{"title":"Multi-microphone technology for severe-to-profound hearing loss","authors":"Volker Kühnel, Sabine Margolf-Hackl, J. Kiessling","doi":"10.1080/010503901300007092","DOIUrl":"https://doi.org/10.1080/010503901300007092","url":null,"abstract":"In this study the potential benefit of hearing instruments with multi-microphone technology was investigated in laboratory and in field tests for users with severe-to-profound hearing loss. Twenty-one experienced hearing aid users were fitted with high-power multi-microphone hearing instruments (Phonak PowerZoom P4 AZ). The following evaluations were performed: (i) adaptive speech test (SRT for HSM sentence test) in quiet and in noise with their own instrument and the test instrument in the omnidirectional (basic program) and directional mode (party noise profound + zoom algorithm). (ii) Paired comparisons of loudness, sound quality and speech intelligibility for both the omni and zoom program. (iii) Questionnaires on satisfaction and self-assessment of communication in different listening conditions (Oldenburg Inventory). Only 10 subjects achieved 50% correct (SRT) on the sentence test in noise (speech 0 °/noise 180 °) with both their own instrument and the test instrument in the omnidirectional mode. However, 15 subjects succeeded in the SRT measurement in the directional mode. The average SRT improvement of the directional over the omnidirectional mode was 13.7 dB. Loudness was judged 'medium loud' for both listening programs. Sound quality and intelligibility were rated significantly better for the zoom program. Compared to their own instrument users' satisfaction with the test instrument was significantly higher, especially in noisy listening situations.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"65 - 68"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007092","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013341","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}
P. Sergi, G. Pastorino, P. Ravazzani, G. Tognola, F. Grandori
{"title":"A hospital based universal neonatal hearing screening programme using click-evoked otoacoustic emissions","authors":"P. Sergi, G. Pastorino, P. Ravazzani, G. Tognola, F. Grandori","doi":"10.1080/010503901300006958","DOIUrl":"https://doi.org/10.1080/010503901300006958","url":null,"abstract":"Since 1997 a hospital-based universal hearing screening programme (Milan Programme) has been carried out at the Neurophysiopathology Unit of the Mangiagalli Clinic in Milan, for the early identification of hearing loss in neonates (5650 well babies, 749 newborns from the Neonatal Pathology Unit (NPU) without risk for hearing loss and 118 newborns at risk for hearing loss). As a result, considering the well baby population, three pathological neonates (one profound bilateral and two unilateral hearing loss) were identified. Three additional cases were found among the NPU newborns, whereas 16 cases with bilateral and 11 with unilateral hearing loss were found among the at-risk babies.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"54 1","pages":"18 - 20"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300006958","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013524","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}
I. Psarommatis, M. Tsakanikos, P. Diamantopoulou, Dimitri K. Apostolopoulos
{"title":"Towards a universal newborn hearing screening","authors":"I. Psarommatis, M. Tsakanikos, P. Diamantopoulou, Dimitri K. Apostolopoulos","doi":"10.1080/010503901300006976","DOIUrl":"https://doi.org/10.1080/010503901300006976","url":null,"abstract":"Hearing loss is a common problem which, if remaining undetected during early childhood, could affect the patient's linguistic and mental abilities permanently. Although recommended, mass hearing screening has so far been problematic or even impossible due to several reasons. The available otoacoustic emission devices appear to be effective tools for universal hearing screening. The aim of this study is to evaluate the reliability and practicability of a new device for recording click-evoked otoacoustic emissions (cEOEs) on a pediatric population. Sixty children aged between 6 days and 14 years were evaluated audiologically both by auditory brainstem responses (ABR) and otoacoustic emissions. The latter were obtained by using the well-known ILO88v3.92 otoacoustic analyser and a new, portable device ('Echocheck', Otodynamics Ltd, UK). Sensitivity and specificity of cEOEs recorded by 'Echocheck'was found to be 93% and 91%, respectively, when compared to ABR results. Additionally, 'Echocheck' recordings were proved to be much easier to perform, needing considerably less time in comparison with those of the ILO88 system. In our opinion, 'Echocheck' as well as all similar portable devices - screeners - may represent a much-desired solution for implementing universal hearing screening programmes.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"25 - 27"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300006976","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013583","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}
K. Morawski, G. Namysłowski, Iwona Kossowska, G. Lisowska, Piotr Urbaniec
{"title":"Assessment of the medial olivocochlear efferent system in children. Pure tone 1.0 kHz and 2.0 kHz suppressive effects on transient evoked otoacoustic emission","authors":"K. Morawski, G. Namysłowski, Iwona Kossowska, G. Lisowska, Piotr Urbaniec","doi":"10.1080/010503901300007254","DOIUrl":"https://doi.org/10.1080/010503901300007254","url":null,"abstract":"The role of medial efferent system in regulating outer hair cell function has been studied by many investigators. Usually narrow band noise or white noise as contralateral stimulation (CS) suppressors have been used and changes in OAE amplitudes estimated. Thirty children aged 6-15 years (mean 12.5 ± 4.7), without any changes in tonal and impedance audiometry and with negative history regarding otiatric diseases were examined. Transient evoked otoacoustic emissions (TEOAE) were recorded using ILO 92 Otodynamics Analyser. CS was performed using 1.0 kHz and 2.0 kHz continuous pure tones of 30 dB SL or 50 dB SL. Effects of CS on TEOAE evoked by click of 80, 70 and 60 dB SPL were investigated. TEOAE analysis included assessment of TEOAE amplitude of half octave frequency bandwidth (HOFBW-1.0; HOFBW-1.5; HOFBW-2.0; HOFBW-3.0 and HOFBW-4.0 kHz) and 0.8 kHz frequency bandwidth (0.8-FBW) amplitudes centred at 1.0; 2.0; 3.0; 4.0 and 5.0 kHz. TEOAE amplitude recorded for stimuli 80, 70 and 60 dB SPL without CS decreased: mean values respectively 6.1 ± 4.2; 5.4 ± 4.5 and 3.3 dB SPL ± 4.3. CS effect on TEOAE was observed for all CS options, however, larger suppressive effect was recorded on TEOAE elicited by 70 dB SPL stimulus using 1 kHz/50 dB SL tone as a suppressor and on TEOAE elicited by 60 dB SPL stimulus using 2 kHz/50 dB SL tone as a suppressor. HOFBW and 0.8-FBW analyses showed the association between the frequency/intensity of the suppressors and decreasing of amplitudes of adequate frequency bands. It is concluded that the described method of investigating of the medial olivocochlear efferent system seems to be sensitive and confirms frequency-dependent suppressive effect on OAE.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"112 - 115"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013648","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":"Carhart notch effect in otosclerotic ears measured by electric bone-conduction audiometry","authors":"H. Löppönen, K. Laitakari","doi":"10.1080/010503901300007399","DOIUrl":"https://doi.org/10.1080/010503901300007399","url":null,"abstract":"The Carhart notch is an elevation in the middle-frequency bone-conduction threshold of an ear with clinical otosclerosis. The study population consisted of 138 patients with clinical otosclerosis. Conventional air-conduction (AC) and bone-conduction (BC) and electric bone-conduction (EBC, with Audimax 500 audiometer) thresholds were measured 2 weeks before and 7 months after stapes surgery. The EBC thresholds were converted from mA values to dB SPL to compare the results obtained with the different methods. The mean differences in the BC thresholds before and after the operation were 3.2 dB (95% CI 1.9-4.6) at 1 kHz and 7.6 dB (95% CI 6.1-9.1) at 2 kHz. The mean differences in the EBC thresholds were 5.4 dB (95% CI 3.8-6.9) at 1 kHz and 5.3 dB (95% CI 3.4-7.1) at 2 kHz. Thus, both methods showed a distinct Carhart notch effect.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"160 - 162"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007399","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013994","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":"A novel machine learning program applied to discover otological diagnoses","authors":"J. Laurikkala, E. Kentala, M. Juhola, I. Pyykkö","doi":"10.1080/010503901300007218","DOIUrl":"https://doi.org/10.1080/010503901300007218","url":null,"abstract":"A novel machine learning system, Galactica, has been developed for knowledge discovery from databases. This system was applied to discover diagnostic rules from a patient database containing 564 cases with vestibular schwannoma, bening paroxysmal positional vertigo, Me´nie`re's disease, sudden deafness, traumatic vertigo and vestibular neuritis diagnoses. The rules were evaluated using an independent testing set. The accuracy of rules for these diagnoses were 91%, 96%, 81%, 95%, 92% and 98%, respectively. Besides being accurate, the rules contained the five most important diagnostic questions identified in the earlier research. The knowledge presented with rules can be easily comprehended and verified.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"100 - 102"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014069","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":"HI-SIMv1.0 - towards the virtual reality of hearing impairments","authors":"Pentti Körkkö, K. Huttunen, M. Sorri","doi":"10.1080/010503901300007551","DOIUrl":"https://doi.org/10.1080/010503901300007551","url":null,"abstract":"The virtual reality of hearing impairments has obvious practical applications in areas such as audiology, speech therapy and hearing aid technology and serves as an informational tool for the family members of the hearing impaired. To simulate hearing impairment, a CD-ROM with filtered speech material accessible through a graphical user-interface was produced; the user-interface was created with standard multimedia tools. The CD-ROM, HI-SIMv1.0, intended as an interactive educational tool, offers a virtual experience of the effects of a selection of common types of hearing impairment. The options available in this simulation include grade of hearing impairment, audiometric configuration and the type and level of background noise. Word recognition scores can be computed for standard Finnish audiometric material.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"209 - 210"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007551","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014236","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":"Epidemiology of permanent childhood hearing impairment in the Tyrol, 1980-94","authors":"D. Nekahm, V. Weichbold, K. Welzl-Müller","doi":"10.1080/010503901316914575","DOIUrl":"https://doi.org/10.1080/010503901316914575","url":null,"abstract":"In recent years the need for reliable data on permanent childhood hearing impairment (PCHI) has increased, owing to both scientific interest and practical aspects such as implementation of neonatal hearing screening. In order to obtain data about the epidemiology of PCHI in the Austrian state of Tyrol, the medical records of all hearing-impaired Tyrolean children born between 1980 and 1994 were researched. A total of 165 children with at least moderate hearing impairment in the better ear were registered, of whom 52.7% were found to be moderately hearing-impaired, 24.2% severely hearing-impaired and 23.0% profoundly hearing-impaired. Sensorineural hearing loss was observed in 87.3%, conductive hearing loss in 6.7% and mixed hearing loss in 6.1%. As for aetiology, non-syndromic hereditary hearing loss was diagnosed in 22% of the children and syndromic hearing loss in 8%. Congenital malformation of the ear was found in 3%. In 19% of the children, perinatal risk factors were seen, and in 10% a pre-, peri- or postnatal infection had occurred. Aetiology remained unknown in 36% of the children. The prevalence rate of newborn hearing impairment was 1.27/1000 newborns. The results are considered to fit well to the PCHI findings reported from other European regions.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"197 - 202"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901316914575","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014266","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":"Objective detection of transiently evoked otoacoustic emissions","authors":"E. Stürzebecher, M. Cebulla, K. Wernecke","doi":"10.1080/010503901300112185","DOIUrl":"https://doi.org/10.1080/010503901300112185","url":null,"abstract":"Newborn hearing screening with transiently evoked otoacoustic emissions (TEOAE) is a well-established method. A screening device must be equipped with a test procedure for objective TEOAE detection. The statistical tests implemented in the commercially available screening devices are the correlation, an estimation of the signal-to-noise ratio and a binominal test. The aim of the present study is to compare the TEOAE detection performance of these tests with that of several other tests in the time and frequency domains (variance ratio F SP and its modification F * SP, Friedman test, modified q-sample uniform scores test). The comparison was based on a data sample of 420 TEOAE. The frequency range examined was 1.5-4.0 kHz. As a new feature, two frequency sub-ranges (1.5-2.5 kHz, 2.5-4.0 kHz) were tested separately. The modified variance ratio F * SP was the most powerful test, whereas the tests implemented in the known screening devices showed the lowest detection performance.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"78 - 88"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300112185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014348","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 feasibility of hospital-based universal newborn hearing screening in the United Kingdom","authors":"Wendy Albuquerque, D. Kemp","doi":"10.1080/010503901750166565","DOIUrl":"https://doi.org/10.1080/010503901750166565","url":null,"abstract":"Current hearing screening programmes in the United Kingdom are performing unacceptably poorly. Davies et al. (1997) suggested that universal newborn hearing screening (UNHS) would be more effective and cheaper to run. However, there is concern that hospital-based UNHS would not be feasible because of early postnatal discharge, and thus babies not staying in hospital long enough to be screened. Two studies were designed to determine the viability of hospital-based UNHS in a district general hospital in the United Kingdom. Study 1 retrospectively determined the discharge age and time of discharge of all 3021 well babies born at St Helier hospital, Carshalton, and the number of babies born at home in the area, from 19 October 1997-18 October 1998. Most well babies were found to pass through hospital at a convenient time for predischarge hearing screening, and the optimal protocol was screening from 9 am-2 pm, 7 days a week. The predicted maximal screening coverage was 92.68%. Study 2 tested the calculated optimal protocol over 1 week. It was found that UNHS with otoacoustic emissions on the maternity ward from 9 am-2 pm, 7 days a week, achieved a coverage of 89.06%, with an acceptable false positive rate of 6.2%. It is likely that a similar protocol with slight modifications could be implemented successfully in other hospitals in the United Kingdom.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"22 - 28"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901750166565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014724","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}