G. Keidser, Heidi Silberstein Limareff, S. Simmons, Corina Gul, Zoe Hayes, C. Sawers, Bronwyn Thomas, K. Holland, Kelly Korchek
{"title":"Clinical Evaluation of Australian Hearing's Guidelines for Fitting Multiple Memory Hearing Aids","authors":"G. Keidser, Heidi Silberstein Limareff, S. Simmons, Corina Gul, Zoe Hayes, C. Sawers, Bronwyn Thomas, K. Holland, Kelly Korchek","doi":"10.1375/AUDI.2005.27.1.51","DOIUrl":"https://doi.org/10.1375/AUDI.2005.27.1.51","url":null,"abstract":"In 1998, guidelines for fitting multi-memory hearing aids were introduced in Australian Hearing (a government agency). The guidelines list criteria for determining multimemory candidacy and present recommended response variations around a baseline response to suit different listening environments. This study aimed at validating the clinical application of the guidelines. Forty-four subjects from three Australian Hearing centres evaluated a digital, two-memory, two-channel compression device with remote control in their everyday environments for four months. Data suggested that the original criteria for candidacy were not satisfactory. On average, candidates had a wider dynamic range across the high frequencies, were more often in the situation the alternative program was designed for, and were fitted with a greater low-frequency gain difference between programs. A revised candidacy guideline based on this finding is presented. The recommended response variations were difficult to achieve and data did not suggest any particular changes to the recommended response variations.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125844173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of ABR Thresholds Using Linear Versus Blackman Gating Functions for Predicting Pure Tone Thresholds in Hearing-ompaired Subjects","authors":"R. Beattie, O. Kenworthy, Emily L Vanides","doi":"10.1375/AUDI.2005.27.1.1","DOIUrl":"https://doi.org/10.1375/AUDI.2005.27.1.1","url":null,"abstract":"This study compared auditory brainstem response (ABR) thresholds using linear versus Blackman gating functions for predicting pure tone thresholds in subjects with sensorineural hearing losses. Twenty-six subjects with gradually-to-steeply sloping hearing loss were tested with 500, 1000, 2000 and/or 4000 Hz tone bursts. The total stimulus durations were 3 msec for both gating functions. No statistically significant mean differences were found between ABR thresholds for the linear and Blackman tone bursts at any frequency. Linear regression equations were used to describe the relationship between ABR thresholds in dB nHL and pure tone thresholds in dB HL. Standard errors of estimate of about 11 dB were obtained at 500 and 1000 Hz for both tone bursts. At 2000 and 4000 Hz, standard errors of about 6 dB were observed for both the linear and Blackman tone bursts. These data suggest that 500 and 1000 Hz tone bursts can predict pure tone thresholds within 16 dB in approximately 85% of the cases, and that the 2000 and 4000 Hz tone bursts can predict pure tone thresholds within 9 dB in approximately 85% of the cases.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126108233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Ling sound test revisited","authors":"Katrina Agung, S. Purdy, C. Kitamura","doi":"10.1375/AUDI.2005.27.1.33","DOIUrl":"https://doi.org/10.1375/AUDI.2005.27.1.33","url":null,"abstract":"The 'Ling sounds' are a range of speech sounds encompassing the speech frequencies that are widely used clinically to verify the effectiveness of hearing aid fitting in children. The Ling sound test was originally developed for the North American population. There are differences in production and spectral content of Australian and North American vowels and, consequently, this study reviewed the appropriateness of the Ling sounds for an Australian population. A brief open questionnaire was given to clinicians in New South Wales who routinely use the Ling test to determine how they administer the Ling test and how they interpret results. Based on these results, guidelines for administering the Ling test in Australia are presented.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130433658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Beattie, O. Kenworthy, Christina M Neal-Johnson
{"title":"Distortion Product Otoacoustic Emissions: Input-output Functions for Primary-tone Pairs at 1000, 2000 and 4000 Hz in Normal-hearing Females","authors":"R. Beattie, O. Kenworthy, Christina M Neal-Johnson","doi":"10.1375/AUDI.26.2.116.58273","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.116.58273","url":null,"abstract":"Because little information is available on the normal characteristics of input-output DPOAE functions, we measured (1) group slopes at f2 = 1000, 2000 and 4000 Hz for low-level (40-50 dB SPL), moderatelevel (50-65 dB SPL), and high-level stimuli (65-75 dB SPL); (2) individual slopes for each frequency and intensity level segment; (3) test-retest reliability of slopes for each frequency and intensity level segment; and (4) the proportion of subjects with various input-output function shapes. Fifty normal-hearing female subjects were tested. The results showed that (1) the intersubject slope variability among subjects was large (standard deviations were 0.5); (2) the lowlevel segments exhibited steeper slopes (0.67-0.82) than the high-level segments (-0.03 - 0.43), and the moderate-level segments showed intermediate slopes (0.39 - 0.64); and (3) slopes for the low-level and moderate-level segments tended to increase as frequency increased from 1000 Hz (slope = 0.53) to 4000 Hz (slope = 0.73). Approximately two thirds of the DPOAE input-output functions were the Linear-Plateau type (41%) or the Linear type (26%). The Rollover type of function also was fairly common and observed in 16% of the cases.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114973199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal Rubella, Vaccination, and Congenital Hearing Impairment in Australia","authors":"L. Upfold, Ron Oong","doi":"10.1375/AUDI.26.2.133.58279","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.133.58279","url":null,"abstract":"Vaccination against rubella, targeting at-risk females, commenced in Australia in 1971. In 1989, the program was extended to cover children of both sexes from an early age. The question is now asked, 'How effective has vaccination been in reducing the incidence of congenital defects?' Statistics of the numbers of children born from 1941 to 2003 who were fitted with hearing aids as a result of maternal rubella were analysed. The data, drawn from Australian Hearing, the agency which provides an Australian Government free hearing aid service to all Australian children, is considered to include all children with hearing aids. Comparisons were made of the numbers of rubella children born before and after the introduction of the vaccination programs. The results indicate the vaccination programs have been very effective in reducing the incidence of rubella-related congenital hearing impairments. In particular, vaccination is more effective when used in the extended format. The elimination of rubellarelated congenital defects now seems possible, provided full coverage of target groups is maintained.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127048319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"School-entry Hearing Screening: An Audit of Referrals in a Three Year Period","authors":"Jenny Rosén, C. Johnson, H. Wilkinson","doi":"10.1375/AUDI.26.2.142.58272","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.142.58272","url":null,"abstract":"A recent National Health and Medical Council (NHMRC) project reviewed the literature on child health screening and surveillance and concluded that there was insufficient evidence to make a recommendation for or against school-entry hearing screening. However, unrecognised and unmanaged hearingimpairment can have a significant detrimental effect on a child's educational, social and psychological progress. In the Hornsby and Kuringgai local government areas in New South Wales (NSW), a longstanding school-entry hearing screening program that aims to identify previously unsuspected hearing problems, is conducted each year. Strict program guidelines are in place, and subject to review. In view of the NHMRC findings, it was decided that an audit of audiology referrals from the Hornsby and Kuringgai local government areas' screening program was timely. Accordingly, records of school-entry hearing screening for the calendar years 2000, 2001 and 2002 were obtained from the School Medical Service team, and all records of audiology assessment identifiable as School Medical Service referrals to audiology for the same years extracted from the Audiology Unit files. The audiology assessments were categorised to be comparable with data previously reported in the literature, and compared with the school-entry screening information. The resulting data have been analysed in order to evaluate the program's effectiveness. While areas requiring improvement emerged, the number of relevant children identified compared with the number referred suggests that the program definitely has value and warrants consideration to repeating elsewhere.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127152531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Sockalingam, Rob Murrison, D. Cole, Sammah James, Sara Morin, S. Potter
{"title":"Comparing SCAN-A Scores between Speakers of Standard Australian English and American English: A Preliminary Study","authors":"R. Sockalingam, Rob Murrison, D. Cole, Sammah James, Sara Morin, S. Potter","doi":"10.1375/AUDI.26.2.110.58278","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.110.58278","url":null,"abstract":"The SCAN-A: Test for Auditory Processing Disorders in Adolescents and Adults is currently used in Australia with normative data derived from speakers of standard American English. The present study aimed to compare preliminary normative data for SCAN-A for speakers of standard Australian English to those of standard American English. A total of 32 normal hearing adults aged between 18 and 47 years participated in this study. They were given all four subtests of the SCAN-A test. The Kolmogorov- Smirnov two-sample test was used to determine whether there was any significant difference in mean scores for each of the SCAN-A subtests and the test total between the Australian sample and the reported American normative data. The results of the study found a significant difference in mean scores between the Australian sample and the American normative data for the Filtered Words subtest and the Competing Sentences subtest. The Australian sample obtained a lower mean score for the Filtered Words subtest and a higher mean score for the Competing Sentences subtest. No significant difference in mean scores was found for the other subtests and the composite score. Overall, the performance of the SCAN-A in the Australian sample was similar to that of the American population. The results of this preliminary study stress the need for caution when interpreting the results of the Filtered Words subtest and the Competing Sentence subtest for the Australian population.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"369 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131054868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Language and auditory processing changes following Fast ForWord","authors":"Joanne Deppeler, Anna Marie Taranto, J. Bench","doi":"10.1375/AUDI.26.2.94.58276","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.94.58276","url":null,"abstract":"This study examined changes in performance of 8 Australian children with language impairments of varying severity and presentation and/or auditory processing difficulties on standardised measures of language and auditory processing pre- and post-Fast ForWord (FFWD) training. In addition, performance changes on four measures of auditory processing were tracked using a single-subject ABA design. Increases in receptive and expressive language scores were observed. All participants showed at least one area of improvement on standardised tests of auditory discrimination for speech. Of those who produced interpretable results on standardised tests of shortterm auditory memory, 1 participant in 6 improved on Digit Span and 3 in 7 showed variable improvement on Memory for Sentences. Over half of the auditory processing gains remained evident after four weeks. One third of these gains were evident after 12 months. Characteristics of individual participants partially contributed to the identification of patterns of performance in the area of language. The findings are discussed in light of extraneous influences and recommendations for future research are offered.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"84 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131778599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"2004 Denis Byrne Memorial Lecture: Travelling the Yellow Brick Road-audiology and the Community in Australia: Past, Present and Future","authors":"Jenny Rosén","doi":"10.1375/AUDI.26.2.71.58274","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.71.58274","url":null,"abstract":"On the road to Oz there were many people involved in many adventures - some short-lived and leading to a dead-end, others more productive and contributing to progress towards the ultimate desired goal. Today we will travel a similar road this one to follow our progress as a developing profession in Australia, which, in partnership with our community, exists to assist our hearing-impaired community members. If we are not to lose our way, it is essential that audiologists maintain a client-centred, evidencebased approach. We must be able to demonstrate to our clients that audiologists truly provide a continuum of care; and that technology, while frequently integral, is only part of the solution - indeed, that technology should be a beginning, not an end, of habilitation/rehabilitation. It is equally incumbent on each and every one of us to take our part in raising and broadening community awareness at all levels of our society with regard to what an appropriately resourced audiology profession can contribute. The more such awareness exists, the less the risk that audiological services will be overlooked and underresourced. Together we will look at where we have come from, where we are now, and where we must head, if audiology in Australia is to gain, and maintain, its rightful place in the continuum of hearing health care.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"348 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120941344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Central Auditory Processing and Central Auditory Processing Disorder: Fundamental Questions and Considerations","authors":"W. Wilson, C. Heine, Lauren A. Harvey","doi":"10.1375/AUDI.26.2.80.58277","DOIUrl":"https://doi.org/10.1375/AUDI.26.2.80.58277","url":null,"abstract":"Despite several decades of research, neither clinicians nor academics can agree on a single definition of central auditory processing (CAP) or central auditory processing disorder (CAPD). This article considers why this is the case, and comments on the resulting implications for CAP assessment and CAPD rehabilitation in the clinic.","PeriodicalId":114768,"journal":{"name":"Australian and New Zealand Journal of Audiology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126652588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}