Seminars in Hearing最新文献

{"title":"Preventing Occupational Hearing Loss: 50 Years of Research and Recommendations from the National Institute for Occupational Safety and Health.","authors":"Christa L Themann, Elizabeth A Masterson, Jeffrey Shawn Peterson, William J Murphy","doi":"10.1055/s-0043-1769499","DOIUrl":"10.1055/s-0043-1769499","url":null,"abstract":"<p><p>For more than 50 years, the National Institute for Occupational Safety and Health (NIOSH), part of the United States (U.S.) Centers for Disease Control and Prevention (CDC), has been actively working to reduce the effects of noise and ototoxic chemicals on worker hearing. NIOSH has pioneered basic and applied research on occupational hearing risks and preventive measures. The Institute has issued recommendations and promoted effective interventions through mechanisms ranging from formal criteria documents to blogs and social media. NIOSH has conducted surveillance and published statistics to guide policy and target prevention efforts. Over the past five decades, substantial progress has been made in raising awareness of noise as a hazard, reducing the risk of occupational hearing loss, improving the use of hearing protection, and advancing measurement and control technologies. Nevertheless, noise remains a prevalent workplace hazard and occupational hearing loss is still one of the most common work-related conditions. NIOSH continues to work toward preventing the effects of noise and ototoxicants at work and has many resources to assist audiologists in their hearing loss prevention efforts.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 4","pages":"351-393"},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Tinnitus Severity on Work Functioning among U.S. Military Veterans with Tinnitus.","authors":"Laura Coco, Elizabeth R Hooker, Tess A Gilbert, Graham R Harker, Khaya D Clark, Kelly M Reavis, James A Henry, Tara L Zaugg, Kathleen F Carlson","doi":"10.1055/s-0043-1770152","DOIUrl":"10.1055/s-0043-1770152","url":null,"abstract":"<p><p>Tinnitus is highly prevalent among military Veterans. Severe tinnitus can be associated with negative impacts on daily life. Veterans with severe tinnitus may also have greater difficulties in functional roles, including work. However, few studies have explicitly explored this relationship. Traumatic brain injury (TBI), also prevalent among Veterans, is associated with tinnitus and can additionally impair work functioning. This quantitative investigation used a population-based survey to assess the relationship between tinnitus severity, measured using the Tinnitus Functional Index (TFI), and the impact of tinnitus on work, measured using a composite score from the Tinnitus History Questionnaire, among a stratified random sample of VA healthcare-using Veterans diagnosed with tinnitus, with and without comorbid TBI. Analyses were weighted to account for sampling design and Veteran non-response; multiple imputation was used to account for missing data. Results indicated that for every 1-point increase in TFI score, there was an average 8% increase in the odds of reporting a high level of impact on work functioning (OR: 1.08; 95% CI: 1.06, 1.11). Veterans with a comorbid TBI diagnosis, compared with those without, were more likely to have high tinnitus-related impact on work functioning (OR: 2.69, 95% CI: 1.85, 3.91), but the relationship between tinnitus severity and the impact of tinnitus on work functioning did not differ by TBI status. These data can help researchers and clinicians understand complex symptoms experienced by Veterans with tinnitus, with and without TBI, supporting the improved provision of clinical services to these patients.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":"40-54"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47558921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Remote Technologies to Enhance Service Delivery for Adults: Clinical Research Perspectives.","authors":"Melanie A Ferguson, Robert H Eikelboom, Cathy M Sucher, David W Maidment, Rebecca J Bennett","doi":"10.1055/s-0043-1769742","DOIUrl":"10.1055/s-0043-1769742","url":null,"abstract":"<p><p>There are many examples of remote technologies that are clinically effective and provide numerous benefits to adults with hearing loss. Despite this, the uptake of remote technologies for hearing healthcare has been both low and slow until the onset of the COVID-19 pandemic, which has been a key driver for change globally. The time is now right to take advantage of the many benefits that remote technologies offer, through clinical, consumer, or hybrid services and channels. These include greater access and choice, better interactivity and engagement, and tailoring of technologies to individual needs, leading to clients who are better informed, enabled, and empowered to self-manage their hearing loss. This article provides an overview of the clinical research evidence-base across a range of remote technologies along the hearing health journey. This includes qualitative, as well as quantitative, methods to ensure the end-users' voice is at the core of the research, thereby promoting person-centered principles. Most of these remote technologies are available and some are already in use, albeit not widespread. Finally, whenever new technologies or processes are implemented into services, be they clinical, hybrid, or consumer, careful consideration needs to be given to the required behavior change of the key people (e.g., clients and service providers) to facilitate and optimize implementation.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 3","pages":"328-350"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10361795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9855571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audiological Tests Used in the Evaluation of the Effects of Solvents on the Human Auditory System: A Mixed Methods Review.","authors":"Simone Mariotti Roggia,&nbsp;Fernanda Zucki,&nbsp;Adrian Fuente,&nbsp;Adriana Bender Moreira de Lacerda,&nbsp;Wei Gong,&nbsp;Krystin Carlson,&nbsp;Thais C Morata","doi":"10.1055/s-0043-1769585","DOIUrl":"10.1055/s-0043-1769585","url":null,"abstract":"<p><p>This study aimed to scope the literature, identify knowledge gaps, appraise results, and synthesize the evidence on the audiological evaluation of workers exposed to solvents. We searched Medline, PubMed, Embase, CINAHL, and NIOSHTIC-2 up to March 22, 2021. Using Covidence, two authors independently assessed study eligibility, risk of bias, and extracted data. National Institute of Health Quality Assessment Tools was used in the quality evaluation of included studies; the Downs and Black checklist was used to assess the risk of bias. Of 454 located references, 37 were included. Twenty-five tests were studied: two tests to measure hearing thresholds, one test to measure word recognition in quiet, six electroacoustic procedures, four electrophysiological tests, and twelve behavioral tests to assess auditory processing skills. Two studies used the Amsterdam Inventory for Auditory Disability and Handicap. The quality of individual studies was mostly considered moderate, but the overall quality of evidence was considered low. The discrepancies between studies and differences in the methodologies/outcomes prevent recommending a specific test battery to assess the auditory effects of occupational solvents. Decisions on audiological tests for patients with a history of solvent exposures require the integration of the most current research evidence with clinical expertise and stakeholder perspectives.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":"44 4","pages":"437-469"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Study to Evaluate a Residual Inhibition Technique in Hearing Aids for Suppression of Tinnitus.","authors":"Candice M Quinn, Jay J Vachhani, Emily J Thielman, Devon Kulinski, Anneka Sonstroem, James A Henry, Sherri L Smith","doi":"10.1055/s-0043-1770153","DOIUrl":"10.1055/s-0043-1770153","url":null,"abstract":"<p><p>Tinnitus acoustic therapy is defined as any use of sound where the intent is to alter the tinnitus perception and/or the reactions to tinnitus in a clinically beneficial way. The parameters of sound that may cause beneficial effects, however, are currently only theorized with limited data supporting their effectiveness. Residual inhibition is the temporary suppression or elimination of tinnitus that is usually observed following appropriate auditory stimulation. Our pilot study investigated the effects of a therapeutic acoustic stimulus that was individually customized to maximize residual inhibition of tinnitus and extend its duration to determine if there could be a sustained suppression of the tinnitus signal (i.e., reduced tinnitus loudness) and a reduction in the psychological and emotional reactions to tinnitus. This pilot study had two objectives: (1) to evaluate the feasibility of residual inhibition technique therapy through daily use of hearing aids and (2) to determine its effects by measuring reactionary changes in tinnitus with the Tinnitus Functional Index (TFI) and perceptual changes in tinnitus loudness. A total of 20 adults (14 males, 6 females; mean age: 58 years, SD = 12.88) with chronic tinnitus were enrolled in a four-visit study that consisted of the following: (1) baseline visit and initiation of the intervention period, (2) a 1-month postintervention visit, (3) 2-month postintervention visit and initiation of a wash-out period, and (4) a 3-month visit to assess the wash-out period and any lasting effects of the intervention. The intervention consisted of fitting bilateral hearing aids and creating an individualized residual inhibition stimulus that was streamed via Bluetooth from a smartphone application to the hearing aids. The participants were instructed to wear the hearing aids and stream the residual inhibition stimulus all waking hours for the 2-month intervention period. During the wash-out period, the participants were instructed to use the hearing aids for amplification, but the residual inhibition stimulus was discontinued. At all visits, the participants completed the TFI, study-specific self-report measures to document perceptions of tinnitus, a psychoacoustic test battery consisting of tinnitus loudness and pitch matching, and a residual inhibition test battery consisting of minimum masking and minimum residual inhibition levels. At the end of the trial, participants were interviewed about the study experience and acceptability of the residual inhibition treatment technique. Repeated measures analyses of variance (ANOVA) were conducted on the two main outcomes (TFI total score and tinnitus loudness) across all four visits. The results showed a significant main effect of visit on the TFI total score ( <i>p</i>  < 0.0001). Specifically, the results indicated a significant reduction in TFI total scores from baseline to the 1-month post-intervention period, which remained stable across the 2-month post-inter","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":"123-140"},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47128878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging the Ear Anatomy and Function Using Optical Coherence Tomography Vibrometry.","authors":"Wei Dong, Sebastiaan W F Meenderink","doi":"10.1055/s-0043-1770154","DOIUrl":"10.1055/s-0043-1770154","url":null,"abstract":"<p><p>Optical coherence tomography (OCT) is a novel technology for performing real-time high-speed and high-resolution cross-sectional imaging on the micro-scale in situ. It is analogous to ultrasound imaging, except that it uses light instead of sound. OCT has recently been introduced in auditory research to visualize the various structures of the ear with a minimally invasive operation. In addition, OCT can be used as a vibrometry system that is capable to detect sound-induced sub-nanometer vibrations of the middle and inner ear. OCT-vibrometry measures depth-resolved vibrations into the specimen, which overcomes several limitations of classical vibrometry techniques (e.g., single surface point measurements using laser interferometry). In this article, we illustrate how to visualize the anatomy and function of the middle and inner ear (the cochlea) in a gerbil model using recently developed spectral-domain OCT. Our results demonstrate that the largest clinical impact of OCT for otology is to visualize various pathologies and quantify sound conduction and processing in the individual peripheral human ear.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":"101-109"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43530205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of Tinnitus Research at the VA National Center for Rehabilitative Auditory Research (NCRAR), 1997-2021: Studies and Key Findings.","authors":"James A Henry, Robert L Folmer, Tara L Zaugg, Sarah M Theodoroff, Candice M Quinn, Kelly M Reavis, Emily J Thielman, Kathleen F Carlson","doi":"10.1055/s-0043-1770140","DOIUrl":"10.1055/s-0043-1770140","url":null,"abstract":"<p><p>The Veterans Affairs (VA) Rehabilitation Research & Development (RR&D) National Center for Rehabilitative Auditory Research (NCRAR) was first funded by the RR&D Service in 1997 and has been funded continuously since that time. The overall purpose of the NCRAR is to \"improve the quality of life of Veterans and others with hearing and balance problems through clinical research, technology development, and education that leads to better patient care\" ( <i>www.ncrar.research.va.gov</i> ). An important component of the research conducted at the NCRAR has been a focus on clinical and rehabilitative aspects of tinnitus. Multiple investigators have received grants to conduct tinnitus research and the present article provides an overview of this research from the NCRAR's inception through 2021.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":"4-28"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41965365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-Related Changes in Temporal Binding Involving Auditory and Vestibular Inputs.","authors":"Alexander K Malone, Michelle E Hungerford, Spencer B Smith, Nai-Yuan N Chang, Rosalie M Uchanski, Yong-Hee Oh, Richard F Lewis, Timothy E Hullar","doi":"10.1055/s-0043-1770137","DOIUrl":"10.1055/s-0043-1770137","url":null,"abstract":"<p><p>Maintaining balance involves the combination of sensory signals from the visual, vestibular, proprioceptive, and auditory systems. However, physical and biological constraints ensure that these signals are perceived slightly asynchronously. The brain only recognizes them as simultaneous when they occur within a period of time called the temporal binding window (TBW). Aging can prolong the TBW, leading to temporal uncertainty during multisensory integration. This effect might contribute to imbalance in the elderly but has not been examined with respect to vestibular inputs. Here, we compared the vestibular-related TBW in 13 younger and 12 older subjects undergoing 0.5 Hz sinusoidal rotations about the earth-vertical axis. An alternating dichotic auditory stimulus was presented at the same frequency but with the phase varied to determine the temporal range over which the two stimuli were perceived as simultaneous at least 75% of the time, defined as the TBW. The mean TBW among younger subjects was 286 ms (SEM ± 56 ms) and among older subjects was 560 ms (SEM ± 52 ms). TBW was related to vestibular sensitivity among younger but not older subjects, suggesting that a prolonged TBW could be a mechanism for imbalance in the elderly person independent of changes in peripheral vestibular function.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":"110-122"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43944704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation Service Needs and Preferences among Veterans with Tinnitus: A Qualitative Study.","authors":"Khaya D Clark, Tara Zaugg, Susan DeFrancesco, Christine Kaelin, James A Henry, Kathleen F Carlson","doi":"10.1055/s-0043-1770138","DOIUrl":"10.1055/s-0043-1770138","url":null,"abstract":"<p><p>Tinnitus is prevalent among military Veterans, yet there is a gap between the demand and the provision of services for tinnitus rehabilitation services within the Veterans Health Administration (VHA). We sought to understand tinnitus rehabilitation service needs and preferences among Veterans with bothersome tinnitus who use Veterans Affairs (VA) services. We conducted semistructured telephone interviews in 2019 with Veterans diagnosed with tinnitus, who reported it as bothersome. Veterans were purposively sampled to represent national VA users, with and without comorbid traumatic brain injury (TBI), and who were or were not interested in tinnitus rehabilitation services. Qualitative data were analyzed using a modified grounded theory approach. Among 40 Veterans interviewed (32 men, 8 women; 50% with TBI), 72.5% endorsed being somewhat/very likely to be interested in tinnitus rehabilitation services while 27.5% were very/somewhat unlikely. Themes related to Veterans' interest in tinnitus rehabilitation services included barriers and facilitators to participation and preferences for receiving tinnitus services (e.g., individual vs. group-based; in-person vs. remote access). Our findings highlight factors that influence Veterans' reported need and preferences for, and readiness to engage in, rehabilitation services for tinnitus. Personalized or otherwise adaptable approaches to program delivery may help ensure maximal uptake among Veterans.</p>","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":"29-39"},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10872667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43068194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VA Hearing, Tinnitus, and Balance Research that Leads to Better Patient Outcomes and Care","authors":"Konrad-Martin Dawn, Michelle E. Hungerford","doi":"10.1055/s-0043-1770141","DOIUrl":"https://doi.org/10.1055/s-0043-1770141","url":null,"abstract":"This special issue consists of eight articles from leading auditory and vestibular researchers based in U.S. Department of Veterans Affairs (VA) medical centers across the country. The VA is one of the nation’s leaders in health research, conducting thousands of research studies in a given year. VA researchers and the VA Office of Research & Development support the health-related priorities of Veterans and the VA as set out in the VA Secretary’s strategic plan. In this plan, Strategic Objective 2.4: (Innovative Care) dictates, “VA will improve understanding of Veterans specific illnesses and injuries to develop and adopt innovative new treatments that prevent future illness and enhance Veteran Outcomes.” Tinnitus and hearing loss deemed to be likely caused, at least in part, by otopathologic exposures experienced during military training and service, are the number 1 and number 3 most prevalent service-connected disabilities of all compensated injuries, at 2,500,850 and 1,377,713 recipients, respectively. To support the healthcare needs of Veterans, VA promotes audiological services as a direct schedule service. An important component of research conducted at the VA has been a focus on rehabilitative aspects of care that can optimize function and quality of life. The purpose of this Special Issue is to highlight VA’s continued commitment to research on hearing, tinnitus, and balance problems that afflict the Veteran population in large numbers. The articles are organized into two broad topics that reflect current trends in VA healthcare: (1) changing needs of the Veteran patient population base and (2) innovations in diagnostics and rehabilitation. To increase understanding of the changing auditory healthcare needs of Veterans, the special issue opens with an overview of tinnitus research conducted at the ORD-funded, National Center for Rehabilitative Auditory Research (NCRAR) since conception of NCRAR in 1997. In this review, James Henry, Robert Folmer, Tara Zaugg, Sarah Theodoroff, Candice Quinn, Kelly Reavis, Emily Thielman, and Kathleen Carlson outline rehabilitative tinnitus research findings spanning the past 25 years. THIEME","PeriodicalId":53691,"journal":{"name":"Seminars in Hearing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42358583","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}