{"title":"Bilateral hearing aids - effects and consequences from a user perspective","authors":"S. Köbler, Ulf Rosenhall, H. Hansson","doi":"10.1080/01050390152704742","DOIUrl":"https://doi.org/10.1080/01050390152704742","url":null,"abstract":"The present study assesses the experiences with bilateral amplification in a group of 144 people provided with two hearing aids between May 1994 and July 1997. Two-thirds of the participants preferred to use both prescribed hearing aids. The participants reported that they used their hearing aids frequently. Bilateral amplification was appreciated especially for recognizing speech, for sound localization and for superior sound quality. Situations in which the subjects showed the highest appreciation of two hearing aids were when attending lectures and theatre performances and for communication in noisy background situations. There were statistically significant differences between users of bilateral and unilateral hearing aids regarding judgement of sound quality of hearing aid processed signals and localization ability in favour of bilateral hearing aid amplification. The self-assessed advantages of bilateral amplification demonstrated in this study should motivate a generous prescription strategy of two hearing aids.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"223 - 235"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01050390152704742","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014809","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":"Vision and hearing in old age","authors":"B. Bergman, U. Rosenhall","doi":"10.1080/01050390152704779","DOIUrl":"https://doi.org/10.1080/01050390152704779","url":null,"abstract":"The concomitant occurrence of hearing and visual impairment was investigated as part of an epidemiological longitudinal study of elderly people. An age cohort, originally consisting of 973 elderly people, was examined with visual and hearing tests three times at ages 70, 81-82 and 88. The best-corrected visual acuity was assessed. The hearing was measured by pure-tone audiometry and whispered and spoken voice (WSV). At age 70 there was no coexistence of visual and hearing impairments, and about 70% had normal vision and hearing. At 81-82 years 3-6% (WSV and audiometry, respectively) had low vision (VA ≤0.3) and moderate to severe hearing loss, and more than one-tenth had normal vision and hearing. At 88 years 8-13% had low vision and moderate to severe hearing loss, and none of the men and less than one-tenth of the women had normal vision and hearing. At age 88 three times as many women as men had the combination of low vision and normal hearing. Normal vision with the combination of moderate to severe hearing loss was more often found in 88-year-old men. Mild impairments of the two senses were found in 0.5% at age 70 in 22%, 11% (WSV, audiometry) at age 81-82 and in 23%, 9% at age 88 years. At age 70 there was a statistical correlation between visual acuity and hearing measured with pure-tone audiometry in the male group. Those men with better hearing had slightly better visual capacity than those with hearing loss. No correlations were found for women at age 70 nor for women and men at ages 81-82 and 88. Ophthalmologists and audiology physicians should cooperate closely in the rehabilitation process to reduce disability and improve function and wellbeing among the oldest old.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"255 - 263"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/01050390152704779","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014876","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":"Hearing assessment of classical orchestral musicians","authors":"K. Kähäri, A. Axelsson, P. Hellström, G. Zachau","doi":"10.1080/010503901750069536","DOIUrl":"https://doi.org/10.1080/010503901750069536","url":null,"abstract":"Pure-tone audiometry was performed on 140 classical orchestral musicians employed at the Gothenburg Symphony Orchestra and the Gothenburg Opera in Sweden. This report is based on the results from hearing threshold measurements, presented as median audiograms according to gender, age group and instrument group. The results did not show severe hearing losses that could be attributed to exposure to musical noise. However, the study reflects the subjects' present hearing ability status and does not give an answer to the question of future hearing dysfunction. Female musicians were shown to have significantly better hearing thresholds in the high-frequency area than did male musicians. Furthermore, the median pure-tone hearing thresholds for the male musicians displayed a notch configuration at 6 kHz in the left ear, similar that of to noise-induced hearing loss. A small, but in general not significant, difference was detected when comparing the median hearing thresholds between each instrument group. Percussion and woodwind players displayed slightly worse hearing thresholds than did other musicians. Players of large string instruments had the best hearing threshold values. When comparing age groups and gender it was noted that the median hearing thresholds were stable and within 20 dB HL up to the age group of 40-49 years for both females and males.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"13 - 23"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901750069536","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014938","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}
S. Vlachou, M. Tsakanikos, D. Douniadakis, N. Apostolopoulos
{"title":"The change in the acoustic admittance phase angle: a study in children suffering from acute otitis media","authors":"S. Vlachou, M. Tsakanikos, D. Douniadakis, N. Apostolopoulos","doi":"10.1080/010503901750069545","DOIUrl":"https://doi.org/10.1080/010503901750069545","url":null,"abstract":"Middle ear mechanics, in normal and in pathological conditions, is the subject of this research, with acoustic impedance measurements as the cornerstone. Previous studies have established the importance of admittance-phase tympanograms, mainly in frequencies higher than the conventional 226 Hz. The purpose of the present study was to record how acute otitis media (AOM) affects the middle ear system and function by evaluating the recordings of the change in phase angle parameter (Δθ) provided by an automated tympanometer using the sweep-frequency technique. Multifrequency and conventional tympanograms were obtained from 70 children suffering from AOM on consecutive visits. Values of Δθ from these subjects were compared to normative data previously acquired in our Department. It appears that changes in the mechanical status of the middle ear after AOM are reflected in abnormal Δθ values, despite the normal findings of conventional tympanometry. A positive history of AOM did not seem to influence the behaviour of the middle ear. In most cases, abnormal Δθ values coexisted with abnormal values of resonance frequency (RF), i.e. the frequency at which mass and stiffness of the middle ear are in balance, and total susceptance (ΔB) reaches 0mmhos and the converse. The Δ seems to be an important indicator of middle ear mechanical status that can record changes occurring in the system after AOM and undetected by low probetone tympanometry.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"24 - 29"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901750069545","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59014989","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}
Misha J. Davis-Gunter, H. Löwenheim, K. Gopal, E. J. Moore
{"title":"The I' potential of the human auditory brainstem response to paired click stimuli","authors":"Misha J. Davis-Gunter, H. Löwenheim, K. Gopal, E. J. Moore","doi":"10.1080/010503901750069572","DOIUrl":"https://doi.org/10.1080/010503901750069572","url":null,"abstract":"When stimulated with an appropriate stimulus, the hair cells of the organ of Corti depolarize, causing the release of a neurotransmitter substance, which excites afferent VIIIth nerve dendrites. It is reasonable to hypothesize that excitatory postsynaptic potentials (EPSPs) generated by the dendrites of the auditory nerve in turn initiate a compound action potential (CAP). The EPSP is thought to be the generator potential for the CAP, and may be recorded in auditory brainstem responses (ABRs) as the I' potential. Determining the anatomical origin of I' may enhance the sensitivity of the ABR technique in hair cell/dendrite/auditory nerve evaluations. Whether I' is of sensory or of neural origin is equivocal, and therefore I' is not well understood. To investigate this dilemma, ABRs were recorded from human subjects using standard and paired-click stimuli, and using subtraction methods to generate a derived ABR. Two early peaks, designated as I° and I', occurred before wave I in the derived ABR. It was hypothesized that peaks I° and I' represent the summating potential and the generator potential, generated by the cochlea and VIIIth nerve dendrites, respectively.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"50 - 60"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901750069572","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59015056","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 proposal for a model to calculate hearing disability","authors":"T. S. Kapteyn, S. Kramer","doi":"10.1080/010503901300007191","DOIUrl":"https://doi.org/10.1080/010503901300007191","url":null,"abstract":"The present paper presents an alternative method to calculate hearing disability. As opposed to existing models to calculate hearing disability, the present method is not just based on the pure-tone audiogram. Hearing activities playing an important role in daily listening are taken into account: detection of sounds, distinction of sounds, intelligibility in quiet and in noise, auditory localization. Psycho-acoustical tests to measure each of these activities are described. Test scores are used to calculate overall hearing disability. A comparison is made between the present model and the method of the American Medical Association (AMA). Calculations are based on theoretical cases only. Further study has to be undertaken to verify the calculations by examining the scores of real cases to improve the validity and internal consistency of the present model.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"92 - 96"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013177","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. Karinen, M. Sorri, T. Välimaa, K. Huttunen, H. Löppönen
{"title":"Cochlear implant patients and quality of life","authors":"P. Karinen, M. Sorri, T. Välimaa, K. Huttunen, H. Löppönen","doi":"10.1080/010503901300007047","DOIUrl":"https://doi.org/10.1080/010503901300007047","url":null,"abstract":"During the last two decades, cochlear implants have been available for profoundly hearing-impaired patients who do not benefit from conventional hearing aids. The quality of life of these implantees has not been extensively studied, and has not been studied at all in Finland. To assess their quality of life, the Nottingham Health Profile questionnaire was sent to all adult implanted patients in Finland. Implantees tended to have more favourable average pain, emotional reaction and mobility indexes in each age group studied than the average population. Social isolation seemed to be more common in the youngest and oldest age groups of implantees. Apparently, implantees are physically healthier than the average population. However, a bias caused by the strict selection of implant candidates cannot be excluded.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"48 - 50"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013233","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. Kaksonen, E. Widén, B. Cormand, E. Toppila, J. Starck, I. Pyykkö, J. Kere
{"title":"Autosomal dominant midfrequency hearing impairment","authors":"R. Kaksonen, E. Widén, B. Cormand, E. Toppila, J. Starck, I. Pyykkö, J. Kere","doi":"10.1080/010503901300007164","DOIUrl":"https://doi.org/10.1080/010503901300007164","url":null,"abstract":"At present, 48 different gene loci have been localised and nine gene mutations have been characterised for non-syndromic hearing impairment. We have identified a large five-generation family with mid-and high-frequency hearing impairment. Family members were considered to be affected only if they had bilateral sensorineural hearing loss below the 90th percentile of an age and sex-dependent control audiometric curve of ISO class B. The inheritance of hearing impairment was autosomal dominant. Of seven affected individuals, six were females and one was male. The hearing loss among affected family members was bilateral, sensorineural and varies from mild to moderate. The type of audiogram was U-shaped. Genetic linkage studies are in progress and our preliminary data show exclusion in chromosome 6, chromosome 11 and chromosome 19 in already known loci for midfrequency hearing impairment. This means, we are mapping a novel locus for autosomal dominant midfrequency hearing impairment.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"85 - 87"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013539","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":"Applying signal statistical analysis to TEOAE measurements","authors":"A. Giebel","doi":"10.1080/010503901300007308","DOIUrl":"https://doi.org/10.1080/010503901300007308","url":null,"abstract":"Automated detection of TEOAE gains increasing importance in screening applications. Conventional signal statistical analysis methods (buffer correlation and ± difference) of TEOAE waveforms are compared with one another and with a method based on binomial statistics. It turns out that binomial statistics are more reliable and valid than conventional methods with common criteria. In particular, under narrowband noise conditions they are also faster. A frequency specific evaluation is hardly possible by means of conventional methods because of the high random correlation of narrow band signals.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"130 - 132"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013776","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. Ravazzani, G. Tognola, P. Sergi, G. Pastorino, F. Grandori
{"title":"Analysis of spontaneous and click-evoked otoacoustic emissions in newborns","authors":"P. Ravazzani, G. Tognola, P. Sergi, G. Pastorino, F. Grandori","doi":"10.1080/010503901300007317","DOIUrl":"https://doi.org/10.1080/010503901300007317","url":null,"abstract":"This paper addresses the quantitative investigation of the contribution of spontaneous (SOAE) to click-evoked (TEOAE) otoacoustic emissions in newborns. The hypothesis was that a weighted linear combination of the spontaneous peaks is strongly similar to the corresponding click-evoked emissions. After identification of the main spontaneous peaks for each subject, a best fit procedure was applied to find the amplitude and phase of each spontaneous tone in the weighted summation. The comparison of the weighted signal (SpTEOAE) with the actual click-evoked response (TEOAE) from the same subject was performed, obtaining correlation coefficient higher than 50% in more than 100 ears over 132.","PeriodicalId":76516,"journal":{"name":"Scandinavian audiology","volume":"30 1","pages":"133 - 134"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/010503901300007317","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59013824","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}