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Sample records for hearing impaired persons

  1. Resource Guide for Persons with Hearing Impairments.

    ERIC Educational Resources Information Center

    IBM, Atlanta, GA. National Support Center for Persons with Disabilities.

    The resource guide identifies products which assist hearing impaired individuals in accessing IBM (International Business Machine) Personal Computers or the IBM PS/2 family of products. An introduction provides a general overview of ways computers can help hearing impaired persons. The document then provides descriptions of about 20 adaptive aids…

  2. Hearing Impairments

    NASA Astrophysics Data System (ADS)

    Cavender, Anna; Ladner, Richard E.

    For many people with hearing impairments, the degree of hearing loss is only a small aspect of their disability and does not necessarily determine the types of accessibility solutions or accommodations that may be required. For some people, the ability to adjust the audio volume may be sufficient. For others, translation to a signed language may be more appropriate. For still others, access to text alternatives may be the best solution. Because of these differences, it is important for researchers in Web accessibility to understand that people with hearing impairments may have very different cultural-linguistic traditions and personal backgrounds.

  3. ABE. The Hearing Impaired.

    ERIC Educational Resources Information Center

    Carver, L. Sue

    This handbook was written to help teachers of adult basic education (ABE) adapt their teaching methods for hearing impaired persons. Written in a narrative format, the guide covers the following topics: ABE for the hearing impaired, hints for working with the hearing impaired without an interpreter, peer pairing, interpreters in the classroom…

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

    PubMed Central

    Meister, Hartmut; Rählmann, Sebastian; Walger, Martin; Margolf-Hackl, Sabine; Kießling, Jürgen

    2015-01-01

    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 function in experienced hearing aid users. However, it was found that lower fluid intelligence scores were related to higher hearing thresholds. Since greater hearing loss was associated with a greater objective benefit, these results strongly support the advice of using hearing aids regardless of age and cognitive function to counter hearing loss and the adverse effects of age-related hearing impairment. Still

  5. Contemporary Issues in Phoneme Production by Hearing-Impaired Persons: Physiological and Acoustic Aspects.

    ERIC Educational Resources Information Center

    McGarr, Nancy S.; Whitehead, Robert

    1992-01-01

    This paper on physiologic correlates of speech production in children and youth with hearing impairments focuses specifically on the production of phonemes and includes data on respiration for speech production, phonation, speech aerodynamics, articulation, and acoustic analyses of speech by hearing-impaired persons. (Author/DB)

  6. Hearing Impairment

    MedlinePlus

    ... known as noise-induced hearing loss (NIHL) . Personal music players are among the chief culprits of NIHL ... exposure to high noise levels (such as loud music) over time can cause permanent damage to the ...

  7. Traffic noise annoyance and noise sensitivity in persons with normal and impaired hearing

    NASA Astrophysics Data System (ADS)

    Aniansson, G.; Pettersson, K.; Peterson, Y.

    1983-05-01

    A laboratory study was undertaken to investigate annoyance caused by traffic noise among persons with normal hearing and impaired hearing. The impaired hearing groups are representative of about 10% of the population in Sweden with similar or poorer hearing acuity. Groups with different hearing ability were exposed to 45 dB(A) and 55 dB(A) traffic noise when engaged in four activities, in which noise did or did not interfere with speech. The annoyance ratings were higher for the impaired hearing groups at 45 dB(A) with 55 dB(A) in the activities in which noise did interfere with speech. The greatest differences were found between men with noise-induced hearing loss and men with normal hearing. The results revealed a higher sensitivity to noise in one of the noise-induced hearing loss groups compared with men with normal hearing as well as in females compared with males in groups with and without hearing impairment. Changes in mood after a 2 h exposure to 45 dB(A) and 55 dB(A) traffic noise were also found. Pleasantness and activation decreased after exposure when all subjects were taken as one sample.

  8. Noise sensitivity and annoyance caused by traffic noise in persons with impaired hearing

    NASA Astrophysics Data System (ADS)

    Peterson, Y.; Aniansson, G.

    1988-12-01

    Annoyance and changes in mood caused by road traffic noise were studied in persons with impaired hearing. General sensitivity to noise and the discomfort threshold was also measured. Groups with different degrees of hearing ability were exposed to 45 dB(A) and 55 dB(A) traffic noise in a laboratory when performing four everyday activities. The major finding in the study was a higher rating of annoyance among men with noise-induced hearing loss compared to men with normal hearing in the activities in which noise interferred with speech. Men with noise-induced hearing loss also showed a higher sensitivity to noise compared to men with normal hearing. Changes in mood were found after traffic noise exposure when all subjects were taken as one sample, but no differences were found between the groups.

  9. Audio reproduction for personal ambient home assistance: concepts and evaluations for normal-hearing and hearing-impaired persons.

    PubMed

    Huber, Rainer; Meis, Markus; Klink, Karin; Bartsch, Christian; Bitzer, Joerg

    2014-01-01

    Within the Lower Saxony Research Network Design of Environments for Ageing (GAL), a personal activity and household assistant (PAHA), an ambient reminder system, has been developed. One of its central output modality to interact with the user is sound. The study presented here evaluated three different system technologies for sound reproduction using up to five loudspeakers, including the "phantom source" concept. Moreover, a technology for hearing loss compensation for the mostly older users of the PAHA was implemented and evaluated. Evaluation experiments with 21 normal hearing and hearing impaired test subjects were carried out. The results show that after direct comparison of the sound presentation concepts, the presentation by the single TV speaker was most preferred, whereas the phantom source concept got the highest acceptance ratings as far as the general concept is concerned. The localization accuracy of the phantom source concept was good as long as the exact listening position was known to the algorithm and speech stimuli were used. Most subjects preferred the original signals over the pre-processed, dynamic-compressed signals, although processed speech was often described as being clearer. PMID:25148557

  10. Dialogue enabling speech-to-text user assistive agent system for hearing-impaired person.

    PubMed

    Lee, Seongjae; Kang, Sunmee; Han, David K; Ko, Hanseok

    2016-06-01

    A novel approach for assisting bidirectional communication between people of normal hearing and hearing-impaired is presented. While the existing hearing-impaired assistive devices such as hearing aids and cochlear implants are vulnerable in extreme noise conditions or post-surgery side effects, the proposed concept is an alternative approach wherein spoken dialogue is achieved by means of employing a robust speech recognition technique which takes into consideration of noisy environmental factors without any attachment into human body. The proposed system is a portable device with an acoustic beamformer for directional noise reduction and capable of performing speech-to-text transcription function, which adopts a keyword spotting method. It is also equipped with an optimized user interface for hearing-impaired people, rendering intuitive and natural device usage with diverse domain contexts. The relevant experimental results confirm that the proposed interface design is feasible for realizing an effective and efficient intelligent agent for hearing-impaired. PMID:26753778

  11. Hearing-Impaired/Developmentally Disabled Persons in the United States: Definitions, Causes, Effects, and Prevalence Estimates

    ERIC Educational Resources Information Center

    Stewart, Larry G.

    1978-01-01

    Information is presented on the definition, causes, effects and population estimates for developmental disabilities; and a tentative hypothesis regarding the hearing impaired/developmentally disabled is set forth. (CL)

  12. Communication Variables Associated with Hearing-Impaired/Vision-Impaired Persons--A Pilot-Study.

    ERIC Educational Resources Information Center

    Hicks, Wanda M.

    1979-01-01

    A study involving eight youths and adults with retinitis pigmentosa (and only 20 degree visual field and hearing loss of at least 20 decibels) determined variance in the ability to perceive and comprehend visual stimuli presented by way of the manual modality when modifications were made in configuration, movement speed, movement size, and…

  13. Hearing or speech impairment - resources

    MedlinePlus

    Resources - hearing or speech impairment ... The following organizations are good resources for information on hearing impairment or speech impairment: Alexander Graham Bell Association for the Deaf and Hard of Hearing -- www.agbell. ...

  14. Traffic noise annoyance and speech intelligibility in persons with normal and persons with impaired hearing

    NASA Astrophysics Data System (ADS)

    Aniansson, G.; Björkman, M.

    1983-05-01

    Annoyance ratings in speech intelligibility tests at 45 dB(A) and 55 dB(A) traffic noise were investigated in a laboratory study. Subjects were chosen according to their hearing acuity to be representative of 70-year-old men and women, and of noise-induced hearing losses typical for a great number of industrial workers. These groups were compared with normal hearing subjects of the same sex and, when possible, the same age. The subjects rated their annoyance on an open 100 mm scale. Significant correlations were found between annoyance expressed in millimetres and speech intelligibility in percent when all subjects were taken as one sample. Speech intelligibility was also calculated from physical measurements of speech and noise by using the articulation index method. Observed and calculated speech intelligibility scores are compared and discussed. Also treated is the estimation of annoyance by traffic noise at moderate noise levels via speech intelligibility scores.

  15. Hearing Impairment and Retirement

    PubMed Central

    Fischer, Mary E; Cruickshanks, Karen J; Pinto, Alex; Klein, Barbara E K; Klein, Ronald; Dalton, Dayna S

    2013-01-01

    BACKGROUND Many factors influence the decision to retire including age, insurance and pension availability along with physical and mental health. Hearing impairment may be one such factor. PURPOSE The purpose of this study was to compare the 15 year retirement rate among subjects with and without hearing impairment. RESEARCH DESIGN Prospective, population-based study STUDY SAMPLE Subjects were participants in the Epidemiology of Hearing Loss Study (EHLS), a longitudinal investigation of age-related hearing loss. Participants who were working full- or part-time in 1993–1995 were included (n=1410, mean age=57.8 years). DATA COLLECTION AND ANALYSIS Data from four EHLS phases (1993–1995, 1998–2000, 2003–2005, and 2009–2010) were analyzed in 2010–2012. Hearing impairment was defined as a pure tone threshold average (at 0.5,1,2 and 4 kHz) greater than 25 dB HL in the worse ear. Employment status was determined at each of the four phases. Kaplan-Meier estimates of the cumulative incidence of retirement were calculated and Cox discrete-time modeling was used to determine the effect of hearing impairment on the rate of retirement. RESULTS The cumulative incidence of retirement was significantly (p < 0.02) higher in those with a hearing impairment (77%) compared to those without a hearing impairment (74%). After adjustment for age, gender, self-reported health, and history of chronic disease, there was no significant difference in the rate of retirement between those with and without a hearing impairment (Hazard Ratio (HR) = 0.9, 95% Confidence Interval (CI) = 0.7, 1.1). Similar results were observed when hearing aid users were excluded, when hearing impairment was based on the better ear thresholds, and when analyses were restricted to those less than 65 years of age and working full-time at baseline. Participants with a hearing impairment were less likely to state that the main reason for retirement was that the time seemed right. CONCLUSIONS Hearing impairment

  16. Hearing or speech impairment - resources

    MedlinePlus

    ... resources for information on hearing impairment or speech impairment: Alexander Graham Bell Association for the Deaf and Hard of Hearing -- www.agbell.org American Speech-Language-Hearing Association -- www.asha.org/public Center for ...

  17. Work Place Success for Persons with Adult-Onset Hearing Impairment.

    ERIC Educational Resources Information Center

    Glass, Laurel E.; Elliott, Holly

    1993-01-01

    Data from 1,309 persons who were working and became hard of hearing or deafened between the ages of 18 and 65 are analyzed to determine work outcomes in terms of occupation, perception of work achievement, earning power, support of supervisors and colleagues, and work adaptations. Data show that work success is possible and usual after…

  18. HEARING IMPAIRMENT IN CHILDREN

    PubMed Central

    Kohlmoos, H. W.

    1953-01-01

    Abnormal behavior in children may frequently be caused by impairment of hearing. Early detection of the impairment and of the cause are of utmost importance, not only to prevent irreversible changes where that is possible, but to permit early beginning of special training for children who are permanently deaf. Recent studies have shown that deafness of infants may follow rubella in the mother in early pregnancy, or kernicterus caused by Rh incompatibilities. Measures to control these disorders are being investigated. Adequate and careful treatment of diseases of the nose, as well as surgical drainage of infected ears when necessary, are important factors in the prevention of hearing loss in children. PMID:13009516

  19. Education for the Hearing Impaired (Auditorily Impaired).

    ERIC Educational Resources Information Center

    World Federation of the Deaf, Rome (Italy).

    Education for the hearing impaired is discussed in nine conference papers. J. N. Howarth describes "The Education of Deaf Children in Schools for Hearing Pupils in the United Kingdom" and A.I.Dyachkov of the U.S.S.R. outlines Didactical Principles of Educating the Deaf in the Light of their Rehabilitation Goal." Seven papers from Poland are also…

  20. Personal Style and Hearing Aid Fitting

    PubMed Central

    Traynor, Robert M.; Holmes, Alice E.

    2002-01-01

    Why do I have to drag information out of some patients? Why is another patient so talkative? Why didn't this patient like the XYZ 2002 digital hearing aid when she had the same degree, type, and configuration of hearing impairment as the patient I successfully fit last month? Could the answer be as basic as a difference in personality? PMID:25425907

  1. Preventing Sexual Abuse of Persons with Disabilities: A Curriculum for Hearing Impaired, Physically Disabled, Blind and Mentally Retarded Students.

    ERIC Educational Resources Information Center

    O'Day, Bonnie; And Others

    The curriculum on sexual abuse is intended for professionals working with hearing impaired, physically disabled, blind, and mentally retarded students. Introductory material addresses the vulnerability of disabled adolescents to sexual abuse; presents background information on such topics as victims, offenders, reporting abuse, and Minnesota laws…

  2. Physical Education, Recreation and Sports for Individuals with Hearing Impairments.

    ERIC Educational Resources Information Center

    American Alliance for Health, Physical Education, and Recreation, Washington, DC.

    Reviewed in the third of seven related documents are resources and research on physical education, recreation, and sports for hearing impaired persons. An annotated list of resources is supplied for each of the following topics: integration of the hearing impaired into regular physical education and recreation programs, physical education and…

  3. Hearing symptoms personal stereos

    PubMed Central

    da Luz, Tiara Santos; Borja, Ana Lúcia Vieira de Freitas

    2012-01-01

    Summary Introduction: Practical and portable the personal stereos if had become almost indispensable accessories in the day the day. Studies disclose that the portable players of music can cause auditory damages in the long run for who hear music in high volume for a drawn out time. Objective: to verify the prevalence of auditory symptoms in users of amplified players and to know its habits of use Method: Observational prospective study of transversal cut carried through in three institutions of education of the city of Salvador BA, being two of public net and one of the private net. 400 students had answered to the questionnaire, of both the sex, between 14 and 30 years that had related the habit to use personal stereos. Results: The symptoms most prevalent had been hyperacusis (43.5%), auricular fullness (30.5%) and humming (27.5), being that the humming is the symptom most present in the population youngest. How much to the daily habits: 62.3% frequent use, 57% in raised intensities, 34% in drawn out periods. An inverse relation between exposition time was verified and the band of age (p = 0,000) and direct with the prevalence of the humming. Conclusion: Although to admit to have knowledge on the damages that the exposition the sound of high intensity can cause the hearing, the daily habits of the young evidence the inadequate use of the portable stereos characterized by long periods of exposition, raised intensities, frequent use and preference for the insertion phones. The high prevalence of symptoms after the use suggests a bigger risk for the hearing of these young. PMID:25991931

  4. Syntactic Performance of Hearing Impaired and Normal Hearing Individuals.

    ERIC Educational Resources Information Center

    Quigley, Stephen P.; King, Cynthia M.

    1980-01-01

    Describes two research programs on the syntactic abilities of hearing impaired and normal hearing individuals. The first program involved deaf students acquiring English structure; the second involved the construction of the Test of Syntactic Abilities and its application to deaf, hard of hearing, and normal hearing students in the United States,…

  5. Pegasus Project for the Hearing-Impaired.

    ERIC Educational Resources Information Center

    Krahe, Jane M.

    The Pegasus Project offered nine gifted hearing impaired students (11-15 years old) a summer enrichment experience with hearing peers. Courses included computer programming, literature, fine arts, physical and biological sciences, math enrichment, and sign language. All hearing impaired students also attended a special class on issues for the…

  6. Sign-Talk: Public Communication for the Hearing Impaired. Revised Edition.

    ERIC Educational Resources Information Center

    Lytle, Jayne S.; Gawlik, Rudolph

    The major goals of this communication textbook for hearing impaired students are to illustrate that public speaking is an activity for hearing impaired persons, to discuss public speaking techniques unique to hearing impaired communicators, and to facilitate comprehension of content by special learning devices. Separate chapters deal with public…

  7. Hearing Loss and Deafness. An Annotated Bibliography of Children's Books about Hearing Loss, Deafness, and Hearing Impaired People. Have You Ever Wondered About...?

    ERIC Educational Resources Information Center

    Oldman-Brown, Deborah

    The annotated bibliography lists children's books about hearing loss, deafness, and hearing-impaired persons. The first section lists books about Helen Keller and Anne Sullivan, Keller's teacher. In section 2, each of the fiction entries features at least one major character with hearing impairment. Section 3 contains non-fiction books about…

  8. Hearing-Impaired Formal Inservice Program.

    ERIC Educational Resources Information Center

    Northeast Regional Media Center for the Deaf, Amherst, MA.

    The HI-FI (Hearing-Impaired Formal Inservice) Program is described as a set of inservice materials targeted for workshops of regular classroom teachers and other school personnel concerned with school district and classroom management of hearing impaired (HI) children. An introductory section focuses on the design of the program materials,…

  9. Cortical Auditory Evoked Potentials in (Un)aided Normal-Hearing and Hearing-Impaired Adults.

    PubMed

    Van Dun, Bram; Kania, Anna; Dillon, Harvey

    2016-02-01

    Cortical auditory evoked potentials (CAEPs) are influenced by the characteristics of the stimulus, including level and hearing aid gain. Previous studies have measured CAEPs aided and unaided in individuals with normal hearing. There is a significant difference between providing amplification to a person with normal hearing and a person with hearing loss. This study investigated this difference and the effects of stimulus signal-to-noise ratio (SNR) and audibility on the CAEP amplitude in a population with hearing loss. Twelve normal-hearing participants and 12 participants with a hearing loss participated in this study. Three speech sounds-/m/, /g/, and /t/-were presented in the free field. Unaided stimuli were presented at 55, 65, and 75 dB sound pressure level (SPL) and aided stimuli at 55 dB SPL with three different gains in steps of 10 dB. CAEPs were recorded and their amplitudes analyzed. Stimulus SNRs and audibility were determined. No significant effect of stimulus level or hearing aid gain was found in normal hearers. Conversely, a significant effect was found in hearing-impaired individuals. Audibility of the signal, which in some cases is determined by the signal level relative to threshold and in other cases by the SNR, is the dominant factor explaining changes in CAEP amplitude. CAEPs can potentially be used to assess the effects of hearing aid gain in hearing-impaired users. PMID:27587919

  10. A Resource Guide for Signs of Sexual Assault. A Supplement to: Preventing Sexual Abuse of Persons with Disabilities: A Curriculum for Hearing Impaired, Physically Disabled, Blind and Mentally Retarded Students.

    ERIC Educational Resources Information Center

    O'Day, Bonnie

    Part of a curriculum unit on preventing sexual abuse of persons with disabilities, the manual is intended to help instructors present the material to hearing impaired students. Illustrations of sign language are presented for such terms as sexual contact, sexual assault, incest, same sex assault (man/woman), rape (acquaintance/marital), exposer,…

  11. Effects of noise reduction on speech intelligibility, perceived listening effort, and personal preference in hearing-impaired listeners.

    PubMed

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

    2014-01-01

    This study evaluates the perceptual effects of single-microphone noise reduction in hearing aids. Twenty subjects with moderate sensorineural hearing loss listened to speech in babble noise processed via noise reduction from three different linearly fitted hearing aids. Subjects performed (a) speech-intelligibility tests, (b) listening-effort ratings, and (c) paired-comparison ratings on noise annoyance, speech naturalness, and overall preference. The perceptual effects of noise reduction differ between hearing aids. The results agree well with those of normal-hearing listeners in a previous study. None of the noise-reduction algorithms improved speech intelligibility, but all reduced the annoyance of noise. The noise reduction that scored best with respect to noise annoyance and preference had the worst intelligibility scores. The trade-off between intelligibility and listening comfort shows that preference measurements might be useful in addition to intelligibility measurements in the selection of noise reduction. Additionally, this trade-off should be taken into consideration to create realistic expectations in hearing-aid users. PMID:25315377

  12. Subclinical Congenital Cytomegalovirus Infection and Hearing Impairment

    ERIC Educational Resources Information Center

    Dahle, Arthur J.; And Others

    1974-01-01

    When the hearing sensitivity of children with subclinical congenital cytomegalovirus infection was evaluated and compared with that of a group of matched control subjects, nine of the 18 infected subjects were found to have some hearing loss, ranging from slight high-frequency impairments to a severe-to-profound unilateral loss. (MYS)

  13. Microelectronic Technology and the Hearing Impaired: The Future. Keynote Address.

    ERIC Educational Resources Information Center

    Thorkildsen, Ron

    1985-01-01

    The potential of microelectronic technology for alleviating communication problems of hearing-impaired persons is discussed from a futuristic point of view. The need for computer literacy training is related to changing career opportunities. Computer literacy, artificial intelligence, and videodisc technology are described and related to training…

  14. High Prevalence of Hearing Disorders at the Special Olympics Indicate Need to Screen Persons with Intellectual Disability

    ERIC Educational Resources Information Center

    Hild, U.; Hey, C.; Baumann, U.; Montgomery, J.; Euler, H. A.; Neumann, K.

    2008-01-01

    Background: Persons with intellectual disabilities (ID) are at increased risk for hearing impairment which often remains undetected. If left untreated, such hearing impairments may worsen the social and communicative problems of these persons. The aims of this study are to determine the prevalence of hearing impairment, to specify type and degree…

  15. Noise-induced hearing impairment and handicap

    NASA Technical Reports Server (NTRS)

    1984-01-01

    A permanent, noise-induced hearing loss has doubly harmful effect on speech communications. First, the elevation in the threshold of hearing means that many speech sounds are too weak to be heard, and second, very intense speech sounds may appear to be distorted. The whole question of the impact of noise-induced hearing loss upon the impairments and handicaps experienced by people with such hearing losses was somewhat controversial partly because of the economic aspects of related practical noise control and workmen's compensation.

  16. Virtual instrument for testing the hearing impaired

    NASA Astrophysics Data System (ADS)

    Norian, K. H.

    2001-02-01

    LABVIEW programing was used to build a virtual instrument to assess the needs of individual hearing impaired subjects to enable them to hear speech in background noise. The instrument acquires the noisy speech, adaptively removes noise from speech, and then feeds the speech to the subject. Design changes can quickly and easily be made to the instrument to assess the specific requirements of the electronic circuit of the hearing aid for the individual subject. The instrument provides a novel way of providing custom electronics for hearing aids.

  17. [Working with hearing impairment: an integrated approach].

    PubMed

    van Til, Marten J; Kramer, Sophia E; Anema, Johannes R; Goverts, S T Theo

    2016-01-01

    Patients with hearing impairment are more likely to encounter health problems and difficulties at work than their colleagues with normal hearing. This is often not realised by either patients or professionals. In this article we describe three cases that illustrate how working conditions can influence the health of workers with hearing loss. We have implemented a vocational enablement protocol that follows a multidisciplinary approach in order to meet these patients' needs. Due to a mismatch between the demands of a job and an individual's auditory capacities, even a mild hearing impairment can cause serious problems if a patient works in adverse conditions. In addition, in many workplaces the ability to hear well is a safety issue. Professionals have to be aware of both possibilities. Specialized centres offer good facilities and ensure the optimal transfer of insight into the working environment by involving an occupational physician in their team. PMID:27050493

  18. Hearing impairment prevention in developing countries: making things happen.

    PubMed

    Olusanya, B O

    2000-10-16

    It is estimated that at least two thirds of the world's population of persons with disabling hearing impairment reside in developing countries. Yet, little and slow progress have been reported in these countries towards tackling this problem principally on account of inadequate resources. The prospects for improvement remain uncertain. This paper re-examines the peculiar nature of hearing impairment prevention within the context of the existing health-care needs of most of these nations. It establishes that the failure to recognize the dynamics of the social change that underlie an effective national programme on hearing impairment prevention may, in itself, forestall a successful and sustainable outcome even when more resources become available. PMID:11035172

  19. Members of Faculty with Hearing Impairments in Academia: What Are Their Needs?

    ERIC Educational Resources Information Center

    Roufs, Kathleen S.

    2011-01-01

    Seventeen percent of adults in the United States suffer from some degree of hearing loss, and this impairment can pose considerable personal, professional, social, and psychological challenges, often, to people reluctant to seek help (Hearing Loss Association, 2011). Post-secondary faculty members with hearing loss are among us, and most of them…

  20. Opening Ears to the Performing Arts: A Guide to Serving the Hearing Impaired.

    ERIC Educational Resources Information Center

    Spero, Ruth L.; And Others

    Intended for coordinators of performing arts organizations who want to make their programs accessible to hearing impaired persons, the booklet presents a general overview of Project HEAR (Hearing Electronics Arts Research) and step-by-step instructions for establishing an access program. Information is provided in question-and-answer format. An…

  1. A Review of Self-Esteem of the Hearing Impaired Football Players

    ERIC Educational Resources Information Center

    Açak, Mahmut; Kaya, Oktay

    2016-01-01

    The current study aimed at reviewing the level of self-esteem of the hearing impaired football players. The sample of the study was composed of 95 football players who played in the 1st hearing impaired football league. To gather the study-data; a Personal Information Form and Self-esteem Scale were used. The data obtained were analyzed through…

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

    NASA Astrophysics Data System (ADS)

    Grimm, Giso; Guilmin, Gwénaël; Poppen, Frank; Vlaming, Marcel S. M. G.; Hohmann, Volker

    2009-12-01

    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.

  3. Progressive Hearing Impairment in Children with Congenital Cytomegalovirus Infection.

    ERIC Educational Resources Information Center

    Dahle, Arthur J.; And Others

    1979-01-01

    Audiological assessment of 86 children (mean age 38 months at last evaluation time) with congenital cytomegalovirus infection revealed progressive hearing loss in four of 12 Ss with sensorineural hearing impairments. Case descriptions documented the progression of the hearing loss. (Author)

  4. Social Interactiion of Partially Mainstreamed Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Antia, Shirin D.

    1982-01-01

    The study examined social interaction of partially mainstreamed elementary grade children with their hearing (N=84) and hearing impaired (N=32) peers. It was found that hearing impaired children interacted less frequently with peers and more frequently with teachers than did hearing children. (Author)

  5. Music Instruction and the Hearing Impaired.

    ERIC Educational Resources Information Center

    Walczyk, Eugenia Bulawa

    1993-01-01

    Contends music education can help hearing-impaired students achieve both academic and social goals of Individuals with Disabilities Education Act (1990). Describes instructional content and methods of elementary program utilizing sign language, vocal music, and keyboard computer music systems. Concludes with description of school performance in…

  6. Evaluating Motor Profiles of the Hearing Impaired.

    ERIC Educational Resources Information Center

    Brunt, Denis; Dearmond, Dorothy A.

    1981-01-01

    A test for the evaluation of the motor ability of the hearing impaired is described, and illustrations of selected sign language directions used in its administration are presented. Among the skills assessed are running speed and agility, balance, and coordination. (JN)

  7. The Very Young Hearing-Impaired Child.

    ERIC Educational Resources Information Center

    World Federation of the Deaf, Rome (Italy).

    Five conference papers are presented on deaf preschool children and infants. "The Very Young Hearing-Impaired Child" by G.M. Harris of Canada; "The Organisation and Methods of Educational Work for Deaf Children at the Preschool Age" by K. Lundstrom of Sweden; "Speech Formation in the Young Deaf Child" by B. Wierzchowska and R. Szymanska of Poland;…

  8. Communication Methods for the Hearing Impaired.

    ERIC Educational Resources Information Center

    World Federation of the Deaf, Rome (Italy).

    Communication methods for the hearing impaired are discussed in 12 conference papers. Papers from the United States are "Adjustment through Oralism" by G. Fellendorf, "Prospectus of Patterning" (a method of teaching speech to deaf children) by M.S. Buckler, and "Visual Monitoring of Speech by the Deaf" by W. Pronovost. Papers from the U.S.S.R.,…

  9. Predicting Language Performance in Hearing Impaired Children.

    ERIC Educational Resources Information Center

    Monsees, Edna K.

    The 2-year study evaluated the language performance of 69 hearing impaired, preschool children born following the rubella epidemic of the early 1960's in order to develop an instrument for objectively assessing language achievement and a predictive index of language achievement. Two language rating scales were developed which were tied to the…

  10. Speaking Rates of Turkish Prelingually Hearing-Impaired Children

    ERIC Educational Resources Information Center

    Girgin, M. Cem

    2007-01-01

    The aim of training for the hearing impaired children in auditory oral approach is to develop good speaking abilities. However profoundly hearing-impaired children show a wide range of spoken language abilities, some having highly intelligible speeches while others have unintelligible ones. This is due to hearing-impaired children's speech…

  11. Hearing Impairment Affects Dementia Incidence. An Analysis Based on Longitudinal Health Claims Data in Germany.

    PubMed

    Fritze, Thomas; Teipel, Stefan; Óvári, Attila; Kilimann, Ingo; Witt, Gabriele; Doblhammer, Gabriele

    2016-01-01

    Recent research has revealed an association between hearing impairment and dementia. The objective of this study is to determine the effect of hearing impairment on dementia incidence in a longitudinal study, and whether ear, nose, and throat (ENT) specialist care, care level, institutionalization, or depression mediates or moderates this pathway. The present study used a longitudinal sample of 154,783 persons aged 65 and older from claims data of the largest German health insurer; containing 14,602 incident dementia diagnoses between 2006 and 2010. Dementia and hearing impairment diagnoses were defined according to International Classification of Diseases, Tenth Revision, codes. We used a Kaplan Meier estimator and performed Cox proportional hazard models to explore the effect of hearing impairment on dementia incidence, controlling for ENT specialist care, care level, institutionalization, and depression. Gender, age, and comorbidities were controlled for as potential confounders. Patients with bilateral (HR = 1.43, p<0.001) and side-unspecified (HR = 1.20, p<0.001) hearing impairment had higher risks of dementia incidence than patients without hearing impairment. We found no significant effect for unilateral hearing impairment and other diseases of the ear. The effect of hearing impairment was only partly mediated through ENT specialist utilization. Significant interaction between hearing impairment and specialist care, care level, and institutionalization, respectively, indicated moderating effects. We discuss possible explanations for these effects. This study underlines the importance of the association between hearing impairment and dementia. Preserving hearing ability may maintain social participation and may reduce the burden associated with dementia. The particular impact of hearing aid use should be the subject of further investigations, as it offers potential intervention on the pathway to dementia. PMID:27391486

  12. Hearing Impairment Affects Dementia Incidence. An Analysis Based on Longitudinal Health Claims Data in Germany

    PubMed Central

    Teipel, Stefan; Óvári, Attila; Kilimann, Ingo; Witt, Gabriele; Doblhammer, Gabriele

    2016-01-01

    Recent research has revealed an association between hearing impairment and dementia. The objective of this study is to determine the effect of hearing impairment on dementia incidence in a longitudinal study, and whether ear, nose, and throat (ENT) specialist care, care level, institutionalization, or depression mediates or moderates this pathway. The present study used a longitudinal sample of 154,783 persons aged 65 and older from claims data of the largest German health insurer; containing 14,602 incident dementia diagnoses between 2006 and 2010. Dementia and hearing impairment diagnoses were defined according to International Classification of Diseases, Tenth Revision, codes. We used a Kaplan Meier estimator and performed Cox proportional hazard models to explore the effect of hearing impairment on dementia incidence, controlling for ENT specialist care, care level, institutionalization, and depression. Gender, age, and comorbidities were controlled for as potential confounders. Patients with bilateral (HR = 1.43, p<0.001) and side-unspecified (HR = 1.20, p<0.001) hearing impairment had higher risks of dementia incidence than patients without hearing impairment. We found no significant effect for unilateral hearing impairment and other diseases of the ear. The effect of hearing impairment was only partly mediated through ENT specialist utilization. Significant interaction between hearing impairment and specialist care, care level, and institutionalization, respectively, indicated moderating effects. We discuss possible explanations for these effects. This study underlines the importance of the association between hearing impairment and dementia. Preserving hearing ability may maintain social participation and may reduce the burden associated with dementia. The particular impact of hearing aid use should be the subject of further investigations, as it offers potential intervention on the pathway to dementia. PMID:27391486

  13. Is Hearing Impairment Associated with Rheumatoid Arthritis? A Review

    PubMed Central

    Emamifar, Amir; Bjoerndal, Kristine; Hansen, Inger M.J.

    2016-01-01

    Background: Rheumatoid arthritis (RA) is a systemic, inflammatory disease that affects 1% of the population. The auditory system may be involved during the course of disease; however the association of RA and hearing impairment has not been clearly defined. Objective: The objective of this review is to evaluate published clinical reports related to hearing impairment in patients with RA. Furthermore, we discuss possible pathologies and associated factors as well as new treatment modalities. Method: A thorough literature search was performed using available databases including Pubmed, Embase, Cochrane and ComDisDome to cover all relative reports. The following keywords were used: hearing loss, hearing difficulties, hearing disorders, hearing impairment, sensorineural hearing loss, conductive hearing loss, mixed hearing loss, autoimmune hearing loss, drug ototoxicity, drug-induced hearing loss, hearing test, audiometry, auditory dysfunction and rheumatoid arthritis. Conclusion: Based on our review it can be postulated that patients with RA are at higher risk of hearing impairment compared to healthy subjects in their course of the disease. The hearing impairment in RA seems to be a multifactorial condition; however the mechanisms of injury, as well as the relative risk factors, are not completely clear. This review can aid to clarify this condition and is a guide for further evaluation. To the best of our knowledge, this is the first review of hearing impairment in RA. PMID:27053970

  14. Teacher Strategies in Shared Reading for Children with Hearing Impairment

    ERIC Educational Resources Information Center

    Girgin, Ümit

    2013-01-01

    Problem Statement: Utilization of shared reading practice in hearing impaired children's literacy instruction may yield quite beneficial. However an investigation of Turkish literature revealed no studies regarding application of shared reading within elementary settings for hearing or hearing-impaired children. Furthermore international…

  15. The Concept of Fractional Number among Hearing-Impaired Students.

    ERIC Educational Resources Information Center

    Titus, Janet C.

    This study investigated hearing-impaired students' understanding of the mathematical concept of fractional numbers, as measured by their ability to determine the order and equivalence of fractional numbers. Twenty-one students (ages 10-16) with hearing impairments were compared with 26 students with normal hearing. The study concluded that…

  16. Diagnostic Evaluation and Educational Programing for Hearing Impaired Children.

    ERIC Educational Resources Information Center

    McCoy, George F.

    Various aspects of diagnostic evaluation and educational programing for hearing impaired children are described. Discussion of hearing disorders from a medical perspective covers anatomy of the ear, types and causes of hearing disorders, and medical and surgical treatment. A review of audiological assessment of hearing disorders focuses upon…

  17. 28 CFR 301.309 - In-person hearing before the committee.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 28 Judicial Administration 2 2012-07-01 2012-07-01 false In-person hearing before the committee. 301.309 Section 301.309 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE INMATE ACCIDENT COMPENSATION Compensation for Work-Related Physical Impairment or Death § 301.309 In-person hearing before the committee. (a)...

  18. Communication Partners' Journey through Their Partner's Hearing Impairment

    PubMed Central

    Manchaiah, Vinaya K. C.; Stephens, Dafydd; Lunner, Thomas

    2013-01-01

    The objective of this study was to further develop the Ida Institute model on communication partners' (CPs) journey through experiences of person with hearing impairment (PHI), based on the perspectives of CPs. Nine CPs of hearing aid users participated in this study, recruited through the Swansea hearing impaired support group. Semi-structured interviews were conducted, the data were analysed using qualitative thematic analysis and presented with the use of process mapping approach. Seven main phases were identified in the CP journey which includes: (1) contemplation, (2) awareness, (3) persuasion, (4) validation, (5) rehabilitation, (6) adaptation, and (7) resolution. The Ida Institute model (based on professionals' perspective) was compared with the new template developed (based on CPs' perspectives). The results suggest some commonalities and differences between the views of professionals and CPs. A new phase, adaptation, was identified from CPs reported experiences, which was not identified by professionals in the Ida Institute model. The CP's journey model could be a useful tool during audiological enablement/rehabilitation sessions to promote discussion between the PHI and the CP. In addition, it can be used in the training of hearing healthcare professionals. PMID:23533422

  19. Hearing loss severity: impaired processing of formant transition duration.

    PubMed

    Coez, A; Belin, P; Bizaguet, E; Ferrary, E; Zilbovicius, M; Samson, Y

    2010-08-01

    Normal hearing listeners exploit the formant transition (FT) detection to identify place of articulation for stop consonants. Neuro-imaging studies revealed that short FT induced less cortical activation than long FT. To determine the ability of hearing impaired listeners to distinguish short and long formant transitions (FT) from vowels of the same duration, 84 mild to severe hearing impaired listeners and 5 normal hearing listeners were asked to detect 10 synthesized stimuli with long (200 ms) or short (40 ms) FT among 30 stimuli of the same duration without FT. Hearing impaired listeners were tested with and without hearing aids. The effect of the difficulty of the task (short/long FT) was analysed as a function of the hearing loss with and without hearing aids. Normal hearing listeners were able to detect every FT (short and long). For hearing impaired listeners, the detection of long FT was better than that of short ones irrespective of their degree of hearing loss. The use of hearing aids improved detection of both kinds of FT; however, the detection of long FT remained much better than the detection of the short ones. The length of FT modified the ability of hearing impaired patients to detect FT. Short FT had access to less cortical processing than long FT and cochlea damages enhanced this specific deficit in short FT brain processing. These findings help to understand the limit of deafness rehabilitation in the time domain and should be taken into account in future devices development. PMID:20600193

  20. Early intervention programme for hearing impaired children.

    PubMed

    Narayanswamy, S

    1992-01-01

    The School for Young Deaf Children was founded in 1969 when the All India Institute of Speech and Hearing at Mysore and the Christian Medical College Hospital at Vellore started diagnosing hearing impairment in children and prescribing hearing aids. These schools admitted children when they were 5 years old. Bala Vidyalaya was funded as an experimental school to satisfy the needs of younger children. A multi sensory approach based on the Montessori method of teaching with special emphasis on language acquisition was adopted. The School that began with 5 children and 2 teachers had 120 children and 15 teachers in 1992: 50 children were under 3 years old and the rest were between 3 and 6 years. Early auditory management and training is the foundation of the child's linguistic achievement which help the child use the innate ability to develop sophisticated listening skills such as listening to one signal in the presence of competing sounds. Simple games captivate the infants. At the age of 2 1/2 years ideovisual reading is introduced to the child: written sentences are presented to the child about an activity that the child had just experienced. Even before 2 years of age he or she starts scribbling. School lessons are used as tools for writing. The school takes efforts to win the confidence of the parents. So far 97 children have joined the mainstream of education after an initial training the school. Of these, 6 are settled in jobs, 5 are in college or in postgraduate studies, 11 are studying at the university, 8 are in the higher secondary school (classes XI or XII)m 28 are studying in high school (class VI to class X), while the remaining 39 are in primary schools. It has been demonstrated that early educational intervention and involvement of the family into the educational program are very important for the successful integration of hearing-impaired children into the main stream. PMID:12286296

  1. Current Trends in Developing a Contemporary Public Library Service to Deaf and Hard of Hearing Persons in Denmark.

    ERIC Educational Resources Information Center

    von der Lieth, Mette; Clausen, Anita Otte

    This paper describes public library services to deaf and hard of hearing persons in Denmark. Topics covered include: (1) target groups, including deaf, deafened, hard of hearing persons, professionals and relatives who have contact with the hearing impaired, and other groups using visual communication; (2) means of communication, including sign…

  2. Deleterious oral habits in children with hearing impairment

    PubMed Central

    SUHANI, RALUCA DIANA; SUHANI, MIHAI FLAVIU; MUNTEAN, ALEXANDRINA; MESAROS, MICHAELA; BADEA, MINDRA EUGENIA

    2015-01-01

    Background and aims Deleterious oral habits represent a serious public health issue. The information available about this problem in children with hearing impairment is insufficient. The purpose of this study was to investigate the prevalence of deleterious oral habits among children with hearing impairment and comparing results against children without hearing impairment. Method This epidemiological study was carried out in a sample size of 315 children. We used a random sampling technique that included 150 children with hearing impairment and 165 without hearing impairment. All subjects were submitted to a clinical examination. The parents/legal guardians were asked to complete a questionnaire regarding the deleterious habits of their children. Results The data collected indicated a higher prevalence of deleterious oral habits among children with hearing impairment: 53.3% as opposed to 40.6% among children without hearing impairment. There was a higher incidence of malocclusion in children with hearing impairment (79.3%) compared to children without hearing impairment (57%). Conclusions This study highlighted the need to establish protocols for preventive orthodontic treatment at an early age, in order to reduce the deleterious oral habits and prevent malocclusion. Dental institutions/clinicians need to implement oral care programs including proper oral education aiming to promote oral health. PMID:26609277

  3. Prevalence of Hearing Impairment in High Risk Infants.

    PubMed

    Vashistha, Ishika; Aseri, Yogesh; Singh, B K; Verma, P C

    2016-06-01

    Hearing impairment is prevalent in the general population, early intervention facilitates proper development. The aim of this study was to establish the prevalence of hearing impairment in high-risk infants born between 2013 and 2014. 100 newborns were evaluated using evoked otoacoustic emissions and distortion produce and auditory behavior. Tests were reported if the results were altered. If altered results persisted, the child was referred for impedance testing and when necessary for medical evaluation. Infants referred for BOA and OAE undergone Brainstem auditory evoked potential testing. Of 100 children, 85 children have hearing within normal limits. Hearing impairment was found in 15 out of which 7 had unilateral hearing loss and 8 had bilateral hearing loss. The high prevalence of hearing impairment in this population underlines the importance of early audiological testing. PMID:27340640

  4. Speech Rates of Turkish Prelingually Hearing-Impaired Children

    ERIC Educational Resources Information Center

    Girgin, M. Cem

    2008-01-01

    The aim of training children with hearing impairment in the auditory oral approach is to develop good speaking abilities. However, children with profound hearing-impairment show a wide range of spoken language abilities, some having highly intelligible speech while others have unintelligible speech. This is due to errors in speech production.…

  5. Setting of Classroom Environments for Hearing Impaired Children

    ERIC Educational Resources Information Center

    Turan, Zerrin

    2007-01-01

    This paper aims to explain effects of acoustical environments in sound perception of hearing impaired people. Important aspects of sound and hearing impairment are explained. Detrimental factors in acoustic conditions for speech perception are mentioned. Necessary acoustic treatment in classrooms and use of FM systems to eliminate these factors…

  6. Listening to the Community of the Hearing-Impaired.

    ERIC Educational Resources Information Center

    McCann, Jessica

    1993-01-01

    Notes that, to bring hearing-impaired individuals into the work force, employers must first learn something about their well-defined culture. Notes need to understand difference between being deaf and hearing impaired, distinct culture and history of deaf Americans, and how to keep channels of communication open. Discusses counseling deaf students…

  7. Evaluating Students with Hearing Impairment. Technical Assistance Document.

    ERIC Educational Resources Information Center

    New Jersey State Dept. of Education, Trenton. Div. of Special Education.

    This guide, written to assist child study teams in New Jersey, reviews legal and other requirements in evaluating students with hearing impairments. Implications of hearing impairment for the evaluation process include its impact on syntactic, semantic, and pragmatic aspects of language; environmental interaction; and social interaction.…

  8. Issues in the Education of Multihandicapped Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Jensema, Corinne K., Ed.

    1982-01-01

    This issue of "Directions," a publication for updating academic, professional, career, and research activities, contains thirteen articles focusing on the education of hearing impaired children with additional disabilities. The following authors and titles are represented: "Multihandicapped Hearing-Impaired Students--Problems in Identification and…

  9. Videodisc: An Instructional Tool for the Hearing Impaired.

    ERIC Educational Resources Information Center

    Propp, George; And Others

    The strong potential of videodisc technology for improving the education of the hearing impaired is described in this report on the Media Development Project for the Hearing Impaired (MDPHI) at the University of Nebraska. The topics covered include: (1) the history of the use of technology in deaf education; (2) the history of videodiscs and their…

  10. 38 CFR 3.385 - Disability due to impaired hearing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Disability due to... Considerations Relative to Specific Diseases § 3.385 Disability due to impaired hearing. For the purposes of applying the laws administered by VA, impaired hearing will be considered to be a disability when...

  11. 38 CFR 3.385 - Disability due to impaired hearing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Disability due to... Considerations Relative to Specific Diseases § 3.385 Disability due to impaired hearing. For the purposes of applying the laws administered by VA, impaired hearing will be considered to be a disability when...

  12. 38 CFR 3.385 - Disability due to impaired hearing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Disability due to... Considerations Relative to Specific Diseases § 3.385 Disability due to impaired hearing. For the purposes of applying the laws administered by VA, impaired hearing will be considered to be a disability when...

  13. 38 CFR 3.385 - Disability due to impaired hearing.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Disability due to... Considerations Relative to Specific Diseases § 3.385 Disability due to impaired hearing. For the purposes of applying the laws administered by VA, impaired hearing will be considered to be a disability when...

  14. Hearing Aids and Hearing Impaired Students in Rural Schools.

    ERIC Educational Resources Information Center

    Woodford, Charles

    This paper describes functions of the components of hearing aids and provides a detailed procedure to detect hearing aid dysfunctions. The most common type of hearing aids for school children are the behind the ear type. Various hearing aid components change sound into an electrical signal, which is amplified and adjusted by a volume control. The…

  15. Visual aid for the hearing impaired

    NASA Astrophysics Data System (ADS)

    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.

  16. Reported Causes of Hearing Loss for Hearing Impaired Students; United States 1970-71.

    ERIC Educational Resources Information Center

    Gentile, Augustine; Rambin, J. Bentley

    Reported are causes of hearing loss for 41,109 hearing impaired students enrolled in 555 special educational programs as part of a national annual survey during the 1970-71 school year. Data is provided on the relationship between hearing loss etiology and the following variables: age and sex of students, additional handicapping conditions, family…

  17. Inflectional morphology in German hearing-impaired children.

    PubMed

    Penke, Martina; Wimmer, Eva; Hennies, Johannes; Hess, Markus; Rothweiler, Monika

    2016-01-01

    Despite modern hearing aids, children with hearing impairment often have only restricted access to spoken language input during the 'critical' years for language acquisition. Specifically, a sensorineural hearing impairment affects the perception of voiceless coronal consonants which realize verbal affixes in German. The aim of this study is to explore if German hearing-impaired children have problems in producing and/or acquiring inflectional suffixes expressed by such phonemes. The findings of two experiments (an elicitation task and a picture-naming task) conducted with a group of hearing-impaired monolingual German children (age 3-4 years) demonstrate that difficulties in perceiving specific phonemes relate to the avoidance of these same sounds in speech production independent of the grammatical function these phonemes have. PMID:25175166

  18. Characteristics of Hearing Impaired Students by Hearing Status. United States: 1970-71.

    ERIC Educational Resources Information Center

    Rawlings, Brenda; And Others

    Presented were data from the Annual Survey of Hearing Impaired Children on selected characteristics of approximately 41,000 hearing impaired students who were enrolled in special educational programs during the 1970-1971 school year. Included was information on sex, age, additional handicapping conditions, ages of onset and of discovery of the…

  19. On the PC Interface for Hearing-Impaired

    NASA Astrophysics Data System (ADS)

    Kitamura, Mitsuhiro; Akiyama, Kouichi; Hama, Hiromitsu

    2002-12-01

    A human being takes in the outer world information by using the five senses, and lives. So he is forced very inconvenient life even when one sense is missing. Among others, it is said that the sense of hearing has importance next to the sight, but it is one of the organs which surely become weak with aging, and "hearing defect" is particularly the problem which all people face someday. But, technically and socially, the system which the person whose physical function is poor can entry into and contribute to the society is very important. In this research, the way of making up for a lost function by the medium change to the sense of touch information from the auditory information is examined, as a help that hearing-impaired gets "safety", "independence", "the tranquility of the heart" from the technical side. In this paper, as a concrete system, it paid attention to the mouse of the PC interface, and a vibration mouse was used under the environment which a PC was being used for, and thought about building of the system which can acquire the sound information of the life environment in real time.

  20. [The new regulations for diagnostics of occupational hearing impairment].

    PubMed

    Pankova, V B

    2014-01-01

    The author presents information about the new regulations for diagnostics of occupational hearing impairment included in the technical documentation of the Russian Ministry of Health and Social Development and Ministry of Health governing provision of medical assistance to the subjects suffering from occupational hearing impairment and establishing the new rules for the compulsory prophylactic examination (preliminary and periodic) of the candidates for employment in the noisy environment. In addition, the newly-established criteria for the estimation of hearing impairment and occupational fitness of the subjects presenting with this condition are considered. The advantages of the new regulations are discussed along with their drawbacks that require further correction. PMID:24781171

  1. Effects of the Simultaneous Application of Nonlinear Frequency Compression and Dichotic Hearing on the Speech Recognition of Severely Hearing-Impaired Subjects: Simulation Test

    PubMed Central

    Hwang, Jong Ho; Nam, Kyoung Won; Yoon, Sung Hoon; Kim, Jinryoul; Yook, Sunhyun; Hong, Sung Hwa; Jang, Dong Pyo

    2015-01-01

    Objectives The clinical effects of the simultaneous application of nonlinear frequency compression and dichotic hearing on people with hearing impairments have not been evaluated previously. In this study, the clinical effects of the simultaneous application of these two techniques on the recognition of consonant-vowel-consonant (CVC) words with fricatives were evaluated using normal-hearing subjects and a hearing loss simulator operated in the severe hearing loss setting. Methods A total of 21 normal-hearing volunteers whose native language was English were recruited for this study, and two different hearing loss simulators, which were configured for severe hearing loss in the high-frequency range, were utilized. The subjects heard 82 English CVC words, and the word recognition score and response time were measured. Results The experimental results demonstrated that the simultaneous application of these two techniques showed almost even performance compared to the sole application of nonlinear frequency compression in a severe hearing loss setting. Conclusion Though it is generally accepted that dichotic hearing can decrease the spectral masking thresholds of an hearing-impaired person, simultaneous application of the nonlinear frequency compression and dichotic hearing techniques did not significantly improve the recognition of words with fricatives compared to the sole application of nonlinear frequency compression in a severe hearing loss setting. PMID:26045907

  2. Resource Guide for Persons with Mobility Impairments.

    ERIC Educational Resources Information Center

    IBM, Atlanta, GA. National Support Center for Persons with Disabilities.

    The resource guide identifies products which assist individuals with mobility impairments in accessing IBM (International Business Machine) Personal Computers or the IBM Personal System/2 family of products. An introduction provides a general overview of ways computers can help persons with mobility impairments. The main portion of the document…

  3. Idiopathic Sudden Sensorineural Hearing Loss With Minimal Hearing Impairment

    PubMed Central

    Cho, Chin Saeng

    2015-01-01

    Objectives The aim of the study was to determine the characteristics of patients who did not match the audiometric criteria of idiopathic sudden sensorineural hearing loss (SSNHL) but complained of acute hearing loss. Methods By thorough medical chart reviews, historical cohort study was performed with consecutive data of 589 patients complaining of acute unilateral sensorineural hearing loss without identifiable causes between 2005 and 2013. Those patients demonstrating a hearing loss of at least 30 dB at three consecutive frequencies based on pure tone audiometry were classified as group I; the others were classified as group II. Patients' characteristics, final hearing, and hearing improvement rate (HIR) between the two groups were compared. Results Group II exhibited distinctive characteristics, including an early age of onset of the hearing loss (P<0.01), an absence of accompanying diabetes (P<0.01) and hypertension (P<0.01), and better unaffected hearing and final hearing compared with group I (P<0.001). However, the HIR of the patients in the two groups was not significantly different (P>0.05). Conclusion Patients who did not meet the audiological criteria of SSNHL exhibited distinctive characteristics compared to SSNHL patients. PMID:26622953

  4. Symptoms of Psychopathology in Hearing-Impaired Children

    PubMed Central

    Rieffe, Carolien; Soede, Wim; Briaire, Jeroen J.; Ketelaar, Lizet; Kouwenberg, Maartje; Frijns, Johan H. M.

    2015-01-01

    Objectives: Children with hearing loss are at risk of developing psychopathology, which has detrimental consequences for academic and psychosocial functioning later in life. Yet, the causes of the extensive variability in outcomes are not fully understood. Therefore, the authors wanted to objectify symptoms of psychopathology in children with cochlear implants or hearing aids, and in normally hearing peers, and to identify various risk and protective factors. Design: The large sample (mean age = 11.8 years) included three subgroups with comparable age, gender, socioeconomic status, and nonverbal intelligence: 57 with cochlear implants, 75 with conventional hearing aids, and 129 children who were normally hearing. Psychopathology was assessed by means of self- and parent-report measures. Results: Children with cochlear implants showed similar levels of symptoms of psychopathology when compared with their normally hearing peers, but children with hearing aids had significantly higher levels of psychopathological symptoms, while their hearing losses were approximately 43 dB lower than those of children with implants. Type of device was related with internalizing symptoms but not with externalizing symptoms. Furthermore, lower age and sufficient language and communication skills predicted less psychopathological symptoms. Conclusions: Children who are deaf or profoundly hearing impaired and have cochlear implants have lower levels of psychopathological symptoms than children with moderate or severe hearing loss who have hearing aids. Most likely, it is not the type of hearing device but rather the intensity of the rehabilitation program that can account for this difference. This outcome has major consequences for the next generation of children with hearing loss because children with profound hearing impairment still have the potential to have levels of psychopathology that are comparable to children who are normally hearing. PMID:25668391

  5. The Learning Disabled, Hearing Impaired Students: Reality, Myth, or Overextension?

    ERIC Educational Resources Information Center

    Laughton, Joan

    1989-01-01

    This paper focuses on definitions, incidence, and characteristics of the multihandicapping condition known as "learning disabled, hearing impaired," in order to provide a means of identifying these children and determining whether or not they require different teaching strategies. (JDD)

  6. Education of the Hearing Impaired in India: A Survey.

    ERIC Educational Resources Information Center

    Anita, Shirin D.

    1979-01-01

    Data from ten schools for the hearing impaired in India in the areas of language instruction, preschool programs, parents' programs, and teacher preparation courses were gathered using a questionnaire. (PHR)

  7. Social-Emotional Adjustment of Integrated Hearing Impaired Adolescents.

    ERIC Educational Resources Information Center

    Cole, Elizabeth B.; Shade, Maureen

    1985-01-01

    Social-emotional adjustment patterns of eight mainstreamed hearing impaired adolescents were compared with identical measures of a matched group of eight normally hearing adolescents. No statistically significant differences between the groups were found. Results presented a picture of social and emotional well-being similar for both the hearing…

  8. Hearing Impaired Children's Performance on the Piagetian Liquid Horizontality Test.

    ERIC Educational Resources Information Center

    Murphy-Berman, Virginia; And Others

    A paper-and-pencil test consisting of a series of 24 sketches was administered to assess the performance of hearing impaired students aged 9-12 on a Piagetian horizontality task. This age range among hearing students is the developmental period during which comprehension of the principle of horizontality should begin to emerge, indicating ability…

  9. Social Integration of Hearing-Impaired Children: Fact or Fiction?

    ERIC Educational Resources Information Center

    Antia, Shirin

    1985-01-01

    Because research on social integration indicates that physical proximity to normal-hearing peers may result in neither social interaction nor social acceptance, teachers may need to help their hearing impaired students to specifically develop social communication skills. Teachers may also need to create opportunities for social interaction between…

  10. Hearing-Impaired Children under Age 6: 1977 and 1984.

    ERIC Educational Resources Information Center

    Schildroth, Arthur

    1986-01-01

    A review of annual survey data revealed that hearing impaired children under age 6 reported in 1984, when compared to those reported in 1977, tended to be younger; had higher percentages of heredity, meningitis, and prematurity as causes of hearing loss; and were more likely to have additional handicaps. (CL)

  11. Correlates of Mental Health Disorders among Children with Hearing Impairments

    ERIC Educational Resources Information Center

    Fellinger, Johannes; Holzinger, Daniel; Sattel, Heribert; Laucht, Manfred; Goldberg, David

    2009-01-01

    Aim: The aim of this study was to elucidate factors related to the high rate of mental health disorders seen in those with impaired hearing, including social factors and audiological measures. Method: A representative sample of 95 pupils (47 females, 48 males; mean age 11y 1mo, range 6y 5mo to 16y, SD 2y 7mo) with hearing impairments of at least…

  12. Locus of Control: Review and Implications for Instruction of the Hearing-Impaired.

    ERIC Educational Resources Information Center

    Dowaliby, Fred J.; Pagano, Jo Anne

    The authors review research on locus of control (LOC), particularly as it pertains to the instruction of hearing impaired students. According to social learning theory, the LOC construct is explained to theorize that two distinctly different types of persons may be identified--"internals" who assume responsibility for their activities and…

  13. The Factors that Motivate and Hinder the Students with Hearing Impairment to Use Mobile Technology

    ERIC Educational Resources Information Center

    Kuzu, Abdullah

    2011-01-01

    This research which aims to find out the factors that motivate students with hearing impairment to use PDA (Personal Digital Assistant), a product of mobile technology, in instructional activities, interactions with their peers and instructors, and in their daily lives, and the factors that hinder these individuals from using PDA was designed as…

  14. Hearing Impairment in 2008: a compilation of available epidemiological studies.

    PubMed

    Pascolini, Donatella; Smith, Andrew

    2009-01-01

    A data bank of prevalence of hearing impairment for monitoring and implementation of programmes at national or global level and for the estimate of the global burden has been established. A systematic search was conducted of random-sample population-based studies of bilateral hearing impairment with clearly defined hearing threshold levels. Fifty-three studies from 31 countries from all WHO regions were found to meet the selection criteria. The prevalence of mild and disabling hearing impairment and other details from the studies are reported by WHO region. Although a large number of studies were found, only a small number among them were suitable surveys of prevalence of bilateral hearing impairment in the general population. Hearing impairment is a major disability that should be monitored at all ages: more population-based surveys are needed in all regions of the world. Utilization of the WHO protocol is recommended for collection and analysis of data in standard ways; especially recommended is the use of WHO threshold levels and to report the prevalence of bilateral impairment, both of which required to calculate burden. PMID:19444763

  15. Deaf Awareness: A Program To Increase Student Awareness of What It Is Like To Have a Hearing Impairment.

    ERIC Educational Resources Information Center

    Lambert, Tania

    Learning activities are presented to promote awareness of hearing impairments and to help children understand and accept people with disabilities. Through games, stories, information, and personal dialogue, students learn about hearing loss and communication methods as well as the broader issue of differences and the experience of being disabled.…

  16. Hearing impairment in Stickler syndrome: a systematic review

    PubMed Central

    2012-01-01

    Background Stickler syndrome is a connective tissue disorder characterized by ocular, skeletal, orofacial and auditory defects. It is caused by mutations in different collagen genes, namely COL2A1, COL11A1 and COL11A2 (autosomal dominant inheritance), and COL9A1 and COL9A2 (autosomal recessive inheritance). The auditory phenotype in Stickler syndrome is inconsistently reported. Therefore we performed a systematic review of the literature to give an up-to-date overview of hearing loss in Stickler syndrome, and correlated it with the genotype. Methods English-language literature was reviewed through searches of PubMed and Web of Science, in order to find relevant articles describing auditory features in Stickler patients, along with genotype. Prevalences of hearing loss are calculated and correlated with the different affected genes and type of mutation. Results 313 patients (102 families) individually described in 46 articles were included. Hearing loss was found in 62.9%, mostly mild to moderate when reported. Hearing impairment was predominantly sensorineural (67.8%). Conductive (14.1%) and mixed (18.1%) hearing loss was primarily found in young patients or patients with a palatal defect. Overall, mutations in COL11A1 (82.5%) and COL11A2 (94.1%) seem to be more frequently associated with hearing impairment than mutations in COL2A1 (52.2%). Conclusions Hearing impairment in patients with Stickler syndrome is common. Sensorineural hearing loss predominates, but also conductive hearing loss, especially in children and patients with a palatal defect, may occur. The distinct disease-causing collagen genes are associated with a different prevalence of hearing impairment, but still large phenotypic variation exists. Regular auditory follow-up is strongly advised, particularly because many Stickler patients are visually impaired. PMID:23110709

  17. Citizenship among a Sample of Hearing and Hearing Impaired Kindergarten's Children in Al-Riyadh Saudi Arabia "Comparative Study"

    ERIC Educational Resources Information Center

    Turkestani, Maryam Hafez; Bahatheg, Raja' Omar

    2015-01-01

    This study aimed at identifying statistically significant differences in citizenship between Saudi hearing and hearing impaired children. The study sample consisted of (167) hearing and (42) hearing impaired children at public kindergartens in Al-Riyadh city, (82) of whom were males and (127) were female children. Data was collected using…

  18. Personality Profiles of Physically Impaired Young Adults.

    ERIC Educational Resources Information Center

    Richman, Lynn C.; Harper, Dennis C.

    1980-01-01

    Different forms of chronic observable disability may have differing impacts on adult personality adjustment. Young adults with cleft lip/palate display fewer personality adjustment problems than those with orthopedic impairment. (Author)

  19. Early care in children with permanent hearing impairment.

    PubMed

    Giuntini, G; Forli, F; Nicastro, R; Ciabotti, A; Bruschini, L; Berrettini, S

    2016-02-01

    The implementation of regional protocols for newborn hearing screening and early audiologic diagnosis represent the first step of the entire diagnostic, rehabilitative and prosthetic programme for children with permanent hearing impairment. The maximum benefit of early diagnosis can indeed be obtained only by prompt rehabilitation aimed at fostering the child's communicative, linguistic and cognitive development. Within the framework of the CMM 2013 project of the Ministry of Health entitled "Preventing Communication Disorders: a Regional Program for Early Identification, Intervention and Care of Hearing Impaired Children", the problems concerning the promotion of the global development of children with PHI through an early rehabilitation project based on shared knowledge and scientific evidence. In this project, our specific aim was to define the features and modes of access to a precise and specialised rehabilitation project for the small hearing-impaired child within three months from audiologic diagnosis. Three main recommendations relative to assessment and rehabilitation aspects of early care emerged from the study. PMID:27054391

  20. Peculiarities of hearing impairment depending on interaction with acoustic stimuli

    PubMed Central

    Myshchenko, Iryna; Nazarenko, Vasyl; Kolganov, Anatoliy; Tereshchenko, Pavlo

    2015-01-01

    Aims: The functional state of the auditory analyzer of several operators groups was study. The objective of this study was to determine some characteristics of hearing impairment in relation with features of acoustic stimuli and informative significance of noise. Materials and Methods: 236 employees (middle age 35.4 ± 0.74 years) were divided into four groups according to features of noise perception at the workplaces. The levels of permanent shifts of acoustic thresholds were estimated using audiometric method. Statistical Analysis Used: Common statistical methods were used in research. Mean quantity and mean absolute errors were calculated. Statistical significance between operators' groups was calculated with 0.05 confidential intervals. Results: The peculiarities of hearing impairment in observed groups were different. Operators differentiating acoustic signals had peak of hearing impairment in the field of language frequencies, while the employees who work with noise background at the workplaces had maximal hearing threshold on the 4000 Hz frequency (P ≤ 0.05). Conclusions: Hearing impairment depends both on energy and human interaction with acoustic irritant. The distinctions in hearing impairment may be related with the necessity of recognizing of acoustic signals and their frequency characteristics. PMID:26957812

  1. 38 CFR 4.86 - Exceptional patterns of hearing impairment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Exceptional patterns of hearing impairment. 4.86 Section 4.86 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS SCHEDULE FOR RATING DISABILITIES Disability Ratings Impairment of Auditory Acuity §...

  2. 38 CFR 4.86 - Exceptional patterns of hearing impairment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Exceptional patterns of hearing impairment. 4.86 Section 4.86 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS SCHEDULE FOR RATING DISABILITIES Disability Ratings Impairment of Auditory Acuity §...

  3. 38 CFR 4.85 - Evaluation of hearing impairment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination,” is used to... language difficulties, inconsistent speech discrimination scores, etc., or when indicated under the... impairment. 4.85 Section 4.85 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS...

  4. 38 CFR 4.85 - Evaluation of hearing impairment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination,” is used to... language difficulties, inconsistent speech discrimination scores, etc., or when indicated under the... impairment. 4.85 Section 4.85 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS...

  5. 38 CFR 4.85 - Evaluation of hearing impairment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination,” is used to... language difficulties, inconsistent speech discrimination scores, etc., or when indicated under the... impairment. 4.85 Section 4.85 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS...

  6. 38 CFR 4.85 - Evaluation of hearing impairment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination,” is used to... language difficulties, inconsistent speech discrimination scores, etc., or when indicated under the... impairment. 4.85 Section 4.85 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS...

  7. Binaural Loudness Summation in the Hearing Impaired.

    ERIC Educational Resources Information Center

    Hawkins, David B.; And Others

    1987-01-01

    Binaural loudness summation was measured using three different paradigms with 10 normally hearing and 20 bilaterally symmetrical high-frequency sensorineural hearing loss subjects. Binaural summation increased with presentation level using the loudness matching procedure, with values in the 6-10 dB range. Summation decreased with level using the…

  8. Vowel Formant Values in Hearing and Hearing-Impaired Children: A Discriminant Analysis

    ERIC Educational Resources Information Center

    Ozbic, Martina; Kogovsek, Damjana

    2010-01-01

    Hearing-impaired speakers show changes in vowel production and formant pitch and variability, as well as more cases of overlapping between vowels and more restricted formant space, than hearing speakers; consequently their speech is less intelligible. The purposes of this paper were to determine the differences in vowel formant values between 32…

  9. Broadband Auditory Stream Segregation by Hearing-Impaired and Normal-Hearing Listeners

    ERIC Educational Resources Information Center

    Valentine, Susie; Lentz, Jennifer J.

    2008-01-01

    Purpose: To investigate the effects of hearing loss on auditory stream segregation of broadband inharmonic sounds. Method: Auditory stream segregation by listeners with normal and impaired hearing was measured for 6-component inharmonic sounds ("A" and "B") using objective and subjective methods. Components in the A stimuli ranged between 1000 and…

  10. The Perception and Decoding of Expressive Emotional Information by Hearing and Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Sanders, Gina

    1985-01-01

    Hearing and hearing-impaired children between ages 4.5 to 15.5 years in England and Belgium were invited to abstract the concept of emotion from photographs and line drawings of facial expressions and body postures. A further experiment isloated the element of context in the task of decoding expression of emotion, resulting in comparatively…

  11. National Strategic Research Plan for Hearing and Hearing Impairment and Voice and Voice Disorders.

    ERIC Educational Resources Information Center

    National Inst. on Deafness and Other Communications Disorders, Bethesda, MD.

    This monograph presents an update to the strategic plan of the National Institute on Deafness and Other Communication Disorders (NIDCD), focusing on recent accomplishments, program goals, strategies, and priorities in research opportunities in the areas of hearing/hearing impairment and voice/voice disorders. Specifically considered for the…

  12. Hearing impairment and vowel production. A comparison between normally hearing, hearing-aided and cochlear implanted Dutch children.

    PubMed

    Verhoeven, Jo; Hide, Oydis; De Maeyer, Sven; Gillis, San; Gillis, Steven

    2016-01-01

    This study investigated the acoustic characteristics of the Belgian Standard Dutch vowels in children with hearing impairment and in children with normal hearing. In a balanced experimental design, the 12 vowels of Belgian Standard Dutch were recorded in three groups of children: a group of children with normal hearing, a group with a conventional hearing aid and a group with a cochlear implant. The formants, the surface area of the vowel space and the acoustic differentiation between the vowels were determined. The analyses revealed that many of the vowels in hearing-impaired children showed a reduction of the formant values. This reduction was particularly significant with respect to F2. The size of the vowel space was significantly smaller in the hearing-impaired children. Finally, a smaller acoustic differentiation between the vowels was observed in children with hearing impairment. The results show that even after 5 years of device use, the acoustic characteristics of the vowels in hearing-assisted children remain significantly different as compared to their NH peers. PMID:26629749

  13. [Rehabilitative measures in hearing-impaired children].

    PubMed

    von Wedel, H; von Wedel, U C; Zorowka, P

    1991-12-01

    On the basis of certain fundamental data on the maturation processes of the central auditory pathways in early childhood the importance of early intervention with hearing aids is discussed and emphasized. Pathological hearing, that is acoustical deprivation in early childhood will influence the maturation process. Very often speech development is delayed if diagnosis and therapy or rehabilitation are not early enough. Anamnesis, early diagnosis and clinical differential diagnosis are required before a hearing aid can be fitted. Selection criteria and adjustment parameters are discussed, showing that the hearing aid fitting procedure must be embedded in a complex matrix of requirements related to the development of speech as well as to the cognitive, emotional and social development of the child. As a rule, finding and preparing the "best" hearing aids (binaural fitting is obligatory) for a child is a long and often difficult process, which can only be performed by specialists who are pedo-audiologists. After the binaural fitting of hearing aids an intensive hearing and speech education in close cooperation between parents, pedo-audiologist and teacher must support the whole development of the child. PMID:1770955

  14. 45 CFR 1308.11 - Eligibility criteria: Hearing impairment including deafness.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... fluctuating hearing loss caused by otitis media, allergies, or eardrum perforations and other outer or middle... hearing loss can include impaired listening skills, delayed language development, and...

  15. Workplace discrimination, deafness and hearing impairment: the national EEOC ADA research project.

    PubMed

    Bowe, Frank G; McMahon, Brian T; Chang, Tai; Louvi, Ioanna

    2005-01-01

    Data compiled by the US Equal Employment Opportunity Commission (EEOC), in its Integrated Mission System, provide documentation regarding the employment discrimination experience of Americans who are deaf or hard of hearing. This paper presents an analysis of 8,936 allegations filed by persons with hearing impairment and closed by EEOC between July 26, 1992 and September 30, 2003, as compared to 165,674 allegations filed by individuals with other physical or sensory disabilities. The investigators compare and contrast demographic characteristics of Charging Parties, characteristics of Respondents, the nature of allegations, and the outcomes of the allegations in order to illustrate how these variables differ between the two groups, herein referred to as HEARING (deaf, hard of hearing, or other hearing impairment) and GENDIS (general disability). Most allegations derived from both groups were filed against larger Respondents (those with 500+ workers). The most common allegation issues in the HEARING group involved matters of discharge, reasonable accommodation, and hiring. Outcomes derived from HEARING allegations were more likely to result in merit resolutions when compared to GENDIS, by a 25% to 21% margin. PMID:16006672

  16. Auditory stroop effects in children with hearing impairment.

    PubMed

    Jerger, S; Stout, G; Kent, M; Albritton, E; Loiselle, L; Blondeau, R; Jorgenson, S

    1993-10-01

    The accurate perception of speech involves the processing of multidimensional information. The aim of this study was to determine the influence of the semantic dimension on the processing of the auditory dimension of speech by children with hearing impairment. The processing interactions characterizing the semantic and auditory dimensions were assessed with a pediatric auditory Stroop task. The subjects, 20 children with hearing impairment and 60 children with normal hearing, were instructed to attend selectively to the voice-gender of speech targets while ignoring the semantic content. The type of target was manipulated to represent conflicting, neutral, and congruent relations between dimensions (e.g., the male voice saying "Mommy," "ice cream," or "Daddy" respectively). The normal-hearing listeners could not ignore the irrelevant semantic content. Instead, reaction times were slower to the conflict targets (Stroop interference) and faster to the congruent targets (Stroop congruency). The subjects with hearing impairment showed prominent Stroop congruency, but minimal Stroop interference. Reduced Stroop interference was not associated with chronological age, a speed-accuracy tradeoff, a non-neutral baseline, or relatively poorer discriminability of the word input. The present results suggest that the voice-gender and semantic dimensions of speech were not processed independently by these children, either those with or those without hearing loss. However, the to-be-ignored semantic dimension exerted a less consistent influence on the processing of the voice-gender dimension in the presence of childhood hearing loss. The overall pattern of results suggests that speech processing by children with hearing impairment is carried out in a less stimulus-bound manner. PMID:8246474

  17. Recognition of sine wave modeled consonants by normal hearing and hearing-impaired individuals

    NASA Astrophysics Data System (ADS)

    Balachandran, Rupa

    Sine wave modeling is a parametric tool for representing the speech signal with a limited number of sine waves. It involves replacing the peaks of the speech spectrum with sine waves and discarding the rest of the lower amplitude components during synthesis. It has the potential to be used as a speech enhancement technique for hearing-impaired adults. The present study answers the following basic questions: (1) Are sine wave synthesized speech tokens more intelligible than natural speech tokens? (2) What is the effect of varying the number of sine waves on consonant recognition in quiet? (3) What is the effect of varying the number of sine waves on consonant recognition in noise? (4) How does sine wave modeling affect the transmission of speech feature in quiet and in noise? (5) Are there differences in recognition performance between normal hearing and hearing-impaired listeners? VCV syllables representing 20 consonants (/p/, /t/, /k/, /b/, /d/, /g/, /f/, /theta/, /s/, /∫/, /v/, /z/, /t∫/, /dy/, /j/, /w/, /r/, /l/, /m/, /n/) in three vowel contexts (/a/, /i/, /u/) were modeled with 4, 8, 12, and 16 sine waves. A consonant recognition task was performed in quiet, and in background noise (+10 dB and 0 dB SNR). Twenty hearing-impaired listeners and six normal hearing listeners were tested under headphones at their most comfortable listening level. The main findings were: (1) Recognition of unprocessed speech was better that of sine wave modeled speech. (2) Asymptotic performance was reached with 8 sine waves in quiet for both normal hearing and hearing-impaired listeners. (3) Consonant recognition performance in noise improved with increasing number of sine waves. (4) As the number of sine waves was decreased, place information was lost first, followed by manner, and finally voicing. (5) Hearing-impaired listeners made more errors then normal hearing listeners, but there were no differences in the error patterns made by both groups.

  18. [Niikawa-Kuroki (Kabuki) syndrome and hearing impairment].

    PubMed

    Lüerssen, K; Ptok, M

    2004-05-01

    The Niikawa-Kuroki syndrome is a rare syndrome characterized by multiple congenital anomalies, mental retardation, postnatal growth deficiency, dermatoglyphic abnormalities and a characteristic facial appearance. More than 100 cases of the syndrome have been described in Europe. Here we report a 10 year old girl with this syndrome. Recurrent infections of the middle ear as well as delayed motor and speech development were present. The physiognomy since early infancy showed a flat profil, long palpebral fissures, long eyelashes, high arched eyebrows, missing lateral incisors and persistent fetal pads on the fingers. The patient was referred to us because of hearing impairment. Her parents also described a delayed motor development, mental retardation and a language impairment. Audiometry demonstrated a pantonal hearing loss. Since children affected by this syndrome may also have a severe hearing impairment early testing is mandatory. PMID:15138652

  19. Follow-up of permanent hearing impairment in childhood.

    PubMed

    Della Volpe, A; De Lucia, A; Pastore, V; Bracci Laudiero, L; Buonissimo, I; Ricci, G

    2016-02-01

    Programmes for early childhood childhood hearing impairment identification allows to quickly start the appropriate hearing aid fitting and rehabilitation process; nevertheless, a large number of patients do not join the treatment program. The goal of this article is to present the results of a strategic review of the strengths, weaknesses, opportunities and threats connected with the audiologic/prosthetic/language follow-up process of children with bilateral permanent hearing impairment. Involving small children, the follow-up includes the involvement of specialised professionals of a multidisciplinary team and a complex and prolonged multi-faced management. Within the framework 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", the purpose of this analysis was to propose recommendations that can harmonise criteria for outcome evaluation and provide guidance on the most appropriate assessment methods to be used in the follow-up course of children with permanent hearing impairment. PMID:27054392

  20. Effect of recreational noise exposure on hearing impairment among teenage students.

    PubMed

    Tung, Chen-Yin; Chao, Keh-Ping

    2013-01-01

    Several studies have focused on the potential impact of children's hearing loss on learning and development. Recently, numerous teenage students have been found to be fond of listening to music on personal devices and participating in recreational music activities. The objective of this study was to investigate teenage students' hearing impairment, their experience with recreational noise exposure, and their self-reported hearing. The participants were 1878 first-year students at a university in Taiwan. The result of the pure tone audiometry test showed that 11.9% of the participants had one or two ears with a hearing threshold over 25 dB. Over the past year, approximately 80.9% of the participants had taken part in at least one loud-noise recreational activity, and 90.9% of the participants were in the habit of using earphones. Among the participants, 190 students with a high level of recreational noise exposure were assigned to the exposure group, and 191 students with a low level of recreational noise exposure constituted the control group. The exposure group had more hearing problems than the control group, but no significant difference existed between the two groups in the pure tone audiometry test (p=0.857). It is suggested that the schools should reinforce hearing health education and proactively provide intervention measures, such as hearing tests, evaluation of noise exposure, and hearing protection. PMID:22940166

  1. High-Level Psychophysical Tuning Curves: Forward Masking in Normal-Hearing and Hearing-Impaired Listeners.

    ERIC Educational Resources Information Center

    Nelson, David A.

    1991-01-01

    Forward-masked psychophysical tuning curves were obtained at multiple probe levels from 26 normal-hearing listeners and 24 ears of 21 hearing-impaired listeners with cochlear hearing loss. Results indicated that some cochlear hearing losses influence the sharp tuning capabilities usually associated with outer hair cell function. (Author/JDD)

  2. Hearing-Impaired Children in Venezuela: 1985.

    ERIC Educational Resources Information Center

    Schildroth, Arthur; And Others

    1987-01-01

    The 1984-85 Venezuelan Survey of Deaf Children collected information on 804 deaf students between ages 3 and 14. Among findings were that 29% of the cases were caused by maternal rubella, that 36% had additional handicaps, and that meningitis was the most frequently reported after-birth cause of hearing losses. (Author/DB)

  3. Balance assessment in hearing-impaired children.

    PubMed

    Walicka-Cupryś, Katarzyna; Przygoda, Łukasz; Czenczek, Ewelina; Truszczyńska, Aleksandra; Drzał-Grabiec, Justyna; Zbigniew, Trzaskoma; Tarnowski, Adam

    2014-11-01

    According to the scientific reports the postural stability is inseparably associated with hearing organ's correct functioning. The aim of the study was to evaluate the degree of disorders occurring in balance reactions in this group of children with profound hearing loss compared to their healthy peers. The study worked with a total of 228 children, including 65 who are deaf (DCH) and 163 subjects without any hearing deficits (CON) in the control group. Stabilometric measurements were performed with the use of a force distribution platform. The results indicate statistically significant differences in terms of one parameter (the total path length) recorded in the test with the eyes open and a whole range of parameters recorded when the subjects had their eyes closed (the width, height, and area of the ellipse, the total path length, and the horizontal and vertical sway). The study results showed better values of the static balance parameters in deaf children as compared to their peers without hearing disorders and the differences were particularly evident in the test with the subject's eyes closed. The results suggest significantly better processing of sensory stimuli in postural reactions particularly from propioception, and to a lesser extent, from the vision system observed in the subjects as compared to their peers in the control group. PMID:25077831

  4. The Parent Teaching Home: An Early Intervention Program for Hearing-Impaired Children

    ERIC Educational Resources Information Center

    McConnell, Freeman

    1974-01-01

    The Bill Wilkerson Hearing and Speech Center Program for hearing-impaired children emphasizes the value of detecting hearing impairment in infancy, followed by immediate intervention in the form of an intensive parent teaching program which stresses the maximization of residual hearing to enhance natural language acquisition. (Author/JA)

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

    PubMed

    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". PMID:27054389

  6. Diagnosing a Learning Disability in a Hearing-Impaired Child.

    ERIC Educational Resources Information Center

    Plapinger, Donald; Sikora, Darryn

    1990-01-01

    This paper presents a case study that used an interdisciplinary diagnostic approach to determine whether a hearing-impaired nine-year-old child had a learning disability and to determine the type of disability. The assessment included medical examination, gross and fine motor skills, psychological functioning, mental processing and achievement,…

  7. Selected Research, Development and Organizational Needs of the Hearing Impaired.

    ERIC Educational Resources Information Center

    Garrett, Charles W., Ed.

    Identified are research, development, and organizational needs regarding sensory aids for the hearing impaired. Discussion of the present status of sensory aids focuses on acoustic and nonacoustic aids and points out that practical long-term utility has been extremely limited. Described are organizational and planning needs such as demographic…

  8. Basic Education Needs of Adults Who Are Hearing Impaired.

    ERIC Educational Resources Information Center

    Leigh, Gregory R.; And Others

    This study examined the extent to which people in Australia with impaired hearing were receiving some form of literacy assistance and whether requests for service were fulfilled by providers of Adult Literacy and Basic Education (ALBE) services. A questionnaire was sent to a sample of 71 providers. In addition, telephone interviews were conducted…

  9. 38 CFR 4.85 - Evaluation of hearing impairment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... audiologist and must include a controlled speech discrimination test (Maryland CNC) and a puretone audiometry... Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination,” is used to... percent of speech discrimination (horizontal rows) and the puretone threshold average (vertical...

  10. Auditory Threshold Variability with Severely Hearing-Impaired Preschool Children.

    ERIC Educational Resources Information Center

    Fulton, Robert T.

    1979-01-01

    Threshold variability across repeated measures (N=10) was observed at 250 and 1,000 Hz with five severely hearing-impaired preschool children. Results indicated that variability at 1,000 Hz was within a 10 dB range (except for one measure) across Ss, while variability at 250 Hz was substantially larger, even though false positive responses to…

  11. Hearing-Impaired Children in Black and Hispanic Families.

    ERIC Educational Resources Information Center

    Fischgrund, Joseph E.; And Others

    1987-01-01

    The article presents sociocultural information about Black and Hispanic families and the implications for intervention programs for parents of hearing-impaired minority children. Discussion addresses the importance of the extended family and community in providing care, differing belief systems about handicaps, and anxieties in adjusting to a new…

  12. Hearing Impaired (HI) Support Services and Caseload Prioritisation

    ERIC Educational Resources Information Center

    Rodd, Cathy; Young, Alys

    2009-01-01

    This study considers the process of prioritisation undertaken by Hearing Impaired (HI) Support Services in England in a context of change driven by early screening, early intervention and reform in children's services. The aim of prioritisation is to identify the relative needs of deaf children and their families fairly, transparently and…

  13. Soybean β-Conglycinin Prevents Age-Related Hearing Impairment

    PubMed Central

    Tanigawa, Tohru; Shibata, Rei; Kondo, Kazuhisa; Katahira, Nobuyuki; Kambara, Takahiro; Inoue, Yoko; Nonoyama, Hiroshi; Horibe, Yuichiro; Ueda, Hiromi; Murohara, Toyoaki

    2015-01-01

    Obesity-related complications are associated with the development of age-related hearing impairment. β-Conglycinin (β-CG), one of the main storage proteins in soy, offers multiple health benefits, including anti-obesity and anti-atherosclerotic effects. Here, to elucidate the potential therapeutic application of β-CG, we investigated the effect of β-CG on age-related hearing impairment. Male wild-type mice (age 6 months) were randomly divided into β-CG-fed and control groups. Six months later, the body weight was significantly lower in β-CG-fed mice than in the controls. Consumption of β-CG rescued the hearing impairment observed in control mice. Cochlear blood flow also increased in β-CG-fed mice, as did the expression of eNOS in the stria vascularis (SV), which protects vasculature. β-CG consumption also ameliorated oxidative status as assessed by 4-HNE staining. In the SV, lipofuscin granules of marginal cells and vacuolar degeneration of microvascular pericytes were decreased in β-CG-fed mice, as shown by transmission electron microscopy. β-CG consumption prevented loss of spiral ganglion cells and reduced the frequencies of lipofuscin granules, nuclear invaginations, and myelin vacuolation. Our observations indicate that β-CG ameliorates age-related hearing impairment by preserving cochlear blood flow and suppressing oxidative stress. PMID:26348726

  14. Cloning genes for non-syndromal hearing impairment.

    PubMed

    Smith, R J; Van Camp, G

    1999-10-01

    Over 45 genes that cause autosomal non-syndromic hearing impairment (NSHI) have been localized and many more are predicted to exist. To clone these genes, a number of different strategies can be used. This paper focuses on four general approaches: functional cloning, positional cloning, position-dependent candidate gene cloning, and position-independent candidate gene cloning. PMID:10890140

  15. Identification of Additional Learning Difficulties in Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Alpin, D. Yvonne

    Of particular concern to educational psychologists when assessing hearing-impaired children is the identification of learning difficulties in addition to deafness which might hinder progress with language development. This study sought to replicate research which showed that some deaf children who have difficulty with fine motor movements and body…

  16. E-Learning Environment for Hearing Impaired Students

    ERIC Educational Resources Information Center

    Hashim, Hisyamuddin; Tasir, Zaidatun; Mohamad, Siti Khadijah

    2013-01-01

    The usage of technology within the educational department has become more vital by each year passing. One of the most popular technological approaches used is the e-learning environment. The usage of e-learning environment in education involves a wide range of types of students, and this includes the hearing impaired ones. Some adjustment or…

  17. A Family Involvement Model for Hearing-Impaired Infants.

    ERIC Educational Resources Information Center

    Fitzgerald, Mary Trabue; Fischer, Rebecca M.

    1987-01-01

    The Mama Lere Parent-Infant Training Program (Nashville, Tennessee) which serves hearing- and speech-impaired children focuses on family involvement and an intervention plan which includes four service delivery components: facilitation of child communicative competence; educational advocacy and team decision making; information exchange; and…

  18. Alternative Summer Educational Programs for Urban Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Goldfarb, Mark; Israelson, Jo

    The paper describes the summer programs offered by Kendall Demonstration Elementary School, a year-round day school for elementary level hearing impaired students in Washington, D.C. The programs are explained to be based on a three-point philosophy: (1) summer programs should be different from those of the rest of the year; (2) summer programs…

  19. The Grammatical Morpheme Deficit in Moderate Hearing Impairment

    ERIC Educational Resources Information Center

    McGuckian, Maria; Henry, Alison

    2007-01-01

    Background: Much remains unknown about grammatical morpheme (GM) acquisition by children with moderate hearing impairment (HI) acquiring spoken English. Aims: To investigate how moderate HI impacts on the use of GMs in speech and to provide an explanation for the pattern of findings. Methods & Procedures: Elicited and spontaneous speech data were…

  20. Cognitive and Communicative Development in Hearing-Impaired Preschool Children.

    ERIC Educational Resources Information Center

    Kricos, Patricia B.; Aungst, Holle L.

    1984-01-01

    Describes a study that determines if an interrelationship exists between cognitive level, gestural development, and spoken English development in five hearing-impaired preschool children. Results suggest that a deaf child's cognitive development may be related to his/her communicative ability, especially in terms of pragmatic-semantic…

  1. Register of Children with Impaired Vision and Hearing.

    ERIC Educational Resources Information Center

    Wagner, Elizabeth

    The register of children (under 20 years of age) with impaired vision and hearing provides the number of children in deaf blind programs, other educational programs, at home, and in institutions for the mentally handicapped for the academic year 1968-9. Additional information on the 777 handicapped children registered by the American Foundation…

  2. Final Consonant Generalization in Hearing Impaired Children's Articulation.

    ERIC Educational Resources Information Center

    McReynolds, Leija V.

    1984-01-01

    Within a multiple baseline across behaviors design, four hearing impaired children (six to 13 years old) who initially omitted final consonants in words were taught to produce final /k/ and /v/ in a contrast training procedure. Results showed that Ss generalized both final target sounds to a high degree in spontaneous and non-spontaneous contexts.…

  3. The Learning Achievement in Thai Language for Hearing Impaired Students in Thailand

    ERIC Educational Resources Information Center

    Nuttaya, Iam-Khong; Surachai, Suksakulchai; Wacheerapan, Kaewprapan

    2011-01-01

    The development of language skills, reading and writing, is very important for hearing impaired students. However, there is no evident about the current language proficiency of Thai hearing impaired students. Therefore, the purposes of this research were to compare the language achievement of Thai hearing impaired students with the national…

  4. Additional Handicapping Conditions Among Hearing Impaired Students. United States: 1971-72.

    ERIC Educational Resources Information Center

    Gentile, Augustine; McCarthy Barbara

    The Annual Survey of Hearing Impaired Children and Youth (1971-72) obtained information on 42,513 students enrolled in 636 preschool, elementary, and secondary educational programs for the hearing impaired. Data were gathered on the number of hearing impaired students with additional handicapping conditions, the types of conditions reported, the…

  5. 45 CFR 1308.11 - Eligibility criteria: Hearing impairment including deafness.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... frequently, and receive speech, language or hearing services as indicated by the IEPs. As soon as special... 45 Public Welfare 4 2010-10-01 2010-10-01 false Eligibility criteria: Hearing impairment including... impairment including deafness. (a) A child is classified as deaf if a hearing impairment exists which is...

  6. 45 CFR 1308.11 - Eligibility criteria: Hearing impairment including deafness.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... frequently, and receive speech, language or hearing services as indicated by the IEPs. As soon as special... 45 Public Welfare 4 2011-10-01 2011-10-01 false Eligibility criteria: Hearing impairment including... impairment including deafness. (a) A child is classified as deaf if a hearing impairment exists which is...

  7. 45 CFR 1308.11 - Eligibility criteria: Hearing impairment including deafness.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... frequently, and receive speech, language or hearing services as indicated by the IEPs. As soon as special... 45 Public Welfare 4 2014-10-01 2014-10-01 false Eligibility criteria: Hearing impairment including... impairment including deafness. (a) A child is classified as deaf if a hearing impairment exists which is...

  8. 45 CFR 1308.11 - Eligibility criteria: Hearing impairment including deafness.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... frequently, and receive speech, language or hearing services as indicated by the IEPs. As soon as special... 45 Public Welfare 4 2013-10-01 2013-10-01 false Eligibility criteria: Hearing impairment including... impairment including deafness. (a) A child is classified as deaf if a hearing impairment exists which is...

  9. Anger Expression Styles of Hearing Impaired Individuals Doing Sport and Those Not Doing Sport

    ERIC Educational Resources Information Center

    Altin, Mehmet

    2015-01-01

    The aim of this research was to determine the anger expression styles between the sportive hearing impaired individuals and the sedentary hearing impaired individuals. In the sportive hearing impaired group, there were 170 participants: 62 females and 108 males doing basketball, volleyball and football teams as licensed sportsmen in various clubs…

  10. Lipreading sentences with vibrotactile vocoders: performance of normal-hearing and hearing-impaired subjects.

    PubMed

    Bernstein, L E; Demorest, M E; Coulter, D C; O'Connell, M P

    1991-12-01

    Three vibrotactile vocoders were compared in a training study involving several different speech perception tasks. Vocoders were: (1) the Central Institute for the Deaf version of the Queen's University vocoder, with 1/3-oct filter spacing and logarithmic output scaling (CIDLog) [Engebretson and O'Connell, IEEE Trans. Biomed. Eng. BME-33, 712-716 (1986)]; (2) the same vocoder with linear output scaling (CIDLin); and (3) the Gallaudet University vocoder designed with greater resolution in the second formant region, relative to the CID vocoders, and linear output scaling (GULin). Four normal-hearing subjects were assigned to either of two control groups, visual-only control and vocoder control, for which they received the CIDLog vocoder. Five normal-hearing and four hearing-impaired subjects were assigned to the linear vocoders. Results showed that the three vocoders provided equivalent information in word-initial and word-final tactile-only consonant identification. However, GULin was the only vocoder significantly effective in enhancing lipreading of isolated prerecorded sentences. Individual subject analyses showed significantly enhanced lipreading by the three normal-hearing and two hearing-impaired subjects who received the GULin vocoder. Over the entire training period of the experiment, the mean difference between aided and unaided lipreading of sentences by the GULin aided hearing-impaired subjects was approximately 6% words correct. Possible explanations for failure to confirm previous success with the CIDLog vocoder [Weisenberger et al., J. Acoust. Soc. Am. 86, 1764-1775 (1989)] are discussed. PMID:1838561

  11. Rapid word-learning in normal-hearing and hearing-impaired children

    PubMed Central

    Pittman, A. L.; Lewis, D. E.; Hoover, B. M.; Stelmachowicz, P. G.

    2008-01-01

    Objective This study examined rapid word learning in 5- to 14-year-old children with normal and impaired hearing. The effects of age and receptive vocabulary were examined as well as those of high-frequency amplification. Novel words were low-pass filtered at 4 kHz (typical of current amplification devices) and at 9 kHz. It was hypothesized that: 1) the children with normal hearing would learn more words than the children with hearing loss, 2) word learning would increase with age and receptive vocabulary for both groups, and 3) both groups would benefit from a broader frequency bandwidth. Design Sixty children with normal hearing and 37 children with moderate sensorineural hearing losses participated in this study. Each child viewed a 4-minute animated slideshow containing 8 nonsense words created using the 24 English consonant phonemes (3 consonants per word). Each word was repeated 3 times. Half of the 8 words were low-pass filtered at 4 kHz and half were filtered at 9 kHz. After viewing the story twice, each child was asked to identify the words from among pictures in the slide show. Prior to testing, a measure of current receptive vocabulary was obtained using the Peabody Picture Vocabulary Test (PPVT-III). Results The PPVT-III scores of the hearing-impaired children were consistently poorer than those of the normal-hearing children across the age range tested. A similar pattern of results was observed for word-learning in that the performance of the hearing-impaired children was significantly poorer than that of the normal-hearing children. Further analysis of the PPVT and word learning scores suggested that although word learning was delayed in the hearing-impaired children, their performance was consistent with their receptive vocabularies. Additionally, no correlation was found between overall performance and the age of identification, age of amplification, or years of amplification in the children with hearing loss. Results also revealed a small increase

  12. Spanish hearing impairment inventory for the elderly.

    PubMed

    López-Vázquez, Mónica; Orozco, José Antonio; Jiménez, Graciela; Berruecos, Pedro

    2002-06-01

    Self-assessment tools have proven to be useful in everyday practice in the audiology field, mostly in developed countries. There is a lack of such tests in Spanish. Our objective was to construct an inventory that could help us to identify elderly non-institutionalized patients who need an audiological assessment; we did not intend to identify or qualify emotional or social/situational reactions towards hearing handicap. As a prototype we initially translated, adapted and standardized the Hearing Handicap Inventory for the Elderly. This questionnaire was given to 60 elderly subjects. The performance on each question was compared with the audiometric results. After selecting useful and suitable questions, modifying some others and eliminating those with a poor performance, a new inventory in Spanish was developed. This final version was then tested in 63 elderly subjects. Very good scores were obtained for each question. An 'easy-to-use' rule is proposed in order to identify those patients who need to be audiologically tested. A brief meta-linguistic analysis is made on semantic and cultural factors that contributed to good translation and cultural adaptation. PMID:12154812

  13. Perception of spectral contrast by hearing-impaired listeners.

    PubMed

    Dreisbach, Laura E; Leek, Marjorie R; Lentz, Jennifer J

    2005-08-01

    The ability to discriminate the spectral shapes of complex sounds is critical to accurate speech perception. Part of the difficulty experienced by listeners with hearing loss in understanding speech sounds in noise may be related to a smearing of the internal representation of the spectral peaks and valleys because of the loss of sensitivity and an accompanying reduction in frequency resolution. This study examined the discrimination by hearing-impaired listeners of highly similar harmonic complexes with a single spectral peak located in 1 of 3 frequency regions. The minimum level difference between peak and background harmonics required to discriminate a small change in the spectral center of the peak was measured for peaks located near 2, 3, or 4 kHz. Component phases were selected according to an algorithm thought to produce either highly modulated (positive Schroeder) or very flat (negative Schroeder) internal waveform envelopes in the cochlea. The mean amplitude difference between a spectral peak and the background components required for discrimination of pairs of harmonic complexes (spectral contrast threshold) was from 4 to 19 dB greater for listeners with hearing impairment than for a control group of listeners with normal hearing. In normal-hearing listeners, improvements in threshold were seen with increasing stimulus level, and there was a strong effect of stimulus phase, as the positive Schroeder stimuli always produced lower thresholds than the negative Schroeder stimuli. The listeners with hearing loss showed no consistent spectral contrast effects due to stimulus phase and also showed little improvement with increasing stimulus level, once their sensitivity loss was overcome. The lack of phase and level effects may be a result of the more linear processing occurring in impaired ears, producing poorer-than-normal frequency resolution, a loss of gain for low amplitudes, and an altered cochlear phase characteristic in regions of damage. PMID:16378482

  14. Better-ear glimpsing in hearing-impaired listeners

    PubMed Central

    Best, Virginia; Mason, Christine R.; Kidd, Gerald; Iyer, Nandini; Brungart, Douglas S.

    2015-01-01

    When competing speech sounds are spatially separated, listeners can make use of the ear with the better target-to-masker ratio. Recent studies showed that listeners with normal hearing are able to efficiently make use of this “better-ear,” even when it alternates between left and right ears at different times in different frequency bands, which may contribute to the ability to listen in spatialized speech mixtures. In the present study, better-ear glimpsing in listeners with bilateral sensorineural hearing impairment, who perform poorly in spatialized speech mixtures, was investigated. The results suggest that this deficit is not related to better-ear glimpsing. PMID:25698053

  15. [Hearing impairment and language delay in infants: diagnostic and genetic].

    PubMed

    Lang-Roth, R

    2014-03-01

    This article gives an overview on important aspects of hearing and language development of infants and toddlers. Newborn hearing screening is implemented in Germany for all infants since January 2009. The realization of early postnatal hearing screening is regulated by a publication of the "Gemeinsamer Bundesausschuss". It regulates the measurement method (TEOAE or AABR screening) and differs between healthy and sick newborns. It also rules the timetable of rescreening and if it still fails of paedaudiological follow up. The second part refers to objective and subjective assessment of hearing loss and different important issues of permanent childhood hearing impairment are discussed. Especially CMV infection by materno-fetal transmission and hereditary hearing loss is addressed in comparison to otitis media with effusion. Speech and language development in the first three years of live and the corresponding nomenclature is introduced in the last part. Different parent questionnaires are well established in evaluation of early language acquisition. An early diagnosis of language delay is possible and therapeutic measures can be established to prevent further social and psychological problems. PMID:24710780

  16. A causal relationship between hearing loss and cognitive impairment.

    PubMed

    Park, So Young; Kim, Min Jung; Sikandaner, Huerxidan; Kim, Dong-Kee; Yeo, Sang Won; Park, Shi Nae

    2016-05-01

    Conclusion Moderate hearing loss in young mice caused decreases in cognition associated with spatial working and recognition memories in 6 months. These results provide evidence for a causal relationship between hearing loss and cognitive impairment. Objectives Hypothesized mechanisms to connect sensory and cognitive functions include the sensory-deprivation, information-degradation, and common-cause hypotheses. This study intended to investigate the effect of hearing loss on cognitive function, as estimated by radial arm maze (RAM) and novel object recognition (NOR) tasks in mice through age- and hearing-matched longitudinal work during a 6-month period. Methods Twenty-four male C57BL/6 mice aged 1 month with normal ABR thresholds were used. Twelve mice in the hearing loss (HL) group were exposed to white noise at 110 dB SPL for 60 min every day for 20 days. At post-noise 6 months, all mice underwent RAM and one-trial NOR test. RAM performance measures and NOR discrimination index were compared between two groups. Results At 6 months after noise exposure, all mice in the experimental group had moderate hearing loss. Most of the RAM performances improved gradually within each group across five trials, probably due to learning effect. The HL group showed lower performance scores than the control group in several trial points in the RAM task. The contact time with the novel object was shorter in the HL group than in the control group. PMID:26808715

  17. Oral communication in individuals with hearing impairment-considerations regarding attentional, cognitive and social resources.

    PubMed

    Lemke, Ulrike; Scherpiet, Sigrid

    2015-01-01

    Traditionally, audiology research has focused primarily on hearing and related disorders. In recent years, however, growing interest and insight has developed into the interaction of hearing and cognition. This applies to a person's listening and speech comprehension ability and the neural realization thereof. The present perspective extends this view to oral communication, when two or more people interact in social context. Specifically, the impact of hearing impairment and cognitive changes with age is discussed. In focus are executive functions, a group of top-down processes that guide attention, thought and action according to goals and intentions. The strategic allocation of the limited cognitive processing capacity among concurrent tasks is often effortful, especially under adverse communication conditions and in old age. Working memory, a sub-function extensively discussed in cognitive hearing science, is here put into the context of other executive and cognitive functions required for oral communication and speech comprehension. Finally, taking an ecological view on hearing impairment, activity limitations and participation restrictions are discussed regarding their psycho-social impact and third-party disability. PMID:26236268

  18. A Sociological Approach to the Social Integration of Hearing-Impaired and Normally Hearing Students.

    ERIC Educational Resources Information Center

    Lee, Carolyn; Antia, Shirin

    1992-01-01

    This paper describes Gordon Allport's contact theory (which contrasts effects of casual contact and contact leading to acquaintanceship) and the findings of social integration research. Theories are applied to fostering true social integration of hearing-impaired students being educated in mainstream settings. Educators are urged to maximize…

  19. Age-related hearing impairment and the triad of acquired hearing loss

    PubMed Central

    Yang, Chao-Hui; Schrepfer, Thomas; Schacht, Jochen

    2015-01-01

    Understanding underlying pathological mechanisms is prerequisite for a sensible design of protective therapies against hearing loss. The triad of age-related, noise-generated, and drug-induced hearing loss displays intriguing similarities in some cellular responses of cochlear sensory cells such as a potential involvement of reactive oxygen species (ROS) and apoptotic and necrotic cell death. On the other hand, detailed studies have revealed that molecular pathways are considerably complex and, importantly, it has become clear that pharmacological protection successful against one form of hearing loss will not necessarily protect against another. This review will summarize pathological and pathophysiological features of age-related hearing impairment (ARHI) in human and animal models and address selected aspects of the commonality (or lack thereof) of cellular responses in ARHI to drugs and noise. PMID:26283913

  20. Speech Production in Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Gold, Toni

    1980-01-01

    Investigations in recent years have indicated that only about 20% of the speech output of the deaf is understood by the "person on the street." This lack of intelligibility has been associated with some frequently occurring segmental and suprasegmental errors. Journal Availability: Elsevier North Holland, Inc., 52 Vanderbilt Avenue, New York, NY…

  1. The Relationship between Word and Stress Pattern Recognition Ability and Hearing Level in Hearing-Impaired Young Adults.

    ERIC Educational Resources Information Center

    Jackson, Pamela; Kelly-Ballweber, Denise

    1986-01-01

    The relationship between word and stress pattern recognition ability and hearing level was explored by administering the Children's Auditory Test to hearing-impaired young adults (N=27). For word recognition, subjects with average hearing loss between 85 and 100 decibels demonstrated a wide range of performance not predictable from their…

  2. Aided and Unaided Speech Perception by Older Hearing Impaired Listeners

    PubMed Central

    Woods, David L.; Arbogast, Tanya; Doss, Zoe; Younus, Masood; Herron, Timothy J.; Yund, E. William

    2015-01-01

    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 listeners

  3. Hearing impairment in Parkinson's disease: expanding the nonmotor phenotype.

    PubMed

    Vitale, Carmine; Marcelli, Vincenzo; Allocca, Roberto; Santangelo, Gabriella; Riccardi, Pasquale; Erro, Roberto; Amboni, Marianna; Pellecchia, Maria Teresa; Cozzolino, Autilia; Longo, Katia; Picillo, Marina; Moccia, Marcello; Agosti, Valeria; Sorrentino, G; Cavaliere, Michele; Marciano, Elio; Barone, Paolo

    2012-10-01

    The objective of this study was to evaluate hearing impairment in patients affected by Parkinson's disease compared with hearing scores observed in normal age- and sex-matched controls. One hundred eighteen consecutive patients with a clinical diagnosis of Parkinson's disease were screened. Severity of motor symptoms and staging were measured with the Unified Parkinson's Disease Rating Scale (section III) and the Hoehn and Yahr scale. Audiometric evaluation consisted of a comprehensive audiologic case history and questionnaire, visual otoscopic examination, acoustic immittance measures (tympanogram and acoustic reflexes), pure tone audiometry, and measurement of brain stem auditory-evoked potentials. Healthy age- and sex-matched subjects were selected as the control group. One hundred six of 118 patients were enrolled. Pure tone audiometry revealed age-dependent high-frequency hearing loss in patients with Parkinson's disease compared with both normative values and values for healthy age- and sex-matched controls (75/106 [71%], χ(2) = 5.959, P = .02; 92/106 [86.8%] vs 60/106 [56.6%], χ(2) = 23.804, P < .001, respectively). Pure tone audiometry scores correlated with Hoehn and Yahr scale scores (P < .05). Brain stem auditory-evoked potentials were normal in all patients. Our patients with Parkinson's disease showed age-dependent peripheral, unilateral, or bilateral hearing impairment. Whether these auditory deficits are intrinsic to Parkinson's disease or secondary to a more complex impaired processing of sensorial inputs occurring over the course of illness remains to be determined. Because α-synuclein is located predominately in the efferent neuronal system within the inner ear, it could affect susceptibility to noise-induced hearing loss or presbycusis. It is feasible that the natural aging process combined with neurodegenerative changes intrinsic to Parkinson's disease might interfere with cochlear transduction mechanisms, thus anticipating presbycusis. PMID

  4. Acoustics and sociolinguistics: Patterns of communication in hearing impairing classrooms

    NASA Astrophysics Data System (ADS)

    McKellin, William; Shahin, Kimary; Jamieson, Janet; Hodgson, Murray; Pichora-Fuller, Kathleen

    2005-04-01

    In elementary school classes, noise during student led activities is often taken as evidence of successful interaction and learning. In this complex social environment of elementary school classrooms, acquisition of complex language and social skills-the focus of activities in early education-is expected to take place in hearing-hostile environments. Communication and language processing in these contexts requires interactive strategies, discourse forms, and syntactic structures different from the educationally desired forms used in acoustically advantageous environments. Recordings were made of the interaction of groups of students in grades 1-3, 5, and 7 during collaborative group work in their regular classrooms. Each student wore microphones at the ear level and head-mounted video cameras. Each group as a whole was also audio- and videotaped and noise level readings were recorded. Analysis of the acoustical and phonological properties of language heard by each student has demonstrated that the language variety used in these noisy and reverberant settings is similar to that of individuals with hearing impairments. This paper reports similarities between the syntactic structures and pragmatic strategies used by hearing impaired children and normally hearing children in noisy contexts. [Work supported by Peter Wall Institute for Advanced Studies, University of British Columbia.

  5. Intrinsic fundamental frequency effects in hearing impaired speakers

    NASA Astrophysics Data System (ADS)

    Gick, Bryan; Bernhardt, Barbara; Bacsfalvi, Penelope

    2001-05-01

    The source of the well-known intrinsic fundamental frequency (IF0) effect of vowel height has been controversial for decades. Previous work has found the average IF0 effect cross-linguistically to be 15.3 Hz [Whalen and Levitt, J. Phonetics (1995)]. The present study investigates IF0 for four hearing-impaired speakers. Based on previous observations that profoundly hearing impaired speakers vary voice pitch less than normal hearing speakers [Osberger and McGarr, Speech Lang. (1982)], our participants were expected to show a reduced IF0 effect. However, results show an average IF0 effect of 22 Hz, with a markedly wide range across speakers, from -4 to 48 Hz, with three of the four participants showing an above average-sized effect. Further, results of measures taken following speech articulation intervention using visual feedback [Bernhardt et al., Clin. Linguist Phonet. (2003)] show a decrease in IF0 for the speakers with an over-sized effect, and an increase in the speaker with an under-sized effect, despite that neither IF0 nor pitch in general were included in treatment. Results of this study support a lingual-articulatory origin for IF0, as well as suggesting that normal-hearing speakers may use auditory feedback to mediate what would otherwise be a larger effect. [Research supported by NSERC.

  6. Real world issues in classroom acoustics for hearing impaired students

    NASA Astrophysics Data System (ADS)

    Kleinschmidt, Klaus

    2005-04-01

    Experience is being gained from evaluating and modifying the acoustical properties and background noise levels of existing classrooms for use by hearing impaired students. Projects include more than 25 schools in public school systems that are mainstreaming handicapped children. Various practical and economic restrictions have led to recommendations for modifications that do not necessarily comply with ANSI S12.60 2002. Examples of real world conditions and practical solutions will be described.

  7. Implementation and Evaluation of Computer-Aided Mandarin Phonemes Training System for Hearing-Impaired Students

    ERIC Educational Resources Information Center

    Yang, Hui-Jen; Lay, Yun-Long

    2005-01-01

    A computer-aided Mandarin phonemes training (CAMPT) system was developed and evaluated for training hearing-impaired students in their pronunciation of Mandarin phonemes. Deaf or hearing-impaired people have difficulty hearing their own voice, hence most of them cannot learn how to speak. Phonemes are the basis for learning to read and speak in…

  8. Positive Experiences and Life Aspirations among Adolescents with and without Hearing Impairments.

    ERIC Educational Resources Information Center

    Magen, Zipora

    1990-01-01

    Comparison of 79 normally hearing and 42 hearing-impaired adolescents found no differences regarding the intensity of their remembered positive experiences. Hearing-impaired subjects reported more positive interpersonal experiences, rarely experienced positive experiences "with self," and showed less desire for transpersonal commitment, even with…

  9. Deaf and Hearing Impaired Children in Regional and Rural Areas: Parent Views on Educational Services

    ERIC Educational Resources Information Center

    Checker, Lisa J.; Remine, Maria D.; Brown, P. Margaret

    2009-01-01

    The general trend for the inclusion of deaf and hearing impaired students in Australia involves placing students in a mainstream classroom setting alongside their hearing peers with regular support from a Visiting Teacher of the Deaf. The provision of educational services to deaf and hearing impaired students in regional and rural areas, however,…

  10. The Relationship of Audibility and the Development of Canonical Babbling in Young Children with Hearing Impairment

    ERIC Educational Resources Information Center

    Bass-Ringdahl, Sandie M.

    2010-01-01

    This article investigated the relationship between age at onset of canonical babbling and audibility of amplified speech in children with hearing impairment. Thirteen children with severe-profound hearing impairment and two children with normal hearing participated in a longitudinal investigation of vocalization development. A nonconcurrent…

  11. [Knowledge of laws by students with hearing impairment: results from the GINKO-project].

    PubMed

    Weber, A; Weber, U; Schlenker-Schulte, C; Schulte, K

    2013-12-01

    Legislation for people with disabilities has also changed due to other changes in the law, especially due to the recent ratification of the UN Convention on the Rights of Persons with Disabilities. These laws, in particular the UN Convention on the Rights of Persons with Disabilities, with its inclusion of the right to equitable and universal access to education for people with disabilities and their implementation, are of central importance for students who are impaired. As part of the GINKO (the legislative effect laws have on the professional integration of those who are hard of hearing, people who have gone deaf and those who are deaf through communication and organization; promotion: BMAS) project, the following questions were also brought up for discussion and were investigated: to what extent hearing-impaired students are aware of legislation that benefits them, whether these laws will be implemented, and what factors have an impact on this legal knowledge or its implementation. Overall, 4,825 handicapped individuals with hearing impairments - including n=166 students - took part in the survey. The results of the evaluation of the group of hearing-impaired students indicate that many of them are not informed about laws important to them. It was also found that the knowledge of a law cannot be equated with its implementation. This survey also resulted in a resolve for the future, to demand information about legal options be reinforced, and to adjust this information to fit the needs of specific target groups, e.g. this information could be disseminated through sign language films. On the other hand, these results also apply to higher education, for these institutions to create learning conditions where existing regulatory design options for students with disabilities are implemented, thereby affording students an equal opportunity to participate in higher education. PMID:23824568

  12. Better-ear glimpsing at low frequencies in normal-hearing and hearing-impaired listeners.

    PubMed

    Rana, Baljeet; Buchholz, Jörg M

    2016-08-01

    Better-ear glimpsing is an auditory process that takes advantage of short-term interaural level differences (ILDs) to improve the understanding of speech in spatial fluctuating noise. Since ILDs are mainly present at high frequencies, where most hearing-impaired (HI) listeners have the strongest hearing loss, HI individuals cannot fully utilize ILDs for better-ear glimpsing, which may lead to poorer understanding of speech in noise. This problem may be alleviated by hearing aids that artificially generate ILDs at low frequencies where hearing is typically less impaired. The present study therefore investigated the spatial benefit in speech intelligibility that is provided by better-ear glimpsing with low-frequency extended ILDs in a symmetric two-distractor speech background. Speech reception thresholds were measured in a spatially co-located and separated condition as a function of frequency region in ten normal-hearing (NH) and ten mild-to-moderate sensorineural HI subjects. In both groups the extended ILDs provided a substantial spatial advantage on top of the advantage already provided by natural ILDs. Moreover, the spatial advantage was largely independent of frequency region, suggesting that both NH and HI subjects can utilize low-frequency ILDs for improving speech understanding in noise. Overall performance as well as spatial advantage was reduced in the HI group. PMID:27586748

  13. Optimization of speech in noise with three signal processing algorithms for normal-hearing and hearing-impaired subjects

    NASA Astrophysics Data System (ADS)

    Franck, Bas A. M.; Dreschler, Wouter A.; Lyzenga, Johannes

    2002-05-01

    In this study a three-dimensional Simplex procedure was applied to optimize speech in noise by a combination of signal processing algorithms for different acoustic conditions and hearing losses. The algorithms used to span the three dimensions are noise reduction, spectral tilting, and spectral enhancement, respectively. Additionally, we studied the algorithms for their main effects and interaction effects within the optimization process. The subjects were asked to evaluate two consecutive, differently processed sentences on listening comfort. Three different noise types and two signal-to-noise ratios (S/N) were used. Three groups of subjects participated: normal hearing, normal hearing with simulated impaired auditory filtering (by spectral smearing), and sensorineurally hearing-impaired subjects. For the normal-hearing group we applied S/N=0 dB. For the hearing-impaired and the simulated hearing-impaired subjects we applied S/N=5 dB. We will discuss the similarities and differences in the response patterns of the three groups. Also, the individual preferences will be related to the hearing capacity, and to the type of interfering noise. Finally, we will discuss differences in the perceptual features that are used to judge listening comfort of the fragments by normal-hearing and hearing-impaired subjects.

  14. Cigarette smoking causes hearing impairment among Bangladeshi population.

    PubMed

    Sumit, Ahmed Faisal; Das, Anindya; Sharmin, Zinat; Ahsan, Nazmul; Ohgami, Nobutaka; Kato, Masashi; Akhand, Anwarul Azim

    2015-01-01

    Lifestyle including smoking, noise exposure with MP3 player and drinking alcohol are considered as risk factors for affecting hearing synergistically. However, little is known about the association of cigarette smoking with hearing impairment among subjects who carry a lifestyle without using MP3 player and drinking alcohol. We showed here the influence of smoking on hearing among Bangladeshi subjects who maintain a lifestyle devoid of using MP3 player and drinking alcohol. A total of 184 subjects (smokers: 90; non-smokers: 94) were included considering their duration and frequency of smoking for conducting this study. The mean hearing thresholds of non-smoker subjects at 1, 4, 8 and 12 kHz frequencies were 5.63 ± 2.10, 8.56±5.75, 21.06 ± 11.06, 40.79 ± 20.36 decibel (dB), respectively and that of the smokers were 7 ± 3.8, 13.27 ± 8.4, 30.66 ± 12.50 and 56.88 ± 21.58 dB, respectively. The hearing thresholds of the smokers at 4, 8 and 12 kHz frequencies were significantly (p<0.05) higher than those of the non-smokers, while no significant differences were observed at 1 kHz frequency. We also observed no significant difference in auditory thresholds among smoker subgroups based on smoking frequency. In contrast, subjects smoked for longer duration (>5 years) showed higher level of auditory threshold (62.16 ± 19.87 dB) at 12 kHz frequency compared with that (41.52 ± 19.21 dB) of the subjects smoked for 1-5 years and the difference in auditory thresholds was statistically significant (p<0.0002). In this study, the Brinkman Index (BI) of smokers was from 6 to 440 and the adjusted odds ratio showed a positive correlation between hearing loss and smoking when adjusted for age and body mass index (BMI). In addition, age, but not BMI, also played positive role on hearing impairment at all frequencies. Thus, these findings suggested that cigarette smoking affects hearing level at all the frequencies tested but most significantly at extra higher frequencies. PMID

  15. The effect of symmetrical and asymmetrical hearing impairment on music quality perception.

    PubMed

    Cai, Yuexin; Zhao, Fei; Chen, Yuebo; Liang, Maojin; Chen, Ling; Yang, Haidi; Xiong, Hao; Zhang, Xueyuan; Zheng, Yiqing

    2016-09-01

    The purpose of this study was to investigate the effect of symmetrical, asymmetrical and unilateral hearing impairment on music quality perception. Six validated music pieces in the categories of classical music, folk music and pop music were used to assess music quality in terms of its 'pleasantness', 'naturalness', 'fullness', 'roughness' and 'sharpness'. 58 participants with sensorineural hearing loss [20 with unilateral hearing loss (UHL), 20 with bilateral symmetrical hearing loss (BSHL) and 18 with bilateral asymmetrical hearing loss (BAHL)] and 29 normal hearing (NH) subjects participated in the present study. Hearing impaired (HI) participants had greater difficulty in overall music quality perception than NH participants. Participants with BSHL rated music pleasantness and naturalness to be higher than participants with BAHL. Moreover, the hearing thresholds of the better ears from BSHL and BAHL participants as well as the hearing thresholds of the worse ears from BSHL participants were negatively correlated to the pleasantness and naturalness perception. HI participants rated the familiar music pieces higher than unfamiliar music pieces in the three music categories. Music quality perception in participants with hearing impairment appeared to be affected by symmetry of hearing loss, degree of hearing loss and music familiarity when they were assessed using the music quality rating test (MQRT). This indicates that binaural symmetrical hearing is important to achieve a high level of music quality perception in HI listeners. This emphasizes the importance of provision of bilateral hearing assistive devices for people with asymmetrical hearing impairment. PMID:26611684

  16. Management of hearing aid assembly by urban-dwelling hearing-impaired adults in a developed country: implications for a self-fitting hearing aid.

    PubMed

    Convery, Elizabeth; Keidser, Gitte; Hartley, Lisa; Caposecco, Andrea; Hickson, Louise; Meyer, Carly

    2011-12-01

    A self-fitting hearing aid, designed to be assembled and programmed without audiological or computer support, could bring amplification to millions of people in developing countries, who remain unaided due to the lack of a local, professional, audiological infrastructure. The ability to assemble and insert a hearing aid is fundamental to the successful use of a self-fitting device. In this study, the management of such tasks was investigated. Eighty older, urban-dwelling, hearing-impaired adults in a developed country were asked to follow a set of written, illustrated instructions to assemble two slim-fit behind-the-ear hearing aids. Participants were allowed to access assistance with the task from an accompanying partner. A range of personal and audiometric variables was measured through the use of structured questionnaires and standardized tests of health literacy, cognitive function, and manual dexterity. The results showed that 99% of participants were able to complete the hearing aid assembly task, either on their own or with assistance. Health literacy, or the ability to read and understand health-related text, and gender most strongly influenced participants' ability to complete the assembly task independently and accurately. Higher levels of health literacy were associated with an increased likelihood of independent and successful task completion. Male participants were more likely to complete the task on their own, while female participants were more likely to assemble the device without errors. The results of this study will inform future work regarding development of educational material for the self-fitting hearing aid as well as candidacy for such a device. PMID:22200734

  17. The Investigation of Physical Performance Status of Visually and Hearing Impaired Applying Judo Training Program

    ERIC Educational Resources Information Center

    Karakoc, Onder

    2016-01-01

    It was aimed to investigate the physical performances of visually and hearing impaired doing judo training in this study. 32 male athletes, who were doing judo training, volunteer and, visually and hearing impaired, participated in this study. The investigation was applied to visually impaired (N = 12, mean ± SD; age: 25.75 ± 3.55 years, height:…

  18. Mid-bandwidth loudness depression in hearing-impaired listeners.

    PubMed

    Hots, Jan; Jarzombek, Katrin; Verhey, Jesko L

    2016-05-01

    The loudness of a bandpass-filtered noise depends on its bandwidth. For bandwidths larger than a critical bandwidth, loudness increases as the bandwidth increases, an effect commonly referred to as spectral loudness summation. For bandwidths smaller than the critical bandwidth, it was shown recently for normal-hearing listeners that loudness decreases as the bandwidth increases. This study investigated if listeners with a hearing impairment of primarily cochlear origin also showed this effect. Levels at equal loudness between a 1500-Hz pure-tone reference and noise-band targets centered at 1500 Hz were measured for bandwidths in the range from 15 to 1620 Hz. The reference level was adjusted individually on the basis of the audiogram. The average level difference at equal loudness increased from 0 dB at 15 Hz up to a maximum of about 4 dB at 810 Hz. Thus, the mid-bandwidth loudness depression is also observed for hearing-impaired listeners. PMID:27250129

  19. Spectral-peak selection in spectral-shape discrimination by normal-hearing and hearing-impaired listeners.

    PubMed

    Lentz, Jennifer J

    2006-08-01

    Spectral-shape discrimination thresholds were measured in the presence and absence of noise to determine whether normal-hearing and hearing-impaired listeners rely primarily on spectral peaks in the excitation pattern when discriminating between stimuli with different spectral shapes. Standard stimuli were the sum of 2, 4, 6, 8, 10, 20, or 30 equal-amplitude tones with frequencies fixed between 200 and 4000 Hz. Signal stimuli were generated by increasing and decreasing the levels of every other standard component. The function relating the spectral-shape discrimination threshold to the number of components (N) showed an initial decrease in threshold with increasing N and then an increase in threshold when the number of components reached 10 and 6, for normal-hearing and hearing-impaired listeners, respectively. The presence of a 50-dB SPL/Hz noise led to a 1.7 dB increase in threshold for normal-hearing listeners and a 3.5 dB increase for hearing-impaired listeners. Multichannel modeling and the relatively small influence of noise suggest that both normal-hearing and hearing-impaired listeners rely on the peaks in the excitation pattern for spectral-shape discrimination. The greater influence of noise in the data from hearing-impaired listeners is attributed to a poorer representation of spectral peaks. PMID:16938982

  20. Multisensory dysfunction accompanies crossmodal plasticity following adult hearing impairment

    PubMed Central

    Meredith, M. Alex; Keniston, Leslie P.; Allman, Brian L.

    2012-01-01

    Until now, cortical crossmodal plasticity has largely been regarded as the effect of early and complete sensory loss. Recently, massive crossmodal cortical reorganization was demonstrated to result from profound hearing loss in adult ferrets (Allman et al., 2009a). Moderate adult hearing loss, on the other hand, induced not just crossmodal reorganization, but also merged new crossmodal inputs with residual auditory function to generate multisensory neurons. Because multisensory convergence can lead to dramatic levels of response integration when stimuli from more than one modality are present (and thereby potentially interfere with residual auditory processing), the present investigation sought to evaluate the multisensory properties of auditory cortical neurons in partially deafened adult ferrets. When compared with hearing controls, partially-deaf animals revealed elevated spontaneous levels and a dramatic increase (~2 times) in the proportion of multisensory cortical neurons, but few of which showed multisensory integration. Moreover, a large proportion (68%) of neurons with somatosensory and/or visual inputs was vigorously active in core auditory cortex in the absence of auditory stimulation. Collectively, these results not only demonstrate multisensory dysfunction in core auditory cortical neurons from hearing impaired adults but also reveal a potential cortical substrate for maladaptive perceptual effects such as tinnitus. PMID:22516008

  1. Installation and impact of sound field systems on hearing and hearing impaired children and their teachers

    NASA Astrophysics Data System (ADS)

    Dockrell, Julie; Rigby, Kate; Shield, Bridget; Carey, Anne

    2005-04-01

    An evaluation of the installation and use of sound field systems in ten schools in England has been carried out. The evaluation included noise surveys of classrooms, questionnaire surveys of pupils and teachers and experimental testing of children with and without the use of SFS. The aim of this project was to investigate the impact of SFS on teaching and learning in elementary school classrooms, in particular, to ascertain whether the SFS differentially benefited children with hearing impairments. Barriers to teachers use of SFS were found in terms of equipment placement and maintenance, appropriate training, and teacher's knowledge. Nonetheless positive reports are recorded from both teachers and pupils. Teachers' and pupils' perceptions are compared with objective data evaluating change in performance when SFS are used for language and cognitive tasks. Data from children with hearing impairments and additional learning needs are analyzed for comparative purposes. The results are discussed in terms of effective practice for the use of SFS with elementary school pupils.

  2. Cost-effectiveness of a vocational enablement protocol for employees with hearing impairment; design of a randomized controlled trial

    PubMed Central

    2012-01-01

    Background Hearing impairment at the workplace, and the resulting psychosocial problems are a major health problem with substantial costs for employees, companies, and society. Therefore, it is important to develop interventions to support hearing impaired employees. The objective of this article is to describe the design of a randomized controlled trial evaluating the (cost-) effectiveness of a Vocational Enablement Protocol (VEP) compared with usual care. Methods/Design Participants will be selected with the 'Hearing and Distress Screener'. The study population will consist of 160 hearing impaired employees. The VEP intervention group will be compared with usual care. The VEP integrated care programme consists of a multidisciplinary assessment of auditory function, work demands, and personal characteristics. The goal of the intervention is to facilitate participation in work. The primary outcome measure of the study is 'need for recovery after work'. Secondary outcome measures are coping with hearing impairment, distress, self-efficacy, psychosocial workload, job control, general health status, sick leave, work productivity, and health care use. Outcome measures will be assessed by questionnaires at baseline, and 3, 6, 9, and 12 months after baseline. The economic evaluation will be performed from both a societal and a company perspective. A process evaluation will also be performed. Discussion Interventions addressing occupational difficulties of hearing impaired employees are rare but highly needed. If the VEP integrated care programme proves to be (cost-) effective, the intervention can have an impact on the well-being of hearing impaired employees, and thereby, on the costs for the company as well for the society. Trial registration Netherlands Trial Register (NTR): NTR2782 PMID:22380920

  3. Aural rehabilitation of hearing-impaired adults (official policy of the British Society of Audiology).

    PubMed

    Markides, A; Brooks, D N; Hart, F G; Stephens, S D

    1979-02-01

    This report, which outlines the official policy of the British Society of Audiology on the aural rehabilitation of hearing impaired adults, (a) estimates the prevalence of hearing impairment in adults in the United Kingdom; (b) identifies the main problems associated with hearing impairment in adults; (c) outlines the main aural rehabilitative procedures and (d) puts forward recommendations for future developments in this area. PMID:435658

  4. Help! Libraries and the Hard of Hearing.

    ERIC Educational Resources Information Center

    1982

    This transcript contains the text of three speeches on the problems of people with hearing impairments and the provision of library services to the hard of hearing. Howard Edward (Rocky) Stone, founder of Self-Help-For-Hearing-Impaired-People, Inc., describes his difficulties as a hearing impaired person, the growing number of Americans with…

  5. Personality Traits and Impairment Experiences of Abusive Drinkers.

    ERIC Educational Resources Information Center

    Giga, Susan; Redfering, David L.

    1983-01-01

    Examined the relationship between personality traits and impairment experiences of 80 males who completed the California Psychological Inventory and an impairment scale. Results showed significant differences between the personality scores of impaired and unimpaired problem drinkers, suggesting that impairment aspects differ both in nature and…

  6. The benefit of gestures during communication: evidence from hearing and hearing-impaired individuals.

    PubMed

    Obermeier, Christian; Dolk, Thomas; Gunter, Thomas C

    2012-07-01

    There is no doubt that gestures are communicative and can be integrated online with speech. Little is known, however, about the nature of this process, for example, its automaticity and how our own communicative abilities and also our environment influence the integration of gesture and speech. In two Event Related Potential (ERP) experiments, the effects of gestures during speech comprehension were explored. In both experiments, participants performed a shallow task thereby avoiding explicit gesture-speech integration. In the first experiment, participants with normal hearing viewed videos in which a gesturing actress uttered sentences which were either embedded in multi-speaker babble noise or not. The sentences contained a homonym which was disambiguated by the information in a gesture, which was presented asynchronous to speech (1000 msec earlier). Downstream, the sentence contained a target word that was either related to the dominant or subordinate meaning of the homonym and was used to indicate the success of the disambiguation. Both the homonym and the target word position showed clear ERP evidence of gesture-speech integration and disambiguation only under babble noise. Thus, during noise, gestures were taken into account as an important communicative cue. In Experiment 2, the same asynchronous stimuli were presented to a group of hearing-impaired students and age-matched controls. Only the hearing-impaired individuals showed significant speech-gesture integration and successful disambiguation at the target word. The age-matched controls did not show any effect. Thus, individuals who chronically experience suboptimal communicative situations in daily life automatically take gestures into account. The data from both experiments indicate that gestures are beneficial in countering difficult communication conditions independent of whether the difficulties are due to external (babble noise) or internal (hearing impairment) factors. PMID:21397223

  7. "Non-Vocalization": A Phonological Error Process in the Speech of Severely and Profoundly Hearing Impaired Adults, from the Point of View of the Theory of Phonology as Human Behaviour

    ERIC Educational Resources Information Center

    Halpern, Orly; Tobin, Yishai

    2008-01-01

    "Non-vocalization" (N-V) is a newly described phonological error process in hearing impaired speakers. In N-V the hearing impaired person actually articulates the phoneme but without producing a voice. The result is an error process looking as if it is produced but sounding as if it is omitted. N-V was discovered by video recording the speech of…

  8. Comparing participation in out of school activities between children with visual impairments, children with hearing impairments and typical peers.

    PubMed

    Engel-Yeger, Batya; Hamed-Daher, Shaima

    2013-10-01

    Hearing or visual impairments may negatively affect child's development and participation. Yet the literature about participation of children with hearing or visual impairments is insufficient. The present study aimed to compare participation patterns of children with visual impairments to those of children with hearing impairments and to typical peers and to examine the correlations between participation and socio-demographic parameters in each group. Participants were 70 children between the ages of 6-11: 25 with hearing impairments, 20 with visual impairments and 25 typical peers. All children filled the Children's Assessment of Participation and Enjoyment (CAPE). This self-report refers to participation in daily out of school activities. Children with hearing or visual impairments showed significant limited participation compared to typical peers, expressed in lower number of activities, lower participation intensity; more activities performed at home and with someone else. The limited participation was more emphasized among children with visual impairments. Socio-demographic variables (age, mother's education and socio-economic level) correlated with participation dimensions in both study groups. In conclusion, children with hearing or visual impairments may have restricted participation in out of school activities. Socio-demographic parameters may play a role in encouraging child's participation. Participation among these populations should be further studied in order to assist service providers to create intervention programs together with the child, for enhancing his/her inclusion in the community. PMID:23880031

  9. Spectral and binaural loudness summation for hearing-impaired listeners.

    PubMed

    Oetting, Dirk; Hohmann, Volker; Appell, Jens-E; Kollmeier, Birger; Ewert, Stephan D

    2016-05-01

    Sensorineural hearing loss typically results in a steepened loudness function and a reduced dynamic range from elevated thresholds to uncomfortably loud levels for narrowband and broadband signals. Restoring narrowband loudness perception for hearing-impaired (HI) listeners can lead to overly loud perception of broadband signals and it is unclear how binaural presentation affects loudness perception in this case. Here, loudness perception quantified by categorical loudness scaling for nine normal-hearing (NH) and ten HI listeners was compared for signals with different bandwidth and different spectral shape in monaural and in binaural conditions. For the HI listeners, frequency- and level-dependent amplification was used to match the narrowband monaural loudness functions of the NH listeners. The average loudness functions for NH and HI listeners showed good agreement for monaural broadband signals. However, HI listeners showed substantially greater loudness for binaural broadband signals than NH listeners: on average a 14.1 dB lower level was required to reach "very loud" (range 30.8 to -3.7 dB). Overall, with narrowband loudness compensation, a given binaural loudness for broadband signals above "medium loud" was reached at systematically lower levels for HI than for NH listeners. Such increased binaural loudness summation was not found for loudness categories below "medium loud" or for narrowband signals. Large individual variations in the increased loudness summation were observed and could not be explained by the audiogram or the narrowband loudness functions. PMID:27006003

  10. Binaural speech discrimination under noise in hearing-impaired listeners

    NASA Technical Reports Server (NTRS)

    Kumar, K. V.; Rao, A. B.

    1988-01-01

    This paper presents the results of an assessment of speech discrimination by hearing-impaired listeners (sensori-neural, conductive, and mixed groups) under binaural free-field listening in the presence of background noise. Subjects with pure-tone thresholds greater than 20 dB in 0.5, 1.0 and 2.0 kHz were presented with a version of the W-22 list of phonetically balanced words under three conditions: (1) 'quiet', with the chamber noise below 28 dB and speech at 60 dB; (2) at a constant S/N ratio of +10 dB, and with a background white noise at 70 dB; and (3) same as condition (2), but with the background noise at 80 dB. The mean speech discrimination scores decreased significantly with noise in all groups. However, the decrease in binaural speech discrimination scores with an increase in hearing impairment was less for material presented under the noise conditions than for the material presented in quiet.

  11. Acquisition of hearing aids and assistive listening devices among the pediatric hearing-impaired population.

    PubMed

    Leake, F S; Thompson, J W; Simms, E; Bailey, J; Stocks, R M; Murphy, A M

    2000-05-30

    Sufficient access to health care is of concern to the indigent population in the US and to their health care providers. This study was undertaken to elucidate the rate of the follow-up among lower socioeconomic hearing-impaired pediatric patients who had received a recommendation for hearing aids and/or assistive listening devices. Our question was, would the families' financial situation have a negative effect on the acquisition of hearing aids and assistive listening devices? Fifty patients, age 0-18 years, who had been seen in our clinic over 2 years were evaluated via a telephone survey. The survey consisted of seven questions, including whether or not the devices or aids were obtained, what type was purchased, where the device was being used, and the child's apparent performance with the device. Eighty-two percent of our patients were on TennCare, a state mandated Medicaid HMO system. Two-thirds of these TennCare patients are at or below the poverty level and the remaining one-third is either disabled or uninsurable according to the Aid for Dependent Children (AFDC) with indeterminate income. In addition the TennCare organization did not cover hearing amplification equipment for these children. The study showed that the majority of the patients did follow-up as recommended. Furthermore, this equipment is easily obtainable for the pediatric indigent population due to financial resources available in the community outside the mandated Medicaid system. PMID:10841954

  12. Open-Set Word Identification by an Adult with Profound Hearing Impairment: Integration of Touch, Aided Hearing, and Speechreading.

    ERIC Educational Resources Information Center

    Lynch, Michael P.; And Others

    1992-01-01

    The ability of an adult with profound hearing impairment to integrate speech information from touch, aided hearing, and speechreading in identification of open-set words was investigated. Results indicated that the subject integrated speech information across modalities, with highest performance in the condition including speechreading plus aided…

  13. Coordination of Gaze and Speech in Communication between Children with Hearing Impairment and Normal-Hearing Peers

    ERIC Educational Resources Information Center

    Sandgren, Olof; Andersson, Richard; van de Weijer, Joost; Hansson, Kristina; Sahlén, Birgitta

    2014-01-01

    Purpose: To investigate gaze behavior during communication between children with hearing impairment (HI) and normal-hearing (NH) peers. Method: Ten HI-NH and 10 NH-NH dyads performed a referential communication task requiring description of faces. During task performance, eye movements and speech were tracked. Using verbal event (questions,…

  14. Vowel Identification by Listeners with Hearing Impairment in Response to Variation in Formant Frequencies

    ERIC Educational Resources Information Center

    Molis, Michelle R.; Leek, Marjorie R.

    2011-01-01

    Purpose: This study examined the influence of presentation level and mild-to-moderate hearing loss on the identification of a set of vowel tokens systematically varying in the frequency locations of their second and third formants. Method: Five listeners with normal hearing (NH listeners) and five listeners with hearing impairment (HI listeners)…

  15. Social Interactions of Preschoolers with and without Impaired Hearing in Integrated Kindergarten.

    ERIC Educational Resources Information Center

    Brown, P. Margaret; Remine, Maria D.; Prescott, Sonia J.; Rickards, Field W.

    2000-01-01

    This study investigated the social competence of children with normal hearing (n=10) and children with impaired hearing (n=10) who attended an integrated preschool program for 4- to 5-year-olds. Observation of sociodramatic play and nonplay activities showed child entry behaviors were associated both with the hearing status of participants and…

  16. Mothers' Speech to Hearing-Impaired Infants and Children with Cochlear Implants

    ERIC Educational Resources Information Center

    Bergeson, Tonya R.; Miller, Rachel J.; McCune, Kasi

    2006-01-01

    This study investigated the effects of age, hearing loss, and cochlear implantation on mothers' speech to infants and children. We recorded normal-hearing (NH) mothers speaking to their children as they typically would do at home and speaking to an adult experimenter. Nine infants (10-37 months) were hearing-impaired and had used a cochlear…

  17. Spoken and Written Narratives in Swedish Children and Adolescents with Hearing Impairment

    ERIC Educational Resources Information Center

    Asker-Arnason, Lena; Akerlund, Viktoria; Skoglund, Cecilia; Ek-Lagergren, Ingela; Wengelin, Asa; Sahlen, Birgitta

    2012-01-01

    Twenty 10- to 18-year-old children and adolescents with varying degrees of hearing impairment (HI) and hearing aids (HA), ranging from mild-moderate to severe, produced picture-elicited narratives in a spoken and written version. Their performance was compared to that of 63 normally hearing (NH) peers within the same age span. The participants…

  18. Working Memory as a Predictor of Reading Achievement in Orally Educated Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Daneman, Meredyth; And Others

    1995-01-01

    This study found that three measures of working memory capacity (processing and storage capacity, reading and listening span, and visual shape span) were good predictors of reading achievement in 30 orally educated children (ages 5 to 14) with hearing impairments as well as in an age-matched hearing control group. Degree of hearing loss did not…

  19. Affective Properties of Mothers' Speech to Infants with Hearing Impairment and Cochlear Implants

    ERIC Educational Resources Information Center

    Kondaurova, Maria V.; Bergeson, Tonya R.; Xu, Huiping; Kitamura, Christine

    2015-01-01

    Purpose: The affective properties of infant-directed speech influence the attention of infants with normal hearing to speech sounds. This study explored the affective quality of maternal speech to infants with hearing impairment (HI) during the 1st year after cochlear implantation as compared to speech to infants with normal hearing. Method:…

  20. Speech pattern hearing aids for the profoundly hearing impaired: speech perception and auditory abilities.

    PubMed

    Faulkner, A; Ball, V; Rosen, S; Moore, B C; Fourcin, A

    1992-04-01

    A family of prototype speech pattern hearing aids for the profoundly hearing impaired has been compared to amplification. These aids are designed to extract acoustic speech patterns that convey essential phonetic contrasts, and to match this information to residual receptive abilities. In the first study, the presentation of voice fundamental frequency information from a wearable SiVo (sinusoidal voice) aid was compared to amplification in 11 profoundly deafened adults. Intonation reception was often better, and never worse, with fundamental frequency information. Four subjects scored more highly in audio-visual consonant identification with fundamental frequency information, five performed better with amplified speech, and two performed similarly under these two conditions. Five of the 11 subjects continued use of the SiVo aid after the tests were complete. A second study examined a laboratory prototype compound speech pattern aid, which encoded voice fundamental frequency, amplitude envelope, and the presence of voiceless excitation. In five profoundly deafened adults, performance was better in consonant identification when additional speech patterns were present than with fundamental frequency alone; the main advantage was derived from amplitude information. In both consonant identification and connected discourse tracking, performance with appropriately matched compound speech pattern signals was better than with amplified speech in three subjects, and similar to performance with amplified speech in the other two. In nine subjects, frequency discrimination, gap detection, and frequency selectivity were measured, and were compared to speech receptive abilities with both amplification and fundamental frequency presentation. The subjects who showed the greatest advantage from fundamental frequency presentation showed the greatest average hearing losses, and the least degree of frequency selectivity. Compound speech pattern aids appear to be more effective for some

  1. How Students with Hearing Impairments: Can Learn and Flourish in Your Music Classroom

    ERIC Educational Resources Information Center

    Butler, Maureen

    2004-01-01

    Activities in music class allow students, especially students with hearing impairments, to explore new means of expression and to enhance existing ones. Additional benefits may include increases in auditory awareness, cognitive ability, attention span, memory recall, and vocabulary. Students with hearing impairments can learn and flourish in music…

  2. Learning Not to Listen: The Experiences of Musicians with Hearing Impairments

    ERIC Educational Resources Information Center

    Fulford, Robert; Ginsborg, Jane; Goldbart, Juliet

    2011-01-01

    The journey from playful musical exploration in childhood to an adult identity as a skilled musician is likely to be problematic for people with hearing impairments. Although a number of subjective accounts have been published, there is a lack of empirical research in the area. In this study, twelve musicians with hearing impairments were…

  3. Teachers' Knowledge of the Relationship of Auditory Acuity and Hearing Impairment to Reading.

    ERIC Educational Resources Information Center

    Marshall, Evelyn Myrtle

    Teacher's knowledge of the relationship of auditory acuity and hearing impairment to reading was evaluated with 60 teachers and specialists (regular classroom primary and upper elementary teachers, reading teachers, teachers of the learning disabled, teachers of the hearing impaired, and speech and language pathologists). Ss were administered a…

  4. A Curriculum for Mainstreamed Preschool Children Who Are Hearing Impaired developed by Project CHIME.

    ERIC Educational Resources Information Center

    Pucciarelli, Catherine S., Ed.

    Project CHIME (Children with Hearing Impairments in Mainstreamed Environments) was developed to create a curriculum for use by professionals who are providing mainstreaming opportunities for hearing-impaired preschoolers. The CHIME curriculum is divided into five activity areas that are part of the growth and development process for all…

  5. A Picture-Identification Test for Hearing-Impaired Children. Final Report.

    ERIC Educational Resources Information Center

    Ross, Mark; Lerman, Jay

    The Word Intelligibility by Picture Identification Test (WIPI) was developed to measure speech discrimination ability in hearing impaired children. In the first phase of development, the word stimuli were evaluated to determine whether they were within the recognition vocabulary of 15 hearing impaired children (aged 6 to 12) and whether the…

  6. Causes and Prevalence of Antisocial Behaviour among Students with Hearing Impairment in Ibadan, Nigeria

    ERIC Educational Resources Information Center

    Ojo, Isaiah Olugbenga

    2015-01-01

    This study examined the causes and prevalence of antisocial behaviour among secondary school students with hearing impairment in Ibadan, Nigeria. Descriptive survey research design was adopted to carry out the study. Purposive sampling technique was used to select 60 students with hearing impairment from Methodist Grammar School (Deaf Unit),…

  7. Determination of Hearing-Impaired Students' Requirements for Editing and Revision of Written Texts

    ERIC Educational Resources Information Center

    Karasu, H. Pelin

    2014-01-01

    The editing and revision stages are an important part of the writing process. This study documented the types of revisions, revision units, and revision methods used during writing conferences with hearing-impaired students. The study included seventeen hearing-impaired students educated with the auditory/oral approach and enrolled in grades six…

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

    ERIC Educational Resources Information Center

    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…

  9. The Hearing-Impaired-Formal In-Service (Hi-Fi) Program

    ERIC Educational Resources Information Center

    Nober, Linda W.

    1975-01-01

    Described briefly are the contents and availability of the HI-FI (Hearing Impaired Formal In-Service) Program which was designed to be used as the basis for an in-service education workshop on mainstreaming severely hearing impaired children. (LS)

  10. A Comparison of Social Behaviors among Nonhandicapped and Hearing Impaired Children.

    ERIC Educational Resources Information Center

    Macklin, G. Faye; Matson, Johnny L.

    1985-01-01

    Results of multivariate analysis of variance on scores of 30 hearing impaired and 30 nonhandicapped 8- to 14-year-olds on the "Matson Evaluation of Social Skills with Youngsters" suggested that hearing impaired Ss were compliant, displayed appropriate affect, and followed rules. However, their positive responses were not as assertive as those of…

  11. Personnel Preparation: Training Specialists to Work with Young Hearing Impaired Children and Their Families.

    ERIC Educational Resources Information Center

    McDermott, Sharon; Ivy, Ellen

    The Parent Infant Resource Systems program at the Lexington School for the Deaf (Jackson Heights, NY) provides intensive coursework and hands on experiences for professionals concerned with the needs of hearing impaired and/or multiply handicapped hearing impaired infants and their families. One of the training activities, a 6 week training…

  12. Mother-Child Story Book Interactions: Literacy Orientation of Pre-Schoolers with Hearing Impairment

    ERIC Educational Resources Information Center

    Kaderavek, Joan N.; Pakulski, Lori A.

    2007-01-01

    The current study explored literacy interest or orientation of pre-school children with hearing impairment during mother-child story book interactions. Twelve pre-schoolers with varying types and levels of hearing impairment were observed during mother-child home book reading and toy play. Story books included both narrative and manipulative book…

  13. Analyzing the Subjective Consciousness of the Hearing-Impaired Students in Fine-Art Teaching

    ERIC Educational Resources Information Center

    Gao, Yang

    2009-01-01

    Initiative plays an important role in special fine art education. Teachers should take into full consideration the profile of the hearing-impaired students. For better teaching achievement, it is the teachers who shoulder the responsibility to activate the subjective role and consciousness of the hearing-impaired students by arousing their sense…

  14. Program for Hearing Impaired Adolescents: Secondary School Phase. Maxi II Practicum Report.

    ERIC Educational Resources Information Center

    Lynch, Edward J.

    Described in the practicum report is the design, implementation, and evaluation of the first comprehensive high school program for five hearing impaired adolescents in Southeastern Massachusetts. Sections focus on the following topics: the Southeastern region's need for a high school hearing impaired program, the impact of the state invitation to…

  15. Studies in Achievement Testing, Hearing Impaired Students. United States: Spring 1971.

    ERIC Educational Resources Information Center

    Gallaudet Coll., Washington, DC. Office of Demographic Studies.

    Results of three studies based on Stanford Achievement Test data collected during the National Achievement Testing Program for Hearing Impaired Students in Spring, 1971 are reported. Compared in the first study are performance patterns of hearing impaired students on the Intermediate I and Advanced batteries with patterns of hearing…

  16. Development and Evaluation of Computer-Aided Music-Learning System for the Hearing Impaired

    ERIC Educational Resources Information Center

    Yang, H.-J.; Lay, Y.-L.; Liou, Y.-C.; Tsao, W.-Y.; Lin, C.-K.

    2007-01-01

    A computer-assisted music-learning system (CAMLS) has been developed to help the hearing impaired practice playing a musical melody. The music-learning performance is evaluated to test the usability of the system. This system can be a computer-supported learning tool for the hearing impaired to help them understand what pitch and tempo are, and…

  17. 78 FR 66940 - Regulatory Requirements for Hearing Aid Devices and Personal Sound Amplification Products; Draft...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-07

    ... Sound Amplification Products; Draft Guidance for Industry and Food and Drug Administration Staff... Hearing Aid Devices and Personal Sound Amplification Products.'' This draft guidance clarifies the distinction between hearing aids and personal sound amplification products (PSAPs), as well as the...

  18. The play behavior of hearing-impaired kindergarten children.

    PubMed

    Cornelius, G; Hornett, D

    1990-10-01

    This exploratory study examined the cognitive and social play behaviors of hearing-impaired kindergarten children with regard to classroom instructional mode and communication strategies. Two classes were observed--one using sign communication and the other using an oral-based method of communication. Functional, constructive, dramatic, and social play behaviors were observed and documented. Statistically significant differences were found between the two groups of children with regard to social and dramatic play as well as with regard to levels of aggression. For example, children in the sign-based class demonstrated higher levels of social play behavior and lower levels of aggression than the children in the oral-based class. Guidelines and strategies to help children initiate and sustain play are suggested. PMID:2270824

  19. Ageing with long-standing hearing impairment and deafness.

    PubMed

    Gething, L

    2000-09-01

    Until recently, ageing with a long-standing disability had not been a major consideration for governments around the world. Policy and planning for this substantial subgroup had not kept abreast with developments in regard to the growing numbers of older people in general. Consultations held in Australia provided information and recommendations for use by governments and service agencies. The focus was on the viewpoints of consumers. This article reports results for people with long-standing deafness and hearing impairment. It is believed that disadvantages throughout life act to restrict freedom of choice and well-being in old age. Important factors perceived to underlie disadvantage include lifelong restricted access to the opportunities afforded by education and employment and their concomitant effects on the ability to develop the skills, attitudes and knowledge necessary for independence in old age; attitudes of others (including service providers); and the complexity and inflexibility of service systems. However, there are positive aspects. Comparison with published reports about people who acquired hearing loss as a result of the ageing process suggests that people with long-standing disability have learned to live with their situation. In contrast, people whose loss was associated with ageing often report emotional issues and isolation. PMID:11131623

  20. Professional Attributes in Teacher Preparation for Teaching Students with Hearing Impairment: Implications for Inclusive Education in Nigeria

    ERIC Educational Resources Information Center

    Onu, V. C.; Eskay, M. K.; Ugwuanyi, L.; Igbo, J. N.; Obiyo, N. O.

    2012-01-01

    This descriptive survey research study assessed the professional attributes of teacher preparation for teaching students with hearing impairment. It discussed the role of teaching competence in ensuring the smooth delivery of lessons to children with special needs, especially the hearing-impaired. THAQ (Teaching Hearing-impaired Assessment…

  1. [Decline of speech understanding in the hearing impaired elderly listeners who visited our hearing aid clinic].

    PubMed

    Yasue, Minori; Sugiura, Saiko; Uchida, Yasue; Nakashima, Tsutomu

    2014-08-01

    The aim of this study was to investigate distinctive change in the hearing impaired elderly listeners, especially about speech recognition. Subjects were 525 patients (235 males, 290 females), from 60 to 98 years of age who had visited the Hearing Aid Clinic of Otorhinolaryngology, National Center for Geriatrics and Gerontology Hospital, between June 2001 and December 2012. Pure-tone air conduction threshold determination was administered to each subject. The speech audiometry materials used to define speech discrimination ability were Japanese monosyllabic word lists, 67S word lists. Sex- and age-specific trends in maximum discrimination score (MDS) and rollover index (RI) were shown in this study. RI was computed by the formula (PBmax-PBmin)/PBmax. PBmax has almost the same meaning as MDS in Japan. PBmin represented the lowest PB score above the test intensity level of PBmax. Mean MDSs were 80.8% in their sixties, 75.3% in their seventies, 60.7% in their eighties, and 45.5% in their nineties. The rate of decrease in mean MDS per decade accelerated in the older generation. Mean RIs were 0.18 in patients in their sixties, 0.24 in their seventies, 0.30 in their eighties, and 0.30 in their nineties. It increased until the age of eighties. In the model 1, multiple logistic analyses were performed to examine the effect of age (in 10-year increments), sex and mean hearing levels in pure tone average of values at 500, 1000, 2000, 4000 Hz (in 10 dB increments) on the MDS < 60%. Significant associations were observed between MDS < 60% and age (odds ratio, 3.03; 95% confidence interval, 2.38 to 3.85), and mean hearing levels in pure tone average of values at 500, 1000, 2000, 4000 Hz (2.33; 2.03 to 2.68). Sex was not associated with MDS < 60%. In the model 2, multiple logistic analyses adjusted for age and sex were performed to examine the effect of hearing level at test frequencies of 125, 250, 500, 1000, 2000, 4000, and 8000 Hz (in 10 dB increments)on the MDS < 60

  2. Decision strategies of hearing-impaired listeners in spectral shape discrimination

    NASA Astrophysics Data System (ADS)

    Lentz, Jennifer J.; Leek, Marjorie R.

    2002-03-01

    The ability to discriminate between sounds with different spectral shapes was evaluated for normal-hearing and hearing-impaired listeners. Listeners detected a 920-Hz tone added in phase to a single component of a standard consisting of the sum of five tones spaced equally on a logarithmic frequency scale ranging from 200 to 4200 Hz. An overall level randomization of 10 dB was either present or absent. In one subset of conditions, the no-perturbation conditions, the standard stimulus was the sum of equal-amplitude tones. In the perturbation conditions, the amplitudes of the components within a stimulus were randomly altered on every presentation. For both perturbation and no-perturbation conditions, thresholds for the detection of the 920-Hz tone were measured to compare sensitivity to changes in spectral shape between normal-hearing and hearing-impaired listeners. To assess whether hearing-impaired listeners relied on different regions of the spectrum to discriminate between sounds, spectral weights were estimated from the perturbed standards by correlating the listener's responses with the level differences per component across two intervals of a two-alternative forced-choice task. Results showed that hearing-impaired and normal-hearing listeners had similar sensitivity to changes in spectral shape. On average, across-frequency correlation functions also were similar for both groups of listeners, suggesting that as long as all components are audible and well separated in frequency, hearing-impaired listeners can use information across frequency as well as normal-hearing listeners. Analysis of the individual data revealed, however, that normal-hearing listeners may be better able to adopt optimal weighting schemes. This conclusion is only tentative, as differences in internal noise may need to be considered to interpret the results obtained from weighting studies between normal-hearing and hearing-impaired listeners.

  3. [The problems of hearing impairment in the flying staff of commercial aviation in Russia].

    PubMed

    Pankova, V B; Bushmanov, A Y U

    2014-01-01

    The authors discuss the problems pertaining to the growing incidence of hearing impairment in the members of the flying staff employed in commercial aviation of Russia and the main criteria used to elucidate the causes behind occupational diseases of the organs of hearing. Special attention is given to the principal normative documents regulating the methodological basis on which the acoustic factor in the aircraft cockpit is evaluated, peculiarities of occupational sensorineural hearing impairment and the methods for its detection. The main errors in the determination of the relationship between the working conditions and the diseases of the organs of hearing are discussed. PMID:25734302

  4. Across-frequency processing of modulation phase differences in hearing-impaired listeners.

    PubMed

    Lentz, Jennifer J; Valentine, Susie

    2015-09-01

    Two experiments tested the influence of hearing impairment (HI) on representing across-frequency temporal coherence. In one experiment, HI listeners demonstrated similar abilities to normal-hearing listeners in detecting across-frequency differences in modulation phase. In another, spectral-shape discrimination was detrimentally affected by modulation phase disparities imposed on spectral components. Spectral-shape discrimination by HI listeners was less influenced by the disparities, suggesting that hearing loss alters the representation of envelope phase. Results suggest that multiple approaches may be necessary to determine alterations associated with hearing loss—detection tasks may not be sufficient to elucidate distortions to temporal envelope associated with hearing loss. PMID:26428814

  5. Across-frequency processing of modulation phase differences in hearing-impaired listeners

    PubMed Central

    Lentz, Jennifer J.; Valentine, Susie

    2015-01-01

    Two experiments tested the influence of hearing impairment (HI) on representing across-frequency temporal coherence. In one experiment, HI listeners demonstrated similar abilities to normal-hearing listeners in detecting across-frequency differences in modulation phase. In another, spectral-shape discrimination was detrimentally affected by modulation phase disparities imposed on spectral components. Spectral-shape discrimination by HI listeners was less influenced by the disparities, suggesting that hearing loss alters the representation of envelope phase. Results suggest that multiple approaches may be necessary to determine alterations associated with hearing loss—detection tasks may not be sufficient to elucidate distortions to temporal envelope associated with hearing loss. PMID:26428814

  6. Generational Differences in the Prevalence of Hearing Impairment in Older Adults

    PubMed Central

    Zhan, Weihai; Cruickshanks, Karen J.; Klein, Barbara E. K.; Klein, Ronald; Huang, Guan-Hua; Pankow, James S.; Gangnon, Ronald E.; Tweed, Theodore S.

    2010-01-01

    There were significant changes in health and lifestyle throughout the 20th century which may have changed temporal patterns of hearing impairment in adults. In this study, the authors aimed to assess the effect of birth cohort on the prevalence of hearing impairment in an adult population aged 45–94 years, using data collected between 1993 and 2008 from 3 cycles of the Epidemiology of Hearing Loss Study (n = 3,753; ages 48–92 years at baseline) and a sample of participants from the Beaver Dam Offspring Study (n = 2,173; ages ≥45 years). Hearing impairment was defined as a pure-tone average of thresholds at 0.5, 1, 2, and 4 kHz greater than 25-dB HL [hearing level]. Descriptive analysis, generalized additive models, and alternating logistic regression models were used to examine the birth cohort effect. Controlling for age, with every 5-year increase in birth year, the odds of having hearing impairment were 13% lower in men (odds ratio = 0.87, 95% confidence interval: 0.83, 0.92) and 6% lower in women (odds ratio = 0.94, 95% confidence interval: 0.89, 0.98). These results suggest that 1) older adults may be retaining good hearing longer than previous generations and 2) modifiable factors contribute to hearing impairment in adults. PMID:20008889

  7. Early ERP Signature of Hearing Impairment in Visual Rhyme Judgment

    PubMed Central

    Classon, Elisabet; Rudner, Mary; Johansson, Mikael; Rönnberg, Jerker

    2013-01-01

    Postlingually acquired hearing impairment (HI) is associated with changes in the representation of sound in semantic long-term memory. An indication of this is the lower performance on visual rhyme judgment tasks in conditions where phonological and orthographic cues mismatch, requiring high reliance on phonological representations. In this study, event-related potentials (ERPs) were used for the first time to investigate the neural correlates of phonological processing in visual rhyme judgments in participants with acquired HI and normal hearing (NH). Rhyme task word pairs rhymed or not and had matching or mismatching orthography. In addition, the inter-stimulus interval (ISI) was manipulated to be either long (800 ms) or short (50 ms). Long ISIs allow for engagement of explicit, top-down processes, while short ISIs limit the involvement of such mechanisms. We hypothesized lower behavioral performance and N400 and N2 deviations in HI in the mismatching rhyme judgment conditions, particularly in short ISI. However, the results showed a different pattern. As expected, behavioral performance in the mismatch conditions was lower in HI than in NH in short ISI, but ERPs did not differ across groups. In contrast, HI performed on a par with NH in long ISI. Further, HI, but not NH, showed an amplified N2-like response in the non-rhyming, orthographically mismatching condition in long ISI. This was also the rhyme condition in which participants in both groups benefited the most from the possibility to engage top-down processes afforded with the longer ISI. Taken together, these results indicate an early ERP signature of HI in this challenging phonological task, likely reflecting use of a compensatory strategy. This strategy is suggested to involve increased reliance on explicit mechanisms such as articulatory recoding and grapheme-to-phoneme conversion. PMID:23653613

  8. Discrimination of time-reversed harmonic complexes by normal-hearing and hearing-impaired listeners.

    PubMed

    Lauer, Amanda M; Molis, Michelle; Leek, Marjorie R

    2009-12-01

    Normal-hearing (NH) listeners and hearing-impaired (HI) listeners detected and discriminated time-reversed harmonic complexes constructed of equal-amplitude harmonic components with fundamental frequencies (F0s) ranging from 50 to 800 Hz. Component starting phases were selected according to the positive and negative Schroeder-phase algorithms to produce within-period frequency sweeps with relatively flat temporal envelopes. Detection thresholds were not affected by component starting phases for either group of listeners. At presentation levels of 80 dB SPL, NH listeners could discriminate the two waveforms nearly perfectly when the F0s were less than 300-400 Hz but fell to chance performance for higher F0s. HI listeners performed significantly poorer, with reduced discrimination at several of the F0s. In contrast, at a lower presentation level meant to nearly equate sensation levels for the two groups, NH listeners' discrimination was poorer than HI listeners at most F0s. Roving presentation levels had little effect on performance by NH listeners but reduced performance by HI listeners. The differential impact of roving level suggests a weaker perception of timbre differences and a greater susceptibility to the detrimental effects of experimental uncertainty in HI listeners. PMID:19705203

  9. The verbotonal method for management of young, hearing-impaired children.

    PubMed

    Asp, C W

    1985-01-01

    The verbotonal method is effective for establishing good spoken language and listening skills. It is based on a developmental model of normal-hearing children, and emphasizes the importance of developing good rhythm, intonation and voice quality in hearing-impaired children. Specifically trained teachers/clinicians are combined with high quality amplification and vibrotactile input with System Universal Verbotonal Audition Guberina units. These units provide a wide frequency response with the option of modifying the frequency response through the cutoff frequency and slopes of filters to emphasize the optimal field of hearing of each hearing-impaired child. Through intensive intervention the rhythm and intonation patterns and the listening skills develop simultaneously. The goal is to integrate hearing-impaired children into regular educational and social situations. The integration rates are between 60 and 90%. The parents role is more supportive than therapeutic, and is designed to meet the needs and skills of each parent. PMID:3972193

  10. The Prevalence and Correlates of Self-Reported Hearing Impairment in the Ibadan Study of Ageing

    PubMed Central

    Lasisi, Akeem O; Abiona, Taiwo; Gureje, Oye

    2016-01-01

    This cohort study of persons aged 65 years and over, conducted in the Yoruba-speaking regions of Nigeria determines the prevalence and correlates of hearing impairment (HI) in the elderly population. Self-reports of HI and its putative risk factors among several indices were obtained using face-to-face interviews. HI was based on self-report, complemented by observer’s evaluation. HI was found in 79, giving a prevalence of 6.1%. Gender difference was not significant but increasing age was associated with higher prevalence. Logistic regression analysis that adjusted for age and sex, revealed that history of recurrent suppurative otitis media (OR=4.6, CI=2.3-8.9, P=0.01) and head injury (OR=2.2, CI=1.1-4.3, P=0.02) and current hypertension (OR=2.1, CI=1.2-3.6, P=0.01) were significantly associated with HI. No identifiable risk factors were found in 32 (40.5%) of the respondents. We conclude that the prevalence of HI among the elderly in Nigeria is comparable to reports from other countries. Identified risk factors were preventable or controllable. The large proportion of elderly with no identifiable risk factors, presumably presbyacusis, suggests a need for further study. The strategies for control of these risk factors and hearing aid support should be integrated into health care policy initiative for elderly persons in the sub-Saharan Africa. PMID:20307358

  11. The Prevalence and Factors Associated with Hearing Impairment in the Korean Adults

    PubMed Central

    Hong, Jae W.; Jeon, Ju H.; Ku, Cheol R.; Noh, Jung H.; Yoo, Hyung J.; Kim, Dong-Jun

    2015-01-01

    Abstract There are few studies that have used audiometric testing to gauge the demographic characteristics and associated risk factors for hearing loss at the national-level. Here, we investigated the weighted prevalence and associated factors of hearing impairment in 16,040 Korean adult population. Subjects completed audiometric test and laboratory examination as part of the data from The 2010–2012 Korea National Health and Nutrition Examination Survey (KNHANES). In our respective study, the overall weighted (n = 33,762,584) prevalence of mild hearing impairment among the Korean adult population was 20.5% (95% clearance [CI], 19.6–21.6), whereas moderate-to-profound hearing impairment was 9.2% (95% CI, 8.6–9.9). The weighted prevalence of mild hearing impairment in younger adults (19–39 years’ old) was 4.4% (3.5–5.5), in middle-age adults (40–64 years), it was 21.1% (19.8–22.5), and in older adults (≥65 years’ old), it was 69.7% (67.8–71.6). Logistic regression analyses were performed for low/mid frequency or high-frequency mild hearing impairment with age, sex, tobacco use, heavy alcohol use, educational background, occupational noise exposure, obesity, hypertension, diabetes, total serum cholesterol, and estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m2 as covariates. The analyses revealed independent correlations between increased age, tobacco use, education, hypertension, and eGFR <60 mL/min/1.73m2, and low/mid frequency and high frequency mild hearing impairment. High frequency mild hearing impairment was positively correlated with male sex, diabetes, and an increase in total serum cholesterol. Taken together, hearing impairment in Korea is highly prevalent with approximately one-fifth of Korean adult reporting mild hearing impairment. This study suggests that individuals with cardiovascular risk factors such as hypertension, diabetes, smoking, increased serum cholesterol, or decreased eGFR are at particular risk of

  12. Informational masking in hearing-impaired and normal-hearing listeners: Sensation level and decision weights

    NASA Astrophysics Data System (ADS)

    Alexander, Joshua M.; Lutfi, Robert A.

    2004-10-01

    Informational masking (IM) refers to elevations in signal threshold caused by masker uncertainty. The purpose of this study was to investigate two factors expected to influence IM in hearing-impaired listeners. Masked thresholds for a 2000-Hz signal in the presence of simultaneous multitone maskers were measured in 16 normal-hearing (NH) and 9 hearing-impaired (HI) listeners. The maskers were 70 dB SPL average total power and were comprised of fixed-frequency components between 522 and 8346 Hz that were separated from each other by at least 13 oct and from the signal by at least 23 octs. Masker uncertainty was manipulated by randomly presenting each masker component with probability p=0.1,0.2,...,0.9, or 1.0 across different trial blocks. Energetic masking was estimated as the amount of masking for p=1.0, where masker uncertainty was minimum. IM was estimated as the amount of masking in excess of energetic masking. Decision weights were estimated by a regression of the listener's yes/no responses against the presence or absence of the signal and masker components. The decision weights and sensation levels (SLs) of the stimulus components were incorporated as factors in a model that predicts individual differences in IM based on the level variance (in dB) at the output of independent auditory filters [Lutfi, J. Acoust. Soc. Am. 94, 748-758 (1993)]. The results showed much individual variability in IM for the NH listeners (over 40 dB), but little IM for most HI listeners. When masker components were presented to a group of NH listeners at SLs similar to the HI listeners, IM was also similar to the HI listeners. IM was also similar for both groups when the level per masker component was 10 dB SL. These results suggest that reduced masker SLs for HI listeners decrease IM by effectively reducing masker variance. Weighting efficiencies, computed by comparing each listener's pattern of weights to that of an ideal analytic listener, were a good predictor of individual

  13. Parenting a Hearing-Impaired Child. An Interview with Ken Moses.

    ERIC Educational Resources Information Center

    Volta Review, 1979

    1979-01-01

    The article presents the text of an interview with psychologist Ken Moses regarding the emotional adjustment (particularly involving grief) parents face upon learning that their child has a hearing impairment. (Author/DLS)

  14. Applying Microcomputer Technology to Investigations of Communication Skills in Severely Hearing Impaired Children.

    ERIC Educational Resources Information Center

    Fulton, Robert T.

    1982-01-01

    A computerized audiovisual communications system requires only a touch response by young difficult-to-test hearing impaired children. The system focuses on single word reading comprehension and sensory perception and interference. (CL)

  15. Mother Goose Goes to School: Using Rhymes with ESL, Deaf and Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Dowd, Frances Smardo

    1991-01-01

    Because traditional Mother Goose rhymes accustom the ear and the tongue to the musical aspects of the English language, they are particularly valuable for English-as-a-Second-Language students, and for deaf and hearing-impaired children. (BB)

  16. Skills and Strategies for Preparing a Hearing-Impaired Child for Participation in a Group.

    ERIC Educational Resources Information Center

    Duffield, Janice

    1980-01-01

    Competencies necesary for the interaction of hearing impaired students in a group setting are discussed. Areas explored include attending skills, skills for spontaneous interaction, strategies for clarifying communication, and social skills. (PHR)

  17. A Tympanometry - ASHA Model for Identification of the Hearing Impaired. Project TAMI.

    ERIC Educational Resources Information Center

    Walton, Wendel K.

    A model for identification of hearing impairment which combined tympanometry and the puretone procedures outlined by the American Speech and Hearing Association was tested with 8,528 elementary age children from six Connecticut towns. The nine goals of the project included obtaining pass/fail ratios for puretone audiometry within minus 1 percent…

  18. Effect of Auditory Training on Reading Comprehension of Children with Hearing Impairment in Enugu State

    ERIC Educational Resources Information Center

    Ugwuanyi, L. T.; Adaka, T. A.

    2015-01-01

    The paper focused on the effect of auditory training on reading comprehension of children with hearing impairment in Enugu State. A total of 33 children with conductive, sensory neural and mixed hearing loss were sampled for the study in the two schools for the Deaf in Enugu State. The design employed for the study was a quasi experiment (pre-test…

  19. Predictors of Rehabilitation Intervention Decisions in Adults with Acquired Hearing Impairment

    ERIC Educational Resources Information Center

    Laplante-Levesque, Ariane; Hickson, Louise; Worrall, Linda

    2011-01-01

    Purpose: This study investigated the predictors of rehabilitation intervention decisions in middle-age and older adults with acquired hearing impairment seeking help for the first time. Method: Using shared decision making, 139 participants were offered intervention options: hearing aids, communication programs (group or individual), and no…

  20. Intelligibility of Telephone Speech for the Hearing Impaired When Various Microphones Are Used for Acoustic Coupling.

    ERIC Educational Resources Information Center

    Janota, Claus P.; Janota, Jeanette Olach

    1991-01-01

    Various candidate microphones were evaluated for acoustic coupling of hearing aids to a telephone receiver. Results from testing by 9 hearing-impaired adults found comparable listening performance with a pressure gradient microphone at a 10 decibel higher level of interfering noise than with a normal pressure-sensitive microphone. (Author/PB)

  1. Promoting Emerging Speech in Birth to 3 Year-Old Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Cole, Elizabeth B.

    1992-01-01

    This discussion of speech development in infants and toddlers with hearing impairments considers selection and ordering of speech targets; the place of audition in speech teaching; and teaching methods for specific speech elements. Guidelines include helping caregivers internalize strategies to help the child use residual hearing and utilizing an…

  2. Airflow, Volume, and Durational Characteristics of Oral Reading by the Hearing-Impaired.

    ERIC Educational Resources Information Center

    Itoh, Motonobu; Horii, Yoshiyuki

    1985-01-01

    Results of anoral reading measure indicated that, compared to normal-hearing Ss the speech respiration of 92 hearing-impaired young adults was characterized by (1) high air consumption; (2) frequent inspirations; (3) inspirations at linguistically inappropriate places; (4) short duration of expiration; and (5) large individual differences. (CL)

  3. Hearing Impairment Among Noise-Exposed Workers - United States, 2003-2012.

    PubMed

    Masterson, Elizabeth A; Bushnell, P Timothy; Themann, Christa L; Morata, Thais C

    2016-01-01

    Hearing loss is the third most common chronic physical condition in the United States, and is more prevalent than diabetes or cancer (1). Occupational hearing loss, primarily caused by high noise exposure, is the most common U.S. work-related illness (2). Approximately 22 million U.S. workers are exposed to hazardous occupational noise (3). CDC compared the prevalence of hearing impairment within nine U.S. industry sectors using 1,413,789 noise-exposed worker audiograms from CDC's National Institute for Occupational Safety and Health (NIOSH) Occupational Hearing Loss Surveillance Project (4). CDC estimated the prevalence at six hearing impairment levels, measured in the better ear, and the impact on quality of life expressed as annual disability-adjusted life years (DALYs), as defined by the 2013 Global Burden of Disease (GBD) Study (5). The mining sector had the highest prevalence of workers with any hearing impairment, and with moderate or worse impairment, followed by the construction and manufacturing sectors. Hearing loss prevention, and early detection and intervention to avoid additional hearing loss, are critical to preserve worker quality of life. PMID:27101435

  4. The Prevalence and Characteristics of Tinnitus with Profound Sensori-Neural Hearing Impairment.

    ERIC Educational Resources Information Center

    Drukier, Gale S.

    1989-01-01

    Of 331 children (aged 6-18) with profound hearing impairment, 96 were found to have tinnitus. More females than males reported tinnitus. Most of the children with tinnitus were bothered to some degree by it and indicated that the noises adversely affected their ability to hear voices. (JDD)

  5. Assistive Hearing Technologies among Students with Hearing Impairment: Factors that Promote Satisfaction

    ERIC Educational Resources Information Center

    Rekkedal, Ann Mette

    2012-01-01

    Hearing technology can play an essential part in the education of deaf and hard-of-hearing children in inclusive schools. Few studies have examined these children's experiences with this technology. This article explores factors pertaining to children's use of and attitudes toward hearing technologies, such as hearing aids, cochlear implants,…

  6. Screening, rubella vaccination, and childhood hearing impairment in Taiwan.

    PubMed

    Lai, Der-Chung; Tseng, Yen-Cheng; Lin, Cheng-Yu; Guo, How-Ran

    2014-11-01

    Childhood hearing impairment (CHI) is a major developmental disability, but data at the national level are limited, especially those on the changes in the prevalence over time. In Taiwan, the government began to certify disabled residents for providing various services in 1980 and maintains a registry of certified cases, which provides a rare opportunity for studying the trends of CHI prevalence. Using the registry data, we estimated the prevalence of CHI by age and severity and explored factors affecting its changes over time. From 2000 to 2011, the registered cases under 17 years old ranged from 3427 to 4075. The overall prevalence increased from 2000 to 2006, but then decreased till 2011. While the prevalence of mild CHI increased over the years, such a pattern was not observed in moderate or severe CHI. In general, the overall prevalence increased over the years in the age groups <3 years, 3-5 years, and 6-11 years (p<0.01), and the largest increase was observed in the age group <3 years, particularly after the promotion of screening by the government in 2003. The decrease after 2006 was mainly attributable to decreases in the age groups 12-14 (with a decreasing trend from 2001, p<0.01) and 15-17 years (with a decreasing trend from 2004, p<0.01). The timing was related to the implementation of a nationwide rubella vaccination program. Similar decreases had been observed in countries with rubella vaccination programs. PMID:25151608

  7. The Effect of Language Development on the Acquisition of Reading Skills in the Elementary Mainstreamed Hearing Impaired Student.

    ERIC Educational Resources Information Center

    Johnston, Judy F.; Reed, Shirley A.

    The language of hearing impaired students differs from that of their hearing peers, and can affect their ability to comprehend printed material. Language can be defined as the knowledge of the integration of semantics, syntax, and pragmatics. Hearing impaired children will have difficulty in acquiring language at a normal developmental rate…

  8. The effect of onset asynchrony on profile analysis by normal-hearing and hearing-impaired listeners.

    PubMed

    Lentz, Jennifer J; Leek, Marjorie R; Molis, Michelle R

    2004-10-01

    The effect of onset asynchrony on discrimination of spectral shape was evaluated for hearing-impaired and normal-hearing listeners. Stimuli were the sum of four tones equally spaced on a logarithmic frequency scale. The standard stimulus had tones of equal amplitude, and the signal stimulus had two adjacent components increased in level, and the other two components decreased in level. Thresholds for discrimination between the standard and signal stimuli were measured as a function of an onset asynchrony among the components of 0, 50, and 200 ms. Hearing-impaired and normal-hearing listeners had similar thresholds when the stimulus components were widely spaced in frequency, but hearing-impaired listeners had much higher thresholds for narrowly spaced components. Excitation pattern analyses indicated that listeners may use spectral peaks in the stimulus rather than the change in excitation across the full stimulus bandwidth for spectral shape discrimination tasks. Increasing temporal asynchrony of components resulted in increased thresholds for both groups of listeners to a greater extent in the wide span than the narrow span. Reduced effects of onset asynchrony in the narrow span suggest that spectral resolvability of components plays an important role in the processing of onset asynchrony across frequency. PMID:15532660

  9. The Effect of Early Confirmation of Hearing Loss on the Behaviour in Middle Childhood of Children with Bilateral Hearing Impairment

    ERIC Educational Resources Information Center

    Stevenson, Jim; McCann, Donna C.; Law, Catherine M.; Mullee, Mark; Petrou, Stavros; Worsfold, Sarah; Yuen, Ho M.; Kennedy, Colin R.

    2011-01-01

    Aim: To determine if the benefit of early confirmation of permanent childhood hearing impairment (PCHI) on children's receptive language development is associated with fewer behavioural problems. Method: Follow-up of a total population cohort of 120 children with PCHI of moderate or greater severity (greater than or equal to 40 decibels relative…

  10. Spectral cues to perception of /d, n, l/ by normal- and impaired-hearing listeners.

    PubMed

    Revoile, S G; Pickett, J M; Kozma-Spytek, L

    1991-08-01

    The alveolar consonants /d, n, l/ occur frequently in intervocalic position in conversational speech but have received little study for differences in their acoustic cues. Impaired- and normal-hearing listeners were investigated for use of consonant-segment versus transition-segment cues to recognition of /d, n, l/ in /aeCae/ tokens extracted from sentences. To examine the cues' contribution to /d, n, l/ recognition, the segments were degraded singly or in combinations in the tokens as follows: [aeC] or [Cae] transitions were replaced by adjacent pitch periods from the respective vowels; the consonant segments were replaced by silence or by a synthetic consonant approximating the summed low-frequency spectra of the /d, n, l/ murmurs. The results with normal-hearing listeners showed that the presence of any one of the three segments, [aeC] transition, [Cae] transition, or natural consonant segment, supported a moderate to high level of /d, n, l/ recognition, depending on the phoneme. In contrast, the severely hearing-impaired listeners' consonant recognition was poor on the basis of transition information, but better in the presence of the natural consonants. The /aeCae/'s with the synthetic consonant yielded chance level performance for the hearing-impaired listeners but good consonant recognition for the normal-hearing listeners--a further indication that cues in the transitions were quite useful for the normal-hearing group but not for the hearing-impaired group. PMID:1939885

  11. Resource Guide for Persons with Speech or Language Impairments.

    ERIC Educational Resources Information Center

    IBM, Atlanta, GA. National Support Center for Persons with Disabilities.

    The resource guide identifies products which assist speech or language impaired individuals in accessing IBM (International Business Machine) Personal Computers or the IBM Personal System/2 family of products. An introduction provides a general overview of ways computers can help persons with speech or language handicaps. The document then…

  12. [The experience with the use of neuromedin preparations for the treatment of sensorineural impairment of hearing].

    PubMed

    Tambovtseva, O V; Platonova, I S; Vankova, S N; Ushkov, E V; Vorozheĭkina, N G; Turkina, T A

    2014-01-01

    The objective of the present study was to evaluate the effectiveness of the application of neuromedin for the treatment of sensorineural loss of hearing of different etiology. A total of 230 patients at the age varying from 20 to 60 years presenting with sensorineural impairment of hearing were available for the observation. Neuromedin was administered intramuscularly at 15 mg/day (1.5% solution at a dose of 1.0 ml) for 10 day; thereafter, the patients took 20 mg neuromedin tablets thrice daily during one month. The majority of the patients reported an improvement of hearing and speech intelligibility. Complete restoration of hearing was documented in certain patients presenting with acute sensorineural impairment of hearing. PMID:25588490

  13. Hearing impairment and language delay in infants: Diagnostics and genetics.

    PubMed

    Lang-Roth, Ruth

    2014-01-01

    This overview study provides information on important phoniatric and audiological aspects of early childhood hearing and language development with the aim of presenting diagnostic and therapeutic approaches. The article first addresses the universal newborn hearing screening that has been implemented in Germany for all infants since January 2009. The process of newborn hearing screening from the maternity ward to confirmation diagnostics is presented in accordance with a decision by the Federal Joint Committee (G-BA). The second topic is pediatric audiology diagnostics. Following confirmation of a permanent early childhood hearing disorder, the search for the cause plays an important role. Hereditary hearing disorders and intrauterine cytomegalovirus (CMV) infection, probably the most common cause of an acquired hearing disorder, are discussed and compared with the most common temporary hearing disorder, otitis media with effusion, which in some cases is severe enough to be relevant for hearing and language development and therefore requires treatment. The third topic covered in this article is speech and language development in the first 3 years of life, which is known today to be crucial for later language development and learning to read and write. There is a short overview and introduction to modern terminology, followed by the abnormalities and diagnostics of early speech and language development. Only some aspects of early hearing and language development are addressed here. Important areas such as the indication for a cochlear implant in the first year of life or because of unilateral deafness are not included due to their complexity. PMID:25587365

  14. Hearing impairment and language delay in infants: Diagnostics and genetics

    PubMed Central

    Lang-Roth, Ruth

    2014-01-01

    This overview study provides information on important phoniatric and audiological aspects of early childhood hearing and language development with the aim of presenting diagnostic and therapeutic approaches. The article first addresses the universal newborn hearing screening that has been implemented in Germany for all infants since January 2009. The process of newborn hearing screening from the maternity ward to confirmation diagnostics is presented in accordance with a decision by the Federal Joint Committee (G-BA). The second topic is pediatric audiology diagnostics. Following confirmation of a permanent early childhood hearing disorder, the search for the cause plays an important role. Hereditary hearing disorders and intrauterine cytomegalovirus (CMV) infection, probably the most common cause of an acquired hearing disorder, are discussed and compared with the most common temporary hearing disorder, otitis media with effusion, which in some cases is severe enough to be relevant for hearing and language development and therefore requires treatment. The third topic covered in this article is speech and language development in the first 3 years of life, which is known today to be crucial for later language development and learning to read and write. There is a short overview and introduction to modern terminology, followed by the abnormalities and diagnostics of early speech and language development. Only some aspects of early hearing and language development are addressed here. Important areas such as the indication for a cochlear implant in the first year of life or because of unilateral deafness are not included due to their complexity. PMID:25587365

  15. Collaborative consultation: a method for improving educational services for mainstreamed students who are hearing impaired.

    PubMed

    Luckner, J L; Rude, H; Sileo, T W

    1989-12-01

    As a result of well-known recent federal mandates for appropriate special education to all disabled students, the majority of children who are hearing impaired currently are educated in public school settings, along with hearing students. Consequently, teachers of students who are hearing impaired have expanded their role to include the provision of ongoing support to regular classroom teachers, speech-language pathologists, paraprofessionals and administrators. One model for delivery of these services is that of collaborative consultation. The purpose of this paper is to provide an overview of collaborative consultation, and to delineate some principles that merit consideration by regular and special educators who are involved in the education of students who are hearing impaired. PMID:2618918

  16. Perception of a Sung Vowel as a Function of Frequency-Modulation Rate and Excursion in Listeners with Normal Hearing and Hearing Impairment

    ERIC Educational Resources Information Center

    Vatti, Marianna; Santurette, Sébastien; Pontoppidan, Niels Henrik; Dau, Torsten

    2014-01-01

    Purpose: Frequency fluctuations in human voices can usually be described as coherent frequency modulation (FM). As listeners with hearing impairment (HI listeners) are typically less sensitive to FM than listeners with normal hearing (NH listeners), this study investigated whether hearing loss affects the perception of a sung vowel based on FM…

  17. High Prevalence of Hearing Impairment in HIV-Infected Peruvian Children

    PubMed Central

    Chao, Christina K.; Czechowicz, Josephine A.; Messner, Anna H.; Alarcón, Jorge; Roca, Lenka Kolevic; Rodriguez, Marsi M. Larragán; Villafuerte, César Gutiérrez; Montano, Silvia M.; Zunt, Joseph R.

    2012-01-01

    Objectives To measure the prevalence and to identify risk factors of hearing impairment in human immunodeficiency virus-infected children living in Peru. Study design Cross-sectional observational study. Setting Two public hospitals and 1 nonprofit center in Lima, Peru, between August 2009 and April 2010. Subjects A total of 139 HIV-infected children, ages 4 to 19 years. Methods Hearing impairment and otologic health were assessed with pure tone audiometry, tympanometry, and otoscopy. The primary outcome was hearing loss, defined as average threshold >25dB for 0.5, 1, 2, and 4 kHz, in one or both ears. Historical and socioeconomic information was obtained through parental survey and medical chart review. Statistical analysis included univariate analysis and multivariate logistic regression. Results Fifty-four (38.8%) of 139 children had hearing impairment. On multivariate analysis, risk factors included: tympanic membrane perforation (odds ratio [OR] 7.08; 95% confidence interval [CI], 1.65-30.5; P = .01), abnormal tympanometry (OR 2.71; 95% CI, 1.09-6.75; P = .03), cerebral infection (OR 11.6; 95% CI, 1.06-126; P = .05), seizures (OR 5.20; 95% CI, 1.21-22.4; P = .03), and CD4 cell count <500 cells/mm3 (OR 3.53; 95% CI, 1.18-10.5; P = .02). Conclusions The prevalence of hearing impairment in HIV-infected children in Lima, Peru was 38.8%. Middle ear disease, prior cerebral infection, and low CD4 cell count were significantly associated with hearing impairment. The high prevalence of hearing impairment emphasizes the need for periodic hearing assessment in the routine clinical care of HIV-infected children. PMID:22128111

  18. Munchausen Syndrome by Proxy: Mother Fabricates Infant's Hearing Impairment.

    ERIC Educational Resources Information Center

    Kahn, Gerri; Goldman, Ellen

    1991-01-01

    Case study reports a case of Munchausen Syndrome by Proxy, a form of child abuse in which the mother presents a child for treatment for a condition she herself has invented or created. This case study describes the ways in which a mother obtained a diagnosis of sensorineural hearing loss as well as amplification for her normally hearing infant.…

  19. 10 CFR 824.11 - Rights of the person at the hearing.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Rights of the person at the hearing. 824.11 Section 824.11 Energy DEPARTMENT OF ENERGY PROCEDURAL RULES FOR THE ASSESSMENT OF CIVIL PENALTIES FOR CLASSIFIED INFORMATION SECURITY VIOLATIONS § 824.11 Rights of the person at the hearing. The person may: (a) Testify...

  20. 10 CFR 824.11 - Rights of the person at the hearing.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Rights of the person at the hearing. 824.11 Section 824.11 Energy DEPARTMENT OF ENERGY PROCEDURAL RULES FOR THE ASSESSMENT OF CIVIL PENALTIES FOR CLASSIFIED INFORMATION SECURITY VIOLATIONS § 824.11 Rights of the person at the hearing. The person may: (a) Testify...

  1. How Hearing Impairment Affects Sentence Comprehension: Using Eye Fixations to Investigate the Duration of Speech Processing

    PubMed Central

    Kollmeier, Birger; Brand, Thomas

    2015-01-01

    The main objective of this study was to investigate the extent to which hearing impairment influences the duration of sentence processing. An eye-tracking paradigm is introduced that provides an online measure of how hearing impairment prolongs processing of linguistically complex sentences; this measure uses eye fixations recorded while the participant listens to a sentence. Eye fixations toward a target picture (which matches the aurally presented sentence) were measured in the presence of a competitor picture. Based on the recorded eye fixations, the single target detection amplitude, which reflects the tendency of the participant to fixate the target picture, was used as a metric to estimate the duration of sentence processing. The single target detection amplitude was calculated for sentence structures with different levels of linguistic complexity and for different listening conditions: in quiet and in two different noise conditions. Participants with hearing impairment spent more time processing sentences, even at high levels of speech intelligibility. In addition, the relationship between the proposed online measure and listener-specific factors, such as hearing aid use and cognitive abilities, was investigated. Longer processing durations were measured for participants with hearing impairment who were not accustomed to using a hearing aid. Moreover, significant correlations were found between sentence processing duration and individual cognitive abilities (such as working memory capacity or susceptibility to interference). These findings are discussed with respect to audiological applications. PMID:25910503

  2. Promoting Healthful Exercise for Visually Impaired Persons with Diabetes.

    ERIC Educational Resources Information Center

    Weitzman, D. M.

    1993-01-01

    This article discusses the importance of exercise for many people with visual impairments and diabetes. It lists precautions for the person with visual impairments and diabetes and specifies who should not exercise, explains "diabetes-specific" benefits of exercise, suggests a format for a safe workout, and includes an example of a successful…

  3. Effect of Early Intervention on Language Development in Hearing-Impaired Children

    PubMed Central

    Shojaei, Elahe; Jafari, Zahra; Gholami, Maryam

    2016-01-01

    Introduction: Hearing loss from birth up to the age of 3 years has a negative effect on speech/language development and results in sensory, cognitive, emotional, and academic defects in adulthood by causing delayed development of communicative-linguistic abilities. The present study was performed in order to assess the effect of early intervention on language development in Persian children aged 6-7 years with severe sensorineural hearing loss. Materials and Methods: Thirty boys and girls aged 6-7 years participated in this study, all of them had severe congenital sensorineural hearing loss in both ears. All children were using bilateral behind-the-ear hearing aid, and had similar economic/socio-cultural backgrounds. Subjects were categorized into two groups based on the age of identification/intervention of hearing loss (3-6 and 12-15 months of age). The Persian TOLD-P3 test was used to evaluate language development in all subjects. Data collection was accomplished by observation, completion of questionnaires, and speech recording. Results: There was a significant difference in language development in 11 sub-tests and five lingual gains on the Persian TOLD-P3 test between early (3-6 months of age) and late identified/intervened (12-15 months of age) hearing-impaired children (P<0.05). Early identified/intervened hearing-impaired children had a notable preference in all assessed sub-tests and lingual gains. Conclusion: Early identification/intervention of hearing loss before the age of 6 months has a significant positive effect on a child’s language development in terms of picture/relational/oral vocabulary, grammatical comprehension, sentence combining, grammatical completion, phonologic analysis, word differentiation, word production, semantics, and syntax. Moreover, early identification/ intervention of hearing loss develops the hearing-impaired child’s lingual gains in visual vocabulary, grammatical completion, word differentiation, phonologic analysis, and

  4. Effect of fast-acting compression on modulation detection interference for normal hearing and hearing impaired listeners.

    PubMed

    Shen, Yi; Lentz, Jennifer J

    2010-06-01

    To determine the effects of hearing loss and fast-acting compression on auditory grouping based on across-frequency modulation, modulation detection interference (MDI) was measured in listeners with normal hearing and hearing loss. MDI, the increase in the amplitude-modulation detection threshold of a target presented with an interferer distant in frequency, was measured using a 500-Hz target and a 2140-Hz interferer, both modulated with narrow-band noises of the same bandwidth. The two modulated tones were presented at equal loudness levels to listeners with normal hearing and hearing loss in the absence (Exp. 1) and in the presence (Exp. 2) of fast-acting compression applied to the interferer. Modulation detection thresholds increased with increasing modulation depth of the interferer by similar amounts for the two groups of listeners, suggesting that across-frequency grouping based on amplitude modulation is not altered by hearing impairment. Compression provided an additional increase in thresholds for both groups, indicating that compression algorithms might alter across-frequency grouping cues. Partial support for an idea that compression's effect of sharpening the onsets after each envelope valley is provided by a third experiment which found somewhat greater interference produced by square-wave modulation than sine-wave modulation at larger interferer modulation depths. PMID:20550264

  5. Risk Factors for Hearing Impairment Among U.S. Adults With Diabetes

    PubMed Central

    Bainbridge, Kathleen E.; Hoffman, Howard J.; Cowie, Catherine C.

    2011-01-01

    OBJECTIVE The objective of this study was to examine the risk factors of low/mid-frequency and high-frequency hearing impairment among a nationally representative sample of diabetic adults. RESEARCH DESIGN AND METHODS Data came from 536 participants, aged 20–69 years, with diagnosed or undiagnosed diabetes who completed audiometric testing during 1999–2004 in the National Health and Nutrition Examination Survey (NHANES). We defined hearing impairment as the pure-tone average >25 dB hearing level of pure-tone thresholds at low/mid-frequencies (500; 1,000; and 2,000 Hz) and high frequencies (3,000; 4,000; 6,000; and 8,000 Hz) and identified independent risk factors using logistic regression. RESULTS Controlling for age, race/ethnicity, and marital status, odds ratios for associations with low/mid-frequency hearing impairment were 2.20 (95% CI 1.28–3.79) for HDL <40 mg/dL and 3.55 (1.57–8.03) for poor health. Controlling for age, race/ethnicity, sex, and income-to-poverty ratio, odds ratios for associations with high-frequency hearing impairment were 4.39 (1.26–15.26) for history of coronary heart disease and 4.42 (1.26–15.45) for peripheral neuropathy. CONCLUSIONS Low HDL, coronary heart disease, peripheral neuropathy, and having poor health are potentially preventable correlates of hearing impairment for people with diabetes. Glycemic control, years since diagnosis, and type of glycemic medication were not associated with hearing impairment. PMID:21593298

  6. Practical screening priorities for hearing impairment among children in developing countries.

    PubMed

    Gell, F M; White, E M; Newell, K; Mackenzie, I; Smith, A; Thompson, S; Hatcher, J

    1992-01-01

    Routine screening for hearing impairment in childhood is now widespread in industrial countries, although there is considerable controversy over the most efficient techniques and procedures. In most developing countries, however, routine screening programmes for hearing impairment do not currently exist. The problems involved in implementing screening programmes in developing and industrial countries are very different, and in selecting screening procedures for a particular population the following factors have to be taken into consideration: the environmental test conditions; the availability of resources for equipment and the training of testers; the local attitudes towards disability; the level of hearing impairment that may cause handicaps; and the major types of pathology causing hearing impairment. We suggest that in developing countries children should be screened at school entry using a simple field audiometer and that the external ear be inspected for the presence of a discharge. There is an urgent need to develop reliable and simple screening procedures for infants and young children; where possible, all children should be screened for severe or significant hearing impairment before the age of 2 years. No screening should, however, be implemented until appropriate follow-up services are available. PMID:1464152

  7. Working memory and referential communication—multimodal aspects of interaction between children with sensorineural hearing impairment and normal hearing peers

    PubMed Central

    Sandgren, Olof; Hansson, Kristina; Sahlén, Birgitta

    2015-01-01

    Whereas the language development of children with sensorineural hearing impairment (SNHI) has repeatedly been shown to differ from that of peers with normal hearing (NH), few studies have used an experimental approach to investigate the consequences on everyday communicative interaction. This mini review gives an overview of a range of studies on children with SNHI and NH exploring intra- and inter-individual cognitive and linguistic systems during communication. Over the last decade, our research group has studied the conversational strategies of Swedish speaking children and adolescents with SNHI and NH using referential communication, an experimental analog to problem-solving in the classroom. We have established verbal and non-verbal control and validation mechanisms, related to working memory capacity and phonological short term memory. We present main findings and future directions relevant for the field of cognitive hearing science and for the clinical and school-based management of children and adolescents with SNHI. PMID:25806012

  8. [The clinical aspects of occupational sensorineural impairment of hearing of the acoustic origin].

    PubMed

    Zinkin, V N; Sheshegov, P M; Chistov, S D

    2015-01-01

    The objective of the present study was to elucidate the specific clinical features of occupational sensorineural impairment of hearing (OSNHI) depending on the origin of this pathology, viz. noise, infrasound and/or their combination. The review of research concerning this problem made it possible to systematize variants of ODNHI based on the clinical signs taking into consideration the influence of these physical factors. Pathophysiological features of the exposure of the organs of hearing to infrasound are described. PMID:27006983

  9. The Effects of Sensorineural Hearing Impairment on Asynchronous Glimpsing of Speech

    PubMed Central

    Buss, Emily; Hall, Joseph W.

    2016-01-01

    In a previous study with normal-hearing listeners, we evaluated consonant identification masked by two or more spectrally contiguous bands of noise, with asynchronous square-wave modulation applied to neighboring bands. Speech recognition thresholds were 5.1–8.5 dB better when neighboring bands were presented to different ears (dichotic) than when all bands were presented to one ear (monaural), depending on the spectral width of the frequency bands. This dichotic advantage was interpreted as reflecting masking release from peripheral spread of masking from neighboring frequency bands. The present study evaluated this effect in listeners with sensorineural hearing loss, a population more susceptible to spread of masking. Speech perception (vowel-consonant-vowel stimuli, as in /aBa/) was measured in the presence of fluctuating noise that was either modulated synchronously across frequency or asynchronously. Hearing-impaired listeners (n = 9) and normal-hearing controls were tested at either the same intensity (n = 7) or same sensation level (n = 8). Hearing-impaired listeners had mild-to-moderate hearing loss and symmetrical, flat audiometric thresholds. While all groups of listeners performed better in the dichotic than monaural condition, this effect was smaller for the hearing-impaired (3.5 dB) and equivalent-sensation-level controls (3.3 dB) than controls tested at the same intensity (11.0 dB). The present study is consistent with the idea that dichotic presentation can improve speech-in-noise listening for hearing-impaired listeners, and may be enhanced when combined with amplification. PMID:27144601

  10. Assistive video or assistive courseware: What hearing-impaired learners say?

    NASA Astrophysics Data System (ADS)

    Mutalib, Ariffin Abdul; Salam, Sobihatun Nur Abdul; Ahmad, Mazida; Mahmuddin, Massudi; Yahaya, Sharifah Nadiya Syed

    2016-08-01

    This paper explains about a comparison between assistive video for hearing-impaired learners (AV4HI) and assistive courseware for hearing-impaired learners (AC4HI). The rationale is that previous statement was made after learners experience normal courseware, not the courseware specifically designed for them. Hence, perhaps if the courseware is designed special for them, the hearing-impaired learners would experience differently, and behave more positive upon the AC4HI. Hence, this paper aims at describing the execution of the comparison. It involves a 3-stage process: designing the AC4HI, developing the AC4HI, and user experience. In the end, it was found that users are happy with both, but in terms of content acquisition, they prefer to have notes in the learning material.

  11. Speech Perception Benefits of Internet Versus Conventional Telephony for Hearing-Impaired Individuals

    PubMed Central

    Dubach, Patrick; Pfiffner, Flurin; Kompis, Martin; Caversaccio, Marco

    2012-01-01

    Background Telephone communication is a challenge for many hearing-impaired individuals. One important technical reason for this difficulty is the restricted frequency range (0.3–3.4 kHz) of conventional landline telephones. Internet telephony (voice over Internet protocol [VoIP]) is transmitted with a larger frequency range (0.1–8 kHz) and therefore includes more frequencies relevant to speech perception. According to a recently published, laboratory-based study, the theoretical advantage of ideal VoIP conditions over conventional telephone quality has translated into improved speech perception by hearing-impaired individuals. However, the speech perception benefits of nonideal VoIP network conditions, which may occur in daily life, have not been explored. VoIP use cannot be recommended to hearing-impaired individuals before its potential under more realistic conditions has been examined. Objective To compare realistic VoIP network conditions, under which digital data packets may be lost, with ideal conventional telephone quality with respect to their impact on speech perception by hearing-impaired individuals. Methods We assessed speech perception using standardized test material presented under simulated VoIP conditions with increasing digital data packet loss (from 0% to 20%) and compared with simulated ideal conventional telephone quality. We monaurally tested 10 adult users of cochlear implants, 10 adult users of hearing aids, and 10 normal-hearing adults in the free sound field, both in quiet and with background noise. Results Across all participant groups, mean speech perception scores using VoIP with 0%, 5%, and 10% packet loss were 15.2% (range 0%–53%), 10.6% (4%–46%), and 8.8% (7%–33%) higher, respectively, than with ideal conventional telephone quality. Speech perception did not differ between VoIP with 20% packet loss and conventional telephone quality. The maximum benefits were observed under ideal VoIP conditions without packet loss and

  12. Development of the visually impaired person guidance system using GPS.

    PubMed

    Soeda, Koji; Aoki, Shingo; Yanashima, Kenji; Magatani, Kazushige

    2004-01-01

    Most of the visually impaired are able to walk independently, if they have the mental map of their walking area. However, in their unknown area, they cannot walk alone and they need a guide dog or help of others for walking. And not only a supporter of the visually impaired but a visually impaired person receives stress while walking. More over in Japan, there are about 300,000 visually impaired persons, and are about 900 guide dogs. These number of guide dogs are too few. Therefore, an auto navigation system for the visually impaired is required in Japan. Our objective is the development of the auto navigation system for the visually impaired. This navigation system obtains the position of an user (visually impaired user) by DGPS. From the digital map data base in our system and the position of an use are analyzed, and suitable route to the destination is calculated, and then our system guides the way to the destination to the user. In this paper, we'd like to report about our new navigation system for the visually impaired and report some experimental results of our system. From these results, we think our system will be a powerful for the visually impaired. PMID:17271403

  13. Auditory and tactile gap discrimination by observers with normal and impaired hearing

    PubMed Central

    Desloge, Joseph G.; Reed, Charlotte M.; Braida, Louis D.; Perez, Zachary D.; Delhorne, Lorraine A.; Villabona, Timothy J.

    2014-01-01

    Temporal processing ability for the senses of hearing and touch was examined through the measurement of gap-duration discrimination thresholds (GDDTs) employing the same low-frequency sinusoidal stimuli in both modalities. GDDTs were measured in three groups of observers (normal-hearing, hearing-impaired, and normal-hearing with simulated hearing loss) covering an age range of 21–69 yr. GDDTs for a baseline gap of 6 ms were measured for four different combinations of 100-ms leading and trailing markers (250–250, 250–400, 400–250, and 400–400 Hz). Auditory measurements were obtained for monaural presentation over headphones and tactile measurements were obtained using sinusoidal vibrations presented to the left middle finger. The auditory GDDTs of the hearing-impaired listeners, which were larger than those of the normal-hearing observers, were well-reproduced in the listeners with simulated loss. The magnitude of the GDDT was generally independent of modality and showed effects of age in both modalities. The use of different-frequency compared to same-frequency markers led to a greater deterioration in auditory GDDTs compared to tactile GDDTs and may reflect differences in bandwidth properties between the two sensory systems. PMID:25234892

  14. Auditory and tactile gap discrimination by observers with normal and impaired hearing.

    PubMed

    Desloge, Joseph G; Reed, Charlotte M; Braida, Louis D; Perez, Zachary D; Delhorne, Lorraine A; Villabona, Timothy J

    2014-02-01

    Temporal processing ability for the senses of hearing and touch was examined through the measurement of gap-duration discrimination thresholds (GDDTs) employing the same low-frequency sinusoidal stimuli in both modalities. GDDTs were measured in three groups of observers (normal-hearing, hearing-impaired, and normal-hearing with simulated hearing loss) covering an age range of 21-69 yr. GDDTs for a baseline gap of 6 ms were measured for four different combinations of 100-ms leading and trailing markers (250-250, 250-400, 400-250, and 400-400 Hz). Auditory measurements were obtained for monaural presentation over headphones and tactile measurements were obtained using sinusoidal vibrations presented to the left middle finger. The auditory GDDTs of the hearing-impaired listeners, which were larger than those of the normal-hearing observers, were well-reproduced in the listeners with simulated loss. The magnitude of the GDDT was generally independent of modality and showed effects of age in both modalities. The use of different-frequency compared to same-frequency markers led to a greater deterioration in auditory GDDTs compared to tactile GDDTs and may reflect differences in bandwidth properties between the two sensory systems. PMID:25234892

  15. Demographics of Meningitis-Induced Hearing Impairment: Implications for Immunization of Children Against Hemophilus Influenzae Type B.

    ERIC Educational Resources Information Center

    Wolff, Anthony B.; Brown, Scott Campbell

    1987-01-01

    The incidence of hearing impairments caused by meningitis (8.7% of which 63% have profound hearing loss) suggests that universal vaccination at age 18 months could prevent at least 115 cases of hearing loss anuually in the United States. Reported prevalence rates were higher for blacks and for males. (Author/DB)

  16. Development of a voice database to aid children with hearing impairments

    NASA Astrophysics Data System (ADS)

    Kuzman, M. G.; Agüero, P. D.; Tulli, J. C.; Gonzalez, E. L.; Uriz, A. J.; Cervellini, M. P.

    2011-12-01

    In the development of software for voice analysis or training, for people with hearing impairments, a database having sounds of properly pronounced words is of paramount importance. This paper shows the advantage that will be obtained from getting an own voice database, rather than using those coming from other countries, even having the same language, in the development of speech training software aimed to people with hearing impairments. This database will be used by software developers at the School of Engineering of Mar del Plata National University.

  17. Developmental dysgraphia with profound hearing impairment: intervention by auditory methods enabled by cochlear implant.

    PubMed

    Fukushima, Kunihiro; Kawasaki, Akihiro; Nagayasu, Rie; Kunisue, Kazuya; Maeda, Yukihide; Kariya, Shin; Kataoka, Yuko; Nishizaki, Kazunori

    2008-06-01

    Learning disability combined with hearing impairment (LDHI) is a poor prognostic factor for the language development of hearing impaired children after educational intervention. A typical example of a child with LDHI and effective interventions provided by cochlear implants are presented in this report. A case of congenital cytomegaloviral infection that showed dysgraphia as well as profound deafness was reported and an underlying visual processing problem diagnosed in the present case caused the patient's dysgraphia. The dysgraphia could be circumvented by the use of auditory memory fairly established by a cochlear implant. PMID:18082987

  18. 75 FR 1301 - Damages Received on Account of Personal Physical Injuries or Physical Sickness; Hearing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-11

    ... Register on Tuesday, September 15, 2009 (74 FR 47152). Persons who wish to present oral comments at the... Injuries or Physical Sickness; Hearing AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice of... of personal physical injuries or physical sickness. DATES: The public hearing is being held...

  19. A Neurodevelopmental Profile of the Rural Hearing-Impaired Child in the QwaQwa Region, South Africa

    ERIC Educational Resources Information Center

    Bothma, Jó-Marié v. d. M.; Dunn, Munita; Kokot, Shirley

    2015-01-01

    Being hearing impaired does not only affect a child's academic performance, but can also influence a child's overall development and ability to succeed academically. Children with hearing impairment often experience delays in other areas of their development and an understanding of the inter-relatedness of these delays are important in order to…

  20. iPads Enhance Social Interaction Skills among Hearing-Impaired Children of Low Income Families in Saudi Arabia

    ERIC Educational Resources Information Center

    Bahatheg, Raja Omar

    2015-01-01

    This research tries to investigate the technical contribution on improving the social interaction of hearing-impaired children from low income families in Saudi Arabia. It compares the social interaction skills of hearing-impaired children who do and do not have access to iPads. To achieve the goals of the study; seventeen children aged five years…

  1. 14 CFR 382.53 - What information must carriers give individuals with a vision or hearing impairment at airports?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false What information must carriers give individuals with a vision or hearing impairment at airports? 382.53 Section 382.53 Aeronautics and Space... information must carriers give individuals with a vision or hearing impairment at airports? (a)(1) As a...

  2. 14 CFR 382.119 - What information must carriers give individuals with vision or hearing impairment on aircraft?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false What information must carriers give individuals with vision or hearing impairment on aircraft? 382.119 Section 382.119 Aeronautics and Space... carriers give individuals with vision or hearing impairment on aircraft? (a) As a carrier, you must...

  3. 14 CFR 382.53 - What information must carriers give individuals with a vision or hearing impairment at airports?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false What information must carriers give individuals with a vision or hearing impairment at airports? 382.53 Section 382.53 Aeronautics and Space... information must carriers give individuals with a vision or hearing impairment at airports? (a)(1) As a...

  4. 14 CFR 382.119 - What information must carriers give individuals with vision or hearing impairment on aircraft?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false What information must carriers give individuals with vision or hearing impairment on aircraft? 382.119 Section 382.119 Aeronautics and Space... carriers give individuals with vision or hearing impairment on aircraft? (a) As a carrier, you must...

  5. 14 CFR 382.119 - What information must carriers give individuals with vision or hearing impairment on aircraft?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false What information must carriers give individuals with vision or hearing impairment on aircraft? 382.119 Section 382.119 Aeronautics and Space... carriers give individuals with vision or hearing impairment on aircraft? (a) As a carrier, you must...

  6. 14 CFR 382.53 - What information must carriers give individuals with a vision or hearing impairment at airports?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false What information must carriers give individuals with a vision or hearing impairment at airports? 382.53 Section 382.53 Aeronautics and Space... information must carriers give individuals with a vision or hearing impairment at airports? (a)(1) As a...

  7. 14 CFR 382.53 - What information must carriers give individuals with a vision or hearing impairment at airports?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false What information must carriers give individuals with a vision or hearing impairment at airports? 382.53 Section 382.53 Aeronautics and Space... information must carriers give individuals with a vision or hearing impairment at airports? (a)(1) As a...

  8. 14 CFR 382.119 - What information must carriers give individuals with vision or hearing impairment on aircraft?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false What information must carriers give individuals with vision or hearing impairment on aircraft? 382.119 Section 382.119 Aeronautics and Space... carriers give individuals with vision or hearing impairment on aircraft? (a) As a carrier, you must...

  9. Providing Hearing-Impaired Students with Learning Care after Classes through Smart Phones and the GPRS Network

    ERIC Educational Resources Information Center

    Liu, Chen-Chung; Hong, Yi-Ching

    2007-01-01

    Although computers and network technology have been widely utilised to assist students learn, few technical supports have been developed to help hearing-impaired students learn in Taiwan. A significant challenge for teachers is to provide after-class learning care and assistance to hearing-impaired students that sustain their motivation to…

  10. The Effects of Speech Presentation Level on Acceptance of Noise in Listeners with Normal and Impaired Hearing

    ERIC Educational Resources Information Center

    Freyaldenhoven, Melinda C.; Plyler, Patrick N.; Thelin, James W.; Hedrick, Mark S.

    2007-01-01

    Purpose: To compare the effects of speech presentation level on acceptance of noise in listeners with normal and impaired hearing. Method: Participants were listeners with normal (n = 24) and impaired (n = 46) hearing who were matched for conventional acceptable noise level (ANL). ANL was then measured at 8 fixed speech presentation levels (40,…

  11. 14 CFR 382.119 - What information must carriers give individuals with vision or hearing impairment on aircraft?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false What information must carriers give individuals with vision or hearing impairment on aircraft? 382.119 Section 382.119 Aeronautics and Space... carriers give individuals with vision or hearing impairment on aircraft? (a) As a carrier, you must...

  12. 14 CFR 382.53 - What information must carriers give individuals with a vision or hearing impairment at airports?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false What information must carriers give individuals with a vision or hearing impairment at airports? 382.53 Section 382.53 Aeronautics and Space... information must carriers give individuals with a vision or hearing impairment at airports? (a)(1) As a...

  13. Perception of Spectral Contrast by Hearing-Impaired Listeners

    ERIC Educational Resources Information Center

    Dreisbach, Laura E.; Leek, Marjorie R.; Lentz, Jennifer J.

    2005-01-01

    The ability to discriminate the spectral shapes of complex sounds is critical to accurate speech perception. Part of the difficulty experienced by listeners with hearing loss in understanding speech sounds in noise may be related to a smearing of the internal representation of the spectral peaks and valleys because of the loss of sensitivity and…

  14. Vaccine May Reduce Incidence of Meningitis-Related Hearing Impairment.

    ERIC Educational Resources Information Center

    Smith, Dorothy

    1988-01-01

    Hearing loss as a result of meningitis, now the leading nongenetic cause of deafness in infants and young children, may be reduced by the introduction of the HiB (Hemophilus influenzae type B) vaccine. It is highly effective, relatively safe, and recommended for most children over 24 months and high risk children 18-24 months old. (VW)

  15. Intensive Training for Teacher Aides Working with Hearing Impaired Children.

    ERIC Educational Resources Information Center

    Garrett, Ann; Hastings, Chester R.

    In summer 1975, McLennan Community College selected 64 counselor-trainees to participate in two 2-week summer camp sessions, each of which involved 50 deaf or hard of hearing children, ranging from 7-12 years of age. Trainees had minimal manual communication skills, and were selected from applicants who were either enrolled in training programs…

  16. Preventive Audiology: Screening for Hearing Impairment in Children Having Recurrent URTI.

    PubMed

    Sharma, K; Pannu, M S; Arora, A; Sharma, V

    2016-06-01

    A late detection of hearing impairment in children can affect speech and language development. Otitis media with effusion (OME) associated with risk factors like recurrent upper respiratory tract infections (URTI) is considered the most common cause of silent hearing impairment among children. So this study was carried out to screen such at risk children for hearing impairment. The study was conducted on 1000 children in the age group of 2-12 years who presented to the OPD of ENT and Pediatrics Department, Govt Medical College with the complaint of recurrent URTI. The children were screened by history taking, general physical examination and local ENT examination. This was followed by impedance audiometry and pure tone audiometry (PTA, wherever indicated). Children with discharging ears and perforated tympanic membrane (TM) were excluded from the study. The most common presenting complaint was nasal discharge (67.9 %), followed by mouth breathing (66.3 %) and snoring (65 %). Only 16.2 % cases actually complained of some hearing impairment on exploratory history indicating the silent nature of OME. On examination 52.65 % cases had a normal looking TM whereas 41.2 % had a dull retracted TM. Results of impedance audiometry showed Type A graph in 56.75 %, Type B in 33.4 % indicating OME and Type C in 9.85 % indicating Eustachian tube dysfunction. PTA showed a mild conductive hearing loss in 26.7 % cases. OME is quite prevalent in high risk children and incidence of OME resulting in silent hearing impairment is quite high especially in young children having recurrent URTI. Impedance audiometry has been proved to be an objective screening tool for the same with a diagnostic accuracy of 87 % and thus under preventive audiology, it has a definite role in young children having recurrent URTI. PMID:27340630

  17. The effects of syllabic compression and frequency shaping on speech intelligibility in hearing impaired people.

    PubMed

    Verschuure, H; Prinsen, T T; Dreschler, W A

    1994-02-01

    The effect of syllabic compression on speech intelligibility is rarely positive and in those cases that positive effects have been found, the same positive results could in general be obtained by frequency shaping of the frequency response curve. We programmed a syllabic compressor on a digital processor; the compressor differed from a conventional syllabic compressor by incorporating a delay in the signal path to suppress overshoots and thus minimize transient distortion. Furthermore, the time constants were short: attack time of 5 msec and release time of 15 msec. The compressor was only active in the high-frequency band. An essentially linear signal was added to deliver the low-frequency speech components. The processing resulted in a frequency response that mirrored the hearing loss near threshold and became much flatter for higher level input signals. Speech intelligibility scores for nonsense consonant-vowel-consonant words embedded in carrier phrases were determined for hearing-impaired persons with sloping audiograms and discrimination losses for speech. Results showed little additional effect of frequency shaping to the existing improved speech score for compressed speech. Optimum results were found for a compression ratio 2 with lower speech scores for linear amplification and for compression ratio 8. We next determined the effect of providing high-frequency emphasis to the speech signal and/or to the compression control signal to compensate for the upward spread of masking. The frequency response at the root-mean-square level was adjusted according to the half-gain rule. The positive effects of moderate compression could be found again; the high-frequency emphasis, however, was positive for the vowels but made consonant recognition poorer.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:8194675

  18. The impact of hearing impairment on television viewing in the UK.

    PubMed

    Sancho-Aldridge, J; Davis, A

    1993-06-01

    Just under one in 10 of a nationally representative sample of UK television viewers said that they experienced difficulty with their hearing. These hard-of-hearing viewers were found to report much greater difficulty watching programmes (mean difficulty rating = 32%) than elderly viewers with no reported hearing difficulty (mean difficulty rating = 10%), or those viewers generally who said they had no hearing problems (mean difficulty rating = 3%). Using a similarly constructed rating for reported enjoyment of different television programmes, hard-of-hearing viewers were found to exhibit a small reduction in enjoyment across the majority of programmes types. While it might have been anticipated that a greater proportion of those with impaired hearing owned a teletext television set giving them access to subtitling, this was not found to be the case. Across the sample as a whole, teletext ownership was shown to be 45%, but was lower than this (38.5%) amongst the hard-of-hearing. The findings corroborate what has been shown in another study, namely that teletext ownership is lower among older viewers. Hearing impairment, if it is not congenital or of early childhood origin, is a condition associated with increasing age. Thus, those whose viewing and appreciation of programmes might be enhanced by subtitles, in the main, do not have access to them. Among hard-of-hearing viewers who did have access to the teletext subtitle service, two thirds of those aged 51 years and over felt that subtitles assisted their understanding of television programmes. As one might expect, of those owning teletext, hard-of-hearing viewers reported greatest use of subtitles. Thirteen per cent of those with hearing difficulty and aged over 51 years said they used subtitles for all programmes watched and a further 26% of the over fifties with hearing difficulty reported regularly using subtitles for selected programmes. These data advocate that there are many hard-of-hearing viewers whose

  19. Comparison of Consanguinity between Parents of Hearing Impaired and Public School Children with Estimation of Risk.

    PubMed

    Sattar, M A; Sultana, M T

    2015-10-01

    Deafness is the hidden disability and the most common human sensory defects which lead to poor educational and employment prospects of childhood. Is there any association of consanguinity and hearing loss or are there any difference of association of consanguinity and hearing loss in specialized and public school children and how much risk is associated?--were the research questions of this study. Total 428 participants have been selected randomly. Hearing impaired were 186 participants and 242 participants were normal hearing school boy. This was a case control, analytical, hypotheses testing study. In normal public school children group, consanguinity was present in 2.5% parents. The rest were married with non relatives. In parents of hearing impaired children group, consanguinity was very high (17.2%). Pearson chi-square test and Odds ratio analysis was done. The value was less than 0.05 and ratio was 8.173. The 'p' value of Pearson chi-square test was less than 0.05. So, the test was highly significant at 95% confidence interval. Odds ratio showed that the risk of profound sensorineural hearing loss in the baby of parents of consanguineous marriages 8.173 times higher than that of non consanguineous marriages. PMID:26620013

  20. Proposed iso standard determination of occupational noise exposure and estimation of noise-induced hearing impairment

    SciTech Connect

    Von Gierke, H.E.

    1986-01-01

    Research on the relationship between noise exposure and noise-induced hearing loss has been very intense over the last 30 years, and steady progress has been made in spite of many remaining questions and unresolved problems regarding the mechanisms. For the time being, avoidance of excessive noise exposure is the only way to prevent noise-induced hearing loss; this is the reason why governments, industry, workers and their representatives have been looking for scientific exposure criteria and guidelines to prevent hazardous noise exposure as part of comprehensive hearing conservation programs. Although it was clear from the beginning that noise-induced hearing loss in a population with exactly defined noise exposure would exhibit a statistical distribution due to differences in biological susceptibility, the epidemiological statistical data were not available to describe quantitatively the difference between the percentage of people with impaired hearing in a noise-exposed group and the percentage of people in a non-noise-exposed group, i.e., the risk of noise-induced hearing impairment.

  1. Early Hearing-Impairment Results in Crossmodal Reorganization of Ferret Core Auditory Cortex

    PubMed Central

    Meredith, M. Alex; Allman, Brian L.

    2012-01-01

    Numerous investigations of cortical crossmodal plasticity, most often in congenital or early-deaf subjects, have indicated that secondary auditory cortical areas reorganize to exhibit visual responsiveness while the core auditory regions are largely spared. However, a recent study of adult-deafened ferrets demonstrated that core auditory cortex was reorganized by the somatosensory modality. Because adult animals have matured beyond their critical period of sensory development and plasticity, it was not known if adult-deafening and early-deafening would generate the same crossmodal results. The present study used young, ototoxically-lesioned ferrets (n = 3) that, after maturation (avg. = 173 days old), showed significant hearing deficits (avg. threshold = 72 dB SPL). Recordings from single-units (n = 132) in core auditory cortex showed that 72% were activated by somatosensory stimulation (compared to 1% in hearing controls). In addition, tracer injection into early hearing-impaired core auditory cortex labeled essentially the same auditory cortical and thalamic projection sources as seen for injections in the hearing controls, indicating that the functional reorganization was not the result of new or latent projections to the cortex. These data, along with similar observations from adult-deafened and adult hearing-impaired animals, support the recently proposed brainstem theory for crossmodal plasticity induced by hearing loss. PMID:22888454

  2. Glomerular Filtration Rate and Urine Albumin to Creatinine Ratio Associated With Hearing Impairment Among Korean Adults With Diabetes

    PubMed Central

    Cho, Yunji; Kim, Do Hoon; Choi, June; Lee, Joo Kyung; Roh, Yong-Kyun; Nam, Hyo-Yun; Nam, Ga-Eun; Kim, Dong-Won; Lee, Seung-Hyun; Lee, Chung-Woo; Han, Kyungdo; Park, Yong-Gyu

    2016-01-01

    Abstract The objective of this study was to examine the association of estimated glomerular filtration rate (eGFR) and urine albumin to creatinine ratio (ACR) with hearing impairment among diabetic adults in Korea. The study was based on data from Korea National Health and Nutrition Examination Survey 2011 to 2012. Participants were 1206 diabetic adults, aged over 19 years, who completed audiometric testing supervised by nationally certified clinicians. Hearing impairment was defined in three grades: no hearing impairment (pure-tone average 0–25 dB), slight hearing impairment (26–40 dB), and disabling hearing impairment (>40 dB) in the better ear at frequencies 0.5, 1, 2, 3, 4 and 6 kHz. Using logistic regression, risk of hearing impairment was assessed after having controlled for confounding factors. Higher levels of ACR and lower levels of eGFR correlated with an increase in percentage of disabling hearing impairment both unilaterally and bilaterally (P < 0.001). Controlling for possible confounding covariates, odds ratios for hearing impairment showed tendency to increase in higher ACR groups (P for trend = 0.029). Similar pattern was examined between eGFR and hearing impairment (P for trend = 0.006). Odds ratios were 1.981 (1.146, 3.424) for ACR Q4 and 2.773 (1.286, 5.983) for eGFR < 60 mL/min. Fall in eGFR and rise in ACR correlated with severity of hearing impairment. The association existed independently of age, sex, body mass index (BMI), smoking, drinking, exercise, new onset of diabetes, education, income, mental stress, noise exposure, and metabolic syndrome. PMID:27124027

  3. Quality of life in adolescents with hearing deficiencies and visual impairments

    PubMed Central

    Marques Freire Torres, Vanthauze; Lidianne Alencar Marinho, Christielle; Gabriela Gomes de Oliveira, Carolina; Conceição Maria Vieira, Sandra

    2013-01-01

    Summary Introduction: The term quality of life (in Portuguese, Qualidade de Vida; QV) has been expanded and modified over the years and has come to signify social development in terms of education, health, and leisure as well as economic issues. Objective: To analyze the perception of QV in adolescents with hearing and visual impairments and the effects of socio-demographic characteristics on the domains of QV. Method: This descriptive series study comprised 42 adolescents aged 10 to 19 years who were students at Recife's state schools. The World Health Organization Quality of Life-Abbreviated questionnaire was used to evaluate QV. The data were analyzed using descriptive statistics and the Mann-Whitney and Kruskal-Wallis tests with a significance level of p < 0.05. Results: The global perception of QV was higher among adolescents with visual impairments than among those with hearing impairments. Among the individual components of QV, the environment domain garnered the lowest scores independent of the type of impairment. The subjects with visual impairments reported higher scores for social relationships, while the psychological domain scored higher among those with hearing impairments. The students integrated into normal classrooms perceived better QV in the psychological and social relationships domains than did those who sat in special classrooms. Conclusion: The environmental domain was the worst component of the QV of handicapped adolescents, suggesting a need for greater investments in policies to improve the QV of this population. PMID:26029272

  4. Development of a Low Cost Assistive Listening System for Hearing-Impaired Student Classroom

    PubMed Central

    Pan-ngum, Setha; Soonrach, Tharapong; Seesutas, Sangvorn; Noymai, Anukool

    2013-01-01

    This paper describes the design, development, and tests of a low cost ALS. It was designed for hearing-impaired student classrooms. It utilised digital wireless technology and was aimed to be an alternative to a popular FM ALS. Key specifications include transmitting in 2.4 GHz ISM band with eight selectable transmission channels, battery operated and chargeable, pocket size, and ranged up to thirty metres. Audio characteristics and user tests show that it is comparable to a commercial system, currently employed in our partner school. The results also show that wearing an ALS clearly improves hearing of hearing-impaired students. Long-term usage by school children will be monitored to evaluate the system robustness and durability. PMID:23766709

  5. Development of a low cost assistive listening system for hearing-impaired student classroom.

    PubMed

    Pan-ngum, Setha; Soonrach, Tharapong; Seesutas, Sangvorn; Noymai, Anukool; Israsena, Pasin

    2013-01-01

    This paper describes the design, development, and tests of a low cost ALS. It was designed for hearing-impaired student classrooms. It utilised digital wireless technology and was aimed to be an alternative to a popular FM ALS. Key specifications include transmitting in 2.4 GHz ISM band with eight selectable transmission channels, battery operated and chargeable, pocket size, and ranged up to thirty metres. Audio characteristics and user tests show that it is comparable to a commercial system, currently employed in our partner school. The results also show that wearing an ALS clearly improves hearing of hearing-impaired students. Long-term usage by school children will be monitored to evaluate the system robustness and durability. PMID:23766709

  6. Breaking the Sound Barrier: Working with Hearing-Impaired Adults in an Educational Setting.

    ERIC Educational Resources Information Center

    West, Lois

    College staff must understand the nature of hearing impairment, its effect on communication, and teaching methods that accommodate functional limitations in order to provide for the special needs of deaf students. Since the extent of a student's ability to communicate is determined by whether the student became deaf before or after he/she…

  7. Training Strategies for Profoundly Hearing-Impaired Children Using the Tactaid II+.

    ERIC Educational Resources Information Center

    Hesketh, Linda; Osberger, Mary Joe

    1990-01-01

    This paper offers training strategies designed to help profoundly hearing-impaired children learn to use information delivered via the Tactaid II+, a two-channel vibrotactile device. The paper describes function and monitoring of the aid, training activities, realistic and unrealistic goals, and a case study illustrating speech perception…

  8. Medications Used by Students with Visual and Hearing Impairments: Implications for Teachers.

    ERIC Educational Resources Information Center

    Kelley, Pat; And Others

    This document presents summary information in chart form on medications used by students with visual and hearing impairments. First, a checklist identifies educational considerations for students who are medicated. Next, common antipsychotic, anticonvulsant, antiasthmatic and other drugs are listed in chart form with drug name, indications, peak…

  9. Computer-Assisted Learning for the Hearing Impaired: An Interactive Written Language Enviroment.

    ERIC Educational Resources Information Center

    Ward, R. D.; Rostron, A. B.

    1983-01-01

    To help hearing-impaired children develop their linguistic competence, a computer system that can process sentences and give feedback about their acceptability was developed. Suggestions are made of ways to use the system as an environment for interactive written communication. (Author/CL)

  10. Teaching Music as an Aid for Speech Training of Hearing Impaired Students.

    ERIC Educational Resources Information Center

    Shaw, Jeanne

    1989-01-01

    The article reviews existing theories and programs for teaching music to hearing-impaired students. Recent empirical evidence indicates that an auditory-based music program can increase speech intelligibility through improvement of the suprasegmental aspects of speech. (Author/DB)

  11. Auditory, Visual, and Auditory-Visual Perception of Vowels by Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Hack, Zarita Caplan; Erber, Norman P.

    1982-01-01

    Vowels were presented through auditory, visual, and auditory-visual modalities to 18 hearing impaired children (12 to 15 years old) having good, intermediate, and poor auditory word recognition skills. All the groups had difficulty with acoustic information and visual information alone. The first two groups had only moderate difficulty identifying…

  12. Inside Practice of Science Teachers for Students with Hearing Impairments in Botswana Primary Schools

    ERIC Educational Resources Information Center

    Mukhopadhyay, Sourav; Moswela, Emmanuel

    2010-01-01

    In this qualitative study the authors describe how students with severe to profound hearing impairments learn science subjects in primary school in Botswana. Twenty-two teachers from two centres of deaf education in Botswana were recruited purposively to take part in the current study. Multilayered data collection methods were utilized to gain an…

  13. Severe-to-Profound Hearing-Impaired Children's Comprehension of Figurative Language.

    ERIC Educational Resources Information Center

    Orlando, Ann-Marie; Shulman, Brian B.

    1989-01-01

    Twelve children, aged 9-19, with severe/profound hearing impairments were instructed to read sentences with similes, metaphors, idioms, and proverbs, and to explain them. Subjects' performance differed significantly from the performance of a control group. Subjects' performance was dependent upon reading level and was variable across chronological…

  14. PAC: A Multidisciplinary Continuum of Care for Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Gillespie, Janet F.; And Others

    The paper describes PAC (Psychology--Audiology Collaboration), a program which provides services and family support to the hearing impaired in a community setting. The program features a prevention component, treatment, educational and social support components, cross-discipline referrals, and interdepartmental training opportunities for graduate…

  15. The Integration Experience of Hearing Impaired Elementary School Students in Separated and Integrated School Settings

    ERIC Educational Resources Information Center

    Vetter, Alexandra; Lohle, Erwin; Bengel, Jurgen; Burger, Thorsten

    2010-01-01

    Integration experiences of hearing impaired German elementary school students in separate educational settings (n = 31) were compared with those of counterparts at the same level in integrated settings (n = 26), and evaluated in regard to psychosocial behavior, semantic-lexical abilities, and communicative skills. Analysis of questionnaire…

  16. Guidelines for Evaluating Auditory-Oral Programs for Children Who Are Hearing Impaired.

    ERIC Educational Resources Information Center

    Alexander Graham Bell Association for the Deaf, Inc., Washington, DC.

    These guidelines are intended to assist parents in evaluating educational programs for children who are hearing impaired, where a program's stated intention is promoting the child's optimal use of spoken language as a mode of everyday communication and learning. The guidelines are applicable to programs where spoken language is the sole mode or…

  17. The Classroom Notetaker: How To Organize a Program Serving Students with Hearing Impairments.

    ERIC Educational Resources Information Center

    Wilson, Jimmie Joan

    This guide describes how to establish a notetaking program to benefit students with hearing impairments in mainstream settings. Chapter 1 discusses the need for notetakers and includes subjects such as providing equal access, high-tech and low-tech notetaking, how the notes can be used, and who can use the notes. Chapter 2 provides information on…

  18. Mother's Perspective toward Al-Quran Education for Hearing Impaired Children in Malaysia

    ERIC Educational Resources Information Center

    Ghadim, Nafiseh Alaghehband; Jomhari, Nazean; Alias, Norlidah; Rashid, Syar Meeze Mohd; Yusoff, Mohd Yakub Zulkifli Bin Mohd

    2013-01-01

    An interview with parents of children with hearing impairment was carried out in the initial study since the coordinated effort of parents and children is essential in the education of children. Considering that this interview was appropriate for collecting qualitative-oriented data, it has been chosen as the knowledge elicitation method. In most…

  19. Interpreting Television for Hearing Impaired Viewers: A Guidebook for Producers and Interpreters.

    ERIC Educational Resources Information Center

    National Technical Inst. for the Deaf, Rochester, NY.

    This manual presents production guidelines and suggestions for use by commercial, public, and educational broadcast facilities that seek to provide television interpreting for the hearing impaired. Topics covered include a brief overview of the need for television services for this audience and the use of closed captioning and sign language to…

  20. Correcting the Enuresis of a Hearing-Impaired, Developmentally Disabled Adolescent Using an Auditory Enuresis Alarm.

    ERIC Educational Resources Information Center

    Hanson, Ronald H.

    1983-01-01

    The enuresis of a hearing-impaired, developmentally disabled adolescent was corrected through the use of an auditory alarm and specific training procedures. The young man progressed from wetting the bed every night to being consistently dry after five weeks of treatment. He has remaind dry for over two years. (Author/CL)

  1. Individual Literacy Activities with Hearing-Impaired Children in the Preschool Period

    ERIC Educational Resources Information Center

    Karasu, H. Pelin

    2014-01-01

    The ability to recognize sight words, phonological awareness, syntax, semantics, and pragmatic skills begins to develop during the preschool period, and is important for formal reading education. The purpose of this study was to define individualized studies that support the development of literacy skills among hearing-impaired preschool children.…

  2. Tactile Aids for Speech Perception and Production by Hearing-Impaired People.

    ERIC Educational Resources Information Center

    Weisenberger, Janet

    1989-01-01

    Laboratory results are presented which suggest that hearing-impaired individuals' speech perception can be enhanced through use of tactile aids with a number of tactile transducers conveying information about the spectral content of the speech signal, and speech production can be improved through experience using a multichannel tactile aid.…

  3. Objectivity in the Assessment of Preschool Hearing Impaired Bilingual-Hispanic Children.

    ERIC Educational Resources Information Center

    Ferullo, Robert J.

    1983-01-01

    This article stresses the importance of objectivity in the evaluation and assessment of preschool hearing impaired Hispanic bilingual children. A case illustration is presented to demonstrate the need for objectivity in the team evaluation process, and guidelines are presented for use in working with Hispanic families. (Author/CJ)

  4. Modality Aspects of Mediation in Children with Normal and with Impaired Hearing Ability. Final Report.

    ERIC Educational Resources Information Center

    Allen, Doris V.

    Three experiments tested whether qualitative differences in processing of verbal materials result from congenital hearing impairment. Subjects were children with reading levels equivalent to grades 4 to 6. Experiment 1 used repeated measurements with two modes of response and two kinds of cues; experiment 2 used acoustic similarity to produce…

  5. Acoustic vs. Magnetic Coupling for Telephone Listening of Hearing-Impaired Subjects.

    ERIC Educational Resources Information Center

    Holmes, Alice E.

    1985-01-01

    The study investigated the effects of six telephone conditions on discrimination in 19 hearing impaired adults. No significant differences were found among the unaided, acoustically coupled, and magnetically coupled listening modes. Ss understood words significantly better using an amplifier handset, regardless of listening mode. (Author/CL)

  6. Assessing Special Needs of Students with Hearing Impairment in Jordan and Its Relation to Some Variables

    ERIC Educational Resources Information Center

    El-Zraigat, Ibrahim A.

    2013-01-01

    The main purpose of the present study was to assess special needs for students with hearing impairment. The sample of the study consisted of 231 students enrolled at schools for deaf children in Jordan, 113 males and 118 females. A special needs scale was developed and used in assessing special needs for students. The reliability and validity of…

  7. Progress and Prospects in Human Genetic Research into Age-Related Hearing Impairment

    PubMed Central

    Sugiura, Saiko; Ueda, Hiromi; Nakashima, Tsutomu

    2014-01-01

    Age-related hearing impairment (ARHI) is a complex, multifactorial disorder that is attributable to confounding intrinsic and extrinsic factors. The degree of impairment shows substantial variation between individuals, as is also observed in the senescence of other functions. This individual variation would seem to refute the stereotypical view that hearing deterioration with age is inevitable and may indicate that there is ample scope for preventive intervention. Genetic predisposition could account for a sizable proportion of interindividual variation. Over the past decade or so, tremendous progress has been made through research into the genetics of various forms of hearing impairment, including ARHI and our knowledge of the complex mechanisms of auditory function has increased substantially. Here, we give an overview of recent investigations aimed at identifying the genetic risk factors involved in ARHI and of what we currently know about its pathophysiology. This review is divided into the following sections: (i) genes causing monogenic hearing impairment with phenotypic similarities to ARHI; (ii) genes involved in oxidative stress, biologic stress responses, and mitochondrial dysfunction; and (iii) candidate genes for senescence, other geriatric diseases, and neurodegeneration. Progress and prospects in genetic research are discussed. PMID:25140308

  8. Competency Goals and Performance Indicators K-12: Hearing Impaired Learners, Birth-Grade 12. Supplement.

    ERIC Educational Resources Information Center

    North Carolina State Dept. of Public Instruction, Raleigh. Instructional Services.

    The unique needs of the hearing impaired student (K through grade 12) are examined in the book which lists goals and performance indicators in a variety of instructional areas. It is explained that the text is intended as a supplement to "Competency Goals and Performance Indicators K-12." Goals and performance indicators are listed for the…

  9. The Contribution of Jewish Professional People to the Education of Hearing Impaired Children in Europe.

    ERIC Educational Resources Information Center

    Loewe, Armin

    This paper summarizes the contributions of Jewish professional and lay people to the education of children with hearing impairments over the past 250 years throughout Europe. It begins with the contributions of Jacob Rodriguez Pereira in the 18th century in France, an oral teacher of the deaf and the inventor of a phoneme-transmitting manual…

  10. Diagnostic and Clinical Services Center for Hearing Impaired Children. Interim Report.

    ERIC Educational Resources Information Center

    Chicago Board of Education, IL.

    A description is provided of a summer project devoted to planning a high school for the hearing impaired, recruiting staff, preparing facilities, and commencing diagnostic and clinical services. Objectives are listed and the following problems are considered; selection of clientele to be served, contact with parents, and number of children seen;…

  11. A Novel Splice-Site Mutation in the GJB2 Gene Causing Mild Postlingual Hearing Impairment

    PubMed Central

    Gandía, Marta; del Castillo, Francisco J.; Rodríguez-Álvarez, Francisco J.; Garrido, Gema; Villamar, Manuela; Calderón, Manuela; Moreno-Pelayo, Miguel A.; Moreno, Felipe; del Castillo, Ignacio

    2013-01-01

    The DFNB1 subtype of autosomal recessive, nonsyndromic hearing impairment, caused by mutations affecting the GJB2 (connection-26) gene, is highly prevalent in most populations worldwide. DFNB1 hearing impairment is mostly severe or profound and usually appears before the acquisition of speech (prelingual onset), though a small number of hypomorphic missense mutations result in mild or moderate deafness of postlingual onset. We identified a novel GJB2 splice-site mutation, c. -22-2A>C, in three siblings with mild postlingual hearing impairment that were compound heterozygous for c. -22-2A>C and c.35delG. Reverse transcriptase-PCR experiments performed on total RNA extracted from saliva samples from one of these siblings confirmed that c. -22-2A>C abolished the acceptor splice site of the single GJB2 intron, resulting in the absence of normally processed transcripts from this allele. However, we did isolate transcripts from the c. -22-2A>C allele that keep an intact GJB2 coding region and that were generated by use of an alternative acceptor splice site previously unknown. The residual expression of wild-type connection-26 encoded by these transcripts probably underlies the mild severity and late onset of the hearing impairment of these subjects. PMID:24039984

  12. The Needs of the Deaf and Hearing Impaired. Legislative Document No. 99.

    ERIC Educational Resources Information Center

    New York State Temporary Commission to Study and Investigate the Problems of the Deaf, Albany.

    The Temporary State Commission to Study and Investigate the Problems of the Deaf presents a third annual report on the needs, services, and programs to aid the deaf and hearing impaired in New York State. The commission engaged in research activities to provide data necessary to substantiate legislation and to pursue the implementation of previous…

  13. Students Hearing Impaired from the 1963-1965 Rubella Epidemic Begin to Enter College.

    ERIC Educational Resources Information Center

    Stuckless, E. Ross; Walter, Gerard G.

    1983-01-01

    Analysis of the postsecondary qualifications among 8,000 or more children born hearing impaired as a result of the 1963-65 rubella epidemic revealed a favorable prognosis for postsecondary education for many rubella students graduating from secondary programs in 1983, l984, and l985. (Author/CL)

  14. Visual Disorders in a Selected Population of Hearing-Impaired Students.

    ERIC Educational Resources Information Center

    Gottlieb, Daniel D.; Allen, William

    1985-01-01

    A biased selected sample of 82 hearing-impaired children was referred for complete visual evaluations for one-and-a-half years. Sixty-four percent of the children were found to have visual disorders in the major categories of pathology, refractive prescription requirements, and strabismus. The project demonstrated the need for comprehensive early…

  15. Affective Films for the Hearing Impaired Child: A Test of Captioned Inside/Out Programs.

    ERIC Educational Resources Information Center

    Middleton, John

    Two captioned affective films from the AIT series Inside/Out were tested with 14 intermediate (ages 13 to 15) and 39 elementary (ages 11 and 12) hearing impaired children at the Hawaii School for the Deaf and Blind. Measures of attention, post-film discussion, student comprehension, and student and teacher opinions were taken to determine the…

  16. Hearing-Impaired Formal Inservice (HI-FI) Program. Description of Teacher Inservice Education Materials.

    ERIC Educational Resources Information Center

    National Education Association, Washington, DC. Project on Utilization of Inservice Education R & D Outcomes.

    The described inservice teacher education program is designed for elementary school teachers who wish to develop skills in handling hearing impaired students who are mainstreamed into their classroom. The scope and sequencing of program topics is outlined. Activities and resources involved in the program are described. Ordering information for…

  17. Effect of Two Approaches to Auditory Training on Speech Recognition by Hearing-Impaired Adults.

    ERIC Educational Resources Information Center

    Rubinstein, Adrienne; Boothroyd, Arthur

    1987-01-01

    Two approaches to auditory training for improved speech recognition using 20 adults with mild to moderate sensorineural hearing impairments were compared. No significant differences were found between group one which spent training time on activities involving sentence perception and perceptual strategy and group two which focused on consonant…

  18. Effect of Interactive Video versus Noninteractive Video Training on Speech Recognition by Hearing-Impaired Adults.

    ERIC Educational Resources Information Center

    Rubinstein, Adrienne; And Others

    1993-01-01

    Nine adults with hearing impairments received a speech recognition drill using interactive video disk technology which included immediate feedback and partial cuing. Eight similar adults received a noninteractive video approach with delayed feedback and no adaptive instruction. No significant differences were found between groups in posttraining…

  19. Developing Effective Learning Material to Students with Hearing Impairment (HI) through ODL in Zimbabwe

    ERIC Educational Resources Information Center

    Mpofu, John; Chimhenga, Sylod; Mafa, Onias

    2013-01-01

    Students with Hearing Impairment (HI) are experiencing learning problems in most institutions of Higher Learning in Zimbabwe. Access to colleges and universities is limited and where they are accepted, there are no facilities to cater for their needs, hence there is need to develop learning materials that enable these students to learn effectively…

  20. 38 CFR 21.152 - Interpreter service for the hearing impaired.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... determines that: (i) The veteran is deaf or his or her hearing is severely impaired; and (ii) All appropriate.... When an individual is not certified by a State or professional association, VA shall seek the assistance of a State certifying agency or a professional association in ascertaining whether the...

  1. 38 CFR 21.152 - Interpreter service for the hearing impaired.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... determines that: (i) The veteran is deaf or his or her hearing is severely impaired; and (ii) All appropriate.... When an individual is not certified by a State or professional association, VA shall seek the assistance of a State certifying agency or a professional association in ascertaining whether the...

  2. 38 CFR 21.152 - Interpreter service for the hearing impaired.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... determines that: (i) The veteran is deaf or his or her hearing is severely impaired; and (ii) All appropriate.... When an individual is not certified by a State or professional association, VA shall seek the assistance of a State certifying agency or a professional association in ascertaining whether the...

  3. 38 CFR 21.152 - Interpreter service for the hearing impaired.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... determines that: (i) The veteran is deaf or his or her hearing is severely impaired; and (ii) All appropriate.... When an individual is not certified by a State or professional association, VA shall seek the assistance of a State certifying agency or a professional association in ascertaining whether the...

  4. Alternatives in Mainstreaming: A "Range of Options" Model for the Postsecondary Hearing-Impaired Student.

    ERIC Educational Resources Information Center

    Foster, Susan; Elliot, Lisa

    Twenty students were interviewed after transferring to the National Technical Institute for the Deaf (NTID) from colleges that offered no specialized programs for hearing-impaired students. The students reported that previous teachers were not aware of their learning needs, reading materials were difficult to comprehend, classes were too large and…

  5. Masking of spondees by interrupted noise in hearing-impaired listeners.

    PubMed

    Punch, J L

    1978-01-01

    The effects of changing the duty cycle of an interrupted-broad band masker on the spondee thresholds of hearing-impaired subjects were explored. Two diagnostic groups of sensorineural hearing loss, presbycusics and cochlear otosclerotics, were investigated. The interruption rate of the masker was 10/sec, and its duty cycle was varied at 25% intervals. Thresholds also were obtained in continuous noise and in quiet. Results when compared with earlier data from normal listeners revealed that subjects with sensorineural impairment exhibited poorer performance in all instances, including the continuous noise condition, when mean masker levels were adjusted to comparable sound pressure levels. The overall pattern of masking was more similar for the normal and hearing-impaired groups when performance was equated in terms of the mean threshold shift each group experienced in continuous noise. Even under these circumstances, however, hearing-impaired subjects demostrated notably greater residual masking under the 25 and 50% noise-on conditions. A major determinant of speech reception in fluctuating noise backgrounds is the dependence of the pattern of masking upon the difference between an individual's masked threshold in continuous noise and his threshold in quiet, rather than upon the sound pressure level of the masker. PMID:681196

  6. Advances in sensory aids for the hearing-impaired: visual and vibrotactile aids.

    PubMed

    Pickett, J M

    1980-01-01

    An informal sketch is given of the background and current status of research on electronic aids designed to convert speech into visual or tactile patterns in order to alleviate problems of speech reception and speech production by the hearing-impaired. The functions and problems of the major types of such aids are briefly described and literature references are given. PMID:6786196

  7. Implementation of Biofeedback Techniques To Reduce Stress Involving Communication Skills with Elementary School Hearing Impaired Students.

    ERIC Educational Resources Information Center

    Litus, Tonyia J.

    Two sixth-grade, hearing-impaired students were studied to determine the effectiveness of stress management techniques using biofeedback instruments to monitor their nervous and cardiovascular systems. The male student had behavior problems, exhibiting explosive behavior without warning. The female student experienced excessive audible inhalations…

  8. An Across-Frequency Processing Deficit in Listeners with Hearing Impairment Is Supported by Acoustic Correlation

    ERIC Educational Resources Information Center

    Healy, Eric W.; Kannabiran, Anand; Bacon, Sid P.

    2005-01-01

    It has been recently suggested that listeners having a sensorineural hearing impairment (HI) may possess a deficit in their ability to integrate speech information across different frequencies. When presented with a task that required across-frequency integration of speech patterns, listeners with HI performed more poorly than their normal-hearing…

  9. National Evaluation of Support Options for Deaf and Hearing-Impaired Children: Relevance to Education Services

    ERIC Educational Resources Information Center

    Fortnum, Heather; Stacey, Paula; Barton, Garry; Summerfield, A. Quentin

    2007-01-01

    A large study in the United Kingdom of support options for deaf and hearing-impaired children was conducted between 1998 and 2001. Findings have been reported on prevalence, demography, auditory performance, communication skills, educational achievements, and quality of life, costs including costs of compulsory education and costs incurred by…

  10. Using Visual and Tactile Sensory Aids to Remediate Monotone Voice in Hearing-Impaired Speakers.

    ERIC Educational Resources Information Center

    Youdelman, Karen; And Others

    1989-01-01

    Sixteen severely-to-profoundly hearing-impaired students, aged 7-8, received training using a curriculum for remediating monotone voice. Some students also used visual or tactile sensory aids. All students evidenced marked improvement in remediating monotonous pitch, with those using the curriculum in conjunction with a tactile display showing the…

  11. Remediation of Phonation Problems in Hearing-Impaired Children: Speech Training and Sensory Aids.

    ERIC Educational Resources Information Center

    McGarr, Nancy S.; And Others

    1989-01-01

    Fifty hearing-impaired students, aged 8-12 and 15-19, who used an auditory, visual, or tactile aid in speech training made more progress than controls who received speech training without sensory aids. A visual display was more effective for conveying appropriate average pitch, while the "Portapitch" was useful for conveying dynamic pitch changes.…

  12. The Ohio Achievement Assessment and Deaf/Hearing Impaired Students: Have They Been Left Behind?

    ERIC Educational Resources Information Center

    Davis, Tanya S. Williams

    2013-01-01

    The purposes of this study were 1) to examine Ohio Achievement Assessment data in the content areas of Reading, Science and Social Studies between the years of 2004-2010) to determine whether an achievement gap exists within the disability category of Deaf/Hearing Impaired; 2) to determine whether the trends present in the data of normal hearing…

  13. Closing the Communication Gap: Steps toward Quality Wilderness Programming with People Who Have Hearing Impairments.

    ERIC Educational Resources Information Center

    Chasson, David

    This paper combines information from two published articles with an account of preparation for a wilderness expedition that included hearing-impaired people. Whether outdoor programs are planned for adventure, recreation, or educational purposes, they are increasingly being made more accessible for handicapped people. The paper focuses on problems…

  14. The Relationship of Cognitive Style Variables to Optimal Test Performance in Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Dillon, Ronna F.

    The relationship of cognitive style variables and conditions of test administration was investigated in cognitive assessments of hearing-impaired children, aged six through eleven. One hundred-twenty children were given the Raven Coloured Progressive Matrices (CPM) and a Piagetian battery under one of six conditions of testing: (1) standard; (2)…

  15. Maternal Communicative Style with Children with Hearing Impairment--An Old Question Revisited

    ERIC Educational Resources Information Center

    Bhat, Rashmi J.; Nagaraja, M. N.

    2012-01-01

    Infants from birth itself are in constant interaction with their mothers and the environment. Thus the maternal styles of communication would play an important role in developing communicative competency in children. This process happens so naturally and incidentally that no one pays special attention to it. However, when a hearing impairment is…

  16. A Multisensory Language Approach to the Introduction of the Alphabet to Hearing Impaired Preschoolers.

    ERIC Educational Resources Information Center

    Jaworski, Anne Porter; Schroder, Ann

    The project was designed to develop a multisensory, language-oriented curriculum to introduce the letters of the alphabet to six hearing impaired preschoolers. Every week a new letter is introduced via such tasks as art and cooking activities, snacks, beginning sound picture cards, yarn and lacing letters, sandpaper letters, alphabet string beads,…

  17. The Effect of iPad on School Preparedness among Preschool Children with Hearing-Impairments

    ERIC Educational Resources Information Center

    Turkestani, Maryam Hafez

    2015-01-01

    With modern technological developments and with the fast expansion of mobile technical equipment, conducting a field study to find out how technology influences various developmental aspects of normal and special needs children at the preschool stage was deemed appropriate and timely hearing impairment. In this study aimed at finding out the…

  18. Maintenance of Positive Peer Interaction in Preschool Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Antia, Shirin; Kreimeyer, Kathryn

    1988-01-01

    A sequential withdrawal design was used to examine the effect of social skills intervention on the frequency of positive peer interaction in four moderately hearing-impaired preschool children. High rates of positive peer interaction were maintained when teacher modeling and prompting were gradually (but not abruptly) withdrawn. (Author/DB)

  19. Strategies to Develop Peer Interaction in Young Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Antia, Shirin

    1994-01-01

    Strategies to increase positive peer interactions of young children with hearing impairments include reducing teacher-child interactions, changing classroom activity structure, social skills intervention, peer-mediated interventions, increasing familiarity through intensive contact, and peer orientation. Evidence of effectiveness of these…

  20. Promoting Social Interaction between Young Children with Hearing Impairments and Their Peers.

    ERIC Educational Resources Information Center

    Antia, Shirin D.; And Others

    1994-01-01

    Comparison of two interventions on the peer social interactions of 105 young children with and without hearing impairments found that the integrated activities intervention resulted in greater gains in total positive peer interaction than the social skills intervention. However, withdrawal of either intervention resulted in decreased peer…

  1. The Development and Generalization of Social Interaction Skills in Preschool Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Kreimeyer, Kathryn; Antia, Shirin

    1988-01-01

    A social interaction intervention program implemented with three groups of preschool hearing-impaired children increased positive interaction, sharing, and conversation. Generalization of skills was observed when toys incorporated into intervention activities were presented during free-play probes. The importance of incorporating generalization…

  2. The Effect of Social Skill Training on the Peer Interaction of Preschool Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Anitia, Shirin D.; Kreimeyer, Kathryn H.

    1987-01-01

    The study evaluated the effectiveness of a social skills intervention program with two groups of three preschool hearing impaired children (differing in communication mode). Among results were an increase in positive peer interaction, generalization of positive interaction to free play, but decreased positive interaction when intervention ceased.…

  3. Social Studies: A Resource Guide for Hearing-Impaired High School Students.

    ERIC Educational Resources Information Center

    Jaggers, Robert A.; Jaggers, Barbara A.

    The guide was written to give secondary level hearing impaired students exposure to real life problems from a social studies perspective. Units are outlined for the three levels of the high school years and provide an overview, information on vocabulary, target competencies, suggested activities, sources, and a list of objectives. The units are…

  4. Identifying Current and Relevant Curricular Sequences for Multiply Involved Hearing-Impaired Learners.

    ERIC Educational Resources Information Center

    Schloss, Patrick J.

    1984-01-01

    The article provides guidelines for developing curriculum objectives for multiply involved hearing-impaired students. Emphasis is placed on procedures for establishing instructional priorities, assessing the learner against these priorities, selecting and using prosthetics to overcome learning and behavioral deficits, providing educational…

  5. Acoustic Characteristics of Vowels and Plosives/Affricates of Mandarin-Speaking Hearing-Impaired Children

    ERIC Educational Resources Information Center

    Tseng, Shu-Chuan; Kuei, Ko; Tsou, Pei-Chen

    2011-01-01

    This article presents the results of an acoustic analysis of vowels and plosives/affricates produced by 45 Mandarin-speaking children with hearing impairment. Vowel production is represented and categorized into three groups by vowel space size calculated with normalized F1 and F2 values of corner vowels. The correlation between speech…

  6. Evaluation of Computer-Assisted Instruction in Elementary Mathematics for Hearing-Impaired Students.

    ERIC Educational Resources Information Center

    Suppes, Patrick; And Others

    A sample of approximately 385 hearing-impaired elementary and secondary school students whose mathematical achievement ranged from second to sixth grades were examined to determine the effectiveness of a computer assisted elementary mathematics program on the acquisition of computational skills. The students selected were from a population of over…

  7. The Effects of Arts and Crafts Education on Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Yuan-shih, Pan

    1984-01-01

    Arts and crafts education opens up the creative ambitions of hearing-impaired children, cultivates their ability to express themselves, strengthens their organizational ability, helps them develop visual and tactile sensitivity, and increases their interest in learning. Self-respect and self-confidence are the result. (RM)

  8. Intelligibility of Modified Speech for Young Listeners with Normal and Impaired Hearing.

    ERIC Educational Resources Information Center

    Uchanski, Rosalie M.; Geers, Ann E.; Protopapas, Athanassios

    2002-01-01

    A study examined whether the benefits of modified speech could be extended to provide intelligibility improvements for eight children (ages 8-14) with severe-to-profound hearing impairments who wear sensory aids and five controls. All varieties of modified speech (envelope-amplified, slowed, and both) yielded either equivalent or poorer…

  9. Hearing Impaired Children's Retelling of Stories Following Presentation in Whole-Class and Individual Contexts.

    ERIC Educational Resources Information Center

    Andrews, Stephanie; And Others

    This study investigated the ability of six first graders with moderate to severe hearing impairment to recall a story using four reading presentation conditions: (1) group reading with interaction, (2) group reading without interaction, (3) individual reading with interaction, and (4) individual reading without interaction. Four books (one book…

  10. Telephone speech enhancement for hearing-impaired listeners using multi-channel compression

    NASA Astrophysics Data System (ADS)

    Natarajan, Harikrishna P.; Krishnamurthy, Ashok K.; Feth, Lawrence L.

    2002-05-01

    Elderly listeners with sensorineural hearing impairment usually have difficulty with telephone communication if they do not use a hearing aid or telephone amplifier. In many cases, these devices may not be readily available or maybe uncomfortable to use. We describe here an alternative strategy to enhance the speech by pre-processing the signal before sending it over the telephone line. The pre-processing is based on a multi-channel compression algorithm that modifies the critical band spectrum of the speech signal to bring it within the dynamic hearing range of the listener, while also compensating for the effects of the telephone line. We describe the algorithm and the results of a simulation study in which the Articulation Index (AI) is used to measure the intelligibility enhancement, and the Glasberg, Moore and Stone (1999) model is used to simulate the effects of the hearing loss.

  11. Ira as a pioneer in audiology: His contributions to the clinical measurement of hearing and hearing impairment

    NASA Astrophysics Data System (ADS)

    Formby, C.; Gagne, J. P.

    2002-05-01

    Ira Hirsh's contributions to clinical science and research are diverse and significant. In fact, approximately one-third of the 100+ publications that Ira lists in his curriculum vitae (CV) are clinical in nature, dealing with various aspects of audiology, deafness, hearing aids, aural rehabilitation, and speech and language pathology. The majority of these citations, fully one-quarter of his publication list, addresses problems specific to the clinical measurement of hearing and hearing impairment. Undoubtedly, the most influential of these published works appears in his CV under the citation ``The Measurement of Hearing.'' The forward for this publication, his only textbook, was penned in June, 1952 (now precisely half a century past at the time of this session). The aims of this presentation are to (1) provide perspective on the fundamental importance of his virtually timeless text in shaping the fledgling discipline of audiology, and (2) celebrate Ira's many contributions to the profession and practice of audiology. [Preparation for this presentation was supported, in part, by a K24 career development award from NIDCD.

  12. Deficiency of sphingomyelin synthase-1 but not sphingomyelin synthase-2 causes hearing impairments in mice.

    PubMed

    Lu, Mei-Hong; Takemoto, Makoto; Watanabe, Ken; Luo, Huan; Nishimura, Masataka; Yano, Masato; Tomimoto, Hidekazu; Okazaki, Toshiro; Oike, Yuichi; Song, Wen-Jie

    2012-08-15

    Sphingomyelin (SM) is a sphingolipid reported to function as a structural component of plasma membranes and to participate in signal transduction. The role of SM metabolism in the process of hearing remains controversial. Here, we examined the role of SM synthase (SMS), which is subcategorized into the family members SMS1 and SMS2, in auditory function. Measurements of auditory brainstem response (ABR) revealed hearing impairment in SMS1−/− mice in a low frequency range (4–16 kHz). As a possible mechanism of this impairment, we found that the stria vascularis (SV) in these mice exhibited atrophy and disorganized marginal cells. Consequently, SMS1−/− mice exhibited significantly smaller endocochlear potentials (EPs). As a possible mechanism for EP reduction, we found altered expression patterns and a reduced level of KCNQ1 channel protein in the SV of SMS1−/− mice. These mice also exhibited reduced levels of distortion product otoacoustic emissions. Quantitative comparison of the SV atrophy, KCNQ1 expression, and outer hair cell density at the cochlear apical and basal turns revealed no location dependence, but more macrophage invasion into the SV was observed in the apical region than the basal region, suggesting a role of cochlear location-dependent oxidative stress in producing the frequency dependence of hearing loss in SMS1−/− mice. Elevated ABR thresholds, decreased EPs, and abnormal KCNQ1 expression patterns in SMS1−/− mice were all found to be progressive with age. Mice lacking SMS2, however, exhibited neither detectable hearing loss nor changes in their EPs. Taken together, our results suggest that hearing impairments occur in SMS1−/− but not SMS2−/− mice. Defects in the SV with subsequent reductions in EPs together with hair cell dysfunction may account, at least partially, for hearing impairments in SMS1−/− mice. PMID:22641779

  13. What explains health in persons with visual impairment?

    PubMed Central

    2014-01-01

    Background Visual impairment is associated with important limitations in functioning. The International Classification of Functioning, Disability and Health (ICF) adopted by the World Health Organisation (WHO) relies on a globally accepted framework for classifying problems in functioning and the influence of contextual factors. Its comprehensive perspective, including biological, individual and social aspects of health, enables the ICF to describe the whole health experience of persons with visual impairment. The objectives of this study are (1) to analyze whether the ICF can be used to comprehensively describe the problems in functioning of persons with visual impairment and the environmental factors that influence their lives and (2) to select the ICF categories that best capture self-perceived health of persons with visual impairment. Methods Data from 105 persons with visual impairment were collected, including socio-demographic data, vision-related data, the Extended ICF Checklist and the visual analogue scale of the EuroQoL-5D, to assess self-perceived health. Descriptive statistics and a Group Lasso regression were performed. The main outcome measures were functioning defined as impairments in Body functions and Body structures, limitations in Activities and restrictions in Participation, influencing Environmental factors and self-perceived health. Results In total, 120 ICF categories covering a broad range of Body functions, Body structures, aspects of Activities and Participation and Environmental factors were identified. Thirteen ICF categories that best capture self-perceived health were selected based on the Group Lasso regression. While Activities-and-Participation categories were selected most frequently, the greatest impact on self-perceived health was found in Body-functions categories. The ICF can be used as a framework to comprehensively describe the problems of persons with visual impairment and the Environmental factors which influence their

  14. Targeted next-generation sequencing of deafness genes in hearing-impaired individuals uncovers informative mutations

    PubMed Central

    Vona, Barbara; Müller, Tobias; Nanda, Indrajit; Neuner, Cordula; Hofrichter, Michaela A. H.; Schröder, Jörg; Bartsch, Oliver; Läßig, Anne; Keilmann, Annerose; Schraven, Sebastian; Kraus, Fabian; Shehata-Dieler, Wafaa; Haaf, Thomas

    2014-01-01

    Purpose: Targeted next-generation sequencing provides a remarkable opportunity to identify variants in known disease genes, particularly in extremely heterogeneous disorders such as nonsyndromic hearing loss. The present study attempts to shed light on the complexity of hearing impairment. Methods: Using one of two next-generation sequencing panels containing either 80 or 129 deafness genes, we screened 30 individuals with nonsyndromic hearing loss (from 23 unrelated families) and analyzed 9 normal-hearing controls. Results: Overall, we found an average of 3.7 variants (in 80 genes) with deleterious prediction outcome, including a number of novel variants, in individuals with nonsyndromic hearing loss and 1.4 in controls. By next-generation sequencing alone, 12 of 23 (52%) probands were diagnosed with monogenic forms of nonsyndromic hearing loss; one individual displayed a DNA sequence mutation together with a microdeletion. Two (9%) probands have Usher syndrome. In the undiagnosed individuals (10/23; 43%) we detected a significant enrichment of potentially pathogenic variants as compared to controls. Conclusion: Next-generation sequencing combined with microarrays provides the diagnosis for approximately half of the GJB2 mutation–negative individuals. Usher syndrome was found to be more frequent in the study cohort than anticipated. The conditions in a proportion of individuals with nonsyndromic hearing loss, particularly in the undiagnosed group, may have been caused or modified by an accumulation of unfavorable variants across multiple genes. PMID:24875298

  15. Importance of “Process Evaluation” in Audiological Rehabilitation: Examples from Studies on Hearing Impairment

    PubMed Central

    Manchaiah, Vinaya; Danermark, Berth; Rönnberg, Jerker; Lunner, Thomas

    2014-01-01

    The main focus of this paper is to discuss the importance of “evaluating the process of change” (i.e., process evaluation) in people with disability by studying their lived experiences. Detailed discussion is made about “why and how to investigate the process of change in people with disability?” and some specific examples are provided from studies on patient journey of persons with hearing impairment (PHI) and their communication partners (CPs). In addition, methodological aspects in process evaluation are discussed in relation to various metatheoretical perspectives. The discussion has been supplemented with relevant literature. The healthcare practice and disability research in general are dominated by the use of outcome measures. Even though the values of outcome measures are not questioned, there seems to be a little focus on understanding the process of change over time in relation to health and disability. We suggest that the process evaluation has an additional temporal dimension and has applications in both clinical practice and research in relation to health and disability. PMID:25276135

  16. Personal Sound Amplifiers for Adults with Hearing Loss.

    PubMed

    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. PMID:26498713

  17. Temporal Resolution of the Normal Ear in Listeners with Unilateral Hearing Impairment.

    PubMed

    Mishra, Srikanta K; Dey, Ratul; Davessar, Jai Lal

    2015-12-01

    Unilateral hearing loss (UHL) leads to an imbalanced input to the brain and results in cortical reorganization. In listeners with unilateral impairments, while the perceptual deficits associated with the impaired ear are well documented, less is known regarding the auditory processing in the unimpaired, clinically normal ear. It is commonly accepted that perceptual consequences are unlikely to occur in the normal ear for listeners with UHL. This study investigated whether the temporal resolution in the normal-hearing (NH) ear of listeners with long-standing UHL is similar to those in listeners with NH. Temporal resolution was assayed via measuring gap detection thresholds (GDTs) in within- and between-channel paradigms. GDTs were assessed in the normal ear of adults with long-standing, severe-to-profound UHL (N = 13) and age-matched, NH listeners (N = 22) at two presentation levels (30 and 55 dB sensation level). Analysis indicated that within-channel GDTs for listeners with UHL were not significantly different than those for the NH subject group, but the between-channel GDTs for listeners with UHL were poorer (by greater than a factor of 2) than those for the listeners with NH. The hearing thresholds in the normal or impaired ears were not associated with the elevated between-channel GDTs for listeners with UHL. Contrary to the common assumption that auditory processing capabilities are preserved for the normal ear in listeners with UHL, the current study demonstrated that a long-standing unilateral hearing impairment may adversely affect auditory perception--temporal resolution--in the clinically normal ear. From a translational perspective, these findings imply that the temporal processing deficits in the unimpaired ear of listeners with unilateral hearing impairments may contribute to their overall auditory perceptual difficulties. PMID:26197871

  18. Association between idiopathic hearing loss and mitochondrial DNA mutations: A study on 169 hearing-impaired subjects

    PubMed Central

    GUARAN, VALERIA; ASTOLFI, LAURA; CASTIGLIONE, ALESSANDRO; SIMONI, EDI; OLIVETTO, ELENA; GALASSO, MARCO; TREVISI, PATRIZIA; BUSI, MICOL; VOLINIA, STEFANO; MARTINI, ALESSANDRO

    2013-01-01

    Mutations in mitochondrial DNA (mtDNA) have been shown to be an important cause of sensorineural hearing loss (SNHL). In this study, we performed a clinical and genetic analysis of 169 hearing-impaired patients and some of their relatives suffering from idiopathic SNHL, both familial and sporadic. The analysis of four fragments of their mtDNA identified several polymorphisms, the well known pathogenic mutation, A1555G, and some novel mutations in different genes, implying changes in the aminoacidic sequence. A novel sporadic mutation in 12S rRNA (MT-RNR1), not previously reported in the literature, was found in a case of possible aminoglycoside-induced progressive deafness. PMID:23969527

  19. Calculation of Loudness for Normal and Hearing-Impaired Listeners

    NASA Astrophysics Data System (ADS)

    Chalupper, Josef

    Loudness is a hearing sensation which is almost ubiquitousin everyday life: traffic is too loud, announcements are too soft, children are very loud and a stereo can be adjusted to a comfortable loudness. Thus, it is not surprising that scientists started very early to carry out psychoacoustic experiments to investigate loudness. In 1933, Fletcher and Munson [1] measured “equal-loudness contours”. These curves are obtained if a reference sound (e.g. a 1,000-Hz sinusoid) is fixed in level and the test sound is adjusted to give a loudness match.

  20. Familiar Sports and Activities Adapted for Multiply Impaired Persons.

    ERIC Educational Resources Information Center

    Schilling, Mary Lou, Ed.

    1984-01-01

    Means of adapting some familiar and popular physical activities for multiply impaired persons are described. Games reviewed are dice baseball, one base baseball, in-house bowling, wheelchair bowling, ramp bowling, swing-ball bowling, table tennis, shuffleboard, beanbag bingo and tic-tac-toe, balloon basketball, circle football, and wheelchair…

  1. Effect of Cigarette Smoking and Passive Smoking on Hearing Impairment: Data from a Population–Based Study

    PubMed Central

    Chang, Jiwon; Ryou, Namhyung; Jun, Hyung Jin; Hwang, Soon Young; Song, Jae-Jun; Chae, Sung Won

    2016-01-01

    Objectives In the present study, we aimed to determine the effect of both active and passive smoking on the prevalence of the hearing impairment and the hearing thresholds in different age groups through the analysis of data collected from the Korea National Health and Nutrition Examination Survey (KNHANES). Study Design Cross-sectional epidemiological study. Methods The KNHANES is an ongoing population study that started in 1998. We included a total of 12,935 participants aged ≥19 years in the KNHANES, from 2010 to 2012, in the present study. Pure-tone audiometric (PTA) testing was conducted and the frequencies tested were 0.5, 1, 2, 3, 4, and 6 kHz. Smoking status was categorized into three groups; current smoking group, passive smoking group and non-smoking group. Results In the current smoking group, the prevalence of speech-frequency bilateral hearing impairment was increased in ages of 40−69, and the rate of high frequency bilateral hearing impairment was elevated in ages of 30−79. When we investigated the impact of smoking on hearing thresholds, we found that the current smoking group had significantly increased hearing thresholds compared to the passive smoking group and non-smoking groups, across all ages in both speech-relevant and high frequencies. The passive smoking group did not have an elevated prevalence of either speech-frequency bilateral hearing impairment or high frequency bilateral hearing impairment, except in ages of 40s. However, the passive smoking group had higher hearing thresholds than the non-smoking group in the 30s and 40s age groups. Conclusion Current smoking was associated with hearing impairment in both speech-relevant frequency and high frequency across all ages. However, except in the ages of 40s, passive smoking was not related to hearing impairment in either speech-relevant or high frequencies. PMID:26756932

  2. Genetic Epidemiology of Mitochondrial Pathogenic Variants Causing Nonsyndromic Hearing Loss in a Large Cohort of South Indian Hearing Impaired Individuals.

    PubMed

    Subathra, Mahalingam; Ramesh, Arabandi; Selvakumari, Mathiyalagan; Karthikeyen, N P; Srisailapathy, C R Srikumari

    2016-09-01

    Mitochondria play a critical role in the generation of metabolic energy in the form of ATP. Tissues and organs that are highly dependent on aerobic metabolism are involved in mitochondrial disorders including nonsyndromic hearing loss (NSHL). Seven pathogenic variants leading to NSHL have so far been reported on two mitochondrial genes: MT-RNR1 encoding 12SrRNA and MT-TS1 encoding tRNA for Ser((UCN)) . We screened 729 prelingual NSHL subjects to determine the prevalence of MT-RNR1 variants at position m.961, m.1555A>G and m.1494C>T, and MT-TS1 m.7445A>G, m.7472insC m.7510T>C and m.7511T>C variants. Mitochondrial pathogenic variants were found in eight probands (1.1%). Five of them were found to have the m.1555A>G variant, two others had m.7472insC and one proband had m.7444G>A. The extended relatives of these probands showed variable degrees of hearing loss and age at onset. This study shows that mitochondrial pathogenic alleles contribute to about 1% prelingual hearing loss. This study will henceforth provide the reference for the prevalence of mitochondrial pathogenic alleles in the South Indian population, which to date has not been estimated. The m.1555A>G variant is a primary predisposing genetic factor for the development of hearing loss. Our study strongly suggests that mitochondrial genotyping should be considered for all hearing impaired individuals and particularly in families where transmission is compatible with maternal inheritance, after ruling out the most common variants. PMID:27530448

  3. Auditory Spatial Discrimination and the Mismatch Negativity Response in Hearing-Impaired Individuals

    PubMed Central

    Cai, Yuexin; Zheng, Yiqing; Liang, Maojin; Zhao, Fei; Yu, Guangzheng; Liu, Yu; Chen, Yuebo; Chen, Guisheng

    2015-01-01

    The aims of the present study were to investigate the ability of hearing-impaired (HI) individuals with different binaural hearing conditions to discriminate spatial auditory-sources at the midline and lateral positions, and to explore the possible central processing mechanisms by measuring the minimal audible angle (MAA) and mismatch negativity (MMN) response. To measure MAA at the left/right 0°, 45° and 90° positions, 12 normal-hearing (NH) participants and 36 patients with sensorineural hearing loss, which included 12 patients with symmetrical hearing loss (SHL) and 24 patients with asymmetrical hearing loss (AHL) [12 with unilateral hearing loss on the left (UHLL) and 12 with unilateral hearing loss on the right (UHLR)] were recruited. In addition, 128-electrode electroencephalography was used to record the MMN response in a separate group of 60 patients (20 UHLL, 20 UHLR and 20 SHL patients) and 20 NH participants. The results showed MAA thresholds of the NH participants to be significantly lower than the HI participants. Also, a significantly smaller MAA threshold was obtained at the midline position than at the lateral position in both NH and SHL groups. However, in the AHL group, MAA threshold for the 90° position on the affected side was significantly smaller than the MMA thresholds obtained at other positions. Significantly reduced amplitudes and prolonged latencies of the MMN were found in the HI groups compared to the NH group. In addition, contralateral activation was found in the UHL group for sounds emanating from the 90° position on the affected side and in the NH group. These findings suggest that the abilities of spatial discrimination at the midline and lateral positions vary significantly in different hearing conditions. A reduced MMN amplitude and prolonged latency together with bilaterally symmetrical cortical activations over the auditory hemispheres indicate possible cortical compensatory changes associated with poor behavioral spatial

  4. Comparison of Various Anthropometric Indices as Risk Factors for Hearing Impairment in Asian Women

    PubMed Central

    Lee, Kyu Yup; Choi, Eun Woo; Do, Jun Young

    2015-01-01

    Background The objective of the present study was to examine the associations between various anthropometric measures and metabolic syndrome and hearing impairment in Asian women. Methods We identified 11,755 women who underwent voluntary routine health checkups at Yeungnam University Hospital between June 2008 and April 2014. Among these patients, 2,485 participants were <40 years old, and 1,072 participants lacked information regarding their laboratory findings or hearing and were therefore excluded. In total 8,198 participants were recruited into our study. Results The AUROC value for metabolic syndrome was 0.790 for the waist to hip ratio (WHR). The cutoff value was 0.939. The sensitivity and specificity for predicting metabolic syndrome were 72.7% and 71.7%, respectively. The AUROC value for hearing loss was 0.758 for WHR. The cutoff value was 0.932. The sensitivity and specificity for predicting hearing loss were 65.8% and 73.4%, respectively. The WHR had the highest AUC and was the best predictor of metabolic syndrome and hearing loss. Univariate and multivariate linear regression analyses showed that WHR levels were positively associated with four hearing thresholds including averaged hearing threshold and low, middle, and high frequency thresholds. In addition, multivariate logistic analysis revealed that those with a high WHR had a 1.347–fold increased risk of hearing loss compared with the participants with a low WHR. Conclusion Our results demonstrated that WHR may be a surrogate marker for predicting the risk of hearing loss resulting from metabolic syndrome. PMID:26575369

  5. Mediterranean spotted fever and hearing impairment: a rare complication.

    PubMed

    Rossio, Raffaella; Conalbi, Valeria; Castagna, Valentina; Recalcati, Sebastiano; Torri, Adriana; Coen, Massimo; Cassulini, Lucia Restano; Peyvandi, Flora

    2015-06-01

    Mediterranean spotted fever (MSF) is caused by Rickettsia conorii and transmitted by the brown dog tick Rhipicephalus sanguineus. It is prevalent in southern Europe, Africa and central Asia. The disease usually has a benign course and is characterized by fever, myalgia and a characteristic papular rash with an inoculation eschar ('tache noir') at the site of the tick bite. Severe forms of disease can have cardiac, neurologic or renal involvement. Nervous system complications are unusual and may develop in the early phase of disease or as a delayed complication. Neurological symptoms include headache and alterations of the level of consciousness, and some cases of meningoenchefalitis and Guillain-Barrè syndrome have been also reported. Peripheral nerve involvement is reported only in a limited number of case reports. We describe a case of Rickettsia conorii that was complicated with hearing loss and did not respond to specific treatment. Hearing loss is a rare event, but clinicians should be aware of this complication. PMID:25892247

  6. Parasympathetic Nervous System Dysfunction, as Identified by Pupil Light Reflex, and Its Possible Connection to Hearing Impairment

    PubMed Central

    Zekveld, Adriana A.; Naylor, Graham; Ohlenforst, Barbara; Jansma, Elise P.; Lorens, Artur; Lunner, Thomas; Kramer, Sophia E.

    2016-01-01

    Context Although the pupil light reflex has been widely used as a clinical diagnostic tool for autonomic nervous system dysfunction, there is no systematic review available to summarize the evidence that the pupil light reflex is a sensitive method to detect parasympathetic dysfunction. Meanwhile, the relationship between parasympathetic functioning and hearing impairment is relatively unknown. Objectives To 1) review the evidence for the pupil light reflex being a sensitive method to evaluate parasympathetic dysfunction, 2) review the evidence relating hearing impairment and parasympathetic activity and 3) seek evidence of possible connections between hearing impairment and the pupil light reflex. Methods Literature searches were performed in five electronic databases. All selected articles were categorized into three sections: pupil light reflex and parasympathetic dysfunction, hearing impairment and parasympathetic activity, pupil light reflex and hearing impairment. Results Thirty-eight articles were included in this review. Among them, 36 articles addressed the pupil light reflex and parasympathetic dysfunction. We summarized the information in these data according to different types of parasympathetic-related diseases. Most of the studies showed a difference on at least one pupil light reflex parameter between patients and healthy controls. Two articles discussed the relationship between hearing impairment and parasympathetic activity. Both studies reported a reduced parasympathetic activity in the hearing impaired groups. The searches identified no results for pupil light reflex and hearing impairment. Discussion and Conclusions As the first systematic review of the evidence, our findings suggest that the pupil light reflex is a sensitive tool to assess the presence of parasympathetic dysfunction. Maximum constriction velocity and relative constriction amplitude appear to be the most sensitive parameters. There are only two studies investigating the

  7. A new nonsyndromic X-linked sensorineural hearing impairment linked to Xp21.2

    SciTech Connect

    Lalwani, A.K.; Brister, J.R.; Fex, J.; Grundfast, K.M.; Pikus, A.T.; Ploplis, B.; San Agustin, T.; Skarka, H.; Wilcox, E.R.

    1994-10-01

    X-linked deafness is a rare cause of hereditary hearing impairment. We have identified a family with X-linked dominant sensorineural hearing impairment, characterized by incomplete penetrance and variable expressivity in carrier females, that is linked to the Xp21.2, which contains the Duchenne muscular dystrophy (DMD) locus. The auditory impairment in affected males was congenital, bilateral, profound, sensorineural, affecting all frequencies, and without evidence of radiographic abnormality of the temporal bone. Adult carrier females manifested bilateral, mild-to-moderate high-frequency sensorineural hearing impairment of delayed onset during adulthood. Eighteen commercially available polymorphic markers from the X chromosome, generating a 10-15-cM map, were initially used for identification of a candidate region. DXS997, located within the DMD gene, generated a two-point LOD score of 2.91 at {theta} = 0, with every carrier mother heterozygous at this locus. Recombination events at DXS992 (located within the DMD locus, 3{prime} to exon 50 of the dystrophin gene) and at DXS1068 (5{prime} to the brain promoter of the dystrophin gene) were observed. No recombination events were noted with the following markers within the DMD locus: 5{prime}DYS II, intron 44, DXS997, and intron 50. There was no clinical evidence of Duchenne or Becker muscular dystrophy in any family member. It is likely that this family represents a new locus on the X chromosome, which when mutated results in nonsyndromic sensorineural hearing loss and is distinct from the heterogeneous group of X-linked hearing losses that have been previously described. 57 refs., 6 figs., 1 tab.

  8. Affective Properties of Mothers' Speech to Infants With Hearing Impairment and Cochlear Implants

    PubMed Central

    Bergeson, Tonya R.; Xu, Huiping; Kitamura, Christine

    2015-01-01

    Purpose The affective properties of infant-directed speech influence the attention of infants with normal hearing to speech sounds. This study explored the affective quality of maternal speech to infants with hearing impairment (HI) during the 1st year after cochlear implantation as compared to speech to infants with normal hearing. Method Mothers of infants with HI and mothers of infants with normal hearing matched by age (NH-AM) or hearing experience (NH-EM) were recorded playing with their infants during 3 sessions over a 12-month period. Speech samples of 25 s were low-pass filtered, leaving intonation but not speech information intact. Sixty adults rated the stimuli along 5 scales: positive/negative affect and intention to express affection, to encourage attention, to comfort/soothe, and to direct behavior. Results Low-pass filtered speech to HI and NH-EM groups was rated as more positive, affective, and comforting compared with the such speech to the NH-AM group. Speech to infants with HI and with NH-AM was rated as more directive than speech to the NH-EM group. Mothers decreased affective qualities in speech to all infants but increased directive qualities in speech to infants with NH-EM over time. Conclusions Mothers fine-tune communicative intent in speech to their infant's developmental stage. They adjust affective qualities to infants' hearing experience rather than to chronological age but adjust directive qualities of speech to the chronological age of their infants. PMID:25679195

  9. Excitatory, inhibitory and facilitatory frequency response areas in the inferior colliculus of hearing impaired mice.

    PubMed

    Felix, Richard A; Portfors, Christine V

    2007-06-01

    Individuals with age-related hearing loss often have difficulty understanding complex sounds such as basic speech. The C57BL/6 mouse suffers from progressive sensorineural hearing loss and thus is an effective tool for dissecting the neural mechanisms underlying changes in complex sound processing observed in humans. Neural mechanisms important for processing complex sounds include multiple tuning and combination sensitivity, and these responses are common in the inferior colliculus (IC) of normal hearing mice. We examined neural responses in the IC of C57Bl/6 mice to single and combinations of tones to examine the extent of spectral integration in the IC after age-related high frequency hearing loss. Ten percent of the neurons were tuned to multiple frequency bands and an additional 10% displayed non-linear facilitation to the combination of two different tones (combination sensitivity). No combination-sensitive inhibition was observed. By comparing these findings to spectral integration properties in the IC of normal hearing CBA/CaJ mice, we suggest that high frequency hearing loss affects some of the neural mechanisms in the IC that underlie the processing of complex sounds. The loss of spectral integration properties in the IC during aging likely impairs the central auditory system's ability to process complex sounds such as speech. PMID:17412539

  10. [The prevalence of hearing impairment in transport workers and peculiarities of management of occupational loss of hearing (as exemplified by the situation in the air and railway transport)].

    PubMed

    Pankova, V B; Skryabina, L Yu; Kas'kov, Yu N

    2016-01-01

    This article presents data on the prevalence of hearing impairment among the workers engaged in the main means of transportation(air and railway transport). They show that the relative frequency of occupational loss of hearing in the cockpit members of commercial aviation amounts to one third of all cases of analogous diseases in this country. The main professional groups of transport works suffering from hearing impairment are constituted by the representatives of the so-called elite specialities, such as flying crew personnel, locomotive engineers, and their assistants. This fact constitutes an important aspect (not only of medical but also of socio-economic significance) of the problem under consideration. The high prevalence of professional hearing impairment among the transport workers is attributable to the high noise level in the cabins of locomotives and aircraft cockpits as well as to the inadequate expert and diagnostic work or imperfection of the regulatory documentation. PMID:26977561

  11. The global burden of disabling hearing impairment: a call to action

    PubMed Central

    Neumann, Katrin J; Saunders, James E

    2014-01-01

    Abstract At any age, disabling hearing impairment has a profound impact on interpersonal communication, psychosocial well-being, quality of life and economic independence. According to the World Health Organization’s estimates, the number of people with such impairment increased from 42 million in 1985 to about 360 million in 2011. This last figure includes 7.5 million children less than 5 years of age. In 1995, a “roadmap” for curtailing the burden posed by disabling hearing impairment was outlined in a resolution of the World Health Assembly. While the underlying principle of this roadmap remains valid and relevant, some updating is required to reflect the prevailing epidemiologic transition. We examine the traditional concept and grades of disabling hearing impairment – within the context of the International Classification of Functioning, Disability and Health – as well as the modifications to grading that have recently been proposed by a panel of international experts. The opportunity offered by the emerging global and high-level interest in promoting disability-inclusive post-2015 development goals and disability-free child survival is also discussed. Since the costs of rehabilitative services are so high as to be prohibitive in low- and middle-income countries, the critical role of primary prevention is emphasized. If the goals outlined in the World Health Assembly’s 1995 resolution on the prevention of hearing impairment are to be reached by Member States, several effective country-level initiatives – including the development of public–private partnerships, strong leadership and measurable time-bound targets – will have to be implemented without further delay. PMID:24839326

  12. The global burden of disabling hearing impairment: a call to action.

    PubMed

    Olusanya, Bolajoko O; Neumann, Katrin J; Saunders, James E

    2014-05-01

    At any age, disabling hearing impairment has a profound impact on interpersonal communication, psychosocial well-being, quality of life and economic independence. According to the World Health Organization's estimates, the number of people with such impairment increased from 42 million in 1985 to about 360 million in 2011. This last figure includes 7.5 million children less than 5 years of age. In 1995, a "roadmap" for curtailing the burden posed by disabling hearing impairment was outlined in a resolution of the World Health Assembly. While the underlying principle of this roadmap remains valid and relevant, some updating is required to reflect the prevailing epidemiologic transition. We examine the traditional concept and grades of disabling hearing impairment - within the context of the International Classification of Functioning, Disability and Health - as well as the modifications to grading that have recently been proposed by a panel of international experts. The opportunity offered by the emerging global and high-level interest in promoting disability-inclusive post-2015 development goals and disability-free child survival is also discussed. Since the costs of rehabilitative services are so high as to be prohibitive in low- and middle-income countries, the critical role of primary prevention is emphasized. If the goals outlined in the World Health Assembly's 1995 resolution on the prevention of hearing impairment are to be reached by Member States, several effective country-level initiatives - including the development of public-private partnerships, strong leadership and measurable time-bound targets - will have to be implemented without further delay. PMID:24839326

  13. Effect of Recreational Noise Exposure on Hearing Impairment among Teenage Students

    ERIC Educational Resources Information Center

    Tung, Chen-Yin; Chao, Keh-Ping

    2013-01-01

    Several studies have focused on the potential impact of children's hearing loss on learning and development. Recently, numerous teenage students have been found to be fond of listening to music on personal devices and participating in recreational music activities. The objective of this study was to investigate teenage students' hearing…

  14. Association of Co-Existing Impairments in Cognition and Self-Rated Vision and Hearing With Health Outcomes in Older Adults

    PubMed Central

    Liu, Phillip L.; Cohen, Harvey Jay; Fillenbaum, Gerda G.; Burchett, Bruce M.; Whitson, Heather E.

    2015-01-01

    OBJECTIVES To assess the relationship of disability (activities of daily living (ADL) and instrumental ADL (IADL)), self-rated health (SRH), and 6-year mortality with co-existing impairments in vision (self-rated), hearing (self-rated) and/or cognition (Short Portable Mental Status Questionnaire) in older adults. METHODS The study sample was comprised of 3871 participants from the North Carolina Established Populations for Epidemiologic Studies of the Elderly study (NC EPESE). RESULTS Persons with all three impairments had increased odds of ADL/IADL disability, and low SRH. Participants with combined visual and cognitive impairments had increased odds of mortality. While sensory impairments were associated with poor SRH, cognitive impairment was not unless both sensory impairments were present. DISCUSSION Co-existent sensory and cognitive impairments were associated with higher risk of impaired functional status. Self-rated auditory impairment alone was not associated with higher odds of death, but mortality was linked to visual, and particularly cognitive impairment, alone or combined. PMID:27054148

  15. Interactive Auroral Science for Hearing-Impaired Students

    NASA Astrophysics Data System (ADS)

    Samara, M.; Michell, R. G.; Jahn, J.; Pfeifer, M.; Ibarra, S.; Hampton, D. L.; Powell, D.

    2012-12-01

    Under a NASA E/PO grant, we have partnered with San Antonio's Sunshine Cottage School for Deaf Children to develop a science class experience where students directly interact with scientists and participate in a research-grade space science measurement campaign. The unique aspect of partnering with Sunshine Cottage lies in Sunshine's approach of auditory-verbal communication. Aided by technology (hearing aids, cochlear implants), a diverse student body with students of all levels of hearing loss (moderate through profound) is taught in an entirely auditory-verbal environment at Sunshine Cottage. Bringing these students into early contact with research work can lay the foundation for future careers in the STEM field that normally they might not consider as indicated by the first year of this collaboration where the student response was distinctly positive. Here we report on the first year of those activities, as they related to a ground based imaging approach to exploring the northern lights and from the point of view of the scientists that participated. The major components of that activity included a site visit to SwRI by the students and their teachers, a semester long lab at school utilizing current research tools and a real-time campaign night. The students used a number of diagnostics to first predict and then verify auroral activity. One of the tools used was the MOOSE observatory which is a community resource state of the art observatory comprised of 5 EMCCD imagers in Alaska, established through an NSF MRI grant. We will discuss the approach and lessons learned during the first year of the project and the directions that we will likely take in the second year. Lessons learned from teaching these students space science related topic can be flowed right back into mainstream classroom settings. One other significant and unexpected aspect of this first year was that we were able to connect two groups of students through skype (in the 4th to 5th grades) that

  16. Informational Masking in Normal-Hearing and Hearing-Impaired Listeners Measured in a Nonspeech Pattern Identification Task.

    PubMed

    Roverud, Elin; Best, Virginia; Mason, Christine R; Swaminathan, Jayaganesh; Kidd, Gerald

    2016-01-01

    Individuals with sensorineural hearing loss (SNHL) often experience more difficulty with listening in multisource environments than do normal-hearing (NH) listeners. While the peripheral effects of sensorineural hearing loss certainly contribute to this difficulty, differences in central processing of auditory information may also contribute. To explore this issue, it is important to account for peripheral differences between NH and these hearing-impaired (HI) listeners so that central effects in multisource listening can be examined. In the present study, NH and HI listeners performed a tonal pattern identification task at two distant center frequencies (CFs), 850 and 3500 Hz. In an attempt to control for differences in the peripheral representations of the stimuli, the patterns were presented at the same sensation level (15 dB SL), and the frequency deviation of the tones comprising the patterns was adjusted to obtain equal quiet pattern identification performance across all listeners at both CFs. Tonal sequences were then presented at both CFs simultaneously (informational masking conditions), and listeners were asked either to selectively attend to a source (CF) or to divide attention between CFs and identify the pattern at a CF designated after each trial. There were large differences between groups in the frequency deviations necessary to perform the pattern identification task. After compensating for these differences, there were small differences between NH and HI listeners in the informational masking conditions. HI listeners showed slightly greater performance asymmetry between the low and high CFs than did NH listeners, possibly due to central differences in frequency weighting between groups. PMID:27059627

  17. Informational Masking in Normal-Hearing and Hearing-Impaired Listeners Measured in a Nonspeech Pattern Identification Task

    PubMed Central

    Best, Virginia; Mason, Christine R.; Swaminathan, Jayaganesh; Kidd, Gerald

    2016-01-01

    Individuals with sensorineural hearing loss (SNHL) often experience more difficulty with listening in multisource environments than do normal-hearing (NH) listeners. While the peripheral effects of sensorineural hearing loss certainly contribute to this difficulty, differences in central processing of auditory information may also contribute. To explore this issue, it is important to account for peripheral differences between NH and these hearing-impaired (HI) listeners so that central effects in multisource listening can be examined. In the present study, NH and HI listeners performed a tonal pattern identification task at two distant center frequencies (CFs), 850 and 3500 Hz. In an attempt to control for differences in the peripheral representations of the stimuli, the patterns were presented at the same sensation level (15 dB SL), and the frequency deviation of the tones comprising the patterns was adjusted to obtain equal quiet pattern identification performance across all listeners at both CFs. Tonal sequences were then presented at both CFs simultaneously (informational masking conditions), and listeners were asked either to selectively attend to a source (CF) or to divide attention between CFs and identify the pattern at a CF designated after each trial. There were large differences between groups in the frequency deviations necessary to perform the pattern identification task. After compensating for these differences, there were small differences between NH and HI listeners in the informational masking conditions. HI listeners showed slightly greater performance asymmetry between the low and high CFs than did NH listeners, possibly due to central differences in frequency weighting between groups. PMID:27059627

  18. Temporal Fine-Structure Coding and Lateralized Speech Perception in Normal-Hearing and Hearing-Impaired Listeners.

    PubMed

    Lőcsei, Gusztáv; Pedersen, Julie H; Laugesen, Søren; Santurette, Sébastien; Dau, Torsten; MacDonald, Ewen N

    2016-01-01

    This study investigated the relationship between speech perception performance in spatially complex, lateralized listening scenarios and temporal fine-structure (TFS) coding at low frequencies. Young normal-hearing (NH) and two groups of elderly hearing-impaired (HI) listeners with mild or moderate hearing loss above 1.5 kHz participated in the study. Speech reception thresholds (SRTs) were estimated in the presence of either speech-shaped noise, two-, four-, or eight-talker babble played reversed, or a nonreversed two-talker masker. Target audibility was ensured by applying individualized linear gains to the stimuli, which were presented over headphones. The target and masker streams were lateralized to the same or to opposite sides of the head by introducing 0.7-ms interaural time differences between the ears. TFS coding was assessed by measuring frequency discrimination thresholds and interaural phase difference thresholds at 250 Hz. NH listeners had clearly better SRTs than the HI listeners. However, when maskers were spatially separated from the target, the amount of SRT benefit due to binaural unmasking differed only slightly between the groups. Neither the frequency discrimination threshold nor the interaural phase difference threshold tasks showed a correlation with the SRTs or with the amount of masking release due to binaural unmasking, respectively. The results suggest that, although HI listeners with normal hearing thresholds below 1.5 kHz experienced difficulties with speech understanding in spatially complex environments, these limitations were unrelated to TFS coding abilities and were only weakly associated with a reduction in binaural-unmasking benefit for spatially separated competing sources. PMID:27601071

  19. Aided speech recognition in single-talker competition by elderly hearing-impaired listeners

    NASA Astrophysics Data System (ADS)

    Coughlin, Maureen; Humes, Larry

    2001-05-01

    This study examined the speech-identification performance in one-talker interference conditions that increased in complexity while audibility was ensured over a wide bandwidth (200-4000 Hz). Factorial combinations of three independent variables were used to vary the amount of informational masking. These variables were: (1) competition playback direction (forward or reverse); (2) gender match between target and competition talkers (same or different); and (3) target talker uncertainty (one of three possible talkers from trial to trial). Four groups of listeners, two elderly hearing-impaired groups differing in age (65-74 and 75-84 years) and two young normal-hearing groups, were tested. One of the groups of young normal-hearing listeners was tested under acoustically equivalent test conditions and one was tested under perceptually equivalent test conditions. The effect of each independent variable on speech-identification performance and informational masking was generally consistent with expectations. Group differences in the observed informational masking were most pronounced for the oldest group of hearing-impaired listeners. The eight measures of speech-identification performance were found to be strongly correlated with one another, and individual differences in speech understanding performance among the elderly were found to be associated with age and level of education. [Work supported, in part, by NIA.

  20. Audio-visual perception of compressed speech by profoundly hearing-impaired subjects.

    PubMed

    Drullman, R; Smoorenburg, G F

    1997-01-01

    For many people with profound hearing loss conventional hearing aids give only little support in speechreading. This study aims at optimizing the presentation of speech signals in the severely reduced dynamic range of the profoundly hearing impaired by means of multichannel compression and multichannel amplification. The speech signal in each of six 1-octave channels (125-4000 Hz) was compressed instantaneously, using compression ratios of 1, 2, 3, or 5, and a compression threshold of 35 dB below peak level. A total of eight conditions were composed in which the compression ratio varied per channel. Sentences were presented audio-visually to 16 profoundly hearing-impaired subjects and syllable intelligibility was measured. Results show that all auditory signals are valuable supplements to speechreading. No clear overall preference is found for any of the compression conditions, but relatively high compression ratios (> 3-5) have a significantly detrimental effect. Inspection of the individual results reveals that compression may be beneficial for one subject. PMID:9193734

  1. Hearing Loss in Middle-Age Persons with Down Syndrome.

    ERIC Educational Resources Information Center

    Evenhuis, H. M.; And Others

    1992-01-01

    This study assessed the hearing function of 35 middle-aged adults with Down's syndrome by means of otoscopy, impedance audiometry, brainstem evoked response audiometry, and pure tone audiometry. The study found brainstem evoked response audiometry useful for routine audiological assessment, as it identified hearing losses of 20 to 90 decibels in…

  2. Children's and Adolescents' Moral Emotion Attributions and Judgements about Exclusion of Peers with Hearing Impairments

    ERIC Educational Resources Information Center

    Chilver-Stainer, Jennifer; Gasser, Luciano; Perrig-Chiello, Pasqualina

    2014-01-01

    Children and adolescents with hearing impairments are at risk of being excluded from activities with hearing peers. Moral emotion attributions may represent important indicators for children's identification with the moral norm not to exclude peers based on disability. Against this background, we investigated how 10-, 12- and 15-year-olds…

  3. A phenomenological study: the lived experience of persons having a different sense of hearing.

    PubMed

    Aquino-Russell, Catherine E

    2006-10-01

    Living with a different sense of hearing, including loss of hearing, is a worldwide phenomenon, known to be a silencing condition that can change persons' patterns of relating and divest effective ways of giving and receiving messages of sound. This research describes the meaning of this experience for 7 participants. The researcher followed Giorgi's descriptive phenomenological method for analysis-synthesis to arrive at a general structural description of the experience. Parse's theory of human becoming framed the researcher's theoretical perspective. Findings build on Parse's theory and may enhance nurses' understanding, in turn altering the way nurses approach persons having a different sense of hearing. PMID:16982722

  4. Mild Cognitive Impairment, Neurodegeneration, and Personalized Lifestyle Medicine.

    PubMed

    Bland, Jeffrey

    2016-04-01

    The takeaway message of this advancing science surrounding the causes and treatment of neurodegenerative diseases is to recognize MCI symptoms early and intervene with a comprehensive, multifaceted, personalized lifestyle medicine program that is designed to improve neurological function and built on the components described above. The present evidence suggests this approach represents the best medicine available today for beating back the rising tide of cognitive impairment and neurodegeneration. PMID:27330484

  5. The benefit of amplification on auditory working memory function in middle-aged and young-older hearing impaired adults.

    PubMed

    Doherty, Karen A; Desjardins, Jamie L

    2015-01-01

    Untreated hearing loss can interfere with an individual's cognitive abilities and intellectual function. Specifically, hearing loss has been shown to negatively impact working memory function, which is important for speech understanding, especially in difficult or noisy listening conditions. The purpose of the present study was to assess the effect of hearing aid use on auditory working memory function in middle-aged and young-older adults with mild to moderate sensorineural hearing loss. Participants completed two objective measures of auditory working memory in aided and unaided listening conditions. An aged matched control group followed the same experimental protocol except they were not fit with hearing aids. All participants' aided scores on the auditory working memory tests were significantly improved while wearing hearing aids. Thus, hearing aids worn during the early stages of an age-related hearing loss can improve a person's performance on auditory working memory tests. PMID:26097461

  6. Dynamic Range Across Music Genres and the Perception of Dynamic Compression in Hearing-Impaired Listeners.

    PubMed

    Kirchberger, Martin; Russo, Frank A

    2016-01-01

    Dynamic range compression serves different purposes in the music and hearing-aid industries. In the music industry, it is used to make music louder and more attractive to normal-hearing listeners. In the hearing-aid industry, it is used to map the variable dynamic range of acoustic signals to the reduced dynamic range of hearing-impaired listeners. Hence, hearing-aided listeners will typically receive a dual dose of compression when listening to recorded music. The present study involved an acoustic analysis of dynamic range across a cross section of recorded music as well as a perceptual study comparing the efficacy of different compression schemes. The acoustic analysis revealed that the dynamic range of samples from popular genres, such as rock or rap, was generally smaller than the dynamic range of samples from classical genres, such as opera and orchestra. By comparison, the dynamic range of speech, based on recordings of monologues in quiet, was larger than the dynamic range of all music genres tested. The perceptual study compared the effect of the prescription rule NAL-NL2 with a semicompressive and a linear scheme. Music subjected to linear processing had the highest ratings for dynamics and quality, followed by the semicompressive and the NAL-NL2 setting. These findings advise against NAL-NL2 as a prescription rule for recorded music and recommend linear settings. PMID:26868955

  7. Dynamic Range Across Music Genres and the Perception of Dynamic Compression in Hearing-Impaired Listeners

    PubMed Central

    Kirchberger, Martin

    2016-01-01

    Dynamic range compression serves different purposes in the music and hearing-aid industries. In the music industry, it is used to make music louder and more attractive to normal-hearing listeners. In the hearing-aid industry, it is used to map the variable dynamic range of acoustic signals to the reduced dynamic range of hearing-impaired listeners. Hence, hearing-aided listeners will typically receive a dual dose of compression when listening to recorded music. The present study involved an acoustic analysis of dynamic range across a cross section of recorded music as well as a perceptual study comparing the efficacy of different compression schemes. The acoustic analysis revealed that the dynamic range of samples from popular genres, such as rock or rap, was generally smaller than the dynamic range of samples from classical genres, such as opera and orchestra. By comparison, the dynamic range of speech, based on recordings of monologues in quiet, was larger than the dynamic range of all music genres tested. The perceptual study compared the effect of the prescription rule NAL-NL2 with a semicompressive and a linear scheme. Music subjected to linear processing had the highest ratings for dynamics and quality, followed by the semicompressive and the NAL-NL2 setting. These findings advise against NAL-NL2 as a prescription rule for recorded music and recommend linear settings. PMID:26868955

  8. Individual Sensitivity to Spectral and Temporal Cues in Listeners With Hearing Impairment

    PubMed Central

    Wright, Richard A.; Blackburn, Michael C.; Tatman, Rachael; Gallun, Frederick J.

    2015-01-01

    Purpose The present study was designed to evaluate use of spectral and temporal cues under conditions in which both types of cues were available. Method Participants included adults with normal hearing and hearing loss. We focused on 3 categories of speech cues: static spectral (spectral shape), dynamic spectral (formant change), and temporal (amplitude envelope). Spectral and/or temporal dimensions of synthetic speech were systematically manipulated along a continuum, and recognition was measured using the manipulated stimuli. Level was controlled to ensure cue audibility. Discriminant function analysis was used to determine to what degree spectral and temporal information contributed to the identification of each stimulus. Results Listeners with normal hearing were influenced to a greater extent by spectral cues for all stimuli. Listeners with hearing impairment generally utilized spectral cues when the information was static (spectral shape) but used temporal cues when the information was dynamic (formant transition). The relative use of spectral and temporal dimensions varied among individuals, especially among listeners with hearing loss. Conclusion Information about spectral and temporal cue use may aid in identifying listeners who rely to a greater extent on particular acoustic cues and applying that information toward therapeutic interventions. PMID:25629388

  9. Developmental hearing loss impairs signal detection in noise: putative central mechanisms

    PubMed Central

    Gay, Jennifer D.; Voytenko, Sergiy V.; Galazyuk, Alexander V.; Rosen, Merri J.

    2014-01-01

    Listeners with hearing loss have difficulty processing sounds in noisy environments. This is most noticeable for speech perception, but is reflected in a basic auditory processing task: detecting a tonal signal in a noise background, i.e., simultaneous masking. It is unresolved whether the mechanisms underlying simultaneous masking arise from the auditory periphery or from the central auditory system. Poor detection in listeners with sensorineural hearing loss (SNHL) is attributed to cochlear hair cell damage. However, hearing loss alters neural processing in the central auditory system. Additionally, both psychophysical and neurophysiological data from normally hearing and impaired listeners suggest that there are additional contributions to simultaneous masking that arise centrally. With SNHL, it is difficult to separate peripheral from central contributions to signal detection deficits. We have thus excluded peripheral contributions by using an animal model of early conductive hearing loss (CHL) that provides auditory deprivation but does not induce cochlear damage. When tested as adults, animals raised with CHL had increased thresholds for detecting tones in simultaneous noise. Furthermore, intracellular in vivo recordings in control animals revealed a cortical correlate of simultaneous masking: local cortical processing reduced tone-evoked responses in the presence of noise. This raises the possibility that altered cortical responses which occur with early CHL can influence even simple signal detection in noise. PMID:25249949

  10. Signal-Processing Strategy for Restoration of Cross-Channel Suppression in Hearing-Impaired Listeners

    PubMed Central

    Rasetshwane, Daniel M.; Gorga, Michael P.; Neely, Stephen T.

    2013-01-01

    Because frequency components interact nonlinearly with each other inside the cochlea, the loudness growth of tones is relatively simple in comparison to the loudness growth of complex sounds. The term suppression refers to a reduction in the response growth of one tone in the presence of a second tone. Suppression is a salient feature of normal cochlear processing and contributes to psychophysical masking. Suppression is evident in many measurements of cochlear function in subjects with normal hearing, including distortion-product otoacoustic emissions (DPOAEs). Suppression is also evident, to a lesser extent, in subjects with mild-to-moderate hearing loss. This paper describes a hearing-aid signal-processing strategy that aims to restore both loudness growth and two-tone suppression in hearing-impaired listeners. The prescription of gain for this strategy is based on measurements of loudness by a method known as categorical loudness scaling. The proposed signal-processing strategy reproduces measured DPOAE suppression tuning curves and generalizes to any number of frequency components. The restoration of both normal suppression and normal loudness has the potential to improve hearing-aid performance and user satisfaction. PMID:23925364

  11. Noise induced hearing loss impairs spatial learning/memory and hippocampal neurogenesis in mice

    PubMed Central

    Liu, Lijie; Shen, Pei; He, Tingting; Chang, Ying; Shi, Lijuan; Tao, Shan; Li, Xiaowei; Xun, Qingying; Guo, Xiaojing; Yu, Zhiping; Wang, Jian

    2016-01-01

    Hearing loss has been associated with cognitive decline in the elderly and is considered to be an independent risk factor for dementia. One of the most common causes for acquired sensorineural hearing loss is exposure to excessive noise, which has been found to impair learning ability and cognitive performance in human subjects and animal models. Noise exposure has also been found to depress neurogenesis in the hippocampus. However, the effect is mainly attributed to the oxidant stress of noise on the cognitive brain. In the present study, young adult CBA/CAJ mice (between 1.5 and 2 months of age) were briefly exposed a high sound level to produce moderate-to-severe hearing loss. In both the blood and hippocampus, only transient oxidative stress was observed after noise exposure. However, a deficit in spatial learning/memory was revealed 3 months after noise exposure. Moreover, the deficit was correlated with the degree of hearing loss and was associated with a decrease in neurogenesis in the hippocampus. We believe that the observed effects were likely due to hearing loss rather than the initial oxidant stress, which only lasted for a short period of time. PMID:26842803

  12. Can a "Single Hit" Cause Limitations in Language Development? A Comparative Study of Swedish Children with Hearing Impairment and Children with Specific Language Impairment

    ERIC Educational Resources Information Center

    Hansson, Kristina; Sahlen, Birgitta; Maki-Torkko, Elina

    2007-01-01

    Background: Studies of language in children with mild-to-moderate hearing impairment (HI) indicate that they often have problems in phonological short-term memory (PSTM) and that they have linguistic weaknesses both in vocabulary and morphosyntax similar to children with specific language impairment (SLI). However, children with HI may be more…

  13. Getting in and Getting On? The Experiences of Young People with Visual Impairments and Hearing Impairments in Third-Level Education

    ERIC Educational Resources Information Center

    Byrne, Bronagh

    2014-01-01

    Young disabled people continue to be under-represented throughout further and higher education settings. Drawing on Pierre Bourdieu's social theory of habitus, capital and field, this paper explores the practices of domination and oppression that have made it difficult for young people with visual impairments and hearing impairments to…

  14. Minimum Audible Angles Measured with Simulated Normally-Sized and Oversized Pinnas for Normal-Hearing and Hearing-Impaired Test Subjects.

    PubMed

    Rønne, Filip M; Laugesen, Søren; Jensen, Niels S; Pedersen, Julie H

    2016-01-01

    The human pinna introduces spatial acoustic cues in terms of direction-dependent spectral patterns that shape the incoming sound. These cues are specifically useful for localization in the vertical dimension. Pinna cues exist at frequencies above approximately 5 kHz, a frequency range where people with hearing loss typically have their highest hearing thresholds. Since increased thresholds often are accompanied by reduced frequency resolution, there are good reasons to believe that many people with hearing loss are unable to discriminate these subtle spectral pinna--cue details, even if the relevant frequency region is amplified by hearing aids.One potential solution to this problem is to provide hearing-aid users with artificially enhanced pinna cues-as if they were listening through oversized pinnas. In the present study, it was tested whether test subjects were better at discriminating spectral patterns similar to enlarged-pinna cues. The enlarged-pinna patterns were created by transposing (T) generic normal-sized pinna cues (N) one octave down, or by using the approach (W) suggested by Naylor and Weinrich (System and method for generating auditory spatial cues, United States Patent, 2011). The experiment was cast as a determination of simulated minimum audible angle (MAA) in the median saggital plane. 13 test subjects with sloping hearing loss and 11 normal-hearing test subjects participated. The normal-hearing test subjects showed similar discrimination performance with the T, W, and N-type simulated pinna cues, as expected. However, the results for the hearing-impaired test subjects showed only marginally lower MAAs with the W and T-cues compared to the N-cues, while the overall discrimination thresholds were much higher for the hearing-impaired compared to the normal-hearing test subjects. PMID:27080661

  15. Hearing Threshold of Korean Adolescents Associated with the Use of Personal Music Players

    PubMed Central

    Kim, Myung Gu; Hong, Seok Min; Shim, Hyun Joon; Kim, Young Doe; Cha, Chang Il

    2009-01-01

    Purpose Hearing loss can lead to a number of disabilities and can reduce quality of life. Noise-induced hearing losses have become more common among adolescents due to increased exposure to personal music players. We, therefore, investigated the use of personal music player among Korean adolescents and the relationship between hearing threshold and usage pattern of portable music players. Materials and Methods A total of 490 adolescents were interviewed personally regarding their use of portable music players, including the time and type of player and the type of headphone used. Pure tone audiometry was performed in each subject. Results Of the 490 subjects, 462 (94.3%) used personal music players and most of them have used the personal music player for 1-3 hours per day during 1-3 years. The most common type of portable music player was the MP3 player, and the most common type of headphone was the earphone (insert type). Significant elevations of hearing threshold were observed in males, in adolescents who had used portable music players for over 5 years, for those over 15 years in cumulative period and in those who had used earphones. Conclusion Portable music players can have a deleterious effect on hearing threshold in adolescents. To preserve hearing, adolescents should avoid using portable music players for long periods of time and should avoid using earphones. PMID:20046416

  16. Investigation of in-vehicle speech intelligibility metrics for normal hearing and hearing impaired listeners

    NASA Astrophysics Data System (ADS)

    Samardzic, Nikolina

    The effectiveness of in-vehicle speech communication can be a good indicator of the perception of the overall vehicle quality and customer satisfaction. Currently available speech intelligibility metrics do not account in their procedures for essential parameters needed for a complete and accurate evaluation of in-vehicle speech intelligibility. These include the directivity and the distance of the talker with respect to the listener, binaural listening, hearing profile of the listener, vocal effort, and multisensory hearing. In the first part of this research the effectiveness of in-vehicle application of these metrics is investigated in a series of studies to reveal their shortcomings, including a wide range of scores resulting from each of the metrics for a given measurement configuration and vehicle operating condition. In addition, the nature of a possible correlation between the scores obtained from each metric is unknown. The metrics and the subjective perception of speech intelligibility using, for example, the same speech material have not been compared in literature. As a result, in the second part of this research, an alternative method for speech intelligibility evaluation is proposed for use in the automotive industry by utilizing a virtual reality driving environment for ultimately setting targets, including the associated statistical variability, for future in-vehicle speech intelligibility evaluation. The Speech Intelligibility Index (SII) was evaluated at the sentence Speech Receptions Threshold (sSRT) for various listening situations and hearing profiles using acoustic perception jury testing and a variety of talker and listener configurations and background noise. In addition, the effect of individual sources and transfer paths of sound in an operating vehicle to the vehicle interior sound, specifically their effect on speech intelligibility was quantified, in the framework of the newly developed speech intelligibility evaluation method. Lastly

  17. Maternal Interactions with a Hearing and Hearing-Impaired Twin: Similarities and Differences in Speech Input, Interaction Quality, and Word Production

    ERIC Educational Resources Information Center

    Lam, Christa; Kitamura, Christine

    2010-01-01

    Purpose: This study examined a mother's speech style and interactive behaviors with her twin sons: 1 with bilateral hearing impairment (HI) and the other with normal hearing (NH). Method: The mother was video-recorded interacting with her twin sons when the boys were 12.5 and 22 months of age. Mean F0, F0 range, duration, and F1/F2 vowel space of…

  18. Adenylate cyclase 1 (ADCY1) mutations cause recessive hearing impairment in humans and defects in hair cell function and hearing in zebrafish

    PubMed Central

    Santos-Cortez, Regie Lyn P.; Lee, Kwanghyuk; Giese, Arnaud P.; Ansar, Muhammad; Amin-Ud-Din, Muhammad; Rehn, Kira; Wang, Xin; Aziz, Abdul; Chiu, Ilene; Hussain Ali, Raja; Smith, Joshua D.; Shendure, Jay; Bamshad, Michael; Nickerson, Deborah A.; Ahmed, Zubair M.; Ahmad, Wasim; Riazuddin, Saima; Leal, Suzanne M.

    2014-01-01

    Cyclic AMP (cAMP) production, which is important for mechanotransduction within the inner ear, is catalyzed by adenylate cyclases (AC). However, knowledge of the role of ACs in hearing is limited. Previously, a novel autosomal recessive non-syndromic hearing impairment locus DFNB44 was mapped to chromosome 7p14.1-q11.22 in a consanguineous family from Pakistan. Through whole-exome sequencing of DNA samples from hearing-impaired family members, a nonsense mutation c.3112C>T (p.Arg1038*) within adenylate cyclase 1 (ADCY1) was identified. This stop-gained mutation segregated with hearing impairment within the family and was not identified in ethnically matched controls or within variant databases. This mutation is predicted to cause the loss of 82 amino acids from the carboxyl tail, including highly conserved residues within the catalytic domain, plus a calmodulin-stimulation defect, both of which are expected to decrease enzymatic efficiency. Individuals who are homozygous for this mutation had symmetric, mild-to-moderate mixed hearing impairment. Zebrafish adcy1b morphants had no FM1-43 dye uptake and lacked startle response, indicating hair cell dysfunction and gross hearing impairment. In the mouse, Adcy1 expression was observed throughout inner ear development and maturation. ADCY1 was localized to the cytoplasm of supporting cells and hair cells of the cochlea and vestibule and also to cochlear hair cell nuclei and stereocilia. Ex vivo studies in COS-7 cells suggest that the carboxyl tail of ADCY1 is essential for localization to actin-based microvilli. These results demonstrate that ADCY1 has an evolutionarily conserved role in hearing and that cAMP signaling is important to hair cell function within the inner ear. PMID:24482543

  19. The sensitivity of hearing-impaired adults to acoustic attributes in simulated rooms

    PubMed Central

    Whitmer, William M.; McShefferty, David; Akeroyd, Michael A.

    2016-01-01

    In previous studies we have shown that older hearing-impaired individuals are relatively insensitive to changes in the apparent width of broadband noises when those width changes were based on differences in interaural coherence [W. Whitmer, B. Seeber and M. Akeroyd, J. Acoust. Soc. Am. 132, 369-379 (2012)]. This insensitivity has been linked to senescent difficulties in resolving binaural fine-structure differences. It is therefore possible that interaural coherence, despite its widespread use, may not be the best acoustic surrogate of spatial perception for the aged and impaired. To test this, we simulated the room impulse responses for various acoustic scenarios with differing coherence and lateral (energy) fraction attributes using room modelling software (ODEON). Bilaterally impaired adult participants were asked to sketch the perceived size of speech tokens and musical excerpts that were convolved with these impulse responses and presented to them in a sound-dampened enclosure through a 24-loudspeaker array. Participants’ binaural acuity was also measured using an interaural phase discrimination task. Corroborating our previous findings, the results showed less sensitivity to interaural coherence in the auditory source width judgments of older hearing-impaired individuals, indicating that alternate acoustic measurements in the design of spaces for the elderly may be necessary. PMID:27213028

  20. Speech quality evaluation of a sparse coding shrinkage noise reduction algorithm with normal hearing and hearing impaired listeners.

    PubMed

    Sang, Jinqiu; Hu, Hongmei; Zheng, Chengshi; Li, Guoping; Lutman, Mark E; Bleeck, Stefan

    2015-09-01

    Although there are numerous papers describing single-channel noise reduction strategies to improve speech perception in a noisy environment, few studies have comprehensively evaluated the effects of noise reduction algorithms on speech quality for hearing impaired (HI). A model-based sparse coding shrinkage (SCS) algorithm has been developed, and has shown previously (Sang et al., 2014) that it is as competitive as a state-of-the-art Wiener filter approach in speech intelligibility. Here, the analysis is extended to include subjective quality ratings and a method called Interpolated Paired Comparison Rating (IPCR) is adopted to quantitatively link the benefit of speech intelligibility and speech quality. The subjective quality tests are performed through IPCR to efficiently quantify noise reduction effects on speech quality. Objective measures including frequency-weighted segmental signal-to-noise ratio (fwsegSNR), perceptual evaluation of speech quality (PESQ) and hearing aid speech quality index (HASQI) are adopted to predict the noise reduction effects. Results show little difference in speech quality between the SCS and the Wiener filter algorithm but a difference in quality rating between the HI and NH listeners. HI listeners generally gave better quality ratings of noise reduction algorithms than NH listeners. However, SCS reduced the noise more efficiently at the cost of higher distortions that were detected by NH but not by the HI. SCS is a promising candidate for noise reduction algorithms for HI. In general, care needs to be taken when adopting algorithms that were originally developed for NH participants into hearing aid applications. An algorithm that is evaluated negatively with NH might still bring benefits for HI participants. PMID:26232529

  1. Comparing Binaural Pre-processing Strategies III: Speech Intelligibility of Normal-Hearing and Hearing-Impaired Listeners.

    PubMed

    Völker, Christoph; Warzybok, Anna; Ernst, Stephan M A

    2015-01-01

    A comprehensive evaluation of eight signal pre-processing strategies, including directional microphones, coherence filters, single-channel noise reduction, binaural beamformers, and their combinations, was undertaken with normal-hearing (NH) and hearing-impaired (HI) listeners. Speech reception thresholds (SRTs) were measured in three noise scenarios (multitalker babble, cafeteria noise, and single competing talker). Predictions of three common instrumental measures were compared with the general perceptual benefit caused by the algorithms. The individual SRTs measured without pre-processing and individual benefits were objectively estimated using the binaural speech intelligibility model. Ten listeners with NH and 12 HI listeners participated. The participants varied in age and pure-tone threshold levels. Although HI listeners required a better signal-to-noise ratio to obtain 50% intelligibility than listeners with NH, no differences in SRT benefit from the different algorithms were found between the two groups. With the exception of single-channel noise reduction, all algorithms showed an improvement in SRT of between 2.1 dB (in cafeteria noise) and 4.8 dB (in single competing talker condition). Model predictions with binaural speech intelligibility model explained 83% of the measured variance of the individual SRTs in the no pre-processing condition. Regarding the benefit from the algorithms, the instrumental measures were not able to predict the perceptual data in all tested noise conditions. The comparable benefit observed for both groups suggests a possible application of noise reduction schemes for listeners with different hearing status. Although the model can predict the individual SRTs without pre-processing, further development is necessary to predict the benefits obtained from the algorithms at an individual level. PMID:26721922

  2. Personality Pathology of Adults with Autism Spectrum Disorder without Accompanying Intellectual Impairment in Comparison to Adults with Personality Disorders

    ERIC Educational Resources Information Center

    Strunz, Sandra; Westphal, Linda; Ritter, Kathrin; Heuser, Isabella; Dziobek, Isabel; Roepke, Stefan

    2015-01-01

    Differentiating autism spectrum disorders (ASDs) without accompanying intellectual impairment from personality disorders is often challenging. Identifying personality traits and personality pathology specific to ASD might facilitate diagnostic procedure. We recruited a sample of 59 adults with ASD without accompanying intellectual impairment, 62…

  3. Hearing Impairment in Relation to Severity of Diabetes in a Veteran Cohort

    PubMed Central

    Konrad-Martin, Dawn; Reavis, Kelly M.; Austin, Donald; Reed, Nicholas; Gordon, Jane; McDermott, Dan; Dille, Marilyn F.

    2015-01-01

    Objective Type 2 diabetes is epidemic among veterans, approaching three times the prevalence of the general population. Diabetes leads to devastating complications of vascular and neurologic malfunction and appears to impair auditory function. Hearing loss prevention is a major health-related initiative in the Veterans Health Administration. Thus, this research sought to identify, and quantify with effect sizes, differences in hearing, speech recognition, and hearing-related quality of life (QOL) measures associated with diabetes and to determine whether well-controlled diabetes diminishes the differences. Design The authors examined selected cross-sectional data from the baseline (initial) visit of a longitudinal study of Veterans with and without type 2 diabetes designed to assess the possible differences in age-related trajectories of peripheral and central auditory function between the two groups. In addition, the diabetes group was divided into subgroups on the basis of medical diagnosis of diabetes and current glycated hemoglobin (HbA1c) as a metric of disease severity and control. Outcome measures were pure-tone thresholds, word recognition using sentences presented in noise or time-compressed, and an inventory assessing the self-perceived impact of hearing loss on QOL. Data were analyzed from 130 Veterans ages 24 to 73 (mean 48) years with well-controlled (controlled) diabetes, poorly controlled (uncontrolled) diabetes, prediabetes, and no diabetes. Regression was used to identify any group differences in age, noise exposure history, and other sociodemographic factors, and multiple regression was used to model each outcome variable, adjusting for potential confounders. Results were evaluated in relation to diabetes duration, use of insulin (yes, no), and presence of selected diabetes complications (neuropathy and retinopathy). Results Compared with nondiabetics, Veterans with uncontrolled diabetes had significant differences in hearing at speech frequencies

  4. Predicting 3-year outcomes of early-identified children with hearing impairment

    PubMed Central

    Ching, T.Y.C.; Day, J.; Seeto, M.; Dillon, H.; Marnane, V.; Street, L.

    2013-01-01

    Problem/Objectives Permanent childhood hearing loss has major negative impacts on children’s health and development. To improve outcomes, universal newborn hearing screening (UNHS) has been implemented widely. However, high-quality evidence on its efficacy was lacking. To address this evidence gap, we conducted the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study to directly compare outcomes of early- and late-identified children. This paper investigates whether early performance measured shortly after initial amplification predicts language development at 3 years of age. Methodology This is a prospective, population-based study. We assessed outcomes at 6- and 12-months after amplification, and then at 3 and 5 years of age. Main outcome measures included directly-assessed language, receptive vocabulary, speech production; and parent-reported functional performance in everyday life. A range of demographic and audiological information was also collected at evaluation intervals. Results About 450 children participated, and 3-year outcomes scores were available for 356 participants. Multiple regression analysis revealed that early language scores or functional performance ratings were significant predictors of 3-year outcomes. Other significant predictors included the presence or absence of additional disabilities, severity of hearing loss, and age at cochlear implant activation. Conclusions Early performance, either directly-assessed language ability (PLS-4) or parent-reported functional ratings (PEACH), were significant predictors of 3-year outcomes; along with presence or absence of additional disabilities, severity of hearing loss, and age at CI activation. Earlier implantation is possible with early detection of hearing loss via UNHS. Monitoring performance after initial amplification allows preventive strategies to be implemented early to improve outcomes. PMID:24383228

  5. Effects of noise reduction on AM perception for hearing-impaired listeners.

    PubMed

    Ives, D Timothy; Kalluri, Sridhar; Strelcyk, Olaf; Sheft, Stanley; Miermont, Franck; Coez, Arnaud; Bizaguet, Eric; Lorenzi, Christian

    2014-10-01

    Noise reduction (NR) systems are commonplace in modern digital hearing aids. Though not improving speech intelligibility, NR helps the hearing-aid user in terms of lowering noise annoyance, reducing cognitive load and improving ease of listening. Previous psychophysical work has shown that NR does in fact improve the ability of normal-hearing (NH) listeners to discriminate the slow amplitude-modulation (AM) cues representative of those found in speech. The goal of this study was to assess whether this improvement of AM discrimination with NR can also be observed for hearing-impaired (HI) listeners. AM discrimination was measured at two audio frequencies of 500 Hz and 2 kHz in a background noise with a signal-to-noise ratio of 12 dB. Discrimination was measured for ten HI and ten NH listeners with and without NR processing. The HI listeners had a moderate sensorineural hearing loss of about 50 dB HL at 2 kHz and normal hearing (≤ 20 dB HL) at 500 Hz. The results showed that most of the HI listeners tended to benefit from NR at 500 Hz but not at 2 kHz. However, statistical analyses showed that HI listeners did not benefit significantly from NR at any frequency region. In comparison, the NH listeners showed a significant benefit from NR at both frequencies. For each condition, the fidelity of AM transmission was quantified by a computational model of early auditory processing. The parameters of the model were adjusted separately for the two groups (NH and HI) of listeners. The AM discrimination performance of the HI group (with and without NR) was best captured by a model simulating the loss of the fast-acting amplitude compression applied by the normal cochlea. This suggests that the lack of benefit from NR for HI listeners results from loudness recruitment. PMID:24899379

  6. Association of Age Related Macular Degeneration and Age Related Hearing Impairment

    PubMed Central

    Ghasemi, Hassan; Pourakbari, Malihe Shahidi; Entezari, Morteza; Yarmohammadi, Mohammad Ebrahim

    2016-01-01

    Purpose: To evaluate the association between age-related macular degeneration (ARMD) and sensory neural hearing impairment (SHI). Methods: In this case-control study, hearing status of 46 consecutive patients with ARMD were compared with 46 age-matched cases without clinical ARMD as a control group. In all patients, retinal involvements were confirmed by clinical examination, fluorescein angiography (FA) and optical coherence tomography (OCT). All participants were examined with an otoscope and underwent audiological tests including pure tone audiometry (PTA), speech reception threshold (SRT), speech discrimination score (SDS), tympanometry, reflex tests and auditory brainstem response (ABR). Results: A significant (P = 0.009) association was present between ARMD, especially with exudative and choroidal neovascularization (CNV) components, and age-related hearing impairment primarily involving high frequencies. Patients had higher SRT and lower SDS against anticipated presbycusis than control subjects. Similar results were detected in exudative, CNV and scar patterns supporting an association between late ARMD with SRT and SDS abnormalities. ABR showed significantly prolonged wave I and IV latency times in ARMD (P = 0.034 and 0.022, respectively). Average latency periods for wave I in geographic atrophy (GA) and CNV, and that for wave IV in drusen patterns of ARMD were significantly higher than controls (P = 0.030, 0.007 and 0.050, respectively). Conclusion: The association between ARMD and age-related SHI may be attributed to common anatomical components such as melanin in these two sensory organs. PMID:27195086

  7. Contribution of consonant versus vowel information to sentence intelligibility by normal and hearing-impaired listeners

    NASA Astrophysics Data System (ADS)

    Burkle, T. Zachary; Kewley-Port, Diane; Humes, Larry; Lee, Jae Hee

    2001-05-01

    The purpose of this study was to examine the contribution of information provided by vowels versus consonants to sentence intelligibility in young normal-hearing (YNH) and elderly hearing-impaired (EHI) listeners. Sentences were presented in three conditions, with either the vowels or the consonants replaced with speech shaped noise, or unaltered. Sentences from male and female talkers in the TIMIT database were selected. EHI subjects listened at 95 dB SPL, and YNH subjects at both 95 and 70 dB SPL. Subjects listened to each sentence twice and were asked to repeat the entire sentence after each presentation. Words were scored correct if identified exactly. Average performance for unaltered sentences was greater than 94%. Vowel-present conditions were always significantly more intelligible than consonant-present conditions, similar to data reported by Cole and colleagues [Proceedings of ICASSP, 1996]. Across groups, performance in the vowel-present conditions exceeded that in the consonant-present conditions by 14% to 40%, although EHI subjects performed more poorly than YNH subjects. In contrast to written English, vowels in spoken language carry more information about sentences than consonants for both normal and hearing-impaired listeners. [Work supported by NIDCD-02229.

  8. MEHIDA: an intelligent multimedia tutoring system for the hearing-impaired

    NASA Astrophysics Data System (ADS)

    Alonso, Fernando; de Antonio, Angelica; Fuertes, Jose L.; Montes, Cesar

    1995-03-01

    MEHIDA is a multimedia system offering hearing-impaired children an easy and attractive method to communicate with their hearing and deaf peers. It is a TOTAL COMMUNICATION method whose objective is the acquisition of various forms of communication available to the hearing impaired simultaneously: gesture, speech, dactylology, formal signing, lip reading, reading and writing. Didactic activities and games are used to teach the different means of communication. The approach gives the child the chance to practice the different types of communication. A character has been created in the shape of a pear to assist and guide the child. The pupil identifies with the character at all times, as it explains what the child is being asked to do during each activity. The MEHIDA learning process is divided into six stages: basic learning, prereading and prewriting, syllable, word, simple and complex sentence reading and writing. Each phase establishes a hierarchy of didactic objectives which are the expression of the skills and knowledge to be acquired by the child during the learning process (e.g., learning concepts of similarity) broken down into a series of lower level operational objectives (e.g., select figures of the same shape, size and color).

  9. Development of a School Adaptation Program for Elementary School Students with Hearing Impairment

    PubMed Central

    Kim, Shin-Jeong; Kwon, Myung Soon

    2015-01-01

    Background and Objectives Although new technology of assistive listening device leads many hard of hearing children to be mainstreamed in public school programs, many clinicians and teachers still wonder whether the children are able to understand all instruction, access educational materials, and have social skills in the school. The purpose of this study is to develop a school adaptation program (SAP) for the hearing-impaired children who attend public elementary school. Subjects and Methods The theoretical framework of the SAP was a system model including microsystem, mesosystem, and macrosystem merged with Keller's ARCS theory. Results The SAP consisted of 10 sessions based on five categories (i.e., school life, activity in the class, relationship with friends, relationship with teacher, and school environments). For preliminary validity testing, the developed SAP was reviewed by sixteen elementary school teachers, using the evaluation questionnaire. The results of evaluation showed high average 3.60 (±0.52) points out of 4 while proving a reliable and valid school-based program. Conclusions The SAP indicated that it may serve as a practical and substantive program for hearing-impaired children in the public school in order to help them achieve better academic support and social integrations. PMID:26185788

  10. Emotion Recognition/Understanding Ability in Hearing or Vision-Impaired Children: Do Sounds, Sights, or Words Make the Difference?

    ERIC Educational Resources Information Center

    Dyck, Murray J.; Farrugia, Charles; Shochet, Ian M.; Holmes-Brown, Martez

    2004-01-01

    Background: This study was designed to assess whether children with a sensory disability have consistent delays in acquiring emotion recognition and emotion understanding abilities. Method: Younger (6-11 years) and older (12-18 years) hearing-impaired children (HI; n = 49), vision-impaired children (VI; n = 42), and children with no sensory…

  11. Comparative multivariate analyses of transient otoacoustic emissions and distorsion products in normal and impaired hearing

    PubMed Central

    STAMATE, MIRELA CRISTINA; TODOR, NICOLAE; COSGAREA, MARCEL

    2015-01-01

    Background and aim The clinical utility of otoacoustic emissions as a noninvasive objective test of cochlear function has been long studied. Both transient otoacoustic emissions and distorsion products can be used to identify hearing loss, but to what extent they can be used as predictors for hearing loss is still debated. Most studies agree that multivariate analyses have better test performances than univariate analyses. The aim of the study was to determine transient otoacoustic emissions and distorsion products performance in identifying normal and impaired hearing loss, using the pure tone audiogram as a gold standard procedure and different multivariate statistical approaches. Methods The study included 105 adult subjects with normal hearing and hearing loss who underwent the same test battery: pure-tone audiometry, tympanometry, otoacoustic emission tests. We chose to use the logistic regression as a multivariate statistical technique. Three logistic regression models were developed to characterize the relations between different risk factors (age, sex, tinnitus, demographic features, cochlear status defined by otoacoustic emissions) and hearing status defined by pure-tone audiometry. The multivariate analyses allow the calculation of the logistic score, which is a combination of the inputs, weighted by coefficients, calculated within the analyses. The accuracy of each model was assessed using receiver operating characteristics curve analysis. We used the logistic score to generate receivers operating curves and to estimate the areas under the curves in order to compare different multivariate analyses. Results We compared the performance of each otoacoustic emission (transient, distorsion product) using three different multivariate analyses for each ear, when multi-frequency gold standards were used. We demonstrated that all multivariate analyses provided high values of the area under the curve proving the performance of the otoacoustic emissions. Each

  12. Whole-Person Impairment in Younger Retired NFL Players

    PubMed Central

    Domb, Benjamin G.; Carter, Chris; Finch, Nathan A.; Hammarstedt, Jon E.; Dunne, Kevin F.; Stake, Christine E.

    2014-01-01

    Background: Professional American football is a physically demanding, high-impact sport with an elevated risk of injury. Orthopaedic injuries may impose acute, short-term or cumulative consequences throughout a player’s lifetime. Several studies have addressed health and psychosocial concerns of an older, retired population of players in the National Football League (NFL); however, minimal research has examined the orthopaedic toll on younger, retired players. Purpose: This study reports total whole-person impairment (WPI) percentages in a cohort of younger, retired NFL players who presented for disability evaluations based on the use of standardized American Medical Association (AMA) impairment guidelines. Study Design: Case series; Level of evidence, 4. Methods: During the study period of February 2011 to August 2013, 65 younger retired NFL players presented for impairment evaluations. The mean time between retirement and impairment evaluation was 3.1 years (range, 0.3-16.4 years). A complete history and physical examination was performed on all symptomatic joints. A retrospective chart review was conducted on 100% of presenting players to assess orthopaedic burden. Body-part impairment (BPI) percentage for each affected joint was generated. The impairment data for each extremity were then combined with spine impairment data to create WPI percentage. Player demographics, including age, position, and playing time, were also recorded. Results: The average WPI percentage was 37% (range, 19%-53%). Players participating in >30 games (n = 54) had a higher mean WPI percentage (38%) than those playing in <30 games (31%; n = 11) (P = .004). Players competing in >5 seasons (n = 46) were 2.4 times more likely to have a WPI of at least 37% (P = .007). The most common joints players reported as symptomatic were lumbar (n = 63; 97%) and cervical spine (n = 58; 89%). The mean age at evaluation was 33.5 years (range, 27-42 years), and the mean number of seasons played was 7

  13. Noise induced hearing impairment and loss. (Latest citations from Pollution Abstracts). Published Search

    SciTech Connect

    Not Available

    1993-01-01

    The bibliography contains citations concerning environmentally induced acoustic trauma. Occupational, residential, aircraft-related, and automotive noise stress are examined. Articles discuss noise control and reduction, diagnosis and pathology of hearing loss, regulation and legislation regarding noise pollution, personal protection, therapy, and risk assessment. Also included are related factors such as sound levels, sound frequencies, and exposure times. (Contains a minimum of 148 citations and includes a subject term index and title list.)

  14. Navigation system for visual impaired persons based on satellital location.

    PubMed

    Perez-Ponce, H; Hernandez-Rodriguez, P R

    2004-01-01

    A system designed to assist visual impaired persons to travel in a city without external help using GPS navigation system has been developed. With the use of a BIuetooth hands-free, the user only has to give spoken commands to receive spoken directions to get to his/her destination. The directions received from the system will help him/her to walk parallel to the tangent of the walk-side and to walk through the most convenient route. This means that the route calculated to arrive to the destination point not only will be the shortest, but also the least risky one. The system can also be personalized by the user, entering his/her own waypoints. PMID:17271383

  15. The perception of apparent auditory source width in hearing-impaired adults

    PubMed Central

    Whitmer, William M.; Seeber, Bernhard U.; Akeroyd, Michael A.

    2014-01-01

    In a previous study [W. Whitmer, B. Seeber and M. Akeroyd, J. Acoust. Soc. Am. 132, 369-379 (2012)], it was demonstrated that older hearing-impaired (HI) listeners produced visual sketches of headphone-presented noises that were insensitive to changes in interaural coherence. The current study further explores this insensitivity by comparing (a) binaural temporal fine-stucture (TFS) resolution and (b) sound localization precision to (c) auditory source width judgments. Thirty-five participants aged 26-81 years with normal to moderately impaired hearing (a) discriminated interaurally phase-shifted tones from diotic tones presented over headphones, (b) located 500-ms speech-spectrum filtered click trains presented over loudspeakers between ±30° in quiet, and (c) sketched the perceived width of low-pass, high-pass and speech-spectrum noise stimuli presented over loudspeakers from 0° and simultaneously from ±45° at attenuations of 0-20 dB to generate partially coherent stimuli. The results showed a decreasing sensitivity to width with age and impairment which was related to binaural TFS threshold: the worse one’s threshold – which was correlated with age – the less the perceived width increased with decreasing interaural coherence. These results suggest that senescent changes to the auditory system do not necessarily lead to perceptions of broader, more diffuse sound images based on interaural coherence. PMID:24907818

  16. Autosomal-Recessive Hearing Impairment Due to Rare Missense Variants within S1PR2.

    PubMed

    Santos-Cortez, Regie Lyn P; Faridi, Rabia; Rehman, Atteeq U; Lee, Kwanghyuk; Ansar, Muhammad; Wang, Xin; Morell, Robert J; Isaacson, Rivka; Belyantseva, Inna A; Dai, Hang; Acharya, Anushree; Qaiser, Tanveer A; Muhammad, Dost; Ali, Rana Amjad; Shams, Sulaiman; Hassan, Muhammad Jawad; Shahzad, Shaheen; Raza, Syed Irfan; Bashir, Zil-E-Huma; Smith, Joshua D; Nickerson, Deborah A; Bamshad, Michael J; Riazuddin, Sheikh; Ahmad, Wasim; Friedman, Thomas B; Leal, Suzanne M

    2016-02-01

    The sphingosine-1-phosphate receptors (S1PRs) are a well-studied class of transmembrane G protein-coupled sphingolipid receptors that mediate multiple cellular processes. However, S1PRs have not been previously reported to be involved in the genetic etiology of human traits. S1PR2 lies within the autosomal-recessive nonsyndromic hearing impairment (ARNSHI) locus DFNB68 on 19p13.2. From exome sequence data we identified two pathogenic S1PR2 variants, c.323G>C (p.Arg108Pro) and c.419A>G (p.Tyr140Cys). Each of these variants co-segregates with congenital profound hearing impairment in consanguineous Pakistani families with maximum LOD scores of 6.4 for family DEM4154 and 3.3 for family PKDF1400. Neither S1PR2 missense variant was reported among ∼120,000 chromosomes in the Exome Aggregation Consortium database, in 76 unrelated Pakistani exomes, or in 720 Pakistani control chromosomes. Both DNA variants affect highly conserved residues of S1PR2 and are predicted to be damaging by multiple bioinformatics tools. Molecular modeling predicts that these variants affect binding of sphingosine-1-phosphate (p.Arg108Pro) and G protein docking (p.Tyr140Cys). In the previously reported S1pr2(-/-) mice, stria vascularis abnormalities, organ of Corti degeneration, and profound hearing loss were observed. Additionally, hair cell defects were seen in both knockout mice and morphant zebrafish. Family PKDF1400 presents with ARNSHI, which is consistent with the lack of gross malformations in S1pr2(-/-) mice, whereas family DEM4154 has lower limb malformations in addition to hearing loss. Our findings suggest the possibility of developing therapies against hair cell damage (e.g., from ototoxic drugs) through targeted stimulation of S1PR2. PMID:26805784

  17. Autosomal-Recessive Hearing Impairment Due to Rare Missense Variants within S1PR2

    PubMed Central

    Santos-Cortez, Regie Lyn P.; Faridi, Rabia; Rehman, Atteeq U.; Lee, Kwanghyuk; Ansar, Muhammad; Wang, Xin; Morell, Robert J.; Isaacson, Rivka; Belyantseva, Inna A.; Dai, Hang; Acharya, Anushree; Qaiser, Tanveer A.; Muhammad, Dost; Ali, Rana Amjad; Shams, Sulaiman; Hassan, Muhammad Jawad; Shahzad, Shaheen; Raza, Syed Irfan; Bashir, Zil-e-Huma; Smith, Joshua D.; Nickerson, Deborah A.; Bamshad, Michael J.; Riazuddin, Sheikh; Ahmad, Wasim; Friedman, Thomas B.; Leal, Suzanne M.

    2016-01-01

    The sphingosine-1-phosphate receptors (S1PRs) are a well-studied class of transmembrane G protein-coupled sphingolipid receptors that mediate multiple cellular processes. However, S1PRs have not been previously reported to be involved in the genetic etiology of human traits. S1PR2 lies within the autosomal-recessive nonsyndromic hearing impairment (ARNSHI) locus DFNB68 on 19p13.2. From exome sequence data we identified two pathogenic S1PR2 variants, c.323G>C (p.Arg108Pro) and c.419A>G (p.Tyr140Cys). Each of these variants co-segregates with congenital profound hearing impairment in consanguineous Pakistani families with maximum LOD scores of 6.4 for family DEM4154 and 3.3 for family PKDF1400. Neither S1PR2 missense variant was reported among ∼120,000 chromosomes in the Exome Aggregation Consortium database, in 76 unrelated Pakistani exomes, or in 720 Pakistani control chromosomes. Both DNA variants affect highly conserved residues of S1PR2 and are predicted to be damaging by multiple bioinformatics tools. Molecular modeling predicts that these variants affect binding of sphingosine-1-phosphate (p.Arg108Pro) and G protein docking (p.Tyr140Cys). In the previously reported S1pr2−/− mice, stria vascularis abnormalities, organ of Corti degeneration, and profound hearing loss were observed. Additionally, hair cell defects were seen in both knockout mice and morphant zebrafish. Family PKDF1400 presents with ARNSHI, which is consistent with the lack of gross malformations in S1pr2−/− mice, whereas family DEM4154 has lower limb malformations in addition to hearing loss. Our findings suggest the possibility of developing therapies against hair cell damage (e.g., from ototoxic drugs) through targeted stimulation of S1PR2. PMID:26805784

  18. Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

    PubMed Central

    Vasconcellos, Adam P.; Kyle, Meghann E.; Gilani, Sapideh; Shin, Jennifer J.

    2015-01-01

    Background Pediatric hearing loss is an increasingly recognized problem with significant implications. Increasing our quantitative understanding of potentially modifiable environmental risk factors for hearing loss may form the foundation for prevention and screening programs. Objective To determine whether specific threshold exposure levels of personally modifiable risk factors for hearing loss have been defined, with the overarching goal of providing actionable guidance for the prevention of pediatric hearing loss. Data Sources A systematic review was performed. Computerized searches of PubMed, EMBASE, and the Cochrane Library were completed and supplemented with manual searches. Review Methods Inclusion/exclusion criteria were designed to determine specific threshold values of personally modifiable risk factors on hearing loss in the pediatric population. Searches and data extraction were performed by independent reviewers. Results There were 38 criterion-meeting studies, including a total of 50,651 subjects. Threshold noise exposures significantly associated with hearing loss in youth included: (1) more than 4 hours per week or more than 5 years of personal headphone usage, (2) more than 4 visits per month to a discotheque, and (3) working on a mechanized farm. Quantified tobacco levels of concern included any level of in utero smoke exposure as well as secondhand exposure sufficient to elevate serum cotinine. Conclusions Specific thresholds analyses are limited. Future studies would ideally focus on stratifying risk according to clearly defined levels of exposure, in order to provide actionable guidance for children and families. PMID:24671457

  19. Noise Exposure and Hearing Impairment among Chinese Restaurant Workers and Entertainment Employees in Hong Kong

    PubMed Central

    Lao, Xiang Qian; Yu, Ignatius Tak Sun; Au, Dennis Kin Kwok; Chiu, Yuk Lan; Wong, Claudie Chiu Yi; Wong, Tze Wai

    2013-01-01

    Background Noise-induced hearing loss (NIHL) is a major concern in the non-manufacturing industries. This study aimed to investigate the occupational noise exposure and the NIHL among Chinese restaurant workers and entertainment employees working in the service industry in Hong Kong. Methods This cross-sectional survey involved a total of 1,670 participants. Among them, 937 were randomly selected from the workers of Chinese restaurants and 733 were selected from workers in three entertainment sectors: radio and television stations; cultural performance halls or auditoria of the Leisure and Cultural Services Department (LCSD); and karaoke bars. Noise exposure levels were measured in the sampled restaurants and entertainment sectors. Each participant received an audiometric screening test. Those who were found to have abnormalities were required to take another diagnostic test in the health center. The “Klockhoff digit” method was used to classify NIHL in the present study. Results The main source of noise inside restaurants was the stoves. The mean hearing thresholds showed a typical dip at 3 to 6 KHz and a substantial proportion (23.7%) of the workers fulfilled the criteria for presumptive NIHL. For entertainment sectors, employees in radio and television stations generally had higher exposure levels than those in the halls or auditoria of the LCSD and karaoke bars. The mean hearing thresholds showed a typical dip at 6 KHz and a substantial proportion of the employees fulfilled the criteria for presumptive NIHL (38.6%, 95%CI: 35.1–42.1%). Being male, older, and having longer service and daily alcohol consumption were associated with noise-induced hearing impairment both in restaurant workers and entertainment employees. Conclusion Excessive noise exposure is common in the Chinese restaurant and entertainment industries and a substantial proportion of restaurant workers and entertainment employees suffer from NIHL. Comprehensive hearing conservation programs

  20. Smoking, Central Adiposity, and Poor Glycemic Control Increase Risk of Hearing Impairment

    PubMed Central

    Cruickshanks, Karen J.; Nondahl, David M.; Dalton, Dayna S.; Fischer, Mary E.; Klein, Barbara E.K.; Klein, Ronald; Nieto, F. Javier; Schubert, Carla R.; Tweed, Ted S.

    2015-01-01

    Objectives To determine associations between smoking, adiposity, diabetes, and other cardiovascular disease (CVD) risk factors and the 15-yr incidence of hearing impairment (HI). Design The Epidemiology of Hearing Loss Study (EHLS) is a longitudinal population-based cohort study (1993–95 to 2009–2010). Setting Beaver Dam, WI. Participants Participants in the Beaver Dam Eye Study (1988–90; residents of Beaver Dam, WI ages 43–84 years in 1987–88) were eligible for the EHLS. There were 1925 participants with normal hearing at baseline. Measurements 15-year cumulative incidence of HI (pure-tone average (PTA) of hearing thresholds at 0.5, 1, 2 and 4 kHz > 25 decibels Hearing Level (dB HL) in either ear). Cigarette smoking, exercise, and other factors were ascertained by questionnaire. Blood pressure, waist circumference, body mass index and glycosylated hemoglobin were measured. Results Follow-up examinations (≥1) were obtained from 87.2% (n=1678; mean baseline age 61 years). The 15-year cumulative incidence of HI was 56.8%. Adjusting for age and sex, current smoking (Hazard Ratio (HR) =1.31, p=0.048), education (<16 yrs; HR=1.35, p=0.01), waist circumference (HR=1.08 per 10 cm, p=0.017), and poorly controlled diabetes (HR=2.03, p=0.048) were associated with increased risk of HI. Former smokers and people with better controlled diabetes were not at increased risk. Conclusion Smoking, central adiposity and poorly controlled diabetes predicted incident HI. These well-known CVD risk factors, suggest vascular changes may contribute to HI in aging. Interventions targeting reductions in smoking and adiposity, and improved glycemic control in people with diabetes, may help to prevent or delay the onset of HI. PMID:25953199

  1. A Robotic Voice Simulator and the Interactive Training for Hearing-Impaired People

    PubMed Central

    Sawada, Hideyuki; Kitani, Mitsuki; Hayashi, Yasumori

    2008-01-01

    A talking and singing robot which adaptively learns the vocalization skill by means of an auditory feedback learning algorithm is being developed. The robot consists of motor-controlled vocal organs such as vocal cords, a vocal tract and a nasal cavity to generate a natural voice imitating a human vocalization. In this study, the robot is applied to the training system of speech articulation for the hearing-impaired, because the robot is able to reproduce their vocalization and to teach them how it is to be improved to generate clear speech. The paper briefly introduces the mechanical construction of the robot and how it autonomously acquires the vocalization skill in the auditory feedback learning by listening to human speech. Then the training system is described, together with the evaluation of the speech training by auditory impaired people. PMID:18389073

  2. [The algorithm for the medical maintenance of the aircraft personnel suffering from chronic sensorineural impairment of hearing].

    PubMed

    Pankova, V B; Skryabina, L Yu; Barkhatova, O A

    2016-01-01

    The present study was designed to systematize the causes underlying the development of chronic sensorineural impairment of hearing in the aircraft personnel engaged in commercial aviation of the Russian Federation. A detailed clinical and audiological picture of chronic sensorineural loss of hearing in the aircraft personnel is presented with special reference to the criteria accepted in the civil aviationfor the evaluation of professional suitability and occupational selection in terms of hearing conditions. The study has demonstrated the paramount importance of the aviation medical expertise for the flight safety control in civil aviation. We analyzed the results of the audiological examination of the aircraft personnel suffering from chronic sensorineural impairment of hearing and proposed the algorithm for the rehabilitation of such subjects taking into consideration the stage of the chronic process. PMID:27213653

  3. 33 CFR 148.242 - How does a person who is not a party to a formal hearing present evidence at the hearing?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false How does a person who is not a party to a formal hearing present evidence at the hearing? 148.242 Section 148.242 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) DEEPWATER PORTS DEEPWATER PORTS: GENERAL Processing Applications Formal...

  4. Auditory training of speech recognition with interrupted and continuous noise maskers by children with hearing impairment

    PubMed Central

    Sullivan, Jessica R.; Thibodeau, Linda M.; Assmann, Peter F.

    2013-01-01

    Previous studies have indicated that individuals with normal hearing (NH) experience a perceptual advantage for speech recognition in interrupted noise compared to continuous noise. In contrast, adults with hearing impairment (HI) and younger children with NH receive a minimal benefit. The objective of this investigation was to assess whether auditory training in interrupted noise would improve speech recognition in noise for children with HI and perhaps enhance their utilization of glimpsing skills. A partially-repeated measures design was used to evaluate the effectiveness of seven 1-h sessions of auditory training in interrupted and continuous noise. Speech recognition scores in interrupted and continuous noise were obtained from pre-, post-, and 3 months post-training from 24 children with moderate-to-severe hearing loss. Children who participated in auditory training in interrupted noise demonstrated a significantly greater improvement in speech recognition compared to those who trained in continuous noise. Those who trained in interrupted noise demonstrated similar improvements in both noise conditions while those who trained in continuous noise only showed modest improvements in the interrupted noise condition. This study presents direct evidence that auditory training in interrupted noise can be beneficial in improving speech recognition in noise for children with HI. PMID:23297921

  5. High prevalence of vaterite in sagittal otoliths causes hearing impairment in farmed fish

    PubMed Central

    Reimer, T.; Dempster, T.; Warren-Myers, F.; Jensen, A. J.; Swearer, S. E.

    2016-01-01

    The rapid growth of aquaculture raises questions about the welfare status of mass-produced species. Sagittal otoliths are primary hearing structures in the inner ear of all teleost (bony) fishes and are normally composed of aragonite, though abnormal vaterite replacement is sometimes seen in the wild. We provide the first widespread evaluation of the prevalence of vaterite in otoliths, showing that farmed fish have levels of vaterite replacement over 10 times higher than wild fish, regardless of species. We confirm this observation with extensive sampling of wild and farmed Atlantic salmon in Norway, the world’s largest producer, and verify that vateritic otoliths are common in farmed salmon worldwide. Using a mechanistic model of otolith oscillation in response to sound, we demonstrate that average levels of vaterite replacement result in a 28–50% loss of otolith functionality across most of a salmonid’s known hearing range and throughout its life cycle. The underlying cause(s) of vaterite formation remain unknown, but the prevalence of hearing impairment in farmed fish has important implications for animal welfare, the survival of escapees and their effects on wild populations, and the efficacy of restocking programs based on captive-bred fish. PMID:27121086

  6. High prevalence of vaterite in sagittal otoliths causes hearing impairment in farmed fish.

    PubMed

    Reimer, T; Dempster, T; Warren-Myers, F; Jensen, A J; Swearer, S E

    2016-01-01

    The rapid growth of aquaculture raises questions about the welfare status of mass-produced species. Sagittal otoliths are primary hearing structures in the inner ear of all teleost (bony) fishes and are normally composed of aragonite, though abnormal vaterite replacement is sometimes seen in the wild. We provide the first widespread evaluation of the prevalence of vaterite in otoliths, showing that farmed fish have levels of vaterite replacement over 10 times higher than wild fish, regardless of species. We confirm this observation with extensive sampling of wild and farmed Atlantic salmon in Norway, the world's largest producer, and verify that vateritic otoliths are common in farmed salmon worldwide. Using a mechanistic model of otolith oscillation in response to sound, we demonstrate that average levels of vaterite replacement result in a 28-50% loss of otolith functionality across most of a salmonid's known hearing range and throughout its life cycle. The underlying cause(s) of vaterite formation remain unknown, but the prevalence of hearing impairment in farmed fish has important implications for animal welfare, the survival of escapees and their effects on wild populations, and the efficacy of restocking programs based on captive-bred fish. PMID:27121086

  7. Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders.

    PubMed

    Strunz, Sandra; Westphal, Linda; Ritter, Kathrin; Heuser, Isabella; Dziobek, Isabel; Roepke, Stefan

    2015-12-01

    Differentiating autism spectrum disorders (ASDs) without accompanying intellectual impairment from personality disorders is often challenging. Identifying personality traits and personality pathology specific to ASD might facilitate diagnostic procedure. We recruited a sample of 59 adults with ASD without accompanying intellectual impairment, 62 individuals with narcissistic personality disorder, 80 individuals with borderline personality disorder, and 106 nonclinical controls. Personality traits, measured with the neo-personality inventory-revised (NEO-PI-R), and personality pathology, measured with the dimensional assessment of personality pathology (DAPP-BQ), were assessed. Personality traits and personality pathology specific to ASD could be identified. ASD individuals scored significantly lower on the NEO-PI-R scales extraversion and openness to experience and significantly higher on the DAPP-BQ scales inhibitedness and compulsivity relative to all other groups. Diagnostic implications are discussed. PMID:25022250

  8. Effect of Postsecondary Education on the Economic Status of Persons Who Are Deaf or Hard of Hearing

    ERIC Educational Resources Information Center

    Schley, Sara; Walter, Gerard G.; Weathers, Robert R., II; Hemmeter, Jeffrey; Hennessey, John C.; Burkhauser, Richard V.

    2011-01-01

    This article examines the effect that postsecondary education has on earnings and the duration of time spent in the Social Security disability programs for young persons who are deaf or hard of hearing. Our hypothesis is that investments in postsecondary training increase the likelihood of employment for persons who are deaf or hard of hearing and…

  9. Empowering the family during the first months after identification of permanent hearing impairment in children.

    PubMed

    Ciciriello, E; Bolzonello, P; Marchi, R; Falzone, C; Muzzi, E; Orzan, E

    2016-02-01

    The latest international guidelines highlight the importance of involving the family in the diagnostic and rehabilitation process of children affected by permanent hearing impairment. This emphasises how meaningful this approach is for the development of the deaf child. So far, there is very little evidence about this approach in Italy, and there are still some barriers to its practical management. The aim of this paper is to report the results of a strategic analysis, which identifies the strengths, weaknesses, opportunities and threats of the family empowerment process during early auditory diagnosis and rehabilitation. The audiology programme should have the goal to offer information and support to families in order to achieve a conscious decision about the use and type of auditory prosthesis and rehabilitation choice within three months after audiologic diagnosis. Within the framework of the Ministry of Health project CCM 2013 "Preventing Communication Disorders: a Regional Program for Early Identification, Intervention and Care of Hearing Impaired Children", a group of professionals identified three main recommendations that can be useful to foster the natural communicative development of the child by strengthening the therapeutic alliance and empowerment of the family. The recommendations obtained with this analysis can help to develop new Italian guidelines with the aim to foster natural communicative development of the child by strengthening the therapeutic alliance and empowerment of the family. PMID:27054393

  10. Hearing impairment in Thais due to sport shooting: a preliminary report.

    PubMed

    Charakorn, C; Amatyakul, P

    1998-05-01

    Ninety one sportshooters from several sportshooting clubs ranging in age from 20-49 and 85 control subjects were carefully examined for hearing ability. The male and female ratio was 10.37:1. It was found that 9.34 per cent of the subjects were suffering from hearing impairment at the level of 3,000-8,000 Hertz. At most frequencies the mean decibel between the groups of shooters (1-5 years, 5-10 years, more than 10 years) was significantly different, with the right ear being significantly more impaired than the left ear (alpha = 0.1). At all frequencies the mean decibel level for the control group was significantly different from that for the sportshooters (alpha = 0.1). In conclusion, it is the responsibility of the National Environmental Board on Noise Pollution, the Royal College of Otolaryngologists of Thailand and other related organizations should be much more aggressive in educating sportshooters with regard to protecting their ears against acoustic trauma. PMID:9623034

  11. Hearing impairment in patients with rheumatoid arthritis: association with anti-citrullinated protein antibodies.

    PubMed

    Lobo, Fabrício Silva; Dossi, Mario Orlando; Batista, Lígia; Shinzato, Márcia Midori

    2016-09-01

    It has been suggested that hearing impairment (HI) is one of the extra-articular features of rheumatoid arthritis (RA). Nevertheless, the prevalence and nature of HI in RA is still uncertain. The objectives were to study hearing function in patients with RA using audiometric tests and to examine whether HI correlates with autoantibodies. Hearing functions were investigated in 43 consecutive RA patients and 23 control subjects (less than 60 years old). Their sera were evaluated for the presence of rheumatoid factor (RF), anti-cyclic citrullinated peptide (anti-CCP), and anti-mutated citrullinated vimentin (anti-MCV) antibodies. HI was observed in 46.5 % of RA patients and in 30.4 % of control subjects, p = 0.32. HI was characterized as sensorineural in 80 and 85.7 % of RA patients and control subjects with HI, respectively, p = 1.00. RA patients had a worse hearing threshold for air conduction at 6 kHz in the right ear (p = 0.019) and had a decreased amplitude of otoacoustic emissions (OAEs) at 2 kHz bilaterally (p = 0.04) compared with control subjects. In the RA group, patients with and without HI were 80 and 34.78 % anti-CCP positive, respectively, p = 0.008. RA patients with and without HI were 85 and 43.48 % anti-MCV positive, respectively, p = 0.013. HI in RA patients was mainly sensorineural and was associated with anti-CCP and anti-MCV antibodies. PMID:27112144

  12. 76 FR 50949 - Withholding on Payments by Government Entities to Persons Providing Property or Services; Hearing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-17

    ... Monday, May 9, 2011 (76 FR 26678). The rules of 26 CFR 601.601(a)(3) apply to the hearing. Persons who... Service Building, 1111 Constitution Avenue, NW., Washington, DC 20224. Send Submissions to CC:PA:LPD:PR..., DC 20044. Submissions may be hand-delivered Monday through Friday to CC:PA:LPD:PR...

  13. Telepractice: A Wide-Angle View for Persons with Hearing Loss

    ERIC Educational Resources Information Center

    Cohn, Ellen R.; Cason, Jana

    2012-01-01

    This paper presents the current status of telepractice as a service delivery model for persons with hearing loss. Telepractice can be broadly viewed as the delivery of preventative, habilitation, or rehabilitation services through telecommunications technology. Telemedicine and telehealth are closely aligned to telepractice, often with overlapping…

  14. 28 CFR 301.309 - In-person hearing before the committee.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false In-person hearing before the committee. 301.309 Section 301.309 Judicial Administration FEDERAL PRISON INDUSTRIES, INC., DEPARTMENT OF JUSTICE..., determination, or decision, may be sent to the representative of such claimant, and shall have the same...

  15. Consensus Development Conference on Early Identification of Hearing Impairment in Infants and Young Children (Bethesda, Maryland, March 1-3, 1993).

    ERIC Educational Resources Information Center

    National Inst. of Child Health and Human Development (NIH), Bethesda, MD.

    This document compiles abstracts of papers that were presented at a 3-day conference of experts which developed a consensus statement on early identification of hearing impairment in infants and young children. Papers addressed taxonomy; epidemiology; developmental consequences of early hearing impairment; methodology, instrumentation, and…

  16. MARVELD2 (DFNB49) Mutations in the Hearing Impaired Central European Roma Population - Prevalence, Clinical Impact and the Common Origin

    PubMed Central

    Mátyás, Petra; Ficek, Andrej; Hučková, Miloslava; Sůrová, Martina; Šafka-Brožková, Dana; Anwar, Saima; Bene, Judit; Straka, Slavomír; Janicsek, Ingrid; Ahmed, Zubair M.; Seeman, Pavel; Melegh, Béla; Profant, Milan; Klimeš, Iwar; Riazuddin, Saima; Kádasi, Ľudevít; Gašperíková, Daniela

    2015-01-01

    Background In the present study we aimed: 1) To establish the prevalence and clinical impact of DFNB49 mutations in deaf Roma from 2 Central European countries (Slovakia and Hungary), and 2) to analyze a possible common origin of the c.1331+2T>C mutation among Roma and Pakistani mutation carriers identified in the present and previous studies. Methods We sequenced 6 exons of the MARVELD2 gene in a group of 143 unrelated hearing impaired Slovak Roma patients. Simultaneously, we used RFLP to detect the c.1331+2T>C mutation in 85 Hungarian deaf Roma patients, control groups of 702 normal hearing Romanies from both countries and 375 hearing impaired Slovak Caucasians. We analyzed the haplotype using 21 SNPs spanning a 5.34Mb around the mutation c.1331+2T>C. Results One pathogenic mutation (c.1331+2T>C) was identified in 12 homozygous hearing impaired Roma patients. Allele frequency of this mutation was higher in Hungarian (10%) than in Slovak (3.85%) Roma patients. The identified common haplotype in Roma patients was defined by 18 SNP markers (3.89 Mb). Fourteen common SNPs were also shared among Pakistani and Roma homozygotes. Biallelic mutation carriers suffered from prelingual bilateral moderate to profound sensorineural hearing loss. Conclusions We demonstrate different frequencies of the c.1331+2T>C mutation in hearing impaired Romanies from 3 Central European countries. In addition, our results provide support for the hypothesis of a possible common ancestor of the Slovak, Hungarian and Czech Roma as well as Pakistani deaf patients. Testing for the c.1331+2T>C mutation may be recommended in GJB2 negative Roma cases with early-onset sensorineural hearing loss. PMID:25885414

  17. Lexical Influences on Spoken Spondaic Word Recognition in Hearing-Impaired Patients

    PubMed Central

    Moulin, Annie; Richard, Céline

    2015-01-01

    Top-down contextual influences play a major part in speech understanding, especially in hearing-impaired patients with deteriorated auditory input. Those influences are most obvious in difficult listening situations, such as listening to sentences in noise but can also be observed at the word level under more favorable conditions, as in one of the most commonly used tasks in audiology, i.e., repeating isolated words in silence. This study aimed to explore the role of top-down contextual influences and their dependence on lexical factors and patient-specific factors using standard clinical linguistic material. Spondaic word perception was tested in 160 hearing-impaired patients aged 23–88 years with a four-frequency average pure-tone threshold ranging from 21 to 88 dB HL. Sixty spondaic words were randomly presented at a level adjusted to correspond to a speech perception score ranging between 40 and 70% of the performance intensity function obtained using monosyllabic words. Phoneme and whole-word recognition scores were used to calculate two context-influence indices (the j factor and the ratio of word scores to phonemic scores) and were correlated with linguistic factors, such as the phonological neighborhood density and several indices of word occurrence frequencies. Contextual influence was greater for spondaic words than in similar studies using monosyllabic words, with an overall j factor of 2.07 (SD = 0.5). For both indices, context use decreased with increasing hearing loss once the average hearing loss exceeded 55 dB HL. In right-handed patients, significantly greater context influence was observed for words presented in the right ears than for words presented in the left, especially in patients with many years of education. The correlations between raw word scores (and context influence indices) and word occurrence frequencies showed a significant age-dependent effect, with a stronger correlation between perception scores and word occurrence frequencies

  18. Aspects of a Communication Curriculum for Hearing-Impaired Pupils: Report of the Second National Workshop on Language Curriculum Development for Hearing-Impaired Pupils. Occasional Paper Number Four.

    ERIC Educational Resources Information Center

    Power, D. J., Ed.; Hollingshead, Anne, Ed.

    The document presents findings and discussion from a 1981 Australian workshop on language curriculum development for hearing impaired students. The first 11 papers, unattributed, address the following issues regarding development of a language curriculum: content, principles, levels of language, techniques and materials, features of conversational…

  19. Towards a Communication Curriculum for Hearing-Impaired Pupils: Report of the National Workshop on Language Curriculum Development for Hearing-Impaired Pupils (Melbourne, Australia, November 23-27, 1980). Occasional Paper Number One.

    ERIC Educational Resources Information Center

    Power, D. J., Ed.

    Information on curriculum development, teaching methods, and research and evaluation needs for communication curricula for hearing impaired pupils is presented in this report of a Melbourne (Australia) workshop. In addition to summary statements of the workshop sessions, the following two papers are presented: "On the Provision of Authentic…

  20. 32 CFR 724.222 - Personal appearance discharge hearing sites.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... administrative staff, in the NCR. The NDRB shall routinely conduct personal appearance discharge reviews and... reviews. The selection of sites and frequency of visits shall be predicated on the number of...

  1. Comparisons of Speech Recognition in Noise by Mildly-to-Moderately Hearing-Impaired Children Using Hearing Aids and FM Systems.

    ERIC Educational Resources Information Center

    Hawkins, David B.

    1984-01-01

    The average FM advantage over a personal hearing aid was equivalent to a 15dB improvement signal-to-noise-ratio (S/N). The benefit offered by the FM system decreased as the environmental signal-to-noise-ratio increased but remained significant even at +15dB. Significant improvement was also found with directional as compared to omnidirectional…

  2. Study on Effective Improvement of Mobile Phone Sound Quality in a Noise Environment for the Hearing-Impaired

    PubMed Central

    Park, Gyuseok; Lee, Ju Hyung

    2013-01-01

    Background and Objectives For the hearing-impaired population, quality of sound when listening to speech on mobile phone is often dissatisfactory. Even with a turning up the volume, they feel mobile speech unclear and desire the mobile sounds to be amplified as suited for the hearing characteristics. The purpose of this study was to estimate the appropriateness of NAL-NL1 fitting formula for the hearing-impaired mobile communication. Materials and Methods NAL-NL1 and a modified fitting formula (M-formula) were applied for sound amplification in consideration of individual hearing loss. Amplified speech material was presented for a word-recognition score (WRS) test in each subject. To simulate actual mobile phone sound, all speech material was filtered in 8 kHz low-pass filter and presented through a mobile phone to the subjects. Speech material was categorized into a speech-without-noise group and noisy speech group. Results Amplified sound with NAL-NL1 formula had a slightly better WRS than amplified speech with M-formula in speech-without-noise environments. However, in the noisy speech group, M-formula showed better WRS than NAL-NL1. Conclusions For a good speech-perception in mobile phones, more high-frequency speech components need to be provided, especially for noisy environments. This study showed the possibility that specified fitting strategies may be applied for mobile phones to improve hearing in various environments, as with hearing aids. PMID:24653911

  3. The Secondary School Experiences and Academic Performance of Students with Hearing Impairments. Facts from NLTS2. NCSER 2011-3003

    ERIC Educational Resources Information Center

    Shaver, Debra; Newman, Lynn; Huang, Tracy; Yu, Jennifer; Knokey, Anne-Marie

    2011-01-01

    A gap exists between the academic achievement of youth with hearing impairments and their peers in the general population in reading, mathematics, science, and social studies, according to a new release by The National Center for Special Education Research. This report uses data from the National Longitudinal Transition Study 2 dataset to provide…

  4. The Role of Music in Speech Intelligibility of Learners with Post Lingual Hearing Impairment in Selected Units in Lusaka District

    ERIC Educational Resources Information Center

    Katongo, Emily Mwamba; Ndhlovu, Daniel

    2015-01-01

    This study sought to establish the role of music in speech intelligibility of learners with Post Lingual Hearing Impairment (PLHI) and strategies teachers used to enhance speech intelligibility in learners with PLHI in selected special units for the deaf in Lusaka district. The study used a descriptive research design. Qualitative and quantitative…

  5. Metaphor and Conservation in Hearing-Impaired Children: Cued Speech, Manually-Coded English and Oral-Aural Comparisons.

    ERIC Educational Resources Information Center

    Rittenhouse, Robert K.; And Others

    1988-01-01

    The study with 23 severely hearing impaired adolescents found that subjects using cued speech performed highest on Piagetian conservation problems, the oral-aural group performed better on linguistically-sensitive metaphor problems. Differences were not, however, statistically significant. (Author/DB)

  6. Establishing a Realtime Captioning Program: Designed to Meet the Needs of 28 Million Deaf and Hearing Impaired Americans

    ERIC Educational Resources Information Center

    Veazey, Barbara; Mcinturff, Paul

    2006-01-01

    With the ability to provide open access at the local, regional, and statewide levels, community colleges are proving that they are truly the people's college. By revising existing programs in a short period of time to meet the needs of 28 million deaf and hearing impaired Americans, they are again proving that they can provide qualified graduates…

  7. Enhancing Literacy Skills of Students with Congenital and Profound Hearing Impairment in Nigeria Using Babudoh's Comprehension Therapy

    ERIC Educational Resources Information Center

    Babudoh, Gladys B.

    2014-01-01

    This study reports the effect of a treatment tool called "Babudoh's comprehension therapy" in enhancing the comprehension and writing skills of 10 junior secondary school students with congenital and profound hearing impairment in Plateau State, Nigeria. The study adopted the single group pretest-posttest quasi-experimental research…

  8. A Comparison Study of Gross Motor Development Skills of Normal, Hearing-Impaired and Down Syndrome Children.

    ERIC Educational Resources Information Center

    Bilir, Sule; And Others

    This study, conducted in Ankara, Turkey, compared motor development in 48 normal children (ages 3 to 6), 12 children (ages 5 to 7) with Down syndrome, and 33 children (ages 3 to 7) with hearing impairments. The Motor Development Section of the Portage Early Childhood Educational Program checklist was administered to all the children. Results…

  9. The Word Decoding Strategies of Hebrew Readers with and without Hearing Impairments: Some Insight from an Associative Learning Task

    ERIC Educational Resources Information Center

    Miller, Paul

    2004-01-01

    The aim of this study was to elucidate the word decoding strategies of Hebrew readers with pre-lingually-acquired, severe hearing impairments as opposed to regular Hebrew readers, and to determine their efficiency. The research paradigm used to clarify these issues asked participants to perform a sequence of three learning tasks, calling for the…

  10. The Use of Microcomputer Technology in Assessing and Training Communication Skills of Young Hearing-Impaired Children.

    ERIC Educational Resources Information Center

    Fulton, Robert T.; And Others

    1983-01-01

    An interactive computer controlled audiovisual system has been used to investigate the acquisition of simple reading tasks and the assessment of bimodal (auditory-speech reading) interactions/interferences with severely hearing impaired preschoolers. It is noted that the system's capabilities exceed the parameters of current investigations.…

  11. Efficacy of Information and Communication Technology in Enhancing Learning Outcomes of Students with Hearing Impairment in Ibadan

    ERIC Educational Resources Information Center

    Egaga, Patrick I.; Aderibigbe, S. Akinwumi

    2015-01-01

    The study aimed at examining the efficacy of Information and Communication Technology (ICT) in enhancing learning outcomes of students with hearing impairment in Ibadan. The study adopted a pretest, post-test, control group quasi-experimental research design. Purposive sampling techniques was used for the selection of thirty participants…

  12. Directory of Services for the Multiply Handicapped Deaf and/or Hearing Impaired. Resources for the Rubella Deaf Child.

    ERIC Educational Resources Information Center

    Gallaudet Coll., Washington, DC.

    The directory contains information on centers, facilities, and schools which provide some services or programs suitable to the needs of the deaf or hearing impaired who have additonal handicaps (adults as well as children). A brief description of the facility, the clients served, and the services offered accompanies the listing of each facility's…

  13. Communication Modes Used with Hearing-Impaired Students: Investigations and Applications to a School/Home Program.

    ERIC Educational Resources Information Center

    Van Metre, Patricia D.; Maxwell, Madeline M.

    1981-01-01

    The use to and by 40 hearing impaired students (3 to 18 years old) of speech, signs, fingerspelling, writing, gestures, American Sign Language, and pictures was investigated. Findings of a nationwide study were combined with local data to make recommendations for a program concentrating on modes, usage, flexibility, and cognitive/linguistic…

  14. What about Me?: A Practicum Addressing the Needs of Children Who Have a Preschool Sibling with Impaired Hearing.

    ERIC Educational Resources Information Center

    Weston, Marsha C.

    This practicum developed a special program to serve the elementary school child who has a preschool sibling with a hearing impairment. A special book addressing the cognitive and emotional needs of the siblings was written and distributed to 35 children whose families were enrolled in a clinic-sponsored correspondence program and to 15 children…

  15. Language Arts: Programming Suggestions for Hearing Impaired Students in Elementary Schools. Recommended Resources by the Alberta School for the Deaf.

    ERIC Educational Resources Information Center

    Alberta Dept. of Education, Edmonton.

    The monograph is designed to assist program planning teams in developing language arts programs for hearing-impaired students in regular classrooms. Topics discussed include promising instructional strategies, description and evaluation of materials, and effective assessment instruments. The first section on instructional strategies covers…

  16. Factor Structure and Reliability of the Dutch Version of Seven Scales of the Communication Profile for the Hearing Impaired (CPHI)

    ERIC Educational Resources Information Center

    Mokkink, Lidwine B.; Knol, Dirk L.; Zekveld, Adriana A.; Goverts, S. Theo; Kramer, Sophia E.

    2009-01-01

    Purpose: Seven scales of the Communication Profile for the Hearing Impaired (CPHI; M. E. Demorest & S. A. Erdman, 1987) were translated into Dutch: Maladaptive Behavior, Verbal Strategies, and Nonverbal Strategies (within the area of Communication Strategies) and Self-Acceptance, Acceptance of Loss, Stress, and Withdrawal (within the area of…

  17. Empirical Analysis of a Card Game Designed to Promote Consumer-Related Social Competence among Hearing-Impaired Youth.

    ERIC Educational Resources Information Center

    Schloss, Patrick J.; And Others

    1984-01-01

    A consumer-related social skills training program using card games, modeling, feedback, contingent reinforcement, and behavior rehearsal was effective in improving the interpersonal skills of four hearing impaired adolescents. Skills included responding to small talk, asking questions, criticizing a product or service, and responding to suggestive…

  18. Validating the Thinking Styles Inventory-Revised II among Chinese University Students with Hearing Impairment through Test Accommodations

    ERIC Educational Resources Information Center

    Cheng, Sanyin; Zhang, Li-Fang

    2014-01-01

    The present study pioneered in adopting test accommodations to validate the Thinking Styles Inventory-Revised II (TSI-R2; Sternberg, Wagner, & Zhang, 2007) among Chinese university students with hearing impairment. A series of three studies were conducted that drew their samples from the same two universities, in which accommodating test…

  19. Examining the Training Process of a New Teacher Educator in the Field of the Education of the Hearing Impaired

    ERIC Educational Resources Information Center

    Gurgur, Hasan

    2012-01-01

    Training of beginning teacher educators has become a popular topic in the literature. This study aimed to investigate the training procedures of a new teacher educator who would be working in the division of the hearing impaired. The study was designed as action research and a new teacher educator, an experienced teacher educator and an academic…

  20. A National Survey of Current and Anticipated Media Equipment in Residential and Day Programs for the Hearing Impaired.

    ERIC Educational Resources Information Center

    Grant, William D.; Clark, Norma

    Five investigations sponsored by the Office of Research and Evaluation (ORE) of the Model Secondary School for the Deaf (MSSD) are reported. Presented first are results of a national survey (April 1974) of media equipment in 123 residential and day programs for the hearing impaired, in which the number of cassette video recorders and color video…

  1. The Effectiveness and Usability of the Educational Software on Concept Education for Young Children with Impaired Hearing

    ERIC Educational Resources Information Center

    Goker, Hanife; Ozaydin, Latife; Tekedere, Hakan

    2016-01-01

    Early intervention and early education have a special place in educating the children with Impaired Hearing (IH). The advancements in information and communication technologies have led to adopting the view that such technologies could be applied in the educational process of the children with IH. Besides, the positive results acquired in the…

  2. General and Specific Characteristics of a University-School Partnership: Promoting Learning Opportunities for Students with Deafness or Hearing Impairments

    ERIC Educational Resources Information Center

    Kim, Dong-Joong; Park, Yong Joon; Cho, Jeong-IL; Kim, Daesang

    2013-01-01

    The purpose of this article is to identify six key features involved in the development and enhancement of a university-school partnership and to share insights on how these features can be used to promote richer experiential learning opportunities of both university students and young children with deafness or hearing impairments, eventually…

  3. Effects of Multisensory Speech Training and Visual Phonics on Speech Production of a Hearing-Impaired Child.

    ERIC Educational Resources Information Center

    Zaccagnini, Cindy M.; Antia, Shirin D.

    1993-01-01

    This study of the effects of intensive multisensory speech training on the speech production of a profoundly hearing-impaired child (age nine) found that the addition of Visual Phonics hand cues did not result in speech production gains. All six target phonemes were generalized to new words and maintained after the intervention was discontinued.…

  4. Oversight on Programs for the Deaf and Hearing Impaired, 1980. Hearing Before the Subcommittee on the Handicapped of the Committee on Labor and Human Resources, United States Senate, Ninety-Sixth Congress, Second Session on to Examine Current Problems and Programs of the Deaf and Hearing Impaired, and to Explore Future Technological Developments Designed to Handle Their Problems.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    The 1980 Senate hearing focuses on federal programs for deaf and hearing impaired students. Thirteen prepared statements are presented from representatives of federal agencies (National Institute of Handicapped Research, Department of Education, and National Institute of Health); private associations (the Convention of American Instructors of the…

  5. Objectivity in the assessment of preschool hearing impaired bilingual-Hispanic children.

    PubMed

    Ferullo, R J

    1983-02-01

    Public Law 94-142, Education of Handicapped Children, mandates the development of an Individualized Education Plan for school-age children with special needs. The development of such a plan requires a team meeting of various specialists who have conducted a variety of assessments of the children being "cored". Often such meetings become an arena for the enunciation of favored philosophical and methodological positions that tend to obstruct the development of scientifically-based goals and objectives. This article stresses the importance of avoiding one's favored philosophy in the evaluation and assessment of preschool hearing impaired Hispanic bilingual children. A case illustration is presented to demonstrate the need for objectivity in the team evaluation process. Finally, some guidelines are presented for use in working with Hispanic families. PMID:6220179

  6. The Effect of Peripheral Compression on Syllable Perception Measured with a Hearing Impairment Simulator.

    PubMed

    Matsui, Toshie; Irino, Toshio; Nagae, Misaki; Kawahara, Hideki; Patterson, Roy D

    2016-01-01

    Hearing impaired (HI) people often have difficulty understanding speech in multi-speaker or noisy environments. With HI listeners, however, it is often difficult to specify which stage, or stages, of auditory processing are responsible for the deficit. There might also be cognitive problems associated with age. In this paper, a HI simulator, based on the dynamic, compressive gammachirp (dcGC) filterbank, was used to measure the effect of a loss of compression on syllable recognition. The HI simulator can counteract the cochlear compression in normal hearing (NH) listeners and, thereby, isolate the deficit associated with a loss of compression in speech perception. Listeners were required to identify the second syllable in a three-syllable "nonsense word", and between trials, the relative level of the second syllable was varied, or the level of the entire sequence was varied. The difference between the Speech Reception Threshold (SRT) in these two conditions reveals the effect of compression on speech perception. The HI simulator adjusted a NH listener's compression to that of the "average 80-year old" with either normal compression or complete loss of compression. A reference condition was included where the HI simulator applied a simple 30-dB reduction in stimulus level. The results show that the loss of compression has its largest effect on recognition when the second syllable is attenuated relative to the first and third syllables. This is probably because the internal level of the second syllable is attenuated proportionately more when there is a loss of compression. PMID:27080671

  7. Hearing Impairment and Cognitive Energy: The Framework for Understanding Effortful Listening (FUEL).

    PubMed

    Pichora-Fuller, M Kathleen; Kramer, Sophia E; Eckert, Mark A; Edwards, Brent; Hornsby, Benjamin W Y; Humes, Larry E; Lemke, Ulrike; Lunner, Thomas; Matthen, Mohan; Mackersie, Carol L; Naylor, Graham; Phillips, Natalie A; Richter, Michael; Rudner, Mary; Sommers, Mitchell S; Tremblay, Kelly L; Wingfield, Arthur

    2016-01-01

    The Fifth Eriksholm Workshop on "Hearing Impairment and Cognitive Energy" was convened to develop a consensus among interdisciplinary experts about what is known on the topic, gaps in knowledge, the use of terminology, priorities for future research, and implications for practice. The general term cognitive energy was chosen to facilitate the broadest possible discussion of the topic. It goes back to who described the effects of attention on perception; he used the term psychic energy for the notion that limited mental resources can be flexibly allocated among perceptual and mental activities. The workshop focused on three main areas: (1) theories, models, concepts, definitions, and frameworks; (2) methods and measures; and (3) knowledge translation. We defined effort as the deliberate allocation of mental resources to overcome obstacles in goal pursuit when carrying out a task, with listening effort applying more specifically when tasks involve listening. We adapted Kahneman's seminal (1973) Capacity Model of Attention to listening and proposed a heuristically useful Framework for Understanding Effortful Listening (FUEL). Our FUEL incorporates the well-known relationship between cognitive demand and the supply of cognitive capacity that is the foundation of cognitive theories of attention. Our FUEL also incorporates a motivation dimension based on complementary theories of motivational intensity, adaptive gain control, and optimal performance, fatigue, and pleasure. Using a three-dimensional illustration, we highlight how listening effort depends not only on hearing difficulties and task demands but also on the listener's motivation to expend mental effort in the challenging situations of everyday life. PMID:27355771

  8. An algorithm to improve speech recognition in noise for hearing-impaired listeners.

    PubMed

    Healy, Eric W; Yoho, Sarah E; Wang, Yuxuan; Wang, DeLiang

    2013-10-01

    Despite considerable effort, monaural (single-microphone) algorithms capable of increasing the intelligibility of speech in noise have remained elusive. Successful development of such an algorithm is especially important for hearing-impaired (HI) listeners, given their particular difficulty in noisy backgrounds. In the current study, an algorithm based on binary masking was developed to separate speech from noise. Unlike the ideal binary mask, which requires prior knowledge of the premixed signals, the masks used to segregate speech from noise in the current study were estimated by training the algorithm on speech not used during testing. Sentences were mixed with speech-shaped noise and with babble at various signal-to-noise ratios (SNRs). Testing using normal-hearing and HI listeners indicated that intelligibility increased following processing in all conditions. These increases were larger for HI listeners, for the modulated background, and for the least-favorable SNRs. They were also often substantial, allowing several HI listeners to improve intelligibility from scores near zero to values above 70%. PMID:24116438

  9. An algorithm to improve speech recognition in noise for hearing-impaired listeners

    PubMed Central

    Healy, Eric W.; Yoho, Sarah E.; Wang, Yuxuan; Wang, DeLiang

    2013-01-01

    Despite considerable effort, monaural (single-microphone) algorithms capable of increasing the intelligibility of speech in noise have remained elusive. Successful development of such an algorithm is especially important for hearing-impaired (HI) listeners, given their particular difficulty in noisy backgrounds. In the current study, an algorithm based on binary masking was developed to separate speech from noise. Unlike the ideal binary mask, which requires prior knowledge of the premixed signals, the masks used to segregate speech from noise in the current study were estimated by training the algorithm on speech not used during testing. Sentences were mixed with speech-shaped noise and with babble at various signal-to-noise ratios (SNRs). Testing using normal-hearing and HI listeners indicated that intelligibility increased following processing in all conditions. These increases were larger for HI listeners, for the modulated background, and for the least-favorable SNRs. They were also often substantial, allowing several HI listeners to improve intelligibility from scores near zero to values above 70%. PMID:24116438

  10. Separating Contributions of Hearing, Lexical Knowledge, and Speech Production to Speech-Perception Scores in Children with Hearing Impairments.

    ERIC Educational Resources Information Center

    Paatsch, Louise E.; Blamey, Peter J.; Sarant, Julia Z.; Martin, Lois F.A.; Bow, Catherine P.

    2004-01-01

    Open-set word and sentence speech-perception test scores are commonly used as a measure of hearing abilities in children and adults using cochlear implants and/or hearing aids. These tests ore usually presented auditorily with a verbal response. In the case of children, scores are typically lower and more variable than for adults with hearing…

  11. The Effect of Visual Cues on Difficulty Ratings for Segregation of Musical Streams in Listeners with Impaired Hearing

    PubMed Central

    Innes-Brown, Hamish; Marozeau, Jeremy; Blamey, Peter

    2011-01-01

    Background Enjoyment of music is an important part of life that may be degraded for people with hearing impairments, especially those using cochlear implants. The ability to follow separate lines of melody is an important factor in music appreciation. This ability relies on effective auditory streaming, which is much reduced in people with hearing impairment, contributing to difficulties in music appreciation. The aim of this study was to assess whether visual cues could reduce the subjective difficulty of segregating a melody from interleaved background notes in normally hearing listeners, those using hearing aids, and those using cochlear implants. Methodology/Principal Findings Normally hearing listeners (N = 20), hearing aid users (N = 10), and cochlear implant users (N = 11) were asked to rate the difficulty of segregating a repeating four-note melody from random interleaved distracter notes. The pitch of the background notes was gradually increased or decreased throughout blocks, providing a range of difficulty from easy (with a large pitch separation between melody and distracter) to impossible (with the melody and distracter completely overlapping). Visual cues were provided on half the blocks, and difficulty ratings for blocks with and without visual cues were compared between groups. Visual cues reduced the subjective difficulty of extracting the melody from the distracter notes for normally hearing listeners and cochlear implant users, but not hearing aid users. Conclusion/Significance Simple visual cues may improve the ability of cochlear implant users to segregate lines of music, thus potentially increasing their enjoyment of music. More research is needed to determine what type of acoustic cues to encode visually in order to optimise the benefits they may provide. PMID:22195046

  12. Spectrotemporal Modulation Sensitivity as a Predictor of Speech Intelligibility for Hearing-Impaired Listeners

    PubMed Central

    Bernstein, Joshua G.W.; Mehraei, Golbarg; Shamma, Shihab; Gallun, Frederick J.; Theodoroff, Sarah M.; Leek, Marjorie R.

    2014-01-01

    Background A model that can accurately predict speech intelligibility for a given hearing-impaired (HI) listener would be an important tool for hearing-aid fitting or hearing-aid algorithm development. Existing speech-intelligibility models do not incorporate variability in suprathreshold deficits that are not well predicted by classical audiometric measures. One possible approach to the incorporation of such deficits is to base intelligibility predictions on sensitivity to simultaneously spectrally and temporally modulated signals. Purpose The likelihood of success of this approach was evaluated by comparing estimates of spectrotemporal modulation (STM) sensitivity to speech intelligibility and to psychoacoustic estimates of frequency selectivity and temporal fine-structure (TFS) sensitivity across a group of HI listeners. Research Design The minimum modulation depth required to detect STM applied to an 86 dB SPL four-octave noise carrier was measured for combinations of temporal modulation rate (4, 12, or 32 Hz) and spectral modulation density (0.5, 1, 2, or 4 cycles/octave). STM sensitivity estimates for individual HI listeners were compared to estimates of frequency selectivity (measured using the notched-noise method at 500, 1000measured using the notched-noise method at 500, 2000, and 4000 Hz), TFS processing ability (2 Hz frequency-modulation detection thresholds for 500, 10002 Hz frequency-modulation detection thresholds for 500, 2000, and 4000 Hz carriers) and sentence intelligibility in noise (at a 0 dB signal-to-noise ratio) that were measured for the same listeners in a separate study. Study Sample Eight normal-hearing (NH) listeners and 12 listeners with a diagnosis of bilateral sensorineural hearing loss participated. Data Collection and Analysis STM sensitivity was compared between NH and HI listener groups using a repeated-measures analysis of variance. A stepwise regression analysis compared STM sensitivity for individual HI listeners to

  13. Anodal transcranial direct current stimulation over the auditory cortex improved hearing impairment in a patient with brainstem encephalitis.

    PubMed

    Mori, Takayuki; Takeuchi, Naoyuki; Suzuki, Sakiko; Miki, Mika; Kawase, Tetsuaki; Izumi, Shin-Ichi

    2016-06-01

    Transcranial direct current stimulation (tDCS) can alter cortical excitability, and has been effective in treating some neurological disorders. This case report describes the use of tDCS in a 13-year-old female who developed bilateral hearing impairment after brainstem encephalitis when she was 6 years old. Her auditory function was more impaired in her right ear than her left. Anodal stimulation (1 mA) was applied for 10 min to the left auditory cortex once per day for 4 consecutive days to improve her right ear speech discrimination score. Sustained and significant improvement in maximum speech discrimination was observed after the four tDCS treatments. To our knowledge, this is the first case report of improvement in speech discrimination after anodal stimulation of the auditory cortex. These results encourage further studies investigating the beneficial effects of tDCS in patients with hearing impairments. PMID:26920927

  14. Hearing

    ERIC Educational Resources Information Center

    Koehlinger, Keegan M.; Van Horne, Amanda J. Owen; Moeller, Mary Pat

    2013-01-01

    Purpose: Spoken language skills of 3- and 6-year-old children who are hard of hearing (HH) were compared with those of children with normal hearing (NH). Method: Language skills were measured via mean length of utterance in words (MLUw) and percent correct use of finite verb morphology in obligatory contexts based on spontaneous conversational…

  15. Homozygosity mapping reveals mutations of GRXCR1 as a cause of autosomal-recessive nonsyndromic hearing impairment.

    PubMed

    Schraders, Margit; Lee, Kwanghyuk; Oostrik, Jaap; Huygen, Patrick L M; Ali, Ghazanfar; Hoefsloot, Lies H; Veltman, Joris A; Cremers, Frans P M; Basit, Sulman; Ansar, Muhammad; Cremers, Cor W R J; Kunst, Henricus P M; Ahmad, Wasim; Admiraal, Ronald J C; Leal, Suzanne M; Kremer, Hannie

    2010-02-12

    We identified overlapping homozygous regions within the DFNB25 locus in two Dutch and ten Pakistani families with sensorineural autosomal-recessive nonsyndromic hearing impairment (arNSHI). Only one of the families, W98-053, was not consanguineous, and its sibship pointed toward a reduced critical region of 0.9 Mb. This region contained the GRXCR1 gene, and the orthologous mouse gene was described to be mutated in the pirouette (pi) mutant with resulting hearing loss and circling behavior. Sequence analysis of the GRXCR1 gene in hearing-impaired family members revealed splice-site mutations in two Dutch families and a missense and nonsense mutation, respectively, in two Pakistani families. The splice-site mutations are predicted to cause frameshifts and premature stop codons. In family W98-053, this could be confirmed by cDNA analysis. GRXCR1 is predicted to contain a GRX-like domain. GRX domains are involved in reversible S-glutathionylation of proteins and thereby in the modulation of activity and/or localization of these proteins. The missense mutation is located in this domain, whereas the nonsense and splice-site mutations may result in complete or partial absence of the GRX-like domain or of the complete protein. Hearing loss in patients with GRXCR1 mutations is congenital and is moderate to profound. Progression of the hearing loss was observed in family W98-053. Vestibular dysfunction was observed in some but not all affected individuals. Quantitative analysis of GRXCR1 transcripts in fetal and adult human tissues revealed a preferential expression of the gene in fetal cochlea, which may explain the nonsyndromic nature of the hearing impairment. PMID:20137778

  16. Vibrotactile Presentation of Musical Notes to the Glabrous Skin for Adults with Normal Hearing or a Hearing Impairment: Thresholds, Dynamic Range and High-Frequency Perception.

    PubMed

    Hopkins, Carl; Maté-Cid, Saúl; Fulford, Robert; Seiffert, Gary; Ginsborg, Jane

    2016-01-01

    Presentation of music as vibration to the skin has the potential to facilitate interaction between musicians with hearing impairments and other musicians during group performance. Vibrotactile thresholds have been determined to assess the potential for vibrotactile presentation of music to the glabrous skin of the fingertip, forefoot and heel. No significant differences were found between the thresholds for sinusoids representing notes between C1 and C6 when presented to the fingertip of participants with normal hearing and with a severe or profound hearing loss. For participants with normal hearing, thresholds for notes between C1 and C6 showed the characteristic U-shape curve for the fingertip, but not for the forefoot and heel. Compared to the fingertip, the forefoot had lower thresholds between C1 and C3, and the heel had lower thresholds between C1 and G2; this is attributed to spatial summation from the Pacinian receptors over the larger contactor area used for the forefoot and heel. Participants with normal hearing assessed the perception of high-frequency vibration using 1s sinusoids presented to the fingertip and were found to be more aware of transient vibration at the beginning and/or end of notes between G4 and C6 when stimuli were presented 10dB above threshold, rather than at threshold. An average of 94% of these participants reported feeling continuous vibration between G4 and G5 with stimuli presented 10dB above threshold. Based on the experimental findings and consideration of health effects relating to vibration exposure, a suitable range of notes for vibrotactile presentation of music is identified as being from C1 to G5. This is more limited than for human hearing but the fundamental frequencies of the human voice, and the notes played by many instruments, lie within it. However, the dynamic range might require compression to avoid the negative effects of amplitude on pitch perception. PMID:27191400

  17. Vibrotactile Presentation of Musical Notes to the Glabrous Skin for Adults with Normal Hearing or a Hearing Impairment: Thresholds, Dynamic Range and High-Frequency Perception

    PubMed Central

    Maté-Cid, Saúl; Fulford, Robert; Seiffert, Gary; Ginsborg, Jane

    2016-01-01

    Presentation of music as vibration to the skin has the potential to facilitate interaction between musicians with hearing impairments and other musicians during group performance. Vibrotactile thresholds have been determined to assess the potential for vibrotactile presentation of music to the glabrous skin of the fingertip, forefoot and heel. No significant differences were found between the thresholds for sinusoids representing notes between C1 and C6 when presented to the fingertip of participants with normal hearing and with a severe or profound hearing loss. For participants with normal hearing, thresholds for notes between C1 and C6 showed the characteristic U-shape curve for the fingertip, but not for the forefoot and heel. Compared to the fingertip, the forefoot had lower thresholds between C1 and C3, and the heel had lower thresholds between C1 and G2; this is attributed to spatial summation from the Pacinian receptors over the larger contactor area used for the forefoot and heel. Participants with normal hearing assessed the perception of high-frequency vibration using 1s sinusoids presented to the fingertip and were found to be more aware of transient vibration at the beginning and/or end of notes between G4 and C6 when stimuli were presented 10dB above threshold, rather than at threshold. An average of 94% of these participants reported feeling continuous vibration between G4 and G5 with stimuli presented 10dB above threshold. Based on the experimental findings and consideration of health effects relating to vibration exposure, a suitable range of notes for vibrotactile presentation of music is identified as being from C1 to G5. This is more limited than for human hearing but the fundamental frequencies of the human voice, and the notes played by many instruments, lie within it. However, the dynamic range might require compression to avoid the negative effects of amplitude on pitch perception. PMID:27191400

  18. Selective Inner Hair Cell Dysfunction in Chinchillas Impairs Hearing-in-Noise in the Absence of Outer Hair Cell Loss.

    PubMed

    Lobarinas, Edward; Salvi, Richard; Ding, Dalian

    2016-04-01

    Poorer hearing in the presence of background noise is a significant problem for the hearing impaired. Ototoxic drugs, ageing, and noise exposure can damage the sensory hair cells of the inner ear that are essential for normal hearing sensitivity. The relationship between outer hair cell (OHC) loss and progressively poorer hearing sensitivity in quiet or in competing background noise is supported by a number of human and animal studies. In contrast, the effect of moderate inner hair cell (IHC) loss or dysfunction shows almost no impact on behavioral measures of hearing sensitivity in quiet, when OHCs remain intact, but the relationship between selective IHC loss and hearing in noise remains relatively unknown. Here, a moderately high dose of carboplatin (75 mg/kg) that produced IHC loss in chinchillas ranging from 40 to 80 % had little effect on thresholds in quiet. However, when tested in the presence of competing broadband (BBN) or narrowband noise (NBN), thresholds increased significantly. IHC loss >60 % increased signal-to-noise ratios (SNRs) for tones (500-11,300 Hz) in competing BBN by 5-10 dB and broadened the masking function under NBN. These data suggest that IHC loss or dysfunction may play a significant role in listening in noise independent of OHC integrity and that these deficits may be present even when thresholds in quiet are within normal limits. PMID:26691159

  19. Spatial release of cognitive load measured in a dual-task paradigm in normal-hearing and hearing-impaired listeners.

    PubMed

    Xia, Jing; Nooraei, Nazanin; Kalluri, Sridhar; Edwards, Brent

    2015-04-01

    This study investigated whether spatial separation between talkers helps reduce cognitive processing load, and how hearing impairment interacts with the cognitive load of individuals listening in multi-talker environments. A dual-task paradigm was used in which performance on a secondary task (visual tracking) served as a measure of the cognitive load imposed by a speech recognition task. Visual tracking performance was measured under four conditions in which the target and the interferers were distinguished by (1) gender and spatial location, (2) gender only, (3) spatial location only, and (4) neither gender nor spatial location. Results showed that when gender cues were available, a 15° spatial separation between talkers reduced the cognitive load of listening even though it did not provide further improvement in speech recognition (Experiment I). Compared to normal-hearing listeners, large individual variability in spatial release of cognitive load was observed among hearing-impaired listeners. Cognitive load was lower when talkers were spatially separated by 60° than when talkers were of different genders, even though speech recognition was comparable in these two conditions (Experiment II). These results suggest that a measure of cognitive load might provide valuable insight into the benefit of spatial cues in multi-talker environments. PMID:25920841

  20. Self-Esteem in Hearing-Impaired Children: The Influence of Communication, Education, and Audiological Characteristics

    PubMed Central

    Theunissen, Stephanie C. P. M.; Rieffe, Carolien; Netten, Anouk P.; Briaire, Jeroen J.; Soede, Wim; Kouwenberg, Maartje; Frijns, Johan H. M.

    2014-01-01

    Objective Sufficient self-esteem is extremely important for psychosocial functioning. It is hypothesized that hearing-impaired (HI) children have lower levels of self-esteem, because, among other things, they frequently experience lower language and communication skills. Therefore, the aim of this study was to compare HI children's self-esteem across different domains with those of normal hearing (NH) children and to investigate the influence of communication, type of education, and audiological characteristics. Methods This large (N = 252) retrospective, multicenter study consisted of two age- and gender-matched groups: 123 HI children and 129 NH controls (mean age  = 11.8 years). Self-reports were used to measure self-esteem across four domains: perceived social acceptance by peers, perceived parental attention, perceived physical appearance, and global self-esteem. Results HI children experienced lower levels of self-esteem regarding peers and parents than NH controls. Particularly HI children who attended special education for the deaf were at risk, even after correcting for their language development and intelligence. Yet, levels of global self-esteem and self-esteem involving physical appearance in HI children equalled those of NH controls. Furthermore, younger age at implantation and longer duration of having cochlear implants (CIs) were related to higher levels of self-esteem. Conclusion HI children experience lower levels of self-esteem in the social domains. Yet, due to the heterogeneity of the HI population, there is high variability in levels of self-esteem. Discussion Clinicians must always be aware of the risk and protective factors related to self-esteem in order to help individual patients reach their full potential. PMID:24722329