

    Islam, Aminul; Hansen, Hans Nørgaard; Davids, Søren;

    2012-01-01

    process and the other one is fully automated process. This paper presents the entire process chain for both the concepts and makes a comparative analysis based on the experimental investigation and validation. The work presented here can be a source of valuable information for industrial users......The current paper presents the development of an 8 Pin RIC (Receiver in the canal) Socket for hearing instruments within the framework of the COTECH project. There are 8 industrial demonstrators developed in COTECH based on the converged product and process design. Sonion’s 8 Pin RIC Socket is one...... of them. 8 Pin RIC Socket is a functionally versatile product which can combine many different functions and presents many advantages compared with the previous 3 Pin RIC Socket. For the demonstrator production of the new Socket, two different production concepts were chosen- one based on semi-automated...

  18. Comparison of Gated Audiovisual Speech Identification in Elderly Hearing Aid Users and Elderly Normal-Hearing Individuals

    Directory of Open Access Journals (Sweden)

    Shahram Moradi

    2016-06-01

    Full Text Available The present study compared elderly hearing aid (EHA users (n = 20 with elderly normal-hearing (ENH listeners (n = 20 in terms of isolation points (IPs, the shortest time required for correct identification of a speech stimulus and accuracy of audiovisual gated speech stimuli (consonants, words, and final words in highly and less predictable sentences presented in silence. In addition, we compared the IPs of audiovisual speech stimuli from the present study with auditory ones extracted from a previous study, to determine the impact of the addition of visual cues. Both participant groups achieved ceiling levels in terms of accuracy in the audiovisual identification of gated speech stimuli; however, the EHA group needed longer IPs for the audiovisual identification of consonants and words. The benefit of adding visual cues to auditory speech stimuli was more evident in the EHA group, as audiovisual presentation significantly shortened the IPs for consonants, words, and final words in less predictable sentences; in the ENH group, audiovisual presentation only shortened the IPs for consonants and words. In conclusion, although the audiovisual benefit was greater for EHA group, this group had inferior performance compared with the ENH group in terms of IPs when supportive semantic context was lacking. Consequently, EHA users needed the initial part of the audiovisual speech signal to be longer than did their counterparts with normal hearing to reach the same level of accuracy in the absence of a semantic context.

  19. Evidence-based practice: management of adult sensorineural hearing loss.

    Science.gov (United States)

    Chau, Justin K; Cho, John J W; Fritz, Dieter K

    2012-10-01

    Sensorineural hearing loss is a complex disease state influenced by genetics, age, noise, and many other factors. This article reviews our current knowledge regarding the causes of sensorineural hearing loss and reviews the more challenging clinical presentations of sensorineural hearing loss. We have reviewed the latest medical literature in an attempt to provide an evidence-based strategy for the assessment and management of sudden sensorineural hearing loss, rapidly progressive sensorineural hearing loss, and asymmetric/unilateral sensorineural hearing loss.

  20. Cortical Electrophysiological Markers of Language Abilities in Children with Hearing Aids: A Pilot Study

    Directory of Open Access Journals (Sweden)

    David Bakhos

    2014-01-01

    Full Text Available Objective. To investigate cortical auditory evoked potentials (CAEPs in pediatric hearing aid (HA users, with and without language impairment. Design. CAEPs were measured in 11 pediatric HA users (age: 8–12 years with moderate bilateral sensorineural hearing loss (HL; participants were classified according to language ability. CAEPs were also measured for a control group of 11 age-matched, normal-hearing (NH children. Results. HL children without language impairment exhibited normal CAEPs. HL children with language impairment exhibited atypical temporal CAEPs, characterized by the absence of N1c; frontocentral responses displayed normal age-related patterns. Conclusion. Results suggest that abnormal temporal brain function may underlie language impairment in pediatric HA users with moderate sensorineural HL.

  1. Perception of Quality of Life for Adults with Hearing Impairment in the LGBT Community

    Science.gov (United States)

    Kelly-Campbell, Rebecca J.; Atcherson, Samuel R.

    2012-01-01

    The purpose of the this study was to examine the perception of both generic and disease-specific quality of life (QoL) in adults with hearing impairment who are members of the lesbian, gay, bisexual, and transgender (LGBT) community. Eighty-three adults who self-identified as having hearing impairment and as being members of the LGBT community and…

  2. The Effects of Unilateral Adaptation of Hearing Aids on Symptoms of Depression and Social Activity Constraints of Elderly

    OpenAIRE

    Santos, Fernanda Dutra dos; Teixeira, Adriane Ribeiro

    2014-01-01

    Introduction Hearing loss is one of the most common problems in the elderly population. Besides compromising oral communication, it directly affects social relations and prevents elderly patients from living actively in society, possibly leading to the onset of depression or other conditions. Objective To analyze the effects of unilateral adaptation of hearing aids on symptoms of depression and the social activity constraints of elderly subjects with hearing impairment. Methods The samp...

  3. Bone-anchored hearing aids are effective and associated with a high degree of satisfaction

    DEFF Research Database (Denmark)

    Gardell, Ida Sofie Kristina; Andresen, Kathrine; Faber, Christian Emil

    2015-01-01

    INTRODUCTION: The objective of this study was to evaluate patients' satisfaction with bone-anchored hearing aids (BAHA). METHODS: This study was retrospective and based on a postal questionnaire. The study sample consisted of patients undergoing surgery at Odense University Hospital in the 1992......-2013-period. The questionnaire was a combination of Satisfaction with Amplification in Daily Life questions from the Hearing Aid Research Lab at the University of Memphis and questions used in a previous Danish study. We also used data from each patient's medical records. All information was collected...... in a database. RESULTS: The response rate was 80% and the user percentage 88. The majority of the patients used their BAHA seven days a week and most of the day. 88% reported that it was in their best interest that they had received a BAHA. 80% of the respondents were able to communicate better using their BAHA...

  4. Analysis of Beamformer Directed Single-Channel Noise Reduction System for Hearing Aid Applications

    DEFF Research Database (Denmark)

    Jensen, Jesper; Pedersen, Michael Syskind

    2015-01-01

    We study multi-microphone noise reduction systems consisting of a beamformer and a single-channel (SC) noise reduction stage. In particular, we present and analyse a maximum likelihood (ML) method for jointly estimating the target and noise power spectral densities (psd's) entering the SC filter....... We show that the estimators are minimum variance and unbiased, and provide closed-form expressions for their mean-square error (MSE). Furthermore, we show that the MSE of the noise psd estimator is particularly simple: it is independent of target signal characteristics, frequency, and microphone...... locations. In a hearing aid context, we analyze the performance of the estimators as a function of target angle-of-arrival and frequency. Finally, we demonstrate the advantage of the proposed method in a hearing aid situation with a target speaker in large-crowd noise....

  5. A sub-milliwatt audio-processing platform for digital hearing aids

    Science.gov (United States)

    Jia, Yuan; Liming, Chen; Zenghui, Yu; Yong, Hei

    2014-07-01

    We present a novel audio-processing platform, FlexEngine, which is composed of a 24-bit application-specific instruction-set processor (ASIP) and five dedicated accelerators. Acceleration instructions, compact instructions and repeat instruction are added into the ASIP's instruction set to deal with some core tasks of hearing aid algorithms. The five configurable accelerators are used to execute several of the most common functions of hearing aids. Moreover, several low power strategies, such as clock gating, data isolation, memory partition, bypass mode, sleep mode, are also applied in this platform for power reduction. The proposed platform is implemented in CMOS 130 nm technology, and test results show that power consumption of FlexEngine is 0.863 mW with the clock frequency of 8 MHz at Vdd = 1.0 V.

  6. Psychophysics, fitting, and signal processing for combined hearing aid and cochlear implant stimulation.

    Science.gov (United States)

    Francart, Tom; McDermott, Hugh J

    2013-01-01

    The addition of acoustic stimulation to electric stimulation via a cochlear implant has been shown to be advantageous for speech perception in noise, sound quality, music perception, and sound source localization. However, the signal processing and fitting procedures of current cochlear implants and hearing aids were developed independently, precluding several potential advantages of bimodal stimulation, such as improved sound source localization and binaural unmasking of speech in noise. While there is a large and increasing population of implantees who use a hearing aid, there are currently no generally accepted fitting methods for this configuration. It is not practical to fit current commercial devices to achieve optimal binaural loudness balance or optimal binaural cue transmission for arbitrary signals and levels. There are several promising experimental signal processing systems specifically designed for bimodal stimulation. In this article, basic psychophysical studies with electric acoustic stimulation are reviewed, along with the current state of the art in fitting, and experimental signal processing techniques for electric acoustic stimulation.

  7. Evaluation of frequency-lowering algorithms for intelligibility of Chinese speech in hearing-aid users

    Institute of Scientific and Technical Information of China (English)

    Xianbo Xiao; Hui Zhang; Guangshu Hu; Chunhong Liu; Jia Liu

    2009-01-01

    Despite the attention being given to and the knowledge of the benefits of evaluating frequency-lowering algorithms for hearing-impaired people, the causality between these algorithms and their benefits is still not clear. This is aggravated by the fact that comparative research on the methodologies and skills required for fitting an appropriate algorithm to individual patients is lacking. Against this back-drop, the current study has attempted to make progress in this area. In this experiment, six experienced traditional hearing-aid users with severe impairments in the high frequencies were fitted with two different frequency-lowering methods, and weekly hearing tests were con-ducted to track the benefits of such methods. After the experiment, five of the listeners accepted the frequency-lowering algorithms. Both methods showed superior results when compared with the listeners' own hearing aids in most of the tests, and the segmented compression algorithm was indicated to have better "anti-noise" quality and speech intelligibility improvement capabilities. A preference for the appli-cation of proportional compression to unvoiced speech was also found in this algorithm. Unlike in previous studies, all speech materials here are recorded in Chinese. Therefore, the results could also be used to evaluate the benefits of frequency-lowering to the intelligibility of Chinese speech for patients. As a result, an improvement was found, especially in the recognition of consonants. Moreover, no adverse effect was found in intonation recognition.

  8. Knowledge on adaptation process of users of hearing aid

    Directory of Open Access Journals (Sweden)

    Sant'Anna, Leandro Machado

    2008-09-01

    Full Text Available Introduction: Professionals that work in this area know how important the orientation to the use of auditory device is, which involves the care required to handle and use the equipment and aspects aiming at the adaptation. Objective: To compare the knowledge of both long-term and new users about the adaptation process to the use of auditory device, so as to provide speech and language pathologists with a greater knowledge about the aspects that most influence the adaptation process. Method: This research is an observational, descriptive, cross-sectional, contemporary, retrospective study. The new and old users answered a questionnaire with information on the auditory device conservation and the adaptation process. The results were compared quantitatively through statistical review and qualitatively. Results: The age of the individuals in this study varied between 28 and 90 years. In some aspects, old and new users presented the same knowledge level. Conclusion: New users of auditory devices have been looking for hearing (re habilitation increasingly later. The action of phonoaudiology in the process of selection and adaptation to auditory devices among experienced and new users is extremely important to an effective acclimatization.

  9. [Selected marketing aspects in the hearing aids fitting and their distribution].

    Science.gov (United States)

    Sojkin, Bogdan; Pruszewicz, Antoni; Swidzińska, Anna; Swidziński, Piotr

    2002-01-01

    The developing of free market in Poland gives medical firms of opportunities but also necessity of adoption for more and more individual needs of customers. This article presents some aspects of marketing on the hearing aids market. The conclusions are based on long observation and empirical research. Problems mentioned in it are connected with principles like distribution channels, specific customers services and promotion. It also shows relations between medical firms, specialists, doctors, audiologists and real customers.

  10. Evaluation of Extended-Wear Hearing Aid Technology for Operational Military Use

    Science.gov (United States)

    2016-07-01

    localization accuracy 2) Evaluate the effect of the devices on occlusion and speech communication in noise 3) Evaluate how well the devices can protect the...including functional gain, attenuation provided by the hearing aids when turned off, localization ability, and speech understanding in noise. The results...training and professional development has the project provided? The Lyric device is commercially available through Phonak, LLC. Phonak provides

  11. Directional hearing aid using hybrid adaptive beamformer (HAB) and binaural ITE array

    Science.gov (United States)

    Shaw, Scott T.; Larow, Andy J.; Gibian, Gary L.; Sherlock, Laguinn P.; Schulein, Robert

    2002-05-01

    A directional hearing aid algorithm called the Hybrid Adaptive Beamformer (HAB), developed for NIH/NIA, can be applied to many different microphone array configurations. In this project the HAB algorithm was applied to a new array employing in-the-ear microphones at each ear (HAB-ITE), to see if previous HAB performance could be achieved with a more cosmetically acceptable package. With diotic output, the average benefit in threshold SNR was 10.9 dB for three HoH and 11.7 dB for five normal-hearing subjects. These results are slightly better than previous results of equivalent tests with a 3-in. array. With an innovative binaural fitting, a small benefit beyond that provided by diotic adaptive beamforming was observed: 12.5 dB for HoH and 13.3 dB for normal-hearing subjects, a 1.6 dB improvement over the diotic presentation. Subjectively, the binaural fitting preserved binaural hearing abilities, giving the user a sense of space, and providing left-right localization. Thus the goal of creating an adaptive beamformer that simultaneously provides excellent noise reduction and binaural hearing was achieved. Further work remains before the HAB-ITE can be incorporated into a real product, optimizing binaural adaptive beamforming, and integrating the concept with other technologies to produce a viable product prototype. [Work supported by NIH/NIDCD.

  12. A novel modeling method for manufacturing hearing aid using 3D medical images

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyeong Gyun [Dept of Radiological Science, Far East University, Eumseong (Korea, Republic of)

    2016-06-15

    This study aimed to suggest a novel method of modeling a hearing aid ear shell based on Digital Imaging and Communication in Medicine (DICOM) in the hearing aid ear shell manufacturing method using a 3D printer. In the experiment, a 3D external auditory meatus was extracted by using the critical values in the DICOM volume images, a nd t he modeling surface structures were compared in standard type STL (STereoLithography) files which could be recognized by a 3D printer. In this 3D modeling method, a conventional ear model was prepared, and the gaps between adjacent isograms produced by a 3D scanner were filled with 3D surface fragments to express the modeling structure. In this study, the same type of triangular surface structures were prepared by using the DICOM images. The result showed that the modeling surface structure based on the DICOM images provide the same environment that the conventional 3D printers may recognize, eventually enabling to print out the hearing aid ear shell shape.

  13. A Link Loss Model for the On-Body Propagation Channel for Binaural Hearing Aids

    Science.gov (United States)

    Chandra, Rohit; Johansson, Anders J.

    2013-12-01

    Binaural hearing aids communicate with each other through a wireless link for synchronization. A propagation model is needed to estimate the ear-to-ear link loss for such binaural hearing aids. The link loss is a critical parameter in a link budget to decide the sensitivity of the transceiver. In this paper, we have presented a model for the deterministic component of the ear-to-ear link loss. The model takes into account the dominant paths having most of the power of the creeping wave from the transceiver in one ear to the transceiver in other ear and the effect of the protruding part of the outer ear called pinna. Simulations are done to validate the model using in-the-ear (ITE) placement of antennas at 2.45 GHz on two heterogeneous phantoms of different age-group and body size. The model agrees with the simulations. The ear-to-ear link loss between the antennas for the binaural hearing aids in the homogeneous SAM phantom is compared with a heterogeneous phantom. It is found that the absence of the pinna and the lossless shell in the SAM phantom underestimate the link loss. This is verified by the measurements on a phantom where we have included the pinnas fabricated by 3D-printing.

  14. Practical considerations for a second-order directional hearing aid microphone system

    Science.gov (United States)

    Thompson, Stephen C.

    2003-04-01

    First-order directional microphone systems for hearing aids have been available for several years. Such a system uses two microphones and has a theoretical maximum free-field directivity index (DI) of 6.0 dB. A second-order microphone system using three microphones could provide a theoretical increase in free-field DI to 9.5 dB. These theoretical maximum DI values assume that the microphones have exactly matched sensitivities at all frequencies of interest. In practice, the individual microphones in the hearing aid always have slightly different sensitivities. For the small microphone separation necessary to fit in a hearing aid, these sensitivity matching errors degrade the directivity from the theoretical values, especially at low frequencies. This paper shows that, for first-order systems the directivity degradation due to sensitivity errors is relatively small. However, for second-order systems with practical microphone sensitivity matching specifications, the directivity degradation below 1 kHz is not tolerable. A hybrid order directive system is proposed that uses first-order processing at low frequencies and second-order directive processing at higher frequencies. This hybrid system is suggested as an alternative that could provide improved directivity index in the frequency regions that are important to speech intelligibility.

  15. SVD-Based Optimal Filtering Technique for Noise Reduction in Hearing Aids Using Two Microphones

    Directory of Open Access Journals (Sweden)

    Moonen Marc

    2002-01-01

    Full Text Available We introduce a new SVD-based (Singular value decomposition strategy for noise reduction in hearing aids. This technique is evaluated for noise reduction in a behind-the-ear (BTE hearing aid where two omnidirectional microphones are mounted in an endfire configuration. The behaviour of the SVD-based technique is compared to a two-stage adaptive beamformer for hearing aids developed by Vanden Berghe and Wouters (1998. The evaluation and comparison is done with a performance metric based on the speech intelligibility index (SII. The speech and noise signals are recorded in reverberant conditions with a signal-to-noise ratio of and the spectrum of the noise signals is similar to the spectrum of the speech signal. The SVD-based technique works without initialization nor assumptions about a look direction, unlike the two-stage adaptive beamformer. Still, for different noise scenarios, the SVD-based technique performs as well as the two-stage adaptive beamformer, for a similar filter length and adaptation time for the filter coefficients. In a diffuse noise scenario, the SVD-based technique performs better than the two-stage adaptive beamformer and hence provides a more flexible and robust solution under speaker position variations and reverberant conditions.

  16. SVD-Based Optimal Filtering Technique for Noise Reduction in Hearing Aids Using Two Microphones

    Science.gov (United States)

    Maj, Jean-Baptiste; Moonen, Marc; Wouters, Jan

    2002-12-01

    We introduce a new SVD-based (Singular value decomposition) strategy for noise reduction in hearing aids. This technique is evaluated for noise reduction in a behind-the-ear (BTE) hearing aid where two omnidirectional microphones are mounted in an endfire configuration. The behaviour of the SVD-based technique is compared to a two-stage adaptive beamformer for hearing aids developed by Vanden Berghe and Wouters (1998). The evaluation and comparison is done with a performance metric based on the speech intelligibility index (SII). The speech and noise signals are recorded in reverberant conditions with a signal-to-noise ratio of [InlineEquation not available: see fulltext.] and the spectrum of the noise signals is similar to the spectrum of the speech signal. The SVD-based technique works without initialization nor assumptions about a look direction, unlike the two-stage adaptive beamformer. Still, for different noise scenarios, the SVD-based technique performs as well as the two-stage adaptive beamformer, for a similar filter length and adaptation time for the filter coefficients. In a diffuse noise scenario, the SVD-based technique performs better than the two-stage adaptive beamformer and hence provides a more flexible and robust solution under speaker position variations and reverberant conditions.

  17. A Link Loss Model for the On-body Propagation Channel for Binaural Hearing Aids

    CERN Document Server

    Chandra, Rohit

    2013-01-01

    Binaural hearing aids communicate with each other through a wireless link for synchronization. A propagation model is needed to estimate the ear-to-ear link loss for such binaural hearing aids. The link loss is a critical parameter in a link budget to decide the sensitivity of the transceiver. In this paper, we have presented a model for the deterministic component of the ear-to-ear link loss. The model takes into account the dominant paths having most of the power of the creeping wave from the transceiver in one ear to the transceiver in other ear and the effect of the protruding part of the outer ear called pinna. Simulations are done to validate the model using in-the-ear (ITE) placement of antennas at 2.45 GHz on two heterogeneous phantoms of different age-group and body size. The model agrees with the simulations. The ear-to-ear link loss between the antennas for the binaural hearing aids in the homogeneous SAM phantom is compared with a heterogeneous phantom. It is found that the absence of the pinna an...

  18. Atitudes frente às próteses auditivas Attitudes towards hearing aids

    Directory of Open Access Journals (Sweden)

    Bárbara Guimarães Bastos

    2009-01-01

    Full Text Available OBJETIVOS: avaliar as atitudes frente à deficiência auditiva e o aparelho de amplificação sonora individual (AASI em candidatos e usuários destes dispositivos. Verificar se existe relação entre tais atitudes e os dados demográficos, audiométricos e características do AASI. MÉTODOS: 63 indivíduos (35 homens e 28 mulheres, idade média de 64,3 anos com deficiência auditiva neurossensorial bilateral de diferentes graus, candidatos e usuários de AASI responderam o "Questionário de Atitudes Frente à Deficiência Auditiva" (ALHQ v3.0. Foi analisada a distribuição da pontuação das subescalas do ALHQ e realizada a correlação entre estas e os dados demográficos, audiológicos e da adaptação do AASI dos participantes. Foram também realizadas comparações da pontuação do ALHQ entre os grupos de candidatos e usuários, entre homens e mulheres. RESULTADOS: não houve distribuição normal das respostas nas subescalas do ALHQ. Não houve correlações entre a pontuação do ALHQ com os dados demográficos e audiológicos. Foram verificadas correlações fracas e significativas entre as subescalas do questionário: "estratégias negativas" e "estima" (rho=-0,39, "negação" e "estima" (rho=-0,27, "estratégias negativas" e "associações negativas" (rho=0,25 e "negação" e "estratégias negativas" (rho=-0,30. Houve diferença significativa nas subescalas estratégias negativas (p=0,02 e associações negativas (p=0,00 entre o grupo de candidatos e usuários. Não houve diferença na pontuação entre homens e mulheres. CONCLUSÃO: a existência de atitudes negativas frente à deficiência auditiva e ao uso do AASI reforça a necessidade do aconselhamento de ajuste pessoal incluído no processo de adaptação do AASI em adultos e idosos. É necessário validar o questionário traduzido para o português brasileiro.PURPOSE: to evaluate the attitudes towards hearing loss and hearing aids in a group of hearing aid candidates and users

  19. Results of the implantation of bone-anchored hearing aids in patients with treacher-collins syndrome

    Directory of Open Access Journals (Sweden)

    Alexandra Kolontai de Sousa Oliveira1

    2013-04-01

    Full Text Available Introduction: Treacher-Collins syndrome is characterized by craniofacial malformations, narrowing of the external auditory canal (EAC, and, in 30% of cases, agenesis of the canal and ossicular chain defects. The use of hearing aids (HA is not possible in cases in which agenesis or stenosis of the EAC accompanies conductive deafness. In contrast, bone conduction implants such as the Bone Anchored Hearing Aid (BAHA® allow direct stimulation of the cochlea and are thus superior to conventional hearing aids in cases of severe conductive hearing loss. Objective: To present 2 cases of patients with Treacher-Collins syndrome who underwent implantation of BAHA®. Cases Reports: The first patient was a 52-year-old woman diagnosed with Treacher-Collins syndrome who presented with severe bilateral mixed hearing loss and a history of unsuccessful previous use of a bone contact conduction device. The BAHA® implantation was uneventful, and the post-operative results were good. The second patient was a 14-year-old girl who was also diagnosed with Treacher-Collins Syndrome with bilateral moderate conductive hearing loss by audiometry. The use of a bone vibrator contact device did not improve her hearing; however, implantation of a BAHA® resulted in a decreased gap postoperatively. Final comments: BAHA® hearing devices provide adequate rehabilitation and consequent improvement of the quality of life in patients with Treacher-Collins syndrome.

  20. Auditory training can improve working memory, attention and communication in adverse conditions for adults with hearing loss

    Directory of Open Access Journals (Sweden)

    Melanie Ann Ferguson

    2015-05-01

    Full Text Available Auditory training (AT helps compensate for degradation in the auditory signal. A series of three high-quality training studies are discussed, (i a randomized controlled trial (RCT of phoneme discrimination in quiet that trained adults with mild hearing loss (n=44, (ii a repeated measures study that trained phoneme discrimination in noise in hearing aid (HA users (n=30, and (iii a double-blind RCT that directly trained working memory (WM in HA users (n=57. AT resulted in generalized improvements in measures of self-reported hearing, competing speech and complex cognitive tasks that all index executive functions. This suggests that for AT related benefits, the development of complex cognitive skills may be more important than the refinement of sensory processing. Furthermore, outcome measures should be sensitive to the functional benefits of auditory training. For WM training, lack of far-transfer to untrained outcomes suggests no generalized benefits to real-world listening abilities. We propose that combined auditory-cognitive training approaches, where cognitive enhancement is embedded within auditory tasks, are most likely to offer generalized benefits to the real-world listening abilities of adults with hearing loss.

  1. Training changes processing of speech cues in older adults with hearing loss

    Directory of Open Access Journals (Sweden)

    Samira eAnderson

    2013-11-01

    Full Text Available Aging results in a loss of sensory function, and the effects of hearing impairment can be especially devastating due to reduced communication ability. Older adults with hearing loss report that speech, especially in noisy backgrounds, is uncomfortably loud yet unclear. Hearing loss results in an unbalanced neural representation of speech: the slowly-varying envelope is enhanced, dominating representation in the auditory pathway and perceptual salience at the cost of the rapidly-varying fine structure. We hypothesized that older adults with hearing loss can be trained to compensate for these changes in central auditory processing through directed attention to behaviorally-relevant speech sounds. To that end, we evaluated the effects of auditory-cognitive training in older adults (ages 55-79 with normal hearing and hearing loss. After training, the auditory training group with hearing loss experienced a reduction in the neural representation of the speech envelope presented in noise, approaching levels observed in normal hearing older adults. No changes were noted in the control group. Importantly, changes in speech processing were accompanied by improvements in speech perception. Thus, central processing deficits associated with hearing loss may be partially remediated with training, resulting in real-life benefits for everyday communication.

  2. In vivo experiments in the cat with an implantable piezoelectric hearing aid transducer.

    Science.gov (United States)

    Plinkert, P K; Baumann, J W; Lenarz, T; Keiner, S; Leysieffer, H; Zenner, H P

    2000-01-01

    We have recently developed an implantable piezoelectric hearing aid transducer that is suitable for implantation in patients with sensorineural hearing loss. The transducer does not transmit sound but conducts micromechanical vibrations to the cochlea. In ten cat ears we investigated the efficiency of the implantable transducer with respect to the direct transfer of vibrations within the audible frequency range via the ossicles to the cochlea or directly into the vestibule. The acoustically evoked brainstem potential (ABR) threshold was determined prior to implantation, and the middle ear was then opened and the piezoelectric transducer coupled to the ossicles or to the perilymph. Acoustically evoked brainstem potentials were recorded following stimulation at the umbo, long process of the incus, stapes head, stapes foot plate, and in the vestibulum. Comparisons of the acoustically and mechanically evoked thresholds revealed a good correlation of the two stimulation levels. An electrical transducer voltage of 1 V(RMS) produced equivalent sound pressure levels (SPL) of 100-128 dB at the tympanic membrane. To assess the hearing we compared stimulus-dependent latencies of the early potentials (peaks P1-P5) and thresholds. This evaluation was based on four ears with normal hearing in which the piezoelectric transducer was coupled to the long process of the incus. The mean values of the latencies and their scattering range correlated extremely well in the two stimulation modes. They were nearly identical when the equivalent SPL of 100 dB was assigned to the maximally applied electrical level of 0 dB. These in vitro and in vivo findings demonstrate that the characteristics of the transducer warrant its development further from the prototype stage to become a component of an implantable hearing device for patients with sensorineural hearing loss.

  3. Microphone matching for hybrid-order directional arrays in hearing aid applications

    Science.gov (United States)

    Warren, Daniel M.; Thompson, Steve C.

    2003-04-01

    The ability of a hearing aid user to distinguish a single speech source amidst general background noise (for example, dinner table or cocktail party conversation) may be improved by a directional array of microphones in the hearing instrument. The theoretical maximum directivity index (DI) of a first-order pairing of microphones is 6 dB, and a second-order array of three microphones is 9.5 dB, assuming all three microphones have identical frequency responses. The close spacing of microphone ports in a hearing aid body means that directivity degrades rapidly with differences in microphone sensitivities. A hybrid of first- and second-order arrays can mitigate this effect, although close microphone matching is still necessary for high directivity. This paper explores the effect of microphone mismatch on the directivity of such arrays, and describes practical criteria for selecting matched microphones out of production batches to maximize a speech intelligibility weighted directivity index. [Work supported by Knowles Electronics, LLC.

  4. A practical tablet-based hearing aid configuration as an exemplar project for students of instrumentation

    Directory of Open Access Journals (Sweden)

    Ricardo Simeoni

    2015-06-01

    Full Text Available This paper presents the configuration and digital signal processing details of a tablet-based hearing aid transmitting wirelessly to standard earphones, whereby the tablet performs full sound processing rather than solely providing a means of setting adjustment by streaming to conventional digital hearing aids. The presented device confirms the recognized advantages of this tablet-based approach (e.g., in relation to cost, frequency domain processing, amplification range, versatility of functionality, component battery rechargeability, and flags the future wider-spread availability of such hearing solutions within mainstream healthcare. The use of a relatively high sampling frequency was found to be beneficial for device performance, while the use of optional off-the-shelf add-on components (e.g., data acquisition device, high fidelity microphone, compact wireless transmitter/ receiver, wired headphones are also discussed in relation to performance optimization. The easy-to-follow configuration utilized is well suited to student learning/research instrumentation projects within the health and biomedical sciences. In this latter regard, the presented device was pedagogically integrated into a flipped classroom approach for the teaching of bioinstrumentation within an Allied Health Sciences School, with the subsequent establishment of positive student engagement outcomes.

  5. Neuromodulatory Effects of Auditory Training and Hearing Aid Use on Audiovisual Speech Perception in Elderly Individuals

    Science.gov (United States)

    Yu, Luodi; Rao, Aparna; Zhang, Yang; Burton, Philip C.; Rishiq, Dania; Abrams, Harvey

    2017-01-01

    Although audiovisual (AV) training has been shown to improve overall speech perception in hearing-impaired listeners, there has been a lack of direct brain imaging data to help elucidate the neural networks and neural plasticity associated with hearing aid (HA) use and auditory training targeting speechreading. For this purpose, the current clinical case study reports functional magnetic resonance imaging (fMRI) data from two hearing-impaired patients who were first-time HA users. During the study period, both patients used HAs for 8 weeks; only one received a training program named ReadMyQuipsTM (RMQ) targeting speechreading during the second half of the study period for 4 weeks. Identical fMRI tests were administered at pre-fitting and at the end of the 8 weeks. Regions of interest (ROI) including auditory cortex and visual cortex for uni-sensory processing, and superior temporal sulcus (STS) for AV integration, were identified for each person through independent functional localizer task. The results showed experience-dependent changes involving ROIs of auditory cortex, STS and functional connectivity between uni-sensory ROIs and STS from pretest to posttest in both cases. These data provide initial evidence for the malleable experience-driven cortical functionality for AV speech perception in elderly hearing-impaired people and call for further studies with a much larger subject sample and systematic control to fill in the knowledge gap to understand brain plasticity associated with auditory rehabilitation in the aging population. PMID:28270763

  6. Speech perception and quality of life of open-fit hearing aid users

    Science.gov (United States)

    GARCIA, Tatiana Manfrini; JACOB, Regina Tangerino de Souza; MONDELLI, Maria Fernanda Capoani Garcia

    2016-01-01

    ABSTRACT Objective To relate the performance of individuals with hearing loss at high frequencies in speech perception with the quality of life before and after the fitting of an open-fit hearing aid (HA). Methods The WHOQOL-BREF had been used before the fitting and 90 days after the use of HA. The Hearing in Noise Test (HINT) had been conducted in two phases: (1) at the time of fitting without an HA (situation A) and with an HA (situation B); (2) with an HA 90 days after fitting (situation C). Study Sample Thirty subjects with sensorineural hearing loss at high frequencies. Results By using an analysis of variance and the Tukey’s test comparing the three HINT situations in quiet and noisy environments, an improvement has been observed after the HA fitting. The results of the WHOQOL-BREF have showed an improvement in the quality of life after the HA fitting (paired t-test). The relationship between speech perception and quality of life before the HA fitting indicated a significant relationship between speech recognition in noisy environments and in the domain of social relations after the HA fitting (Pearson’s correlation coefficient). Conclusions The auditory stimulation has improved speech perception and the quality of life of individuals. PMID:27383708

  7. [In vivo studies of a piezoelectric implantable hearing aid transducer in the cat].

    Science.gov (United States)

    Plinkert, P K; Baumann, J W; Lenarz, T; Keiner, S; Leysieffer, H; Zenner, H P

    1997-10-01

    Recently, we presented an implantable piezoelectrical hearing aid transducer. Its characteristics make it suitable for implantation in patients with sensorineural hearing loss. The transducer transmits micromechanical vibrations instead of sound into the hearing organ. Efficiency of the transducer implant was investigated in ten cat ears. After determining preoperative (acoustical) BERA threshold, the middle ear was opened and the piezoelectrical transducer coupled to various ossicles or the perilymph. BERA responses were recorded following stimulation of umbo, long incus process, stapes head, stapes foot plate, and vestibulum. By comparing the acoustical and mechanical threshold, a correlation was found between the stimulus level of acoustical and mechanical stimulation. An electrical transducer voltage of 1 Vrms was equivalent to sound-pressure levels between 100 and 128 dB SPL at the tympanic membrane. To judge hearing impression, stimulus-dependent latencies of the early acoustically and mechanically evoked potentials (waves P1 to P5) and their thresholds were analyzed. After coupling the piezoelectrical transducer to the long incus process, latencies corresponded well to stimulation. They were almost completely similar when the equivalent sound-pressure level of 100 dB SPL was achieved by the transducer voltage level.

  8. Pilot study to evaluate children with hearing aids through PEACH and TEACH in a rural community

    Directory of Open Access Journals (Sweden)

    Lingamdenne Paul Emerson

    2015-07-01

    Full Text Available This study was done to evaluate the use of functional measures in hearing aid benefit assessment of children (n = 60 in a rural community. Children with age ranging from 6 months to 15 years with moderately severe to profound hearing loss were evaluated. They were evaluated by functional measures PEACH and TEACH which were translated into local language (Tamil. The relationship between PEACH and TEACH was calculated using SPSS and Chi-square tests. It was found that PEACH and TEACH questionnaires can be easily administered in the rural community and gives a quantitative measure of the effect of amplification. It gave caregivers a motivation to take an active part in the rehabilitation. This model of using functional evaluation tools to evaluate the suitability and effectiveness of amplification can be applied in children in developing countries.

  9. A model of mechanical contacts in hearing aids for uncertainty analysis

    DEFF Research Database (Denmark)

    Creixell Mediante, Ester; Brunskog, Jonas; Jensen, Jakob Søndergaard;

    2015-01-01

    Modelling the contact between assembled parts is a key point in the design of complex structures. Uncertainties at the joint parameters arise as a result of randomness in physical properties such as contact surface, load distribution or geometric details. This is a challenge of concern in the hea......Modelling the contact between assembled parts is a key point in the design of complex structures. Uncertainties at the joint parameters arise as a result of randomness in physical properties such as contact surface, load distribution or geometric details. This is a challenge of concern...... in the hearing aid field, where the small lightweight structures present vibration modes at frequencies within the hearing range. To approach this issue, a model of contacts based on lumped elements is suggested. The joint parameters are the stiffness of a series of spring elements placed along the contact...

  10. From Hearing Aids, Prostheses and Cochlear Implants to "Bionic" Feedback Phonation

    Directory of Open Access Journals (Sweden)

    Petros Stagiopoulos

    2016-08-01

    Full Text Available In Otorhinolaryngological medical practice therapeutic devices are used that are highly invasive and immersive. For aural and oral communication these could be hearing aids, prosthetics, implants or radio-electronic appliances that build up a bionic environment with apparent tendencies for virtualization. The popularization of such devices promotes the extensive use of Brain Computer Interfaces to both the scientific community and the consumer market. The use of bionic devices clinched with synapses of the nerves does not merely mingle input activity to brain activity, but also it provides a virtual channel for augmenting and manipulating speech communication, language communication and even further musical communication. The effects of bionic aural and oral communication when learning practices for the impaired in hearing are applied is encountered in terms of ability for speech perception and linguistic competence

  11. Traumatization in Deaf and Hard-of-Hearing Adult Psychiatric Outpatients

    Science.gov (United States)

    Øhre, Beate; Uthus, Mette Perly; von Tetzchner, Stephen; Falkum, Erik

    2015-01-01

    Deaf and hard-of-hearing persons are at risk for experiencing traumatic events and such experiences are associated with symptoms of mental disorder. We investigated the prevalence of traumatic events and subsequent traumatization in adults referred to specialized psychiatric outpatient units for deaf and hard-of-hearing patients. Sixty-two…

  12. Social representation of hearing aids: cross-cultural study in India, Iran, Portugal, and the United Kingdom

    Directory of Open Access Journals (Sweden)

    Manchaiah V

    2015-10-01

    Full Text Available Vinaya Manchaiah,1 Berth Danermark,2 Vinay,3 Tayebeh Ahmadi,4 David Tomé,5 Rajalakshmi Krishna,6 Per Germundsson7 1Department of Speech and Hearing Sciences, Lamar University, Beaumont, Texas, USA; 2Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; 3Department of Clinical Medicine, University of Tromsø, Tromsø, Norway; 4Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; 5Department of Audiology, School of Allied Health Sciences, Polytechnic Institute of Porto, Vila Nova de Gaia, Portugal; 6All India Institute of Speech and Hearing, University of Mysore, Mysore, India; 7The Department of Health and Welfare Studies, Malmö University, Malmö, Sweden Background: The current study was aimed at understanding the social representation of hearing aids in India, Iran, Portugal, and the United Kingdom. We also compared these results to explore the cross-cultural differences and similarities among these countries. Methods: The study involved a cross-sectional design, and the data were collected from four different countries using the snowball sampling method. Data were analyzed using a content analysis to identify the most-similar categories of responses reported, a co-occurrences analysis to see which of these categories are reported commonly, and a chi-square analysis to study if there was any association between positive, neutral, and negative connotations among participants in different countries. Results: The current study revealed four different social representations of hearing aids from India, Iran, Portugal, and the United Kingdom, and also a global index. Conclusion: The study results provide very useful insights into how hearing aids are represented in the society. These findings may have important implications for public education and also for manufacturers from the viewpoint of designing and marketing hearing aids in different countries. Keywords: hearing aids

  13. Survey on hearing aid use and satisfaction in patients with presbyacusis

    Directory of Open Access Journals (Sweden)

    Nalini Bhat

    2015-01-01

    Full Text Available Context: Hearing aids (HAs are the principal means of auditory rehabilitation for patients with sensorineural hearing loss. Yet, there are a lot of resistances to use HAs due to the expense, cosmetic concerns and lack of sufficient perceived benefit. A scientific analysis of outcomes in HAs users and the factors involved will lead to a better understanding among the care givers and will ultimately positively influence the outcomes in the HA users. This is the basis of the following study. Aims: (1 To assess the subjective level of satisfaction in patients of presbycusis using mono-aural HAs. (2 To study various attributes in HA users. Settings and Design: Study design - Prospective. Study period - February 2011 to September 2012. Subjects and Methods: The study was done in five basic steps: (1 Selection of subjects based on inclusion criteria. (2 Awareness and counseling regarding HAs. (3 Preintervention assessment. (4 HA fitting, adjustment and rehabilitation. (5 Postintervention assessment. Statistical Analysis Used: Mean, percentage, two-tailed P value using Fischer exact. Results: There was a high level of satisfaction in terms of hearing benefit (74% among users at the end of 4 months. Almost half the subjects reported no problems with their HAs. Subjects with mild hearing impairment were less satisfied with their HAs than the others. Most people under used their HAs even when they were satisfied. Subjects with severe hearing loss used their HAs for longer duration daily. Conclusions: Mono-aural HAs significantly and satisfactorily rehabilitate patients with presbycusis. Mono-aural fitting is a cost effective option, especially in developing countries like ours.

  14. Exposure to the magnetic field from an induction loop pad for a hearing aid system.

    Science.gov (United States)

    Hansson Mild, Kjell; Friberg, Stefan; Frankel, Jennifer; Wilén, Jonna

    2017-03-01

    As a case study we have measured the magnetic field from an induction loop pad designed for hearing aid assistance. The magnitude of the field was high, although well below international guidelines. We recorded values up to 70% of the recommended standard in some instances. However, in view of the many reports indicating health effects of low-level exposure, we recommend that the precautionary principle is applied when such pads are given to people who might be especially vulnerable, such as children, pregnant women and women on breast cancer medication.

  15. System-Level Optimization of a DAC for Hearing-Aid Audio Class D Output Stage

    OpenAIRE

    Pracný, Peter; Jørgensen, Ivan,; Bruun, Erik

    2013-01-01

    Part 21: Electronics: Applications; International audience; This paper deals with system-level optimization of a digital-to-analog converter (DAC) for hearing-aid audio Class D output stage. We discuss the ΣΔ modulator system-level design parameters – the order, the oversampling ratio (OSR) and the number of bits in the quantizer. We show that combining a reduction of the OSR with an increase of the order results in considerable power savings while the audio quality is kept. For further savin...

  16. Novel Acoustic Feedback Cancellation Approaches In Hearing Aid Applications Using Probe Noise and Probe Noise Enhancement

    DEFF Research Database (Denmark)

    Guo, Meng; Jensen, Søren Holdt; Jensen, Jesper

    2012-01-01

    Adaptive filters are widely used in acoustic feedback cancellation systems and have evolved to be state-of-the-art. One major challenge remaining is that the adaptive filter estimates are biased due to the nonzero correlation between the loudspeaker signals and the signals entering the audio syst...... the proposed approaches much more attractive in practical applications. We demonstrate this through a simulation experiment with audio signals in a hearing aid acoustic feedback cancellation system, where the convergence rate is improved by as much as a factor of 10....

  17. Investigation of Multi-Antenna Mobile Terminals in Terms of Hearing Aids Compatibility

    DEFF Research Database (Denmark)

    Bonev, Ivan Bonev; Franek, Ondrej; Pedersen, Gert Frølund

    2011-01-01

    In this paper, we present an investigation of the near fields (NF) of different configurations of two antennas mobile phones with a candy bar phone factor. The study has been carried out via Finite Difference Time Domain (FDTD) simulations. Interesting paradigms not valid for the single antennas ...... have been identified. In order to obtain a hearing aids compatible (HAC) mobile phone having two antennas, special attention has to be focused on the NF at the high band as opposed to the single antenna case where the HAC is defined by the NF at the low band....

  18. Self-Resonant Electrically Small Loop Antennas for Hearing-Aids Application

    DEFF Research Database (Denmark)

    Zhang, Jiaying; Breinbjerg, Olav

    2010-01-01

    Two novel self-resonant electrically small antennas are proposed in this paper, which are designed for hearing aids applications. They are miniaturized by using the capacitive and inductive coupling mechanism between two loops, and the antenna impedance can be matched to a specific value without...... using any additional matching network and lumped components. The dimension of the proposed antenna is 0.10λ0×0.03λ0, and it is designed to be resonant at 900 MHz. Both the analytical model and numerical simulations are discussed and explained. The antenna is also fabricated and measured in an anechoic...... chamber. The measurement methods for electrically small antennas are reported....

  19. Interpolation Filter Design for Hearing-Aid Audio Class-D Output Stage Application

    DEFF Research Database (Denmark)

    Pracný, Peter; Bruun, Erik; Muntal, Pere Llimós

    2012-01-01

    This paper deals with a design of a digital interpolation filter for a 3rd order multi-bit ΣΔ modulator with over-sampling ratio OSR = 64. The interpolation filter and the ΣΔ modulator are part of the back-end of an audio signal processing system in a hearing-aid application. The aim in this paper...... in the interpolation filter are investigated. Proposed design simplifications presented here result in the least hardware demanding combination of oversampling ratio, number of stages and number of filter taps among a number of filters reported for audio applications....

  20. Hearing Aids

    Science.gov (United States)

    ... sounds: Study unveils a key part of animal & human communication University of Utah ( 3/14/2016 ) Helping children ... Policies Free Publications U.S. Department of Health and ... Institute on Deafness and Other Communication Disorders 31 Center Drive, MSC 2320, Bethesda, MD ...

  1. Cross-modal re-organization in adults with early stage hearing loss.

    Science.gov (United States)

    Campbell, Julia; Sharma, Anu

    2014-01-01

    Cortical cross-modal re-organization, or recruitment of auditory cortical areas for visual processing, has been well-documented in deafness. However, the degree of sensory deprivation necessary to induce such cortical plasticity remains unclear. We recorded visual evoked potentials (VEP) using high-density electroencephalography in nine persons with adult-onset mild-moderate hearing loss and eight normal hearing control subjects. Behavioral auditory performance was quantified using a clinical measure of speech perception-in-noise. Relative to normal hearing controls, adults with hearing loss showed significantly larger P1, N1, and P2 VEP amplitudes, decreased N1 latency, and a novel positive component (P2') following the P2 VEP. Current source density reconstruction of VEPs revealed a shift toward ventral stream processing including activation of auditory temporal cortex in hearing-impaired adults. The hearing loss group showed worse than normal speech perception performance in noise, which was strongly correlated with a decrease in the N1 VEP latency. Overall, our findings provide the first evidence that visual cross-modal re-organization not only begins in the early stages of hearing impairment, but may also be an important factor in determining behavioral outcomes for listeners with hearing loss, a finding which demands further investigation.

  2. Cross-modal re-organization in adults with early stage hearing loss.

    Directory of Open Access Journals (Sweden)

    Julia Campbell

    Full Text Available Cortical cross-modal re-organization, or recruitment of auditory cortical areas for visual processing, has been well-documented in deafness. However, the degree of sensory deprivation necessary to induce such cortical plasticity remains unclear. We recorded visual evoked potentials (VEP using high-density electroencephalography in nine persons with adult-onset mild-moderate hearing loss and eight normal hearing control subjects. Behavioral auditory performance was quantified using a clinical measure of speech perception-in-noise. Relative to normal hearing controls, adults with hearing loss showed significantly larger P1, N1, and P2 VEP amplitudes, decreased N1 latency, and a novel positive component (P2' following the P2 VEP. Current source density reconstruction of VEPs revealed a shift toward ventral stream processing including activation of auditory temporal cortex in hearing-impaired adults. The hearing loss group showed worse than normal speech perception performance in noise, which was strongly correlated with a decrease in the N1 VEP latency. Overall, our findings provide the first evidence that visual cross-modal re-organization not only begins in the early stages of hearing impairment, but may also be an important factor in determining behavioral outcomes for listeners with hearing loss, a finding which demands further investigation.

  3. Analysis of the Effects of Finite Precision in Neural Network-Based Sound Classifiers for Digital Hearing Aids

    Directory of Open Access Journals (Sweden)

    Manuel Rosa-Zurera

    2009-01-01

    Full Text Available The feasible implementation of signal processing techniques on hearing aids is constrained by the finite precision required to represent numbers and by the limited number of instructions per second to implement the algorithms on the digital signal processor the hearing aid is based on. This adversely limits the design of a neural network-based classifier embedded in the hearing aid. Aiming at helping the processor achieve accurate enough results, and in the effort of reducing the number of instructions per second, this paper focuses on exploring (1 the most appropriate quantization scheme and (2 the most adequate approximations for the activation function. The experimental work proves that the quantized, approximated, neural network-based classifier achieves the same efficiency as that reached by “exact” networks (without these approximations, but, this is the crucial point, with the added advantage of extremely reducing the computational cost on the digital signal processor.

  4. A reconfigurable digital filterbank for hearing-aid systems with a variety of sound wave decomposition plans.

    Science.gov (United States)

    Wei, Ying; Liu, Debao

    2013-06-01

    Current hearing-aid systems have fixed sound wave decomposition plans due to the use of fixed filterbanks, thus cannot provide enough flexibility for the compensation of different hearing impairment cases. In this paper, a reconfigurable filterbank that consists of a multiband-generation block and a subband-selection block is proposed. Different subbands can be produced according to the control parameters without changing the structure of the filterbank system. The use of interpolation, decimation, and frequency-response masking enables us to reduce the computational complexity by realizing the entire system with only three prototype filters. Reconfigurability of the proposed filterbank enables hearing-impaired people to customize hearing aids based on their own specific conditions to improve their hearing ability. We show, by means of examples, that the proposed filterbank can achieve a better matching to the audiogram and has smaller complexity compared with the fixed filterbank. The drawback of the proposed method is that the throughput delay is relatively long (>20 ms), which needs to be further reduced before it can be used in a real hearing-aid application.

  5. A Profiling System for the Assessment of Individual Needs for Rehabilitation With Hearing Aids

    Directory of Open Access Journals (Sweden)

    Wouter A. Dreschler

    2016-10-01

    Full Text Available This study focuses on the development of a profiling system to specify the needs of hearing-aid candidates. As a basis for the profile of compensation needs, we used a slightly modified version of the Amsterdam Inventory of Disability and Handicap, combined with the well-known Client-Oriented Scale of Improvement (COSI. The first questionnaire results in scores for six audiological dimensions: detection, speech in quiet, speech in noise, localization, focus or discrimination, and noise tolerance. The goal of this study was to determine whether the six dimensions derived from the disability questionnaire are appropriate to also categorize individual COSI targets. The results show a good agreement between eight audiologists in the categorization of COSI goals along the six dimensions. The results per dimension show that the dimension focus or discrimination can be regarded as superfluous. Possible additional dimensions were tinnitus and listening effort. The results indicate that it is possible to translate individual user needs (administered using COSI into more general dimensions derived from a disability questionnaire. This allows to summarize the compensation needs for individual patients in a profile of general dimensions, based on the degree of disability and the individual user needs. This profile can be used as a starting point in hearing aid selection. This approach also offers a well-structured method for the evaluation of the postfitting results.

  6. 耳聋与助听设备的选择%Deafness and Hearing Aid or Prostheses Selection

    Institute of Scientific and Technical Information of China (English)

    银力; 屠文河; 高姗仙; 童丹阳; 滕晓芳; 许泽荣; 曹永茂; 胡宝华; 曾凡钢

    2016-01-01

    When deafness occurred, the patient and their family wil face a lot of choices, including medical treatment, selection of hearing aid or prostheses, rehabilitation and so on. This paper presents the deafness classiifcation and hearing aid or prostheses selection. Selection of hearing aid or prostheses is closely related to the side, the nature and degree of deafness, such as bilateral moderate sensorineural hearing loss should ifrst consider hearing aid iftting, while profound sensorineural hearing loss should consider cochlear implants ifrst. For a beter understanding of deafness and hearing aid or prostheses, this paper wil review anatomy and physiology of ear ifrstly, then expound the classiifcation of the deafness and hearing aid or prostheses, and ifnaly match different deafness with different hearing aid or prostheses, which will help people in need choose different hearing aid or prostheses according to different deafness. User of hearing aid or prostheses should have very high motivation but appropriate expectations and keep using the device, no mater which type of hearing aid or prostheses wil be used. Besides, short term or long term of hearing and speech training should be taken according to the individual condition of the recipients. Thus, the optimal outcome may be achieved.%发生耳聋后,患者和他们的家人会面临许多选择,包括治疗、选用助听设备、康复学习等。本文就耳聋与助听设备的选择进行阐述。助听设备的选择与发生耳聋的侧别、性质和程度是密切相关的。比如双侧中度感音神经性耳聋就应首选助听器验配,而深度(极重度)感音神经性聋就应积极考虑人工耳蜗植入。为了能更好地理解耳聋和助听设备,本文先回顾耳的解剖和生理,进而讲解耳聋和助听设备的分类,最后将不同的耳聋与相应的助听设备相匹配,帮助有需要的听障人士根据其耳聋情况选取不同的助听设备。无论

  7. Working memory and hearing aid processing: Literature findings, future directions, and clinical applications

    Directory of Open Access Journals (Sweden)

    Pamela eSouza

    2015-12-01

    Full Text Available Working memory—the ability to process and store information—has been identified as an important aspect of speech perception in difficult listening environments. Working memory can be envisioned as a limited-capacity system which is engaged when an input signal cannot be readily matched to a stored representation or template. This mismatch is expected to occur more frequently when the signal is degraded. Because working memory capacity varies among individuals, those with smaller capacity are expected to demonstrate poorer speech understanding when speech is degraded, such as in background noise. However, it is less clear whether (and how working memory should influence practical decisions, such as hearing treatment. Here, we consider the relationship between working memory capacity and response to specific hearing aid processing strategies. Three types of signal processing are considered, each of which will alter the acoustic signal: fast-acting wide-dynamic range compression, which smooths the amplitude envelope of the input signal; digital noise reduction, which may inadvertently remove speech signal components as it suppresses noise; and frequency compression, which alters the relationship between spectral peaks. For fast-acting wide-dynamic range compression, a growing body of data suggests that individuals with smaller working memory capacity may be more susceptible to such signal alterations, and may receive greater amplification benefit with low alteration processing. While the evidence for a relationship between wide-dynamic range compression and working memory appears robust, the effects of working memory on perceptual response to other forms of hearing aid signal processing are less clear cut. We conclude our review with a discussion of the opportunities (and challenges in translating information on individual working memory into clinical treatment, including clinically-feasible measures of working memory.

  8. Statistical Shape Analysis of the Human Ear Canal with Application to In-the-Ear Hearing Aid Design

    DEFF Research Database (Denmark)

    Paulsen, Rasmus Reinhold

    2004-01-01

    This thesis is about the statistical shape analysis of the human ear canal with application to the mechanical design of in-the-ear hearing aids. Initially, it is described how a statistical shape model of the human ear canal is built based on a training set of laser-scanned ear impressions. A thin...... work on image restoration. It is shown how the method significantly improves the shape model. In the second part of the thesis, the shape model is used in software tools that mimic the skills of the expert hearing aid makers. The first result is that it is possible to learn an algorithm to cut an ear...

  9. Attachment and Individuation of Deaf/Hard-of-Hearing and Hearing Young Adults

    Science.gov (United States)

    Weisel, Amatzia; Kamara, Ahiya

    2005-01-01

    This study examined differences between deaf/hard-of-hearing (D/HH) and hearing persons with regard to two interrelated and continuous developmental processes: attachment (Bowlby, 1969) and individuation (Mahler, 1963). The study also examined intergroup differences in two personal variables assumed to be influenced by these processes: self-esteem…

  10. Comparison of speech intelligibility in quiet and in noise after hearing aid fitting according to a purely prescriptive and a comparative fitting procedure

    NARCIS (Netherlands)

    Metselaar, Mick; Maat, Bert; Krijnen, Pieta; Verschuure, Hans; Dreschler, Wouter; Feenstra, Louw

    2008-01-01

    We compared two different types of hearing-aid fitting procedures in a double-blind randomized clinical study. Hearing aid fittings based on a purely prescriptive procedure (the NAL-RP formula) were compared to a comparative fitting procedure based on optimizing speech intelligibility scores. Main o

  11. AIDS-related stigma among Black and Hispanic young adults.

    Science.gov (United States)

    Darrow, William W; Montanea, Julie E; Gladwin, Hugh

    2009-12-01

    Telephone surveys with national probability samples of English-speaking adults have suggested that popular support for punitive policies toward people living with HIV/AIDS (PLWHA) declined in the 1990s, but AIDS-related stigma persists in the United States. Our aim was to assess the prevalence and impact of AIDS-related stigma in non-Hispanic Black and Hispanic communities. A cross-sectional computer-assisted telephone-interview survey was conducted in summer 2003 with African-American, Afro-Caribbean, Haitian, and Hispanic 18-39 year-old residents of 12 high AIDS-incidence areas in Broward County, Florida. Stigma items were adopted from national surveys, but interviews were conducted in Spanish and Haitian Creole as well as in English. Stigma scores were higher than those reported for national samples, especially among Haitians interviewed in Creole. AIDS-related stigma was associated with never receiving an HIV-antibody test (adjusted odds ratio [AOR] = 0.78, 95% confidence interval [CI]: 0.62-0.99, P = .046), an elevated perception of HIV risk (AOR = 1.32, 95% CI: 1.01-1.73, P = .045) and a failure to participate in HIV-prevention efforts (AOR = 0.53, 95% CI: 0.34-0.85, P = .008). Interventions are needed to mitigate the pernicious effects of AIDS-related stigma.

  12. Hearing Loss

    Science.gov (United States)

    ... effects on your hearing — ringing in the ear (tinnitus) or hearing loss — can occur if you take ... adults with hearing loss, commonly reported problems include: Depression Anxiety An often false sense that others are ...

  13. Transient Hearing Loss in Adults Associated with Zika Virus Infection.

    Science.gov (United States)

    Vinhaes, Eriko S; Santos, Luciane A; Dias, Lislane; Andrade, Nilvano A; Bezerra, Victor H; de Carvalho, Anderson T; de Moraes, Laise; Henriques, Daniele F; Azar, Sasha R; Vasilakis, Nikos; Ko, Albert I; Andrade, Bruno B; Siqueira, Isadora C; Khouri, Ricardo; Boaventura, Viviane S

    2016-12-07

    In 2015, during the outbreak of ZIKAV in Brazil, we identified three cases of acute hearing loss after exanthematous illness. Serology yielded finding compatible with ZIKAV as the cause of a confirmed (1patient) and a probable (2 patients) flavivirus infection, indicating an association between ZIKAV infection and transient hearing loss.

  14. Hearing loss in adults surviving pneumococcal meningitis is associated with otitis and pneumococcal serotype.

    Science.gov (United States)

    Heckenberg, S G B; Brouwer, M C; van der Ende, A; Hensen, E F; van de Beek, D

    2012-09-01

    We assessed the incidence of hearing loss and its relationship with clinical characteristics and pneumococcal serotypes in adults surviving pneumococcal meningitis. We analysed hearing loss in 531 adults surviving pneumococcal meningitis included in two prospective nationwide cohort studies performed from April 1998 through to October 2002 and March 2006 through to January 2009. Hearing loss was evaluated on admission and discharge for all patients. Severe hearing loss was assessed by pure tone average on audiology and corrected for age, or by the combination of hearing loss on discharge and a score on the Glasgow Outcome Scale below 5, which could not be explained by other neurological sequelae. A total of 531 episodes of pneumococcal meningitis with non-lethal outcome were included. Predisposing conditions for pneumococcal meningitis were present in the majority of patients (64%), most commonly otitis (36%). Hearing loss was present at discharge in 116 patients (22%) and was classified as mild in 53% and severe in 47%. Hearing loss was related to otitis (odds ratio [OR], 2.58; 95% confidence interval [CI], 1.66-4.02; p otitis, but not disease severity. Otitis and resulting perilympathic inflammation contribute to meningitis-associated hearing loss.

  15. Hearing Loss: Diagnosis and Evaluation.

    Science.gov (United States)

    Zazove, Philip; Atcherson, Samuel R; Moreland, Christopher; McKee, Michael M

    2015-07-01

    Hearing loss is a common disability in the United States, most frequent among men, elderly individuals, and veterans but is increasingly affecting other younger adults. Types of hearing loss include sensorineural, conductive, and mixed. Hearing loss in children often is related to infections, time spent in a neonatal intensive care unit, and genetic etiologies. Presbycusis (ie, age-related hearing loss) is the most common etiology in adults. Adverse effects of untreated hearing loss include isolation, depression, lower income, and higher unemployment. Hearing aid use reduces levels of disability, cognitive impairment, and psychosocial distress while improving quality of life. At least 75% of individuals with hearing loss are not receiving treatment for it. All infants should be screened for hearing loss, as should children and adults with risk factors. The Joint Commission on Infant Hearing Screening has a 1-3-6 goal for screening: identification by age 1 month, confirmation by age 3 months, and intervention by age 6 months. The presence of an ongoing physician-patient relationship increases the likelihood that a patient will admit to having a hearing loss. Adults can be screened using single-question or standardized instrument screens. All patients with suspected hearing loss should undergo audiometry by an audiology subspecialist.

  16. The advantages and disadvantages of ITC, ITE and BTE hearing aids: diary and interview reports from elderly users.

    Science.gov (United States)

    May, A E; Upfold, L J; Battaglia, J A

    1990-10-01

    The advantages and disadvantages of in-the-canal (ITC), in-the-ear (ITE) and behind-the-ear (BTE) hearing aids for elderly aid users were examined. Two hundred and forty four clients were randomly assigned to one of the three aid types from seven hearing aid manufacturers. The clients' perceived help from their fitting, and the degree of difficulty they encountered over a range of listening situations and environments were rated using a daily diary and a structured interview. Findings indicated that for elderly clients there were no large practical advantages for one aid type over another. While ITC and ITE aids were rated more highly than BTE's in background noise, all three aid types were rated as relatively poor in background noise as well as in groups, in the wind, when using the telephone and in the localisation of sound. All three aid types were rated equally and well for performance in one-to-one conversation in quiet, and for listening to television and radio. Hours of use and reasons for non-use are presented, as are clients' reports on cosmetic issues, manipulative ease and overall satisfaction level with their aids.

  17. Adaptação de próteses auditivas no candidato ao implante coclear Fitting hearing aid in patients candidate for cochlear implants

    Directory of Open Access Journals (Sweden)

    Ana Tereza de Matos Magalhães

    2011-02-01

    : patients who had been attended from May 2007 to December 2008 were studied. We collected the patients' profile involving: gender, age, education and etiology. The hearing threshold's average for the good and worse ears was calculated and classified according to Frota (2003. The averaged sound field thresholds with hearing aid was calculated for both ears and considered as a benefit when allowed for an access to the speech sounds of Brazilian Portuguese. RESULTS: a hundred and ninety-four medical records were evaluated in this period. Among them, 108 patients had already been wearing hearing aids (55.6%, 100 were male (52%, 94 female (48%, 109 were children (56% and 85 adults (44%. The average age was 4.8year old for children and 41.9-year old for adults. Among the adults, 24 patients had incomplete high school education (33%. Unknown etiology was the most frequent cause (33%. Nineteen patients have benefited from the use of hearing aids (10%. The averaged sound field thresholds with hearing aid was 47 dBHL and 48 dBHL, in best and worse ears, respectively, for children, and 50 dBHL and 45 dBHL, respectively, for adults. CONCLUSIONS: the profile of the patients was: majority of children, males, unknown etiology, previously hearing aid users, average of age 4.8-year old for children and 41.9 for adults. Pure tone thresholds revealed profound bilateral hearing loss. About 10% of patients were benefited with the use of hearing aids.

  18. Peripheral Visual Reaction Time Is Faster in Deaf Adults and British Sign Language Interpreters than in Hearing Adults

    Science.gov (United States)

    Codina, Charlotte J.; Pascalis, Olivier; Baseler, Heidi A.; Levine, Alexandra T.; Buckley, David

    2017-01-01

    Following auditory deprivation, the remaining sense of vision has shown selective enhancement in visual cognition, especially in the area of near peripheral vision. Visual acuity is poor in the far periphery and may be an area where sound confers the greatest advantage in hearing persons. Experience with a visuospatial language such as British Sign Language (BSL) makes additional demands on the visual system. To test the different and separable effects of deafness and use of a visuo-spatial language on far peripheral visual processing, we investigated visual reaction times (RTs) and response accuracy to visual stimuli, between 30° and 85° along the four cardinal and four inter-cardinal meridians. We used three luminances of static, briefly illuminated stimuli in visually normal adults. The cohort tested included profoundly congenitally deaf adults (N = 17), hearing fluent BSL users (N = 8) and hearing non-signing adults (N = 18). All participants were tested using a peripheral forced choice paradigm designed previously to test deaf and hearing children (Codina et al., 2011a). Deaf adults demonstrated significantly faster RTs to all far peripheral stimuli and exceeded the abilities of both signing and non-signing hearing adults. Deaf adults were significantly faster than BSL interpreters, who in turn were significantly faster than hearing non-signing adults. The differences in RT demonstrated between groups were consistent across all visual field meridians and were not localized to any one region of the visual field. There were no differences found between any groups in accuracy of detecting these static stimuli at any retinal location. Early onset auditory deprivation appears to lead to a response time visual advantage in far peripheral responses to briefly presented, static LED stimuli, especially in the right visual field. Fluency in BSL facilitates faster visuo-motor responses in the peripheral visual field, but to a lesser extent than congenital, profound

  19. Peripheral Visual Reaction Time Is Faster in Deaf Adults and British Sign Language Interpreters than in Hearing Adults.

    Science.gov (United States)

    Codina, Charlotte J; Pascalis, Olivier; Baseler, Heidi A; Levine, Alexandra T; Buckley, David

    2017-01-01

    Following auditory deprivation, the remaining sense of vision has shown selective enhancement in visual cognition, especially in the area of near peripheral vision. Visual acuity is poor in the far periphery and may be an area where sound confers the greatest advantage in hearing persons. Experience with a visuospatial language such as British Sign Language (BSL) makes additional demands on the visual system. To test the different and separable effects of deafness and use of a visuo-spatial language on far peripheral visual processing, we investigated visual reaction times (RTs) and response accuracy to visual stimuli, between 30° and 85° along the four cardinal and four inter-cardinal meridians. We used three luminances of static, briefly illuminated stimuli in visually normal adults. The cohort tested included profoundly congenitally deaf adults (N = 17), hearing fluent BSL users (N = 8) and hearing non-signing adults (N = 18). All participants were tested using a peripheral forced choice paradigm designed previously to test deaf and hearing children (Codina et al., 2011a). Deaf adults demonstrated significantly faster RTs to all far peripheral stimuli and exceeded the abilities of both signing and non-signing hearing adults. Deaf adults were significantly faster than BSL interpreters, who in turn were significantly faster than hearing non-signing adults. The differences in RT demonstrated between groups were consistent across all visual field meridians and were not localized to any one region of the visual field. There were no differences found between any groups in accuracy of detecting these static stimuli at any retinal location. Early onset auditory deprivation appears to lead to a response time visual advantage in far peripheral responses to briefly presented, static LED stimuli, especially in the right visual field. Fluency in BSL facilitates faster visuo-motor responses in the peripheral visual field, but to a lesser extent than congenital, profound

  20. An Analysis of the Reading Strategies Used by Deaf and Hearing Adults: Similarities and Differences in Phonological Processing and Metacognition

    Science.gov (United States)

    Silvestri, Julia A.

    2016-01-01

    This study is a mixed methods analysis of reading processes and language experiences of deaf and hearing readers. The sample includes four groups each with fifteen adults--identified as: deaf/high-achieving readers, deaf/struggling/non-academic readers, hearing/high-achieving readers, and hearing/non-academic readers. The purpose of this study is…

  1. Study on the applicability of instrumental measures for black-box evaluation of static feedback control in hearing aids.

    Science.gov (United States)

    Madhu, N; Wouters, J; Spriet, A; Bisitz, T; Hohmann, V; Moonen, M

    2011-08-01

    Presented is a report on black-box evaluation of feedback control systems for commercial hearing aids. The aim of the study is to examine the ability of existing instrumental measures to quantify the performance of the feedback control system in black-box settings and on realistic signals, when more than one element of the signal processing chain may be active (compression, noise suppression, microphone directionality, etc.). The evaluation is carried out on 6 different hearing aids and for 10 measures. Thereby it is possible to see which measure is best suited to measuring which specific characteristic of the feedback control system, and serves as a beginning for conducting perceptual tests. The study uses static (but variable) feedback paths and is based on signals recorded from the in-ear microphone of an artificial head, on which the hearing instruments are mounted.

  2. ∑∆ Modulator System-Level Considerations for Hearing-Aid Audio Class-D Output Stage Application

    DEFF Research Database (Denmark)

    Pracný, Peter; Bruun, Erik

    2012-01-01

    This paper deals with a system-level design of a digital sigma-delta (∑∆) modulator for hearing-aid audio Class D output stage application. The aim of this paper is to provide a thorough discussion on various possibilities and tradeoffs of ∑∆ modulator system-level design parameter combinations...

  3. The Effects of Hearing Aid Compression Parameters on the Short-Term Dynamic Range of Continuous Speech

    Science.gov (United States)

    Henning, Rebecca L. Warner; Bentler, Ruth A.

    2008-01-01

    Purpose: The purpose of this study was to evaluate and quantitatively model the independent and interactive effects of compression ratio, number of compression channels, and release time on the dynamic range of continuous speech. Method: A CD of the Rainbow Passage (J. E. Bernthal & N. W. Bankson, 1993) was used. The hearing aid was a…

  4. Time-Varying Distortions of Binaural Information by Bilateral Hearing Aids

    Science.gov (United States)

    Rodriguez, Francisco A.; Portnuff, Cory D. F.; Goupell, Matthew J.; Tollin, Daniel J.

    2016-01-01

    In patients with bilateral hearing loss, the use of two hearing aids (HAs) offers the potential to restore the benefits of binaural hearing, including sound source localization and segregation. However, existing evidence suggests that bilateral HA users’ access to binaural information, namely interaural time and level differences (ITDs and ILDs), can be compromised by device processing. Our objective was to characterize the nature and magnitude of binaural distortions caused by modern digital behind-the-ear HAs using a variety of stimuli and HA program settings. Of particular interest was a common frequency-lowering algorithm known as nonlinear frequency compression, which has not previously been assessed for its effects on binaural information. A binaural beamforming algorithm was also assessed. Wide dynamic range compression was enabled in all programs. HAs were placed on a binaural manikin, and stimuli were presented from an arc of loudspeakers inside an anechoic chamber. Stimuli were broadband noise bursts, 10-Hz sinusoidally amplitude-modulated noise bursts, or consonant–vowel–consonant speech tokens. Binaural information was analyzed in terms of ITDs, ILDs, and interaural coherence, both for whole stimuli and in a time-varying sense (i.e., within a running temporal window) across four different frequency bands (1, 2, 4, and 6 kHz). Key findings were: (a) Nonlinear frequency compression caused distortions of high-frequency envelope ITDs and significantly reduced interaural coherence. (b) For modulated stimuli, all programs caused time-varying distortion of ILDs. (c) HAs altered the relationship between ITDs and ILDs, introducing large ITD–ILD conflicts in some cases. Potential perceptual consequences of measured distortions are discussed. PMID:27698258

  5. A MEMS-Based Power-Scalable Hearing Aid Analog Front End.

    Science.gov (United States)

    Deligoz, I; Naqvi, S R; Copani, T; Kiaei, S; Bakkaloglu, B; Sang-Soo Je; Junseok Chae

    2011-06-01

    A dual-channel directional digital hearing aid front end using microelectromechanical-systems microphones, and an adaptive-power analog processing signal chain are presented. The analog front end consists of a double differential amplifier-based capacitance-to-voltage conversion circuit, 40-dB variable gain amplifier (VGA) and a power-scalable continuous time sigma delta analog-to-digital converter (ADC), with 68-dB signal-to-noise ratio dissipating 67 μ W from a 1.2-V supply. The MEMS microphones are fabricated using a standard surface micromachining technology. The VGA and power-scalable ADC are fabricated on a 0.25-μ m complementary metal-oxide semciconductor TSMC process.

  6. Robust Distributed Noise Reduction in Hearing Aids with External Acoustic Sensor Nodes

    Directory of Open Access Journals (Sweden)

    Marc Moonen

    2009-01-01

    Full Text Available The benefit of using external acoustic sensor nodes for noise reduction in hearing aids is demonstrated in a simulated acoustic scenario with multiple sound sources. A distributed adaptive node-specific signal estimation (DANSE algorithm, that has a reduced communication bandwidth and computational load, is evaluated. Batch-mode simulations compare the noise reduction performance of a centralized multi-channel Wiener filter (MWF with DANSE. In the simulated scenario, DANSE is observed not to be able to achieve the same performance as its centralized MWF equivalent, although in theory both should generate the same set of filters. A modification to DANSE is proposed to increase its robustness, yielding smaller discrepancy between the performance of DANSE and the centralized MWF. Furthermore, the influence of several parameters such as the DFT size used for frequency domain processing and possible delays in the communication link between nodes is investigated.

  7. Analysis, Design, and Evaluation of Acoustic Feedback Cancellation Systems for Hearing Aids

    DEFF Research Database (Denmark)

    Guo, Meng

    2013-01-01

    application that whereas the traditional and stateof- the-art acoustic feedback cancellation systems fail with significant sound distortions and howling as consequences, the new probe noise approach is able to remove feedback artifacts caused by the feedback path change in no more than a few hundred......Acoustic feedback problems occur when the output loudspeaker signal of an audio system is partly returned to the input microphone via an acoustic coupling through the air. This problem often causes significant performance degradations in applications such as public address systems and hearing aids....... In the worst case, the audio system becomes unstable and howling occurs. In this work, first we analyze a general multiple microphone audio processing system, where a cancellation system using adaptive filters is used to cancel the effect of acoustic feedback. We introduce and derive an accurate approximation...

  8. A Tutorial on Implantable Hearing Amplification Options for Adults with Unilateral Microtia and Atresia

    Directory of Open Access Journals (Sweden)

    Joannie Ka Yin Yu

    2014-01-01

    Full Text Available Background. Patients with unilateral atresia and microtia encounter problems in sound localization and speech understanding in noise. Although there are four implantable hearing devices available, there is little discussion and evidence on the application of these devices on patients with unilateral atresia and microtia problems. Objective. This paper will review the details of these four implantable hearing devices for the treatment of unilateral atresia. They are percuteaneous osseointegrated bone anchored hearing aid, Vibrant Soundbridge middle ear implant, Bonebridge bone conduction system, and Carina fully implantable hearing device. Methods. Four implantable hearing devices were reviewed and compared. The clinical decision process that led to the recommendation of a device was illustrated by using a case study. Conclusions. The selection of appropriate implantable hearing devices should be based on various factors, including radiological findings and patient preferences, possible surgical complications, whether the device is Food and Drug Administration- (FDA-/CE-approved, and the finances. To ensure the accurate evaluation of candidacy and outcomes, the evaluation methods should be adapted to suite the type of hearing device.

  9. Parental and Spousal Self-Efficacy of Young Adults Who Are Deaf or Hard of Hearing: Relationship to Speech Intelligibility

    Science.gov (United States)

    Adi-Bensaid, Limor; Michael, Rinat; Most, Tova; Gali-Cinamon, Rachel

    2012-01-01

    This study examined the parental and spousal self-efficacy (SE) of adults who are deaf and who are hard of hearing (d/hh) in relation to their speech intelligibility. Forty individuals with hearing loss completed self-report measures: Spousal SE in a relationship with a spouse who was hearing/deaf, parental SE to a child who was hearing/deaf, and…

  10. Prótese auditiva: satisfação do usuário com sua prótese e com seu meio ambiente Hearing aid: user satisfaction with their hearing aid and with their environment

    Directory of Open Access Journals (Sweden)

    Cleide Fernandes Teixeira

    2008-01-01

    Full Text Available OBJETIVO: avaliar o nível de satisfação dos usuários com sua prótese auditiva e com seu meio ambiente. MÉTODOS: estudo descritivo de corte transversal, com 256 indivíduos (m= 48,33%; f= 51,67%, com idade média de 50 anos, recém protetizados, com perda auditiva do tipo sensorioneural (n= 268 e mista (n=32, através do questionário de auto-avaliação International Outcome Inventory for Hearing Aids - IOI-HA para determinar o grau do benefício e a satisfação dada pela amplificação sonora. RESULTADOS: para 68% o uso da prótese melhorou a qualidade de vida, evidenciado pela alta pontuação (média=26,45. A relação do usuário com sua prótese foi significativamente melhor (pPURPOSE: to evaluate the level of user satisfaction with the hearing aids and with their environment. METHODS: cross study of a group, with 256 subjects (m= 48.33%; f= 51.67%, average age of 50 years, just fitted with their hearing aid, with sensorioneural (n=268 and mixed (n=32 hearing impairment, through the Questionnaire International Outcome Inventory for Hearing Aids Outcome Inventory - IOI-HA to determine the degree of the benefit and the satisfaction brought by the sound amplification. RESULTS: for 68% the use of the hearing aids improved their quality of life, revealed by their high punctuation (mean= 26.45. The relationship of the user with its hearing aid was significantly better (p<0.001* than that related to the environment. In the subjective evaluation of the auditory problems, 78.5% have stated to have auditory problem of light to moderate degree and 21.5% problems of moderately severe to severe. CONCLUSION: the IOI-HA is a tool, simple and easy to apply and it is used as an instrument in helping us during the period of acclimatization with the hearing aid. The improvement in the quality of life of the men that were most referred was about the satisfaction level with the hearing aid and with less impact concerning the others. The level of

  11. The Use of Media as a Sleep Aid in Adults.

    Science.gov (United States)

    Exelmans, Liese; Van den Bulck, Jan

    2016-01-01

    A sample of 844 adults, aged 18-94 years old, was queried about media habits and sleep behavior in face-to-face interviews with standardized questionnaires. A substantial proportion of this sample reported using books (39.8%), television (31.2%), music (26.0%), Internet (23.2%), and videogames (10.3%) as a sleep aid. The use of media as sleep aids was associated with increased fatigue and higher scores on the Pittsburgh Sleep Quality Index (PSQI), indicating poorer sleep quality. There was no relationship with sleep duration. Finally, results suggest that media use coincides with later bedtimes, but also later rise times, a process called time shifting.

  12. Hearing loss: diagnosis and management.

    Science.gov (United States)

    Lasak, John M; Allen, Patrick; McVay, Tim; Lewis, Douglas

    2014-03-01

    Hearing loss may affect all age groups from the newborn to the elderly, impacting speech and language development in children and causing social and vocational problems for adults. Hearing loss can arise from anywhere in the auditory circuit including the external auditory canal, sound conduction mechanism, cochlea, cochlear nerve, and central auditory pathways. Rehabilitation options exist for all types of hearing loss, regardless of cause or location within the auditory system. Awareness of symptoms, signs, and rehabilitative measures aids primary care physicians in early identification and treatment of hearing loss.

  13. How is the McGurk effect modulated by Cued Speech in deaf and hearing adults ?

    Directory of Open Access Journals (Sweden)

    Clémence eBayard

    2014-05-01

    Full Text Available Speech perception for both hearing and deaf people involves an integrative process between auditory and lip-reading information. In order to disambiguate information from lips, manual cues from Cued Speech may be added. Cued Speech (CS is a system of manual aids developed to help deaf people to clearly and completely understand speech visually (Cornett, 1967. Within this system, both labial and manual information, as lone input sources, remain ambiguous. Perceivers, therefore, have to combine both types of information in order to get one coherent percept. In this study, we examined how audio-visual (AV integration is affected by the presence of manual cues and on which form of information (auditory, labial or manual the CS receptors primarily rely. To address this issue, we designed a unique experiment that implemented the use of AV McGurk stimuli (audio /pa/ and lip-reading /ka/ which were produced with or without manual cues. The manual cue was congruent with either auditory information, lip information or the expected fusion. Participants were asked to repeat the perceived syllable aloud. Their responses were then classified into four categories: audio (when the response was /pa/, lip-reading (when the response was /ka/, fusion (when the response was /ta/ and other (when the response was something other than /pa/, /ka/ or /ta/. Data were collected from hearing impaired individuals who were experts in CS (all of which had either cochlear implants or binaural hearing aids; N=8, hearing-individuals who were experts in CS (N = 14 and hearing-individuals who were completely naïve of CS (N = 15. Results confirmed that, like hearing-people, deaf people can merge auditory and lip-reading information into a single unified percept. Without manual cues, McGurk stimuli induced the same percentage of fusion responses in both groups. Results also suggest that manual cues can modify the AV integration and that their impact differs between hearing and deaf

  14. How is the McGurk effect modulated by Cued Speech in deaf and hearing adults?

    Science.gov (United States)

    Bayard, Clémence; Colin, Cécile; Leybaert, Jacqueline

    2014-01-01

    Speech perception for both hearing and deaf people involves an integrative process between auditory and lip-reading information. In order to disambiguate information from lips, manual cues from Cued Speech may be added. Cued Speech (CS) is a system of manual aids developed to help deaf people to clearly and completely understand speech visually (Cornett, 1967). Within this system, both labial and manual information, as lone input sources, remain ambiguous. Perceivers, therefore, have to combine both types of information in order to get one coherent percept. In this study, we examined how audio-visual (AV) integration is affected by the presence of manual cues and on which form of information (auditory, labial or manual) the CS receptors primarily rely. To address this issue, we designed a unique experiment that implemented the use of AV McGurk stimuli (audio /pa/ and lip-reading /ka/) which were produced with or without manual cues. The manual cue was congruent with either auditory information, lip information or the expected fusion. Participants were asked to repeat the perceived syllable aloud. Their responses were then classified into four categories: audio (when the response was /pa/), lip-reading (when the response was /ka/), fusion (when the response was /ta/) and other (when the response was something other than /pa/, /ka/ or /ta/). Data were collected from hearing impaired individuals who were experts in CS (all of which had either cochlear implants or binaural hearing aids; N = 8), hearing-individuals who were experts in CS (N = 14) and hearing-individuals who were completely naïve of CS (N = 15). Results confirmed that, like hearing-people, deaf people can merge auditory and lip-reading information into a single unified percept. Without manual cues, McGurk stimuli induced the same percentage of fusion responses in both groups. Results also suggest that manual cues can modify the AV integration and that their impact differs between hearing and deaf people.

  15. Three-year experience with the Sophono in children with congenital conductive unilateral hearing loss: tolerability, audiometry, and sound localization compared to a bone-anchored hearing aid.

    Science.gov (United States)

    Nelissen, Rik C; Agterberg, Martijn J H; Hol, Myrthe K S; Snik, Ad F M

    2016-10-01

    Bone conduction devices (BCDs) are advocated as an amplification option for patients with congenital conductive unilateral hearing loss (UHL), while other treatment options could also be considered. The current study compared a transcutaneous BCD (Sophono) with a percutaneous BCD (bone-anchored hearing aid, BAHA) in 12 children with congenital conductive UHL. Tolerability, audiometry, and sound localization abilities with both types of BCD were studied retrospectively. The mean follow-up was 3.6 years for the Sophono users (n = 6) and 4.7 years for the BAHA users (n = 6). In each group, two patients had stopped using their BCD. Tolerability was favorable for the Sophono. Aided thresholds with the Sophono were unsatisfactory, as they did not reach under a mean pure tone average of 30 dB HL. Sound localization generally improved with both the Sophono and the BAHA, although localization abilities did not reach the level of normal hearing children. These findings, together with previously reported outcomes, are important to take into account when counseling patients and their caretakers. The selection of a suitable amplification option should always be made deliberately and on individual basis for each patient in this diverse group of children with congenital conductive UHL.

  16. Hearing in young adults. Part II: The effects of recreational noise exposure.

    Science.gov (United States)

    Keppler, Hannah; Dhooge, Ingeborg; Vinck, Bart

    2015-01-01

    Great concern arises from recreational noise exposure, which might lead to noise-induced hearing loss in young adults. The objective of the current study was to evaluate the effects of recreational noise exposure on hearing function in young adults. A questionnaire concerning recreational noise exposures and an audiological test battery were completed by 163 subjects (aged 18-30 years). Based on the duration of exposure and self-estimated loudness of various leisure-time activities, the weekly and lifetime equivalent noise exposure were calculated. Subjects were categorized in groups with low, intermediate, and high recreational noise exposure based on these values. Hearing was evaluated using audiometry, transient-evoked otoacoustic emissions (TEOAEs), and distortion-product otoacoustic emissions (DPOAEs). Mean differences in hearing between groups with low, intermediate, and high recreational noise exposure were evaluated using one-way analysis of variance (ANOVA). There were no significant differences in hearing thresholds, TEOAE amplitudes, and DPOAE amplitudes between groups with low, intermediate, or high recreational noise exposure. Nevertheless, one-third of our subjects exceeded the weekly equivalent noise exposure for all activities of 75 dBA. Further, the highest equivalent sound pressure levels (SPLs) were calculated for the activities visiting nightclubs or pubs, attending concerts or festivals, and playing in a band or orchestra. Moreover, temporary tinnitus after recreational noise exposure was found in 86% of our subjects. There were no significant differences in hearing between groups with low, intermediate, and high recreational noise exposure. Nevertheless, a long-term assessment of young adults' hearing in relation to recreational noise exposure is needed.

  17. Frequent false hearing by older adults: the role of age differences in metacognition.

    Science.gov (United States)

    Rogers, Chad S; Jacoby, Larry L; Sommers, Mitchell S

    2012-03-01

    In two experiments testing age differences in the subjective experience of listening, which we call meta-audition, young and older adults were first trained to learn pairs of semantic associates. Following training, both groups were tested on identification of words presented in noise, with the critical manipulation being whether the target item was congruent, incongruent, or neutral with respect to prior training. Results of both experiments revealed that older adults compared to young adults were more prone to "false hearing," defined as mistaken high confidence in the accuracy of perception when a spoken word had been misperceived. These results were obtained even when performance was equated across age groups on control items by reducing the noise level for older adults. Such false hearing is shown to reflect older adults' heavier reliance on context. Findings suggest that older adults' greater ability to benefit from semantic context reflects their bias to respond consistently with the context, rather than their greater skill in using context. Procedures employed are unique in measuring the subjective experience of hearing as well as its accuracy. Both theoretical and applied implications of the findings are discussed. Convergence of results with those showing higher false memory, and false seeing are interpreted as showing that older adults are less able to constrain their processing in ways that are optimal for performance of a current task. That lessened constraint may be associated with decline in frontal-lobe functioning.

  18. Hearing aid-compatible mobile handsets, petition of American National Standards Committee C63 (EMC) ANSO ASC C63 (TM). Final rule.

    Science.gov (United States)

    2008-05-07

    The Federal Communications Commission (Commission) adopts various proposals to amend its hearing aid compatibility policies and requirements pertaining to wireless services, including modifications and other requirements along the framework proposed in a consensus plan (Joint Consensus Plan) developed jointly by industry and representatives for the deaf and hard of hearing community. The Commission anticipates that these rule changes, taken together and largely supported by manufacturers, service providers, and consumers with hearing loss, will meet statutory obligations to ensure reasonable access to telephone service by persons with impaired hearing. These requirements are intended to benefit wireless users in the deaf and hard of hearing community, including the most disadvantaged who are more likely to rely on telecoil-equipped hearing aids, as well as to ensure that these consumers have a variety of handsets available to them, including handsets with innovative features.

  19. Hearing Impairment in Adults with an Intellectual Disability: epidemiology and rehabilitation

    NARCIS (Netherlands)

    J. Meuwese-Jongejeugd (Anneke)

    2006-01-01

    textabstractIn this thesis, the results are presented of an epidemiological study of hearing impairment in adults with an intellectual disability (ID), as well as the results of a study on the implementation of an audiological rehabilitation protocol in centres for persons with an ID. It is prece

  20. Cochlear implantation in postlingually hearing-impaired adults : Choosing the most appropriate ear

    NARCIS (Netherlands)

    van den Broek, Emke; Dunnebier, Erwin Alexander

    2009-01-01

    Choice of the most appropriate car for CI in postlingually hearing-impaired adults is becoming more relevant as more patients are considered eligible for intervention. The aim of this stud), is to review factors that influence this choice and to formulate a flowchart. An extensive Medline search was

  1. Reading Motivation, Reading Amount, and Text Comprehension in Deaf and Hearing Adults

    Science.gov (United States)

    Parault, Susan J.; Williams, Heather M.

    2010-01-01

    The purpose of this study is to examine the relationship between the variables of reading motivation, reading amount, and text comprehension in deaf and hearing adults. Research has shown that less than 50% of deaf students leave high school reading at or above a fourth-grade level (Allen, 1994). Our question is, how does this affect the levels of…

  2. Communication, Academic, and Social Skills of Young Adults with Hearing Loss

    Science.gov (United States)

    Eriks-Brophy, Alice; Durieux-Smith, Andree; Olds, Janet; Fitzpatrick, Elizabeth M.; Duquette, Cheryll; Whittingham, JoAnne

    2012-01-01

    This manuscript reports on data collected as part of a larger research study designed to investigate factors that facilitate the integration of children with hearing loss into mainstream environments. Aspects of communicative, academic, and social functioning for 43 adolescents and young adults were examined using questionnaires. In addition,…

  3. 浅谈我国助听器验配师培养%Proposal on the cultivation of hearing aids fitting practitioner in China

    Institute of Scientific and Technical Information of China (English)

    康厚墉; 胡国华; 钟时勋; 李穗; 钱怡; 雷艳

    2012-01-01

    分析我国助听器验配师现状,探讨如何加快合格助听器验配师的培养.建议开设短期培训班,在职业院校开设助听器验配师专业,或分流现有的听力学、耳鼻咽喉科学专业学员等方法来加大培养力度,解决社会急需.%This paper discussed the current status of hearing aids fitting practitioners in China and proposed some proposals on how to cultivate qualified practitioners.The proposals includes setting up short-term training program,launching hearing aids fitting major in occupational schools and cultivating the hearing aids fitting practitioners from the would-be audiologists or otologists in an aim to meet the urgent hearing aids fitting need of Chinese deafness.

  4. [Implementation of the new quality assurance agreement for the fitting of hearing aids in daily practice. Part 2: New diagnostic aspects of speech audiometry].

    Science.gov (United States)

    Löhler, J; Akcicek, B; Wollenberg, B; Schönweiler, R

    2014-09-01

    Upon review of the statutory health insurance reimbursement guidelines, a specific quality assurance questionnaire concerned with the provision of hearing aids was introduced that assesses elements of patient satisfaction within Germany's public healthcare system. APHAB questionnaire-based patient evaluation of the benefit of hearing aids represents the third pillar of audiological diagnostics, alongside classical pure-tone and speech audiometry. Another new aspect of the national guidelines is inclusion of free-field measurements in noise with and without hearing aids. Part 2 of this review describes new diagnostic aspects of speech audiometry. In addition to adaptive speech audiometry, a proposed method for applying the gold standard of speech audiometry - the Freiburg monosyllabic speech test - in noise is described. Finally, the quality assurance questionnaire will be explained as an appendix to template 15 of the regulations governing hearing aids.

  5. 21 CFR 801.420 - Hearing aid devices; professional and patient labeling.

    Science.gov (United States)

    2010-04-01

    ... rapidly progressive hearing loss within the previous 90 days. (iv) Acute or chronic dizziness. (v) Unilateral hearing loss of sudden or recent onset within the previous 90 days. (vi) Audiometric air-bone gap... special training to diagnose and treat hearing loss. Such physicians are also known as...

  6. Outcome analysis of hearing aids fitting for 2 635 hearing-impaired people%2635例助听器验配情况分析

    Institute of Scientific and Technical Information of China (English)

    朱珍珍; 郑芸; 李刚

    2013-01-01

    目的:调查具备助听器适应证的患者未成功验配助听器的原因.方法:回顾性分析2005-2010年2635例患者验配助听器的资料,对其中助听器验配未验成功者的数据进行分析.结果:2 635例患者中,1 700例成功验配了助听器,验配总成功率为64.52%,验配成功率总体变化趋势为逐年上升.对935例助听器验配失败患者的数据分析结果表明,在影响助听器成功验配的众多因素中,经济因素所占比例最大(23.64%),其次是患者不接受助听器(18.61%),对专业机构的认可度及满意度(10.27%),此外患者对助听器效果不满意占8.13%.听力专科门诊的验配成功率要高于普通耳鼻咽喉科门诊(P<0.05).935例助听器验配失败的患者中年龄≥50岁者有568例;<50岁者助听器验配成功率(61.29%)低于≥50岁者(66.33%),差异有统计学意义(P<0.05).结论:针对经济因素、患者对助听器的接受程度、验配机构专业性等诸多影响助听器成功验配的重要因素,在日常工作中,助听器验配人员需要针对性地开展工作,包括加大听力康复知识的宣传力度和提高自身的专业素质和水平.只有这样,才能有效增进患者对助听器验配人员和助听器本身的信任,有效提高助听器验配成功率.%Objective: To investigate the reasons that hearing-impaired patients who owned the indication of hearing aid fitting hut were not successfully fitted. Method: Analyzing the records of hearing aid fitting for 2 635 hearing-impaired people from 2005 to 2010, especially for the people who were not successfully fitted. Result: In general, there were 1 700 people having proper hearing aids. The success rate of hearing aid fitting is 64. 52%, which increased year by year. According to the analysis of records about hearing-impaired people who were not successfully fitting, the primary factor was economic constraints(23. 64%), the second was the patients could not accept

  7. The use of research questionnaires with hearing impaired adults: online vs. paper-and-pencil administration

    Directory of Open Access Journals (Sweden)

    Thorén Elisabet

    2012-10-01

    Full Text Available Abstract Background When evaluating hearing rehabilitation, it is reasonable to use self-report questionnaires as outcome measure. Questionnaires used in audiological research are developed and validated for the paper-and-pencil format. As computer and Internet use is increasing, standardized questionnaires used in the audiological context should be evaluated to determine the viability of the online administration format. The aim of this study was to compare administration of questionnaires online versus paper- and pencil of four standardised questionnaires used in hearing research and clinic. We included the Hearing Handicap Inventory for the Elderly (HHIE, the International Outcome Inventory for Hearing Aids (IOI-HA, Satisfaction with Amplification in Daily Life (SADL, and the Hospital Anxiety and Depression Scale (HADS. Methods A cross-over design was used by randomly letting the participants complete the questionnaires either online or on paper. After 3 weeks the participants filled out the same questionnaires again but in the other format. A total of 65 hearing-aid users were recruited from a hearing clinic to participate on a voluntary basis and of these 53 completed both versions of the questionnaires. Results A significant main effect of format was found on the HHIE (p Conclusions For three of the four included questionnaires the participants’ scores remained consistent across administrations and formats. For the fourth included questionnaire (HHIE a significant difference of format with a small effect size was found. The relevance of the difference in scores between the formats depends on which context the questionnaire is used in. On balance, it is recommended that the administration format remain stable across assessment points.

  8. A hearing aid on-chip system based on accuracy optimized front- and back-end blocks

    Science.gov (United States)

    Fanyang, Li; Hao, Jiang

    2014-03-01

    A hearing aid on-chip system based on accuracy optimized front- and back-end blocks is presented for enhancing the signal processing accuracy of the hearing aid. Compared with the conventional system, the accuracy optimized system is characterized by the dual feedback network and the gain compensation technique used in the front- and back-end blocks, respectively, so as to alleviate the nonlinearity distortion caused by the output swing. By using the technique, the accuracy of the whole hearing aid system can be significantly improved. The prototype chip has been designed with a 0.13 μm standard CMOS process and tested with 1 V supply voltage. The measurement results show that, for driving a 16 Ω loudspeaker with a normalized output level of 300 mVp-p, the total harmonic distortion reached about -60 dB, achieving at least three times reduction compared to the previously reported works. In addition, the typical input referred noise is only about 5 μVrms.

  9. 感音神经性听力损失患者助听后言语感知能力的评价%Speech perception performance in patients with sensorineural hearing impairment aided with hearing aids

    Institute of Scientific and Technical Information of China (English)

    王硕; 董瑞娟; Solveig Christina Voss; 钱金宇; 吴燕君; 张华

    2015-01-01

    目的:本研究对感音神经性听力损失患者助听器选配后的言语识别能力进行评价,并分析听力损失程度与年龄对助听后言语康复效果的影响。方法30名感音神经性听力损失受试者,男13名,女17名,年龄26-86岁,双侧听力损失程度对称,双耳0.5-4 kHz频率下纯音听力阈值(PTA0.5-4 kHz)平均值40~75 dB HL。所有受试者均选配Phonak Bolero Q50系列耳背式助听器。使用汉语普通话言语测试软件(Mandarin Speech Test Materials, MSTMs)进行裸耳和助听后安静与噪声环境下言语识别能力测试。结果(1)助听后,安静环境下的双音节识别率平均提高35.1±19.5%;噪声环境下语句识别率平均提高32.8±22.8%;(2)助听后言语识别能力与听力损失程度呈显著负相关关系;(3)助听优势高于平均水平的受试者纯音听阈均大于50 dB HL,但存在个体差异大的特点。结论助听器选配可以有效帮助感音神经性听力损失患者提高言语识别能力,但听力损失程度不是唯一影响助听效果的因素,助听后言语识别能力的改善存在较大个体差异。%Objective This study was aimed at evaluating the speech perception performance in sensorineural hear-ing-impaired listeners with hearing aids. Methods Thirty subjects with sensorineural hearing loss were recruited, including 13 males and 17 females with the age ranging from 26 to 86 years. They had bilaterally symmetric hearing loss with the av-eraged 0.5-4 kHz PTA ranging from 40 to 75 dB HL. They were fitted with Phonak Bolero Q50 BTE hearing aids unilaterally. The Mandarin Speech Test Materials (MSTMs) software was used to test speech perception performance under four condi-tions, including unaided quiet, aided quiet, unaided noisy and aided noisy environments. Results (1) After fitting hearing aids, the speech perception score in quiet using bisyllabic materials improved by 35.1±19.5%in average

  10. Informed TDoA-based Direction of Arrival Estimation for Hearing Aid Applications

    DEFF Research Database (Denmark)

    Farmani, Mojtaba; Pedersen, Michael Syskind; Tan, Zheng-Hua;

    2015-01-01

    This paper deals with estimation of the target sound Direction of Arrival (DoA) or a Hearing Aid System (HAS) which can connect to a wireless microphone worn by target talker. In this setup, the HAS is "informed" about the almost noise-free content of the target sound via the wireless microphone...... and can use this information for the DoA estimation. Here, we propose an "informed'' DoA estimator based on the Time Difference of Arrival (TDoA) of the target sound at two microphones mounted on the ears of the HAS user---one microphone on each ear. To estimate the TDoA and the DoA, we propose a maximum...... likelihood framework relying on the noise-free target sound and estimation of the ambient noise characteristics. We show how the proposed ML framework allows us to estimate the TDoA and the DoA jointly or consecutively. Further, to evaluate the likelihood function efficiently, we resort to an Inverse...

  11. Over-the-Counter Hearing Aids: A Lost Decade for Change

    Directory of Open Access Journals (Sweden)

    Zoe Yee Ting Chan

    2015-01-01

    Full Text Available Background. Hearing aids sold directly to consumers in retail stores or through the internet, without individual prescription by audiological professionals, are termed over-the-counter (OTC devices. This study aimed to determine whether there was any change in the electroacoustic characteristics of OTC devices compared to research carried out a decade earlier. The previous results indicated that most OTC devices were low-frequency-emphasis devices and were unsuitable for elderly people with presbycusis, who were likely to be the major consumers of these products. Methods. Ten OTC devices were selected and their electroacoustic performance was measured. Appropriate clients for the OTC devices were derived, using four linear prescription formulae, and OTC suitability for elderly persons with presbycusis was investigated. Results. OTC electroacoustic characteristics were similar to those in the earlier study. Most OTC devices were not acoustically appropriate for potential consumers with presbycusis. Although several of the devices could match prescriptive targets for individuals with presbycusis, their poor electroacoustic performance—including ineffective volume control function, high equivalent input noise, and irregular frequency response—may override their potential benefit. Conclusion. The low-cost OTC devices were generally not suitable for the main consumers of these products, and there has been little improvement in the appropriateness of these devices over the past decade.

  12. Skin reactions caused by bone-anchored hearing aid (BAHA) implantation

    Institute of Scientific and Technical Information of China (English)

    Gen-di Yin; Xiangli Zeng; Peng Li

    2015-01-01

    Objective: To report a case of intractable skin reactions caused by bone-anchored hearing aid (BAHA) implantation to improve our under-standing and treatment of BAHA implantation-caused skin reactions. Methods:We reported a case of severe skin reactions caused by BAHA implantation. Related literature were also reviewed. Results:We found grade IV skin reactions, including hyperplasia around the implant, which led to the removal of the BAHA implant 10 months after implantation. The findings indicated poor skin hygiene, allergy to titanium and inadequate surgicals skills as the possible causes of the skin reaction. Conclusion: Skin adverse reactions, usually rare in BAHA implantation patients, may cause implant removal and implantation failure. We suggest to further investigate the mechanisms underlying titanium allergy. Copyright © 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

  13. Acoustic analysis of the directional information captured by five different hearing aid styles.

    Science.gov (United States)

    Durin, Virginie; Carlile, Simon; Guillon, Pierre; Best, Virginia; Kalluri, Sridhar

    2014-08-01

    This study compared the head-related transfer functions (HRTFs) recorded from the bare ear of a mannequin for 393 spatial locations and for five different hearing aid styles: Invisible-in-the-canal (IIC), completely-in-the-canal (CIC), in-the-canal (ITC), in-the-ear (ITE), and behind-the-ear (BTE). The spectral distortions of each style compared to the bare ear were described qualitatively in terms of the gain and frequency characteristics of the prominent spectral notch and two peaks in the HRTFs. Two quantitative measures of the differences between the HRTF sets and a measure of the dissimilarity of the HRTFs within each set were also computed. In general, the IIC style was most similar and the BTE most dissimilar to the bare ear recordings. The relative similarities among the CIC, ITC, and ITE styles depended on the metric employed. The within-style spectral dissimilarities were comparable for the bare ear, IIC, CIC, and ITC with increasing ambiguity for the ITE and BTE styles. When the analysis bandwidth was limited to 8 kHz, the HRTFs within each set became much more similar.

  14. Hearing in young adults. Part II: The effects of recreational noise exposure

    Directory of Open Access Journals (Sweden)

    Hannah Keppler

    2015-01-01

    Full Text Available Great concern arises from recreational noise exposure, which might lead to noise-induced hearing loss in young adults. The objective of the current study was to evaluate the effects of recreational noise exposure on hearing function in young adults. A questionnaire concerning recreational noise exposures and an audiological test battery were completed by 163 subjects (aged 18-30 years. Based on the duration of exposure and self-estimated loudness of various leisure-time activities, the weekly and lifetime equivalent noise exposure were calculated. Subjects were categorized in groups with low, intermediate, and high recreational noise exposure based on these values. Hearing was evaluated using audiometry, transient-evoked otoacoustic emissions (TEOAEs, and distortion-product otoacoustic emissions (DPOAEs. Mean differences in hearing between groups with low, intermediate, and high recreational noise exposure were evaluated using one-way analysis of variance (ANOVA. There were no significant differences in hearing thresholds, TEOAE amplitudes, and DPOAE amplitudes between groups with low, intermediate, or high recreational noise exposure. Nevertheless, one-third of our subjects exceeded the weekly equivalent noise exposure for all activities of 75 dBA. Further, the highest equivalent sound pressure levels (SPLs were calculated for the activities visiting nightclubs or pubs, attending concerts or festivals, and playing in a band or orchestra. Moreover, temporary tinnitus after recreational noise exposure was found in 86% of our subjects. There were no significant differences in hearing between groups with low, intermediate, and high recreational noise exposure. Nevertheless, a long-term assessment of young adults′ hearing in relation to recreational noise exposure is needed.

  15. Education, employment, and independent living of young adults who are deaf and hard of hearing.

    Science.gov (United States)

    Appelman, Karen I; Callahan, Judy Ottren; Mayer, Margaret H; Luetke, Barbara S; Stryker, Deborah S

    2012-01-01

    Little information is available on the education, employment, and independent living status of young deaf and hard of hearing adults who have transitioned from high school. The present article reports postsecondary outcomes of 46 young adults who had attended for at least 4 years a non-public agency school in the northwestern United States specializing in deaf education. School administrators had developed a specific philosophy and operationalized it in an academic and literacy-based curriculum incorporating a grammatically accurate signing system. The researchers found that most or all participants had finished high school, had earned a college degree, were employed, and were living independently. Findings are discussed in terms of the available literature and the study's contribution to a limited body of recent research on young postsecondary deaf and hard of hearing adults.

  16. Congressional Methodology: How It Affects Federal Student Financial Aid Eligibility. Hearing before the Subcommittee on Postsecondary Education of the Committee on Education and Labor, House of Representatives. 100th Congress, Second Session. Hearing held in Teaneck, New Jersey.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    A transcript is provided of the subcommittee hearing on the effect of Congressional Methodology (the system established to determine eligibility for federal student aid) on federal student financial aid eligibility. The statements of the following persons are provided: Francine Andrea, New Jersey Association of Student Financial Aid…

  17. Comparison of Gated Audiovisual Speech Identification in Elderly Hearing Aid Users and Elderly Normal-Hearing Individuals: Effects of Adding Visual Cues to Auditory Speech Stimuli.

    Science.gov (United States)

    Moradi, Shahram; Lidestam, Björn; Rönnberg, Jerker

    2016-06-17

    The present study compared elderly hearing aid (EHA) users (n = 20) with elderly normal-hearing (ENH) listeners (n = 20) in terms of isolation points (IPs, the shortest time required for correct identification of a speech stimulus) and accuracy of audiovisual gated speech stimuli (consonants, words, and final words in highly and less predictable sentences) presented in silence. In addition, we compared the IPs of audiovisual speech stimuli from the present study with auditory ones extracted from a previous study, to determine the impact of the addition of visual cues. Both participant groups achieved ceiling levels in terms of accuracy in the audiovisual identification of gated speech stimuli; however, the EHA group needed longer IPs for the audiovisual identification of consonants and words. The benefit of adding visual cues to auditory speech stimuli was more evident in the EHA group, as audiovisual presentation significantly shortened the IPs for consonants, words, and final words in less predictable sentences; in the ENH group, audiovisual presentation only shortened the IPs for consonants and words. In conclusion, although the audiovisual benefit was greater for EHA group, this group had inferior performance compared with the ENH group in terms of IPs when supportive semantic context was lacking. Consequently, EHA users needed the initial part of the audiovisual speech signal to be longer than did their counterparts with normal hearing to reach the same level of accuracy in the absence of a semantic context.

  18. Audio-visual speechreading in a group of hearing aid users. The effects of onset age, handicap age, and degree of hearing loss.

    Science.gov (United States)

    Tillberg, I; Rönnberg, J; Svärd, I; Ahlner, B

    1996-01-01

    Speechreading ability was investigated among hearing aid users with different time of onset and different degree of hearing loss. Audio-visual and visual-only performance were assessed. One group of subjects had been hearing-impaired for a large part of their lives, and the impairments appeared early in life. The other group of subjects had been impaired for a fewer number of years, and the impairments appeared later in life. Differences between the groups were obtained. There was no significant difference on the audio-visual test between the groups in spite of the fact that the early onset group scored very poorly auditorily. However, the early-onset group performed significantly better on the visual test. It was concluded that the visual information constituted the dominant coding strategy for the early onset group. An interpretation chiefly in terms of early onset may be the most appropriate, since dB loss variations as such are not related to speechreading skill.

  19. The Benefits of Using RONDO and an In-the-Ear Hearing Aid in Patients Using a Combined Electric-Acoustic System

    Directory of Open Access Journals (Sweden)

    Dayse Távora-Vieira

    2015-01-01

    Full Text Available People with residual hearing in the low frequencies and profound hearing loss in the high frequencies often do not benefit from acoustic amplification. Focus on this group of patients led to the development of the combined electric-acoustic stimulation (EAS systems which can provide users with greater speech perception than can cochlear implant (CI alone or acoustic hearing alone. EAS users wear a combined speech processor that incorporates a behind-the-ear audio processor that sits with an ear hook on the user’s pinna and a hearing aid, which sits in the ear canal. However, with the introduction of single-unit processors, which combine the audio processor, coil, control unit, and battery pack into a single device that sits on the implant site, therefore off the ear, simultaneous electric (CI and acoustic (hearing aid stimulation is not currently possible with a combined processor. To achieve EAS with a single-unit processor, a CI user must also wear a hearing aid. This study seeks to determine if experienced users of combined EAS speech processors could also benefit from using a combination of a single-unit speech processor that sits off the ear and an in-the-ear hearing aid.

  20. "We Communicated That Way for a Reason": Language Practices and Language Ideologies among Hearing Adults Whose Parents Are Deaf

    Science.gov (United States)

    Pizer, Ginger; Walters, Keith; Meier, Richard P.

    2013-01-01

    Families with deaf parents and hearing children are often bilingual and bimodal, with both a spoken language and a signed one in regular use among family members. When interviewed, 13 American hearing adults with deaf parents reported widely varying language practices, sign language abilities, and social affiliations with Deaf and Hearing…

  1. Plasma very long-chain n-3 polyunsaturated fatty acids and age-related hearing loss in older adults

    NARCIS (Netherlands)

    Dullemeijer, C.; Verhoef, P.; Brouwer, I.A.; Kok, F.J.; Brummer, R.J.; Durga, J.

    2010-01-01

    Objectives: Age-related hearing loss is a common social and health problem in the older adult population. Up until now, very little scientific attention has been given to the potential role of fatty acids in agerelated hearing loss. In this study we investigated whether plasma very long-chain n-3 po

  2. Audibility-based predictions of speech recognition for children and adults with normal hearing.

    Science.gov (United States)

    McCreery, Ryan W; Stelmachowicz, Patricia G

    2011-12-01

    This study investigated the relationship between audibility and predictions of speech recognition for children and adults with normal hearing. The Speech Intelligibility Index (SII) is used to quantify the audibility of speech signals and can be applied to transfer functions to predict speech recognition scores. Although the SII is used clinically with children, relatively few studies have evaluated SII predictions of children's speech recognition directly. Children have required more audibility than adults to reach maximum levels of speech understanding in previous studies. Furthermore, children may require greater bandwidth than adults for optimal speech understanding, which could influence frequency-importance functions used to calculate the SII. Speech recognition was measured for 116 children and 19 adults with normal hearing. Stimulus bandwidth and background noise level were varied systematically in order to evaluate speech recognition as predicted by the SII and derive frequency-importance functions for children and adults. Results suggested that children required greater audibility to reach the same level of speech understanding as adults. However, differences in performance between adults and children did not vary across frequency bands.

  3. The Speech Intelligibility Index and the Pure-Tone Average as Predictors of Lexical Ability in Children Fit with Hearing Aids

    Science.gov (United States)

    Stiles, Derek J.; Bentler, Ruth A.; McGregor, Karla K.

    2012-01-01

    Purpose: To determine whether a clinically obtainable measure of audibility, the aided Speech Intelligibility Index (SII; American National Standards Institute, 2007), is more sensitive than the pure-tone average (PTA) at predicting the lexical abilities of children who wear hearing aids (CHA). Method: School-age CHA and age-matched children with…

  4. Investigating Differences in Preferred Noise Reduction Strength Among Hearing Aid Users

    Science.gov (United States)

    Wagener, Kirsten C.

    2016-01-01

    Even though hearing aid (HA) users can respond very differently to noise reduction (NR) processing, knowledge about possible drivers of this variability (and thus ways of addressing it in HA fittings) is sparse. The current study investigated differences in preferred NR strength among HA users. Participants were groups of experienced users with clear preferences (“NR lovers”; N = 14) or dislikes (“NR haters”; N = 13) for strong NR processing, as determined in two earlier studies. Maximally acceptable background noise levels, detection thresholds for speech distortions caused by NR processing, and self-reported “sound personality” traits were considered as candidate measures for explaining group membership. Participants also adjusted the strength of the (binaural coherence-based) NR algorithm to their preferred level. Consistent with previous findings, NR lovers favored stronger processing than NR haters, although there also was some overlap. While maximally acceptable noise levels and detection thresholds for speech distortions tended to be higher for NR lovers than for NR haters, group differences were only marginally significant. No clear group differences were observed in the self-report data. Taken together, these results indicate that preferred NR strength is an individual trait that is fairly stable across time and that is not easily captured by psychoacoustic, audiological, or self-report measures aimed at indexing susceptibility to background noise and processing artifacts. To achieve more personalized NR processing, an effective approach may be to let HA users determine the optimal setting themselves during the fitting process. PMID:27604781

  5. Investigating Differences in Preferred Noise Reduction Strength Among Hearing Aid Users

    Directory of Open Access Journals (Sweden)

    Tobias Neher

    2016-06-01

    Full Text Available Even though hearing aid (HA users can respond very differently to noise reduction (NR processing, knowledge about possible drivers of this variability (and thus ways of addressing it in HA fittings is sparse. The current study investigated differences in preferred NR strength among HA users. Participants were groups of experienced users with clear preferences (“NR lovers”; N = 14 or dislikes (“NR haters”; N = 13 for strong NR processing, as determined in two earlier studies. Maximally acceptable background noise levels, detection thresholds for speech distortions caused by NR processing, and self-reported “sound personality” traits were considered as candidate measures for explaining group membership. Participants also adjusted the strength of the (binaural coherence-based NR algorithm to their preferred level. Consistent with previous findings, NR lovers favored stronger processing than NR haters, although there also was some overlap. While maximally acceptable noise levels and detection thresholds for speech distortions tended to be higher for NR lovers than for NR haters, group differences were only marginally significant. No clear group differences were observed in the self-report data. Taken together, these results indicate that preferred NR strength is an individual trait that is fairly stable across time and that is not easily captured by psychoacoustic, audiological, or self-report measures aimed at indexing susceptibility to background noise and processing artifacts. To achieve more personalized NR processing, an effective approach may be to let HA users determine the optimal setting themselves during the fitting process.

  6. AIDS Epidemic. Hearing before the Committee on Labor and Human Resources. United States Senate, One Hundredth Congress, First Session on Reviewing Federal Efforts Being Conducted toward Combating the AIDS Epidemic.

    Science.gov (United States)

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    The text of a Senate hearing called to review federal efforts combating acquired immune deficiency syndrome (AIDS) is presented in this document. Opening statements reviewing the AIDS crisis are given by Senators Edward Kennedy and Lowell Weicker, Jr. Prepared statements are included by Senators Orrin Hatch and Ted Stevens. David Baltimore and…

  7. Effect of Speaker Age on Speech Recognition and Perceived Listening Effort in Older Adults with Hearing Loss

    Science.gov (United States)

    McAuliffe, Megan J.; Wilding, Phillipa J.; Rickard, Natalie A.; O'Beirne, Greg A.

    2012-01-01

    Purpose: Older adults exhibit difficulty understanding speech that has been experimentally degraded. Age-related changes to the speech mechanism lead to natural degradations in signal quality. We tested the hypothesis that older adults with hearing loss would exhibit declines in speech recognition when listening to the speech of older adults,…

  8. Addressing intersections in HIV/AIDS and mental health: the role of organizations for d/Deaf and hard of hearing individuals in South Africa.

    Science.gov (United States)

    Mall, Sumaya; Swartz, Leslie

    2012-01-01

    Like south africans generally, d/Deaf and hard of hearing South Africans are at risk of HIV/AIDS and mental disorders resulting from barriers to communication and care. In interviews and a focus group, members of South African organizations for d/Deaf and hard of hearing individuals all gave priority to HIV/AIDS education and prevention, citing risks resulting from language and communication barriers, inadequate schooling, and insufficient information in South African Sign Language. Participants gave varied descriptions of HIV/AIDS programs in schools for d/Deaf and hard of hearing students and described school initiatives they had directed. Some participants gave mental health problems lesser priority; others said susceptibility to mental disorders may result from communication difficulties and therefore warrants specialized services. Others, seeing a need to address mental health in HIV/AIDS prevention, had designed programs accordingly. Such prevention efforts merit support, as do activities to reduce communication barriers.

  9. Experiences from Cochlear Implantation and Auditory Brainstem Implantation in Adults and Children : Electrophysiological Measurements, Hearing Outcomes and Patient Satisfaction

    OpenAIRE

    Lundin, Karin

    2016-01-01

    Cochlear implants (CIs) and auditory brainstem implants (ABIs) are prostheses for hearing used in patients with profound hearing impairment. A CI requires an operational cochlear nerve to function in contrast to an ABI. ABIs were initially designed for adult patients with neurofibromatosis type 2 (NF2), suffering from bilateral vestibular schwannomas. Now ABIs are also used for patients, both adults and children, with congenital cochlear malformations, cochlear nerve hypoplasia/aplasia, and c...

  10. Reconstruction of congenital microtia-atresia: outcomes with the Medpor/bone-anchored hearing aid-approach.

    Science.gov (United States)

    Romo, Thomas; Morris, Luc G T; Reitzen, Shari D; Ghossaini, Soha N; Wazen, Jack J; Kohan, Darius

    2009-04-01

    Ideal surgery for congenital microtia-atresia would offer excellent cosmetic and hearing rehabilitation, with minimal morbidity. Classic approaches require multiple procedures, including rib cartilage harvest and aural atresia repair. Our facial plastic and otologic team approach incorporates a high-density porous polyethylene (Medpor, Porex Surgical, Newnan, GA) auricular framework, followed by single-stage bone-anchored hearing aid (BAHA) implantation. We evaluated the efficacy, safety, and morbidity of this 2-stage dual system approach. A prospective database of microtia patients was used to identify patients undergoing combined Medpor/BAHA auricular reconstruction and hearing rehabilitation between 2003 and 2006. The first stage involves placement of a Medpor framework beneath a temporoparietal fascia flap, followed by a second-stage procedure for lobule transposition and BAHA implantation. Twenty-five patients (28 ears) were evaluated. Aesthetic quality of the implants was excellent, with a high degree of framework detail visible, and a postauricular crease created in all patients. All patients were satisfied with the cosmetic result. There were no major Medpor complications such as infection, extrusion, loss of implant, or flap necrosis, and a 10.7% incidence of minor complications requiring operative revision. BAHA significantly improved hearing in all patients, with a complication rate of 31.8%, mainly skin overgrowth and cellulitis. The Medpor/BAHA dual plastic-otologic approach to microtia-atresia has produced excellent cosmetic results and hearing outcomes, which compare favorably to traditional microtia-atresia repair. This is a 2-stage aesthetic and functional protocol with an acceptably low rate of complications, which safely and efficiently achieves both aesthetic and functional goals.

  11. A systematic review of education for the prevention of HIV/AIDS among older adults.

    Science.gov (United States)

    Milaszewski, Dorota; Greto, Elise; Klochkov, Tanya; Fuller-Thomson, Esme

    2012-01-01

    Through a comprehensive literature search, the authors of this systematic review identified 21 articles focused on primary prevention of HIV/AIDS for adults aged 50 and over. Three major challenges to providing HIV/AIDS education for older adults include health professionals' ageism, older adults' reluctance to discuss sexuality, and their misconception of their HIV risk. Clinical guidelines for social workers, nurses, and physicians identified the importance of sharing information and assessing risk, considering cultural diversity, and devising creative delivery strategies. Three models of HIV/AIDS education include group education programs delivered by social workers or other health professionals, peer education models, and one-on-one early intervention models including HIV/AIDS testing. Additional outreach and research on HIV/AIDS prevention among older adults is needed.

  12. Capacitor-Free, Low Drop-Out Linear Regulator in a 180 nm CMOS for Hearing Aids

    DEFF Research Database (Denmark)

    Yosef-Hay, Yoni; Llimos Muntal, Pere; Larsen, Dennis Øland;

    2016-01-01

    This paper presents a capacitor-free low dropout (LDO) linear regulator based on a new dual loop topology. The regulator utilizes the feedback loops to satisfy the challenges for hearing aid devices, which include fast transient performance and small voltage spikes under rapid load-current changes....... The proposed design works without the need of an off-chip discrete capacitor connected at the output and operates with 0-100 pF capacitive load. The design has been implemented in a 0.18 µm CMOS process. The proposed regulator has a low component count and is suitable for system-on-chip integration...

  13. Multi-Bit Sigma-Delta Modulators with Enhanced Dynamic Range using Non-Linear DAC for Hearing Aids

    DEFF Research Database (Denmark)

    Custòdio, José; Paulino, Nuno; Goes, João

    2008-01-01

    This paper presents the possibility of employing non-linear low-resolution DACs in the feedback paths of multi-bit second-order Sigma-Delta modulators. The proposed technique is particularly attractive in applications such as hearing aids, requiring a very large dynamic range and medium signal......-to-noise-plus-distortion-ratio. As demonstrated through simulated results in which noise and mismatch effects are included, for the same over-sampling ratio, improvements in the order of 6-to-9 dB in the dynamic range can be achieved when comparing with the same topology employing linear-DACs....

  14. Multi-channel Wiener Filter for Speech Dereverberation in Hearing Aids - Sensitivity to DoA Errors

    DEFF Research Database (Denmark)

    Kuklasinski, Adam; Doclo, Simon; Jensen, Søren Holdt;

    2016-01-01

    In this paper we study the robustness of a recently proposed Multi-channel Wiener Filter-based speech dereverberation algorithm to errors in the assumed direction of arrival (DoA) of the target speech. Different subsets of microphones of a pair of behind-the-ear hearing aids are used to construct......, in conditions where the assumed DoA is increasingly incorrect, the performance of the binaural configurations is shown to deteriorate more quickly than that of the monaural configurations. In effect, for large DoA errors it is the simpler, monaural configurations that perform better....

  15. A tool for hearing aid and cochlear implant users to judge the usability of cellular telephones in field conditions

    Science.gov (United States)

    Deer, Maria Soledad

    The auditory experience of using a hearing aid or a cochlear implant simultaneously with a cell phone is driven by a number of factors. These factors are: radiofrequency and baseband interference, speech intelligibility, sound quality, handset design, volume control and signal strength. The purpose of this study was to develop a tool to be used by hearing aid and cochlear implant users in retail stores as they try cell phones before buying them. This tool is meant to be an efficient, practical and systematic consumer selection tool that will capture and document information on all the domains that play a role in the auditory experience of using a cell phone with a hearing aid or cochlear implant. The development of this consumer tool involved three steps as follows: preparation, verification and measurement of success according to a predefined criterion. First, the consumer tool, consisting of a comparison chart and speech material, was prepared. Second, the consumer tool was evaluated by groups of subjects in a two-step verification process. Phase I was conducted in a controlled setting and it was followed by Phase II which took place in real world (field) conditions. In order to perform a systematic evaluation of the consumer tool two questionnaires were developed: one questionnaire for each phase. Both questionnaires involved five quantitative variables scored with the use of ratings scales. These ratings were averaged yielding an Overall Consumer Performance Score. A qualitative performance category corresponding to the Mean Opinion Score (MOS) was allocated to each final score within a scale ranging from 1 to 5 (where 5 = excellent and 1 = bad). Finally, the consumer tool development was determined to be successful if at least 80% of the participants in verification Phase II rated the comparison chart as excellent or good according to the qualitative MOS score. The results for verification Phase II (field conditions) indicated that the Overall Consumer

  16. Monitoring the Hearing Handicap and the Recognition Threshold of Sentences of a Patient with Unilateral Auditory Neuropathy Spectrum Disorder with Use of a Hearing Aid

    Directory of Open Access Journals (Sweden)

    Lima, Aline Patrícia

    2015-01-01

    Full Text Available Introduction Treatment for auditory neuropathy spectrum disorder (ANSD is not yet well established, including the use of hearing aids (HAs. Not all patients diagnosed with ASND have access to HAs, and in some cases HAs are even contraindicated. Objective To monitor the hearing handicap and the recognition threshold of sentences in silence and in noise in a patient with ASND using an HA. Resumed Report A 47-year-old woman reported moderate sensorineural hearing loss in the right ear and high-frequency loss of 4 kHz in the left ear, with bilateral otoacoustic emissions. Auditory brainstem response suggested changes in the functioning of the auditory pathway (up to the inferior colliculus on the right. An HA was indicated on the right. The patient was tested within a 3-month period before the HA fitting with respect to recognition threshold of sentences in quiet and in noise and for handicap determination. After HA use, she showed a 2.1-dB improvement in the recognition threshold of sentences in silence, a 6.0-dB improvement for recognition threshold of sentences in noise, and a rapid improvement of the signal-to-noise ratio from +3.66 to −2.4 dB when compared with the same tests before the fitting of the HA. Conclusion There was a reduction of the auditory handicap, although speech perception continued to be severely limited. There was a significant improvement of the recognition threshold of sentences in silence and in noise and of the signal-to-noise ratio after 3 months of HA use.

  17. Monitoring the Hearing Handicap and the Recognition Threshold of Sentences of a Patient with Unilateral Auditory Neuropathy Spectrum Disorder with Use of a Hearing Aid.

    Science.gov (United States)

    Lima, Aline Patrícia; Mantello, Erika Barioni; Anastasio, Adriana Ribeiro Tavares

    2016-04-01

    Introduction Treatment for auditory neuropathy spectrum disorder (ANSD) is not yet well established, including the use of hearing aids (HAs). Not all patients diagnosed with ASND have access to HAs, and in some cases HAs are even contraindicated. Objective To monitor the hearing handicap and the recognition threshold of sentences in silence and in noise in a patient with ASND using an HA. Resumed Report A 47-year-old woman reported moderate sensorineural hearing loss in the right ear and high-frequency loss of 4 kHz in the left ear, with bilateral otoacoustic emissions. Auditory brainstem response suggested changes in the functioning of the auditory pathway (up to the inferior colliculus) on the right. An HA was indicated on the right. The patient was tested within a 3-month period before the HA fitting with respect to recognition threshold of sentences in quiet and in noise and for handicap determination. After HA use, she showed a 2.1-dB improvement in the recognition threshold of sentences in silence, a 6.0-dB improvement for recognition threshold of sentences in noise, and a rapid improvement of the signal-to-noise ratio from +3.66 to -2.4 dB when compared with the same tests before the fitting of the HA. Conclusion There was a reduction of the auditory handicap, although speech perception continued to be severely limited. There was a significant improvement of the recognition threshold of sentences in silence and in noise and of the signal-to-noise ratio after 3 months of HA use.

  18. Investigation of the long-term effects of unilateral hearing loss in adults.

    Science.gov (United States)

    Colletti, V; Fiorino, F G; Carner, M; Rizzi, R

    1988-05-01

    The recent audiological literature has put forward the hypothesis that children with unilateral hearing loss (UHL) show delays in educational achievement and academic progress and some behavioural difficulties. This motivated us to investigate the long-term effects of monaural auditory deprivation in a group of adults who had suffered from UHL since childhood. A group of subjects, ranging in age from 30 to 55 years, suffering from sensorineural UHL since early childhood, has been examined for psychosocial and psychoacoustical effects and statistically compared with a control group matched for age and sex. We prepared a questionnaire directed to provide some objective and subjective indices of psychosocial disability and handicap. Some questions were directed towards specific aspects of auditory function; others assessed the degree of education and the type of working performed. The results of the investigation confirmed the superiority of binaural v. monaural hearing. This was clearly demonstrated in psycho-acoustical performance in sound localisation, speech recognition in noise, together with the appreciation of music. On the other hand, the parameters concerned with educational, social and employment achievement did not support the existence of any significant difference between binaurally and monaurally hearing subjects. The data obtained in the present study thus do not support the existence of non-auditory, long-term effects of monaural hearing loss.

  19. A Descriptive Study of the Audiograms and Hearing Aid Prescription Papers of Veterans

    Directory of Open Access Journals (Sweden)

    Khosro Gourabi

    1999-03-01

    Full Text Available In the current investigation we gathered information about the hearing thresholds, types of hearing loss, types of tinnitus, and also the prescribed tinnitus maskers for the veterans. We were aimed at determining the percentage of tinnitus, audiogram shape and its relationship with tinnitus, and the percentages of veterans using tinnitus maskers. The needed information was prepared by studying the audiograms and file of the patients. The results of the investigation have been prepared here in details.

  20. Computer-assisted reading intervention with a phonics approach for children using cochlear implants or hearing aids.

    Science.gov (United States)

    Nakeva von Mentzer, Cecilia; Lyxell, Björn; Sahlén, Birgitta; Dahlström, Orjan; Lindgren, Magnus; Ors, Marianne; Kallioinen, Petter; Uhlén, Inger

    2014-10-01

    The present study examined computer-assisted reading intervention with a phonics approach for deaf and hard of hearing (DHH) children in Sweden using cochlear implants or hearing aids, or a combination of both. The study included 48 children, 5, 6 and 7 years of age. Sixteen children with normal hearing (NH) served as a reference group. The first purpose of the study was to compare NH and DHH children's reading ability at pre and post-intervention. The second purpose was to investigate effects of the intervention. Cognitive and demographic factors were analyzed in relation to reading improvement. Results showed no statistically significant difference for reading ability at the group level, although NH children showed overall higher reading scores at both test points. Age comparisons revealed a statistically significant higher reading ability in the NH 7-year-olds compared to the DHH 7-year-olds. The intervention proved successful for word decoding accuracy, passage comprehension and as a reduction of nonword decoding errors in both NH and DHH children. Reading improvement was associated with complex working memory and phonological processing skills in NH children. Correspondent associations were observed with visual working memory and letter knowledge in the DHH children. Age was the only demographic factor that was significantly correlated with reading improvement. The results suggest that DHH children's beginning reading may be influenced by visual strategies that might explain the reading delay in the older children.

  1. Linguistic Stereotyping in Older Adults' Perceptions of Health Care Aides.

    Science.gov (United States)

    Rubin, Donald; Coles, Valerie Berenice; Barnett, Joshua Trey

    2016-07-01

    The cultural and linguistic diversity of the U.S. health care provider workforce is expanding. Diversity among health care personnel such as paraprofessional health care assistants (HCAs)-many of whom are immigrants-means that intimate, high-stakes cross-cultural and cross-linguistic contact characterizes many health interactions. In particular, nonmainstream HCAs may face negative patient expectations because of patients' language stereotypes. In other contexts, reverse linguistic stereotyping has been shown to result in negative speaker evaluations and even reduced listening comprehension quite independently of the actual language performance of the speaker. The present study extends the language and attitude paradigm to older adults' perceptions of HCAs. Listeners heard the identical speaker of Standard American English as they watched interactions between an HCA and an older patient. Ethnolinguistic identities-either an Anglo native speaker of English or a Mexican nonnative speaker-were ascribed to HCAs by means of fabricated personnel files. Dependent variables included measures of perceived HCA language proficiency, personal characteristics, and professional competence, as well as listeners' comprehension of a health message delivered by the putative HCA. For most of these outcomes, moderate effect sizes were found such that the HCA with an ascribed Anglo identity-relative to the Mexican guise-was judged more proficient in English, socially superior, interpersonally more attractive, more dynamic, and a more satisfactory home health aide. No difference in listening comprehension emerged, but the Anglo guise tended to engender a more compliant listening mind set. Results of this study can inform both provider-directed and patient-directed efforts to improve health care services for members of all linguistic and cultural groups.

  2. Project Roadmap: Reeducating Older Adults in Maintaining AIDS Prevention--A Secondary Intervention for Older HIV-Positive Adults

    Science.gov (United States)

    Illa, Lourdes; Echenique, Marisa; Saint Jean, Gilbert; Bustamante-Avellaneda, Victoria; Metsch, Lisa; Mendez-Mulet, Luis; Eisdorfer, Carl; Sanchez-Martinez, Mario

    2010-01-01

    The number of older adults living with HIV/AIDS is larger than ever. Little is known about their sexual behaviors, although contrary to stereotypes, older adults desire and engage in sexual activity. Despite increased recognition of the need for prevention interventions targeting HIV-positive individuals, no secondary HIV prevention interventions…

  3. SVD-based optimal filtering for noise reduction in dual microphone hearing aids: a real time implementation and perceptual evaluation.

    Science.gov (United States)

    Maj, Jean-Baptiste; Royackers, Liesbeth; Moonen, Marc; Wouters, Jan

    2005-09-01

    In this paper, the first real-time implementation and perceptual evaluation of a singular value decomposition (SVD)-based optimal filtering technique for noise reduction in a dual microphone behind-the-ear (BTE) hearing aid is presented. This evaluation was carried out for a speech weighted noise and multitalker babble, for single and multiple jammer sound source scenarios. Two basic microphone configurations in the hearing aid were used. The SVD-based optimal filtering technique was compared against an adaptive beamformer, which is known to give significant improvements in speech intelligibility in noisy environment. The optimal filtering technique works without assumptions about a speaker position, unlike the two-stage adaptive beamformer. However this strategy needs a robust voice activity detector (VAD). A method to improve the performance of the VAD was presented and evaluated physically. By connecting the VAD to the output of the noise reduction algorithms, a good discrimination between the speech-and-noise periods and the noise-only periods of the signals was obtained. The perceptual experiments demonstrated that the SVD-based optimal filtering technique could perform as well as the adaptive beamformer in a single noise source scenario, i.e., the ideal scenario for the latter technique, and could outperform the adaptive beamformer in multiple noise source scenarios.

  4. Preferred real-ear insertion gain on a commercial hearing aid at different speech and noise levels.

    Science.gov (United States)

    Kuk, F K; Harper, T; Doubek, K

    1994-03-01

    In the present study, we measured preferred real-ear insertion gain (REIG) under different levels of speech and noise to assess whether current automatic gain control (AGC) and automatic signal processing (ASP) hearing aids are operating optimally. Preferred REIG for optimal speech clarity was determined under seven speech and noise conditions. In four conditions, speech (discourse passages) was varied from 55 dB SPL to 85 dB SPL in 10-dB steps at a fixed signal-to-noise ratio (S/N) of +5. In the remaining conditions, speech was fixed at 65 dB SPL while the noise level was varied in 5-dB steps to yield S/Ns from +10 to -5. The results showed that subjects selected less gain as speech or noise levels were increased. In general, less overall gain was selected as speech level was increased, and less overall gain, especially in the low-frequency region, was selected as the S/N ratio became progressively poorer. These results are discussed in relation to how hearing aids with adaptive frequency/gain responses should respond to varying input levels to achieve optimal clarity of speech.

  5. Hearing aid application performance evaluation questionnaire to presbycusis%老年性聋助听器选配效果评估问卷的应用

    Institute of Scientific and Technical Information of China (English)

    陈向红; 周慧芳; 张静; 王立群

    2011-01-01

    Objective:By matching patients with presbycusis hearing aids,hearing aid performance assessment questionnaire to fill out to assess the effect of its use and targeted to solve problems encountered in its use and improve the quality of life of older persons. Method:Through face to face way to investigate and analyse patients with hearing aids fitting,totally 30 subjects aeecpted the analysis, preliminary assessment of the use of hearing aids in patient with presbycusis results and solve problems encountered in its use by using SPSS software to analyze the collecting data. Result: HHIE questionnaire on statistical analysis, obtained in patients with hearing loss use hearing aids after the problem is a significant improvement statistical analysis of the SADL questionnaire, the conclusion is relatively satisfied with the overall satisfaction. Conclusion: Effects Assessment Questionnaire in patients with hearing aids hearing impairment can be epitomized the disabled after use to improve the situation and understand the satisfaction of patients with hearing aids can be an initial effect as the rehabilitation of a reliable subjective assessment of the impact assessment indicators.%目的:通过对已选配助听器的老年性聋患者进行助听器效果评估问卷的填写,评估其使用效果并有针对性地解决其使用中遇到的问题,提高老年人的生活质量.方法:通过面对面的方式对30例助听器验配患者进行调查和分析.应用SPSS统计学软件分析,初步评估老年性聋患者助听器的使用效果和解决其使用中遇到的问题.结果:调查结果得出老年性聋患者听力障碍问题得到显著改善,对选配的助听器总体比较满意,且听力障碍问题的改善与满意度随时间的延长持续提高.结论:效果评估问卷可以集中反映听力障碍患者助听器使用后的残障改善情况和了解患者使用助听器的满意度,可初步作为康复效果评估的一个可靠主观效果评估指标.

  6. Auditory perceptual learning in adults with and without age-related hearing loss

    Directory of Open Access Journals (Sweden)

    Hanin eKarawani

    2016-02-01

    Full Text Available Introduction: Speech recognition in adverse listening conditions becomes more difficult as we age, particularly for individuals with age-related hearing loss (ARHL. Whether these difficulties can be eased with training remains debated, because it is not clear whether the outcomes are sufficiently general to be of use outside of the training context. The aim of the current study was to compare training-induced learning and generalization between normal-hearing older adults and those with ARHL.Methods: 56 listeners (60-72 y/o, 35 participants with ARHL and 21 normal hearing adults participated in the study. The study design was a cross over design with three groups (immediate-training, delayed-training and no-training group. Trained participants received 13 sessions of home-based auditory training over the course of 4 weeks. Three adverse listening conditions were targeted: (1 Speech-in-noise (2 time compressed speech and (3 competing speakers, and the outcomes of training were compared between normal and ARHL groups. Pre- and post-test sessions were completed by all participants. Outcome measures included tests on all of the trained conditions as well as on a series of untrained conditions designed to assess the transfer of learning to other speech and non-speech conditions. Results: Significant improvements on all trained conditions were observed in both ARHL and normal-hearing groups over the course of training. Normal hearing participants learned more than participants with ARHL in the speech-in-noise condition, but showed similar patterns of learning in the other conditions. Greater pre- to post-test changes were observed in trained than in untrained listeners on all trained conditions. In addition, the ability of trained listeners from the ARHL group to discriminate minimally different pseudowords in noise also improved with training. Conclusions: ARHL did not preclude auditory perceptual learning but there was little generalization to

  7. Auditory Perceptual Learning in Adults with and without Age-Related Hearing Loss

    Science.gov (United States)

    Karawani, Hanin; Bitan, Tali; Attias, Joseph; Banai, Karen

    2016-01-01

    Introduction : Speech recognition in adverse listening conditions becomes more difficult as we age, particularly for individuals with age-related hearing loss (ARHL). Whether these difficulties can be eased with training remains debated, because it is not clear whether the outcomes are sufficiently general to be of use outside of the training context. The aim of the current study was to compare training-induced learning and generalization between normal-hearing older adults and those with ARHL. Methods : Fifty-six listeners (60–72 y/o), 35 participants with ARHL, and 21 normal hearing adults participated in the study. The study design was a cross over design with three groups (immediate-training, delayed-training, and no-training group). Trained participants received 13 sessions of home-based auditory training over the course of 4 weeks. Three adverse listening conditions were targeted: (1) Speech-in-noise, (2) time compressed speech, and (3) competing speakers, and the outcomes of training were compared between normal and ARHL groups. Pre- and post-test sessions were completed by all participants. Outcome measures included tests on all of the trained conditions as well as on a series of untrained conditions designed to assess the transfer of learning to other speech and non-speech conditions. Results : Significant improvements on all trained conditions were observed in both ARHL and normal-hearing groups over the course of training. Normal hearing participants learned more than participants with ARHL in the speech-in-noise condition, but showed similar patterns of learning in the other conditions. Greater pre- to post-test changes were observed in trained than in untrained listeners on all trained conditions. In addition, the ability of trained listeners from the ARHL group to discriminate minimally different pseudowords in noise also improved with training. Conclusions : ARHL did not preclude auditory perceptual learning but there was little generalization to

  8. Association between Accelerometer-Assessed Physical Activity and Objectively Measured Hearing Sensitivity among U.S. Adults with Diabetes

    Science.gov (United States)

    Loprinzi, Paul D.; Gilham, Ben; Cardinal, Bradley J.

    2014-01-01

    Purpose: The purpose of this study was to examine the association between objectively measured physical activity and hearing sensitivity among a nationally representative sample of U.S. adults with diabetes. Method: Data from the 2003-2006 National Health and Nutrition Examination Survey were used. One hundred eighty-four U.S. adults with diabetes…

  9. Hearing levels in US adults aged 20-69 Years: National Health and Nutrition Examination Survey 1999-2002

    Science.gov (United States)

    Murphy, William J.; Themann, Christa L.; Franks, John R.

    2005-04-01

    The National Health and Nutrition Examination Survey (NHANES) is a nationally representative, population-based survey designed to assess the health and nutritional status of the civilian, non-institutionalized US population. Data were collected through a personal interview regarding health history and through physical examination. Earlier NHANES surveys were conducted on a periodic basis; however, in 1999, NHANES began collecting data on a continuing, annual basis. During NHANES I, which ran from 1971-1975, audiometric testing was conducted on adults aged 25-74 years. No subsequent testing of adults was conducted in the NHANES program until 1999, when NHANES began audiometric testing of adults aged 20-69 years. This report examines the hearing levels for adults in the United States and compares them with the hearing data from NHANES I. Hearing levels are grouped by age and are grouped by ethnicity and gender.

  10. Effort Not Speed Characterizes Comprehension of Spoken Sentences by Older Adults with Mild Hearing Impairment

    Science.gov (United States)

    Ayasse, Nicole D.; Lash, Amanda; Wingfield, Arthur

    2017-01-01

    In spite of the rapidity of everyday speech, older adults tend to keep up relatively well in day-to-day listening. In laboratory settings older adults do not respond as quickly as younger adults in off-line tests of sentence comprehension, but the question is whether comprehension itself is actually slower. Two unique features of the human eye were used to address this question. First, we tracked eye-movements as 20 young adults and 20 healthy older adults listened to sentences that referred to one of four objects pictured on a computer screen. Although the older adults took longer to indicate the referenced object with a cursor-pointing response, their gaze moved to the correct object as rapidly as that of the younger adults. Second, we concurrently measured dilation of the pupil of the eye as a physiological index of effort. This measure revealed that although poorer hearing acuity did not slow processing, success came at the cost of greater processing effort. PMID:28119598

  11. Information Vaccine: Using Graphic Novels as an HIV/AIDS Prevention Resource for Young Adults

    Science.gov (United States)

    Albright, Kendra S.; Gavigan, Karen

    2014-01-01

    HIV/AIDS infections are growing at an alarming rate for young adults. In 2009, youth, ages 13-29, accounted for 39% of all new HIV infections in the U.S. (Division of HIV/ AIDS Prevention, Centers for Disease Control (CDC), 2011). South Carolina ranks eighth in the nation for new HIV cases, while the capital city of Columbia ranks seventh…

  12. A Socio-Ecological Approach in Addressing Hearing Loss and Disparities in Access to Hearing Health Care Among Older Adults

    Directory of Open Access Journals (Sweden)

    Maia Ingram

    2016-08-01

    Full Text Available Hearing loss is associated with cognitive decline and impairment in daily living activities. Access to hearing health care has broad implications for healthy aging of the U.S. population. This qualitative study investigated factors related to the socio-ecological domains of hearing health in a US-Mexico border community experiencing disparities in access to care. A multidisciplinary research team partnered with Community Health Workers (CHWs from a Federally Qualified Health Center in designing the study. CHWs conducted interviews with people with hearing loss (n=20 and focus groups with their family/friends (n=27 and with members of the community-at-large (n=47. The research team conducted interviews with FQHC providers and staff (n=12. Individuals experienced depression, sadness and social isolation, as well as frustration and even anger regarding communication. Family members experienced negative impacts of deteriorating communication, but expressed few coping strategies. There was general agreement across data sources that hearing loss was not routinely addressed within primary care and assistive hearing technology was generally unaffordable. Community members described stigma related to hearing loss and a need for greater access to hearing health care and broader community education. Findings confirm the causal sequence of hearing impairment on quality of life aggravated by socio-economic conditions and lack of access to hearing health care. Hearing loss requires a comprehensive and innovative public health response across the socio-ecological framework that includes both individual communication intervention and greater access to hearing health resources. Community health workers can be effective in tailoring intervention strategies to community characteristics.

  13. The influence of non-linear frequency compression on the perception of music by adults with a moderate to severe hearing loss: Subjective impressions

    Directory of Open Access Journals (Sweden)

    Marinda Uys

    2012-12-01

    Full Text Available Objective: To date, the main direction in frequency-lowering hearing aid studies has been in relation to speech perception abilities. With improvements in hearing aid technology, interest in musical perception as a dimension that could improve hearing aid users’ quality of life has grown. The purpose of this study was to determine the influence of non-linear frequency compression (NFC on hearing aid users’ subjective impressions of listening to music. Design & sample: A survey research design was implemented to elicit participants’ (N=40 subjective impressions of musical stimuli with and without NFC. Results: The use of NFC significantly improved hearing aid users’ perception of the musical qualities of overall fidelity, tinniness and reverberance. Although participants preferred to listen to the loudness, fullness, crispness, naturalness and pleasantness of music with the use of NFC, these benefits were not significant. Conclusion: The use of NFC can increase hearing aid users’ enjoyment and appreciation of music. Given that a relatively large percentage of hearing aid users express a loss of enjoyment of music, audiologists should not ignore the possible benefits of NFC, especially if one takes into account that previous research indicates speech perception benefits with this technology.

  14. [A totally implantable hearing aid for inner ear deafness: TICA LZ 3001].

    Science.gov (United States)

    Leysieffer, H; Baumann, J W; Mayer, R; Müller, D; Müller, G; Schön, T; Volz, A; Zenner, H P

    1998-10-01

    Recently, Zenner et al. implanted the first totally implantable electronic hearing devices in patients with SNHL (HNO 46 [1998] 844-852). In the present report, technical and audiological features of the implant TICA are published. The development of the piezoelectric transducer and the microphone for implantation in the posterior wall of the auditory canal as components for the present fully implantable hearing system has already been described (HNO 45, 1997, 792-880). Here we report about our experience with the electronic main module that completes the TICA LZ 3001 system. This module is suited for implantation in the mastoid bone and contains the signal-processing electronics and an integrated battery that can be recharged transcutaneously with a portable charger. The recharging time is around 2 h for an implant operating time of 50 h. The microphone and transducer connectors allow for easy replacement of the main module when the battery lifetime is reached. This lifetime is around 3-5 years. A small wireless remote control allows volume adjustment, contains an on/off switch, and permits selection of four different individual hearing programs. The basic audiological features are provided by a flexible, digitally programmable 3-channel-AGC-system with a peak clipping function. The total bandwidth is around 10 kHz. To our knowledge this is the first fully implantable hearing system that has been in implanted in humans.

  15. Relating hearing loss and executive functions to hearing aid users’ preference for, and speech recognition with, different combinations of binaural noise reduction and microphone directionality

    Directory of Open Access Journals (Sweden)

    Tobias eNeher

    2014-12-01

    Full Text Available Knowledge of how executive functions relate to preferred hearing aid (HA processing is sparse and seemingly inconsistent with related knowledge for speech recognition outcomes. This study thus aimed to find out if (1 performance on a measure of reading span (RS is related to preferred binaural noise reduction (NR strength, (2 similar relations exist for two different, nonverbal measures of executive function, (3 pure-tone average hearing loss (PTA, signal-to-noise ratio (SNR, and microphone directionality (DIR also influence preferred NR strength, and (4 preference and speech recognition outcomes are similar. Sixty elderly HA users took part. Six HA conditions consisting of omnidirectional or cardioid microphones followed by inactive, moderate, or strong binaural NR as well as linear amplification were tested. Outcome was assessed at fixed SNRs using headphone simulations of a frontal target talker in a busy cafeteria. Analyses showed positive effects of active NR and DIR on preference, and negative and positive effects of, respectively, strong NR and DIR on speech recognition. Also, while moderate NR was the most preferred NR setting overall, preference for strong NR increased with SNR. No relation between RS and preference was found. However, larger PTA was related to weaker preference for inactive NR and stronger preference for strong NR for both microphone modes. Equivalent (but weaker relations between worse performance on one nonverbal measure of executive function and the HA conditions without DIR were found. For speech recognition, there were relations between HA condition, PTA, and RS, but their pattern differed from that for preference. Altogether, these results indicate that, while moderate NR works well in general, a notable proportion of HA users prefer stronger NR. Furthermore, PTA and executive functions can account for some of the variability in preference for, and speech recognition with, different binaural NR and DIR settings.

  16. A satisfação e o desempenho de usuários de próteses auditivas atendidos em um programa de atenção à saúde auditiva Satisfaction and performance of hearing aids users assisted in a Hearing Health Care Program

    Directory of Open Access Journals (Sweden)

    Aline da Silva Lopes

    2011-08-01

    Full Text Available OBJETIVO: avaliar o desempenho e a satisfação com o uso das próteses auditivas nos pacientes atendidos no convênio APAC-UFSM, após um ano de adaptação. MÉTODOS: analisou-se 49 sujeitos, com perda auditiva do tipo neurossensorial ou mista, de grau leve a severo na melhor orelha, divididos em adultos e idosos. Realizou-se a pesquisa dos Limiares e Índices Percentuais de Reconhecimento de Sentenças no Silêncio e no Ruído, em campo livre, por meio do teste Listas de Sentenças em Português; e aplicou-se o questionário de satisfação, International Outcome Inventory for Hearing Aids. Realizaram-se os testes na mesma sessão, em dois momentos distintos, sendo o primeiro, sem o uso das próteses auditivas e o segundo, usando as mesmas. RESULTADOS: houve diferença significante no desempenho dos indivíduos em ambos os grupos, no procedimento realizado no silêncio. Apesar de o desempenho com próteses auditivas não ter apresentado melhora significante no ruído, os pacientes apresentaram respostas satisfatórias no questionário. Na comparação entre os grupos, não se observou diferença significante quanto ao desempenho e satisfação. CONCLUSÃO: a melhora significante do desempenho no silêncio vai ao encontro do relato dos pacientes. O questionário evidenciou que a maioria referiu fazer uso efetivo das próteses auditivas e considerou ter um benefício muito satisfatório. Apesar de uma parcela significativa referir moderada ou bastante dificuldade residual, a maioria considerou que o uso das próteses auditivas vale muito ou bastante a pena.PURPOSE: to assess the performance and satisfaction using hearing aids in patients assisted in the APAC-UFSM partnership, after a one-year fitting. METHODS: 49 subjects having mild to severe sensorineural or mixed hearing loss in the better ear were analyzed. They were divided into adults and elderly groups. The research of Sentence Recognition Threshold and Percent Indexes in Quiet and in

  17. 骨导助听技术研究与应用进展%Advance in research and application of bone conduction hearing aid technology

    Institute of Scientific and Technical Information of China (English)

    艾海明; 郭红阳; 王杰

    2016-01-01

    Hearing aid techniques consist of air conduction and bone conduction in terms of sound transmission pathway. On the bone conduction, the sound signal vibrating the skull and transmitting it into the inner ear directly rather than by the outer and middle ear sequentially. By the bone conduction-hearing mechanism, ambient noise interference can be effectively prevented, so that the bone conduction technology is an alternative hearing aid modality for hearing-impaired subjects. This paper mainly reviewed updating research of bone conduction on hearing aid techniques, core algorithm development and clinical application, which aims to enhance the development of bone conduction technology and to promote its clinical application.%助听技术按传导径路可分为气导与骨导两类。骨传导声音信号通过振动颅骨,不经过外耳、中耳而直接传递至内耳,可有效防止外界环境噪声干扰,为听力障碍者提供一种可选的可靠助听方式。本文主要通过对现今骨传导助听技术研究现状、核心算法开发和应用场景等进行综述,旨在促进此项技术发展及推广临床应用。

  18. Chronic diseases and life events accounted for 2-18 % population attributable risks for adult hearing loss: UK Adult Psychiatric Morbidity Survey, 2007.

    Science.gov (United States)

    Shiue, Ivy

    2016-01-01

    Links between chronic diseases and hearing loss in adults have emerged. However, previous investigations were not complete, and the role of life events was unclear. Therefore, it was aimed to examine the relationships of common chronic diseases and life events and adult hearing loss in a country-wide and population-based study. Data were retrieved from UK Adult Psychiatric Morbidity Survey, 2007, being cross-sectional, including demographics, self-reported prior health conditions and hearing loss (ever and in the last 12 months), and several major life events. Analyses included Chi square test, t test, logistic regression model, and population attributable risk estimation. People who had prior health conditions including cancer, migraine, dementia, depression, cataracts, chronic bronchitis, allergy, bowel problem, bladder problem, arthritis, muscle problem or skin problem tended to report hearing loss than their counterparts. People who have experienced major life events including post-traumatic stress disorder, serious illness of close relatives, death of family, serious problems with friends, major financial crisis, valuables stolen, being bullied, violence at home, sexual abuse or running away from home were also more likely to experience ever hearing loss problem or that in the last 12 months. 2.0-13.1 % adult hearing loss could be delayed or prevented by managing chronic diseases while 4.1-18.1 % might be delayed or prevented by minimizing the negative effects of life events. Chronic diseases and life events were associated with hearing loss in adults. Better managing lifestyle to minimize detrimental impacts in future health and nursing programs would be suggested.

  19. Unilateral hearing loss: benefits and satisfaction from the use of hearing aids Perda auditiva unilateral: benefício e satisfação com o uso do AASI

    Directory of Open Access Journals (Sweden)

    Maria Renata José

    2011-04-01

    Full Text Available A unilateral hearing loss is characterized by reduced hearing in one ear. The problems caused by sensory deprivation can be minimized with the use of hearing aids (HA. AIM: To analyze the correlation between the prescribed grain and the insertion gain difference and with the results obtained regarding the benefit and satisfaction with the use of hearing aids in unilateral hearing impaired patients. MATERIALS AND METHODS: Prospective study with 15 subjects, mean age of 41.6 years, of both genders, users of hearing aids effectively. We used the International Questionnaire Results for hearing aids (International Outcome Inventory for Hearing Aids - IOI-HA, measured with a probe microphone. RESULTS: The mean values in the analyses of the IOI-HA per item were positive and higher than four points. In relation to the objective measures, the frequencies in which we obtained the gain values which were closer to the target were: 1K Hz, 2K Hz and 500 Hz, respectively. CONCLUSION: The satisfaction of individuals using hearing aid unilaterally is not completely correlated to the prescribed gain, because even if the target is not being reached in some frequencies, the individuals were pleased as to the use of their hearing aids.Aperda auditiva unilateral é caracterizada pela diminuição da audição em apenas uma orelha. Os problemas acometidos pela privação sensorial podem ser minimizados com o uso do Aparelho de Amplificação Sonora individual (AASI. OBJETIVO: Analisar a correlação entre a diferença do ganho prescrito e ganho de inserção com os resultados obtidos em relação ao benefício e a satisfação quanto ao uso do AASI por pacientes deficientes auditivos unilaterais. MATERIAL E MÉTODO: Estudo prospectivo, com 15 indivíduos, com média de idade de 41,6 anos, de ambos os gêneros, usuários de AASI de maneira efetiva. Foi utilizado o Questionário internacional de Resultados para Aparelhos de Amplificação Sonora (International Outcome

  20. Development of Teaching Aids for ABE/ESL Adult Education Programs. Final Report.

    Science.gov (United States)

    Berna, Joan; Alkasab, Helen

    The purpose of Special Project E-109A, Development of Teaching Aids for Adult Basic Education/English (Second Language) (ABE/ESL) Adult Education Programs, was to develop skill packets consisting of visual materials, teacher manuals, and student work sheets for statewide use in ABE/ESL classes in Illinois. The project was conducted cooperatively…

  1. "We communicated that way for a reason": language practices and language ideologies among hearing adults whose parents are deaf.

    Science.gov (United States)

    Pizer, Ginger; Walters, Keith; Meier, Richard P

    2013-01-01

    Families with deaf parents and hearing children are often bilingual and bimodal, with both a spoken language and a signed one in regular use among family members. When interviewed, 13 American hearing adults with deaf parents reported widely varying language practices, sign language abilities, and social affiliations with Deaf and Hearing communities. Despite this variation, the interviewees' moral judgments of their own and others' communicative behavior suggest that these adults share a language ideology concerning the obligation of all family members to expend effort to overcome potential communication barriers. To our knowledge, such a language ideology is not similarly pervasive among spoken-language bilingual families, raising the question of whether there is something unique about family bimodal bilingualism that imposes different rights and responsibilities on family members than spoken-language family bilingualism does. This ideology unites an otherwise diverse group of interviewees, where each one preemptively denied being a "typical CODA [children of deaf adult]."

  2. For patients with age -related hearing loss of hearing aid fit ing method is analyzed%对于老年性听力损失患者助听器的验配方法进行分析

    Institute of Scientific and Technical Information of China (English)

    朱美林

    2014-01-01

    objective:focus for senile patients with hearing loss of hearing aid fit ing method and ef ect.Methods:to select the research object is early January to the end of December 2013,2012 during accept hearing -aid with 60 cases of senile patients with hearing loss,al patients were accepted hearing -aid,and strengthen the rehabilitation training.Results:the fit ing ef ect for only 1 case with poor fit ing ef ect for a total of 9 cases,good fit ing ef ect for a total of 50 cases,was as high as 98.33%.Conclusion:the light of the specific conditions of the patients with hearing loss,for patients to choose the appropriate hearing AIDS fit ing,and strengthen the rehabilitation training,to improve success rate of hearing aid fit ing.%目的:重点探索老年性听力损失患者助听器的验配方法及效果。方法:选取的研究对象是2012年1月初至2013年12月底期间接受助听器验配的60例老年性听力损失患者,所有患者均接受助听器验配,并加强康复训练。结果:验配效果为差的仅有1例,验配效果为良的总共有9例,验配效果为优的总共有50例,优良率高达98.33%。结论:结合听力损失患者的具体情况,为患者选择合适的助听器进行验配,并加强康复训练,有利于提高助听器验配成功率。

  3. Self-report outcome in new hearing-aid users: Longitudinal trends and relationships between subjective measures of benefit and satisfaction

    DEFF Research Database (Denmark)

    Vestergaard, Martin David

    2006-01-01

    This study focussed on self-report outcome in new hearing-aid users. The objectives of the experiment were changes in self-report outcome over time, and relationships between different subjective measures of benefit and satisfaction. Four outcome inventories and a questionnaire on auditory...

  4. A Low-Power Two-Digit Multi-dimensional Logarithmic Number System Filterbank Architecture for a Digital Hearing Aid

    Directory of Open Access Journals (Sweden)

    William Miller

    2005-11-01

    Full Text Available This paper addresses the implementation of a filterbank for digital hearing aids using a multi-dimensional logarithmic number system (MDLNS. The MDLNS, which has similar properties to the classical logarithmic number system (LNS, provides more degrees of freedom than the LNS by virtue of having two, or more, orthogonal bases and the ability to use multiple MDLNS components or digits. The logarithmic properties of the MDLNS also allow for reduced complexity multiplication and large dynamic range, and a multiple-digit MDLNS provides a considerable reduction in hardware complexity compared to a conventional LNS approach. We discuss an improved design for a two-digit 2D MDLNS filterbank implementation which reduces power and area by over two times compared to the original design.

  5. 基于DSP的多通道皮肤听声器%Multi-channel Skin-hearing Aid Based on DSP

    Institute of Scientific and Technical Information of China (English)

    李建文; 付蓉

    2011-01-01

    In order to improve the ability of deaf semantic analysis, the multi-channel band-pass filtering skin-hearing aid based on Digital Signal Processing(DSP) is designed. By comparing today's hearing-aid device and latest idea of skin-hearing, it reveals that the advantages of skin-hearing rely on no residual hearing and it can solve the deaf hearing problem from the fundamental. At the same time, the voice recognition of skin-hearing is a pattern matching process. This paper focuses on the two aspects of hardware and software to present the research program. The innovation lies with using multi-channel band-pass filter technologies in traditional method of skin-hearing, and improves the capacity of voice-recognition.%为提高聋哑人辨析语义的能力,设计基于数字信号处理的多通道带通滤波皮肤听声器.通过对助听设备现状及最新皮肤听声理念的比较,揭示皮肤听声器的优势在于不依赖于人耳的任何残余听力并能从根本上解决聋人的听力问题.阐述皮肤听声的语义识别是一个模式匹配的过程,并从硬件和软件2个方面介绍其研究方案.将多通道带通滤波技术应用到传统的皮肤听声技术中,可提高皮肤听声器辨识语音的能力.

  6. Feasibility of Using Supra-aural Headphones for Assessing the Aided Hearing Thresholds of Completely-in-the-canal Hearing Aids%头戴式气导耳机评估完全耳道式助听器助听听阈的可行性研究

    Institute of Scientific and Technical Information of China (English)

    苏俊; 李文靖; 管锐瑞; 张梅丽

    2015-01-01

    ObjectiveTo verify the feasibility of using supra-aural headphones for assessing the aided hearing thresholds of completely-in-the-canal(CIC) hearing aids.MethodsTwenty-six CIC hearing aid wearers (35 ears) received pure-tone audiometry before wearing hearing aid and aided hearing thresholds test in the sound field when wearing hearing aids and using supra-aural headphones. And the results were statistically analyzed.Results There were significant differences in the aided hearing thresholds of CIC hearing aid wearers at 250,1000, 2000 and 4000 Hz in the sound field and when using the supra-aural headphones(P<0.05),but the difference was less than 5 dB HL.The aided hearing thresholds in the sound field and when using the supra-aural headphones were linearly correlated with the pure-tone hearing thresholds at 250, 500, 1000, 2000 and 4000 Hz(P<0.01).Conclusion CIC hearing aid wearers can use supra-aural headphones to assess the aided hearing thresholds. However, this study only observes the aided hearing thresholds at 250-4000 Hz, so it can’t replace sound field test and further studies are needed.%目的:验证使用头戴式气导耳机对完全耳道式(completey-in-the-canal,CIC)助听器配戴者进行助听听阈评估是否具有可行性。方法对26例(35耳)CIC型助听器配戴者分别进行裸耳纯音听阈测试、声场条件下的助听听阈测试和头戴式气导耳机条件下的助听听阈测试,并对结果进行统计学分析。结果 CIC型助听器配戴者声场条件下与头戴式气导耳机条件下的助听听阈在250、1000、2000和4000 Hz处差异有统计学意义(P<0.05),但差值均<5 dB HL;声场条件下的助听听阈、头戴式气导耳机条件下的助听听阈和裸耳听阈两两间在250、500、1000、2000和4000 Hz频率下均呈显著直线相关趋势(P<0.01)。结论CIC助听器配戴者可用头戴式气导耳机进行助听听阈测试,但由于本研究只观察了250~4000 Hz

  7. Parents' anxieties about the risk of HIV/AIDS for their Deaf and hard of hearing adolescents in South Africa: a qualitative study.

    Science.gov (United States)

    Mall, Sumaya; Swartz, Leslie

    2012-07-01

    Adolescents who are Deaf or hard of hearing may be vulnerable to HIV/AIDS. Adolescents' open communication with parents encourages positive sexuality. The relationship between the Deaf adolescent and their parent could be obstructed by communication difficulties. This article explores parents' anxieties about HIV risk. We interviewed nine parents of Deaf adolescents in South Africa. We explored their fears of the risk of HIV/AIDS for their children. Participants believed that their children were at risk of HIV infection. Although they did communicate with their children about sexuality and HIV/AIDS, some experienced communication difficulties. Communicative relationships between these adolescents and their parents should be encouraged.

  8. Analysis on reasons of hearing aid fitting failure in 58 cases%助听器验配失败58例原因分析

    Institute of Scientific and Technical Information of China (English)

    王德平; 苏俊波; 骆文龙

    2016-01-01

    目的:分析助听器验配失败原因,寻找影响助听器验配的因素,从而指导耳聋康复工作的进行。方法通过对2015年3月1日至2016年3月1日该院收治的58例助听器验配失败的双侧重度感音神经性耳聋患者的问卷调查,分析助听器验配失败的原因。结果助听器验配失败原因以患者主观认为听力不重要[29.3%(17/58)]、配戴不适[25.9%(15/58)]、经济原因[20.7%(12/58)]居多。在病程内进行耳鼻咽喉头颈外科专科医生提供的耳聋康复治疗时间大于或等于2周组患者中认为配戴不适是导致验配失败的主要原因者[9/21(42.9%)]多于小于2周组[6/37(16.2%)],差异有统计学意义(χ2=4.959,P=0.026)。结论接受、使用助听器是多因素作用结果,受主观重视、经济支持、配戴舒适、家人支持等多重因素的影响。%Objective To analyze the reasons of failing in hearing aid fitting to find out factors affecting the hearing aid fitting for guiding the deafness rehabilitation work. Methods Fifty-eight patients with bilateral severe sensorineural deafness and hearing aid fitting failure in our hospital from March 1,2015 to March 1,2016 were surveyed by questionnaire for analyzing the reasons of hearing aid fitting failure. Results The reasons for failing to hearing aid fitting were mainly that the patient′s subjec tive thinking of hearing unimportance[29.3%(17/58)],uncomfortable hearing aid fitting[25.9%(15/58)] and economic reasons [20.7%(12/58)]. Those patients receiving the rehabilitation treatment from otorhinolaryngologists≥2 weeks during the disease course thinking that hearing aid discomfort was the main reason leading to hearing aid fitting failure were more than those patients receiving treatment<2 weeks[9/21(42.9%)vs. 6/37(16.2%),χ2=4.959,P=0.026 ]. Conclusion Receiving and using hearing aid are the results of many factors action,which are affected by multi-factors of subjective

  9. Development of preverbal communication skills in children with hearing aids%儿童选配助听器后前语言交流能力发育

    Institute of Scientific and Technical Information of China (English)

    李颖; 陈雪清; 刘海红; 孟超; 郭倩倩; 郑妍; 张华; 吴燕君; 孔颖

    2016-01-01

    目的:本研究利用“录像分析法”对聋儿选配助听器后前语言交流能力进行评估和分析,为制定合理的康复训练计划提供临床依据。方法研究对象为60名选配助听器的语前聋儿童。选配助听器时年龄为4-49个月,平均22.4±14.6个月。根据选配助听器时的听力损失程度将儿童分为A组(中度听力损失,11名)、B组(重度听力损失,36名)、C组(极重度听力损失,13名)。另外根据耳聋儿童选配助听器时的年龄,将儿童分为a组(选配助听器时年龄≤2岁,41名)、b组(选配助听器时年龄>2岁,19名)。使用“录像分析法”分别在选配后0(初次选配时)、3、6和12个月对儿童的轮流交流、视觉交流、主动交流和听觉注意四项前语言交流能力进行评估。结果 A、B、C三组儿童选配助听器一年内轮流交流及听觉注意能力得分均呈显著增长(P0.05)。a、b两组儿童选配助听器一年内轮流交流能力得分均呈显著增长(P0.05)。b组儿童选配助听器一年内听觉注意能力得分呈显著增长(P0.05)。结论耳聋儿童使用助听器时间越长,前语言交流能力越好。聋儿听力损失程度越轻,选配助听器后前语言交流能力发育速度越快。录像分析法可用于评估分析选配助听器后聋儿前语言交流能力。%Objective The aim of this study is to evaluate preverbal communication skills in children with hearing aids, to provide a basis for establishing a hearing and speech habilitation program. Methods Sixty children with hearing aids participated in this study. They all had prelingual hearing loss and aged from 4 to 49 months (mean=22.4 months) at hearing aid fitting. According to their hearing levels, children in this study were divided into three groups, i.e. those with moderate hearing loss (group A, n=11), severe hearing loss (group B, n=36), or with profound hearing loss (group C, n=13

  10. Measuring Levels of Stress and Depression in Mothers of Children Using Hearing Aids and Cochlear Implants: A Comparative Study

    Science.gov (United States)

    Prakash, Santhi S; Prakash, S. G. R.; Ravichandran, Aparna; Susan, K. Y.; Alex, Winnie

    2013-01-01

    Hearing impairment is an exceptional circumstance that restricts the child's ability to communicate verbally. Depression is a common stress-related response for hearing parents of children with hearing loss. Evidence suggests that mothers are more inclined than fathers to experience depression in response to their child's hearing loss (Mavrolas,…

  11. Managing Hearing Loss

    Science.gov (United States)

    ... you can get help. See your doctor. Hearing aids, special training, certain medicines, and surgery are some of the choices that can help people with hearing problems, but they are not a cure. Read More "Hearing Loss" Articles Managing Hearing Loss / Symptoms, Devices, Prevention & Research / Screening ...

  12. Micro Insert Moulding for the Production of 8 Pin RIC Socket for Hearing Aid Applications

    DEFF Research Database (Denmark)

    Islam, Aminul; Hansen, Hans Nørgaard; Larsen, Jacob W.

    - one based on semi-automated process and the other one is fully automated process. Current report presents the entire process chain for both the concepts and makes a comparative analysis based on the experimental investigation and validation. The work presented here can be a source of valuable......This report presents the development of an 8 Pin RIC (Receiver in the canal) Socket for hearing instruments within the framework of the European project COTECH. There were 8 industrial demonstrators developed in COTECH based on the converged product and process design. Sonion’s 8 Pin RIC Socket...

  13. Images of AIDS among teenagers and young adults.

    Science.gov (United States)

    Redjimi, G; Lert, F

    1993-01-01

    This study analyzed images of AIDS and HIV-1 seropositivity among young people. The method employed is content analysis of 307 screen plays written by participants aged 15-25 as part of a competition organized by Médecins du Monde, APS, CRIPS. The participants were instructed to write a screen play for a 13-minute film on the theme of "Living in the city with HIV". In most stories, the seropositive hero was a young male or female heterosexual. Only a few scenarios involved drug abusers or homosexuals. Despite the absence of evidence of stigmatizating attitudes, HIV infection is often seen as a punitive consequence of a promiscuous sexual lifestyle. The announcement of seropositivity is perceived as a violent break with everyday life associated with introspection, and rejection of close friends and family. To cope with such a dramatic situation, the subject has to undergo a violent crisis. Life as portrayed in the scenarios is similar to life for people with HIV as it appears in personal testimonies. The majority of storylines concerning young heterosexuals show that participants understood that anybody can be affected by AIDS. There was no division into risk groups and the tolerant positions adopted demonstrate the impact of the associative movement and of information campaigns in France. However, the recurrence of the notion of 'illness as punishment' indicates that much work remains if AIDS is to be dissociated from moral connotations.

  14. Gaze patterns during identity and emotion judgments in hearing adults and deaf users of American Sign Language.

    Science.gov (United States)

    Letourneau, Susan M; Mitchell, Teresa V

    2011-01-01

    Deaf individuals rely on facial expressions for emotional, social, and linguistic cues. In order to test the hypothesis that specialized experience with faces can alter typically observed gaze patterns, twelve hearing adults and twelve deaf, early-users of American Sign Language judged the emotion and identity of expressive faces (including whole faces, and isolated top and bottom halves), while accuracy and fixations were recorded. Both groups recognized individuals more accurately from top than bottom halves, and emotional expressions from bottom than top halves. Hearing adults directed the majority of fixations to the top halves of faces in both tasks, but fixated the bottom half slightly more often when judging emotion than identity. In contrast, deaf adults often split fixations evenly between the top and bottom halves regardless of task demands. These results suggest that deaf adults have habitual fixation patterns that may maximize their ability to gather information from expressive faces.

  15. Karyotype-specific ear and hearing problems in young adults with turner syndrome and the effect of oxandrolone treatment

    NARCIS (Netherlands)

    Verver, E.J.; Freriks, K.; Sas, T.C.J.; Huygen, P.L.M.; Pennings, R.J.E.; Smeets, D.F.C.M.; Hermus, A.R.M.M.; Menke, L.A.; Wit, J.M.; Otten, B.J.; Velden, J.A.M. van der; Keizer-Schrama, S.M.; Topsakal, V.; Admiraal, R.J.C.; Timmers, H.J.L.M.; Kunst, H.P.M.

    2014-01-01

    OBJECTIVE: To evaluate karyotype-specific ear and hearing problems in young-adult patients with Turner syndrome (TS) and assess the effects of previous treatment with oxandrolone (Ox). STUDY DESIGN: Double-blind follow-up study. SETTING: University hospital. PATIENTS: Sixty-five TS patients (mean ag

  16. Screening for hearing, visual and dual sensory impairment in older adults using behavioural cues : A validation study

    NARCIS (Netherlands)

    Roets-Merken, Lieve M.; Zuidema, Sytse U.; Vernooij-Dassen, Myrra J. F. J.; Kempen, Gertrudis I. J. M.

    2014-01-01

    Objective: This study investigated the psychometric properties of the Severe Dual Sensory Loss screening tool, a tool designed to help nurses and care assistants to identify hearing, visual and dual sensory impairment in older adults. Design: Construct validity of the Severe Dual Sensory Loss screen

  17. AIDS

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/000594.htm HIV/AIDS To use the sharing features on this page, ... immunodeficiency virus (HIV) is the virus that causes AIDS. When a person becomes infected with HIV, the ...

  18. Hearing Loss and Quality of Life (QOL) among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Adults

    Science.gov (United States)

    Duong, N; Torre, P; Springer, G; Cox, C; Plankey, MW

    2017-01-01

    Objective Research has established that human immunodeficiency virus (HIV) causes hearing loss. Studies have yet to evaluate the impact on quality of life (QOL). This project evaluates the effect of hearing loss on QOL by HIV status. Methods The study participants were from the Multicenter AIDS Cohort Study (MACS) and the Women's Interagency HIV study (WIHS). A total of 248 men and 127 women participated. Pure-tone air conduction thresholds were collected for each ear at frequencies from 250 through 8000 Hz. Pure-tone averages (PTAs) for each ear were calculated as the mean of air conduction thresholds in low frequencies (i.e., 250, 500, 1000 and 2000 Hz) and high frequencies (i.e., 3000, 4000, 6000 and 8000 Hz). QOL data were gathered with the Short Form 36 Health Survey and Medical Outcome Study (MOS)-HIV instrument in the MACS and WIHS, respectively. A median regression analysis was performed to test the association of PTAs with QOL by HIV status. Results There was no significant association between hearing loss and QOL scores at low and high pure tone averages in HIV positive and negative individuals. HIV status, HIV biomarkers and treatment did not change the lack of association of low and high pure tone averages with poorer QOL. Conclusion Although we did not find a statistically significant association of hearing loss with QOL by HIV status, testing for hearing loss with aging and recommending treatment may offset any presumed later life decline in QOL.

  19. Intermodal timing relations and audio-visual speech recognition by normal-hearing adults.

    Science.gov (United States)

    McGrath, M; Summerfield, Q

    1985-02-01

    Audio-visual identification of sentences was measured as a function of audio delay in untrained observers with normal hearing; the soundtrack was replaced by rectangular pulses originally synchronized to the closing of the talker's vocal folds and then subjected to delay. When the soundtrack was delayed by 160 ms, identification scores were no better than when no acoustical information at all was provided. Delays of up to 80 ms had little effect on group-mean performance, but a separate analysis of a subgroup of better lipreaders showed a significant trend of reduced scores with increased delay in the range from 0-80 ms. A second experiment tested the interpretation that, although the main disruptive effect of the delay occurred on a syllabic time scale, better lipreaders might be attempting to use intermodal timing cues at a phonemic level. Normal-hearing observers determined whether a 120-Hz complex tone started before or after the opening of a pair of liplike Lissajou figures. Group-mean difference limens (70.7% correct DLs) were - 79 ms (sound leading) and + 138 ms (sound lagging), with no significant correlation between DLs and sentence lipreading scores. It was concluded that most observers, whether good lipreaders or not, possess insufficient sensitivity to intermodal timing cues in audio-visual speech for them to be used analogously to voice onset time in auditory speech perception. The results of both experiments imply that delays of up to about 40 ms introduced by signal-processing algorithms in aids to lipreading should not materially affect audio-visual speech understanding.

  20. Response of skin to audible signal and skin-hearing aid%皮肤对于声音信号响应与皮肤听声器

    Institute of Scientific and Technical Information of China (English)

    李建文; 于晓明; 曹力佳

    2008-01-01

    ①介绍了皮肤听声器的基本组成与昕声效果.这种新型的助听工具可使任何人通过皮肤获得听觉,但辨析语音的效果还不理想.②为了进一步研究皮肤响应声音信号的理论,构造了测试皮肤响应声音信号的实验环境.通过实验测试了皮肤响应声音信号的关键部件音频变压器、平面电极与皮肤听声之间的临界频率电压特性曲线,讨论了皮肤响应声音信号的关键部件与皮肤听声效果之间的关系,说明了通过声一电转换实现皮肤听声的特点和可行性.③介绍了新型可便携、低功耗助听产品一皮肤听声器,并与助听器、电子耳蜗、导聋犬等传统的助听工具进行了对比,说明了皮肤听声器的优越性能.%This study was designed to introduce basic components and sound-receiving effects of skin-hearing aid with transformer. This new device helped all people receive audible signals via skin, but the effects on discriminating phone were still not ideal.The experimental environment of the response of skin to audible signals was constructed for the theory research. The response on critical frequency and voltage among the transformer, the flat electrode and the skin has gotten in the experiment. It was discussed that the effect of the response of skin to audible signal between the key parts of device of hearing by skin with transformer and the skin. It was illustrated the practicability of skin hearing by sound-electricity converting.The skin-hearing aid, a low power consumption aid, was compared with traditional tools, such as hearing aid, electronic cochlea, and guide dogs, and the results proved the superiority of skin-hearing aid.

  1. A low-power high-performance configurable auto-gain control loop for a digital hearing aid SoC

    Science.gov (United States)

    Chengying, Chen; Hainan, Liu; Yong, Hei; Jun, Fan; Xiaoyu, Hu

    2013-10-01

    A low-power, configurable auto-gain control loop for a digital hearing aid system on a chip (SoC) is presented. By adopting a mixed-signal feedback control structure and peak detection and judgment, it can work in automatic gain or variable gain control modes through a digital signal processing unit. A noise-reduction and dynamic range (DR) improvement technique is also used to ensure the DR of the circuit in a low-voltage supply. The circuit is implemented in an SMIC 0.13 μm 1P8M CMOS process. The measurement results show that in a 1 V power supply, 1.6 kHz input frequency and 200 mVp—p, the SFDR is 74.3 dB, the THD is 66.1 dB, and the total power is 89 μW, meeting the application requirements of hearing aid SoCs.

  2. Development of Bone-Conducted Ultrasonic Hearing Aid for the Profoundly Deaf: Assessments of the Modulation Type with Regard to Intelligibility and Sound Quality

    Science.gov (United States)

    Nakagawa, Seiji; Fujiyuki, Chika; Kagomiya, Takayuki

    2012-07-01

    Bone-conducted ultrasound (BCU) is perceived even by the profoundly sensorineural deaf. A novel hearing aid using the perception of amplitude-modulated BCU (BCU hearing aid: BCUHA) has been developed; however, further improvements are needed, especially in terms of articulation and sound quality. In this study, the intelligibility and sound quality of BCU speech with several types of amplitude modulation [double-sideband with transmitted carrier (DSB-TC), double-sideband with suppressed carrier (DSB-SC), and transposed modulation] were evaluated. The results showed that DSB-TC and transposed speech were more intelligible than DSB-SC speech, and transposed speech was closer than the other types of BCU speech to air-conducted speech in terms of sound quality. These results provide useful information for further development of the BCUHA.

  3. HIV/AIDS Misconceptions among Latinos: Findings from a Population-Based Survey of California Adults

    Science.gov (United States)

    Ritieni, Assunta; Moskowitz, Joel; Tholandi, Maya

    2008-01-01

    Misconceptions about HIV/AIDS among Latino adults (N=454) in California were examined using data from a population-based telephone survey conducted in 2000. Common misconceptions concerning modes of HIV transmission included transmission via mosquito or animal bite (64.1%), public facilities (48.3%), or kissing someone on the cheek (24.8%). A…

  4. Ranking Hearing Aid Input-Output Functions for Understanding Low-, Conversational-, and High-Level Speech in Multitalker Babble

    Science.gov (United States)

    Chung, King; Killion, Mead C.; Christensen, Laurel A.

    2007-01-01

    Purpose: To determine the rankings of 6 input-output functions for understanding low-level, conversational, and high-level speech in multitalker babble without manipulating volume control for listeners with normal hearing, flat sensorineural hearing loss, and mildly sloping sensorineural hearing loss. Method: Peak clipping, compression limiting,…

  5. Adult Learners and AIDS Artwork: Conceptual Suggestions for Adult Education Practice

    Science.gov (United States)

    Collins, Joshua C.

    2012-01-01

    Significant stigma exists to marginalize persons living with HIV/AIDS (PLWHA). Research has demonstrated it is possible to reduce stigma and prejudice through the development of meaningful and innovative education. The purpose of this article is to explore the ways in which the creative and purposeful use of AIDS Artwork as an educational tool may…

  6. Effects of Folic Acid Supplementation on Hearing in Older Adults: a Randomized, Controlled Trial

    NARCIS (Netherlands)

    Durga, J.; Verhoef, P.; Anteunis, L.J.C.; Schouten, E.G.; Kok, F.J.

    2007-01-01

    Background: Age-related hearing loss is a common chronic condition of elderly persons. Low folate status has been associated with poor hearing. Objective: To determine whether folic acid supplementation slows age-related hearing loss. Design: Double-blind, randomized, placebo-controlled trial conduc

  7. Negotiating hearing disability and hearing disabled identities

    DEFF Research Database (Denmark)

    Lykke Hindhede, Anette

    2012-01-01

    . The discursively produced categorisation and subjectivity of senescence mean that rehabilitation technologies such as hearing aids identify a particular life-style (disabled) which determines their social significance. Thus wearing a hearing aid works against the contemporary attempt to create socially ideal...

  8. Pronto atendimento a usuários de dispositivos de amplificação sonora Emergency care to users of hearing aids

    Directory of Open Access Journals (Sweden)

    Tiago de Melo Araujo

    2011-12-01

    Full Text Available OBJETIVO: Estabelecer características demográficas e audiológicas de sujeitos usuários de aparelhos de amplificação sonora individuais (AASI que solicitaram retorno em um Serviço de Saúde Auditiva e identificar e analisar os motivos do retorno e condutas geradas durante o Pronto Atendimento (PA. MÉTODOS: Os participantes foram 440 sujeitos de idade superior a três anos, com diagnóstico e concessão do AASI no serviço onde foi realizada a pesquisa. Características demográficas, audiológicas e referentes ao uso do AASI foram coletadas em prontuários e ficha específica para o PA. Os dados obtidos foram analisados por meio de estatística descritiva e inferencial. RESULTADOS: O grupo estudado foi caracterizado, em sua maioria, por indivíduos do gênero feminino, idosos, grau de escolaridade no ensino fundamental incompleto, perda auditiva de grau moderado e perda auditiva do tipo neurossensorial bilateral. Quanto ao uso do AASI, a maioria dos sujeitos utilizava aparelho do tipo retroauricular com adaptação binaural. Quanto ao tempo de uso, mais de 70% utilizava o AASI pela primeira vez, 38% o fazia por um período de até 12 meses, e mais de 65% por um período maior que oito horas diárias. As condutas ajuste do AASI e orientação foram mais frequentes para sujeitos com menor tempo de uso do aparelho, enquanto as condutas assistência técnica e reposição, foram mais comuns para os sujeitos com maior tempo de uso. CONCLUSÃO: Conhecer características de pacientes usuários de AASI, assim como os motivos do retorno e condutas geradas, contribui para melhor organização e qualidade do serviço prestado.PURPOSE: To establish the demographic and audiological characteristics of subjects users of hearing aids (HA that requested a return at a Hearing Health Service, and to identify and analyze the reasons for the return and conducts generated during the Emergency Care (EC. METHODS: Participants were 440 subjects older than three

  9. Detection and Analysis of Electro-acoustic Performance of Hearing Aids%助听器电声性能的检测分析

    Institute of Scientific and Technical Information of China (English)

    张志清

    2014-01-01

    对助听器检测通常采用的国家标准为GB/T 14199-2010电声学助听器通用规范和GB/T 25102.100-2010电声学助听器第0部分:电声特性的测量,检测中需要关注的量值有频率范围、频率点、声压级、最大声压级、声压级均值、声压增益均值、谐波失真值、电流值,本文对此进行了分析总结,理顺了检测中相关量值的关系。%National standards for the detection of hearing aids commonly used to GB / T 14199-2010 General speciifcation electric acoustic hearing aids and GB / T 25102.100-2010 electric acoustic hearing aids - Part 0: Measurement, Detection need to focus on the magnitude of the electro-acoustic characteristics have frequency range, frequency, SPL, maximum SPL, SPL mean, mean sound pressure gain, harmonic distortion value, the current value of this were analyzed and summarized in this article, to rationalize the magnitude of the correlation detection relationships.

  10. TSG助听器用于耳鸣患者的临床结果%The Effect of TSG Hearing Aids on the Treatment of Tinnitus Patients

    Institute of Scientific and Technical Information of China (English)

    刘海红; 张峰; 张华; 冯定香

    2011-01-01

    目的 评估TSG助听器(GN Resound Live 9 TS)改善患者耳鸣的效果,从而检验该技术用于治疗单纯性耳鸣和耳鸣伴有听力障碍患者的可行性和疗效.方法 采用耳鸣残疾评估量表(TinnitusHandicap Inventory,THI)作为评估素材,分别对9名受试者在TSG助听器配戴前后的耳鸣残疾程度进行评估.结果 ①全部受试者配戴GN Resound Live 9 TS助听器前后THI总分和各条目得分均有显著性差异(P<0.0001) ; ②GN Resound Live 9 TS助听器配戴前后受试者THI的功能性、情感性及严重性得分均得到显著性改善(P<0.0001).结论 GN Resound Live 9 TS助听器对单纯耳鸣受试者或耳鸣伴有轻中度感音神经性听力损失者均显示出明显的改善作用.%Objective To evaluate the effectiveness and feasibility of Tinnitus Sound Generator (TSG) hearing aid (GN Resound Live 9 TS) in the treatment of tinnitus. Methods The Tinnitus Handicap Inventory (THI) was used to assess the degree of tinnitus in 9 subjects before and after wearing TSG hearing aids. Results The THI scores after 8 weeks of trial were significantly lower than the baseline scores(P<0.0001). The significant improvements were found in the functional, emotional and catastrophic THI scores after wearing the TSG hearing aids(P<0.0001).Conclusion Based on the assessment results, the GN Resound Live 9 TS hearing aid is an effective instrument to treat tinnitus patients with mild-to-moderate sensorineural hearing losses or with normal hearing even after a short period of use.

  11. 人工耳蜗与助听器对听障儿童嗓音音质的影响研究%Research of the effect of cochlear implant and hearing aid on voice quality of hearing impaired children

    Institute of Scientific and Technical Information of China (English)

    万萍; 黄昭鸣; 高娟娟

    2009-01-01

    目的:探讨人工耳蜗与助听器对聋儿嗓音音质的影响机制.方法:随机选择听障儿童组成健听组、助听器组、人工耳蜗组以及裸耳听障组,其中健听组与裸耳听障组作为对照控制组.采用"嗓音疾病评估仪"(TigerDRS)进行嗓音音质评估,要求儿童发//音,持续3 s.测试的声学参数为:F0、SDF0、Jitter、Shimmer、NNE、HNR、SNR.结果:人工耳蜗组的嗓音F0显著小于其他各组(均P0.05);人工耳蜗组与助听器组的SDF0显著大于健听组和裸耳听障组(P0.05);各组之间的嗓音音质参数(Jitter、Shimmer、NNE、HNR、SNR)差异无统计学意义(P>0.05).结论:人工耳蜗与助听器主要影响的是嗓音F0及SDF0,而对其他音质参数影响不大.%Objective:To discuss the effect of cochlear implant and hearing aid to voice quality.Method:Four groups of randomly selected 73 subjects were compared. The groups comprised: cochlear implant children, children using hearing aids, normal hearing children and deaf children with no hearing instrumention. The latter two groups were control groups. Each subject was required to phonate // about 3 s using 'voice assessment' to record the sound, and following voice acoustice variables were analysed: F0,SDF0,Jitter,Shimmer,NNE,HNR,SNR.Result:Voice F0 of children with cochlear implant was significantly lower that the other three groups(P0.05);SDF0 of cochlear implant group and hearing aids group were significantly larger than the normal hearing group and deaf children group with no intervention(P0.05),which means that cochlear implant and hearing aid could have affected the SDF0 of female children more than those of male children. There were no significant difference among all the four groups about voice quality variables: Jitter,Shimmer,NNE,HNR,SNR.Conclusion:Cochlear implant and hearing aid mainly change the voice F0 and/or SDF0, and have no effect on the voice quality variables.

  12. Epidemiology and Risk Factors for Leisure Noise-Induced Hearing Damage in Flemish Young Adults

    Directory of Open Access Journals (Sweden)

    Sofie Degeest

    2017-01-01

    Full Text Available Context: Young people regularly expose themselves to leisure noise and are at risk for acquiring hearing damage. Aims: The objective of this study was to compare young adults’ hearing status in relation to sociodemographic variables, leisure noise exposure and attitudes and beliefs towards noise. Settings and Design: A self-administered questionnaire regarding hearing, the amount of leisure noise exposure and attitudes towards noise and hearing protection as well as an audiological test battery were completed. Five hundred and seventeen subjects between 18 and 30 years were included. Subject and Methods: Hearing was evaluated using conventional audiometry, transient evoked and distortion product otoacoustic emissions. On the basis of their hearing status, participants were categorised into normal hearing, sub-clinical or clinical hearing loss. Statistical Analysis Used: Independent samples t-tests, chi-square tests and multiple regression models were used to evaluate the relation between groups based on hearing status, sociodemographics, leisure noise and attitudes towards noise. Results: Age was significantly related to hearing status. Although, the subjects in this study frequently participated in leisure activities, no significant associations between leisure noise exposure and hearing status could be detected. No relation with subjects’ attitudes or the use of hearing protection devices was found. Conclusions: This study could not demonstrate clinically significant leisure noise-induced hearing damage, which may lead to more non-protective behaviour. However, the effects of leisure noise may become noticeable over a long-term use since age was found to be related with sub-clinical hearing loss. Longitudinal studies are needed to evaluate the long-term effects of noise exposure.

  13. A 1.4-V 48-μW current-mode front-end circuit for analog hearing aids with frequency compensation

    Institute of Scientific and Technical Information of China (English)

    Wang Xiaoyu; Yang Haigang; Li Fanyang; Yin Tao; Liu Fei

    2012-01-01

    A current-mode front-end circuit with low voltage and low power for analog hearing aids is presented.The circuit consists of a current-mode AGC (automatic gain control) and a current-mode adaptive filter.Compared with its conventional voltage-mode counterparts,the proposed front-end circuit has the identified features of frequency compensation based on the state space theory and continuous gain with an exponential characteristic.The frequency compensation which appears only in the DSP unit of the digital hearing aid can upgrade the performance of the analog hearing aid in the field of low-frequency hearing loss.The continuous gain should meet the requirement of any input amplitude level,while its exponential characteristic leads to a large input dynamic range in accordance with the dB SPL (sound pressure level).Furthermore,the front-end circuit also provides a discrete knee point and discrete compression ratio to allow for high calibration flexibility.These features can accommodate users whose ears have different pain thresholds.Taking advantage of the current-mode technique,the MOS transistors work in the subthreshold region so that the quiescent current is small.Moreover,the input current can be compressed to a low voltage signal for processing according to the compression principle from the current-domain to the voltage-domain.Therefore,the objective of low voltage and low power (48 μW at 1.4 V) can be easily achieved in a high threshold-voltage CMOS process of 0.35 μm (VToN + |Vrop|≈ 1.35 V).The THD is below -45 dB.The fabricated chip only occupies the area of 1 × 0.5 mm2 and 1 × 1 mm2.

  14. The Efficacy of Short-term Gated Audiovisual Speech Training for Improving Auditory Sentence Identification in Noise in Elderly Hearing Aid Users

    Science.gov (United States)

    Moradi, Shahram; Wahlin, Anna; Hällgren, Mathias; Rönnberg, Jerker; Lidestam, Björn

    2017-01-01

    This study aimed to examine the efficacy and maintenance of short-term (one-session) gated audiovisual speech training for improving auditory sentence identification in noise in experienced elderly hearing-aid users. Twenty-five hearing aid users (16 men and 9 women), with an average age of 70.8 years, were randomly divided into an experimental (audiovisual training, n = 14) and a control (auditory training, n = 11) group. Participants underwent gated speech identification tasks comprising Swedish consonants and words presented at 65 dB sound pressure level with a 0 dB signal-to-noise ratio (steady-state broadband noise), in audiovisual or auditory-only training conditions. The Hearing-in-Noise Test was employed to measure participants’ auditory sentence identification in noise before the training (pre-test), promptly after training (post-test), and 1 month after training (one-month follow-up). The results showed that audiovisual training improved auditory sentence identification in noise promptly after the training (post-test vs. pre-test scores); furthermore, this improvement was maintained 1 month after the training (one-month follow-up vs. pre-test scores). Such improvement was not observed in the control group, neither promptly after the training nor at the one-month follow-up. However, no significant between-groups difference nor an interaction between groups and session was observed. Conclusion: Audiovisual training may be considered in aural rehabilitation of hearing aid users to improve listening capabilities in noisy conditions. However, the lack of a significant between-groups effect (audiovisual vs. auditory) or an interaction between group and session calls for further research. PMID:28348542

  15. Language Performance of Preschool Children with Bimodal Hearing Devices and Bilateral Hearing Aids%辅具类型对学龄前听障儿童词汇表现的影响

    Institute of Scientific and Technical Information of China (English)

    蔡立群; 洪右真

    2015-01-01

    目的:探讨不同辅具类型(人工耳蜗+助听器双模式和双侧助听器)对重度至极重度听障儿童词汇理解能力与表达能力的影响。方法选择3~7岁听障儿童66人,其中双模式组(CI+HA)和双侧助听器组(HA)各33人。分别以毕保德图画词汇测验(修订版)及汉语儿童理解与表达词汇测验评估被试的词汇理解与词汇表达能力。首先分析比较不同辅具类型的测验结果,其次将HA组分为极重度(HA1)与重度(HA2)两组,分别与生理年龄配对的CI+HA1组和CI+HA2组进行比较。结果不同辅具类型的两组测验分数无显著差异,不同听损程度的两组测验结果亦无显著差异。结论排除听损程度的影响,辅具类型的不同并未造成听障儿童词汇表现的差异。此结果有可能受到测验评估维度和测验频率的影响,需在未来研究中加以探讨和厘清。%Objective To investigate the effects of hearing aid mode on the receptive and expressive language abilities in children with severe to profound (>70 dB HL) hearing loss.Methods Sixty-six hearing-impaired children of 3-7 years old were selected as the subjects, including 33 with a hearing aid in one ear and a cochlear implant in the other ear(CI+HA), and 33 with bilateral hearing aids(HA). The Peabody Picture Vocabulary Test-Revised (PPVT-R) was utilized to assess the children’s receptive vocabulary performance. The Receptive and Expressive Vocabulary Test (REVT) was used to evaluate both receptive and expressive language skills. In the initial analysis, the standardized test scores of the bimodal group were compared with the bilateral HA group. To exclude the impact of the degree of hearing loss on language performance, the bilateral HA group were further divided into profound (HA1) and severe (HA2) sub-groups. The assessment results of the two sub-groups were then compared with their chronologically age-matched bimodal groups

  16. Creating and validating an algorithm to measure AIDS mortality in the adult population using verbal autopsy.

    Directory of Open Access Journals (Sweden)

    Ben A Lopman

    2006-08-01

    Full Text Available BACKGROUND: Vital registration and cause of death reporting is incomplete in the countries in which the HIV epidemic is most severe. A reliable tool that is independent of HIV status is needed for measuring the frequency of AIDS deaths and ultimately the impact of antiretroviral therapy on mortality. METHODS AND FINDINGS: A verbal autopsy questionnaire was administered to caregivers of 381 adults of known HIV status who died between 1998 and 2003 in Manicaland, eastern Zimbabwe. Individuals who were HIV positive and did not die in an accident or during childbirth (74%; n = 282 were considered to have died of AIDS in the gold standard. Verbal autopsies were randomly allocated to a training dataset (n = 279 to generate classification criteria or a test dataset (n = 102 to verify criteria. A rule-based algorithm created to minimise false positives had a specificity of 66% and a sensitivity of 76%. Eight predictors (weight loss, wasting, jaundice, herpes zoster, presence of abscesses or sores, oral candidiasis, acute respiratory tract infections, and vaginal tumours were included in the algorithm. In the test dataset of verbal autopsies, 69% of deaths were correctly classified as AIDS/non-AIDS, and it was not necessary to invoke a differential diagnosis of tuberculosis. Presence of any one of these criteria gave a post-test probability of AIDS death of 0.84. CONCLUSIONS: Analysis of verbal autopsy data in this rural Zimbabwean population revealed a distinct pattern of signs and symptoms associated with AIDS mortality. Using these signs and symptoms, demographic surveillance data on AIDS deaths may allow for the estimation of AIDS mortality and even HIV prevalence.

  17. Effect of different breathing aids on ventilation distribution in adults with cystic fibrosis.

    Directory of Open Access Journals (Sweden)

    Markus Wettstein

    Full Text Available BACKGROUND AND OBJECTIVES: We investigated the effect of different breathing aids on ventilation distribution in healthy adults and subjects with cystic fibrosis (CF. METHODS: In 11 healthy adults and 9 adults with CF electrical impedance tomography measurements were performed during spontaneous breathing, continuous positive airway pressure (CPAP and positive expiratory pressure (PEP therapy randomly applied in upright and lateral position. Spatial and temporal ventilation distribution was assessed. RESULTS: The proportion of ventilation directed to the dependent lung significantly increased in lateral position compared to upright in healthy and CF. This effect was enhanced with CPAP but neutralised with PEP, whereas the effect of PEP was larger in the healthy group. Temporal ventilation distribution showed exactly the opposite with homogenisation during CPAP and increased inhomogeneity with PEP. CONCLUSIONS: PEP shows distinct differences to CPAP with respect to its impact on ventilation distribution in healthy adults and CF subjects EIT might be used to individualise respiratory physiotherapy.

  18. Contemporary issues in audiology: a hearing scientist's perspective.

    Science.gov (United States)

    Parker, David J

    2002-01-01

    Audiology has developed significantly over the last 30 years leading to better identification and assessment of hearing loss and better habilitation services for both children and adults with congenital or acquired deafness. Advancement in the profession and its services has been largely dependent on the technological development of key methodologies such as the auditory brainstem response and otoacoustic emissions. These methodologies have been used for the identification and assessment of the severity of hearing loss. As a result, these methodologies have underpinned the emergence of service development initiatives such as hearing screening and provision of hearing aids, particularly for newborn babies and young children. This review identifies, describes and evaluates the key methodologies and services involved and presents a hearing scientist's perspective on the developments to date. The aim is to provide state-of-the-art information to those working with children and adults with communication disorders, particularly speech and language therapists.

  19. The impact of hearing loss on language performance in older adults with different stages of cognitive function

    Directory of Open Access Journals (Sweden)

    Lodeiro-Fernández L

    2015-04-01

    Full Text Available Leire Lodeiro-Fernández, Laura Lorenzo-López, Ana Maseda, Laura Núñez-Naveira, José Luis Rodríguez-Villamil, José Carlos Millán-Calenti Gerontology Research Group, Department of Medicine, Faculty of Health Sciences, University of A Coruña, Campus of A Coruña, A Coruña, Spain Purpose: The possible relationship between audiometric hearing thresholds and cognitive performance on language tests was analyzed in a cross-sectional cohort of older adults aged ≥65 years (N=98 with different degrees of cognitive impairment.Materials and methods: Participants were distributed into two groups according to Reisberg’s Global Deterioration Scale (GDS: a normal/predementia group (GDS scores 1–3 and a moderate/moderately severe dementia group (GDS scores 4 and 5. Hearing loss (pure-tone audiometry and receptive and production-based language function (Verbal Fluency Test, Boston Naming Test, and Token Test were assessed.Results: Results showed that the dementia group achieved significantly lower scores than the predementia group in all language tests. A moderate negative correlation between hearing loss and verbal comprehension (r=-0.298; P<0.003 was observed in the predementia group (r=-0.363; P<0.007. However, no significant relationship between hearing loss and verbal fluency and naming scores was observed, regardless of cognitive impairment.Conclusion: In the predementia group, reduced hearing level partially explains comprehension performance but not language production. In the dementia group, hearing loss cannot be considered as an explanatory factor of poor receptive and production-based language performance. These results are suggestive of cognitive rather than simply auditory problems to explain the language impairment in the elderly. Keywords: auditory impairment, verbal function, aging, cognition

  20. Addressing Hearing Health Care Disparities among Older Adults in a US-Mexico Border Community

    Science.gov (United States)

    Ingram, Maia; Marrone, Nicole; Sanchez, Daisey Thalia; Sander, Alicia; Navarro, Cecilia; de Zapien, Jill Guernsey; Colina, Sonia; Harris, Frances

    2016-01-01

    Hearing loss is associated with cognitive decline and impairment in daily living activities. Access to hearing health care has broad implications for healthy aging of the U.S. population. This qualitative study investigated factors related to the socio-ecological domains of hearing health in a U.S.–Mexico border community experiencing disparities in access to care. A multidisciplinary research team partnered with community health workers (CHWs) from a Federally Qualified Health Center (FQHC) in designing the study. CHWs conducted interviews with people with hearing loss (n = 20) and focus groups with their family/friends (n = 27) and with members of the community-at-large (n = 47). The research team conducted interviews with FQHC providers and staff (n = 12). Individuals experienced depression, sadness, and social isolation, as well as frustration and even anger regarding communication. Family members experienced negative impacts of deteriorating communication, but expressed few coping strategies. There was general agreement across data sources that hearing loss was not routinely addressed within primary care and assistive hearing technology was generally unaffordable. Community members described stigma related to hearing loss and a need for greater access to hearing health care and broader community education. Findings confirm the causal sequence of hearing impairment on quality of life aggravated by socioeconomic conditions and lack of access to hearing health care. Hearing loss requires a comprehensive and innovative public health response across the socio-ecological framework that includes both individual communication intervention and greater access to hearing health resources. CHWs can be effective in tailoring intervention strategies to community characteristics. PMID:27574602

  1. Technology use among adults who are deaf and hard of hearing: a national survey.

    Science.gov (United States)

    Maiorana-Basas, Michella; Pagliaro, Claudia M

    2014-07-01

    As society becomes increasingly more dependent on technology, information regarding the use, preference, and accessibility of commonly used devices and services among individuals who are deaf and hard of hearing (DHH) is crucial. Developing technologies that are functional and appropriately accessible allows persons who are DHH to fully participate in society, education, and business while also providing opportunities for personal and professional advancement. Although a few international studies have addressed the technology use of individuals who are DHH, none exist that focus on the needs, preferences, and accessibility of current Internet- and mobile-based technologies. Consequently, a national survey was conducted in the United States to determine the preference, frequency of use, and accessibility of various technologies (hardware, software, Web sites) by adults who are DHH and living in the United States. Findings indicate frequent use of smartphones and personal computers, specifically for text-based communication and web surfing, and little use of Teletypewriter/Telecommunications Device for the Deaf. Web site feature preferences include pictures and text, and captions over signed translations. Some results varied by demographics.

  2. Aparelho de amplificação sonora individual: melhora a sensação de zumbido? Hearing aid: does it reduce the sensation of tinnitus?

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    Robson Caique Ferreira da Silva

    2007-06-01

    Full Text Available OBJETIVO: observar se o uso da amplificação sonora além de garantir melhora na inteligibilidade de fala pode proporcionar alívio na sensação de zumbido. MÉTODOS: participaram do presente estudo 21 indivíduos, usuários de aparelho de amplificação sonora individual (AASI que referiam sensação de zumbido, além da perda auditiva sensorioneural, sendo 13 (61,9% indivíduos do sexo feminino e oito (38,1% do sexo masculino. A idade dos participantes variou entre 35 a 88 anos, com idade média de 61 anos. Para a avaliação dos participantes foi utilizado um questionário específico. Os dados foram analisados por meio de análise estatística descritiva e para tanto foram utilizados os testes não paramétricos: qui-quadrado e Kruskal-Wallis H. RESULTADOS: Entre os 21 participantes, 17 (80,9% apresentaram melhora do zumbido, enquanto quatro (19,1% referiram que o aparelho de amplificação não gerou nenhum efeito sobre o sintoma apresentado. CONCLUSÃO: este estudo verificou que a utilização do AASI reduziu imediatamente a sensação de zumbido apresentada na população estudada.PURPOSE: to observe if the use of hearing aid may provide relief in tinnitus sensation besides guarantying the improvement of speech intelligibility. METHODS: a sample was made up by 21 hearing aid users and a specific questionnaire was used for the evaluation of the participants. The ages ranged from 35 to 88-year old, with an average of 61-year old. The tinnitus sensation was mentioned by 13 (61.9% female beings and eight (38.1% male beings beyond sensory neural hearing loss. The results were obtained through a descriptive statistical analysis, and furthermore, non-parametric tests were used, such as chi-square and Kruskal-Wallis H. RESULTS: among the participants 17 (80.9% showed recovery from tinnitus, while four (19.1% said that the hearing aid device did not cause any effect on the evidenced symptoms. CONCLUSION: this study found out that the usage of

  3. Localização sonora em usuários de aparelhos de amplificação sonora individual Sound localization by hearing aid users

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    Paula Cristina Rodrigues

    2010-06-01

    Full Text Available OBJETIVO: comparar o desempenho, no teste de localização de fontes sonoras, de usuários de aparelhos de amplificação sonora individual (AASI do tipo retroauricular e intracanal, com o desempenho de ouvintes normais, nos planos espaciais horizontal e sagital mediano, para as frequências de 500, 2.000 e 4.500 Hz; e correlacionar os acertos no teste de localização sonora com o tempo de uso dos AASI. MÉTODOS: foram testados oito ouvintes normais e 20 usuários de próteses auditivas, subdivididos em dois grupos. Um formado por 10 indivíduos usuários de próteses auditivas do tipo intracanal e o outro grupo formado por 10 usuários de próteses auditivas do tipo retroauricular. Todos foram submetidos ao teste de localização de fontes sonoras, no qual foram apresentados, aleatoriamente, três tipos de ondas quadradas, com frequências fundamentais em 0,5 kHz, 2 kHz e 4,5 kHz, na intensidade de 70 dBA. RESULTADOS: encontrou-se percentuais de acertos médios de 78,4%, 72,2% e 72,9% para os ouvintes normais, em 0,5 kHz, 2 kHz e 4,5 kHz, respectivamente e 40,1%, 39,4% e 41,7% para os usuários de aparelho de amplificação sonora individual. Quanto aos tipos de aparelhos, os usuários do modelo intracanal acertaram a origem da fonte sonora em 47,2% das vezes e os usuários do modelo retroauricular em 37,4% das vezes. Não foi observada correlação entre o percentual de acertos no teste de localização sonora e o tempo de uso da prótese auditiva. CONCLUSÃO: ouvintes normais localizam as fontes sonoras de maneira mais eficiente que os usuários de aparelho de amplificação sonora individual e, dentre estes, os que utilizam o modelo intracanal obtiveram melhor desempenho. Além disso, o tempo de uso não interferiu no desempenho para localizar a origem das fontes sonoras.PURPOSE: to compare the sound localization performance of hearing aids users, with the performance of normal hearing in the horizontal and sagittal planes, at 0.5, 2 and 4

  4. 助听器效果自我评估模板的建立%Establishment of a Template for the Assessment of Hearing Aids Outcomes

    Institute of Scientific and Technical Information of China (English)

    刘海红; 张华; 刘莎; 陈雪清; 张杰; 葛文彤; 刘志成; 倪鑫

    2014-01-01

    Objective The objective of the present study was to establish a template for the self assessment of hearing aids outcomes according to the evaluation of a large group of hearing aid users .Methods In total ,1 724 subjects participated in the study .The Chinese version of International Outcome Inventory for Hearing Aids (IOI-HA) was used as the evaluation tool .IOI -HA is a seven -item questionnaire ,each item is designed to assess a specific outcome domain .Each item was designed with a five -point rating scale ,a higher rating indicates better outcome .According to the subjects'self reported hearing difficulty when they were not wearing hearing aids (unaid-ed) ,the subjects were divided into two groups :self reported hearing difficulty to be no ,mild ,moderate group ,and self reported hearing difficulty to be moderately severe or severe group ,respectively .Templates for each group were established according to the analysis of the item ratings .Results One thousand two hundred and forty -seven sub-jects accept the investigation ,with a response rate of 72 .3% ,and 1203 completed responses were included in the fi-nal analysis .The Chinese version of IOI-HA scores showed a skewed distribution ,with a mean score ranging from 3 .52 to 4 .19 .The total IOI-HA scores ranged from 9 to 35 ,and the mean total score was 26 .30 .Results showed that for the self reported hearing difficulty (unaided) to be none ,mild or moderate group ,the mean scores for the i-tem of daily use ,benefit ,residual activity limitation ,satisfaction ,residual participation restrictions ,impact on others ,and quality of life were 4 .14 ,3 .67 ,3 .76 ,3 .58 ,3 .56 ,3 .93 and 3 .69 ,respectively .The corresponding mean scores for the self reported hearing difficulty (unaided) to be moderately severe or severe group were 4 .19 ,3 .63 ,3 .64 ,3 . 65 ,3 .52 ,3 .89 ,and 3 .79 ,respectively .A template for the Chinese IOI -HA was established according to the above data .Conclusion The template for the

  5. Acompanhamento da adaptação de próteses auditivas em crianças surdas Evaluating the adaptation of hearing aids for hearing impaired children

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    Bianca Pinheiro Lanzetta

    2010-06-01

    Full Text Available OBJETIVOS: descrever as características audiológicas e sociais de crianças surdas e avaliar a incidência de retornos para acompanhamento no Programa de Saúde Auditiva. MÉTODOS: foram analisados os prontuários de crianças que receberam as próteses auditivas pelo Programa de Saúde Auditiva, em Vila Velha - Espírito Santo. A população estudada foi constituída por 50 crianças, na faixa etária de zero a oito anos, de ambos os sexos, com diagnóstico de perda auditiva sensorioneural de grau leve a profundo. O protocolo de pesquisa foi preenchido a partir dos dados de prontuários para a obtenção das informações desejadas. RESULTADOS: a solicitação de retorno pelo Serviço Social propiciou o comparecimento de quase da metade da população (44%; os demais achados foram indicativos da associação entre o retorno para acompanhamento e a rotina escolar. CONCLUSÕES: o referido programa atinge predominantemente famílias com rendimento mensal entre um e dois salários mínimos; o diagnóstico da surdez ocorre entre dois e três anos de idade cronológica neste estudo; a época da primeira adaptação de próteses auditivas, aos seis anos de idade, é bastante tardia; o contato com os pais, por meio do Serviço Social, viabiliza o acompanhamento proposto, influenciado positivamente também pela rotina escolar.PURPOSE: to describe the compliance and attitudes of hearing-impaired children towards the treatment and support offered by the Hearing Health Program, a public health endeavor, and assessing patients’ returns for follow-ups. METHODS: participants consisted of fifty children aged from 0 to 8 years, with a diagnosis of mild to severe sensorineural hearing loss. The children received the hearing aids from the Hearing Health Program, in Vila Velha, in the state of Espírito Santo, Brazil. The research protocol was completed using both medical records and a socio-economical profile survey of the affected children, including the

  6. HIV/AIDS KNOWLEDGE AND PATTERNS OF SEXUAL BEHAVIOR AMONG ADULT SLUM DWELLERS IN MUMBAI, INDIA

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    Saba Syed, Sukhdas Gangam

    2015-10-01

    Full Text Available Background: In India, currently 2.1 million people are living with HIV. Prevention is the mainstay of the strategic response to HIV/AIDS in India. Awareness rising brings behaviour change. People inhabiting slums have low awareness and are more vulnerable to RTI/STIs and HIV/AIDS. Aims: To assess HIV/AIDS knowledge, sexual behaviour, reported symptoms of STI/RTI’s along with the socio demographic profile of adult population of urban slum dwellers. Methods: A cross sectional, qualitative study. The study area, chosen by convenience sampling was an urban slum located in M East Ward of Greater Mumbai. The study was finally conducted with 104 participants. Results: The mean age of surveyed participants was 23.5yrs and nearly 38(40% of participants were illiterate Age at first sexual intercourse among the study participants was between 12-16 years for 23(22.10% participants. Among study participants; 30(29% of participants do not have any knowledge about prevention and transmission of HIV/AIDS. Conclusions: Urban slum residents in Mumbai have knowledge gap regarding HIV/AIDS transmission and prevention. Initiation of sexual intercourse is at an early age, a high percentage report symptoms of STI/RTIs.

  7. Attitudes toward the capabilities of deaf and hard of hearing adults: insights from the parents of deaf and hard of hearing children.

    Science.gov (United States)

    Crowe, Kathryn; McLeod, Sharynne; McKinnon, David H; Ching, Teresa Y C

    2015-01-01

    Children who are d/Deaf and hard of hearing (DHH) grow up in environments influenced by their parents' attitudes, which may facilitate or impede these children's development and participation (World Health Organization, 2007). The attitudes of 152 Australian parents of DHH children ages 3 years 7 months to 9 years 5 months (M = 6 years 5 months) were investigated with the Opinions About Deaf People Scale (Berkay, Gardner, & Smith, 1995a). The parents' responses showed very positive attitudes toward the capabilities of DHH adults, particularly on items describing their intellectual and vocational capabilities. Parents' responses to most of the items on the scale were positively skewed, raising questions about its validity as a research tool when used with parents of DHH children. The study findings suggest that for these children, parents' attitudes may facilitate rather than present an environmental barrier to their development.

  8. Expectation as a factor of influence on the success of use of hearing aids in elderly individuals

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    Schuster, Larissa Cristina

    2012-01-01

    Full Text Available Introduction: Auditory prosthesis is distinguished in function of the lesser technologies that become them each time, more powerful and efficient. The marketing can generate unreal expectations how much to the results with the amplification use, mainly in inexperienced individuals. Objective: To verify the relation between expectations and success of the process of election and adaptation of auditory prosthesis in aged. Method: Clinical and experimental study, 16 aged, inexperienced individuals with the amplification use, the election and adaptation of auditory prosthesis had been evaluated 15 days before and after. Questionnaire for evaluation of the expectations of aged the adult individual was used "/, new user of auditory prosthesis", Hearing Handicap Inventory will be the Elderly/Screening Version, for evaluation of the perception of the restriction of participation and the International Questionnaire - Device of Amplification Sonora Individual (QI-AASI, to verify the subjective benefit with the use of the auditory prosthesis. The Percentile Index of Recognition of Sentences in Silence was determined (IPRSS, by means of the test Lists of Sentences in Portuguese to verify the objective benefit of the adaptation. The data had been analyzed by means of not-parametric test, with level of significance of 5%. Results: The entire sample presented positive expectations. Subjectively benefit for the reduction of the perception of the participation restriction and for the positive evaluation of the adaptation, evidenced for the QI-AASI was verified. Objective the improvement of the IPRSS with the use of auditory prosthesis also evidenced benefits. Conclusion: The expectation how much to the results with the amplification use, it was factor of negative influence in the success of the process of election and adaptation of auditory prosthesis, in the subjective scope.

  9. 助听器音频补偿效果与构音清晰度的相关研究%A Study of the Relationship between Aided Hearing Thresholds and Speech Intelligibility

    Institute of Scientific and Technical Information of China (English)

    张蕾; 孙喜斌; 黄昭鸣; 刘巧云; 张芳; 张磊; 朱群怡

    2011-01-01

    目的 通过分析配戴助听器儿童的音频补偿效果与构音清晰度得分的相关关系,为听障儿童的听觉言语综合康复提供理论依据.方法 对43名配戴助听器儿童进行助听后的声场测试以及构音语音能力主观评估,并进行统计学分析.结果 助听器音频补偿效果越差,听障儿童的构音清晰度得分越低.结论 助听器验配与优化只是补偿听力的完成,进行听觉康复训练和言语矫治是充分发挥助听器作用的必要手段,也是提高听障儿童构音清晰度的前提和基础.%objective To analyze the relationship between aided hearing thresholds and speech intelligibility of children with hearing aids and to provide theoretical basis for their auditory and speech rehabilitation. Methods Forty-three children with hearing aids received the sound field measurement and subjective articulation assessment. The test results were statistically analyzed. Results The results showed that the worse the hearing aid outcome, the lower the scores of speech articulation. Conclusion It is necessary to provide auditory training and speech therapy for hearing-impaired children after the hearing aid fitting, because it is crucial to maximizing the effects of hearing aids and improving the speech intelligibility.

  10. Hearing Loss Signals Need for Diagnosis

    Science.gov (United States)

    ... FDA strongly encourages a medical evaluation before the purchase of a hearing aid. Hearing aid sellers are ... feeds Follow FDA on Twitter Follow FDA on Facebook View FDA videos on YouTube View FDA photos ...

  11. Cochlear Responses and Auditory Brainstem Response Functions in Adults with Auditory Neuropathy/ Dys-Synchrony and Individuals with Normal Hearing

    Directory of Open Access Journals (Sweden)

    Zahra Jafari

    2007-06-01

    Full Text Available Background and Aim: Physiologic measures of cochlear and auditory nerve function may be of assis¬tance in distinguishing between hearing disorders due primarily to auditory nerve impairment from those due primarily to cochlear hair cells dysfunction. The goal of present study was to measure of co-chlear responses (otoacoustic emissions and cochlear microphonics and auditory brainstem response in some adults with auditory neuropathy/ dys-synchrony and subjects with normal hearing. Materials and Methods: Patients were 16 adults (32 ears in age range of 14-30 years with auditory neu¬ropathy/ dys-synchrony and 16 individuals in age range of 16-30 years from both sexes. The results of transient otoacoustic emissions, cochlear microphonics and auditory brainstem response measures were compared in both groups and the effects of age, sex, ear and degree of hearing loss were studied. Results: The pure-tone average was 48.1 dB HL in auditory neuropathy/dys-synchrony group and the fre¬quency of low tone loss and flat audiograms were higher among other audiogram's shapes. Transient oto¬acoustic emissions were shown in all auditory neuropathy/dys-synchrony people except two cases and its average was near in both studied groups. The latency and amplitude of the biggest reversed co-chlear microphonics response were higher in auditory neuropathy/dys-synchrony patients than control peo¬ple significantly. The correlation between cochlear microphonics amplitude and degree of hearing loss was not significant, and age had significant effect in some cochlear microphonics measures. Audi-tory brainstem response had no response in auditory neuropathy/dys-synchrony patients even with low stim¬uli rates. Conclusion: In adults with speech understanding worsen than predicted from the degree of hearing loss that suspect to auditory neuropathy/ dys-synchrony, the frequency of low tone loss and flat audiograms are higher. Usually auditory brainstem response is absent in

  12. Hearing abilities and sound reception of broadband sounds in an adult Risso's dolphin (Grampus griseus).

    Science.gov (United States)

    Mooney, T Aran; Yang, Wei-Cheng; Yu, Hsin-Yi; Ketten, Darlene R; Jen, I-Fan

    2015-08-01

    While odontocetes do not have an external pinna that guides sound to the middle ear, they are considered to receive sound through specialized regions of the head and lower jaw. Yet odontocetes differ in the shape of the lower jaw suggesting that hearing pathways may vary between species, potentially influencing hearing directionality and noise impacts. This work measured the audiogram and received sensitivity of a Risso's dolphin (Grampus griseus) in an effort to comparatively examine how this species receives sound. Jaw hearing thresholds were lowest (most sensitive) at two locations along the anterior, midline region of the lower jaw (the lower jaw tip and anterior part of the throat). Responses were similarly low along a more posterior region of the lower mandible, considered the area of best hearing in bottlenose dolphins. Left- and right-side differences were also noted suggesting possible left-right asymmetries in sound reception or differences in ear sensitivities. The results indicate best hearing pathways may vary between the Risso's dolphin and other odontocetes measured. This animal received sound well, supporting a proposed throat pathway. For Risso's dolphins in particular, good ventral hearing would support their acoustic ecology by facilitating echo-detection from their proposed downward oriented echolocation beam.

  13. Satisfação de pacientes protetizados em um serviço de alta complexidade Satisfaction of patients fit with a hearing aid in a high complexity clinic

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    Fernanda Soares Aurélio

    2012-10-01

    Full Text Available O processo de seleção e adaptação de próteses auditivas só será eficaz e terá bons resultados se o indivíduo fizer uso efetivo deste dispositivo. Para isto, é necessário que o mesmo esteja satisfeito com os resultados sentidos. OBJETIVO: Verificar a satisfação auditiva de pacientes adultos e idosos protetizados em um serviço de alta complexidade, credenciado ao Sistema Único de Saúde, e relacionar este achado com as variáveis idade, gênero, tempo de adaptação, tempo de uso diário e tipo de aparelho de amplificação sonora. MÉTODO: Estudo transversal de caráter descritivo no qual foram avaliados 60 sujeitos com utilização do questionário Satisfaction with Amplification in Daily Life, aplicado por meio de apresentação oral, em entrevista individual, pelas pesquisadoras. Este instrumento é dividido nas subescalas efeitos positivos, serviços e custos, fatores negativos e imagem pessoal. RESULTADOS: Foi evidenciado que os sujeitos encontram-se muito satisfeitos com a utilização do aparelho auditivo. Verificou-se diferença significativa ao relacionar o tempo de uso diário dos aparelhos com a satisfação global e o escore da subescala imagem pessoal. CONCLUSÃO: Constatou-se que os participantes do estudo estão muito satisfeitos com a utilização dos aparelhos auditivos, porém, satisfação não tem relação com as variáveis idade, gênero, tempo de adaptação e tipo de dispositivo. De maneira geral, os participantes com maior tempo de uso diário estão mais satisfeitos.The process of selecting and fitting hearing aid devices is only effective and only bring about good outcomes if the individual makes effective use of the device. Therefore, the individuals need to be happy with the outcome. AIM: To check the satisfaction of adults and elderly patients concerning their hearing aid in a high complex care clinic accredited by the Unified Health System, and to correlate this outcome with the variables related to

  14. Development of a Bone-Conducted Ultrasonic Hearing Aid for the Profoundly Deaf: Evaluation of Sound Quality Using a Semantic Differential Method

    Science.gov (United States)

    Nakagawa, Seiji; Fujiyuki, Chika; Kagomiya, Takayuki

    2013-07-01

    Bone-conducted ultrasound (BCU) is perceived even by the profoundly sensorineural deaf. A novel hearing aid using the perception of amplitude-modulated BCU (BCU hearing aid: BCUHA) has been developed. However, there is room for improvement particularly in terms of sound quality. BCU speech is accompanied by a strong high-pitched tone and contain some distortion. In this study, the sound quality of BCU speech with several types of amplitude modulation [double-sideband with transmitted carrier (DSB-TC), double-sideband with suppressed carrier (DSB-SC), and transposed modulations] and air-conducted (AC) speech was quantitatively evaluated using semantic differential and factor analysis. The results showed that all the types of BCU speech had higher metallic and lower esthetic factor scores than AC speech. On the other hand, transposed speech was closer than the other types of BCU speech to AC speech generally; the transposed speech showed a higher powerfulness factor score than the other types of BCU speech and a higher esthetic factor score than DSB-SC speech. These results provide useful information for further development of the BCUHA.

  15. 基于MATLAB的皮肤听声器系统的研究%The research of skin-hearing aid compact system based on MATLAB

    Institute of Scientific and Technical Information of China (English)

    王钟斐; 王彪

    2011-01-01

    In order to make skin-hearing aid compac be able to discriminate voice,the skin-hearing aid compact system based on MATLAB is designed.The MATLAB software is used as a platform of this system,on this basis the functions of record, broadcast, pretreat voice signals,subsection filtering and feature extraction are achieved,and characteristic parameter is used to discriminate voice. This system has achieved discriminate simple voice requirements,but some places are needed to improve,such as whether more suitable characteristic parameters could be structed,whethercomplex voice coule be discriminated.%为了使皮肤听声器能够辨析语音,设计了基于MATLAB的皮肤听声器系统.该系统以MATLAB软件为平台,在此基础上实现了语音信号的录制、播放、预处理、分段滤波、特征提取等功能,并利用特征参数辨析语音.本系统达到了辨析简单语音的要求,但仍有需改进的地方,如:能否构造更合适的特征参数,能否辨析比较复杂的语音.

  16. Application of modified auditory profile in observation of hearing rehabilitation effects among adult partially deaf patients with cochlear implant system

    Directory of Open Access Journals (Sweden)

    Pankovska A.

    2013-12-01

    Full Text Available Aim: to obtain results in order to organize an individual profile of patient's hearing skills, which is a graphic illustration of obtained results that are used to monitor and provide appropriate assessment of the rehabilitation process using the modified set of hearing abilities tests. Material and methods. Material includes 24 adult patients (19 female and 5 male with partial deafness. All of them use cochlear implants. 6 patients have been using the Cl for no more than 6 months. 12 subjects have been using the Cl for more than 6 months, 3 of them have been using the Cl for more than a year and 3 people have been using the Cl for more than 24 months. Results. Research was based on 18 tasks. In the 8 of them 24 patients obtained the result of 100% identification just one month after the first speech processor fitting. However significant changes were observed in the remaining 10 tasks. 3 complete profiles of the patients hearing skills were created. Conclusions. Results obtained by the patients confirm that the set of supervision materials designed to control the effects of rehabilitation and proposed as pilot study is valuable and can be used in diagnostics. Formula developed on the basis of auditory skill profile of the patient provides clear information on patient's progress (both to a patient and a therapist. It helps determine exercises for the next stages of rehabilitation.

  17. From gesture to sign language: conventionalization of classifier constructions by adult hearing learners of British Sign Language.

    Science.gov (United States)

    Marshall, Chloë R; Morgan, Gary

    2015-01-01

    There has long been interest in why languages are shaped the way they are, and in the relationship between sign language and gesture. In sign languages, entity classifiers are handshapes that encode how objects move, how they are located relative to one another, and how multiple objects of the same type are distributed in space. Previous studies have shown that hearing adults who are asked to use only manual gestures to describe how objects move in space will use gestures that bear some similarities to classifiers. We investigated how accurately hearing adults, who had been learning British Sign Language (BSL) for 1-3 years, produce and comprehend classifiers in (static) locative and distributive constructions. In a production task, learners of BSL knew that they could use their hands to represent objects, but they had difficulty choosing the same, conventionalized, handshapes as native signers. They were, however, highly accurate at encoding location and orientation information. Learners therefore show the same pattern found in sign-naïve gesturers. In contrast, handshape, orientation, and location were comprehended with equal (high) accuracy, and testing a group of sign-naïve adults showed that they too were able to understand classifiers with higher than chance accuracy. We conclude that adult learners of BSL bring their visuo-spatial knowledge and gestural abilities to the tasks of understanding and producing constructions that contain entity classifiers. We speculate that investigating the time course of adult sign language acquisition might shed light on how gesture became (and, indeed, becomes) conventionalized during the genesis of sign languages.

  18. The adult literacy evaluator: An intelligent computer-aided training system for diagnosing adult illiterates

    Science.gov (United States)

    Yaden, David B., Jr.

    1992-01-01

    An important part of NASA's mission involves the secondary application of its technologies in the public and private sectors. One current application being developed is The Adult Literacy Evaluator, a simulation-based diagnostic tool designed to assess the operant literacy abilities of adults having difficulties in learning to read and write. Using ICAT system technology in addition to speech recognition, closed-captioned television (CCTV), live video and other state-of-the art graphics and storage capabilities, this project attempts to overcome the negative effects of adult literacy assessment by allowing the client to interact with an intelligent computer system which simulates real-life literacy activities and materials and which measures literacy performance in the actual context of its use. The specific objectives of the project are as follows: (1) To develop a simulation-based diagnostic tool to assess adults' prior knowledge about reading and writing processes in actual contexts of application; (2) to provide a profile of readers' strengths and weaknesses; and (3) to suggest instructional strategies and materials which can be used as a beginning point for remediation. In the first and developmental phase of the project, descriptions of literacy events and environments are being written and functional literacy documents analyzed for their components. Examples of literacy events and situations being considered included interactions with environmental print (e.g., billboards, street signs, commercial marquees, storefront logos, etc.), functional literacy materials (e.g., newspapers, magazines, telephone books, bills, receipts, etc.) and employment related communication (i.e., job descriptions, application forms, technical manuals, memorandums, newsletters, etc.). Each of these situations and materials is being analyzed for its literacy requirements in terms of written display (i.e., knowledge of printed forms and conventions), meaning demands (i

  19. Treatment for Hearing Loss among the Elderly: Auditory Outcomes and Impact on Quality of Life.

    Science.gov (United States)

    Manrique-Huarte, Raquel; Calavia, Diego; Huarte Irujo, Alicia; Girón, Laura; Manrique-Rodríguez, Manuel

    2016-01-01

    The study aim was to determine the benefit of cochlear implantation and hearing aids in older adults diagnosed with hearing loss and to evaluate the index of depression, anxiety and quality of life after such treatments. A retrospective cohort comprised 117 patients older than 65 years and diagnosed with moderate to profound hearing loss who were included and classified into 2 groups (treated vs. non-treated). A battery of tests including auditory (pure-tone average, disyllabic words in quiet at 65 dB SPL) and findings from a series of questions relevant to quality of life were compared between both groups. Auditory outcomes for disyllabic words were 58.21% for the cochlear implant-treated group and 82.8% for the hearing aid-treated group. There was a positive effect on anxiety, depression, health status and quality of life in the cochlear implant group versus the profound hearing loss control group. We conclude that older adults with moderate to profound hearing loss gain benefit from hearing aids or cochlear implants not only in terms of improved hearing function, but also in terms of positive effects on anxiety, depression, health status and quality of life.

  20. Percepção de fala dos deficientes auditivos usando aparelho de amplificação com algoritmo de redução de ruído Speech perception of hearing impaired people using a hearing aid with noise supression algorithms

    Directory of Open Access Journals (Sweden)

    Jerusa Roberta Massola de Oliveira

    2010-02-01

    Full Text Available Frequentemente, os indivíduos com perda auditiva têm dificuldade de entender a fala no ambiente ruidoso. OBJETIVO: O objetivo deste estudo foi avaliar clinicamente o desempenho dos indivíduos adultos com deficiência auditiva neurossensorial, com relação à percepção da fala, utilizando o aparelho de amplificação sonora individual digital com o algoritmo de redução de ruído denominado Speech Sensitive Processing, ativado e desativado na presença de um ruído. MATERIAL E MÉTODO: Este estudo de casos foi realizado em 32 indivíduos com deficiência auditiva neurossensorial de graus leve, moderado ou leve a moderado. Foi realizada a avaliação por meio de um teste de percepção de fala, onde se pesquisou o reconhecimento de sentenças na presença de um ruído, para obter a relação sinal/ruído, utilizando o aparelho auditivo digital. RESULTADOS: O algoritmo pôde proporcionar benefício para a maioria dos indivíduos deficientes auditivos, na pesquisa da relação sinal/ruído e os resultados apontaram diferença estatisticamente significante na condição em que o algoritmo encontrava-se ativado, comparado quando o algoritmo não se encontrava ativado. CONCLUSÃO: O uso do algoritmo de redução de ruído deve ser pensado como alternativa clínica, pois observamos a eficácia desse sistema na redução do ruído, melhorando a percepção da fala.Often, individuals with hearing loss have difficulties understanding speech in noisy environments. AIM: It was the aim of this study to assess the performance of adult individuals with sensorineural hearing loss, associated with speech perception using digital hearing aids with a sound reduction algorithm called Speech Sensitive Processing, on and off, in the presence of noise. MATERIALS AND METHODS: This case study was performed with 32 individuals with sensorineural hearing loss of mild, moderate or mild to moderate level. Our evaluation involved a speech perception test, where we

  1. 助听器安全专用标准解读及转化建议%Interpretation of the Standard for Safety of Hearing Aid and Suggestions for Transformation

    Institute of Scientific and Technical Information of China (English)

    傅金德; 陈涛

    2015-01-01

    助听器是用来弥补听力障碍者由于听力损伤所造成缺陷的一种医用电气设备。在过去,助听器一直被认为是安全的,所以业内对于助听器安全的重视程度一直不够。本文介绍了国内外助听器行业标准化的状况,阐述了对安全专用标准转化的迫切需要,解读了IEC60601-2-66《助听器及助听器系统基本安全和主要性能专用要求》,并提出了为了促进行业发展,转化该标准的建议方案。%Hearing aid are used to make up for the hearing impaired due to hearing loss caused by the defect of a kind of medical electrical equipment. In the past, hearing aid has long been regarded as safe, security industry for hearing adi enough emphasis. This paper introduces the status of the hearing aid industry standardization, expounds the transformation of dedicated to safety standards are urgently needed. The author explains the IEC60601-2-66 " Medical electrical equipment – Part 2-66: Particular requirements for the basic safety and essential performance of hearing instruments and hearing instrument systems ", and put forward in order to promote the development of the industry, transformation of the standard proposal.

  2. The impact of hearing loss on the quality of life of elderly adults

    Directory of Open Access Journals (Sweden)

    Ciorba A

    2012-06-01

    Full Text Available Andrea Ciorba, Chiara Bianchini, Stefano Pelucchi, Antonio PastoreENT and Audiology Department, University Hospital of Ferrara, Ferrara, ItalyAbstract: Hearing loss is the most common sensory deficit in the elderly, and it is becoming a severe social and health problem. Especially in the elderly, hearing loss can impair the exchange of information, thus significantly impacting everyday life, causing loneliness, isolation, dependence, and frustration, as well as communication disorders. Due to the aging of the population in the developed world, presbycusis is a growing problem that has been reported to reduce quality of life (QoL. Progression of presbycusis cannot be remediated; therefore, optimal management of this condition not only requires early recognition and rehabilitation, but it also should include an evaluation of QoL status and its assessment.Keywords: hearing loss, presbycusis, quality of life, elderly

  3. Adult-children's perspectives on a parent's hearing impairment and its impact on their relationship and communication

    DEFF Research Database (Denmark)

    Preminger, Jill E; Montano, Joseph J; Tjørnhøj-Thomsen, Tine

    2015-01-01

    OBJECTIVE: The aim of the study was to describe third-party disability experienced by adult-children as a result of hearing impairment (HI) in a parent. DESIGN: Using semi-structured interviews, participants were asked to describe the impact of a parent's HI on their relationship and communication...... factors of family relationships, communication situations, and the parent's personality, adult-children considered their coping strategies and feelings that arose as a result of the HI. Coping strategies included putting forth effort in communication, yelling as an ineffective communication strategy......, and providing support to the parent with HI. The described feelings included frustration, uncertainty, and loss surrounding their communication and relationship with their parent with HI. These feelings arose as a result of implementing coping strategies, plus these feelings drove the employment of coping...

  4. Timing Considerations in Trainable Hearing Aids%增益训练功能开启时间对助听器选配效果的影响

    Institute of Scientific and Technical Information of China (English)

    张敏; Catherine V. Palmer; H.Gustav Mueller

    2015-01-01

    Previous investigations have explored the auditory adaptation to changed audibility after ampliifcation, and a number of approaches that lead to preferred gain by the hearing aid users during the adaptation process have been examined. However, the relationship between the preferred gain and adaptation process is still unclear. The purpose of this study was to determine the impact of the timing of implementing a gain learning on the ifnal preferred gain. Thirty-six ifrst-time hearing aid users participated in a double-blinded ifeld trial. They were randomly assigned to one of two groups. The control group had the preferred gain learning feature turned off for the ifrst month of new ampliifcation and the experimental group had the preferred gain learning feature turned on from the ifrst day of iftting. Objective and subjective outcomes were measured. Results showed that the decrease in audibility as represented by the calculated SII for soft speech at the end of the 8th week was signiifcantly larger when the gain learning feature was turned on immediately than when it was turned on 4 weeks after the initial hearing aid iftting. There was no signiifcant difference on mean scores of the PAL or the IOI-HA under the ifnal preferred gain setting between the two groups. 22 out of the 36 (61%) participants stated that they preferred continuing to use the ifnal trained gain regardless of which group they were in;the same amount of participants chose to keep the gain learning feature on.%目的:探究可训练助听器增益训练功能开启的时间对可听度及噪声下言语理解度的影响。方法采用双盲试验将36名助听器初戴者随机分为两组,实验组的增益训练功能在助听器验配当天开启,而对照组的增益训练功能在验配1个月之后开启。经过三个阶段为期10周的增益调节和听觉适应后,采用言语清晰度指数(speech intelligibility index,SII)、噪声下言语测试(Hearing In Noise Test

  5. Study on the Status and the Needs of Hearing Aid of 0-6 Years Hearing Loss Children's Education%0~6岁听损助听后儿童教育现状及需求的调查研究

    Institute of Scientific and Technical Information of China (English)

    许海燕; 李赞; 马玉娇; 陈晨; 朱媛; 董红艳

    2014-01-01

    Objective:To understand hearing loss 0-6 years to help children's education status and needs to hear. Methods:Questionnaire homemade"0-6 years of hearing compensation or rehabilitation of children with educational needs rebuilding questionnaire"were parents of children with hearing loss and their teachers conducted a sample survey, summarized and anal-yzed 0-6 year old hearing aids hearing loss according to the results after the child's educational status quo and demand. Re-sults:①hearing loss Hearing aid hearing aids for children to wear to strengthen awareness, but room for improvement in hearing results;②not yet fully meet the needs of communication, adaptive communication needs further study;③rehabili-tation and education programs constitute the team is not comprehensive enough;④placement patterns in various forms, but the appropriateness needs to be strengthened. Conclusion:0-6 against hearing loss Hearing aid rehabilitation education for children should follow the traditional basis of rehabilitation, education, tailored to their specific needs more.%目的:了解0~6岁听损助听后儿童教育现状及需求。方法:使用自制问卷表《0-6岁听力补偿或重建儿童康复教育需求调查问卷》,分别对听损儿童家长及其教师进行抽样调查,根据其结果总结并分析0~6岁听损助听后儿童的教育现状与需求。结果:①听损助听后儿童助听辅具佩戴意识加强,但助听效果有待改善;②沟通方式需求尚未全面满足,适性沟通方式有待进一步研究;③康复教育的课程构成和团队不够全面;④安置模式形式多样,但适切性有待加强。结论:0~6对听损助听后儿童的康复教育应在遵循传统康复教育基础上,切合其更多的特殊需求。

  6. A new side effect of immunosuppression: high incidence of hearing impairment after liver transplantation.

    Science.gov (United States)

    Rifai, Kinan; Kirchner, Gabriele I; Bahr, Matthias J; Cantz, Tobias; Rosenau, Jens; Nashan, Björn; Klempnauer, Jürgen L; Manns, Michael P; Strassburg, Christian P

    2006-03-01

    Little is known about hearing impairment in patients after organ transplantation. We conducted a single-center study to evaluate hearing impairment in patients after orthotopic liver transplantation (OLT). A questionnaire was sent to 695 adult patients after OLT to assess characteristics and course of auditory impairment. Risk factors such as ototoxic drugs were taken into consideration. Clinical follow-up, including immunosuppressive therapy, was analyzed in detail. The questionnaire was completed by 521 patients (75%). Hearing impairment was reported by 184 patients (35%). A total of 43 patients (8%) suffered from hearing abnormalities prior to OLT. The remaining 141 patients (27%) developed hearing impairment after transplantation. Main problems were hearing loss (52%), tinnitus (38%), and otalgia (30%). There was no association of post-OLT hearing disorders with age or known risk factors. In 43% of patients, onset of hearing impairment was within 2 yr post-OLT. Hearing loss was positively associated with tacrolimus immunosuppression in univariate (P Patients using a hearing aid received tacrolimus more frequently than cyclosporine (P hearing impairment is frequent in patients after OLT and contributes to post-OLT morbidity. Calcineurin inhibitor-related neurotoxicity appears as a possible mechanism. Further prospective investigations with objective hearing tests are necessary to confirm these results and to evaluate the role of immunosuppression.

  7. Research Progress and Outlook of Speech Processing Algorithms for Digital Hearing Aids%数字助听器语音处理算法研究进展与展望

    Institute of Scientific and Technical Information of China (English)

    邹采荣; 梁瑞宇; 谢跃

    2016-01-01

    As the world populatian aging ,hearing impairments become a high incidence chronic disease . Hearing aids is one of the most effective means of hearing intervention and hearing rehabilitation for pres‐bycusis hearing patients .Various techniques of hearing aids have advanced significantly over the past dec‐ades ,primarily thanks to the maturing of signal processing technology and electronic technology .Among these technologies ,sound classfication ,filter decomposition ,noise suppression and echo cancellation are four basic algorithms for hearing aids .Based on deep understanding ,we elaborate the algorithms in terms of aspects :the basic principles ,the current research status ,features and problems .In addition , by analyzing the current problems of hearing aids ,three new research direction ,auditory bionics ,audito‐ry cognition and selffitting hearing aids ,are outlooked and briefly introduced .%全球老龄化使听力障碍成为高发性慢性疾病,而佩戴助听器是老年性聋患者听力干预和康复最有效的手段之一。随着数字信号处理技术和电子技术的飞速进步,近年来应用于数字助听器的各种算法和技术得到了显著的发展。其中声场景分类、滤波器分解、噪声抑制和回声消除是助听器的4个基本算法。基于对这些算法的研究,本文从算法基本原理、当前研究现状、算法特点以及存在的问题进行分析介绍。此外,通过分析现阶段数字助听器算法中存在的问题,介绍了3个助听器信号处理方面的最新研究方向———听觉仿生、听觉认知和自验配助听器。本文最后对未来研究进行了展望。

  8. The Influence of Unilateral and Bilateral Amplification on the Effect of Hearing Aid Evaluation%单、双耳佩戴助听器对助听效果的影响

    Institute of Scientific and Technical Information of China (English)

    陈鱼; 王悦; 王巍; 陈太生; 林鹏

    2014-01-01

    Objective To study the influence of unilateral and bilateral amplification on the effect of hearing aid evaluation .Methods Using the subjective method that International Outcome Inventory for Hearing Aids (IOI-HA) and objective method that medium acoustic intensity (65 dB SPL) word recognition score(WRS) to evaluate the effect of unilateral and bilateral hearing aid fitting of middle -aged severe sensorneural hearing loss .Results Hearing aid were used for severe sensorneural hearing loss and the improvement of monosyllables and sentences in quiet and noise test of unilateral were 35 .73% ,43 .15% ,43 .23% ;the improvement of monosyllables and sentences in quiet and noise test of bilateral were 37 .90% ,51 .33% ,54 .86% .The WRS of bilateral was higher than unilater-al .The score of IOI-HA was 15~37 ,meaning patients with severe sensorneural hearing loss were satisfied with hearing aid ,and there was no statistical significance between unilateral and bilateral fitting .Conclusion The bilat-eral hearing aid fitting was better than unilateral .Binaural hearing loss are recommended to fit bilaleral hearing aids .%目的:探讨单、双耳佩戴助听器对助听效果的影响。方法应用助听器效果国际性调查问卷(the in-ternational outcome inventory for hearing aids ,IOI-HA)和中等声强度(65 dB SPL)下的言语识别率测试,对26例单耳佩戴及21例双耳佩戴助听器的成年重度感音神经性聋患者进行助听效果评估。结果重度感音神经性聋患者佩戴助听器后,单耳佩戴者的单音节词、安静及噪声下语句识别率改善值分别为35.73%、43.15%、43.23%,双耳佩戴者分别为37.90%、51.33%、54.86%,且双耳佩戴者的言语识别率高于单耳佩戴者;单、双耳佩戴者IOI -HA整体得分分别为29.96±3.04和29.52±5.29分,对助听器使用效果满意度均较高,且两者间IOI -HA得分差异无统计学意义(P>0.05)。

  9. Preface to the publication of the Chinese Version of the WHO Guidelines for Hearing Aids and Services for Developing Countries (2nd Edition) in the January 2005 issue of the Journal of Audiology and Speech Pathology

    Institute of Scientific and Technical Information of China (English)

    Hearing Aids Working Group

    2005-01-01

    @@ It is a great pleasure to be given this opportunity to write a preface for the publication of the first Chinese version of the World Health Organization (WHO) Guidelines for Hearing Aids and Services for Developing Countries (2nd Edition) in this issue of the Journal of Audiology and Speech Pathology.

  10. Direcionalidade e redução de ruído em AASI: percepção de fala e benefício Directivity and noise reduction in hearing aids: speech perception and benefit

    Directory of Open Access Journals (Sweden)

    Camila Angélica Quintino

    2010-10-01

    Full Text Available Aparelho de Amplificação Sonora Individual (AASI. OBJETIVO: Comparar o desempenho, benefício e a satisfação de usuários de AASI intra-aural e retroauricular digital com algoritmo de redução de ruído e microfones omnidirecional e direcional. MATERIAL E MÉTODO: 34 usuários de AASI digital foram avaliados por meio do reconhecimento de sentenças no ruído e dos questionários APHAB e IOI. Estudo prospectivo. RESULTADOS: Melhores resultados foram obtidos com AASI intra-aurais e AASI direcionais, no entanto, não houve diferença estatística significante entre os grupos. CONCLUSÃO: A direcionalidade favoreceu o reconhecimento de fala no ruído e o benefício obtido em vida diária.Hearing aid. AIM: To compare the performance, benefit and satisfaction of users of ITE, CIC and BTE digital hearing aid with noise reduction and omnidirectional and directional microphones. METHOD: 34 users of hearing aid were evaluated by means of speech perception in noise tests and APHAB and IOI self assessment questionnaires. Prospective study. RESULTS: Better results were obtained by users of ITE, CIC and directional hearing aids, however, no statistical significance was found between the groups. CONCLUSION: Directivity improved speech perception in noise and benefit in daily life situations.

  11. Functional outcome of auditory implants in hearing loss.

    Science.gov (United States)

    Di Girolamo, S; Saccoccio, A; Giacomini, P G; Ottaviani, F

    2007-01-01

    The auditory implant provides a new mechanism for hearing when a hearing aid is not enough. It is the only medical technology able to functionally restore a human sense i.e. hearing. The auditory implant is very different from a hearing aid. Hearing aids amplify sound. Auditory implants compensate for damaged or non-working parts of the inner ear because they can directly stimulate the acoustic nerve. There are two principal types of auditory implant: the cochlear implant and the auditory brainstem implant. They have common basic characteristics, but different applications. A cochlear implant attempts to replace a function lost by the cochlea, usually due to an absence of functioning hair cells; the auditory brainstem implant (ABI) is a modification of the cochlear implant, in which the electrode array is placed directly into the brain when the acoustic nerve is not anymore able to carry the auditory signal. Different types of deaf or severely hearing-impaired patients choose auditory implants. Both children and adults can be candidates for implants. The best age for implantation is still being debated, but most children who receive implants are between 2 and 6 years old. Earlier implantation seems to perform better thanks to neural plasticity. The decision to receive an implant should involve a discussion with many medical specialists and an experienced surgeon.

  12. Glia-related mechanisms in the anteroventral cochlear nucleus of the adult rat in response to unilateral conductive hearing loss

    Science.gov (United States)

    Fuentes-Santamaría, Verónica; Alvarado, Juan C.; López-Muñoz, Diego F.; Melgar-Rojas, Pedro; Gabaldón-Ull, María C.; Juiz, José M.

    2014-01-01

    Conductive hearing loss causes a progressive decline in cochlear activity that may result in functional and structural modifications in auditory neurons. However, whether these activity-dependent changes are accompanied by a glial response involving microglia, astrocytes, or both has not yet been fully elucidated. Accordingly, the present study was designed to determine the involvement of glial related mechanisms in the anteroventral cochlear nucleus (AVCN) of adult rats at 1, 4, 7, and 15 d after removing middle ear ossicles. Quantitative immunohistochemistry analyses at light microscopy with specific markers of microglia or astroglia along with immunocytochemistry at the electron microscopy level were used. Also, in order to test whether trophic support by neurotrophins is modulated in glial cells by auditory activity, the expression and distribution of neurotrophin-3 (NT-3) and its colocalization with microglial or astroglial markers was investigated. Diminished cochlear activity after middle ear ossicle removal leads to a significant ipsilateral increase in the mean gray levels and stained area of microglial cells but not astrocytes in the AVCN at 1 and 4 d post-lesion as compared to the contralateral side and control animals. These results suggest that microglial cells but not astrocytes may act as dynamic modulators of synaptic transmission in the cochlear nucleus immediately following unilateral hearing loss. On the other hand, NT-3 immunostaining was localized mainly in neuronal cell bodies and axons and was upregulated at 1, 4 and 7 d post-lesion. Very few glial cells expressed this neurotrophin in both control and experimental rats, suggesting that NT-3 is primarily activated in neurons and not as much in glia after limiting auditory activity in the AVCN by conductive hearing loss. PMID:25352772

  13. Frequency of word occurrence in communication samples produced by adult communication aid users.

    Science.gov (United States)

    Beukelman, D R; Yorkston, K M; Poblete, M; Naranjo, C

    1984-11-01

    Communication samples generated by five nonspeaking adults using Canon Communicators were collected for 14 consecutive days. Samples were analyzed to determine frequency of word occurrence. A core vocabulary of the 500 most frequently occurring words was analyzed further to determine spelling level and proportion of complete communication samples represented by subsets of the core vocabulary list. The 500 core vocabulary words represented 80% of the total words in the combined communication samples for the 5 subjects. Of all messages generated by the subjects, 33% could be communicated in their entirety using words from the core vocabulary list. The communication of the remaining messages required one or more words in addition to the core vocabulary. The spelling grade level of the words in the core vocabulary list did not exceed the seventh grade. The implications of the results for designing and customizing communication aids and for potential user training are discussed.

  14. Cataracts, radiculomegaly, septal heart defects and hearing loss in two unrelated adult females with normal intelligence and similar facial appearance : Confirmation of a syndrome

    NARCIS (Netherlands)

    Aalfs, CM; Oosterwijk, JC; VanSchooneveld, MJ; Begeman, CJ; Wabeke, KB; Hennekam, RCM

    1996-01-01

    Two unrelated, adult females with normal intelligence are described. They show a similar clinical picture with a long and narrow face, congenital cataract, microphthalmia, microcornea, a high nasal bridge, a short nose, a broad nasal tip, a long philtrum, bilateral hearing loss, persistent primary t

  15. Effectiveness of rehabilitation interventions in improving emotional and functional status in hearing or visually impaired older adults : a systematic review with meta-analyses

    NARCIS (Netherlands)

    Roets-Merken, Lieve M.; Draskovic, Irena; Zuidema, Sytse U.; van Erp, Willemijn S.; Graff, Maud J. L.; Kempen, Gertrudis I. J. M.; Vernooij-Dassen, Myrra J. F. J.

    2015-01-01

    Objective: To assess the effectiveness of non-equipment based rehabilitation interventions for older adults with an age-related hearing or visual impairment. Data sources: We searched PubMed, EMBASE, PsychInfo, CINAHL, and the Cochrane Central Register of Controlled Trials. Review methods: Two autho

  16. Comparing Loudness Tolerance and Acceptable Noise Level in Listeners With Hearing Loss.

    Science.gov (United States)

    Franklin, Clifford A; White, Letitia J; Franklin, Thomas C; Livengood, Lindsay G

    2016-08-01

    The present study was a follow-up investigation to a previous study exploring the relationship between listeners' loudness tolerance and listeners' acceptable noise level among normally hearing adults. The present study compared the same two measures, but data were obtained from listeners with hearing loss; 12 adults with sensorineural hearing loss participated in a loudness tolerance measure using a scaling technique initially established for setting hearing aid output limits, in addition to an acceptable noise level measure. The acceptable noise level procedure used in this study quantified the listeners' acceptance of background noise while listening to speech. As with the research involving listeners with normal hearing, the Pearson correlation procedure indicated a lack of any statistically significant correlation between the two measures.

  17. The Relationship between the Development of Auditory and Speech in Infants with Hearing Loss after Hearing Aid Fitting%语前聋婴幼儿助听后听觉及言语能力发育的相关性

    Institute of Scientific and Technical Information of China (English)

    吕静; 陈雪清; 张华; 李靖; 吴燕君; 王硕; 孔颖

    2015-01-01

    目的:分析语前聋婴幼儿助听后听觉与言语能力发育的相关性,探讨不同耳聋程度、不同评估阶段其助听前后的言语能力发育随听觉能力发展变化的关系。方法以32例语前聋婴幼儿为研究对象,助听器选配年龄3~34个月,平均15.6个月,分为极重度耳聋组(16例)、重度耳聋组(11例)和中度耳聋组(5例),使用听觉行为分级(categories of auditory performance ,CAP)和言语可懂度分级(speech intelligibility rating ,SIR)问卷分别于助听前及助听后1、3、6、9、12个月时对患儿的听觉及言语发育能力进行评估,并进行线性相关与回归分析。结果极重度、重度及中度耳聋组CAP与SIR评估得分均存在线性相关,相关性由低到高依次为极重度耳聋组(R=0.656)、重度耳聋组(R=0.758)、中度耳聋组(R=0.849)(均为 P<0.05)。助听前后不同评估阶段CAP与SIR评估得分均存在线性相关,相关性由低到高依次为助听前(R=0.559)、助听后1个月(R=0.575)、助听后3个月(R=0.726)、助听后6个月(R=0.823)、助听后9个月(R=0.838)、助听后12个月(R=0.855)(均为 P<0.05)。结论语前聋婴幼儿助听后听觉与言语能力发育密切相关,言语能力随听觉能力的提高而提高;耳聋程度越轻、助听器使用时间越长,助听后婴幼儿听觉与言语能力发育的相关性越高。%Objective The aim of this study is to analyze the relationship between the development of audito‐ry and speech in infants with hearing loss after hearing aid fitting and discuss the development of speech with the a‐bility of auditory in infants with different degree of hearing loss and different stage of evaluation after hearing aid fit‐ting .Methods A total of 32 infants (17 boys and 15 girls) with prelingual hearing loss participated in this study . The age at

  18. Different plasma levels of interleukins and chemokines:comparison between children and adults with AIDS in China

    Institute of Scientific and Technical Information of China (English)

    JIN Chang-zhong; ZHAO Yan; ZHANG Fu-jie; YAO Hang-ping; WU Ling-jiao; ZHAO Hong-xin; WEI Hong-shan; WU Nan-ping

    2009-01-01

    Background The immunological differences between children and adults with AIDS in China are not well documented.Th1/Th2 cytokines and chemokines are two types of immune factors intimately involved in disease progression of HIV-1 infection. This study aimed to identify changes in plasma levels of Th1/Th2 cytokines inerleukin (IL)-18, IL-16, IL-10 and chemokines regulated on activation, normal T cell expressed and secreted (RANTES), stromal cell-derived factor-1 (SDF-1) and monocyte chemoattractant protein-1 (MCP-1) in HIV-1-infected children and adults in China.Methods Seventy-five children with AIDS and 35 adult AIDS patients were recruited and clinical data were collected.CD4+ T lymphocyte counts were measured by flow cytometery and plasma HIV RNA levels were measured by quantitative RT-PCR. Plasma levels of IL-18, IL-10, IL-16, RANTES, MCP-1, SDF-1α and SDF-1β were quantified by enzyme-linked immunosorbent assay. The levels of β2-microglobulin (β2-MG) and soluble Fas (sFas) were measured to validate the level of humoral and cellular immune activation.Results The mean levels of all cytokines in pediatric and adult AIDS patients were significantly higher than in their healthy controls (P <0.01). The mean levels of these cytokines were higher in pediatric patients than in adult patients (P <0.05, except for SDF-1α and β2-MG). Some of the cytokine levels in patients younger than 6 years old was higher than in older children and adults with AIDS (IL-10, IL-18, SDF-1α, MCP, RANTES and sFas, P<0.05). Levels of IL-18, IL-10,RANTES and β2-MG of pediatric patients increased as the levels of viral load increased (P <0.05).Conclusions Abnormal immune activation can be measured in Chinese pediatric and adult patients with AIDS, and is higher in children than in adult patients. The cytokines levels coincide with disease progression of AIDS, but have no direct relationship with total CD4+ T cell count.

  19. HIV/AIDS related mortality among adult medical patients in a tertiary health institution in South-South, Nigeria

    Institute of Scientific and Technical Information of China (English)

    Gyuse AN; Bassey IE; Udonwa NE; Okokon IB; Philip-Ephraim EE

    2010-01-01

    Objective: To determine the causes of death among human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) patients as a step to planning strategies to improve mortality from this condition.Methods: This study retrospectively analyzed the mortality pattern of adult HIV/AIDS patients in the University of Calabar Teaching Hospital from January 2005 to December 2007. The data were obtained from sexually transmitted infection/acquired immunodeficiency syndrome (STI/AIDS) clinic register, admissions and discharge/death registers as well as the patients' case records and the hospitals monthly mortality reviews. Information obtained included age, sex, diagnosis and cause(s) of death. The causes of death considered were the directcauses of death, since the originating antecedent cause of death is the same in all the patients, in this case, HIV/AIDS. Data was analysed using Epi Info 2002.Results: The total number of mortalities during the study period was 350,100 were HIV positive representing 28.6% of all deaths. While advanced HIV/AIDS disease was the leading cause of death in our study representing 27.0%, tuberculosis was the single leading cause of deaths in HIV/AIDS patients constituting about 24.0% of deaths. This was followed by sepsis and septicaemia (13.0%), meningitis and encephalitis, and anaemia accounting for 11.0%, while respiratory diseases constituted 5.0% of the mortality burden. The highest number of deaths occurred in those aged between 21-50 years (82.0%).Conclusions: The study has shown that HIV/AIDS is a major cause of morbidity and mortality in our hospital. The causes of death reflect the varied spectrum of infection and other forms of organ involvement that affect HIV/AIDS patients. The present dismal situation of adult patients living with HIV/AIDS calls for enhanced strategies to decrease the mortality trend observed in Nigeria and sub-Saharan Africa.

  20. Comparison Acoustically Evoked Short Latency Negative Response with Vestibular Evoked Myogenic Potential in Adults with Profound Hearing Loss

    Directory of Open Access Journals (Sweden)

    Maryam Ramezani

    2012-03-01

    Full Text Available Background and Aim: A negative deflection with a 3-4 ms latency period has been reported to exist within the auditory brainstem response of some patients with profound hearing loss following a strong acoustic stimulus. This deflection, namingly the n3 or the acoustically evoked short latency negative response is assumed to be a vestibular-evoked potential, especially of saccular origin. Since the myogenic potential is also saccular in origin, the purpose of the present study was to investigate the relationship between these two tests in adults with profound hearing loss.Methods: The present cross sectional study was performed on 20 profoundly deaf volunteers(39 ears who aged between 18-40 years old, randomly selected from available deaf adults in Tehran. The auditory brainstem response of all subjects was recorded following a 1000 Hz tone burst in 70-100dB nHL. Subjects were also tested for vestibular evoked myogenic potential.Results: Only 34 of 39 ears recorded myogenic potential that negative response was recorded in 27 of 34 ears with normal p13 and n23. In seven ears with normal p13 and n23, the negative response was absent. In 3 ears with no p13 and n23, the negative response was observed, and two none.Conclusion: In view of the high prevalance of the negative response in profoundly deaf ears with normal p13 and n23, it could be concluded that the negative response can be used when for any reason, it is not possible to record myogenic potential and be considered as a new test in vestibular test battery.