Science.gov

Sample records for air-conduction hearing aid

  1. 21 CFR 874.3950 - Transcutaneous air conduction hearing aid system.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3950... occluding the ear canal. The device consists of an air conduction hearing aid attached to a surgically... ear canal. (b) Classification. Class II (special controls). The special control for this device is...

  2. 21 CFR 874.3950 - Transcutaneous air conduction hearing aid system.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3950... occluding the ear canal. The device consists of an air conduction hearing aid attached to a surgically... ear canal. (b) Classification. Class II (special controls). The special control for this device is...

  3. 21 CFR 874.3950 - Transcutaneous air conduction hearing aid system.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3950... occluding the ear canal. The device consists of an air conduction hearing aid attached to a surgically... ear canal. (b) Classification. Class II (special controls). The special control for this device is...

  4. 21 CFR 874.3305 - Wireless air-conduction hearing aid.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Wireless air-conduction hearing aid. 874.3305 Section 874.3305 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3305 Wireless...

  5. 21 CFR 874.3950 - Transcutaneous air conduction hearing aid system.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3950... occluding the ear canal. The device consists of an air conduction hearing aid attached to a surgically... ear canal. (b) Classification. Class II (special controls). The special control for this device is...

  6. 21 CFR 874.3305 - Wireless air-conduction hearing aid.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Wireless air-conduction hearing aid. 874.3305 Section 874.3305 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3305 Wireless...

  7. 21 CFR 874.3305 - Wireless air-conduction hearing aid.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Wireless air-conduction hearing aid. 874.3305 Section 874.3305 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3305 Wireless...

  8. 21 CFR 874.3950 - Transcutaneous air conduction hearing aid system.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3950... occluding the ear canal. The device consists of an air conduction hearing aid attached to a surgically... ear canal. (b) Classification. Class II (special controls). The special control for this device is...

  9. Medical devices; ear, nose, and throat devices; classification of the transcutaneous air conduction hearing aid system. Final rule.

    PubMed

    2002-11-01

    The Food and Drug Administration (FDA) is classifying the transcutaneous air conduction hearing aid system (TACHAS) into class II (special controls). Elsewhere in this issue of the Federal Register, FDA is announcing the availability of a guidance document that will serve as the special control for the device. The agency is taking this action in response to a petition submitted under the Federal Food, Drug, and Cosmetic Act (the act) as amended by the Medical Device Amendments of 1976 (the amendments), the Safe Medical Devices Act of 1990, and the Food and Drug Administration Modernization Act of 1997 (FDAMA). The agency is classifying this device into class II (special controls) in order to provide a reasonable assurance of safety and effectiveness of the device. PMID:12422884

  10. Hearing Aids

    MedlinePlus

    ... more in both quiet and noisy situations. Hearing aids help people who have hearing loss from damage ... your doctor. There are different kinds of hearing aids. They differ by size, their placement on or ...

  11. Hearing Aids

    MedlinePlus

    ... type and degree of loss. Are there different styles of hearing aids? Styles of hearing aids Source: NIH/NIDCD Behind-the- ... the ear canal and are available in two styles. The in-the-canal (ITC) hearing aid is ...

  12. Hearing Aid

    MedlinePlus

    ... and Food and Drug Administration Staff FDA permits marketing of new laser-based hearing aid with potential ... feeds Follow FDA on Twitter Follow FDA on Facebook View FDA videos on YouTube View FDA photos ...

  13. The master hearing aid.

    PubMed

    Curran, James R; Galster, Jason A

    2013-06-01

    As early as the 1930s the term Master Hearing Aid (MHA) described a device used in the fitting of hearing aids. In their original form, the MHA was a desktop system that allowed for simulated or actual adjustment of hearing aid components that resulted in a changed hearing aid response. Over the years the MHA saw many embodiments and contributed to a number of rationales for the fitting of hearing aids. During these same years, the MHA was viewed by many as an inappropriate means of demonstrating hearing aids; the audio quality of the desktop systems was often superior to the hearing aids themselves. These opinions and the evolution of the MHA have molded the modern perception of hearing aids and the techniques used in the fitting of hearing aids. This article reports on a history of the MHA and its influence on the fitting of hearing aids. PMID:23686682

  14. The Master Hearing Aid

    PubMed Central

    Curran, James R.

    2013-01-01

    As early as the 1930s the term Master Hearing Aid (MHA) described a device used in the fitting of hearing aids. In their original form, the MHA was a desktop system that allowed for simulated or actual adjustment of hearing aid components that resulted in a changed hearing aid response. Over the years the MHA saw many embodiments and contributed to a number of rationales for the fitting of hearing aids. During these same years, the MHA was viewed by many as an inappropriate means of demonstrating hearing aids; the audio quality of the desktop systems was often superior to the hearing aids themselves. These opinions and the evolution of the MHA have molded the modern perception of hearing aids and the techniques used in the fitting of hearing aids. This article reports on a history of the MHA and its influence on the fitting of hearing aids. PMID:23686682

  15. BAHA: Bone-Anchored Hearing Aid

    PubMed Central

    Hagr, Abdulrahman

    2007-01-01

    Bone-Anchored Hearing Aid (BAHA) has proven performance and advantages for patients with aural atresia or chronic ear drainage who cannot wear air-conduction hearing aids. The BAHA has both cosmetic and acoustic advantages over most conventional hearing aids and hence is becoming increasingly popular. Moreover, BAHA improves the quality of life and has also significantly reduces ear discharge. This extensive review of the literature pertaining to BAHA discus the history, the indications, the advantages, the prediction of the outcome and the complications of this device as well as comparing it to the conventional hearing aids. PMID:21475438

  16. Hearing-aid tester

    NASA Technical Reports Server (NTRS)

    Kessinger, R.; Polhemus, J. T.; Waring, J. G.

    1977-01-01

    Hearing aids are automatically checked by circuit that applies half-second test signal every thirty minutes. If hearing-aid output is distorted, too small, or if battery is too low, a warning lamp is activated. Test circuit is incorporated directly into hearing-aid package.

  17. Hearing Aid Assembly

    NASA Technical Reports Server (NTRS)

    Grugel, Richard N. (Inventor)

    2002-01-01

    Progress in hearing aids has come a long way. Yet despite such progress hearing aids are not the perfect answer to many hearing problems. Some adult ears cannot accommodate tightly fitting hearing aids. Mouth movements such as chewing, talking, and athletic or other active endeavors also lead to loosely fitting ear molds. It is well accepted that loosely fitting hearing aids are the cause of feedback noise. Since feedback noise is the most common complaint of hearing aid wearers it has been the subject of various patents. Herein a hearing aid assembly is provided eliminating feedback noise. The assembly includes the combination of a hearing aid with a headset developed to constrict feedback noise.

  18. Bone Anchored Hearing Aid

    PubMed Central

    2002-01-01

    conditions were successfully treated with antibiotics, and only 1% to 2% required surgical revision. Less than 1% required removal of the fixture. Other complications included failure to osseointegrate and loss of fixture and/or abutment due to trauma or infection. Effectiveness Studies showed that BAHAs were implanted in people who have conduction or mixed hearing loss, congenital atresia or suppurative otitis media who were not candidates for surgical repair, and who cannot use conventional bone conduction hearing aids. The need for BAHA is not age- related. Objective audiometric measures and subjective patient satisfaction surveys showed that BAHA significantly improved the unaided and aided free field and sound field thresholds as well as speech discrimination in quiet and in noise for former users of conventional bone conduction hearing aids. The outcomes were ambiguous for former users of air conduction hearing aids. BAHA has been shown to reduce the frequency of ear infection and reduce the discharge particularly among patients with suppurative otitis media. Patients have reported that BAHA improved their quality of life. Reported benefits were improved speech intelligibility, better sound comfort, less pressure on the head, less skin irritation, greater cosmetic acceptance and increase in confidence. Main reported shortcomings were wind noise, feedback and difficulty in using the telephone. Experts and the BAHA manufacturer recommended that recipients of a BAHA implant be at least 5 years old. Challenges associated with the implantation of BAHA in pediatric patients include thin bone, soft bone, higher rates of fixture loss due to trauma, psychological problems, and higher revision rates due to rapid bone growth. The overall outcomes are comparable to adult BAHA. The benefits of pediatric BAHA (e.g. on speech development) appear to outweigh the disadvantages. Screening according to strict eligibility criteria, preoperative counselling, close monitoring by a physician

  19. Music and hearing aids.

    PubMed

    Madsen, Sara M K; Moore, Brian C J

    2014-01-01

    The signal processing and fitting methods used for hearing aids have mainly been designed to optimize the intelligibility of speech. Little attention has been paid to the effectiveness of hearing aids for listening to music. Perhaps as a consequence, many hearing-aid users complain that they are not satisfied with their hearing aids when listening to music. This issue inspired the Internet-based survey presented here. The survey was designed to identify the nature and prevalence of problems associated with listening to live and reproduced music with hearing aids. Responses from 523 hearing-aid users to 21 multiple-choice questions are presented and analyzed, and the relationships between responses to questions regarding music and questions concerned with information about the respondents, their hearing aids, and their hearing loss are described. Large proportions of the respondents reported that they found their hearing aids to be helpful for listening to both live and reproduced music, although less so for the former. The survey also identified problems such as distortion, acoustic feedback, insufficient or excessive gain, unbalanced frequency response, and reduced tone quality. The results indicate that the enjoyment of listening to music with hearing aids could be improved by an increase of the input and output dynamic range, extension of the low-frequency response, and improvement of feedback cancellation and automatic gain control systems. PMID:25361601

  20. Music and Hearing Aids

    PubMed Central

    Moore, Brian C. J.

    2014-01-01

    The signal processing and fitting methods used for hearing aids have mainly been designed to optimize the intelligibility of speech. Little attention has been paid to the effectiveness of hearing aids for listening to music. Perhaps as a consequence, many hearing-aid users complain that they are not satisfied with their hearing aids when listening to music. This issue inspired the Internet-based survey presented here. The survey was designed to identify the nature and prevalence of problems associated with listening to live and reproduced music with hearing aids. Responses from 523 hearing-aid users to 21 multiple-choice questions are presented and analyzed, and the relationships between responses to questions regarding music and questions concerned with information about the respondents, their hearing aids, and their hearing loss are described. Large proportions of the respondents reported that they found their hearing aids to be helpful for listening to both live and reproduced music, although less so for the former. The survey also identified problems such as distortion, acoustic feedback, insufficient or excessive gain, unbalanced frequency response, and reduced tone quality. The results indicate that the enjoyment of listening to music with hearing aids could be improved by an increase of the input and output dynamic range, extension of the low-frequency response, and improvement of feedback cancellation and automatic gain control systems. PMID:25361601

  1. [Implantable hearing aids].

    PubMed

    Luers, J C; Beutner, D; Hüttenbrink, K-B

    2011-10-01

    Strictly speaking, implantable hearing aids are technical systems that process audiological signals and convey these by direct mechanical stimulation of the ossicular chain or cochlea. They have certain benefits over conventional hearing aids in terms of wearing comfort and general acceptance. As current studies lack convincing audiological results, the indications for implantable hearing aids are primarily of medical or cosmetic nature. To date, three systems are available in Germany: Vibrant Soundbridge®, Carina®, and Esteem®. Because the performance of the different implantable and nonimplantable hearing systems together with various surgical procedures are currently undergoing major changes, audiological indications may also develop in the future. PMID:21956678

  2. Hearing Aid Tester

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Hearing aids often develop malfunctions that are not detected by the wearer. This is particularly true when the wearers are school-age children. Studies of selected groups showed that from 30 to more than 50 percent of school children were not getting adequate benefit from their hearing aids because of unrecognized malfunctions, usually low or dead batteries. This can be serious because hearing impairment retards a child's educational progress. NASA technology incorporated in the Hearing Aid Malfunction Detection Unit (HAMDU), the device pictured, is expected to provide an effective countermeasure to the childrens' hearing aid problem. A patent license has been awarded to a minority-owned firm, Hopkins International Company, a subsidiary of H. H. Aerospace Design Co., Inc., Elmford, New York. The company plans early commercial availability of its version of the device.

  3. Hearing Aids and Music

    PubMed Central

    Chasin, Marshall; Russo, Frank A.

    2004-01-01

    Historically, the primary concern for hearing aid design and fitting is optimization for speech inputs. However, increasingly other types of inputs are being investigated and this is certainly the case for music. Whether the hearing aid wearer is a musician or merely someone who likes to listen to music, the electronic and electro-acoustic parameters described can be optimized for music as well as for speech. That is, a hearing aid optimally set for music can be optimally set for speech, even though the converse is not necessarily true. Similarities and differences between speech and music as inputs to a hearing aid are described. Many of these lead to the specification of a set of optimal electro-acoustic characteristics. Parameters such as the peak input-limiting level, compression issues—both compression ratio and knee-points—and number of channels all can deleteriously affect music perception through hearing aids. In other cases, it is not clear how to set other parameters such as noise reduction and feedback control mechanisms. Regardless of the existence of a “music program,” unless the various electro-acoustic parameters are available in a hearing aid, music fidelity will almost always be less than optimal. There are many unanswered questions and hypotheses in this area. Future research by engineers, researchers, clinicians, and musicians will aid in the clarification of these questions and their ultimate solutions. PMID:15497032

  4. Implantable digital hearing aid

    NASA Technical Reports Server (NTRS)

    Kissiah, A. M., Jr.

    1979-01-01

    Hearing aid converts analog output of microphone into digital pulses in about 10 channels of audiofrequencies. Each pulse band could be directly connected to portion of auditory nerve most sensitive to that range.

  5. Types of Hearing Aids

    MedlinePlus

    ... They also have greater flexibility in hearing aid programming so that the sound they transmit can be ... 10903 New Hampshire Avenue Silver Spring, MD 20993 1-888-INFO-FDA (1-888-463-6332) Contact ...

  6. Parent Hearing Aid Experiences

    ERIC Educational Resources Information Center

    Munoz, Karen; Roberts, Mallory; Mullings, Day; Harward, Richard

    2012-01-01

    This study addresses parent experiences in obtaining and managing hearing aids for their young child. The purpose was to identify challenges parents encounter to determine what state agencies can do to improve parent access to amplification. Data were collected July through September of 2010; 40 parents of children ages birth to 3 years old…

  7. Directional Hearing Aid

    NASA Technical Reports Server (NTRS)

    Jhabvala, M.; Lin, H. C.

    1989-01-01

    Hearing-aid device indicates visually whether sound is coming from left, right, back, or front. Device intended to assist individuals who are deaf in at least one ear and unable to discern naturally directions to sources of sound. Device promotes safety in street traffic, on loading docks, and in presence of sirens, alarms, and other warning sounds. Quadraphonic version of device built into pair of eyeglasses and binaural version built into visor.

  8. Frequency-Shift Hearing Aid

    NASA Technical Reports Server (NTRS)

    Weinstein, Leonard M.

    1994-01-01

    Proposed hearing aid maps spectrum of speech into band of lower frequencies at which ear remains sensitive. By redirecting normal speech frequencies into frequency band from 100 to 1,500 Hz, hearing aid allows people to understand normal conversation, including telephone calls. Principle operation of hearing aid adapted to other uses such as, clearing up noisy telephone or radio communication. In addition, loud-speakers more easily understood in presence of high background noise.

  9. Hearing aid malfunction detection system

    NASA Technical Reports Server (NTRS)

    Kessinger, R. L. (Inventor)

    1977-01-01

    A malfunction detection system for detecting malfunctions in electrical signal processing circuits is disclosed. Malfunctions of a hearing aid in the form of frequency distortion and/or inadequate amplification by the hearing aid amplifier, as well as weakening of the hearing aid power supply are detectable. A test signal is generated and a timed switching circuit periodically applies the test signal to the input of the hearing aid amplifier in place of the input signal from the microphone. The resulting amplifier output is compared with the input test signal used as a reference signal. The hearing aid battery voltage is also periodically compared to a reference voltage. Deviations from the references beyond preset limits cause a warning system to operate.

  10. 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…

  11. A Hearing Aid Primer 1

    ERIC Educational Resources Information Center

    Yetter, Carol J.

    2009-01-01

    This hearing aid primer is designed to define the differences among the three levels of hearing instrument technology: conventional analog circuit technology (most basic), digitally programmable/analog circuit technology (moderately advanced), and fully digital technology (most advanced). Both moderate and advanced technologies mean that hearing…

  12. Use of Hearing Aids by Adults with Hearing Loss

    MedlinePlus

    ... Epidemiology Use of Hearing Aids by Adults with Hearing Loss [text version] Note: Higher numbers are better. *This ... 2010 and 2020. The number of persons with hearing loss is calculated based on National Health and Nutrition ...

  13. [New developments in hearing aid technology].

    PubMed

    Kompis, M

    2004-01-01

    The last decade has seen numerous and significant improvements in hearing aid technology. Digital hearing aids are becoming increasingly common and have already replaced a considerable portion of the hearing aids using the older analogue technology. Efficient noise reduction methods, most notably multi-microphone systems for hearing aids, can increase speech intelligibility in adverse listening situations and noisy environments. Accessories, such as e.g. wireless classroom communication systems (FM systems) and remote controls are becoming smaller and less visible. As a consequence of the increased complexity of modern hearing aids, however, hearing aid fitting has become considerably more complex. PMID:14997998

  14. Buying a Hearing Aid

    MedlinePlus

    ... requests or policy questions to our media and public relations staff at newsroom@entnet.org . I don't hear well. What should I do? What should I expect? First, visit a ... use and public sound systems. Other options, such as FM systems ...

  15. Do Hearing Aids Improve Affect Perception?

    PubMed

    Schmidt, Juliane; Herzog, Diana; Scharenborg, Odette; Janse, Esther

    2016-01-01

    Normal-hearing listeners use acoustic cues in speech to interpret a speaker's emotional state. This study investigates the effect of hearing aids on the perception of the emotion dimensions arousal (aroused/calm) and valence (positive/negative attitude) in older adults with hearing loss. More specifically, we investigate whether wearing a hearing aid improves the correlation between affect ratings and affect-related acoustic parameters. To that end, affect ratings by 23 hearing-aid users were compared for aided and unaided listening. Moreover, these ratings were compared to the ratings by an age-matched group of 22 participants with age-normal hearing.For arousal, hearing-aid users rated utterances as generally more aroused in the aided than in the unaided condition. Intensity differences were the strongest indictor of degree of arousal. Among the hearing-aid users, those with poorer hearing used additional prosodic cues (i.e., tempo and pitch) for their arousal ratings, compared to those with relatively good hearing. For valence, pitch was the only acoustic cue that was associated with valence. Neither listening condition nor hearing loss severity (differences among the hearing-aid users) influenced affect ratings or the use of affect-related acoustic parameters. Compared to the normal-hearing reference group, ratings of hearing-aid users in the aided condition did not generally differ in both emotion dimensions. However, hearing-aid users were more sensitive to intensity differences in their arousal ratings than the normal-hearing participants.We conclude that the use of hearing aids is important for the rehabilitation of affect perception and particularly influences the interpretation of arousal. PMID:27080645

  16. Self-Fitting Hearing Aids

    PubMed Central

    Convery, Elizabeth

    2016-01-01

    A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model. PMID:27072929

  17. Power supplies for hearing aids.

    PubMed

    Knutsen, J E

    1982-08-01

    The design of a hearing-aid system involves three disciplines of applied science--electrochemistry, electrical engineering and audio engineering. This paper is concerned with the interface between the first two. Batteries are essentially non-linear components. Optimum performance is only achievable when the electrical requirements of the hearing aid are closely matched with the voltage, rate capability and impedance of the battery. After years of optimalization, the modern '675' button cell has earned universal acceptability and is now used in most 'behind-the-ear' hearing aids. When more power is required, the larger and less specialized LR6 'penlight' cell is typically specified. Higher voltage might lead to better circuit efficiency, and there is some pressure to introduce a 3 V lithium-based product. Lithium should give superior energy density, but there are problems which remain to be solved. In the end, it is quite possible that the market might settle for an ecologically acceptable long-life lower voltage metal-air cell. If so, the recent zinc-air system may well have a future and could conceivably succeed both the mercury '675' and the alkaline 'penlight' cells. PMID:7171873

  18. A Historical Perspective on Digital Hearing Aids: How Digital Technology Has Changed Modern Hearing Aids

    PubMed Central

    Levitt, Harry

    2007-01-01

    This article provides the author's perspective on the development of digital hearing aids and how digital signal processing approaches have led to changes in hearing aid design. Major landmarks in the evolution of digital technology are identified, and their impact on the development of digital hearing aids is discussed. Differences between analog and digital approaches to signal processing in hearing aids are identified. PMID:17301334

  19. General Framework of Hearing Aid Fitting Management

    PubMed Central

    Oh, Soo Hee

    2016-01-01

    Hearing aids are one of the most widely used treatment options for the hearing impaired and optimal outcomes of hearing aids are supported by comprehensive hearing aid fitting protocols. Currently, the term 'hearing aid fitting' is prevalently used among service and industry sectors with its comprehensive procedures not systematically explicated. In addition, a variety of non-normalized guidelines for hearing aid fitting has led to non-uniform care, outcome variability, and dissatisfaction of the use of hearing aids. The main purpose of the present study is to suggest a general framework of standardized practice for hearing aid fitting management including its pre- and post-fitting stages. The management framework centers on its fitting process with its prior steps of assessment as well as its posterior steps of follow-up, thereby eliminating diverging interpretations and non-uniform practices. Outcomes of this study are also expected to improve potential benefits such as quality of hearing aid fitting, user satisfaction, and cost effectiveness across relevant stakeholders. PMID:27144226

  20. Hearing Aids May Help Keep Seniors' Minds Sharp

    MedlinePlus

    ... nih.gov/medlineplus/news/fullstory_158532.html Hearing Aids May Help Keep Seniors' Minds Sharp Ability to ... people with hearing loss. "We know that hearing aids can keep older adults with hearing loss more ...

  1. Hearing Aids May Help Keep Seniors' Minds Sharp

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_158532.html Hearing Aids May Help Keep Seniors' Minds Sharp Ability to ... people with hearing loss. "We know that hearing aids can keep older adults with hearing loss more ...

  2. 76 FR 34845 - Medical Devices; Ear, Nose, and Throat Devices; Classification of the Wireless Air-Conduction...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-15

    ... first FEDERAL REGISTER issue of each #0;week. #0; #0; #0; #0;#0;Federal Register / Vol. 76, No. 115... the Wireless Air-Conduction Hearing Aid AGENCY: Food and Drug Administration, HHS. ACTION: Final rule. SUMMARY: The Food and Drug Administration (FDA) is classifying the wireless air-conduction hearing...

  3. 21 CFR 874.3300 - Hearing Aid.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Hearing Aid. 874.3300 Section 874.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3300 Hearing Aid. (a) Identification. A...

  4. 21 CFR 874.3300 - Hearing Aid.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing Aid. 874.3300 Section 874.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3300 Hearing Aid. (a) Identification. A...

  5. 21 CFR 874.3300 - Hearing Aid.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Hearing Aid. 874.3300 Section 874.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3300 Hearing Aid. (a) Identification. A...

  6. 21 CFR 874.3300 - Hearing Aid.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Hearing Aid. 874.3300 Section 874.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3300 Hearing Aid. (a) Identification. A...

  7. 21 CFR 874.3300 - Hearing Aid.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Hearing Aid. 874.3300 Section 874.3300 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3300 Hearing Aid. (a) Identification. A...

  8. Examination of the CROS Type Hearing Aid

    ERIC Educational Resources Information Center

    Lotterman, Stephen H.; Kasten, Roger N.

    1971-01-01

    Speech intelligibility scores obtained with unilaterally hearing impaired subjects under aided and unaided experimental listening conditions suggest that, while the CROS (Contralateral Routing of Signals) hearing aid enhances intelligibility under favorable use conditions, it degrades speech intelligibility in some demanding situations. (Author/KW)

  9. Management of Children Using Cochlear Implants and Hearing Aids.

    ERIC Educational Resources Information Center

    Ching, Teresa Y. C.; Psarros, Colleen; Incerti, Paula; Hill, Mandy

    2001-01-01

    Four case studies identify six factors affecting successful use of a hearing aid with a cochlear implant: duration of hearing aid use prior to implantation, amount of residual hearing in the non-implanted ear, educational and listening demands, cosmetic issues, hearing aid rejection, and extended period of non-use of hearing aid. (Contains…

  10. Factors Influencing Help Seeking, Hearing Aid Uptake, Hearing Aid Use and Satisfaction With Hearing Aids: A Review of the Literature

    PubMed Central

    Knudsen, Line Vestergaard; Öberg, Marie; Nielsen, Claus; Naylor, Graham; Kramer, Sophia E.

    2010-01-01

    Objectives: This descriptive summary of the literature provides an overview of the available studies (published between January 1980 and January 2009) on correlates of help-seeking behavior for hearing loss, hearing-aid uptake, hearing-aid use, and satisfaction with the device. Methods: Publications were identified by structured searches in Pubmed and Cinahl and by inspecting the reference lists of relevant articles. The articles covered different stages that a person with hearing impairment may go through: prior to hearing aid fitting, the period covering the fitting and the period post hearing aid fitting. Inclusion of articles occurred according to strict inclusion and exclusion criteria. Data were extracted by two independent researchers. Thirty-nine papers were included that identified 31 factors examined in relation to the four outcome measures. These covered personal factors (e.g., source of motivation, expectation, attitude), demographic factors (e.g., age, gender) and external factors (e.g., cost, counseling). Only two studies covered the actual fitting process. There was only one factor positively affecting all four outcome variables. This was self-reported hearing disability. The vast majority of studies showed no relationship of age and gender with any of the outcome domains. Discussion and conclusion: Whereas research of the last 28 years yielded valuable information regarding relevant and irrelevant factors in hearing aid health care, there are still many relevant issues that have never been investigated in controlled studies. These are discussed. PMID:21109549

  11. Preferred hearing aid gain in everyday environments.

    PubMed

    Cox, R M; Alexander, G C

    1991-04-01

    Thirty-three hearing-impaired individuals were each fitted with three hearing aids. The instruments conformed to three frequency-gain prescriptions, differing by a total of 8 dB/octave, with the middle prescription derived using the MSU version 3.0 procedure. The subjects were divided into three matched groups of eleven. Each group used the fitted hearing aids in one of three everyday listening environments representing quiet, reverberant, and noisy situations, respectively. In each listening environment, preferred hearing aid gain for conversationally produced speech was measured in each hearing aid condition for each subject. Preferred gain in daily listening situations was compared to prescribed gain. Results indicated that: (1) preferred gain averaged across all three environments was about equal to prescribed gain, (2) mean preferred gain in each separate environment was substantially different from the prescribed level, (3) volume control adjustments of about +/- 8 dB relative to the prescribed level would be necessary to accommodate the preferred gain settings of the typical hearing aid wearer in daily life. Guidelines are presented for establishing recommended volume control settings for hearing aid users who may be unable to set the volume control independently. PMID:2065837

  12. How to Get Hearing Aids

    MedlinePlus

    ... to determine the type and amount of your hearing loss. The process begins with a medical and audiologic ... to rule out any medical reason for your hearing loss, such as infection, injury or deformity, ear wax ...

  13. 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

  14. Cognitive hearing aids? Insights and possibilities

    NASA Astrophysics Data System (ADS)

    Petersen, Eline Borch; Lunner, Thomas

    2015-12-01

    The working memory plays an important role in successfully overcoming adverse listening conditions and should consequently be considered when designing and testing hearing aids. A number of studies have established the relationship between hearing in noise and working memory involvement, but with the Sentence-final Word Identification and Recall (SWIRL) test, it is possible to show that working memory is also involved in listening under favorable conditions and that noise reduction has a positive influence in situation with very little noise. Although the capacity of the working memory is a finite individual size, its involvement can differ with fatigue and other factors and individualization of hearing aids should take this into account to obtain the best performance. A way of individually adapting hearing aids is based on changes in the electrical activity of the brain (EEG). Here we present the possibilities that arise from using EEG and show that ear-mounted electrodes is able to record useful EEG that can be explored for individualization of hearing aids. Such an adaptation could be done based on changes in the electrical activity of the brain (EEG). Here we present the possibilities that arise from using EEG and show that ear-mounted electrodes is able to record useful EEG that can be explored for individualization of hearing aids.

  15. Young Adolescents' Perception of Their Peers Who Wear Hearing Aids.

    ERIC Educational Resources Information Center

    Haley, Donna J.; Hood, Stephen B.

    1986-01-01

    Reactions of 87 normal hearing and 30 severely hearing impaired junior high school students to videotapes of two students (one hearing impaired and one normal) speaking when either wearing a postauricular hearing aid, wearing a body aid, or not wearing an aid were examined. (Author/DB)

  16. 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

  17. A Self-Fitting Hearing Aid

    PubMed Central

    Keidser, Gitte; Dillon, Harvey; Hartley, Lisa

    2011-01-01

    The need for reliable access to hearing health care services is growing globally, particularly in developing countries and in remotely located, underserved regions in many parts of the developed world. Individuals with hearing loss in these areas are at a significant disadvantage due to the scarcity of local hearing health care professionals and the high cost of hearing aids. Current approaches to making hearing rehabilitation services more readily available to underserved populations include teleaudiology and the provision of amplification devices outside of the traditional provider-client relationship. Both strategies require access to such resources as dedicated equipment and/or specially trained staff. Another possible strategy is a self-fitting hearing aid, a personal amplification device that is equipped with an onboard tone generator to enable user-controlled, automated, in situ audiometry; an onboard prescription to determine the initial hearing aid settings; and a trainable algorithm to enable user-controlled fine-tuning. The device is thus assembled, fitted, and managed by the user without the need for audiological or computer support. This article details the self-fitting concept and its potential application in both developing and developed countries. Potential advantages and disadvantages of such a device are discussed, and considerations for further investigations into the concept are presented. Overall, the concept is considered technologically viable with the main challenges anticipated to be development of clear, simple user instructions and a delivery model that ensures reliable supplies of instant-fit ear tips and batteries. PMID:22143873

  18. Beyond the hearing aid: Assistive listening devices

    NASA Astrophysics Data System (ADS)

    Holmes, Alice E.

    2003-04-01

    Persons with hearing loss can obtain great benefit from hearing aids but there are many situations that traditional amplification devices will not provide enough help to ensure optimal communication. Assistive listening and signaling devices are designed to improve the communication of the hearing impaired in instances where traditional hearing aids are not sufficient. These devices are designed to help with problems created by listening in noise or against a competing message, improve distance listening, facilitate group conversation (help with problems created by rapidly changing speakers), and allow independence from friends and family. With the passage of the Americans with Disabilities Act in 1990, assistive listening devices (ALDs) are becoming more accessible to the public with hearing loss. Employers and public facilities must provide auxiliary aids and services when necessary to ensure effective communication for persons who are deaf or hard of hearing. However many professionals and persons with hearing loss are unaware of the various types and availability of ALDs. An overview of ALDs along with a discussion of their advantages and disadvantages will be given.

  19. Different Styles of Hearing Aids

    MedlinePlus

    ... aids available and offer some cosmetic and listening advantages. Photo courtesy of Phonak Click for larger image ... in place. These aids offer cosmetic and listening advantages and are used typically for adults. Photo courtesy ...

  20. Nontraditional 'aids' to hearing: assistive listening devices.

    PubMed

    Rupp, R R; Vaughn, G R; Lightfoot, R K

    1984-03-01

    Unresolved hearing loss and its associated sense of isolation burden the hearing-impaired elderly. The plight of both listeners and talkers justifies every effort to encourage and enhance communication. Assistive listening devices can benefit many family practice patients. The following service welcomes questions or comments about implementing these devices: Audiology-Speech Pathology Service, VA Medical Center, 700 South 19th Street, Birmingham, AL 35203; (205)933-8101, ext. 6701 and 6702. In addition, local professional audiologists certified by the American Speech-Language-Hearing Association will provide information on traditional hearing aids and assistive listening devices. To obtain the names of local audiological resources in your area, contact: American Speech-Language-Hearing Association, 10801 Rockville Pike, Rockville, MD 20852; (800)638-6868. PMID:6698401

  1. Physiological modeling for hearing aid design

    NASA Astrophysics Data System (ADS)

    Bruce, Ian C.; Young, Eric D.; Sachs, Murray B.

    2002-05-01

    Physiological data from hearing-impaired cats suggest that conventional hearing aid signal-processing schemes do not restore normal auditory-nerve responses to a vowel [Miller et al., J. Acoust. Soc. Am. 101, 3602 (1997)] and can even produce anomalous and potentially confounding patterns of activity [Schilling et al., Hear. Res. 117, 57 (1998)]. These deficits in the neural representation may account at least partially for poor speech perception in some hearing aid users. An amplification scheme has been developed that produces neural responses to a vowel more like those seen in normal cats and that reduces confounding responses [Miller et al., J. Acoust. Soc. Am. 106, 2693 (1999)]. A physiologically accurate model of the normal and impaired auditory periphery would provide simpler and quicker testing of such potential hearing aid designs. Details of such a model, based on that of Zhang et al. [J. Acoust. Soc. Am. 109, 648 (2001)], will be presented. Model predictions suggest that impairment of both outer- and inner-hair cells contribute to the degraded representation of vowels in hearing-impaired cats. The model is currently being used to develop and test a generalization of the Miller et al. speech-processing algorithm described above to running speech. [Work supported by NIDCD Grants DC00109 and DC00023.] a)Now with the Dept. of Electrical and Computer Engineering, McMaster Univ., 1280 Main St. W., Hamilton, ON L8S 4K1, Canada.

  2. Direction discriminating hearing aid system

    NASA Technical Reports Server (NTRS)

    Jhabvala, M.; Lin, H. C.; Ward, G.

    1991-01-01

    A visual display was developed for people with substantial hearing loss in either one or both ears. The system consists of three discreet units; an eyeglass assembly for the visual display of the origin or direction of sounds; a stationary general purpose noise alarm; and a noise seeker wand.

  3. Smartphone-based hearing test as an aid in the initial evaluation of unilateral sudden sensorineural hearing loss.

    PubMed

    Handzel, Ophir; Ben-Ari, Oded; Damian, Doris; Priel, Maayan M; Cohen, Jacob; Himmelfarb, Mordechai

    2013-01-01

    Sudden sensorineural hearing loss (SSNHL) can cause significant morbidity. Treatment with steroids can improve outcome. Delay in initiation of treatment reduces the chance to regain hearing. For this reason SSNHL is considered an emergency. Diagnosis is based on history, physical examination and a standard audiogram, the latter requiring specialized equipment and personnel. Standard audiogram may not be available at the time and place of patient presentation. A smartphone or tablet computer-based hearing test may aid in the decision to prescribe steroids in this setting. In this study the uHear™ hearing test application was utilized. The output of this ear-level air conduction hearing test is reported in hearing grades for 6 frequencies ranging from 250 to 6000 Hz. A total of 32 patients with unilateral SSNHL proven by a standard audiogram were tested. The results of standard and iPod hearing tests were compared. Based on the accepted criterion of SSNHL (at least 30 dB loss - or 2 hearing grades - in 3 consecutive frequencies) the test had a sensitivity of 0.76 and specificity of 0.91. Using a less stringent criterion of a loss of 2 hearing grades over at least 2 frequencies the sensitivity was 0.96 and specificity 0.86. The correlation coefficient for the comparison of the average hearing grade across the 6 measured frequencies of the study and standard audiogram was 0.83. uHear more accurately reflected hearing thresholds at mid and high tones. Similarly to previously published data, low frequency thresholds could be artificially elevated. In conclusion, uHear can be useful in the initial evaluation of patients with single-sided SSNHL by providing important information guiding the decision to initiate treatment before a standard audiogram is available. PMID:23689282

  4. Acceptance of Noise Growth Patterns in Hearing Aid Users

    ERIC Educational Resources Information Center

    Freyaldenhoven, Melinda C.; Plyler, Patrick N.; Thelin, James W.; Muenchen, Robert A.

    2008-01-01

    Purpose: To examine whether the effects of speech presentation level on acceptance of noise could differentiate full-time, part-time, and nonusers of hearing aids and whether these effects could predict hearing aid use. Method: Participants were separated into 3 groups on the basis of hearing aid use: (a) full-time use, (b) part-time use, or (c)…

  5. Public School Nurses' Preparedness for a Hearing Aid Monitoring Program.

    ERIC Educational Resources Information Center

    Johnson, Carole E.; And Others

    1992-01-01

    This investigation surveyed public school nurses' (n=30) preparedness to participate in a hearing aid monitoring program. Results indicated some deficiencies in nurses' exposure to, knowledge of, and basic skill level with hearing aids, hearing aid batteries, and ear molds. (Author/DB)

  6. Hearing Aid Use and Associated Factors in South Korea.

    PubMed

    Moon, Il Joon; Baek, Sun Young; Cho, Yang-Sun

    2015-10-01

    Despite the high prevalence of hearing impairment in the elderly, the rate of hearing aid use is still low. The objectives of this study were to report the nation-wide prevalence of hearing aid use in the Korean population and to determine the associated factors with hearing aid use utilizing a nationally representative data set.We obtained data from the 2010 to 2012 Korea National Health and Nutrition Examination Surveys, which were cross-sectional surveys of the civilian, noninstitutionalized population of the Republic of Korea at age ≥40 years (N = 12,709). A field survey team performed interviews as well as physical examinations. Hearing aid use was assessed using an interviewer-administered questionnaire and pure-tone audiometry was administered for all participants in a sound-attenuating booth. Prevalence of hearing aid acquisition and regular use were calculated in participants who reported perceived hearing loss and who have bilateral hearing thresholds exceeding the 40 dB hearing level. Multivariable analyses were used to examine the associated factors with hearing aid use.The prevalence of hearing aid acquisition and regular use was 17.4% and 12.6%, respectively, in South Korea. Increased hearing threshold (OR 1.05, 95% CI 1.03-1.07), severe perceived hearing loss (OR 10.73, 95% CI 4.52-25.46), annoying tinnitus (OR 3.30, 95% CI 1.61-6.74), balance problems (OR 0.39, 95% CI 0.18-0.86), and myopia (OR 0.30, 95% CI 0.12-0.76) were associated factors of regular use of hearing aids.The prevalence of hearing aid use in Korea is relatively low. Finding relevant factors of hearing aid use could provide further insight in setting up hearing-rehabilitation strategy for the elderly with significant hearing loss. PMID:26496259

  7. Hearing Aid Use and Associated Factors in South Korea

    PubMed Central

    Moon, Il Joon; Baek, Sun Young; Cho, Yang-Sun

    2015-01-01

    Abstract Despite the high prevalence of hearing impairment in the elderly, the rate of hearing aid use is still low. The objectives of this study were to report the nation-wide prevalence of hearing aid use in the Korean population and to determine the associated factors with hearing aid use utilizing a nationally representative data set. We obtained data from the 2010 to 2012 Korea National Health and Nutrition Examination Surveys, which were cross-sectional surveys of the civilian, noninstitutionalized population of the Republic of Korea at age ≥40 years (N = 12,709). A field survey team performed interviews as well as physical examinations. Hearing aid use was assessed using an interviewer-administered questionnaire and pure-tone audiometry was administered for all participants in a sound-attenuating booth. Prevalence of hearing aid acquisition and regular use were calculated in participants who reported perceived hearing loss and who have bilateral hearing thresholds exceeding the 40 dB hearing level. Multivariable analyses were used to examine the associated factors with hearing aid use. The prevalence of hearing aid acquisition and regular use was 17.4% and 12.6%, respectively, in South Korea. Increased hearing threshold (OR 1.05, 95% CI 1.03–1.07), severe perceived hearing loss (OR 10.73, 95% CI 4.52–25.46), annoying tinnitus (OR 3.30, 95% CI 1.61–6.74), balance problems (OR 0.39, 95% CI 0.18–0.86), and myopia (OR 0.30, 95% CI 0.12–0.76) were associated factors of regular use of hearing aids. The prevalence of hearing aid use in Korea is relatively low. Finding relevant factors of hearing aid use could provide further insight in setting up hearing-rehabilitation strategy for the elderly with significant hearing loss. PMID:26496259

  8. Music and hearing aids--an introduction.

    PubMed

    Chasin, Marshall

    2012-09-01

    Modern digital hearing aids have provided improved fidelity over those of earlier decades for speech. The same however cannot be said for music. Most modern hearing aids have a limitation of their "front end," which comprises the analog-to-digital (A/D) converter. For a number of reasons, the spectral nature of music as an input to a hearing aid is beyond the optimal operating conditions of the "front end" components. Amplified music tends to be of rather poor fidelity. Once the music signal is distorted, no amount of software manipulation that occurs later in the circuitry can improve things. The solution is not a software issue. Some characteristics of music that make it difficult to be transduced without significant distortion include an increased sound level relative to that of speech, and the crest factor- the difference in dB between the instantaneous peak of a signal and its RMS value. Clinical strategies and technical innovations have helped to improve the fidelity of amplified music and these include a reduction of the level of the input that is presented to the A/D converter. PMID:23258616

  9. Hearing Aid-Compatible Mobile Handsets. Final rule.

    PubMed

    2016-01-01

    In this document, the Federal Communications Commission (Commission) modernizes its wireless hearing aid compatibility rules. The Commission adopts these rules to ensure that people with hearing loss have full access to innovative handsets and technologies. PMID:26742181

  10. Degree of satisfaction among hearing aid users

    PubMed Central

    Mondelli, Maria Fernanda Capoani Garcia; Rocha, Andressa Vital; Honório, Heitor Marques

    2013-01-01

    Summary Introduction: Hearing loss (HL) is defined as the complete or partial loss of hearing ability. Aims: To characterize (1) the degree of satisfaction among adult and elderly hearing aid (HA) users who were treated by a public hearing health service and (2) the relationship between satisfaction and the variables of gender, age, degree of HL, and type of HA. Method: The clinical and experimental study included the administration of the Satisfaction with Amplification in Daily Life (SADL) questionnaire to 110 patients who had used HAs for more than 3 months and were 18 years of age or older. Results: Test patients were sex-balanced (48% were women) and had a mean age of 67 years. A relatively high incidence of sensorineural moderate HL was detected in the study patients (66%) and device B was the most commonly used HA type (48%). No significant differences were evident between HA satisfaction and sex. The importance placed on services/costs and personal image varied between age groups. Correlation was evident at all levels between user satisfaction and amplification. Decreased satisfaction was observed in individuals with severe and/or profound HL. The type of HA used yielded statistically significant differences in the positive effects referring. Conclusion: No correlations were evident between the different factors proposed. HA users exhibited high levels of satisfaction in all SADL areas. PMID:25991994

  11. Relative benefits of linear analogue and advanced digital hearing aids.

    PubMed

    Wood, Sally A; Lutman, Mark E

    2004-03-01

    Speech recognition performance and self-reported benefit from linear analogue and advanced (digital) hearing aids were compared in 100 first-time hearing aid users with mild-to-moderate sensorineural hearing loss fitted monaurally with a behind-the-ear (BTE) hearing aid in a single-blind randomized crossover trial. Subjects used each aid for 5 weeks in turn, with aid order balanced across subjects. Three alternative models of digital hearing aid were assigned to subjects according to a balanced design. Aid type was disguised to keep subjects blind within practical limitations. Aided speech recognition performance in noise was measured at speech levels of 65 and 75dB at a speech-to-noise ratio (SNR) of +2dB for closed sets of single words. Self-rated benefit was measured using the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Glasgow Hearing Aid Benefit Profile (GHABP). Quality of life, hearing aid use and user preferences were also assessed. Speech recognition scores with the digital aids were significantly better at 75dB than with the analogue aids Self-reported benefit (APHAB, GHABP) and improvement in quality of life were generally not significantly different between analogue and digital aids, although aversiveness measured with the APHAB was significantly lower with digital aids, and satisfaction measured with the GHABP was greater. The digital aids were preferred significantly more often than the analogue aids, with 61 subjects choosing their digital aid, 26 choosing the analogue aid, and nine being equivocal. Overall, this study shows advantages for advanced digital over simple linear analogue aids in terms of both objective and subjective outcomes, although average differences are not large. PMID:15198378

  12. Students' Attitudes toward the Use of Hearing Aids in Al-Ahsa, Kingdom of Saudi Arabia

    ERIC Educational Resources Information Center

    Alodail, Abdullah Kholifh

    2011-01-01

    Hearing aid devices are worn within people's ears to help them hear the sounds around them. Teachers have to accept the use of hearing aids in the classroom as a device to assist students with hearing loss (Plumley, 2008). Further study is helpful to hearing aid research because it demonstrates the importance of hearing aid benefit awareness in…

  13. Attitudes to hearing difficulty and hearing aids and the outcome of audiological rehabilitation.

    PubMed

    Brooks, D N; Hallam, R S

    1998-08-01

    First time hearing aid candidates (N = 135) in a NHS setting were administered the Hearing Attitudes in Rehabilitation Questionnaire (HARQ) designed to assess attitudes to acquired hearing loss and hearing aids and 92% of them were followed up 3-9 months after fitting. Attitude scores, age, sex and sensory thresholds were related to six self-report outcome measures by use of logistic regression. The major findings were that patients who were least distressed by their hearing difficulties and reported not wanting or needing a hearing aid used their aids least frequently and evaluated them less highly in listening situations. An attitude that wearing a hearing aid was stigmatizing was not predictive of outcome except a report of more difficulty in handling the aid. There were some low but significant correlations between attitudes and sensory thresholds and thresholds also contributed to the prediction of outcome in a few instances. PMID:9923983

  14. Preference for One or Two Hearing Aids among Adult Patients

    PubMed Central

    Cox, Robyn M; Schwartz, Kathryn S.; Noe, Colleen M.; Alexander, Genevieve C.

    2010-01-01

    Objectives Most practitioners believe that use of two hearing aids is the ideal fitting for adults with bilateral symmetrical hearing loss. However, previous research has consistently shown that a substantial proportion of these patients actually prefer to use only one hearing aid. The current study explored whether this pattern of preferences is seen with technologically advanced hearing aids. In addition, a selection of variables that were available pre-fitting were used to attempt to predict which patients will prefer one hearing aid rather than two. Design The study was designed as a 12-week field trial including structured and unstructured use of one and two hearing aids. Ninety-four subjects with mild to moderate bilaterally symmetrical hearing loss were bilaterally fit with 2005-2007 era hearing aids. Potential predictors included demographic, audiometric, auditory lifestyle, personality, and binaural processing variables. After the field trial, each subject stated his/her preference for one or two hearing aids and completed three self-report outcome questionnaires for their preferred fitting. Results Previous research was confirmed with modern technology hearing aids: after the field trial 46% of the subjects preferred to use one hearing aid rather than two. Subjects who preferred two hearing aids tended to report better real-world outcomes than those who preferred one. Subjects who reported more hearing problems in daily life, who experienced more binaural loudness summation, and whose ears were more equivalent in dichotic listening were more likely to prefer to use two hearing aids. Contrary to conventional wisdom (ideas that are generally accepted as true), audiometric hearing loss and auditory lifestyle were not predictive of aiding preference. However, the best predictive approach from these data yielded accurate predictions for only two-thirds of subjects. Conclusions Evidence-based practice calls for a conscientious melding of current evidence

  15. The digital hearing aid, wearable computing, and electrophysiological response.

    PubMed

    Doyle, T E; Kucerovsky, Z; Greason, W D

    2002-01-01

    Presbycusis is the most common form of hearing loss caused by aging and long-term exposure to sound energy. This type of ailment decreases the ear's ability to perceive high frequencies and localize sound, thus making comprehension more difficult. To compensate for this loss, the choice of a digital hearing aid has become more common. However, most digital hearing aids do little more that their analogue predecessor's by providing a single, fixed hearing response. Such a fixed response is not suitable for all of a user's auditory environments and typically causes a more rapid loss of hearing. Significant advancement in processing power and reduction in size of computing hardware has produced increasingly more powerful, more portable, and more personal computing devices. These advances have spurred research and development of wearable computing devices towards integrating both man and machine. By definition, the digital hearing aid is a wearable computing device. The development of a digital hearing aid with increased onboard processing that is aware of its owner's electrophysiological and auditory environments is an obvious progression. This awareness will give the hearing aid the ability to autonomously modify its own parameters to improve audibility and comprehension. Electrophysiological signals can be classified as naturally occurring or voluntarily controlled. Employing these signals will allow the hearing aid to adapt to its owner's external and internal stimuli. Research and initial experiments into the monitoring and use of electrophysiological response for the control of the digital hearing aid shall be presented. PMID:12085589

  16. Adaptive environment classification system for hearing aids.

    PubMed

    Lamarche, Luc; Giguère, Christian; Gueaieb, Wail; Aboulnasr, Tyseer; Othman, Hisham

    2010-05-01

    An adaptive sound classification framework is proposed for hearing aid applications. The long-term goal is to develop fully trainable instruments in which both the acoustical environments encountered in daily life and the hearing aid settings preferred by the user in each environmental class could be learned. Two adaptive classifiers are described, one based on minimum distance clustering and one on Bayesian classification. Through unsupervised learning, the adaptive systems allow classes to split or merge based on changes in the ongoing acoustical environments. Performance was evaluated using real-world sounds from a wide range of acoustical environments. The systems were first initialized using two classes, speech and noise, followed by a testing period when a third class, music, was introduced. Both systems were successful in detecting the presence of an additional class and estimating its underlying parameters, reaching a testing accuracy close to the target rates obtained from best-case scenarios derived from non-adaptive supervised versions of the classifiers (about 3% lower performance). The adaptive Bayesian classifier resulted in a 4% higher overall accuracy upon splitting adaptation than the minimum distance classifier. Merging accuracy was found to be the same in the two systems and within 1%-2% of the best-case supervised versions. PMID:21117761

  17. Measurement of hearing aid internal noise1

    PubMed Central

    Lewis, James D.; Goodman, Shawn S.; Bentler, Ruth A.

    2010-01-01

    Hearing aid equivalent input noise (EIN) measures assume the primary source of internal noise to be located prior to amplification and to be constant regardless of input level. EIN will underestimate internal noise in the case that noise is generated following amplification. The present study investigated the internal noise levels of six hearing aids (HAs). Concurrent with HA processing of a speech-like stimulus with both adaptive features (acoustic feedback cancellation, digital noise reduction, microphone directionality) enabled and disabled, internal noise was quantified for various stimulus levels as the variance across repeated trials. Changes in noise level as a function of stimulus level demonstrated that (1) generation of internal noise is not isolated to the microphone, (2) noise may be dependent on input level, and (3) certain adaptive features may contribute to internal noise. Quantifying internal noise as the variance of the output measures allows for noise to be measured under real-world processing conditions, accounts for all sources of noise, and is predictive of internal noise audibility. PMID:20370034

  18. Dichotic Hearing in Elderly Hearing Aid Users Who Choose to Use a Single-Ear Device

    PubMed Central

    Ribas, Angela; Mafra, Nicoli; Marques, Jair; Mottecy, Carla; Silvestre, Renata; Kozlowski, Lorena

    2014-01-01

    Introduction Elderly individuals with bilateral hearing loss often do not use hearing aids in both ears. Because of this, dichotic tests to assess hearing in this group may help identify peculiar degenerative processes of aging and hearing aid selection. Objective To evaluate dichotic hearing for a group of elderly hearing aid users who did not adapt to using binaural devices and to verify the correlation between ear dominance and the side chosen to use the device. Methods A cross-sectional descriptive study involving 30 subjects from 60 to 81 years old, of both genders, with an indication for bilateral hearing aids for over 6 months, but using only a single device. Medical history, pure tone audiometry, and dichotic listening tests were all completed. Results All subjects (100%) of the sample failed the dichotic digit test; 94% of the sample preferred to use the device in one ear because bilateral use bothered them and affected speech understanding. In 6%, the concern was aesthetics. In the dichotic digit test, there was significant predominance of the right ear over the left, and there was a significant correlation between the dominant side with the ear chosen by the participant for use of the hearing aid. Conclusion In elderly subjects with bilateral hearing loss who have chosen to use only one hearing aid, there is dominance of the right ear over the left in dichotic listening tasks. There is a correlation between the dominant ear and the ear chosen for hearing aid fitting. PMID:25992120

  19. Prevalence and Factors Associated With Hearing Loss and Hearing Aid Use in Korean Elders

    PubMed Central

    2015-01-01

    Background: This study examined hearing loss prevalence and hearing aid usage rates among Korean elders by comparing the differences between those with and without hearing loss, and between those who used and did not use hearing aids. Methods: This study was based on data collected during the Korean National Health and Nutrition Examination Survey V (2010–2012). The study sample consisted of 5,447 Koreans aged ≥60 years who received a hearing assessment. Hearing loss was measured using a pure tone audiometry test and classified according to the World Health Organization’s criteria. Hearing aid use was assessed by self-report. Multiple logistic regression analyses were performed to determine the associations between hearing loss, hearing aid use, and related variables. Results: Hearing loss was found in 16.8% of the elders and only 15.9% of them used a hearing aid. Male (95% CI: 1.27–2.15), tinnitus (95% CI: 1.58–2.32), dizziness (95% CI: 1.05–1.73), and occupational noise exposure (95% CI: 1.32–2.38) were the variables most strongly associated with hearing loss after multivariate adjustment. Tinnitus (95% CI: 1.34–4.13) and occupational noise exposure (95% CI: 1.01–5.02) were strongly associated with hearing aid use after multivariate adjustment. Conclusion: More than half of South Korean elders aged ≥60 and older have hearing loss but the rate of hearing aid use is very low. An aural public health program should address modifiable risk factors, such as tinnitus and noise exposure, and non-modifiable risk factors associated with hearing loss in the elderly. PMID:25905073

  20. Hearing Aids and Room Acoustics: an Entrepreneurial Physics Project

    NASA Astrophysics Data System (ADS)

    Caner, Edward

    2002-10-01

    We present an acoustics-based physics entrepreneurship project that identifies problems associated with hearing aids and listening environments such as restaurants and churches. The proposed company "Earcrafters" deals with the alarmingly low market penetration of hearing aids--especially amongst baby boomers--in two key ways: 1) Offering hearing instruments that "sound better" by way of improved frequency response throughout the audio spectrum and 2) applying marketing forces to effectively change the public perception that hearing aids are bulky and tinny-sounding. In contrast, the proposed company "US Sound" recognizes low hearing aid market penetration as a trend that will continue. The company is developing efficient methods to improve the acoustical environment of public areas such as restaurants and churches in order to fill the demand of baby boomers with hearing impairment--a number that has reached staggering proportions.

  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. 21 CFR 874.3330 - Master hearing aid.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Master hearing aid. 874.3330 Section 874.3330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3330 Master hearing aid. (a)...

  3. 21 CFR 874.3330 - Master hearing aid.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Master hearing aid. 874.3330 Section 874.3330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3330 Master hearing aid. (a)...

  4. 21 CFR 874.3330 - Master hearing aid.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Master hearing aid. 874.3330 Section 874.3330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3330 Master hearing aid. (a)...

  5. 21 CFR 874.3330 - Master hearing aid.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Master hearing aid. 874.3330 Section 874.3330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3330 Master hearing aid. (a)...

  6. 21 CFR 874.3330 - Master hearing aid.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Master hearing aid. 874.3330 Section 874.3330 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3330 Master hearing aid. (a)...

  7. Parental and Child Perception of Hearing Aid Benefit

    ERIC Educational Resources Information Center

    Appleton, Jennifer Ann; Bamford, John

    2006-01-01

    This study investigates whether children give different questionnaire-assessed hearing aid benefit scores than their parents. Sixteen children (age seven to 11 years) who wear hearing aids completed the child version of the Listening Situations Questionnaire while their parents completed the parent version. The mean difference between parent and…

  8. Adaptive modeling of compression hearing aids: Convergence and tracking issues

    NASA Astrophysics Data System (ADS)

    Parsa, Vijay; Jamieson, Donald

    2003-10-01

    Typical measurements of electroacoustic performance of hearing aids include frequency response, compression ratio, threshold and time constants, equivalent input noise, and total harmonic distortion. These measurements employ artificial test signals and do not relate well to perceptual indices of hearing aid performance. Speech-based electroacoustic measures provide means to quantify the real world performance of hearing aids and have been shown to correlate better with perceptual data. This paper investigates the application of system identification paradigm for deriving the speech-based measures, where the hearing aid is modeled as a linear time-varying system and its response to speech stimuli is predicted using a linear adaptive filter. The performance of three adaptive filtering algorithms, viz. the Least Mean Square (LMS), Normalized LMS, and the Affine Projection Algorithm (APA) was investigated using simulated and real digital hearing aids. In particular, the convergence and tracking behavior of these algorithms in modeling compression hearing aids was thoroughly investigated for a range of compression ratio and threshold parameters, and attack and release time constants. Our results show that the NLMS and APA algorithms are capable of modeling digital hearing aids under a variety of compression conditions, and are suitable for deriving speech-based metrics of hearing aid performance.

  9. Concerns regarding Direct-to-Consumer Hearing Aid Purchasing

    ERIC Educational Resources Information Center

    Kimball, Suzanne H.

    2010-01-01

    An individual over age 18 can purchase a hearing aid online or through mail order if they sign a waiver declining a medical evaluation, while those under 18 are required to be seen by a physician to obtain medical consent. However, in many states there is nothing to prevent a parent or caregiver from purchasing hearing aids for their child from a…

  10. 77 FR 41919 - Hearing Aid Compatibility Technical Standard

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-17

    ... Notice of Proposed Rulemaking, 76 FR 77747, Dec. 14, 2011 (Second Further Notice). In the Second Further... COMMISSION 47 CFR Parts 2 and 20 Hearing Aid Compatibility Technical Standard AGENCY: Federal Communications... and Technology (Bureaus) adopt the 2011 ANSI Standard for evaluating the hearing aid compatibility...

  11. Some characteristics of amplified music through hearing aids.

    PubMed

    Chasin, Marshall; Hockley, Neil S

    2014-02-01

    Hearing aids are a relatively non-invasive means of reducing the negative effects of hearing loss on an individual who does not require a cochlear implant. Music amplified through hearing aids has some interesting characteristics but high fidelity is not typically one of them. This poses a serious problem for the investigator who wants to perform research on music with hearing impaired individuals who wear hearing aids. If the signal at the tympanic membrane is somewhat distorted then this has consequences for the assessment of music processing when examining both the peripheral and the central auditory system. In this review article on the subject of hearing aids and music, some of the acoustical differences between speech and music will be described. Following this, a discussion about what hearing aids do well and also less well for music as an input will be presented. Finally, some recommendations are made about what can be done for hearing-impaired individuals who wear hearing aids to listen to music. PMID:23880110

  12. Electronic filters, hearing aids and methods

    NASA Technical Reports Server (NTRS)

    Engebretson, A. Maynard (Inventor); O'Connell, Michael P. (Inventor); Zheng, Baohua (Inventor)

    1991-01-01

    An electronic filter for an electroacoustic system. The system has a microphone for generating an electrical output from external sounds and an electrically driven transducer for emitting sound. Some of the sound emitted by the transducer returns to the microphone means to add a feedback contribution to its electical output. The electronic filter includes a first circuit for electronic processing of the electrical output of the microphone to produce a filtered signal. An adaptive filter, interconnected with the first circuit, performs electronic processing of the filtered signal to produce an adaptive output to the first circuit to substantially offset the feedback contribution in the electrical output of the microphone, and the adaptive filter includes means for adapting only in response to polarities of signals supplied to and from the first circuit. Other electronic filters for hearing aids, public address systems and other electroacoustic systems, as well as such systems, and methods of operating them are also disclosed.

  13. Electronic filters, hearing aids and methods

    NASA Technical Reports Server (NTRS)

    Engebretson, A. Maynard (Inventor)

    1995-01-01

    An electronic filter for an electroacoustic system. The system has a microphone for generating an electrical output from external sounds and an electrically driven transducer for emitting sound. Some of the sound emitted by the transducer returns to the microphone means to add a feedback contribution to its electrical output. The electronic filter includes a first circuit for electronic processing of the electrical output of the microphone to produce a first signal. An adaptive filter, interconnected with the first circuit, performs electronic processing of the first signal to produce an adaptive output to the first circuit to substantially offset the feedback contribution in the electrical output of the microphone, and the adaptive filter includes means for adapting only in response to polarities of signals supplied to and from the first circuit. Other electronic filters for hearing aids, public address systems and other electroacoustic systems, as well as such systems and methods of operating them are also disclosed.

  14. 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.

  15. 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

  16. Determinants of Hearing Aid Acquisition in Older Adults

    PubMed Central

    Cruickshanks, Karen J.; Wiley, Terry L.; Klein, Barbara E. K.; Klein, Ronald; Tweed, Ted S.

    2011-01-01

    Objectives. We determined factors associated with hearing aid acquisition in older adults. Methods. We conducted a population-based, prospective study that used information from 3 examinations performed on study participants as part of the Epidemiology of Hearing Loss Study (1993–2005). We included participants (n = 718; mean age = 70.5 years) who exhibited hearing loss at baseline or the first follow-up and had no prior history of hearing aid use. We defined hearing loss as a pure tone threshold average (PTA) at 0.5, 1, 2, and 4 kilohertz in the better ear of greater than 25 decibels Hearing Level. Results. The 10-year cumulative incidence of hearing aid acquisition was 35.7%. Associated factors included education (college graduate vs all others: hazard ratio [HR] = 2.5; 95% confidence interval [CI] = 1.5, 4.1), self-perception of hearing (poor vs good or better: HR = 2.5; 95% CI = 1.3, 5.0), score on a perceived hearing handicap inventory (+ 1 difference: HR = 1.1; 95% CI = 1.0, 1.1), and PTA (+ 5 dB difference: HR = 1.4; 95% CI = 1.2, 1.6). Conclusions. The low rate of hearing aid ownership among older adults is a problem that still needs to be addressed. PMID:21680930

  17. Function of a hearing aid under stressful conditions.

    PubMed

    Welsh, L W; Welsh, J J; Rosen, L F

    2000-10-01

    The auditory function of individuals with normal hearing was compared with that of hearing-aided subjects of similar age to determine whether amplification remediates hearing impairment under stressful auditory situations. The specific tests of listening in a competitive noise environment and identifying moderately compressed speech were introduced to adequately aided individuals. The data indicate that noise had an impact on auditory function to a much greater degree in aided individuals than in matched counterparts with normal hearing. The data derived from acceleration of simple sentences delivered to the aided group suggested that contrary to basic tonal sensitivity, the capacity to understand the stimulus was greatly compromised. The authors discuss cochlear damage and central auditory impairment as they relate to the limitations of amplification for sensorineural hearing loss. PMID:11051433

  18. Rate-Constrained Beamforming in Binaural Hearing Aids

    NASA Astrophysics Data System (ADS)

    Srinivasan, Sriram; den Brinker, Albertus C.

    2009-12-01

    Recently, hearing aid systems where the left and right ear devices collaborate with one another have received much attention. Apart from supporting natural binaural hearing, such systems hold great potential for improving the intelligibility of speech in the presence of noise through beamforming algorithms. Binaural beamforming for hearing aids requires an exchange of microphone signals between the two devices over a wireless link. This paper studies two problems: which signal to transmit from one ear to the other, and at what bit-rate. The first problem is relevant as modern hearing aids usually contain multiple microphones, and the optimal choice for the signal to be transmitted is not obvious. The second problem is relevant as the capacity of the wireless link is limited by stringent power consumption constraints imposed by the limited battery life of hearing aids.

  19. Pragmatic Abilities of Children with Hearing Loss Using Cochlear Implants or Hearing Aids Compared to Hearing Children

    ERIC Educational Resources Information Center

    Most, Tova; Shina-August, Ella; Meilijson, Sara

    2010-01-01

    This study characterized the profile of pragmatic abilities among 24 children with hearing loss (HL) aged 6.3-9.4 years, 13 using hearing aids (HAs) and 11 using cochlear implants (CIs), in comparison to those of 13 hearing children with similar chronological and language ages. All the children with HL used spoken language, attended regular…

  20. Positive, Neutral, and Negative Connotations Associated with Social Representation of 'Hearing Loss' and 'Hearing Aids'

    PubMed Central

    Stein, Gretchen; Danermark, Berth; Germundsson, Per

    2015-01-01

    Background and Objectives In our previous studies we explored the social representation of hearing loss and hearing aids. In this study we aimed at exploring if the positive, neutral and negative connotations associated with the social representation of 'hearing loss' and 'hearing aids' for the same categories vary across countries. In addition, we also looked at if there is an association between connotations and demographic variables. Subjects and Methods A total of 404 individuals from four countries were asked to indicate the words and phrases that comes to mind when they think about 'hearing loss' and 'hearing aids'. They also indicated if the words and phrases they reported had positive, neutral or negative association, which were analyzed and reported in this paper. Results There are considerable differences among the countries in terms of positive, neutral and negative associations report for each category in relation to hearing loss and hearing aids. However, there is limited connection between demographic variables and connotations reported in different countries. Conclusions These results suggesting that the social representation about the phenomenon hearing loss and hearing aids are relatively stable within respondents of each country. PMID:26771011

  1. Digital Hearing Aids From the Perspective of One Consumer/Audiologist

    PubMed Central

    Ross, Mark

    2007-01-01

    Recent developments in hearing aids are reviewed in the context of the author's personal experience as an audiologist and as a hearing aid wearer. The need for evidence of benefit specific to digital signal processing in hearing aids is stressed, as well as addressing cost-benefit ratios in view of the high cost of digital hearing aids. PMID:17301335

  2. Hearing rehabilitation in Treacher Collins Syndrome with bone anchored hearing aid

    PubMed Central

    Polanski, José Fernando; Plawiak, Anna Clara; Ribas, Angela

    2015-01-01

    Objective: To describe a case of hearing rehabilitation with bone anchored hearing aid in a patient with Treacher Collins syndrome. Case description: 3 years old patient, male, with Treacher Collins syndrome and severe complications due to the syndrome, mostly related to the upper airway and hearing. He had bilateral atresia of external auditory canals, and malformation of the pinna. The initial hearing rehabilitation was with bone vibration arch, but there was poor acceptance due the discomfort caused by skull compression. It was prescribed a model of bone-anchored hearing aid, in soft band format. The results were evaluated through behavioral hearing tests and questionnaires Meaningful Use of Speech Scale (MUSS) and Infant-Toddler Meaningful Auditory Integration Scale (IT-MAIS). Comments: The patient had a higher acceptance of the bone-anchored hearing aid compared to the traditional bone vibration arch. Audiological tests and the speech and auditory skills assessments also showed better communication and hearing outcomes. The bone-anchored hearing aid is a good option in hearing rehabilitation in this syndrome. PMID:26298651

  3. Temporary Threshold Shift Caused by Hearing Aid Use.

    ERIC Educational Resources Information Center

    Macrae, John H.

    1993-01-01

    Temporary threshold shift over a wide range of frequencies was found after 4 hours of hearing aid use by a 15-year-old student with severe sensorineural hearing loss who was using real-ear insertion gains 10 to 20 decibels greater than those recommended by current standards. Less gain was recommended at frequencies from 500 to 1500 hertz.…

  4. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Hearing aid-compatible telephones. 68.4 Section 68.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing...

  5. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatible telephones. 68.4 Section 68.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing...

  6. Prelingual deafness: Benefits from cochlear implants versus conventional hearing aids

    PubMed Central

    Bittencourt, Aline Gomes; Torre, Ana Adelina Giantomassi Della; Bento, Ricardo Ferreira; Tsuji, Robinson Koji; Brito, Rubens de

    2012-01-01

    Summary Introduction: The majority of patients with hearing loss, including those with severe hearing loss, benefits from the use of hearing aids. The cochlear implant is believed to achieve better results in a child with hearing loss in cases where the severity of disability renders hearing aids incapable of providing adequate sound information, as they require sufficient cochlear reserve so that acoustic detention occurs. Objective: To assess if cochlear implants provide more benefit than conventional hearing aids in prelingually deaf patients. Summary of the findings: The study was a systematic review of scientific papers selected by a search of the SciELO, Cochrane, MEDLINE, and LILACS-BIREME databases. Among the 2169 articles found, 12 studies proved relevant to the issue and presented an evidence strength rating of B. No publications rated evidence strength A. Seven of the studies analyzed were prospective cohorts and 5 were cross-sectional studies. Conclusion: Based on several studies, cochlear implants were demonstrated to be the best current alternative for bilateral severe or profound hearing loss, achieving better results in speech perception and development in prelingual children when compared to conventional hearing aids. PMID:25991962

  7. An Evaluation of Two Signal-Processing Hearing Aids.

    ERIC Educational Resources Information Center

    Dempsey, James J.; Linzalone, Tanya G.

    1991-01-01

    This study, involving 15 older adults with hearing impairments, investigated the relationship between sentence recognition ability and two types of signal processing in hearing aids. Results indicated a significant improvement in sentence recognition when employing an instrument with adaptive compression versus an instrument with an adaptive…

  8. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Hearing aid-compatible telephones. 68.4 Section 68.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing...

  9. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Hearing aid-compatible telephones. 68.4 Section 68.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing...

  10. 47 CFR 68.4 - Hearing aid-compatible telephones.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Hearing aid-compatible telephones. 68.4 Section 68.4 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK General § 68.4 Hearing...

  11. Benefit From Directional Microphone Hearing Aids: Objective and Subjective Evaluations

    PubMed Central

    Park, Hee-Sung; Jin, Sun Hwa; Choi, Ji Eun; Cho, Yang-Sun; Hong, Sung Hwa

    2015-01-01

    Objectives The aims of this study were to find and compare the effect of directional (DIR) processing of two different hearing aids via both subjective and objective methods, to determine the association between the results of the subjective and objective evaluations, and to find out individual predictive factors influencing the DIR benefit. Methods Twenty-six hearing aid users fitted unilaterally with each two different experimental hearing aid performed modified Korean Hearing in Noise Test (K-HINT) in three DIR conditions; omnidirectional (OMNI) mode, OMNI plus noise reduction feature, fixed DIR mode. In order to determine benefits from DIR benefit within a hearing aid and compare performance of the DIR processing between hearing aids, a subjective questionnaire was administrated on speech quality (SQ) and discomfort in noise (DN) domain. Correlation analysis of factors influencing DIR benefit was accomplished. Results Benefits from switching OMNI mode to DIR mode within both hearing aids in K-HINT were about 2.8 (standard deviation, 3.5) and 2.1 dB SNR (signal to ratio; SD, 2.5), but significant difference in K-HINT results between OMNI and OMNI plus noise reduction algorithm was not shown. The subjective evaluation resulted in the better SQ and DN scores in DIR mode than those in OMNI mode. However, the difference of scores on both SQ and DN between the two hearing aids with DIR mode was not statistically significant. Any individual factors did not significantly affect subjective and objective DIR benefits. Conclusion DIR benefit was found not only in the objective measurement performed in the laboratory but also in the subjective questionnaires, but the subjective results was failed to have significant correlation with the DIR benefit obtained in the K-HINT. Factors influencing individual variation in perceptual DIR benefit were still hard to explain. PMID:26330918

  12. Performance analysis of ten brands of batteries for hearing aids

    PubMed Central

    Penteado, Silvio Pires; Bento, Ricardo Ferreira

    2013-01-01

    Summary Introduction: Comparison of the performance of hearing instrument batteries from various manufacturers can enable otologists, audiologists, or final consumers to select the best products, maximizing the use of these materials. Aim: To analyze the performance of ten brands of batteries for hearing aids available in the Brazilian marketplace. Methods: Hearing aid batteries in four sizes were acquired from ten manufacturers and subjected to the same test conditions in an acoustic laboratory. Results: The results obtained in the laboratory contrasted with the values reported by manufacturers highlighted significant discrepancies, besides the fact that certain brands in certain sizes perform better on some tests, but does not indicate which brand is the best in all sizes. Conclusions: It was possible to investigate the performance of ten brands of hearing aid batteries and describe the procedures to be followed for leakage, accidental intake, and disposal. PMID:25992026

  13. The Influence of Hearing Aid Use on Outcomes of Children with Mild Hearing Loss

    ERIC Educational Resources Information Center

    Walker, Elizabeth A.; Holte, Lenore; McCreery, Ryan W.; Spratford, Meredith; Page, Thomas; Moeller, Mary Pat

    2015-01-01

    Purpose: This study examined the effects of consistent hearing aid (HA) use on outcomes in children with mild hearing loss (HL). Method: Five- or 7-year-old children with mild HL were separated into 3 groups on the basis of patterns of daily HA use. Using analyses of variance, we compared outcomes between groups on speech and language tests and a…

  14. Wind noise in hearing aids with directional and omnidirectional microphones: polar characteristics of behind-the-ear hearing aids.

    PubMed

    Chung, King; Mongeau, Luc; McKibben, Nicholas

    2009-04-01

    Wind noise can be a significant problem for hearing instrument users. This study examined the polar characteristics of flow noise at outputs of two behind-the-ear digital hearing aids, and a microphone mounted on the surface of a cylinder at flow velocities ranging from a gentle breeze (4.5 m/s) to a strong gale (22.5 m/s) . The hearing aids were programed in an anechoic chamber, and tested in a quiet wind tunnel for flow noise recordings. Flow noise levels were estimated by normalizing the overall gain of the hearing aids to 0 dB. The results indicated that the two hearing aids had similar flow noise characteristics: The noise level was generally the lowest when the microphone faced upstream, higher when the microphone faced downstream, and the highest for frontal and rearward incidence angles. Directional microphones often generated higher flow noise level than omnidirectional microphones but they could reduce far-field background noise, resulting in a lower ambient noise level than omnidirectional microphones. Data for the academic microphone- on-cylinder configuration suggested that both turbulence and flow impingement might have contributed to the generation of flow noise in the hearing aids. Clinical and engineering design applications are discussed. PMID:19354400

  15. [Subsidizing hearing aid purchase in mild to moderate pediatric hearing--pediatric status following prefectural assembly subvention].

    PubMed

    Kataoka, Yuko; Fukushima, Kunihiro; Sugaya, Akiko; Maeda, Yukihide; Masuda, Yu; Nishizaki, Kazunori

    2011-08-01

    The dissemination of newborn hearing screening (NHS) has enabled those with mild to moderate hearing loss to be diagnosed in early infancy. The "handicapped independence support law", however, prevents those not determined to be physically handicapped; i.e., those with mild to moderate hearing loss-, from government assistance in purchasing hearing aids. This results either in (i) parents purchasing hearing aids at their own expense or (ii) nonpurchase of hearing aids. To redress this situation, subvention in purchasing hearing aids of mild to moderate hearing loss children has been begun by some local governments. We petitioned for such aid at the Okayama Prefecture Assembly. A society for supporting pediatric hearing difficulty in Okayama Prefecture also submitted a similar petition in September 2009, and subvention began in April 2010 for all such children in Okayama Prefecture. We report procedures and details leading to this subvention. PMID:21919310

  16. Relationship between acceptance of background noise and hearing aid use

    NASA Astrophysics Data System (ADS)

    Nabelek, Anna K.; Burchfield, Samuel B.; Webster, Joanna D.

    2003-04-01

    Background noise produces complaints among hearing-aid users, however speech-perception-in-noise does not predict hearing-aid use. It is possible that hearing-aid users are complaining about the presence of background noise and not about speech perception. To test this possibility, acceptance of background noise is being investigated as a predictor of hearing-aid use. Acceptance of background noise is determined by having subjects select their most comfortable listening level (MCL) for a story. Next, speech-babble is added and the subjects select the maximum background noise level (BNL) which is acceptable while listening to and following the story. The difference between the MCL and the BNL is the acceptable noise level (ANL), all in dB. ANLs are being compared with hearing-aid use, subjective impressions of benefit (APHAB), speech perception in background noise (SPIN) scores, and audiometric data. Individuals who accept higher levels of background noise are more successful users than individuals who accept less background noise. Mean ANLs are 7.3 dB for full-time users (N=21), 12.6 dB for part-time users (N=44), and 13.8 dB for rejecters (N=17). ANLs are not related to APHAB, SPIN, or audiometric data. Results for about 120 subjects will be reported. [Work supported by NIDCD (NIH) RO1 DC 05018.

  17. Does Hearing Aid Use Increase the Likelihood of Cerumen Impaction?

    PubMed Central

    Arthur, Jonathan; Williams, Huw

    2015-01-01

    Background and Objectives Impacted cerumen is a common condition in adults. It is commonly believed that wearing hearing aids may increase the cerumen impaction, although no empirical evidence exist. The current study was aimed at studying if the use of hearing aids increase the likelihood of impaction of cerumen. Subjects and Methods The study used retrospective design. The study sample included 164 consecutive patients who were referred to cerumen clinic from Royal Glamorgan Hospital, Wales. Audiologist classified the cerumen impaction into four categories (i.e., no cerumen; non-occluding cerumen; occluding cerumen; and fully non-occluding cerumen and debris). Chi-square analysis was performed to study the association between hearing aid use and cerumen impaction. Results The current study results showed no association between hearing aid use and cerumen impaction. Also, there was no association between right/left ear and cerumen impaction. Conclusions These results interesting and contrary to our assumption that hearing aid use increases the likelihood of cerumen impaction. More well-controlled studies with prospective designs are needed to confirm if these results are accurate. PMID:26771016

  18. The Influence of Hearing Aids on the Speech and Language Development of Children With Hearing Loss

    PubMed Central

    Tomblin, J. Bruce; Oleson, Jacob J.; Ambrose, Sophie E.; Walker, Elizabeth; Moeller, Mary Pat

    2014-01-01

    Importance Hearing loss (HL) in children can be deleterious to their speech and language development. The standard of practice has been early provision of hearing aids (HAs) to moderate these effects; however, there have been few empirical studies evaluating the effectiveness of this practice on speech and language development among children with mild-to-severe HL. Objective To investigate the contributions of aided hearing and duration of HA use to speech and language outcomes in children with mild-to-severe HL. Design, Setting, and Participants An observational cross-sectional design was used to examine the association of aided hearing levels and length of HA use with levels of speech and language outcomes. One hundred eighty 3- and 5-year-old children with HL were recruited through records of Universal Newborn Hearing Screening and referrals from clinical service providers in the general community in 6 US states. Interventions All but 4 children had been fitted with HAs, and measures of aided hearing and the duration of HA use were obtained. Main outcomes and measures Standardized measures of speech and language ability were obtained. Results Measures of the gain in hearing ability for speech provided by the HA were significantly correlated with levels of speech (ρ179 = 0.20; P = .008) and language: ρ155 = 0.21; P = .01) ability. These correlations were indicative of modest levels of association between aided hearing and speech and language outcomes. These benefits were found for children with mild and moderate-to-severe HL. In addition, the amount of benefit from aided hearing interacted with the duration of HA experience (Speech: F4,161 = 4.98; P < .001; Language: F4,138 = 2.91; P < .02). Longer duration of HA experience was most beneficial for children who had the best aided hearing. Conclusions and Relevance The degree of improved hearing provided by HAs was associated with better speech and language development in children. In addition, the duration of HA

  19. The effect of hearing aid bandwidth on speech recognition performance of listeners using a cochlear implant and contralateral hearing aid (bimodal hearing)

    PubMed Central

    Neuman, Arlene C.; Svirsky, Mario A.

    2013-01-01

    Objectives The purpose of this study was to determine how the bandwidth of the hearing aid (HA) fitting affects bimodal speech recognition of listeners with a cochlear implant (CI) in one ear and severe-to-profound hearing loss in the unimplanted ear (but with residual hearing sufficient for wideband amplification using NAL-RP prescriptive guidelines; unaided thresholds no poorer than 95 dB HL through 2000 Hz). Design Recognition of sentence material in quiet and in noise was measured with the CI alone and with CI plus HA as the amplification provided by the hearing aid in the high and mid-frequency regions was systematically reduced from the wideband condition (NAL-RP prescription). Modified bandwidths included upper frequency cutoffs of 2,000, 1,000 or 500 Hz. Results On average, significant bimodal benefit was obtained when the hearing aid provided amplification at all frequencies with aidable residual hearing. Limiting the hearing aid bandwidth to only low frequency amplification (below 1000 Hz) did not yield significant improvements in performance over listening with the CI alone. Conclusion These data suggest the importance of providing amplification across as wide a frequency region as permitted by audiometric thresholds in the hearing aid used by bimodal users. PMID:23632973

  20. Effects of hearing aid amplification on voice F0 variability in speakers with prelingual hearing loss.

    PubMed

    Lee, Guo-She; Liu, Chialin; Lee, Shao-Hsuan

    2013-08-01

    To investigate the audio-vocal feedback responses of (F0) to hearing amplification in severe-to-profound prelingual hearing loss (SPHL) using power spectral analysis of F0 contour of sustained vowels. Sustained phonations of vowel/a/of seventeen participants with SPHL were acquired with and without hearing-aid amplifications. The vocal intensity was visually fed back to the participants to help controlling the vocal intensity at 65-75 dBA and 85-95 dBA. The F0 contour of the phonations was extracted and submitted to spectral analysis to measure the extent of F0 fluctuations at different frequency ranges. The results showed that both high vocal intensity and hearing-aid amplification significantly improved voice F0 control by reducing the low-frequency fluctuations (low-frequency power, LFP, 0.2-3 Hz) in F0 spectrum. However, the enhanced feedback from higher vocal intensity and/or hearing amplification was not adequate to reduce the LFP to the level of a normal hearing person. Moreover, we found significant and negative correlations between LFP and supra-threshold feedback intensity (phonation intensity - hearing threshold level) for the frequencies of 500-2000 Hz. Increased vocal intensity, as well as hearing-aid amplification, improved voice F0 control by reducing the LFP of F0 spectrum, and the subtle changes in voices could be well explored using spectral analysis of F0. PMID:23648550

  1. Consensus on Hearing Aid Candidature and Fitting for Mild Hearing Loss, With and Without Tinnitus: Delphi Review

    PubMed Central

    Hoare, Derek J.; Nicholson, Richard; Smith, Sandra; Hall, Deborah A.

    2015-01-01

    Objectives: In many countries including the United Kingdom, hearing aids are a first line of audiologic intervention for many people with tinnitus and aidable hearing loss. Nevertheless, there is a lack of high quality evidence to support that they are of benefit for tinnitus, and wide variability in their use in clinical practice especially for people with mild hearing loss. The aim of this study was to identify a consensus among a sample of UK clinicians on the criteria for hearing aid candidature and clinical practice in fitting hearing aids specifically for mild hearing loss with and without tinnitus. This will allow professionals to establish clinical benchmarks and to gauge their practice with that used elsewhere. Design: The Delphi technique, a systematic methodology that seeks consensus amongst experts through consultation using a series of iterative questionnaires, was used. A three-round Delphi survey explored clinical consensus among a panel of 29 UK hearing professionals. The authors measured panel agreement on 115 statements covering: (i) general factors affecting the decision to fit hearing aids, (ii) protocol-driven factors affecting the decision to fit hearing aids, (iii) general practice, and (iv) clinical observations. Consensus was defined as a priori ≥70% agreement across the panel. Results: Consensus was reached for 58 of the 115 statements. The broad areas of consensus were around factors important to consider when fitting hearing aids; hearing aid technology/features offered; and important clinical assessment to verify hearing aid fit (agreement of 70% or more). For patients with mild hearing loss, the greatest priority was given by clinicians to patient-centered criteria for fitting hearing aids: hearing difficulties, motivation to wear hearing aids, and impact of hearing loss on quality of life (chosen as top five by at least 64% of panelists). Objective measures were given a lower priority: degree of hearing loss and shape of the

  2. Costs of screening children for hearing disorders and delivery of hearing aids in China

    PubMed Central

    Baltussen, Rob; Li, Ju; Wu, Li Dong; Ge, Xiao Hui; Teng, Bai Yu; Sun, Xi Bin; Han, Rui; Wang, Xiao Li; McPherson, Bradley

    2009-01-01

    Background The burden of disease of hearing disorders among children is high, but a large part goes undetected. School-based screening programs in combination with the delivery of hearing aids can alleviate this situation, but the costs of such programs are unknown. Aim To evaluate the costs of a school-based screening program for hearing disorders, among approximately 216,000 school children, and the delivery of hearing aids to 206 children at three different care levels in China. Methods In a prospective study design, screening and hearing aid delivery costs were estimated on the basis of program records and an empirical assessment of health personnel time input. Household costs for seeking and undergoing hearing health care were collected with a questionnaire, administered to the parents of the child. Data were collected at three study sites representing primary, secondary and tertiary care levels. Results Total screening and hearing aid delivery costs ranged between RMB70,000 (US$9,000) and RMB133,000 (US$17,000) in the three study sites. Health care cost per child fitted ranged from RMB5,900 (US$760) at the primary care level, RMB7,200 (US$940) at the secondary care level, to RMB8,600 (US$1,120) at the tertiary care level. Household costs were only a small fraction of the overall costs. Cost per child fitted ranged between RMB1,608 and RMB2,812 (US$209–US$365), depending on perspective of analysis and study site. The program was always least costly in the primary care setting. Conclusion Hearing screening and the delivery of hearing aids in China is least costly in a primary care setting. Important questions remain concerning its implementation. PMID:19371419

  3. Babies' portal website hearing aid section: assessment by audiologists.

    PubMed

    Bastos, Bárbara Guimarães; Ferrari, Deborah Viviane

    2014-10-01

    Introduction The family has ultimate responsibility for decisions about the use and care during the daily routine and problem solving in the manipulation of hearing aids (HA) in infants and children. Objective The purpose of the study was to assess technical and content quality of Babies' Portal website Hearing Aid section by audiologists. Methods Letters and e-mails were sent inviting professionals to surf the website and anonymously fill out an online form with 58 questions covering demographic data as well as the website's technical (Emory questionnaire with the subscales of accuracy, authorship, updates, public, navigation, links, and structure) and content quality. Results A total of 109 professionals (tree men and 106 women) with mean age of 31.6 years participated in the study. Emory percentage scores ranged from 90.1 to 96.7%. The Hearing Aid section contents were considered good or very good. Conclusion The website was deemed to have good technical and content quality, being suitable to supplement informational counseling to parents of hearing-impaired children fitted with hearing aids. PMID:25992119

  4. User preference and reliability of bilateral hearing aid gain adjustments.

    PubMed

    Hornsby, Benjamin W Y; Mueller, H Gustav

    2008-02-01

    The purpose of the current study was to evaluate the consistency and reliability of user adjustments to hearing aid gain and the resulting effects on speech understanding. Sixteen bilaterally aided individuals with hearing loss adjusted their hearing aid gain to optimize listening comfort and speech clarity while listening to speech in quiet and noisy backgrounds. Following these adjustments, participants readjusted their aids to optimize clarity and comfort while listening to speech in quiet. These final gain settings were recorded and compared to those provided by NAL-NL1 prescriptive targets. In addition, speech understanding was tested with the hearing aids set at target and user gain settings. Performance differences between the gain settings were then assessed. Study results revealed that although some listeners preferred more or less gain than prescribed, on average, user and prescribed gain settings were similar in both ears. Some individuals, however, made gain adjustments between ears resulting in "gain mismatches." These "mismatches" were often inconsistent across trials suggesting that these adjustments were unreliable. Speech testing results, however, showed no significant difference across the different gain settings suggesting that the gain deviations introduced in this study were not large enough to significantly affect speech understanding. PMID:18669129

  5. Quality of life in bimodal hearing users (unilateral cochlear implants and contralateral hearing aids).

    PubMed

    Farinetti, A; Roman, S; Mancini, J; Baumstarck-Barrau, K; Meller, R; Lavieille, J P; Triglia, J M

    2015-11-01

    The main objective was to evaluate the bimodal self-rated benefits on auditory performance under real conditions and the quality of life in two groups of cochlear-implanted adults, with or without a contralateral hearing aid. The secondary objective was to investigate correlations between the use of a hearing aid and residual hearing on the non-implanted ear. This retrospective study was realized between 2000 and 2010 in two referral centers. A population of 183 postlingually deaf adults, implanted with a cochlear experience superior to 6 months, was selected. The Speech, Spatial, and other Qualities of Hearing Scale were administered to evaluate the auditory performances, and the Nijmegen Cochlear Implant Questionnaire to evaluate the quality of life. The population was divided into two groups: a group with unilateral cochlear implants (Cochlear Implant-alone, n = 54), and a bimodal group with a cochlear implant and a contralateral hearing aid (n = 62). Both groups were similar in terms of auditory deprivation duration, duration of cochlear implant use, and pure-tone average on the implanted ear. There was a significant difference in terms of pure-tone average on low and low-to-mid frequencies on the non-implanted ear. The scores on both questionnaires showed an improvement in the basic sound perception and quality of social activities for the bimodal group. The results suggest that the bimodal stimulation (cochlear implant and contralateral hearing aid) improved auditory perception in quiet and the quality of life domain of social activities. PMID:25373837

  6. Localization ability with bimodal hearing aids and bilateral cochlear implants

    NASA Astrophysics Data System (ADS)

    Seeber, Bernhard U.; Baumann, Uwe; Fastl, Hugo

    2004-09-01

    After successful cochlear implantation in one ear, some patients continue to use a hearing aid at the contralateral ear. They report an improved reception of speech, especially in noise, as well as a better perception of music when the hearing aid and cochlear implant are used in this bimodal combination. Some individuals in this bimodal patient group also report the impression of an improved localization ability. Similar experiences are reported by the group of bilateral cochlear implantees. In this study, a survey of 11 bimodally and 4 bilaterally equipped cochlear implant users was carried out to assess localization ability. Individuals in the bimodal implant group were all provided with the same type of hearing aid in the opposite ear, and subjects in the bilateral implant group used cochlear implants of the same manufacturer on each ear. Subjects adjusted the spot of a computer-controlled laser-pointer to the perceived direction of sound incidence in the frontal horizontal plane by rotating a trackball. Two subjects of the bimodal group who had substantial residual hearing showed localization ability in the bimodal configuration, whereas using each single device only the subject with better residual hearing was able to discriminate the side of sound origin. Five other subjects with more pronounced hearing loss displayed an ability for side discrimination through the use of bimodal aids, while four of them were already able to discriminate the side with a single device. Of the bilateral cochlear implant group one subject showed localization accuracy close to that of normal hearing subjects. This subject was also able to discriminate the side of sound origin using the first implanted device alone. The other three bilaterally equipped subjects showed limited localization ability using both devices. Among them one subject demonstrated a side-discrimination ability using only the first implanted device.

  7. Speech intelligibility of children with cochlear implants, tactile aids, or hearing aids.

    PubMed

    Osberger, M J; Maso, M; Sam, L K

    1993-02-01

    Speech intelligibility was measured in 31 children who used the 3M/House single-channel implant (n = 12), the Nucleus 22-Channel Cochlear Implant System (n = 15), or the Tactaid II + two-channel vibrotactile aid (n = 4). The subjects were divided into subgroups based on age at onset of deafness (early or late). The speech intelligibility of the experimental subjects was compared to that of children who were profoundly hearing impaired who used conventional hearing aids (n = 12) or no sensory aid (n = 2). The subjects with early onset of deafness who received their single- or multichannel cochlear implant before age 10 demonstrated the highest speech intelligibility, whereas subjects who did not receive their device until after age 10 had the poorest speech intelligibility. There was no obvious difference in the speech intelligibility scores of these subjects as a function of type of device (implant or tactile aid). On the average, the postimplant or tactile aid speech intelligibility of the subjects with early onset of deafness was similar to that of hearing aid users with hearing levels between 100 and 110 dB HL and limited hearing in the high frequencies. The speech intelligibility of subjects with late onset of deafness showed marked deterioration after the onset of deafness with relatively large improvements by most subjects after they received a single- or multichannel implant. The one subject with late onset of deafness who used a tactile aid showed no improvement in speech intelligibility. PMID:8450658

  8. A programmable sound processor for advanced hearing aid research.

    PubMed

    McDermott, H

    1998-03-01

    A portable sound processor has been developed to facilitate research on advanced hearing aids. Because it is based on a digital signal processing integrated circuit (Motorola DSP56001), it can readily be programmed to execute novel algorithms. Furthermore, the parameters of these algorithms can be adjusted quickly and easily to suit the specific hearing characteristics of users. In the processor, microphone signals are digitized to a precision of 12 bits at a sampling rate of approximately 12 kHz for input to the DSP device. Subsequently, processed samples are delivered to the earphone by a novel, fully-digital class-D driver. This driver provides the advantages of a conventional class-D amplifier (high maximum output, low power consumption, low distortion) without some of the disadvantages (such as the need for precise analog circuitry). In addition, a cochlear implant driver is provided so that the processor is suitable for hearing-impaired people who use an implant and an acoustic hearing aid together. To reduce the computational demands on the DSP device, and therefore the power consumption, a running spectral analysis of incoming signals is provided by a custom-designed switched-capacitor integrated circuit incorporating 20 bandpass filters. The complete processor is pocket-sized and powered by batteries. An example is described of its use in providing frequency-shaped amplification for aid users with severe hearing impairment. Speech perception tests confirmed that the processor performed significantly better than the subjects' own hearing aids, probably because the digital filter provided a frequency response generally closer to the optimum for each user than the simpler analog aids. PMID:9535523

  9. Threshold improvement and acoustic gain with hearing aids.

    PubMed

    Walden, B E; Kasten, R N

    1976-01-01

    Aided speech reception thresholds were obtained from 20 hearing-impaired listeners with three hearing aids adjusted to confort settings, and with the aids adjusted to deliver 40 dB of acoustic gain. The aided speech reception threshold under each condition was substracted from the unaided speech reception threshold to yield a measure of threshold improvement. Threshold improvement and acoustic gain comparisons revealed that, at comfort setting, these two measures were quite similar. However, at the 40-dB gain setting, acoustic gain exceeded threshold improvement by an average of 5.6 dB. For the high-gain condition, it appeared that the threshold improvement obtained by subjects with relatively good unaided sensitivity was limited by the ambient noise in the test chamber. PMID:938347

  10. Radio Frequency Hearing Aids: The Need for Complementary and Compatible Channel Allocation.

    ERIC Educational Resources Information Center

    Burgess, Vic; And Others

    1979-01-01

    The article discusses the use of radio frequency hearing aids, which provide a practical means of improving the signal-to-noise ratio of conventional hearing aids used by the aurally handicapped. (Author/DLS)

  11. 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...

  12. Oral Language Comprehension Using Hearing Aids and Tactile Aids: Three Case Studies.

    ERIC Educational Resources Information Center

    Proctor, Adele

    1990-01-01

    Three prelinguistic, profoundly deaf children (aged three to four) used a wearable, single channel, vibrotactile communication aid in conjunction with hearing aids during individual speech and language therapy at school. Subjects exhibited a faster than average rate of learning to understand spoken language after the onset of vibrotactile…

  13. 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

  14. 47 CFR 68.414 - Hearing aid-compatibility: Enforcement.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Hearing aid-compatibility: Enforcement. 68.414 Section 68.414 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.414...

  15. 47 CFR 68.414 - Hearing aid-compatibility: Enforcement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatibility: Enforcement. 68.414 Section 68.414 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.414...

  16. An Introduction to Neural Networks for Hearing Aid Noise Recognition.

    ERIC Educational Resources Information Center

    Kim, Jun W.; Tyler, Richard S.

    1995-01-01

    This article introduces the use of multilayered artificial neural networks in hearing aid noise recognition. It reviews basic principles of neural networks, and offers an example of an application in which a neural network is used to identify the presence or absence of noise in speech. The ability of neural networks to "learn" the characteristics…

  17. 47 CFR 68.414 - Hearing aid-compatibility: Enforcement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Hearing aid-compatibility: Enforcement. 68.414 Section 68.414 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.414...

  18. 47 CFR 68.414 - Hearing aid-compatibility: Enforcement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Hearing aid-compatibility: Enforcement. 68.414 Section 68.414 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.414...

  19. 47 CFR 68.414 - Hearing aid-compatibility: Enforcement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Hearing aid-compatibility: Enforcement. 68.414 Section 68.414 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Complaint Procedures § 68.414...

  20. Musicians and hearing aid design--is your hearing instrument being overworked?

    PubMed

    Schmidt, Mark

    2012-09-01

    Music can have sound levels that are in excess of the capability of most modern digital hearing aids to transduce sound without significant distortion. One innovation is to use a hearing aid microphone that is less sensitive to some of the lower frequency intense components of music, thereby providing the analog-to-digital (A/D) converter with an input that is within its optimal operating region. The "missing" low-frequency information can still enter through an unoccluded earmold as unamplified sound and be part of the entire music listening experience. Technical issues with this alternative microphone configuration include an increase in the internal noise floor of the hearing aid, but with judicious use of expansion, the noise floor can significantly be reduced. Other issues relate to fittings where significant low-frequency amplification is also required, but this type of fitting can be optimized in the fitting software by adding amplification after the A/D bottle neck. PMID:23258617

  1. 47 CFR 68.415 - Hearing aid-compatibility and volume control informal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Hearing aid-compatibility and volume control... Procedures § 68.415 Hearing aid-compatibility and volume control informal complaints. Persons with complaints... complaints regarding rules in this part pertaining to hearing aid compatibility and volume control, may...

  2. 47 CFR 68.415 - Hearing aid-compatibility and volume control informal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Hearing aid-compatibility and volume control... Procedures § 68.415 Hearing aid-compatibility and volume control informal complaints. Persons with complaints... complaints regarding rules in this part pertaining to hearing aid compatibility and volume control, may...

  3. 47 CFR 68.415 - Hearing aid-compatibility and volume control informal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 3 2013-10-01 2013-10-01 false Hearing aid-compatibility and volume control... Procedures § 68.415 Hearing aid-compatibility and volume control informal complaints. Persons with complaints... complaints regarding rules in this part pertaining to hearing aid compatibility and volume control, may...

  4. 21 CFR 801.420 - Hearing aid devices; professional and patient labeling.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... incorporation by reference in accordance with 5 U.S.C. 552(a) and 1 CFR part 51. Copies are available from the... the ear. Special care should be exercised in selecting and fitting a hearing aid whose maximum sound... hearing aid user. (This provision is required only for those hearing aids with a maximum sound...

  5. Predictors of hearing aid use time in children with mild-severe hearing loss

    PubMed Central

    Walker, Elizabeth A.; Spratford, Meredith; Moeller, Mary Pat; Oleson, Jacob; Ou, Hua; Roush, Patricia; Jacobs, Shana

    2012-01-01

    Purpose This study investigated predictors of hearing aid (HA) use time for children with mild-severe hearing loss. Barriers to consistent HA use and reliability of parent report measures were also examined. Method Participants included parents of 272 children with hearing loss. Parents estimated the amount of time the child used HAs daily. Regression analysis examined the relationships among independent variables and HA use time. To determine parental accuracy of HA use time, datalogging from the HA was compared to parental estimates. Results Longer HA use related to older age, poorer hearing, and higher maternal education. Parental consistency ratings revealed similar findings; younger children and children with milder hearing losses wore HAs less consistently than older children and children with more severe hearing loss. Parents’ estimates and datalogging were significantly correlated; however, results suggested parents overestimate the amount of time their children wear their hearing aids. Conclusions The findings provide evidence that certain variables were significantly related to the amount of time children wore their HAs. Consistency rating scales provided insight into circumstances that were challenging for families. Use of both parental reports and datalogging may allow clinicians and researchers to obtain a general estimate of HA use time. PMID:22869089

  6. Hearing loss and the central auditory system: Implications for hearing aids

    NASA Astrophysics Data System (ADS)

    Frisina, Robert D.

    2003-04-01

    Hearing loss can result from disorders or damage to the ear (peripheral auditory system) or the brain (central auditory system). Here, the basic structure and function of the central auditory system will be highlighted as relevant to cases of permanent hearing loss where assistive devices (hearing aids) are called for. The parts of the brain used for hearing are altered in two basic ways in instances of hearing loss: (1) Damage to the ear can reduce the number and nature of input channels that the brainstem receives from the ear, causing plasticity of the central auditory system. This plasticity may partially compensate for the peripheral loss, or add new abnormalities such as distorted speech processing or tinnitus. (2) In some situations, damage to the brain can occur independently of the ear, as may occur in cases of head trauma, tumors or aging. Implications of deficits to the central auditory system for speech perception in noise, hearing aid use and future innovative circuit designs will be provided to set the stage for subsequent presentations in this special educational session. [Work supported by NIA-NIH Grant P01 AG09524 and the International Center for Hearing & Speech Research, Rochester, NY.

  7. Factors Influencing Hearing Aid Use in the Classroom: A Pilot Study

    PubMed Central

    Davis, Hilary; Hornsby, Benjamin W. Y.; Bess, Fred H.

    2015-01-01

    Purpose This pilot study examined factors influencing classroom hearing aid use in school-age children with hearing loss. Method The research team visited classrooms of 38 children with mild-to-moderate hearing loss (Grades 1–7) on 2 typical school days, twice per day, to document hearing aid use. In addition, parents reported the number of hours their children used hearing aids at school. Results Nearly 24% of children were observed not wearing their hearing aids in the classroom on either observation day. Both grade level and degree of hearing loss appeared to affect hearing aid use. Children in Grades 5–7 and those with milder hearing losses were less likely to wear hearing aids. Overall, parents accurately reported classroom hearing aid use; however, those with children in Grades 5–7 were less accurate than those with children in earlier grades. Conclusions These preliminary results suggest that children with milder hearing loss and those in Grades 5–7 are at increased risk for reduced hearing aid use in the classroom. Also, parents of school-age children in these later grades are less accurate reporters of classroom hearing aid use compared to parents of children in earlier grades. PMID:26650231

  8. Wind noise in hearing aids with directional and omnidirectional microphones: Polar characteristics of custom-made hearing aids.

    PubMed

    Chung, King; McKibben, Nicholas; Mongeau, Luc

    2010-04-01

    The purpose of this study was to examine the characteristics of wind noise at the output of in-the-ear, in-the-canal, and completely-in-the-canal hearing aids. The hearing aids were programed to have linear amplification with matching flat frequency responses for directional (DIR) and omnidirectional (OMNI) microphones. The microphone output was then recorded in a quiet wind tunnel when the Knowles electronic manikin for acoustic research (KEMAR) head was turned from 0 degrees to 360 degrees . The overall, 125, 500, and 2000 Hz one-third octave band flow noise levels were calculated and plotted in polar patterns. Correlation coefficients, average differences, and level differences between DIR and OMNI were also calculated. Flow noise levels were the highest when KEMAR was facing the direction of the flow and angles between 190 degrees and 250 degrees . The noise levels were the lowest when the hearing aids were facing the direction of the flow. The polar patterns of DIR and OMNI had similar shapes and DIR generally had higher levels than OMNI. DIR, however, could have lower levels than OMNI in some angles because of its capability to reduce noise in the far field. Comparisons of polar characteristics with behind-the-ear hearing aids, and clinical and engineering design applications of current results are discussed. PMID:20370035

  9. Characterization of the dominant structural vibration of hearing aid receivers: Towards the moderation of mechanical feedback in hearing aids

    NASA Astrophysics Data System (ADS)

    Varanda, Brenno R.

    Presented are the results from the experimental, analytical, and computational analyses accomplished to characterize the mechanical vibration of hearing aid receivers, a key electro-acoustic component of hearing aids. The function of a receiver in a hearing aid is to provide an amplified sound signal into the ear canal. Unfortunately, as the receiver produces sound, it also undergoes vibration which can be transmitted through the hearing aid package to the microphones, resulting in undesirable feedback oscillations. To gain more knowledge and control on the source of these feedback oscillations, a dynamic rigid body model of the receiver is proposed. The rigid body model captures the essential dynamic features of the receiver. The model is represented by two hinged rigid bodies, under an equal and opposite dynamic moment load, and connected to each other by a torsional spring and damper. The mechanical coupling ratio between the two rigid bodies is proved to be acoustically independent. A method is introduced to estimate the parameters for the proposed model using experimental data. An equivalent finite element analysis model is established and tested against a known and characterized mechanical attachment. The simulated model successfully predicts the structural dynamic response showing excellent agreement between the finite element analysis and measured results.

  10. Assembly and Insertion of a Self-Fitting Hearing Aid

    PubMed Central

    Hickson, Louise; Meyer, Carly

    2011-01-01

    A self-fitting hearing aid has been proposed as a viable option to meet the need for rehabilitation in areas where audiology services are unreliable. A successful outcome with a self-fitting hearing aid pivots in part on the clarity of the instructions accompanying the device. The aims of this article are (a) to review the literature to determine features that should be incorporated into written health-care materials and factors to consider in the design process when developing written instructions for a target audience of older adults and (b) to apply this information to the development of a set of written instructions as the first step in self-fitting of a hearing aid, assembling four parts and inserting the aid into the ear. The method involved a literature review of published peer reviewed research. The literature revealed four steps in the development of written health-care materials: planning, design, assessment of suitability, and pilot testing. Best practice design principles for each step were applied in the development of instructions for how to assemble and insert a hearing aid. Separate booklets were developed for the left and right aids and the content of each consisted of simple line drawings accompanied by captions. The reading level was Grade 3.5 equivalent and the Flesch Reading Ease Score was 91.1 indicating that the materials were “very easy” to read. It is essential to follow best practice design principles when developing written health-care materials to motivate the reader, maximize comprehension, and increase the likelihood of successful application of the content. PMID:22389434

  11. A comparative study of the audiological outcomes with Retro-X (semi-implantable hearing aid system) and conventional open fitting hearing aids.

    PubMed

    Lenarz, Minoo; Lenarz, Thomas; Stieve, Martin; Winter, Mark

    2008-10-01

    The objective of this study was to compare the results of hearing augmentation with the Retro-X semi-implantable hearing aid to a conventional non-implantable open canal hearing aid using the same software technology (Titan-X, auric Hearing Systems, HiKaNo.:13.20.03.0047). Nineteen subjects (20 ears) with mild to moderate high-frequency sensory-neural hearing loss were included in this clinical study. All the subjects were first fitted with a conventional open canal hearing aid (Titan-X). After a period of 4-6 weeks audiological evaluations were performed using standardized speech tests in quiet and noise. Subjective evaluation was performed with the help of standardized questionnaires. After this phase the patients received the semi-implantable Retro-X device under local anaesthesia and 4 weeks later were fitted with a hearing module with the same software technology as the conventional Titan-X hearing aid. Four weeks following the first fitting the same audiological evaluations were performed under similar conditions and the patients were evaluated again using the same questionnaires in order to compare the results of the Retro-X semi-implantable system with the conventional open canal hearing aid. Audiological evaluations revealed better results with the semi-implantable Retro-X in the adaptive speech in noise test; however, the results of the monosyllabic word test in quiet were similar for the Retro-X and conventional open canal hearing aid. The patients subjectively preferred the improved wearing comfort of the semi-implantable device. The Retro-X semi-implantable hearing aid provides better speech perception in noise and higher wearing comfort in comparison to the conventional open canal hearing aids. Considering the simple implantation procedure under local anaesthesia with low complication rate, Retro-X is an alternative to the conventional open canal hearing aids in patients with mild to moderate high frequency sensory-neural hearing loss. PMID:18365229

  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. Influence of Implantable Hearing Aids and Neuroprosthesison Music Perception

    PubMed Central

    Rahne, Torsten; Böhme, Lars; Götze, Gerrit

    2012-01-01

    The identification and discrimination of timbre are essential features of music perception. One dominating parameter within the multidimensional timbre space is the spectral shape of complex sounds. As hearing loss interferes with the perception and enjoyment of music, we approach the individual timbre discrimination skills in individuals with severe to profound hearing loss using a cochlear implant (CI) and normal hearing individuals using a bone-anchored hearing aid (Baha). With a recent developed behavioral test relying on synthetically sounds forming a spectral continuum, the timbre difference was changed adaptively to measure the individual just noticeable difference (JND) in a forced-choice paradigm. To explore the differences in timbre perception abilities caused by the hearing mode, the sound stimuli were varied in their fundamental frequency, thus generating different spectra which are not completely covered by a CI or Baha system. The resulting JNDs demonstrate differences in timbre perception between normal hearing individuals, Baha users, and CI users. Beside the physiological reasons, also technical limitations appear as the main contributing factors. PMID:22645422

  14. Influence of implantable hearing aids and neuroprosthesison music perception.

    PubMed

    Rahne, Torsten; Böhme, Lars; Götze, Gerrit

    2012-01-01

    The identification and discrimination of timbre are essential features of music perception. One dominating parameter within the multidimensional timbre space is the spectral shape of complex sounds. As hearing loss interferes with the perception and enjoyment of music, we approach the individual timbre discrimination skills in individuals with severe to profound hearing loss using a cochlear implant (CI) and normal hearing individuals using a bone-anchored hearing aid (Baha). With a recent developed behavioral test relying on synthetically sounds forming a spectral continuum, the timbre difference was changed adaptively to measure the individual just noticeable difference (JND) in a forced-choice paradigm. To explore the differences in timbre perception abilities caused by the hearing mode, the sound stimuli were varied in their fundamental frequency, thus generating different spectra which are not completely covered by a CI or Baha system. The resulting JNDs demonstrate differences in timbre perception between normal hearing individuals, Baha users, and CI users. Beside the physiological reasons, also technical limitations appear as the main contributing factors. PMID:22645422

  15. 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

  16. 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

  17. 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

  18. Adaptive noise suppression for a dual-microphone hearing aid.

    PubMed

    Wouters, Jan; Berghe, Jeff Vanden; Maj, Jean-Baptiste

    2002-10-01

    An adaptive beamformer for behind-the-ear dual-microphone hearing aids has been optimized for speech intelligibility enhancement in the presence of disturbing sounds or noise. The noise reduction approach is based on the scheme presented by Vanden Berghe and Wouters (1998). A real-time implementation of the signal processing is realized in Audallion, a wearable, small digital signal processing (DSP) platform. After physical evaluation, speech-in-noise intelligibility tests have been carried out on three normally-hearing and two hearing-impaired subjects. A significant speech reception threshold improvement of 11.3 dB was obtained in a moderately reverberant environment for one jammer sound source (steady speech-weighted noise or multi-talker babble) in a direction of 90 degrees relative to the direction of the speech. PMID:12403608

  19. Bimodal Hearing Aid Retention after Unilateral Cochlear Implantation.

    PubMed

    Devocht, Elke M J; George, Erwin L J; Janssen, A Miranda L; Stokroos, Robert J

    2015-01-01

    The goal of this study was to investigate contralateral hearing aid (HA) use after unilateral cochlear implantation and to identify factors of influence on the occurrence of a unilateral cochlear implant (CI) recipient becoming a bimodal user. A retrospective cross-sectional chart review was carried out among 77 adult unilateral CI recipients 1 year after implantation. A bimodal HA retention rate of 64% was observed. Associations with demographics, hearing history, residual hearing and speech recognition ability were investigated. Better pure-tone thresholds and unaided speech scores in the non-implanted ear, as well as a smaller difference in speech recognition scores between both ears, were significantly associated with HA retention. A combined model of HA retention was proposed, and cut-off points were determined to identify those CI recipients who were most likely to become bimodal users. These results can provide input to clinical guidelines concerning bimodal CI candidacy. PMID:26461124

  20. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Routine checking of hearing aids and external... Eligibility Other Fape Requirements § 300.113 Routine checking of hearing aids and external components of surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids...

  1. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Routine checking of hearing aids and external components... Eligibility Other Fape Requirements § 300.113 Routine checking of hearing aids and external components of surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids...

  2. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Routine checking of hearing aids and external... Eligibility Other Fape Requirements § 300.113 Routine checking of hearing aids and external components of surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids...

  3. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Routine checking of hearing aids and external components... Eligibility Other Fape Requirements § 300.113 Routine checking of hearing aids and external components of surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids...

  4. 34 CFR 300.113 - Routine checking of hearing aids and external components of surgically implanted medical devices.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Routine checking of hearing aids and external... Eligibility Other Fape Requirements § 300.113 Routine checking of hearing aids and external components of surgically implanted medical devices. (a) Hearing aids. Each public agency must ensure that hearing aids...

  5. Self-Fitting Hearing Aids: Status Quo and Future Predictions.

    PubMed

    Keidser, Gitte; Convery, Elizabeth

    2016-01-01

    A self-contained, self-fitting hearing aid (SFHA) is a device that enables the user to perform both threshold measurements leading to a prescribed hearing aid setting and fine-tuning, without the need for audiological support or access to other equipment. The SFHA has been proposed as a potential solution to address unmet hearing health care in developing countries and remote locations in the developed world and is considered a means to lower cost and increase uptake of hearing aids in developed countries. This article reviews the status of the SFHA and the evidence for its feasibility and challenges and predicts where it is heading. Devices that can be considered partly or fully self-fitting without audiological support were identified in the direct-to-consumer market. None of these devices are considered self-contained as they require access to other hardware such as a proprietary interface, computer, smartphone, or tablet for manipulation. While there is evidence that self-administered fitting processes can provide valid and reliable results, their success relies on user-friendly device designs and interfaces and easy-to-interpret instructions. Until these issues have been sufficiently addressed, optional assistance with the self-fitting process and on-going use of SFHAs is recommended. Affordability and a sustainable delivery system remain additional challenges for the SFHA in developing countries. Future predictions include a growth in self-fitting products, with most future SFHAs consisting of earpieces that connect wirelessly with a smartphone and providers offering assistance through a telehealth infrastructure, and the integration of SFHAs into the traditional hearing health-care model. PMID:27072929

  6. Performance of directional microphone hearing aids in everyday life.

    PubMed

    Cord, Mary T; Surr, Rauna K; Walden, Brian E; Olson, Laurel

    2002-06-01

    This study explored the use patterns and benefits of directional microphone technology in real-world situations experienced by patients who had been fitted with switchable omnidirectional/directional hearing aids. Telephone interviews and paper-and-pencil questionnaires were used to assess perceived performance with each microphone type in a variety of listening situations. Patients who used their hearing aids regularly and switched between the two microphone configurations reported using the directional mode, on average, about one-quarter of the time. From brief descriptions, patients could identify listening situations in which each microphone mode should provide superior performance. Further, they reported encountering listening situations in which an omnidirectional microphone should provide better performance more frequently than listening situations in which the directional microphones should be superior. Despite using the omnidirectional mode more often and encountering situations in which an omnidirectional microphone should provide superior performance more frequently, participants reported the same level of satisfaction with each microphone type. PMID:12141387

  7. Working memory and intelligibility of hearing-aid processed speech.

    PubMed

    Souza, Pamela E; Arehart, Kathryn H; Shen, Jing; Anderson, Melinda; Kates, James M

    2015-01-01

    Previous work suggested that individuals with low working memory capacity may be at a disadvantage in adverse listening environments, including situations with background noise or substantial modification of the acoustic signal. This study explored the relationship between patient factors (including working memory capacity) and intelligibility and quality of modified speech for older individuals with sensorineural hearing loss. The modification was created using a combination of hearing aid processing [wide-dynamic range compression (WDRC) and frequency compression (FC)] applied to sentences in multitalker babble. The extent of signal modification was quantified via an envelope fidelity index. We also explored the contribution of components of working memory by including measures of processing speed and executive function. We hypothesized that listeners with low working memory capacity would perform more poorly than those with high working memory capacity across all situations, and would also be differentially affected by high amounts of signal modification. Results showed a significant effect of working memory capacity for speech intelligibility, and an interaction between working memory, amount of hearing loss and signal modification. Signal modification was the major predictor of quality ratings. These data add to the literature on hearing-aid processing and working memory by suggesting that the working memory-intelligibility effects may be related to aggregate signal fidelity, rather than to the specific signal manipulation. They also suggest that for individuals with low working memory capacity, sensorineural loss may be most appropriately addressed with WDRC and/or FC parameters that maintain the fidelity of the signal envelope. PMID:25999874

  8. Working memory and intelligibility of hearing-aid processed speech

    PubMed Central

    Souza, Pamela E.; Arehart, Kathryn H.; Shen, Jing; Anderson, Melinda; Kates, James M.

    2015-01-01

    Previous work suggested that individuals with low working memory capacity may be at a disadvantage in adverse listening environments, including situations with background noise or substantial modification of the acoustic signal. This study explored the relationship between patient factors (including working memory capacity) and intelligibility and quality of modified speech for older individuals with sensorineural hearing loss. The modification was created using a combination of hearing aid processing [wide-dynamic range compression (WDRC) and frequency compression (FC)] applied to sentences in multitalker babble. The extent of signal modification was quantified via an envelope fidelity index. We also explored the contribution of components of working memory by including measures of processing speed and executive function. We hypothesized that listeners with low working memory capacity would perform more poorly than those with high working memory capacity across all situations, and would also be differentially affected by high amounts of signal modification. Results showed a significant effect of working memory capacity for speech intelligibility, and an interaction between working memory, amount of hearing loss and signal modification. Signal modification was the major predictor of quality ratings. These data add to the literature on hearing-aid processing and working memory by suggesting that the working memory-intelligibility effects may be related to aggregate signal fidelity, rather than to the specific signal manipulation. They also suggest that for individuals with low working memory capacity, sensorineural loss may be most appropriately addressed with WDRC and/or FC parameters that maintain the fidelity of the signal envelope. PMID:25999874

  9. Evaluation of feedback-reduction algorithms for hearing aids.

    PubMed

    Greenberg, J E; Zurek, P M; Brantley, M

    2000-11-01

    Three adaptive feedback-reduction algorithms were implemented in a laboratory-based digital hearing aid system and evaluated with dynamic feedback paths and hearing-impaired subjects. The evaluation included measurements of maximum stable gain and subjective quality ratings. The continuously adapting CNN algorithm (Closed-loop processing with No probe Noise) provided the best performance: 8.5 dB of added stable gain (ASG) relative to a reference algorithm averaged over all subjects, ears, and vent conditions. Two intermittently adapting algorithms, ONO (Open-loop with Noise when Oscillation detected) and ONQ (Open-loop with Noise when Quiet detected), provided an average of 5 dB of ASG. Subjects with more severe hearing losses received greater benefits: 13 dB average ASG for the CNN algorithm and 7-8 dB average ASG for the ONO and ONQ algorithms. These values are conservative estimates of ASG because the fitting procedure produced a frequency-gain characteristic that already included precautions against feedback. Speech quality ratings showed no substantial algorithm effect on pleasantness or intelligibility, although subjects informally expressed strong objections to the probe noise used by the ONO and ONQ algorithms. This objection was not reflected in the speech quality ratings because of limitations of the experimental procedure. The results clearly indicate that the CNN algorithm is the most promising choice for adaptive feedback reduction in hearing aids. PMID:11108377

  10. Otologic complications caused by hearing aid mold impression material.

    PubMed

    Lee, Dong Hoon; Cho, Hyong-Ho

    2012-08-01

    We report two extremely rare cases of otologic complications caused by hearing aid mold impression material. The symptoms of patients with retained impression material are characteristic of the length of time the impression material is retained. In case 1 had a chronic discharge and granulation tissue of the middle ear, while case 2 presented with acute pain and dizziness. The management for retained impression material may require surgical interventions, which can be safely accomplished by standard otologic techniques. PMID:21862255

  11. Evaluation of Speech Intelligibility and Sound Localization Abilities with Hearing Aids Using Binaural Wireless Technology

    PubMed Central

    Ibrahim, Iman; Parsa, Vijay; Macpherson, Ewan; Cheesman, Margaret

    2012-01-01

    Wireless synchronization of the digital signal processing (DSP) features between two hearing aids in a bilateral hearing aid fitting is a fairly new technology. This technology is expected to preserve the differences in time and intensity between the two ears by co-ordinating the bilateral DSP features such as multichannel compression, noise reduction, and adaptive directionality. The purpose of this study was to evaluate the benefits of wireless communication as implemented in two commercially available hearing aids. More specifically, this study measured speech intelligibility and sound localization abilities of normal hearing and hearing impaired listeners using bilateral hearing aids with wireless synchronization of multichannel Wide Dynamic Range Compression (WDRC). Twenty subjects participated; 8 had normal hearing and 12 had bilaterally symmetrical sensorineural hearing loss. Each individual completed the Hearing in Noise Test (HINT) and a sound localization test with two types of stimuli. No specific benefit from wireless WDRC synchronization was observed for the HINT; however, hearing impaired listeners had better localization with the wireless synchronization. Binaural wireless technology in hearing aids may improve localization abilities although the possible effect appears to be small at the initial fitting. With adaptation, the hearing aids with synchronized signal processing may lead to an improvement in localization and speech intelligibility. Further research is required to demonstrate the effect of adaptation to the hearing aids with synchronized signal processing on different aspects of auditory performance. PMID:26557339

  12. Hearing Function in Patients Living with HIV/AIDS

    PubMed Central

    Luque, Amneris E.; Orlando, Mark S.; Leong, U-Cheng; Allen, Paul D.; Guido, Joseph J.; Yang, Hongmei; Wu, Hulin

    2014-01-01

    Background During the earlier years of the HIV/AIDS epidemic, initial reports described sensorineural hearing loss in up to 49% of individuals with HIV/AIDS. During those years, patients commonly progressed to advanced stages of HIV disease, and frequently had neurological complications. However, the abnormalities on pure-tone audiometry and brainstem evoked responses outlined in small studies were not always consistently correlated with advanced stages of HIV/AIDS. Moreover, these studies could not exclude the confounding effect of concurrent opportunistic infections and syphilis. Additional reports also have indicated that some antiretroviral (ARV) medications may be ototoxic, thus it has been difficult to make conclusions regarding the cause of changes in hearing function in HIV-infected patients. More recently, accelerated aging has been suggested as a potential explanation for the disproportionate increase in complications of aging described in many HIV-infected patients, hence accelerated aging associated hearing loss may also be playing a role in these patients. Methods We conducted a large cross-sectional analysis of hearing function in over 300 patients with HIV-1 infection and in 137 HIV-uninfected controls. HIV-infected participants and HIV-uninfected controls underwent a two-hour battery of hearing tests including the Hearing Handicap Inventory, standard audiometric pure-tone air and bone conduction testing, tympanometric testing and speech reception and discrimination testing. Results Three-way ANOVA and logistic regression analysis of 278 eligible HIV-infected subjects stratified by disease stage in early HIV disease (n= 127) and late HIV disease (n=148) and 120 eligible HIV-uninfected controls revealed no statistical significant differences among the three study groups in either overall 4-PTA or hearing loss prevalence in either ear. Three-way ANOVA showed significant differences in word recognition scores (WRS) in the right ear among groups; a

  13. Perception of Suprasegmental Features of Speech by Children with Cochlear Implants and Children with Hearing Aids

    ERIC Educational Resources Information Center

    Most, Tova; Peled, Miriam

    2007-01-01

    This study assessed perception of suprasegmental features of speech by 30 prelingual children with sensorineural hearing loss. Ten children had cochlear implants (CIs), and 20 children wore hearing aids (HA): 10 with severe hearing loss and 10 with profound hearing loss. Perception of intonation, syllable stress, word emphasis, and word pattern…

  14. Hearing Aid-Induced Plasticity in the Auditory System of Older Adults: Evidence from Speech Perception

    ERIC Educational Resources Information Center

    Lavie, Limor; Banai, Karen; Karni, Avi; Attias, Joseph

    2015-01-01

    Purpose: We tested whether using hearing aids can improve unaided performance in speech perception tasks in older adults with hearing impairment. Method: Unaided performance was evaluated in dichotic listening and speech-­in-­noise tests in 47 older adults with hearing impairment; 36 participants in 3 study groups were tested before hearing aid…

  15. 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

  16. Timing and trials of hearing aids and assistive devices.

    PubMed

    Chute, P M

    1997-09-01

    Of all the factors under consideration during the evaluation for a cochlear implant, perhaps the most critical is the speech perception ability of the candidate when using appropriate amplification. For children, this issue is often complicated by inadequate training or limited use of the sensory aid. Guidelines for implantation suggest that there be a "lack of benefit from hearing aids" to qualify as a candidate. This "lack of benefit" must be explored when using the most appropriate aid coupled with the proper rehabilitation. In determining candidacy for children, it becomes extremely important to assess benefit using a variety of sensory aids while having access to well-directed auditory intervention. The types of amplification that can be used during the preimplant evaluation stage include conventional behind-the-ear devices, FM units, vibrotactile aids, and frequency transposition aids. Although some of these devices are used more often than others, centers implanting children should be aware of the role that each plays in the evaluation process. To determine the frequency with which these devices are used as well as the types of strategies that are emphasized in the preimplant training interval, a questionnaire was developed to gather information from the cochlear implant facilities in the United States. The results of this survey will be presented to demonstrate training and device trends that are incorporated during the preimplant process. Additionally, the use of frequency transposition hearing aids as part of the preimplant training procedure will be explored. The facility at Manhattan Eye, Ear and Throat Hospital has studied these devices in a small group of adults and children. Data pertaining to the speech perceptual abilities obtained with both the TranSonic and the Emily will be presented and compared to results with the Nucleus cochlear implant system. PMID:9334766

  17. 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

  18. 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.

  19. Tri-axial telecoil hearing aid for improved connection to public induction loops.

    PubMed

    Riehle, Timothy H; Knuesel, Robert J; Lichter, Patrick A; Panescu, Dorin

    2015-01-01

    Telecoils in hearing aids serve a dual purpose: to enhance telephone conversation and enable hearing aids to serve as a wireless interface for public audio broadcasts. When broadcasting audio signals, the signal is transmitted to the telecoil sensor (a magnetic field sensor located in the hearing aid) via magnetic energy from an induction wire loop located near the listener. This induction loop can be a small assembly located in the handset of the telephone or a large wire loop within a public venue like a theatre. Current hearing aids detect the magnetic signal using a single telecoil. If the telecoil is not aligned with the magnetic field, the strength of the detected signal is diminished. Unfortunately, public induction loops and telephone handsets seldom share a common alignment to the hearing aid, leading to sub-optimal performance by one or both in hearing aids available today. In this research, a prototype behind-the-ear (BTE) hearing aid with tri-axial telecoils was developed and DSP algorithms to process and combine the three signals were developed. The resulting hearing aid was evaluated in a human trial and provided better performance than a similar quality conventional telecoil hearing aid. PMID:26736209

  20. Older people's views on what they need to successfully adjust to life with a hearing aid

    PubMed Central

    Kelly, Timothy B; Tolson, Debbie; Day, Tracy; McColgan, Gillian; Kroll, Thilo; Maclaren, William

    2013-01-01

    This article reports a study exploring what older people believe would enable them to adjust to and gain maximum benefit from wearing a hearing aid. A mixed methods approach was employed during 2006 involving interviews with key stakeholders, a survey across three Scottish health board areas and focus groups. Nine key stakeholders from six national and local organisations were interviewed about the needs of older people being fitted with hearing aids. In total, 240 older people belonging to three different types of hearing impaired older people were surveyed: long-term users of hearing aids, new hearing aid users, and those on a waiting list from urban and rural areas (response rate = 24%). A series of eight follow-up focus groups with 31 audiology patients was held. Health professionals appeared to neglect appropriate provision of information and overly rely on technological interventions. Of 154 older people already fitted with hearing aids, only 52% of hearing aid users reported receiving enough practical help post fitting and only 41% reported receiving enough support. Approximately 40% reported not feeling confident in the use of their aids or their controls. Older people wanted more information than they received both before and after hearing aid fitting. Information provision and attention to the psychosocial aspects of care are key to enabling older people to adjust and optimise hearing aid benefit. PMID:23373520

  1. Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)

    PubMed Central

    Hassaan, Mohammad Ramadan; Ibraheem, Ola Abdallah; Galhom, Dalia Helal

    2016-01-01

    Introduction  Neural encoding of speech begins with the analysis of the signal as a whole broken down into its sinusoidal components in the cochlea, which has to be conserved up to the higher auditory centers. Some of these components target the dead regions of the cochlea causing little or no excitation. Measuring aided speech-evoked auditory brainstem response elicited by speech stimuli with different spectral maxima can give insight into the brainstem encoding of aided speech with spectral maxima at these dead regions. Objective  This research aims to study the impact of dead regions of the cochlea on speech processing at the brainstem level after a long period of hearing aid use. Methods  This study comprised 30 ears without dead regions and 46 ears with dead regions at low, mid, or high frequencies. For all ears, we measured the aided speech-evoked auditory brainstem response using speech stimuli of low, mid, and high spectral maxima. Results  Aided speech-evoked auditory brainstem response was producible in all subjects. Responses evoked by stimuli with spectral maxima at dead regions had longer latencies and smaller amplitudes when compared with the control group or the responses of other stimuli. Conclusion  The presence of cochlear dead regions affects brainstem encoding of speech with spectral maxima perpendicular to these regions. Brainstem neuroplasticity and the extrinsic redundancy of speech can minimize the impact of dead regions in chronic hearing aid users. PMID:27413404

  2. Development of Bone-Conducted Ultrasonic Hearing Aid for the Profoundly Deaf: Assessments of the Modulation Type with Regard to Intelligibility and Sound Quality

    NASA Astrophysics Data System (ADS)

    Nakagawa, Seiji; Fujiyuki, Chika; Kagomiya, Takayuki

    2012-07-01

    Bone-conducted ultrasound (BCU) is perceived even by the profoundly sensorineural deaf. A novel hearing aid using the perception of amplitude-modulated BCU (BCU hearing aid: BCUHA) has been developed; however, further improvements are needed, especially in terms of articulation and sound quality. In this study, the intelligibility and sound quality of BCU speech with several types of amplitude modulation [double-sideband with transmitted carrier (DSB-TC), double-sideband with suppressed carrier (DSB-SC), and transposed modulation] were evaluated. The results showed that DSB-TC and transposed speech were more intelligible than DSB-SC speech, and transposed speech was closer than the other types of BCU speech to air-conducted speech in terms of sound quality. These results provide useful information for further development of the BCUHA.

  3. The relationship between hearing aid frequency response and acceptable noise level in patients with sensorineural hearing loss

    PubMed Central

    Jalilvand, Hamid; Pourbakht, Akram; Jalaee, Shohreh

    2015-01-01

    Background: When fitting hearing aid as a compensatory device for an impaired cochlea in a patient with sensorineural hearing loss (HL), it is needed to the effective and efficient frequency response would be selected regarding providing the patient's perfect speech perception. There is not any research about the effects of frequency modifications on speech perception in patients with HL regarding the cochlear desensitization. The effect (s) of modifications in frequency response of hearing aid amplification on the results of acceptable noise level (ANL) test is the main aim of this study. Materials and Methods: The amounts of ANL in two conditions of linear amplification (high frequency emphasis [HFE] and mid frequency emphasis [MFE]) were measured. Thirty-two male subjects who participated in this study had the moderate to severe sensorineural HL. Results: There was not any significant difference between ANL in linear amplification of hearing aid with HFE frequency response and ANL in linear amplification of hearing aid with MFE frequency response. Conclusion: The gain modification of frequency response not only does not affect the patient's performance of speech intelligibility in ANL test. This indicates that we need to note to the cochlear desensitization phenomenon when fitting hearing aid as a compensatory device for an impaired cochlea in a patient. The cochlear desensitization has not been considered properly in hearing aid fitting formula which is needed to be explored more about the bio-mechanisms of impaired cochlea. PMID:26918238

  4. Development of a music perception test for adult hearing-aid users.

    PubMed

    Uys, Marinda; van Dijk, Catherine

    2011-10-01

    The purpose of this research was twofold: firstly, to develop a music perception test (MPT) for hearing-aid users, and secondly, to evaluate the influence of non-linear frequency compression (NFC) on music perception with the use of the self-compiled test. This article focuses on the description of the development and validation of the MPT. To date, the main direction in frequency-lowering hearing-aid studies has been in relation to speech perception abilities. As hearing-aid technology has improved, interest has grown in musical perception as a dimension that could improve hearing-aid users' quality of life. The MPT was designed to evaluate different aspects of rhythm, timbre, pitch and melody. The development of the MPT could be described as design-based. Phase 1 of the study included test development and recording, while phase 2 entailed presentation of stimuli to normal hearing listeners (n = 15) and hearing-aid users (n = 4). Based on the findings of phase 2, item analysis was performed to eliminate or change stimuli that resulted in high error rates. During phase 3 the adapted version of the test was performed on a smaller group of normal hearing listeners (n = 4) and 20 hearing-aid users. Results proved that adults with normal hearing as well as adults using hearing aids were able to complete all the sub-tests of the MPT, although hearing-aid users scored lower on the various sub-tests than normal hearing listeners. For the rhythm section of the MPT normal hearing listeners scored on average 93.8% versus 75.5% of hearing-aid users; for the timbre section the scores were 83% versus 62.3% respectively. Normal hearing listeners obtained an average score of 86.3% for the pitch section and 88.2% for the melody section, compared with the 70.8% and 61.9% respectively obtained by hearing-aid users. This implies that the MPT can be used successfully for assessment of music perception in hearing-aid users within the South African context and may therefore result in

  5. Results in using the Freiburger monosyllabic speech test in noise without and with hearing aids.

    PubMed

    Löhler, J; Akcicek, B; Wollenberg, B; Schönweiler, R; Verges, L; Langer, Ch; Machate, U; Noppeney, R; Schultz, K; Kleeberg, J; Junge-Hülsing, B; Walther, L E; Schlattmann, P; Ernst, A

    2015-09-01

    The Freiburger Speech Test (FST) has been the gold standard in speech testing by word recognition score in Germany for many years. Recently, it has been demonstrated that for an amount of 104 test-persons there is no significant deviation within the lists. The objective of this study was to determine the percentiles of the distinct measuring situations in quiet and with noise (e.g. applied in hearing aid fitting) and the average benefit using hearing aids. In this prospective study, 623 patients with SNHL and equipped with hearing aids for at least 3 months have been investigated by means of the Freiburger monosyllabic test (FBE) without and with hearing aids and in quiet or with noise (CCITT noise, 65/60 dB signal-noise ratio) in free field conditions at 65 dB to determine the ratio of intelligibility. To investigate the different diagnostic conditions a linear mixed model was applied. The dependent binary variable corresponds to the number of understood syllables. The average age of all subjects was about 72.6 years. The average rate of understanding in the FBE without hearing aids and in quiet was 38.5 %, with hearing aids and in quiet 67.7 %, without hearing aids and with noise 22.4 %, and with hearing aids and with noise 39.8 %. All results were presented with the depending confidence intervals. The extent of hearing loss and the quality of hearing aid fitting can be successfully measured using the FST in quiet and with background noise (CCITT noise). In quiet, an average hearing improving gain of 29.2 % points and with noise a gain of 17.4 % points could be estimated with a successful hearing aid fitting. PMID:24740734

  6. Audiological results using single-channel intracochlear implant, vibrotactile aid or acoustic hearing aids.

    PubMed

    Rihkanen, H; Jauhiainen, T; Linkola, H; Palva, T

    1989-01-01

    Users of a single-channel intracochlear implant (CI, n = 10) (3M/House), a single-channel vibrotactile aid (V, n = 8) (Minivib 3/Special Instrument Ab) and acoustic hearing aids (HA, n = 9) were tested. The comparison was made after training and a minimum of 11 months' use of the devices. All subjects were considered profoundly deaf, but the HA group had some residual hearing. The HA group achieved the best mean test scores in all the tests given. The difference between the CI group and V group increased, in favour to the CI users, as the auditory task was changed from the level of simple signal analysis to the level of linguistic interpretation. PMID:2816334

  7. A micro-drive hearing aid: a novel non-invasive hearing prosthesis actuator.

    PubMed

    Paulick, Peyton Elizabeth; Merlo, Mark W; Mahboubi, Hossein; Djalilian, Hamid R; Bachman, Mark

    2014-12-01

    The direct hearing device (DHD) is a new auditory prosthesis that combines conventional hearing aid and middle ear implant technologies into a single device. The DHD is located deep in the ear canal and recreates sounds with mechanical movements of the tympanic membrane. A critical component of the DHD is the microactuator, which must be capable of moving the tympanic membrane at frequencies and magnitudes appropriate for normal hearing, with little distortion. The DHD actuator reported here utilized a voice coil actuator design and was 3.7 mm in diameter. The device has a smoothly varying frequency response and produces a precisely controllable force. The total harmonic distortion between 425 Hz and 10 kHz is below 0.5 % and acoustic noise generation is minimal. The device was tested as a tympanic membrane driver on cadaveric temporal bones where the device was coupled to the umbo of the tympanic membrane. The DHD successfully recreated ossicular chain movements across the frequencies of human hearing while demonstrating controllable magnitude. Moreover, the micro-actuator was validated in a short-term human clinical performance study where sound matching and complex audio waveforms were evaluated by a healthy subject. PMID:25129112

  8. 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…

  9. Auditory, Visual, and Auditory-Visual Perception of Emotions by Individuals with Cochlear Implants, Hearing Aids, and Normal Hearing

    ERIC Educational Resources Information Center

    Most, Tova; Aviner, Chen

    2009-01-01

    This study evaluated the benefits of cochlear implant (CI) with regard to emotion perception of participants differing in their age of implantation, in comparison to hearing aid users and adolescents with normal hearing (NH). Emotion perception was examined by having the participants identify happiness, anger, surprise, sadness, fear, and disgust.…

  10. Speech perception abilities of children with cochlear implants, tactile aids, or hearing aids.

    PubMed

    Osberger, M J; Robbins, A M; Miyamoto, R T; Berry, S W; Myres, W A; Kessler, K S; Pope, M L

    1991-01-01

    The purpose of this experiment was first, to compare the performance of three matched groups of experimental subjects who used either a single-channel cochlear implant, a multichannel cochlear implant, or a two-channel vibrotactile aid on a battery of speech perception measures, and second, to compare the performance of subjects with residual hearing who used hearing aids to that of the three groups of experimental subjects. The results revealed that the subjects using hearing aids achieved the highest scores on all measures. The performance of the group of multichannel implant users was significantly higher than that of the single-channel implant users on tests involving discrimination of speech features, categorization of stress patterns, closed-set identification of familiar words, and identification of common phrases with and without visual cues. The performance of the subjects using 3M/House and Tactaid II devices was similar on all tests except those requiring integration of auditory or tactile cues and visual cues, on which the 3M/House device users achieved significantly higher scores than did the Tactaid II device users. PMID:2069171

  11. 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…

  12. Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation

    PubMed Central

    2016-01-01

    Self-reports of subjective hearing difficulties by people with hearing loss may be a useful complement to audiometry in hearing aid rehabilitation. To be useful, such self-reports need to be reliable. This study investigated the reliability and the validity of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version; HHIE-S). Sixty-nine participants completed a questionnaire before hearing aid rehabilitation. Of these individuals, 49 completed hearing aid rehabilitation (aged between 23 and 94 years), and 41 of these 49 participants completed the questionnaire after completing the rehabilitation. The Swedish HHIE-S exhibited good internal consistency (Cronbach’s alpha coefficient of .77). The questionnaire was effective for evaluating hearing aid rehabilitation, and a statistically significant reduction in hearing difficulties was observed. The clinicians found the questionnaire easy to administer and effective in hearing aid rehabilitation. The findings from the study support the use of the HHIE-S in clinical practice. PMID:27009755

  13. Validation of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version) and Evaluation of Its Effect in Hearing Aid Rehabilitation.

    PubMed

    Öberg, Maria

    2016-01-01

    Self-reports of subjective hearing difficulties by people with hearing loss may be a useful complement to audiometry in hearing aid rehabilitation. To be useful, such self-reports need to be reliable. This study investigated the reliability and the validity of the Swedish Hearing Handicap Inventory for the Elderly (Screening Version; HHIE-S). Sixty-nine participants completed a questionnaire before hearing aid rehabilitation. Of these individuals, 49 completed hearing aid rehabilitation (aged between 23 and 94 years), and 41 of these 49 participants completed the questionnaire after completing the rehabilitation. The Swedish HHIE-S exhibited good internal consistency (Cronbach's alpha coefficient of .77). The questionnaire was effective for evaluating hearing aid rehabilitation, and a statistically significant reduction in hearing difficulties was observed. The clinicians found the questionnaire easy to administer and effective in hearing aid rehabilitation. The findings from the study support the use of the HHIE-S in clinical practice. PMID:27009755

  14. 21 CFR 801.421 - Hearing aid devices; conditions for sale.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing aid devices; conditions for sale. 801.421 Section 801.421 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid devices; conditions for sale. (a)...

  15. Acoustical and Perceptual Comparison of Noise Reduction and Compression in Hearing Aids

    ERIC Educational Resources Information Center

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

    2015-01-01

    Purpose: Noise reduction and dynamic-range compression are generally applied together in hearing aids but may have opposite effects on amplification. This study evaluated the acoustical and perceptual effects of separate and combined processing of noise reduction and compression. Design: Recordings of the output of 4 hearing aids for speech in…

  16. 75 FR 54546 - Amendment of the Commission's Rules Governing Hearing Aid-Compatible Mobile Handsets

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... consider how voice services may be offered over new technologies such as WiMax and LTE interfaces and who... extend to all circumstances the ability to meet hearing aid compatibility standards for radio frequency... typically held to the ear, so long as meeting hearing aid compatibility standards is...

  17. Speech Perception for Adults Who Use Hearing Aids in Conjunction with Cochlear Implants in Opposite Ears

    ERIC Educational Resources Information Center

    Mok, Mansze; Grayden, David; Dowell, Richard C.; Lawrence, David

    2006-01-01

    This study aimed to (a) investigate the effect of using a hearing aid in conjunction with a cochlear implant in opposite ears on speech perception in quiet and in noise, (b) identify the speech information obtained from a hearing aid that is additive to the information obtained from a cochlear implant, and (c) explore the relationship between…

  18. 75 FR 63764 - Hearing Aid Compatibility Proceeding; Request That Comments Address Effects of New Legislation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-18

    ... to the rules governing hearing aid compatibility of mobile handsets. 75 FR 54546 (Sept. 8, 2010... of Documents in Rulemaking Proceedings, 63 FR 24121 (1998). Electronic Filers: Comments may be filed... COMMISSION 47 CFR Part 20 Hearing Aid Compatibility Proceeding; Request That Comments Address Effects of...

  19. 47 CFR 68.317 - Hearing aid compatibility volume control: technical standards.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...-1991 were approved by the Director of the Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR... 47 Telecommunication 3 2012-10-01 2012-10-01 false Hearing aid compatibility volume control... for Terminal Equipment Approval § 68.317 Hearing aid compatibility volume control: technical...

  20. 47 CFR 68.317 - Hearing aid compatibility volume control: technical standards.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...-1991 were approved by the Director of the Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR... 47 Telecommunication 3 2013-10-01 2013-10-01 false Hearing aid compatibility volume control... for Terminal Equipment Approval § 68.317 Hearing aid compatibility volume control: technical...

  1. 47 CFR 68.317 - Hearing aid compatibility volume control: technical standards.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-1991 were approved by the Director of the Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR... 47 Telecommunication 3 2011-10-01 2011-10-01 false Hearing aid compatibility volume control... for Terminal Equipment Approval § 68.317 Hearing aid compatibility volume control: technical...

  2. 47 CFR 68.317 - Hearing aid compatibility volume control: technical standards.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-1991 were approved by the Director of the Federal Register in accordance with 5 U.S.C. 552(a) and 1 CFR... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid compatibility volume control... for Terminal Equipment Approval § 68.317 Hearing aid compatibility volume control: technical...

  3. 47 CFR 20.19 - Hearing aid-compatible mobile handsets.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the Federal Register under 5 U.S.C. 552(a) and 1 CFR part 51. To enforce any edition other than those... 47 Telecommunication 2 2012-10-01 2012-10-01 false Hearing aid-compatible mobile handsets. 20.19... COMMERCIAL MOBILE SERVICES § 20.19 Hearing aid-compatible mobile handsets. (a) Scope of section;...

  4. 47 CFR 20.19 - Hearing aid-compatible mobile handsets.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the Federal Register under 5 U.S.C. 552(a) and 1 CFR part 51. To enforce any edition other than those... 47 Telecommunication 2 2014-10-01 2014-10-01 false Hearing aid-compatible mobile handsets. 20.19... COMMERCIAL MOBILE SERVICES § 20.19 Hearing aid-compatible mobile handsets. (a) Scope of section;...

  5. 47 CFR 20.19 - Hearing aid-compatible mobile handsets.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the Federal Register under 5 U.S.C. 552(a) and 1 CFR part 51. To enforce any edition other than those... 47 Telecommunication 2 2013-10-01 2013-10-01 false Hearing aid-compatible mobile handsets. 20.19... COMMERCIAL MOBILE SERVICES § 20.19 Hearing aid-compatible mobile handsets. (a) Scope of section;...

  6. Electroacoustic Evaluation of Frequency-Modulated Receivers Interfaced with Personal Hearing Aids

    ERIC Educational Resources Information Center

    Schafer, Erin C.; Thibodeau, Linda M.; Whalen, Holly S.; Overson, Gary J.

    2007-01-01

    Purpose: The purpose of this study was to compare the electroacoustic outputs of frequency-modulated (FM) systems coupled to hearing aids. Method: Electroacoustic performance of FM systems coupled to hearing aids was determined for 3 FM receivers: body-worn with neck loop, ear-level nonprogrammable, and ear-level programmable. Systems were…

  7. Remote hearing aid fitting: Tele-audiology in the context of Brazilian Public Policy

    PubMed Central

    Penteado, Silvio Pires; Ramos, Sueli de Lima; Battistella, Linamara Rizzo; Marone, Silvio Antonio Monteiro; Bento, Ricardo Ferreira

    2012-01-01

    Summary Introduction: Currently, the Brazilian government has certificated nearly 140 specialized centers in hearing aid fittings through the Brazilian National Health System (SUS). Remote fitting through the Internet can allow a broader and more efficient coverage with a higher likelihood of success for patients covered by the SUS, as they can receive fittings from their own homes instead of going to the few and distant specialized centers. Aim: To describe a case of remote fitting between 2 cities, with revision of the literature. Method: Computer gears, a universal interface, and hearing aids were used. Case study: An audiologist located in a specialized center introduced a new hearing aid and its fitting procedure to a remote center (200 km away). The specialized center helped the remote center in fitting a hearing aid in 2 patients, and performed fitting in one of its own patients. The whole process was done through the Internet with audio and video in real time. Results: Three patients were fitted remotely. Three audiologists were remotely trained on how to fit the hearing aids. Conclusions: Remote fitting of hearing aids is possible through the Internet, as well as further supplying technical training to a remote center about the fitting procedures. Such a technological approach can help the government advance public policies on hearing rehabilitation, as patients can be motivated about maintaining their use of hearing aids with the option to ask for help in the comfort of their own homes. PMID:25991960

  8. Optical sensing in a directional hearing aid microphone

    NASA Astrophysics Data System (ADS)

    Zhou, Shuang

    This thesis describes the simulation and analysis of the use of optical sensing for a MEMS directional microphone. Diffraction gratings integrated with micro-electromechanical-systems (MEMS) offer an optical sensing scheme with high detection sensitivity, low noise level and compact device structure. An optical sensing method is applied in a hearing aid microphone to detect the movement of the diaphragm due to sound. Diffraction grating fingers are fabricated on both sides of the diaphragm with a gold mirror on top. Two photo detectors are placed on the substrate symmetrically to detect the positive and negative first order diffraction of 850 nm VCSEL light. A finite element analysis model is built in COMSOL to study the light distribution and energy loss. The signal output, predicted using an analytical model is shown to agree well with those obtained using the finite element model.

  9. An Intrinsically Digital Amplification Scheme for Hearing Aids

    NASA Astrophysics Data System (ADS)

    Blamey, Peter J.; Macfarlane, David S.; Steele, Brenton R.

    2005-12-01

    Results for linear and wide-dynamic range compression were compared with a new 64-channel digital amplification strategy in three separate studies. The new strategy addresses the requirements of the hearing aid user with efficient computations on an open-platform digital signal processor (DSP). The new amplification strategy is not modeled on prior analog strategies like compression and linear amplification, but uses statistical analysis of the signal to optimize the output dynamic range in each frequency band independently. Using the open-platform DSP processor also provided the opportunity for blind trial comparisons of the different processing schemes in BTE and ITE devices of a high commercial standard. The speech perception scores and questionnaire results show that it is possible to provide improved audibility for sound in many narrow frequency bands while simultaneously improving comfort, speech intelligibility in noise, and sound quality.

  10. Sound Classification in Hearing Aids Inspired by Auditory Scene Analysis

    NASA Astrophysics Data System (ADS)

    Büchler, Michael; Allegro, Silvia; Launer, Stefan; Dillier, Norbert

    2005-12-01

    A sound classification system for the automatic recognition of the acoustic environment in a hearing aid is discussed. The system distinguishes the four sound classes "clean speech," "speech in noise," "noise," and "music." A number of features that are inspired by auditory scene analysis are extracted from the sound signal. These features describe amplitude modulations, spectral profile, harmonicity, amplitude onsets, and rhythm. They are evaluated together with different pattern classifiers. Simple classifiers, such as rule-based and minimum-distance classifiers, are compared with more complex approaches, such as Bayes classifier, neural network, and hidden Markov model. Sounds from a large database are employed for both training and testing of the system. The achieved recognition rates are very high except for the class "speech in noise." Problems arise in the classification of compressed pop music, strongly reverberated speech, and tonal or fluctuating noises.

  11. An efficient robust sound classification algorithm for hearing aids

    NASA Astrophysics Data System (ADS)

    Nordqvist, Peter; Leijon, Arne

    2004-06-01

    An efficient robust sound classification algorithm based on hidden Markov models is presented. The system would enable a hearing aid to automatically change its behavior for differing listening environments according to the user's preferences. This work attempts to distinguish between three listening environment categories: speech in traffic noise, speech in babble, and clean speech, regardless of the signal-to-noise ratio. The classifier uses only the modulation characteristics of the signal. The classifier ignores the absolute sound pressure level and the absolute spectrum shape, resulting in an algorithm that is robust against irrelevant acoustic variations. The measured classification hit rate was 96.7%-99.5% when the classifier was tested with sounds representing one of the three environment categories included in the classifier. False-alarm rates were 0.2%-1.7% in these tests. The algorithm is robust and efficient and consumes a small amount of instructions and memory. It is fully possible to implement the classifier in a DSP-based hearing instrument.

  12. Configuration of Digital Hearing Aid Easily Handled over Warped Frequency Axis in Fitting Process

    NASA Astrophysics Data System (ADS)

    Ogihara, Mitsuhiro; Takahashi, Kenzo; Mori, Mikio; Taniguchi, Shuji; Kato, Shozo; Araki, Chikahiro

    Recently, the digital and LSI based miniaturization technologies drastically have changed the hearing aids from the conventional single function of amplification to multiple functions. However, since the conventional hearing aids mostly control the flat gain at the center of a frequency band divided every octave to recover the auditory loss of users, so that the discontinuous gain tends to deteriorate the hearing quality due to the unnatural saw-teeth figured error. This paper proposes a solution of digital hearing aid which can be independently controlled at each audiogram test frequency and provide superb voice quality with less noise due to continuous variable gain characteristics in a wide dynamic range. The simulation results show the outstanding effect of the proposed scheme in the voice quality improvement which potential hearing aid users have considered to be a key to satisfy them.

  13. Factors associated with hearing aid fitting outcomes on the IOI-HA.

    PubMed

    Hickson, Louise; Clutterbuck, Susan; Khan, Asad

    2010-08-01

    A hallmark of quality clinical practice in audiology should be the ongoing measurement of outcomes in order to improve practice. The aims of this study were to describe outcomes for a large sample of clients fitted with hearing aids and to investigate factors associated with mean IOI-HA scores, with a view to providing guidance about factors that warrant particular attention in the clinic in order to improve outcomes. Measures used were the international outcome inventory - hearing aids (IOI-HA; Cox & Alexander, 2002 ) and a series of questions about satisfaction with hearing aid performance in different listening situations, hearing aid attributes, and clinical service. The participant sample consisted of 1653 adults, most often fitted bilaterally (78%); 81% had digital aids with at least two listening programs. Results of the regression analysis indicated that there were a number of significant factors that, in total, explained 57% of the variance in IOI-HA scores. Higher mean IOI-HA scores were most strongly associated with greater satisfaction with hearing aid attributes of aid fit/comfort, clarity of tone and sound, and comfort with loud sounds and with satisfaction in the listening situations of conversation with one person, in small groups, in large groups, and outdoors. These findings highlight the importance of focusing rehabilitation on improving satisfaction with aided listening across a range of environments and with key attributes of hearing aid performance. PMID:20515423

  14. Steps Toward Effective Production of Speech (STEPS): No. 1--Beginning to Use a Hearing Aid.

    ERIC Educational Resources Information Center

    Sheeley, Eugene C.; McQuiddy, Doris

    The first of a series of booklets for parents of deaf blind children presents basic information on using hearing aids. Suggestions are given for protecting the aid and putting in the child's earmold. Parents are advised to put the aid on every day and do simple activities involving music and speech. Keeping a record during listening time is…

  15. Vibrant Soundbridge and Bone Conduction Hearing Aid in Patients with Bilateral Malformation of External Ear

    PubMed Central

    Mondelli, Maria Fernanda Capoani Garcia; Mariano, Thais Cristina Barbosa; Honório, Heitor Marques; Brito, Rubens Vuono de

    2015-01-01

    Introduction Hearing loss is the most common clinical finding in patients with malformation of the external ear canal. Among the possibilities of treatment, there is the adaptation of hearing aids by bone conduction and the adaptation of implantable hearing aids. Objective To assess speech perception with the use of Vibrant Soundbridge (VBS - MED-EL, Innsbruck, Austria) associated with additional amplification in patients with bilateral craniofacial malformation. Method We evaluated 11 patients with bilateral malformation over 12 years with mixed hearing loss or bilateral conductive. They were using the Softband (Oticon Medical, Sweden) and bone conduction hearing aid in the ear opposite the one with the VSB. We performed the evaluation of speech perception using the Hearing in Noise Test. Results Participants were eight men and three women with a mean of 19.5 years. The signal / noise ratio presented significant results in patients fitted with VSB and bone conduction hearing aid. Conclusion The results of speech perception were significantly better with use of VBS combined with bone conduction hearing aids. PMID:26722343

  16. Factors that influence intent to adopt a hearing aid among older people in Italy.

    PubMed

    Cobelli, Nicola; Gill, Liz; Cassia, Fabio; Ugolini, Marta

    2014-11-01

    Hearing loss is one of the most prevalent health impairments associated with ageing in developed countries, and it can result in social, emotional and communication dysfunction. Hearing loss in Italy is increasing, yet, despite the availability of free hearing aids and access to qualified community-based health professionals specialising in audiology services, their uptake remains low (about 15%-20%). This paper presents an investigation of the possible reasons why older people in Italy resist adopting a hearing aid. We used the literature to identify factors influencing people with hearing loss's decision-making, and drew on the theory of reasoned action to create an explanatory model. To test our hypotheses, we applied a cross-sectional design. We developed a questionnaire including 13 items related to adopting a hearing aid. Health professionals identified 400 persons aged 60-90 who were candidates for a free hearing aid. Those willing to participate were sent a copy of the questionnaire and telephoned between August and September 2009; a total of 243 responded (response rate of 60.8%). Linear regression analysis highlighted that a person's intention to adopt a hearing aid was positively related to their attitude towards its adoption, but negatively linked to their perceived subjective norms. It was found that trust in the health professional does not moderate the relationship between a person's attitude and their intention to adopt a hearing aid, but trust mitigates the relationship between a person's perceived subjective norms and their intentions. These findings underline the importance of the potential role that the healthcare professional could play in reducing the uncertainty created by external social pressures. For this purpose, stronger collaboration between the various health professionals involved in hearing aid provision, from diagnosis to fitting, is recommended. PMID:25251979

  17. The Influence of Hearing Aid Use on Outcomes of Children With Mild Hearing Loss

    PubMed Central

    Holte, Lenore; McCreery, Ryan W.; Spratford, Meredith; Page, Thomas; Moeller, Mary Pat

    2015-01-01

    Purpose This study examined the effects of consistent hearing aid (HA) use on outcomes in children with mild hearing loss (HL). Method Five- or 7-year-old children with mild HL were separated into 3 groups on the basis of patterns of daily HA use. Using analyses of variance, we compared outcomes between groups on speech and language tests and a speech perception in noise task. Regression models were used to investigate the influence of cumulative auditory experience (audibility, early intervention, HA use) on outcomes. Results Full-time HA users demonstrated significantly higher scores on vocabulary and grammar measures compared with nonusers. There were no significant differences between the 3 groups on articulation or speech perception measures. After controlling for the variance in age at confirmation of HL, level of audibility, and enrollment in early intervention, only amount of daily HA use was a significant predictor of grammar and vocabulary. Conclusions The current results provide evidence that children's language development benefits from consistent HA use. Nonusers are at risk in areas such as vocabulary and grammar compared with other children with mild HL who wear HAs regularly. Service providers should work collaboratively to encourage consistent HA use. PMID:26151927

  18. Consistency of Hearing Aid Use in Infants with Early-Identified Hearing Loss

    PubMed Central

    Moeller, Mary Pat; Hoover, Brenda; Peterson, Barbara; Stelmachowicz, Pat

    2008-01-01

    Purpose This study was designed to examine the consistency of hearing aid use by infants. A goal was to identify maternal, child and situational factors that affected consistency of device use. Method Maternal interviews were conducted using a non-validated structured interview (Amplification in Daily Life Questionnaire), which included five-point Likert scale items and open-ended questions. Participants were mothers of seven infants with mild to moderately-severe hearing loss, who were enrolled in a longitudinal study. Data were collected at four intervals (10.5–12, 16.5, 22.5 and 28.5 months of age). Results Consistency of amplification use was variable at early ages, but improved with age. By 28.5 months of age, toddlers used amplification regularly in most settings. Selected daily situations (e.g., car, outdoors) were more challenging for maintaining device use than contexts where the child was closely monitored. Only two families established early, consistent full time use across all contexts examined. Qualitative results were used to identify familial, developmental and situational variables that influenced the consistency of infant/toddler device use. Conclusion Families may benefit from audiological counseling that acknowledges the multi-faceted challenges that arise. Audiologists can work in partnership with families to promote consistent device use across a variety of daily situations. PMID:19029531

  19. Implantable and Semi-Implantable Hearing Aids: A Review of History, Indications, and Surgery

    PubMed Central

    Bittencourt, Aline Gomes; Burke, Patrick Rademaker; Jardim, Isabela de Souza; Brito, Rubens de; Tsuji, Robinson Koji; Fonseca, Anna Carolina de Oliveira; Bento, Ricardo Ferreira

    2014-01-01

    Introduction The complaints associated with the use of conventional amplifying hearing aids prompted research at several centers worldwide that ultimately led to the development of implantable devices for aural rehabilitation. Objectives To review the history, indications, and surgical aspects of the implantable middle ear hearing devices. Data Synthesis Implantable hearing aids, such as the Vibrant Soundbridge system (Med-El Corporation, Innsbruck, Austria), the Maxum system (Ototronix LLC, Houston, Texas, United States), the fourth-generation of Carina prosthesis (Otologics LLC, Boulder, Colorado, United States), and the Esteem device (Envoy Medical Corporation - Minnesota, United States), have their own peculiarities on candidacy and surgical procedure. Conclusion Implantable hearing aids, which are currently in the early stages of development, will unquestionably be the major drivers of advancement in otologic practice in the 21st century, improving the quality of life of an increasingly aged population, which will consequently require increased levels of hearing support. PMID:25992110

  20. Inadvertent insertion of hearing aid impression material into the middle ear: Case report and implications for future community hearing services☆

    PubMed Central

    Algudkar, Ashwin; Maden, Belma; Singh, Arvind; Tatla, Taran

    2013-01-01

    INTRODUCTION The creation of ear moulds for hearing aids is generally considered a safe and routine procedure for trained professionals. In the literature there are reports of otological complications caused by hearing aid mould impression material in the middle ear cavity but such complications are considered rare. PRESENTATION OF CASE We present the case of a patient in whom impression material entered the middle ear through a perforation of the tympanic membrane during the process of making a hearing aid mould and review how this was managed. DISCUSSION We discuss how many aspects of the British Society of Audiology guidelines were not followed during this procedure and make recommendations as to how independent community practitioners need to be closely supervised with regular review to minimise the risks of such complications. CONCLUSION Our report demonstrates how a serious otological complication from the creation of a hearing aid impression in a community based private hearing clinic was managed. The reporting of such complications is rare but the incidence is likely to be much higher than the literature would suggest. We recommend and advise how these adverse incidents may be minimised and managed through competency reviews and formal referral links from community centres to hospital otolaryngology/audiology departments. PMID:24262374

  1. [The use of hearing aids in children with profound deafness. Methodology and results].

    PubMed

    Tranchino, G; Motta, G; Covino, A; De Orsi, F; Moccia, G; Motta, S; Salzano, F

    1995-10-01

    The early application of hearing aids in children with severe and profound hearing loss is rather an hard problem that has to be solved, according to the Authors, by taking care of several factors. Usually, as far as these patients concern, two kinds of hearings aids are used. The first one emphasizes all the frequencies in the same way, including low tones that, in the early ages, are very important for improving prosodic pattern, occlusive and liquid phonemas, primary words and sentences. The second type, emphasizing only medium and high frequencies, is useful for discrimination processes. The Authors suggest to applicate the hearing aids in these patients, following a behavior be themselves named "dynamic application". In the first phase the Authors use hearing aids emphasizing also low tones; in the second one they modify the device, according more precise data turning out form audiometric evaluation and speech therapy. The results concerning a research on 27 children with profound hearing loss are debated; the application of hearing aids occurred in early age and the speech therapy followed the same criteria for all patients. The subjects were divided in two groups, homogeneous for age, degree of hearing loss and social environment. For the 12 children of groups A the "dynamic application" was used. For the 15 patients of group B the traditional strategy, using only devices for the amplification of medium and high tones, was applied. The best results concerning voice intonation and learning occlusive phonemas were obtained in group A subjects. The Authors, introducing their results and discussion, compare them with references data. In conclusion, the "dynamic application" is effective because of the better results in speech therapy and also because its ratio permits the application of hearing aids in children with hearing loss of different degrees, especially in the most difficult cases. PMID:8721721

  2. AudioSense: Enabling Real-time Evaluation of Hearing Aid Technology In-Situ.

    PubMed

    Hasan, Syed Shabih; Lai, Farley; Chipara, Octav; Wu, Yu-Hsiang

    2013-01-01

    AudioSense integrates mobile phones and web technology to measure hearing aid performance in real-time and in-situ. Measuring the performance of hearing aids in the real world poses significant challenges as it depends on the patient's listening context. AudioSense uses Ecological Momentary Assessment methods to evaluate both the perceived hearing aid performance as well as to characterize the listening environment using electronic surveys. AudioSense further characterizes a patient's listening context by recording their GPS location and sound samples. By creating a time-synchronized record of listening performance and listening contexts, AudioSense will allow researchers to understand the relationship between listening context and hearing aid performance. Performance evaluation shows that AudioSense is reliable, energy-efficient, and can estimate Signal-to-Noise Ratio (SNR) levels from captured audio samples. PMID:25013874

  3. Hearing Aids: Expectations and Satisfaction of People with an Intellectual Disability, a Descriptive Pilot Study

    ERIC Educational Resources Information Center

    Meuwese-Jongejeugd, A.; Verschuure, H.; Evenhuis, H. M.

    2007-01-01

    Background: In spite of an increased risk of hearing impairment in persons with an intellectual disability (ID), rehabilitation with hearing aids often fails. We performed a descriptive pilot study with the following study questions: (1) Do comparable elements as in the general population contribute to expectations of and satisfaction with hearing…

  4. The Reliability and Validity of the Comfort Level Method of Setting Hearing Aid Gain

    ERIC Educational Resources Information Center

    Walden, Brian E.; And Others

    1977-01-01

    Investigated in a series of experiments with 40 adults (20- to 70-years-old) having bilateral sensorineural hearing impairments was the test-retest reliability of the comfort level method for setting the acoustic gain of hearing aids, and the relationship between the comfort settings utilized in more realistic daily listening situations.…

  5. Simulation of fixed microphone arrays for directional hearing aids.

    PubMed

    Liu, C; Sideman, S

    1996-08-01

    Microphone arrays with fixed optimum weights are known to suppress the background noise and reverberation that severely reduce the effectiveness of conventional hearing aids. By means of a general technique for digital frequency-domain implementation of optimum broadband arrays that was developed recently [C. Liu and S. Sideman, J. Acoust. Soc. Am. 98, 241-247 (1995)], a practically promising system is proposed to realize the arrays with the well-known sensitivity-constrained superdirective beamforming weights, and with five identical omnidirectional, cardioid, hypercardioid, or dipole microphones, respectively, in the endfire or broadside configurations, which were theoretically proposed by Stadler and Rabinowitz [J. Acoust. Soc. Am. 94, 1332-1342 (1993)]. The digital broadband frequency-domain beamforming system allows the broadband superdirective beamforming weights to be faithfully and independently applied to each frequency component of the signal. The practical application of this technique is demonstrated through computer simulation of the system in anechoic situations. Furthermore, its performance in simulated reverberant environments is evaluated. PMID:8759945

  6. Robustness of an adaptive beamforming method for hearing aids.

    PubMed

    Peterson, P M; Wei, S M; Rabinowitz, W M; Zurek, P M

    1990-01-01

    We describe the results of computer simulations of a multimicrophone adaptive-beamforming system as a noise reduction device for hearing aids. Of particular concern was the system's sensitivity to violations of the underlying assumption that the target signal is identical at the microphones. Two- and four-microphone versions of the system were tested in simulated anechoic and modestly-reverberant environments with one and two jammers, and with deviations from the assumed straight-ahead target direction. Also examined were the effects of input target-to-jammer ratio and adaptive-filter length. Generally, although the noise-reduction performance of the system is degraded by target misalignment and modest reverberation, the system still provides positive advantage at input target-to-jammer ratios up to about 0 dB. This is in contrast to the degrading target-cancellation effect that the system can have when the equal-target assumption is violated and the input target-to-jammer ratio is greater than zero. PMID:2356741

  7. Evaluation of an adaptive beamforming method for hearing aids.

    PubMed

    Greenberg, J E; Zurek, P M

    1992-03-01

    In this paper evaluations of a two-microphone adaptive beamforming system for hearing aids are presented. The system, based on the constrained adaptive beamformer described by Griffiths and Jim [IEEE Trans. Antennas Propag. AP-30, 27-34 (1982)], adapts to preserve target signals from straight ahead and to minimize jammer signals arriving from other directions. Modifications of the basic Griffiths-Jim algorithm are proposed to alleviate problems of target cancellation and misadjustment that arise in the presence of strong target signals. The evaluations employ both computer simulations and a real-time hardware implementation and are restricted to the case of a single jammer. Performance is measured by the spectrally weighted gain in the target-to-jammer ratio in the steady state. Results show that in environments with relatively little reverberation: (1) the modifications allow good performance even with misaligned arrays and high input target-to-jammer ratios; and (2) performance is better with a broadside array with 7-cm spacing between microphones than with a 26-cm broadside or a 7-cm endfire configuration. Performance degrades in reverberant environments; at the critical distance of a room, improvement with a practical system is limited to a few dB. PMID:1564202

  8. Electronic filters, signal conversion apparatus, hearing aids and methods

    NASA Technical Reports Server (NTRS)

    Morley, Jr., Robert E. (Inventor); Engebretson, A. Maynard (Inventor); Engel, George L. (Inventor); Sullivan, Thomas J. (Inventor)

    1994-01-01

    An electronic filter for filtering an electrical signal. Signal processing circuitry therein includes a logarithmic filter having a series of filter stages with inputs and outputs in cascade and respective circuits associated with the filter stages for storing electrical representations of filter parameters. The filter stages include circuits for respectively adding the electrical representations of the filter parameters to the electrical signal to be filtered thereby producing a set of filter sum signals. At least one of the filter stages includes circuitry for producing a filter signal in substantially logarithmic form at its output by combining a filter sum signal for that filter stage with a signal from an output of another filter stage. The signal processing circuitry produces an intermediate output signal, and a multiplexer connected to the signal processing circuit multiplexes the intermediate output signal with the electrical signal to be filtered so that the logarithmic filter operates as both a logarithmic prefilter and a logarithmic postfilter. Other electronic filters, signal conversion apparatus, electroacoustic systems, hearing aids and methods are also disclosed.

  9. Sensitivity to temporal fine structure and hearing-aid outcomes in older adults

    PubMed Central

    Perez, Elvira; McCormack, Abby; Edmonds, Barrie A.

    2014-01-01

    Objective: To investigate the effect of sensitivity to temporal fine structure (TFS) on subjective measures of hearing aid outcome. Design: Prior to receiving hearing aids, participants completed a test to assess sensitivity to TFS and two self-assessment questionnaires; the Glasgow Hearing Aid Benefit Profile (GHABP), and the Speech, Spatial and Qualities of hearing (SSQ-A). Follow-up appointments, comprised three self-assessment questionnaires; the GHABP, the SSQ-B, and the International Outcome Inventory for Hearing Aid Outcomes (IOI-HA). Study sample: 75 adults were recruited from direct referral clinics. Results: Two thirds of participants were found to have good sensitivity to TFS; listeners with good sensitivity to TFS rated their hearing abilities higher at pre-fitting (SSQ-A) than those with poor sensitivity to TFS. At follow-up, participants with good sensitivity to TFS showed a smaller improvement on SSQ-B over listeners with poor sensitivity to TFS. Among the questionnaires, only the SSQ showed greater sensitivity to measure subjective differences between listeners with good and poor sensitivity to TFS. Conclusions: The clinical identification of a patient's ability to process TFS information at an early stage in the treatment pathway could prove useful in managing expectations about hearing aid outcomes. PMID:24550769

  10. Localization of virtual sound sources with bilateral hearing aids in realistic acoustical scenes.

    PubMed

    Mueller, Martin F; Kegel, Andrea; Schimmel, Steven M; Dillier, Norbert; Hofbauer, Markus

    2012-06-01

    Sound localization with hearing aids has traditionally been investigated in artificial laboratory settings. These settings are not representative of environments in which hearing aids are used. With individual Head-Related Transfer Functions (HRTFs) and room simulations, realistic environments can be reproduced and the performance of hearing aid algorithms can be evaluated. In this study, four different environments with background noise have been implemented in which listeners had to localize different sound sources. The HRTFs were measured inside the ear canals of the test subjects and by the microphones of Behind-The-Ear (BTEs) hearing aids. In the first experiment the system for virtual acoustics was evaluated by comparing perceptual sound localization results for the four scenes in a real room with a simulated one. In the second experiment, sound localization with three BTE algorithms, an omnidirectional microphone, a monaural cardioid-shaped beamformer and a monaural noise canceler, was examined. The results showed that the system for generating virtual environments is a reliable tool to evaluate sound localization with hearing aids. With BTE hearing aids localization performance decreased and the number of front-back confusions was at chance level. The beamformer, due to its directivity characteristics, allowed the listener to resolve the front-back ambiguity. PMID:22712946

  11. Open Versus Closed Hearing-Aid Fittings: A Literature Review of Both Fitting Approaches.

    PubMed

    Winkler, Alexandra; Latzel, Matthias; Holube, Inga

    2016-01-01

    One of the main issues in hearing-aid fittings is the abnormal perception of the user's own voice as too loud, "boomy," or "hollow." This phenomenon known as the occlusion effect be reduced by large vents in the earmolds or by open-fit hearing aids. This review provides an overview of publications related to open and closed hearing-aid fittings. First, the occlusion effect and its consequences for perception while using hearing aids are described. Then, the advantages and disadvantages of open compared with closed fittings and their impact on the fitting process are addressed. The advantages include less occlusion, improved own-voice perception and sound quality, and increased localization performance. The disadvantages associated with open-fit hearing aids include reduced benefits of directional microphones and noise reduction, as well as less compression and less available gain before feedback. The final part of this review addresses the need for new approaches to combine the advantages of open and closed hearing-aid fittings. PMID:26879562

  12. Open Versus Closed Hearing-Aid Fittings: A Literature Review of Both Fitting Approaches

    PubMed Central

    Latzel, Matthias; Holube, Inga

    2016-01-01

    One of the main issues in hearing-aid fittings is the abnormal perception of the user’s own voice as too loud, “boomy,” or “hollow.” This phenomenon known as the occlusion effect be reduced by large vents in the earmolds or by open-fit hearing aids. This review provides an overview of publications related to open and closed hearing-aid fittings. First, the occlusion effect and its consequences for perception while using hearing aids are described. Then, the advantages and disadvantages of open compared with closed fittings and their impact on the fitting process are addressed. The advantages include less occlusion, improved own-voice perception and sound quality, and increased localization performance. The disadvantages associated with open-fit hearing aids include reduced benefits of directional microphones and noise reduction, as well as less compression and less available gain before feedback. The final part of this review addresses the need for new approaches to combine the advantages of open and closed hearing-aid fittings. PMID:26879562

  13. Measuring real-ear signal-to-noise ratio: application to directional hearing aids.

    PubMed

    Bell, Steven L; Creeke, Sarah A; Lutman, Mark E

    2010-03-01

    Due to individual characteristics such as head size, earmould type, and earmould venting, the directional benefit that an individual will obtain from a hearing aid cannot be predicted from average data. It is therefore desirable to measure real ear directional benefit. This paper demonstrates a method to measure real ear hearing aid directivity based on a general approach to measure the broadband output signal-to-noise ratio of a hearing aid. Errors arising from non-linearity were tested in simulation and found to be low for typical hearing aid compression ratios. Next, the efficacy of the method to estimate directional benefit was demonstrated on KEMAR. Finally the variability of directional benefit was explored in real-ears. Significant differences in signal-to-noise ratio between directional and omnidirectional microphone settings were demonstrated at most azimuths. Articulation-Index-weighted directional benefit varied by more than 7 dB across ears at some azimuths. Such individual variation in directional benefit has implications when fitting hearing aids: it should not be assumed that all users will receive similar directional benefit from the same hearing aid. PMID:20151932

  14. On a reference-free speech quality estimator for hearing aids.

    PubMed

    Suelzle, David; Parsa, Vijay; Falk, Tiago H

    2013-05-01

    A reference-free speech quality measure is proposed and assessed for hearing aid applications. The proposed speech quality metric is validated with subjective ratings obtained from hearing impaired listeners under a number of noisy and reverberant conditions. In addition, a comparison is drawn between the proposed measure and a state-of-the-art electroacoustic measure that relies on a clean reference signal. The results showed that the reference-free measure had a lower correlation with the subjective ratings of hearing aid speech quality in comparison to the correlations achieved by the measure utilizing a reference signal. Nevertheless, advantages of the reference-free approach are discussed. PMID:23656102

  15. Dual Language versus English-Only Support for Bilingual Children with Hearing Loss Who Use Cochlear Implants and Hearing Aids

    ERIC Educational Resources Information Center

    Bunta, Ferenc; Douglas, Michael; Dickson, Hanna; Cantu, Amy; Wickesberg, Jennifer; Gifford, René H.

    2016-01-01

    Background: There is a critical need to understand better speech and language development in bilingual children learning two spoken languages who use cochlear implants (CIs) and hearing aids (HAs). The paucity of knowledge in this area poses a significant barrier to providing maximal communicative outcomes to a growing number of children who have…

  16. Signal Processing in High-End Hearing Aids: State of the Art, Challenges, and Future Trends

    NASA Astrophysics Data System (ADS)

    Hamacher, V.; Chalupper, J.; Eggers, J.; Fischer, E.; Kornagel, U.; Puder, H.; Rass, U.

    2005-12-01

    The development of hearing aids incorporates two aspects, namely, the audiological and the technical point of view. The former focuses on items like the recruitment phenomenon, the speech intelligibility of hearing-impaired persons, or just on the question of hearing comfort. Concerning these subjects, different algorithms intending to improve the hearing ability are presented in this paper. These are automatic gain controls, directional microphones, and noise reduction algorithms. Besides the audiological point of view, there are several purely technical problems which have to be solved. An important one is the acoustic feedback. Another instance is the proper automatic control of all hearing aid components by means of a classification unit. In addition to an overview of state-of-the-art algorithms, this paper focuses on future trends.

  17. Digital signal processing (DSP) applications for multiband loudness correction digital hearing aids and cochlear implants.

    PubMed

    Dillier, N; Frölich, T; Kompis, M; Bögli, H; Lai, W K

    1993-01-01

    Single-chip digital signal processors (DSPs) allow the flexible implementation of a large variety of speech analysis, synthesis, and processing algorithms for the hearing impaired. A series of experiments was carried out to optimize parameters of the adaptive beamformer noise reduction algorithm and to evaluate its performance in realistic environments with normal-hearing and hearing-impaired subjects. An experimental DSP system has been used to implement a multiband loudness correction (MLC) algorithm for a digital hearing aid. Speech tests in quiet and noise with 13 users of conventional hearing aids demonstrated significant improvements in discrimination scores with the MLC algorithm. Various speech coding strategies for cochlear implants were implemented in real time on a DSP laboratory speech processor. Improved speech discrimination performance was achieved with high-rate stimulation. Hybrid strategies incorporating speech feature detectors and complex decision algorithms are currently being investigated. PMID:8263833

  18. Using Speech Recall in Hearing Aid Fitting and Outcome Evaluation Under Ecological Test Conditions.

    PubMed

    Lunner, Thomas; Rudner, Mary; Rosenbom, Tove; Ågren, Jessica; Ng, Elaine Hoi Ning

    2016-01-01

    In adaptive Speech Reception Threshold (SRT) tests used in the audiological clinic, speech is presented at signal to noise ratios (SNRs) that are lower than those generally encountered in real-life communication situations. At higher, ecologically valid SNRs, however, SRTs are insensitive to changes in hearing aid signal processing that may be of benefit to listeners who are hard of hearing. Previous studies conducted in Swedish using the Sentence-final Word Identification and Recall test (SWIR) have indicated that at such SNRs, the ability to recall spoken words may be a more informative measure. In the present study, a Danish version of SWIR, known as the Sentence-final Word Identification and Recall Test in a New Language (SWIRL) was introduced and evaluated in two experiments. The objective of experiment 1 was to determine if the Swedish results demonstrating benefit from noise reduction signal processing for hearing aid wearers could be replicated in 25 Danish participants with mild to moderate symmetrical sensorineural hearing loss. The objective of experiment 2 was to compare direct-drive and skin-drive transmission in 16 Danish users of bone-anchored hearing aids with conductive hearing loss or mixed sensorineural and conductive hearing loss. In experiment 1, performance on SWIRL improved when hearing aid noise reduction was used, replicating the Swedish results and generalizing them across languages. In experiment 2, performance on SWIRL was better for direct-drive compared with skin-drive transmission conditions. These findings indicate that spoken word recall can be used to identify benefits from hearing aid signal processing at ecologically valid, positive SNRs where SRTs are insensitive. PMID:27355764

  19. 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.…

  20. A study of mercuric oxide and zinc-air battery life in hearing aids.

    PubMed

    Sparkes, C; Lacey, N K

    1997-09-01

    The requirement to phase out mercuric oxide (mercury) batteries on environmental grounds has led to the widespread introduction of zinc-air technology. The possibility arises that high drain hearing aids may not be adequately catered for by zinc-air cells, leading to poor performance. This study investigated the hearing aid user's ability to perceive differences between zinc-air and mercury cells in normal everyday usage. The data was collected for 100 experienced hearing aid users in field trials. Users report 50 per cent greater life for zinc-air cells in high power aids and 28 per cent in low power aids. The average life of the zinc-air cells range from 15 days in high power to 34 days in low power aids. Users are able to perceive a difference in sound quality in favour of zinc-air cells for low and medium power aids. The hearing aid population is not disadvantaged by phasing out mercury cells. PMID:9373545

  1. 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.…

  2. A novel method of improving sound quality and reducing acoustic feedback in hearing aids

    NASA Astrophysics Data System (ADS)

    Killion, Mead; French, John; Viranyi, Steve; Preves, David

    2002-05-01

    Most current hearing aids have relatively narrow bandwidths, when compared to high-fidelity equipment, and exhibit undamped peaks because the peaks are considered less troublesome than the problem of wax-clogged dampers. Attempting to make hearing aids wider band has typically resulted in increased acoustic feedback problems. The recent availability of an off-the-shelf digital hearing aid integrated circuit amplifier, which contains several biquad filters, when used with special software, automatically detects and suppresses peaks. The filters then further flatten and extend the hearing aid frequency response to 16 kHz, while the appropriate CORFIG correction is added to the frequency response, producing a transparent sound. Open ear versus aided KEMAR recordings were produced using a live jazz trio and a string quartet. The sound quality ratings for eight commercially available digital hearing aids were obtained from several different listening panels. The new response equalization proved advantageous in all cases. The effects of eliminating the peaks in the response on maximum real ear gain achievable before onset of acoustic feedback oscillation will be reported.

  3. Evaluation of the Hearing Aid Rehabilitation Questionnaire in Dutch: Examination of its Psychometric Properties and Potential Use as a Screening Instrument

    PubMed Central

    Chenault, Michelene N.; Anteunis, Lucien J.C.; Berger, Martijn P.F.

    2013-01-01

    Items pertaining to hearing and hearing aids from the Hearing Aid Rehabilitation Questionnaire were applied to a heterogeneous sample of Dutch patients aged 55 years and more to evaluate their potential use in hearing screening. Subjects aged 55+ were recruited from a large general practitioners practice to participate. Three groups were formed: a group of 63 persons with a hearing aid, a group of 64 without a hearing aid but with sufficient hearing impairment to qualify for hearing aid reimbursement, and a group of 85 non-hearing impaired persons. Factor and reliability analyses revealed a structure with two scales regarding hearing, namely functionality and social hearing and three scales pertaining to hearing aids, namely hearing aid stigma, pressure to be assessed and not wanting a hearing aid. Scale validity was assessed with pure tone averages over the frequencies 1, 2 and 4 kHz and with a visual analogue scale for subjective hearing. The derived scales can be applied reliably in audiological assessment in an adult hearing screen setting to detect experienced hearing problems as well as attitudes related to hearing and hearing aids. PMID:26557343

  4. The Effects of Unilateral Adaptation of Hearing Aids on Symptoms of Depression and Social Activity Constraints of Elderly.

    PubMed

    Santos, Fernanda Dutra Dos; Teixeira, Adriane Ribeiro

    2015-07-01

    Introduction Hearing loss is one of the most common problems in the elderly population. Besides compromising oral communication, it directly affects social relations and prevents elderly patients from living actively in society, possibly leading to the onset of depression or other conditions. Objective To analyze the effects of unilateral adaptation of hearing aids on symptoms of depression and the social activity constraints of elderly subjects with hearing impairment. Methods The sample consisted of elderly subjects with hearing loss who did not use hearing aids. Data were collected in two phases. Initially, all participants underwent an audiological assessment and answered the Hearing Handicap Inventory for Elderly (summarized version) and the Geriatric Depression Scale. All subjects participated in the selection and hearing aid adaptation processes and became monaural hearing aid users. After 30 days of hearing aid use, they were assessed with the same instruments. The results of the questionnaires before and after hearing aid adaptation were compared. Results The sample consisted of 13 individuals, between 60 and 90 years old (mean 72.85 ± 11.05 years). Data analysis showed that there was significant improvement in social activity constraints (p < 0.001) and in symptoms of depression (p = 0.031). Conclusion Results show that, in the sample studied, unilateral hearing aid adaptation reduced social activity constraints and depression symptoms. PMID:26157497

  5. The Effects of Unilateral Adaptation of Hearing Aids on Symptoms of Depression and Social Activity Constraints of Elderly

    PubMed Central

    Santos, Fernanda Dutra dos; Teixeira, Adriane Ribeiro

    2014-01-01

    Introduction Hearing loss is one of the most common problems in the elderly population. Besides compromising oral communication, it directly affects social relations and prevents elderly patients from living actively in society, possibly leading to the onset of depression or other conditions. Objective To analyze the effects of unilateral adaptation of hearing aids on symptoms of depression and the social activity constraints of elderly subjects with hearing impairment. Methods The sample consisted of elderly subjects with hearing loss who did not use hearing aids. Data were collected in two phases. Initially, all participants underwent an audiological assessment and answered the Hearing Handicap Inventory for Elderly (summarized version) and the Geriatric Depression Scale. All subjects participated in the selection and hearing aid adaptation processes and became monaural hearing aid users. After 30 days of hearing aid use, they were assessed with the same instruments. The results of the questionnaires before and after hearing aid adaptation were compared. Results The sample consisted of 13 individuals, between 60 and 90 years old (mean 72.85 ± 11.05 years). Data analysis showed that there was significant improvement in social activity constraints (p < 0.001) and in symptoms of depression (p = 0.031). Conclusion Results show that, in the sample studied, unilateral hearing aid adaptation reduced social activity constraints and depression symptoms. PMID:26157497

  6. Objective assessment of listening effort in the oscillatory EEG: comparison of different hearing aid configurations.

    PubMed

    Bernarding, Corinna; Strauss, Daniel J; Hannemann, Ronny; Seidler, Harald; Corona-Strauss, Farah I

    2014-01-01

    An objective estimate of listening effort could support the hearing aid fitting procedure. Most of the digital hearing aids have already hearing aid settings which are supposed to reduce the listening effort, but the effects of these settings on the individual's listening effort remain unclear. In this study, we propose an objective estimate of listening effort using electroencephalographic data. The new method is based on the phase distribution of the ongoing oscillatory EEG activity. We hypothesize that for a non-effortful listening environment the phase is rather uniformly distributed on the unit circle than for a demanding condition. To prove if the phase is uniformly distributed around the unit circle, the Rayleigh Test was applied to the phase of the EEG. This method was tested in 14 hearing impaired subjects (moderate hearing loss, 65.64 ±7.93 yrs, 7 female). The tested hearing aid settings were a directional microphone combined with a noise reduction algorithm in a medium and a strong setting, the noise reduction setting turned off as well as a setting using omnidirectional microphones. Noise embedded sentences (Oldenburg Sentence Test, OlSa) were used as test materials. The task of the subject was to repeat each sentence. The results indicate that the objective estimate of listening effort maps the subjectively rated effort and for a listening situation like the presented one, the strong setting of the directional microphone requires the smallest effort. PMID:25570536

  7. Consumer preferences for hearing aid attributes: a comparison of rating and conjoint analysis methods.

    PubMed

    Bridges, John F P; Lataille, Angela T; Buttorff, Christine; White, Sharon; Niparko, John K

    2012-03-01

    Low utilization of hearing aids has drawn increased attention to the study of consumer preferences using both simple ratings (e.g., Likert scale) and conjoint analyses, but these two approaches often produce inconsistent results. The study aims to directly compare Likert scales and conjoint analysis in identifying important attributes associated with hearing aids among those with hearing loss. Seven attributes of hearing aids were identified through qualitative research: performance in quiet settings, comfort, feedback, frequency of battery replacement, purchase price, water and sweat resistance, and performance in noisy settings. The preferences of 75 outpatients with hearing loss were measured with both a 5-point Likert scale and with 8 paired-comparison conjoint tasks (the latter being analyzed using OLS [ordinary least squares] and logistic regression). Results were compared by examining implied willingness-to-pay and Pearson's Rho. A total of 56 respondents (75%) provided complete responses. Two thirds of respondents were male, most had sensorineural hearing loss, and most were older than 50; 44% of respondents had never used a hearing aid. Both methods identified improved performance in noisy settings as the most valued attribute. Respondents were twice as likely to buy a hearing aid with better functionality in noisy environments (p < .001), and willingness to pay for this attribute ranged from US$2674 on the Likert to US$9000 in the conjoint analysis. The authors find a high level of concordance between the methods-a result that is in stark contrast with previous research. The authors conclude that their result stems from constraining the levels on the Likert scale. PMID:22514094

  8. Dynamic relation between working memory capacity and speech recognition in noise during the first 6 months of hearing aid use.

    PubMed

    Ng, Elaine H N; Classon, Elisabet; Larsby, Birgitta; Arlinger, Stig; Lunner, Thomas; Rudner, Mary; Rönnberg, Jerker

    2014-01-01

    The present study aimed to investigate the changing relationship between aided speech recognition and cognitive function during the first 6 months of hearing aid use. Twenty-seven first-time hearing aid users with symmetrical mild to moderate sensorineural hearing loss were recruited. Aided speech recognition thresholds in noise were obtained in the hearing aid fitting session as well as at 3 and 6 months postfitting. Cognitive abilities were assessed using a reading span test, which is a measure of working memory capacity, and a cognitive test battery. Results showed a significant correlation between reading span and speech reception threshold during the hearing aid fitting session. This relation was significantly weakened over the first 6 months of hearing aid use. Multiple regression analysis showed that reading span was the main predictor of speech recognition thresholds in noise when hearing aids were first fitted, but that the pure-tone average hearing threshold was the main predictor 6 months later. One way of explaining the results is that working memory capacity plays a more important role in speech recognition in noise initially rather than after 6 months of use. We propose that new hearing aid users engage working memory capacity to recognize unfamiliar processed speech signals because the phonological form of these signals cannot be automatically matched to phonological representations in long-term memory. As familiarization proceeds, the mismatch effect is alleviated, and the engagement of working memory capacity is reduced. PMID:25421088

  9. Dynamic Relation Between Working Memory Capacity and Speech Recognition in Noise During the First 6 Months of Hearing Aid Use

    PubMed Central

    Classon, Elisabet; Larsby, Birgitta; Arlinger, Stig; Lunner, Thomas; Rudner, Mary; Rönnberg, Jerker

    2014-01-01

    The present study aimed to investigate the changing relationship between aided speech recognition and cognitive function during the first 6 months of hearing aid use. Twenty-seven first-time hearing aid users with symmetrical mild to moderate sensorineural hearing loss were recruited. Aided speech recognition thresholds in noise were obtained in the hearing aid fitting session as well as at 3 and 6 months postfitting. Cognitive abilities were assessed using a reading span test, which is a measure of working memory capacity, and a cognitive test battery. Results showed a significant correlation between reading span and speech reception threshold during the hearing aid fitting session. This relation was significantly weakened over the first 6 months of hearing aid use. Multiple regression analysis showed that reading span was the main predictor of speech recognition thresholds in noise when hearing aids were first fitted, but that the pure-tone average hearing threshold was the main predictor 6 months later. One way of explaining the results is that working memory capacity plays a more important role in speech recognition in noise initially rather than after 6 months of use. We propose that new hearing aid users engage working memory capacity to recognize unfamiliar processed speech signals because the phonological form of these signals cannot be automatically matched to phonological representations in long-term memory. As familiarization proceeds, the mismatch effect is alleviated, and the engagement of working memory capacity is reduced. PMID:25421088

  10. Promoting vision and hearing aids use in an intensive care unit

    PubMed Central

    Zhou, Qiaoling; Faure Walker, Nicholas

    2015-01-01

    Vision and hearing impairments have long been recognised as modifiable risk factors for delirium.[1,2,3] Delirium in critically ill patients is a frequent complication (reported as high as 60% to 80% of intensive care patients), and is associated with a three-fold increase in mortality and prolonged hospital stay.[1] Guidelines by the UK Clinical Pharmacy Association recommend minimising risk factors to prevent delirium, rather than to treat it with pharmacological agents which may themselves cause delirium.[4] To address risk factors is a measure of multi-system management, such as sleep-wake cycle correction, orientation and use of vision and hearing aids, etc.[5] We designed an audit to survey the prevalence and availability of vision and hearing aids use in the intensive care unit (ICU) of one university hospital. The baseline data demonstrated a high level of prevalence and low level of availability of vision /hearing aid use. We implemented changes to the ICU Innovian assessment system, which serves to remind nursing staff performing daily checks on delirium reduction measures. This has improved practice in promoting vision and hearing aids use in ICU as shown by re-audit at six month. Further amendments to the Innovian risk assessments have increased the rate of assessment to 100% and vision aid use to near 100%. PMID:26734348

  11. Promoting vision and hearing aids use in an intensive care unit.

    PubMed

    Zhou, Qiaoling; Faure Walker, Nicholas

    2015-01-01

    Vision and hearing impairments have long been recognised as modifiable risk factors for delirium.[1,2,3] Delirium in critically ill patients is a frequent complication (reported as high as 60% to 80% of intensive care patients), and is associated with a three-fold increase in mortality and prolonged hospital stay.[1] Guidelines by the UK Clinical Pharmacy Association recommend minimising risk factors to prevent delirium, rather than to treat it with pharmacological agents which may themselves cause delirium.[4] To address risk factors is a measure of multi-system management, such as sleep-wake cycle correction, orientation and use of vision and hearing aids, etc.[5] We designed an audit to survey the prevalence and availability of vision and hearing aids use in the intensive care unit (ICU) of one university hospital. The baseline data demonstrated a high level of prevalence and low level of availability of vision /hearing aid use. We implemented changes to the ICU Innovian assessment system, which serves to remind nursing staff performing daily checks on delirium reduction measures. This has improved practice in promoting vision and hearing aids use in ICU as shown by re-audit at six month. Further amendments to the Innovian risk assessments have increased the rate of assessment to 100% and vision aid use to near 100%. PMID:26734348

  12. NIST System for Measuring the Directivity Index of Hearing Aids under Simulated Real-Ear Conditions.

    PubMed

    Wagner, Randall P

    2013-01-01

    The directivity index is a parameter that is commonly used to characterize the performance of directional hearing aids, and is determined from the measured directional response. Since this response is different for a hearing aid worn on a person as compared to when it is in a free field, directivity index measurements of hearing aids are usually done under simulated real-ear conditions. Details are provided regarding the NIST system for measuring the hearing aid directivity index under these conditions and how this system is used to implement a standardized procedure for performing such measurements. This procedure involves a sampling method that utilizes sound source locations distributed in a semi-aligned zone array on an imaginary spherical surface surrounding a standardized acoustical test manikin. The capabilities of the system were demonstrated over the frequency range of one-third-octave bands with center frequencies from 200 Hz to 8000 Hz through NIST participation in an interlaboratory comparison. This comparison was conducted between eight different laboratories of members of Working Group S3/WG48, Hearing Aids, established by Accredited Standards Committee S3, Bioacoustics, which is administered by the Acoustical Society of America and accredited by the American National Standards Institute. Directivity measurements were made for a total of six programmed memories in two different hearing aids and for the unaided manikin with the manikin right pinna accompanying the aids. Omnidirectional, cardioid, and bidirectional response patterns were measured. Results are presented comparing the NIST data with the reference values calculated from the data reported by all participating laboratories. PMID:26401425

  13. NIST System for Measuring the Directivity Index of Hearing Aids under Simulated Real-Ear Conditions

    PubMed Central

    Wagner, Randall P

    2013-01-01

    The directivity index is a parameter that is commonly used to characterize the performance of directional hearing aids, and is determined from the measured directional response. Since this response is different for a hearing aid worn on a person as compared to when it is in a free field, directivity index measurements of hearing aids are usually done under simulated real-ear conditions. Details are provided regarding the NIST system for measuring the hearing aid directivity index under these conditions and how this system is used to implement a standardized procedure for performing such measurements. This procedure involves a sampling method that utilizes sound source locations distributed in a semi-aligned zone array on an imaginary spherical surface surrounding a standardized acoustical test manikin. The capabilities of the system were demonstrated over the frequency range of one-third-octave bands with center frequencies from 200 Hz to 8000 Hz through NIST participation in an interlaboratory comparison. This comparison was conducted between eight different laboratories of members of Working Group S3/WG48, Hearing Aids, established by Accredited Standards Committee S3, Bioacoustics, which is administered by the Acoustical Society of America and accredited by the American National Standards Institute. Directivity measurements were made for a total of six programmed memories in two different hearing aids and for the unaided manikin with the manikin right pinna accompanying the aids. Omnidirectional, cardioid, and bidirectional response patterns were measured. Results are presented comparing the NIST data with the reference values calculated from the data reported by all participating laboratories. PMID:26401425

  14. Development and Preliminary Verification of a Mandarin-Based Hearing-Aid Fitting Strategy

    PubMed Central

    Lai, Ying-Hui; Liu, Tien-Chen; Li, Pei-Chun; Shih, Wan-Ting; Young, Shuenn-Tsong

    2013-01-01

    Objective The purpose of this study was to design and to verify a new hearing-aid fitting strategy (Aescu HRL-1) based on the acoustic features of Mandarin. The subjective and objective outcomes were compared to those fitted with NAL-NL1 (National Acoustic Laboratory Non-Linear, version1) in Mandarin-speaking hearing-aid users. Design Fifteen subjects with sensorineural hearing loss participated in this preliminary study. Each subject wore a pair of four-channel hearing aids fitted with the Aescu HRL-1 and NAL-NL1 prescriptions alternatively for 1 month. Objective and subjective tests including the Mandarin Monosyllable Recognition Test (MMRT), Mandarin Hearing in Noise Test (MHINT), International Outcome Inventory for Hearing Aids (IOI-HA), and a sound-quality questionnaire were used to evaluate the performance of the two prescriptions. Results The mean MMRT scores were 79.9% and 81.1% for NAL-NL1 and Aescu HRL-1 respectively. They are not statistically different. The corresponding MHINT signal-to-noise ratios were 0.87 and 0.85 dB, also, no significant difference was found between these two strategies. However, in subjective questionnaires, overall, the sound-quality and IOI-HA scores were higher for Aescu HRL-1. Conclusions The speech recognition performance based on Aescu HRL-1 is as good as that of NAL-NL1 for Mandarin-speaking hearing-aid users. Moreover, the subjects generally responded that Aescu HRL-1 provides a more natural, richer, and better sound quality than does NAL-NL1. PMID:24278326

  15. [Indication for and verification of hearing aid benefit using modern methods of speech audiometry in German].

    PubMed

    Kollmeier, B; Lenarz, T; Winkler, A; Zokoll, M A; Sukowski, H; Brand, T; Wagener, K C

    2011-10-01

    The current guidelines for hearing aid supply in Germany employ the often criticised Freiburg monosyllabic speech test (FBE) in quiet. This test can be replaced with the monosyllabic rhyme test by von Wallenberg and Kollmeier (WaKo) in quiet and by the measurement of a speech reception threshold in an interfering noise at a moderate level (45 dB SPL) using either the Göttingen or the Oldenburg sentence test (criterion: 2 dB improvement in SNR, "signal-to-noise ratio"). This procedure was investigated in a group of 38 participants with a sensorineural hearing impairment (mild, moderate or severe hearing loss) and 11 volunteers with normal hearing. On average, comparable indications were achieved. Participants with a mild hearing loss and a selective problem with listening in interfering noise were assessed more fairly. PMID:21769581

  16. Wireless Hearing Aid System Simulations using Advanced Design System™: A Behavioral Modeling Approach.

    PubMed

    Singh Rana, Ram; Bin, Tang; Liang, Zhang; Hari Krishna, Garg; De Yun, Wang

    2005-01-01

    The stringent requirements on size and power consumption constrain the conventional hearing aid devices from providing the patients an economic and user friendly solution, specifically for better noise cancellation. With the advancements in technologies such as integrated circuits design, wireless communications and digital signal processing techniques, the wireless hearing aids having multi-microphones, analog, digital and mixed signals and radio frequency signals processing circuits, DSP and programmable units seem to be promising to provide enhanced performance. The focus of this paper is about the system simulation of a typical wireless hearing aid using Agilent Advanced Design System™. The behavioral modeling features are exploited to enable the whole system simulations including electro-acoustic transducers. A few system level simulation results are included. PMID:17282359

  17. The reference ear modeling method for internally feedback controlled digital hearing aid chip.

    PubMed

    Kim, Sunyoung; Lee, Seung Jin; Cho, Namjun; Song, Seong-Jun; Yoo, Hoi-Jun

    2007-01-01

    A reference ear modeling method for the real-time feedback controlled digital hearing aid chip is proposed and implemented. In order to reduce the modeling complexity and enhance the programmability, new ear modeling method using the acoustic filter theory is adopted to the digital hearing aid. To achieve the fully internal gain fitting and verification system, the responses from the damaged ear and the reference ear model are compared and the new gain parameters are processed for the multi-channel DSP. The digital hearing aid chip with reference ear model is fabricated in 0.18 microm CMOS technology, has a core area of 3.1 mm x 1.2 mm and dissipates less than 120 muA. PMID:18003331

  18. A Reconfigurable Sound Wave Decomposition Filterbank for Hearing Aids Based on Nonlinear Transformation.

    PubMed

    Huang, Shaoguang; Tian, Lan; Ma, Xiaojie; Wei, Ying

    2016-04-01

    Hearing impaired people have their own hearing loss characteristics and listening preferences. Therefore hearing aid system should become more natural, humanized and personalized, which requires the filterbank in hearing aids provides flexible sound wave decomposition schemes, so that patients are likely to use the most suitable scheme for their own hearing compensation strategy. In this paper, a reconfigurable sound wave decomposition filterbank is proposed. The prototype filter is first cosine modulated to generate uniform subbands. Then by non-linear transformation the uniform subbands are mapped to nonuniform subbands. By changing the control parameters, the nonlinear transformation changes which leads to different subbands allocations. It provides four different sound wave decomposition schemes without changing the structure of the filterbank. The performance of the proposed reconfigurable filterbank was compared with that of fixed filerbanks, fully customizable filterbanks and other existing reconfigurable filterbanks. It is shown that the proposed filterbank provides satisfactory matching performance as well as low complexity and delay, which make it suitable for real hearing aid applications. PMID:26168447

  19. Contralateral routing of signal hearing aid versus transcutaneous bone conduction in single-sided deafness.

    PubMed

    Leterme, Gaëlle; Bernardeschi, Daniele; Bensemman, Anissa; Coudert, Cyrille; Portal, Jean-Jacques; Ferrary, Evelyne; Sterkers, Olivier; Vicaut, Eric; Frachet, Bruno; Bozorg Grayeli, Alexis

    2015-01-01

    The aim of this study was to compare a contralateral routing of signal (CROS) hearing aid to a transcutaneous bone-anchored device in the same conditions. This prospective crossover study included 18 adult patients with a single-sided deafness (SSD). After a trial period of 60 days with CROS and 7 days with a transcutaneous bone-anchored device (Alpha 1®, Sophono, Boulder, Colo., USA) on a headband, 13 (72%) patients opted for Alpha 1, 2 patients for CROS, and 3 rejected both rehabilitation methods. Clinical tolerance, satisfaction, hearing performances (pure-tone audiometry, speech test in quiet and in noise, stereo audiometry, sound localization, and Hearing in Noise Test), and quality of life (Glasgow Benefit Inventory, Abbreviated Profile of Hearing Aid Benefit and Glasgow Hearing Aid Benefit questionnaires) were measured at 3 and 12 months after the implantation. Both devices improved equally the hearing in noise and the quality of life. Transcutaneous devices represent an effective option in SSD. PMID:26021779

  20. Bone-conduction hearing aids in an elderly population: complications and quality of life assessment.

    PubMed

    Carr, Simon D; Moraleda, Javier; Baldwin, Alice; Ray, Jaydip

    2016-03-01

    To determine whether an elderly population with hearing impairment can be adequately rehabilitated with a bone-conduction hearing aid and whether the putative relationship between the elderly and an increased complication rate is justified. The study design was a retrospective case note review with a postal and telephone questionnaire, which was carried out in a tertiary centre. All patients aged 60 or over underwent implantation with a bone-conduction aid between 2009 and 2013 for conductive, SSD or mixed hearing loss. Outcome measures were complication rates and quality of life assessment using the Glasgow Benefit Inventory. The influence of patient and surgical factors on the complication rate was assessed. Fifty-one patients were implanted. Mean age was 67 years (range 60-89 years). The mean benefit, satisfaction and global GBI scores were 70 % (range 0-100 %), 70 % (0-100 %) and 82 % (83-100 %), respectively. The residual disability was 18 % (0-25 %). The adverse skin reaction rate was 16 % and the fixture loss rate was 2 %. There was a demonstrable increase in the complication rate with the dermatome (45 %; 5 patients) compared to the Sheffield 'S' (13 %; 2 patients) or linear incision techniques (29 %; 7 patients). The bone-conduction hearing aids are ideal method of hearing rehabilitation in the elderly for all forms of hearing loss. It provides significant benefit with no increased complication rate, which is imperative if social isolation is to be avoided and cognition preserved in this growing elderly population. PMID:25736468

  1. Peaks in the Frequency Response of Hearing Aids: Evaluation of the Effects on Speech Intelligibility and Sound Quality.

    ERIC Educational Resources Information Center

    Buuren, Ronald A. van; And Others

    1996-01-01

    This study evaluated speech intelligibility under noise conditions of varying peaks (10, 20, and 30 decibels) in frequency response, with 26 listeners with sensorineural impaired hearing who used hearing aids and 10 listeners with normal hearing. Results indicated that the peaks affected speech intelligibility more for listeners with impaired than…

  2. Point Vowel Duration in Children with Hearing Aids and Cochlear Implants at 4 and 5 Years of Age

    ERIC Educational Resources Information Center

    Vandam, Mark; Ide-Helvie, Dana; Moeller, Mary Pat

    2011-01-01

    This work investigates the developmental aspects of the duration of point vowels in children with normal hearing compared with those with hearing aids and cochlear implants at 4 and 5 years of age. Younger children produced longer vowels than older children, and children with hearing loss (HL) produced longer and more variable vowels than their…

  3. Contribution of a Contralateral Hearing Aid to Perception of Consonant Voicing, Intonation, and Emotional State in Adult Cochlear Implantees

    ERIC Educational Resources Information Center

    Most, Tova; Gaon-Sivan, Gal; Shpak, Talma; Luntz, Michal

    2012-01-01

    Binaural hearing in cochlear implant (CI) users can be achieved either by bilateral implantation or bimodally with a contralateral hearing aid (HA). Binaural-bimodal hearing has the advantage of complementing the high-frequency electric information from the CI by low-frequency acoustic information from the HA. We examined the contribution of a…

  4. Auditory, Visual, and Auditory-Visual Speech Perception by Individuals with Cochlear Implants versus Individuals with Hearing Aids

    ERIC Educational Resources Information Center

    Most, Tova; Rothem, Hilla; Luntz, Michal

    2009-01-01

    The researchers evaluated the contribution of cochlear implants (CIs) to speech perception by a sample of prelingually deaf individuals implanted after age 8 years. This group was compared with a group with profound hearing impairment (HA-P), and with a group with severe hearing impairment (HA-S), both of which used hearing aids. Words and…

  5. Cortical Auditory Evoked Potentials Reveal Changes in Audibility with Nonlinear Frequency Compression in Hearing Aids for Children: Clinical Implications.

    PubMed

    Ching, Teresa Y C; Zhang, Vicky W; Hou, Sanna; Van Buynder, Patricia

    2016-02-01

    Hearing loss in children is detected soon after birth via newborn hearing screening. Procedures for early hearing assessment and hearing aid fitting are well established, but methods for evaluating the effectiveness of amplification for young children are limited. One promising approach to validating hearing aid fittings is to measure cortical auditory evoked potentials (CAEPs). This article provides first a brief overview of reports on the use of CAEPs for evaluation of hearing aids. Second, a study that measured CAEPs to evaluate nonlinear frequency compression (NLFC) in hearing aids for 27 children (between 6.1 and 16.8 years old) who have mild to severe hearing loss is reported. There was no significant difference in aided sensation level or the detection of CAEPs for /g/ between NLFC on and off conditions. The activation of NLFC was associated with a significant increase in aided sensation levels for /t/ and /s/. It also was associated with an increase in detection of CAEPs for /t/ and /s/. The findings support the use of CAEPs for checking audibility provided by hearing aids. Based on the current data, a clinical protocol for using CAEPs to validate audibility with amplification is presented. PMID:27587920

  6. Steps Toward Effective Production of Speech (STEPS): No. 5--How to Take Care of a Hearing Aid.

    ERIC Educational Resources Information Center

    Sheeley, Eugene C.; McQuiddy, Doris

    The booklet, one of a series of guides for parents of deaf-blind children developed by Project STEPS (Steps Toward Effective Production of Speech), gives parents practical suggestions for caring for their deaf-blind child's hearing aid. An initial section provides basic information on hearing aid function and care. Specific care ideas are provided…

  7. Development of a Bone-Conducted Ultrasonic Hearing Aid for the Profoundly Deaf: Evaluation of Sound Quality Using a Semantic Differential Method

    NASA Astrophysics Data System (ADS)

    Nakagawa, Seiji; Fujiyuki, Chika; Kagomiya, Takayuki

    2013-07-01

    Bone-conducted ultrasound (BCU) is perceived even by the profoundly sensorineural deaf. A novel hearing aid using the perception of amplitude-modulated BCU (BCU hearing aid: BCUHA) has been developed. However, there is room for improvement particularly in terms of sound quality. BCU speech is accompanied by a strong high-pitched tone and contain some distortion. In this study, the sound quality of BCU speech with several types of amplitude modulation [double-sideband with transmitted carrier (DSB-TC), double-sideband with suppressed carrier (DSB-SC), and transposed modulations] and air-conducted (AC) speech was quantitatively evaluated using semantic differential and factor analysis. The results showed that all the types of BCU speech had higher metallic and lower esthetic factor scores than AC speech. On the other hand, transposed speech was closer than the other types of BCU speech to AC speech generally; the transposed speech showed a higher powerfulness factor score than the other types of BCU speech and a higher esthetic factor score than DSB-SC speech. These results provide useful information for further development of the BCUHA.

  8. Student Financial Aid Issues Hearing Report (Atlanta, Georgia,

    ERIC Educational Resources Information Center

    Advisory Committee on Student Financial Assistance, Washington, DC.

    This paper summarizes results of a hearing by the Advisory Committee on Student Financial Assistance in Atlanta, Georgia, on the delivery and disposition of higher education student financial assistance funds. Seventeen individuals offered testimony. They included representatives of guarantee agencies, the lending community, the financial aid…

  9. Vocabulary and Working Memory in Children Fit with Hearing Aids

    ERIC Educational Resources Information Center

    Stiles, Derek J.; McGregor, Karla K.; Bentler, Ruth A.

    2012-01-01

    Purpose: To determine whether children with mild-to-moderately severe sensorineural hearing loss (CHL) present with disturbances in working memory and whether these disturbances relate to the size of their receptive vocabularies. Method: Children 6 to 9 years of age participated. Aspects of working memory were tapped by articulation rate, forward…

  10. Multicenter evaluation of signal enhancement algorithms for hearing aids.

    PubMed

    Luts, Heleen; Eneman, Koen; Wouters, Jan; Schulte, Michael; Vormann, Matthias; Buechler, Michael; Dillier, Norbert; Houben, Rolph; Dreschler, Wouter A; Froehlich, Matthias; Puder, Henning; Grimm, Giso; Hohmann, Volker; Leijon, Arne; Lombard, Anthony; Mauler, Dirk; Spriet, Ann

    2010-03-01

    In the framework of the European HearCom project, promising signal enhancement algorithms were developed and evaluated for future use in hearing instruments. To assess the algorithms' performance, five of the algorithms were selected and implemented on a common real-time hardware/software platform. Four test centers in Belgium, The Netherlands, Germany, and Switzerland perceptually evaluated the algorithms. Listening tests were performed with large numbers of normal-hearing and hearing-impaired subjects. Three perceptual measures were used: speech reception threshold (SRT), listening effort scaling, and preference rating. Tests were carried out in two types of rooms. Speech was presented in multitalker babble arriving from one or three loudspeakers. In a pseudo-diffuse noise scenario, only one algorithm, the spatially preprocessed speech-distortion-weighted multi-channel Wiener filtering, provided a SRT improvement relative to the unprocessed condition. Despite the general lack of improvement in SRT, some algorithms were preferred over the unprocessed condition at all tested signal-to-noise ratios (SNRs). These effects were found across different subject groups and test sites. The listening effort scores were less consistent over test sites. For the algorithms that did not affect speech intelligibility, a reduction in listening effort was observed at 0 dB SNR. PMID:20329849

  11. 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…

  12. Pilot Study to Evaluate Hearing Aid Service Delivery Model and Measure Benefit Using Self-Report Outcome Measures Using Community Hearing Workers in a Developing Country

    PubMed Central

    Emerson, Lingamdenne Paul; Job, Anand; Abraham, Vinod

    2013-01-01

    Hearing loss is a major handicap in developing countries with paucity of trained audiologists and limited resources. In this pilot study trained community health workers were used to provide comprehensive hearing aid services in the community. One hundred and eleven patients were fitted with semi-digital hearing aid and were evaluated over a period of six months. They were assessed using self-report outcome measure APHAB. Results show that trained CHWs are effective in detecting disabling hearing loss and in providing HAs. APHAB can identify and pick up significant improvements in communication in daily activities and provides a realistic expectation of the benefits of a hearing aid. The model of using trained CHWs to provide rehabilitative services in audiology along with self-report outcome measures can be replicated in other developing countries. PMID:23724277

  13. Hearing Loss

    MedlinePlus

    ... Devices Can Help? Hearing aids. Hearing aids are electronic, battery-run devices that make sounds louder. There ... to turn up the volume. Cochlear implants. These electronic devices are for people with severe hearing loss. ...

  14. Rate-constrained source separation for speech enhancement in wireless-communicated binaural hearing aids

    NASA Astrophysics Data System (ADS)

    Ayllón, David; Gil-Pita, Roberto; Rosa-Zurera, Manuel

    2013-12-01

    A recent trend in hearing aids is the connection of the left and right devices to collaborate between them. Binaural systems can provide natural binaural hearing and support the improvement of speech intelligibility in noise, but they require data transmission between both devices, which increases the power consumption. This paper presents a novel sound source separation algorithm for binaural speech enhancement based on supervised machine learning and time-frequency masking. The system is designed considering the power restrictions in hearing aids, constraining both the computational cost of the algorithm and the transmission bit rate. The transmission schema is optimized using a tailored evolutionary algorithm that assigns a different number of bits to each frequency band. The proposed algorithm requires less than 10% of the available computational resources for signal processing and obtains good separation performance using bit rates lower than 64 kbps.

  15. 77 FR 70407 - Updated Information and Comment Sought on Review of Hearing Aid Compatibility Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-26

    ... FR 2625, January 14, 2011. Due to intervening market, technical, and regulatory developments since..., 75 FR 54508, Sept. 8, 2010, the Commission reiterated its intention, first stated in 2008, to... released the Hearing Aid Compatibility Third Report and Order, 77 FR 41919, July 17, 2012, which...

  16. 78 FR 2653 - Comment Deadline Extended for Updated Information and Comment on Review of Hearing Aid...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-14

    ... comments in its ongoing review of the wireless hearing aid compatibility rules (77 FR 72294, December 5... Rulemaking Proceedings, 63 FR 24121 (1998). Electronic Filers: Comments may be filed electronically using the... From the Federal Register Online via the Government Publishing Office FEDERAL...

  17. Theory-of-Mind Development in Oral Deaf Children with Cochlear Implants or Conventional Hearing Aids

    ERIC Educational Resources Information Center

    Peterson, Candida C.

    2004-01-01

    Background: In the context of the established finding that theory-of-mind (ToM) growth is seriously delayed in late-signing deaf children, and some evidence of equivalent delays in those learning speech with conventional hearing aids, this study's novel contribution was to explore ToM development in deaf children with cochlear implants. Implants…

  18. Filtering to match hearing aid insertion gain to individual ear acoustics.

    PubMed

    Bell, Steven L

    2009-09-01

    When hearing aid gain is prescribed by software, gain is calculated based on the average acoustics for the age of patient, gender, mold type, and so on. The acoustics of the individual's ear often vary from the average values, so there will be a mismatch between the prescribed gain and the real-ear gain. Real-ear measurement can be used to verify the gain and adjust it to meet targets, but the quality of the match will be limited by the number of channels and the flexibility of the hearing aid. A potential way to improve this process is to generate a filter that compensates for variations in real-ear insertion gain due to individual ear acoustics. Such a filter could be included in the processing path of a digital hearing aid. This article describes how such a filter can be generated using the windowing method, and the principle is demonstrated in a real ear. The approach requires communication between the real-ear measurement and hearing aid programming software. A finite impulse response filter with group delay just over 2 ms matched insertion gain to target values within the acceptable tolerance defined by British Society of Audiology guidelines. PMID:19713209

  19. 21 CFR 874.3310 - Hearing aid calibrator and analysis system.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Hearing aid calibrator and analysis system. 874.3310 Section 874.3310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3310...

  20. 21 CFR 874.3310 - Hearing aid calibrator and analysis system.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Hearing aid calibrator and analysis system. 874.3310 Section 874.3310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3310...

  1. 21 CFR 874.3310 - Hearing aid calibrator and analysis system.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Hearing aid calibrator and analysis system. 874.3310 Section 874.3310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3310...

  2. 21 CFR 874.3310 - Hearing aid calibrator and analysis system.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Hearing aid calibrator and analysis system. 874.3310 Section 874.3310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3310...

  3. 21 CFR 874.3310 - Hearing aid calibrator and analysis system.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Hearing aid calibrator and analysis system. 874.3310 Section 874.3310 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES EAR, NOSE, AND THROAT DEVICES Prosthetic Devices § 874.3310...

  4. Revisiting Computer-Aided Notetaking Technological Assistive Devices for Hearing-Impaired Students

    ERIC Educational Resources Information Center

    Stover, Dana L.; Pendegraft, Norman

    2005-01-01

    The first part of this article describes the use of Computer-aided note taking (CAN) for a fifth-grade student with a profound hearing loss who has been mainstreamed in her local grade school since first grade. As such, this is a case study of how technology can directly and dramatically impact the educational experience of a student with a…

  5. 75 FR 54508 - Amendment of the Commission's Rules Governing Hearing Aid-Compatible Mobile Handsets

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... market that included Wi-Fi capability, and it adopted an interim rule to address their status. Under the... hearing aid compatibility with respect to Wi-Fi operation. 22. The Multi-Band Principles propose that... air interfaces capable of supporting voice services other than Wi-Fi are already coming on the...

  6. 47 CFR 20.19 - Hearing aid-compatible mobile handsets.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... handsets that incorporate a Wi-Fi air interface and that were obtained by the service provider before March... the handset has not been rated for hearing aid compatibility with respect to Wi-Fi operation. (3... Register in accordance with 5 U.S.C. 552(a) and 1 CFR part 51. These materials are incorporated as...

  7. 47 CFR 20.19 - Hearing aid-compatible mobile handsets.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... wireless handset that incorporates a Wi-Fi air interface is hearing aid-compatible if the handset otherwise.... (2) Disclosure requirement relating to handsets with Wi-Fi capability. Beginning December 7, 2008... compatibility ratings for a handset model that incorporates a Wi-Fi air interface, it discloses to consumers,...

  8. 47 CFR 68.415 - Hearing aid-compatibility and volume control informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Hearing aid-compatibility and volume control informal complaints. 68.415 Section 68.415 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK...

  9. 47 CFR 68.415 - Hearing aid-compatibility and volume control informal complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 3 2011-10-01 2011-10-01 false Hearing aid-compatibility and volume control informal complaints. 68.415 Section 68.415 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK...

  10. What Deaf and Hard-of-Hearing Adolescents Know and Think about AIDS.

    ERIC Educational Resources Information Center

    Luckner, John L.; Gonzales, B. Robert

    1993-01-01

    A survey of 204 secondary students with deafness or hearing impairment suggested that adolescents had a general idea about what human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) are and the potential impact of the disease. However, they demonstrated gaps in knowledge of how the disease is transmitted and prevented…

  11. 21 CFR 801.421 - Hearing aid devices; conditions for sale.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., or in the predominate method of communication used during the sale; (3) Afford the prospective user... purchased by a qualified school or institution for the purpose of communicating with and educating... (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid...

  12. 21 CFR 801.421 - Hearing aid devices; conditions for sale.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., or in the predominate method of communication used during the sale; (3) Afford the prospective user... purchased by a qualified school or institution for the purpose of communicating with and educating... (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid...

  13. 21 CFR 801.421 - Hearing aid devices; conditions for sale.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., or in the predominate method of communication used during the sale; (3) Afford the prospective user... purchased by a qualified school or institution for the purpose of communicating with and educating... (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid...

  14. 21 CFR 801.421 - Hearing aid devices; conditions for sale.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., or in the predominate method of communication used during the sale; (3) Afford the prospective user... purchased by a qualified school or institution for the purpose of communicating with and educating... (CONTINUED) MEDICAL DEVICES LABELING Special Requirements for Specific Devices § 801.421 Hearing aid...

  15. 47 CFR 68.317 - Hearing aid compatibility volume control: technical standards.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 3 2014-10-01 2014-10-01 false Hearing aid compatibility volume control: technical standards. 68.317 Section 68.317 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) CONNECTION OF TERMINAL EQUIPMENT TO THE TELEPHONE NETWORK Conditions for Terminal Equipment Approval §...

  16. 76 FR 2625 - Comment Sought on 2010 Review of Hearing Aid Compatibility Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-14

    ... FR 54508 and 75 FR 54546 (Sept. 8, 2010), the ] Commission reiterated its intention, first stated in... Electronic Filing of Documents in Rulemaking Proceedings, 63 FR 24121 (1998). Electronic Filers: Comments may... COMMISSION 47 CFR Part 20 Comment Sought on 2010 Review of Hearing Aid Compatibility Regulations...

  17. A Comparison of Language Achievement in Children with Cochlear Implants and Children Using Hearing Aids.

    ERIC Educational Resources Information Center

    Tomblin, J. Bruce; Spencer, Linda; Flock, Sarah; Tyler, Rich; Gantz, Bruce

    1999-01-01

    English language achievement of 29 prelingually deaf children with three or more years of cochlear implant (CI) experience was compared to the achievement levels of 29 prelingually deaf children with hearing aids. CI users performed better than comparison subjects on signed and spoken English grammar and length of CI experience was significantly…

  18. 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…

  19. Hearing Aid Satisfaction: What Does Research from the Past 20 Years Say?

    PubMed Central

    Wong, Lena L. N.; Hickson, Louise; McPherson, Bradley

    2003-01-01

    Hearing aid satisfaction is a pleasurable emotional experience as an outcome of an evaluation of performance. Many tools have been designed to measure the degree of satisfaction overall, or along the dimensions of cost, appearance, acoustic benefit, comfort, and service. Various studies have used these tools to examine the relationships between satisfaction and other factors. Findings are not always consistent across studies, but in general, hearing aid satisfaction has been found to be related to experience, expectation, personality and attitude, usage, type of hearing aids, sound quality, listening situations, and problems in hearing aid use. Inconsistent findings across studies and difficulties in evaluating the underlying relationships are probably caused by problems with the tools (eg, lack of validity) and the methods used to evaluate relationships (eg, correlation analyses evaluate association and not causal effect). Whether satisfaction changes over time and how service satisfaction contributes to device satisfaction are unclear. It is hoped that this review will help readers understand current satisfaction measures, how various factors affect satisfaction, and how the way satisfaction is measured may be improved to yield more reliable and valid data. PMID:15004650

  20. Using a signal cancellation technique involving impulse response to assess directivity of hearing aids.

    PubMed

    Wu, Yu-Hsiang; Bentler, Ruth A

    2009-12-01

    The directional microphone systems of modern digital hearing aids are capable of changing their spatial directivity pattern and/or the microphone mode in response to changes in the properties of environmental sounds. These adaptive/automatic features make measurement of a hearing aid's directivity in a given test environment very difficult. Assessing the directivity of such systems requires a signal that can record the system's response while not changing the system's directivity. This paper proposes a method using a signal cancellation technique involving impulse responses to acoustically assess a hearing aid's directivity (referred to as the IR method). The impulse is presumed to be undetectable to the adaptive/automatic system because it contains little energy and a short response could be recorded before the system actually reacts. In the current study, the IR method was evaluated by testing five adaptive/automatic directional hearing aids in noise of various intensities. The results revealed that the IR method was an accurate and repeatable way to assess slow-acting directional systems in noise of varying intensities and fast-acting systems in noise of high intensities. PMID:20000935

  1. Perceptual Acclimatization Post Nonlinear Frequency Compression Hearing Aid Fitting in Older Children

    ERIC Educational Resources Information Center

    Glista, Danielle; Scollie, Susan; Sulkers, Jacob

    2012-01-01

    Purpose: In this study, the authors evaluated the effect of frequency compression hearing aids on speech perception ability and the time course and magnitude of acclimatization-related changes. Method: Participants included children ages 11-18 years. Speech perception ability was evaluated over well-controlled baseline, treatment, and withdrawal…

  2. Use of Differential Reinforcement to Increase Hearing Aid Compliance: A Preliminary Investigation

    ERIC Educational Resources Information Center

    Bass-Ringdahl, Sandie M.; Ringdahl, Joel E.; Boelter, Eric W.

    2010-01-01

    Compliance with hearing aid use can be difficult to achieve with children. This difficulty can be increased when a child presents with other disabilities, such as developmental delays. Behavioral treatments, including differential reinforcement, might be one strategy for increasing compliance by these children. In the clinical scenario discussed,…

  3. Use of the Satisfaction With Amplification in Daily Life Questionnaire to Assess Patient Satisfaction Following Remote Hearing Aid Adjustments (Telefitting)

    PubMed Central

    Bento, Ricardo Ferreira; Battistella, Linamara Rizzo

    2014-01-01

    Background Hearing loss can affect approximately 15% of the pediatric population and up to 40% of the adult population. The gold standard of treatment for hearing loss is amplification of hearing thresholds by means of a hearing aid instrument. A hearing aid is an electronic device equipped with a topology of only three major components of aggregate cost. The gold standard of hearing aid fittings is face-to-face appointments in hearing aid centers, clinics, or hospitals. Telefitting encompasses the programming and adjustments of hearing aid settings remotely. Fitting hearing aids remotely is a relatively simple procedure, using minimal computer hardware and Internet access. Objective This project aimed to examine the feasibility and outcomes of remote hearing aid adjustments (telefitting) by assessing patient satisfaction via the Portuguese version of the Satisfaction With Amplification in Daily Life (SADL) questionnaire. Methods The Brazilian Portuguese version of the SADL was used in this experimental research design. Participants were randomly selected through the Rehabilitation Clinical (Espaco Reouvir) of the Otorhinolaryngology Department Medical School University of Sao Paulo. Of the 8 participants in the study, 5 were female and 3 were male, with a mean age of 71.5 years. The design consisted of two face-to-face sessions performed within 15 working days of each other. The remote assistance took place 15 days later. Results The average scores from this study are above the mean scores from the original SADL normative data. These indicate a high level of satisfaction in participants who were fitted remotely. Conclusions The use of an evaluation questionnaire is a simple yet effective method to objectively assess the success of a remote fitting. Questionnaire outcomes can help hearing stakeholders improve the National Policy on Hearing Health Care in Brazil. The results of this project indicated that patient satisfaction levels of those fitted remotely were

  4. 47 CFR 68.316 - Hearing aid compatibility: Technical requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Aids (From EIA Standards Proposal No. 1652, formulated under the cognizance of EIA TR-41 Committee on... equipment prepared by EIA Engineering Committee TR-41. This document, with its companion standards...

  5. 47 CFR 68.316 - Hearing aid compatibility: Technical requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Aids (From EIA Standards Proposal No. 1652, formulated under the cognizance of EIA TR-41 Committee on... equipment prepared by EIA Engineering Committee TR-41. This document, with its companion standards...

  6. Auditory brainstem and cortical potentials following bone-anchored hearing aid stimulation.

    PubMed

    Rahne, Torsten; Ehelebe, Thomas; Rasinski, Christine; Götze, Gerrit

    2010-11-30

    Patients suffering from conductive or mixed hearing loss and Single-Sided Deafness may benefit from implantable hearing devices relying on bone conducted auditory stimulation. However, with only passively cooperative patients, objective methods are needed to estimate the aided and unaided pure-tone audiogram. This study focuses on the feasibility aspect of an electrophysiological determination of the hearing thresholds with bone-anchored hearing aid stimulation. Therefore, 10 normal-hearing subjects were provided with a Baha Intenso (Cochlear Ltd.) which was temporarily connected to the Baha Softband (Cochlear Ltd.). Auditory evoked potentials were measured by auditory stimulation paradigm used in clinical routine. The amplitudes, latencies, and thresholds of the resulting auditory brainstem responses (ABR) and the cortically evoked responses (CAEP) were correlated with the respective responses without the use of the Baha Intenso. The recording of ABR and CAEP by delivering the stimuli to the Baha results in response waveforms which are comparable to those evoked by earphone stimulation and appears appropriate to be measured using the Baha Intenso as stimulator. At the ABR recordings a stimulus artifact at higher stimulation levels and a constant latency shift caused by the Baha Intenso has to be considered. The CAEP recording appeared promising as a frequency specific objective method to approve the fitting of bone-anchored hearing aids. At all measurements, the ABR and CAEP thresholds seem to be consistent with the normal hearing of the investigated participants. Thus, a recording of auditory evoked potentials using a Baha is in general possible if specific limitations are considered. PMID:20875458

  7. Emergency School Aid Hearings Before a Subcommittee of the Committee on Appropriations, United States Senate, Ninety-Fourth Congress. Second Session. Special Hearing.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Appropriations.

    The purpose of these hearings was to hear testimony on an amendment to the Emergency School Aid Act proposed by Senator Jackson. This amendment would provide 50 million dollars in discretionary funds to the Commissioner of Education. These funds could be used in areas having special problems with school integration. Testimony was given on the…

  8. Selecting Appropriate Tests to Assess the Benefits of Bilateral Amplification With Hearing Aids.

    PubMed

    van Schoonhoven, Jelmer; Schulte, Michael; Boymans, Monique; Wagener, Kirsten C; Dreschler, Wouter A; Kollmeier, Birger

    2016-01-01

    The aim of this study was to investigate the effect of bilateral hearing aids (HA) in subjects with mild and moderate-to-severe hearing loss. This study was designed as a within-subject feasibility study. Bilateral HA use was assessed using different laboratory tests on speech reception, listening effort, noise tolerance, and localization. All data were evaluated with bilateral and unilateral HA fittings. Forty experienced bilateral HA users were included with hearing impairment ranging from mild to moderate-to-severe. Subjects were stratified into two groups based on the degree of hearing loss. Speech reception in noise, listening effort, and localization tests showed a bilateral benefit for the moderate-to-severely hearing-impaired subjects. A bilateral benefit was also observed for listening effort in the mildly hearing-impaired group. The assessment of listening effort shows promise as a measure of bilateral HA benefit for mild hearing impairment. Localization and speech reception in noise tests provide additional value for larger losses. The next step is to compare experienced unilateral with bilateral HA users. PMID:27460871

  9. Selecting Appropriate Tests to Assess the Benefits of Bilateral Amplification With Hearing Aids

    PubMed Central

    Schulte, Michael; Boymans, Monique; Wagener, Kirsten C.; Dreschler, Wouter A.; Kollmeier, Birger

    2016-01-01

    The aim of this study was to investigate the effect of bilateral hearing aids (HA) in subjects with mild and moderate-to-severe hearing loss. This study was designed as a within-subject feasibility study. Bilateral HA use was assessed using different laboratory tests on speech reception, listening effort, noise tolerance, and localization. All data were evaluated with bilateral and unilateral HA fittings. Forty experienced bilateral HA users were included with hearing impairment ranging from mild to moderate-to-severe. Subjects were stratified into two groups based on the degree of hearing loss. Speech reception in noise, listening effort, and localization tests showed a bilateral benefit for the moderate-to-severely hearing-impaired subjects. A bilateral benefit was also observed for listening effort in the mildly hearing-impaired group. The assessment of listening effort shows promise as a measure of bilateral HA benefit for mild hearing impairment. Localization and speech reception in noise tests provide additional value for larger losses. The next step is to compare experienced unilateral with bilateral HA users. PMID:27460871

  10. Randomized Trial of Transcranial Direct Current Stimulation and Hearing Aids for Tinnitus Management.

    PubMed

    Shekhawat, Giriraj Singh; Searchfield, Grant D; Stinear, Cathy M

    2013-11-01

    Background. The perception of sound in the absence of an external sound is tinnitus. Tinnitus can have a severe negative impact on quality of life. Objective. This trial investigated whether multisession anodal transcranial direct current stimulation (tDCS) of the left temporoparietal area would enhance sound therapy from hearing aids. Methods. Forty participants (mean age = 54 years) experiencing chronic tinnitus (minimum 2 years) completed a 7-month long double-blind randomized clinical trial. Participants were randomized into 2 groups: control receiving sham tDCS and experimental receiving tDCS. Each group underwent multisession (5 consecutive sessions with 24-hour gap) anodal tDCS (2 mA intensity and 20 minutes duration) of the left temporoparietal area, followed by hearing aid use for 6 months. The impact of tDCS and hearing aid use on tinnitus was assessed using questionnaires (primary measure: Tinnitus Functional Index) and minimum masking level measurement. Results. There was a significant reduction in the overall Tinnitus Functional Index score with time, F(2, 37) = 11.9, P = .0001, for both the groups. Similar patterns were seen for secondary measures. tDCS appeared to have a positive effect on minimum masking levels but not questionnaire responses. Conclusions. After 3 months of hearing aid use, there were significant improvements in tinnitus, which were sustained at 6 months of use. The hearing aid effects appeared independent of tDCS. Further investigations of tDCS or other neuromodulators priming the auditory system for sound therapy based tinnitus treatments are warranted. PMID:24213961

  11. Designing of a Digital Behind-the-Ear Hearing Aid to Meet the World Health Organization Requirements

    PubMed Central

    Bento, Ricardo Ferreira; Penteado, Silvio Pires

    2010-01-01

    Hearing loss is a common health issue that affects nearly 10% of the world population as indicated by many international studies. The hearing impaired typically experience more frustration, anxiety, irritability, depression, and disorientation than those with normal hearing levels. The standard rehabilitation tool for hearing impairment is an electronic hearing aid whose main components are transducers (microphone and receiver) and a digital signal processor. These electronic components are manufactured by supply chain rather than by hearing aid manufacturers. Manufacturers can use custom-designed components or generic off-the-shelf components. These electronic components are available as application-specific or off-the-shelf products, with the former designed for a specific manufacturer and the latter for a generic approach. The choice of custom or generic components will affect the product specifications, pricing, manufacturing, life cycle, and marketing strategies of the product. The World Health Organization is interested in making available to developing countries hearing aids that are inexpensive to purchase and maintain. The hearing aid presented in this article was developed with these specifications in mind together with additional contemporary features such as four channels with wide dynamic range compression, an adjustable compression rate for each channel, four comfort programs, an adaptive feedback manager, and full volume control. This digital hearing aid is fitted using a personal computer with minimal hardware requirements in intuitive three-step fitting software. A trimmer-adjusted version can be developed where human and material resources are scarce. PMID:20724354

  12. Designing of a digital behind-the-ear hearing aid to meet the World Health Organization requirements.

    PubMed

    Bento, Ricardo Ferreira; Penteado, Silvio Pires

    2010-06-01

    Hearing loss is a common health issue that affects nearly 10% of the world population as indicated by many international studies. The hearing impaired typically experience more frustration, anxiety, irritability, depression, and disorientation than those with normal hearing levels. The standard rehabilitation tool for hearing impairment is an electronic hearing aid whose main components are transducers (microphone and receiver) and a digital signal processor. These electronic components are manufactured by supply chain rather than by hearing aid manufacturers. Manufacturers can use custom-designed components or generic off-the-shelf components. These electronic components are available as application-specific or off-the-shelf products, with the former designed for a specific manufacturer and the latter for a generic approach. The choice of custom or generic components will affect the product specifications, pricing, manufacturing, life cycle, and marketing strategies of the product. The World Health Organization is interested in making available to developing countries hearing aids that are inexpensive to purchase and maintain. The hearing aid presented in this article was developed with these specifications in mind together with additional contemporary features such as four channels with wide dynamic range compression, an adjustable compression rate for each channel, four comfort programs, an adaptive feedback manager, and full volume control. This digital hearing aid is fitted using a personal computer with minimal hardware requirements in intuitive three-step fitting software. A trimmer-adjusted version can be developed where human and material resources are scarce. PMID:20724354

  13. Application of the Consumer Decision-Making Model to Hearing Aid Adoption in First-Time Users

    PubMed Central

    Amlani, Amyn M.

    2016-01-01

    Since 1980, hearing aid adoption rates have remained essentially the same, increasing at a rate equal to the organic growth of the population. Researchers have used theoretical models from psychology and sociology to determine those factors or constructs that lead to the adoption of hearing aids by first-time impaired listeners entering the market. In this article, a theoretical model, the Consumer Decision-Making Model (CDM), premised on the neobehavioral approach that considers an individual's psychological and cognitive emphasis toward a product or service, is described. Three theoretical models (i.e., transtheoretical, social model of disability, Health Belief Model), and their relevant findings to the hearing aid market, are initially described. The CDM is then presented, along with supporting evidence of the model's various factors from the hearing aid literature. Future applications of the CDM to hearing health care also are discussed. PMID:27516718

  14. Assembly and insertion of a self-fitting hearing aid: design of effective instruction materials.

    PubMed

    Caposecco, Andrea; Hickson, Louise; Meyer, Carly

    2011-12-01

    A self-fitting hearing aid has been proposed as a viable option to meet the need for rehabilitation in areas where audiology services are unreliable. A successful outcome with a self-fitting hearing aid pivots in part on the clarity of the instructions accompanying the device. The aims of this article are (a) to review the literature to determine features that should be incorporated into written health-care materials and factors to consider in the design process when developing written instructions for a target audience of older adults and (b) to apply this information to the development of a set of written instructions as the first step in self-fitting of a hearing aid, assembling four parts and inserting the aid into the ear. The method involved a literature review of published peer reviewed research. The literature revealed four steps in the development of written health-care materials: planning, design, assessment of suitability, and pilot testing. Best practice design principles for each step were applied in the development of instructions for how to assemble and insert a hearing aid. Separate booklets were developed for the left and right aids and the content of each consisted of simple line drawings accompanied by captions. The reading level was Grade 3.5 equivalent and the Flesch Reading Ease Score was 91.1 indicating that the materials were "very easy" to read. It is essential to follow best practice design principles when developing written health-care materials to motivate the reader, maximize comprehension, and increase the likelihood of successful application of the content. PMID:22389434

  15. Long-Term Tinnitus Suppression with Linear Octave Frequency Transposition Hearing Aids

    PubMed Central

    Peltier, Elisabeth; Peltier, Cedric; Tahar, Stephanie; Alliot-Lugaz, Evelyne; Cazals, Yves

    2012-01-01

    Over the last three years of hearing aid dispensing, it was observed that among 74 subjects fitted with a linear octave frequency transposition (LOFT) hearing aid, 60 reported partial or complete tinnitus suppression during day and night, an effect still lasting after several months or years of daily use. We report in more details on 38 subjects from whom we obtained quantified measures of tinnitus suppression through visual analog scaling and several additional psychoacoustic and audiometric measures. The long-term suppression seems independent of subject age, and of duration and subjective localization of tinnitus. A small but significant correlation was found with audiogram losses but not with high frequency loss slope. Long-term tinnitus suppression was observed for different etiologies, but with a low success rate for sudden deafness. It should be noted that a majority of subjects (23) had a history of noise exposure. Tinnitus suppression started after a few days of LOFT hearing aid use and reached a maximum after a few weeks of daily use. For nine subjects different amounts of frequency shifting were tried and found more or less successful for long-term tinnitus suppression, no correlation was found with tinnitus pitch. When the use of the LOFT hearing aid was stopped tinnitus reappeared within a day, and after re-using the LOFT aid it disappeared again within a day. For about one third of the 38 subjects a classical amplification or a non linear frequency compression aid was also tried, and no such tinnitus suppression was observed. Besides improvements in audiometric sensitivity to high frequencies and in speech discrimination scores, LOFT can be considered as a remarkable opportunity to suppress tinnitus over a long time scale. From a pathophysiological viewpoint these observations seem to fit with a possible re-attribution of activity to previously deprived cerebral areas corresponding to high frequency coding. PMID:23284815

  16. Long-term tinnitus suppression with linear octave frequency transposition hearing AIDS.

    PubMed

    Peltier, Elisabeth; Peltier, Cedric; Tahar, Stephanie; Alliot-Lugaz, Evelyne; Cazals, Yves

    2012-01-01

    Over the last three years of hearing aid dispensing, it was observed that among 74 subjects fitted with a linear octave frequency transposition (LOFT) hearing aid, 60 reported partial or complete tinnitus suppression during day and night, an effect still lasting after several months or years of daily use. We report in more details on 38 subjects from whom we obtained quantified measures of tinnitus suppression through visual analog scaling and several additional psychoacoustic and audiometric measures. The long-term suppression seems independent of subject age, and of duration and subjective localization of tinnitus. A small but significant correlation was found with audiogram losses but not with high frequency loss slope. Long-term tinnitus suppression was observed for different etiologies, but with a low success rate for sudden deafness. It should be noted that a majority of subjects (23) had a history of noise exposure. Tinnitus suppression started after a few days of LOFT hearing aid use and reached a maximum after a few weeks of daily use. For nine subjects different amounts of frequency shifting were tried and found more or less successful for long-term tinnitus suppression, no correlation was found with tinnitus pitch. When the use of the LOFT hearing aid was stopped tinnitus reappeared within a day, and after re-using the LOFT aid it disappeared again within a day. For about one third of the 38 subjects a classical amplification or a non linear frequency compression aid was also tried, and no such tinnitus suppression was observed. Besides improvements in audiometric sensitivity to high frequencies and in speech discrimination scores, LOFT can be considered as a remarkable opportunity to suppress tinnitus over a long time scale. From a pathophysiological viewpoint these observations seem to fit with a possible re-attribution of activity to previously deprived cerebral areas corresponding to high frequency coding. PMID:23284815

  17. Speech intelligibility enhancement using hearing-aid array processing.

    PubMed

    Saunders, G H; Kates, J M

    1997-09-01

    Microphone arrays can improve speech recognition in the noise for hearing-impaired listeners by suppressing interference coming from other than desired signal direction. In a previous paper [J. M. Kates and M. R. Weiss, J. Acoust. Soc. Am. 99, 3138-3148 (1996)], several array-processing techniques were evaluated in two rooms using the AI-weighted array gain as the performance metric. The array consisted of five omnidirectional microphones having uniform 2.5-cm spacing, oriented in the endfire direction. In this paper, the speech intelligibility for two of the array processing techniques, delay-and-sum beamforming and superdirective processing, is evaluated for a group of hearing-impaired subjects. Speech intelligibility was measured using the speech reception threshold (SRT) for spondees and speech intelligibility rating (SIR) for sentence materials. The array performance is compared with that for a single omnidirectional microphone and a single directional microphone having a cardioid response pattern. The SRT and SIR results show that the superdirective array processing was the most effective, followed by the cardioid microphone, the array using delay-and-sum beamforming, and the single omnidirectional microphone. The relative processing ratings do not appear to be strongly affected by the size of the room, and the SRT values determined using isolated spondees are similar to the SIR values produced from continuous discourse. PMID:9301060

  18. Use of proximity effect in hearing aid microphones to increase telephone intelligibility in noise

    NASA Astrophysics Data System (ADS)

    Wilson, Kathryn R.

    1988-07-01

    This thesis describes an experiment to test the use of the proximity effect to increase the intelligibility of telephone speech for hearing-aid wearers. NU-6 word lists were played through the equivalent of long-distance telephone lines with a standard Bell 500 handset, while Multi-Talker noise was played in the background at three different levels. The signals were picked up with one of three microphones placed by the ear of a dummy head: a first-order pressure-gradient microphone (bi-directional), a zero-order microphone (omni-directional), or one with order between zero and one (cardioid). The signal picked up by these microphones was recorded and played back to normal-hearing subjects through a modified hearing aid, while the Multi-Talker noise was played in the background. The pressure gradient microphones allowed significant better understanding of the telephone signal than did the pressure microphone and this difference was more pronounced at higher noise levels. The bidirectional and cardioid microphones did not provide significantly different scores at any noise level. It is argued that this similarity may be due to head effects reducing the pressure-gradient sensitivity of the microphones. The use of the proximity effect to enable hearing aids to pick up a telephone conversation while discriminating against background noise appears to be successful.

  19. Initial development of a temporal-envelope-preserving nonlinear hearing aid prescription using a genetic algorithm.

    PubMed

    Sabin, Andrew T; Souza, Pamela E

    2013-06-01

    Most hearing aid prescriptions focus on the optimization of a metric derived from the long-term average spectrum of speech, and do not consider how the prescribed values might distort the temporal envelope shape. A growing body of evidence suggests that such distortions can lead to systematic errors in speech perception, and therefore hearing aid prescriptions might benefit by including preservation of the temporal envelope shape in their rationale. To begin to explore this possibility, we designed a genetic algorithm (GA) to find the multiband compression settings that preserve the shape of the original temporal envelope while placing that envelope in the listener's audiometric dynamic range. The resulting prescription had a low compression threshold, short attack and release times, and a combination of compression ratio and gain that placed the output signal within the listener's audiometric dynamic range. Initial behavioral tests of individuals with impaired hearing revealed no difference in speech-in-noise perception between the GA and the NAL-NL2 prescription. However, gap detection performance was superior with the GA in comparison to NAL-NL2. Overall, this work is a proof of concept that consideration of temporal envelope distortions can be incorporated into hearing aid prescriptions. PMID:24028890

  20. Research on Frequency Transposition for Hearing Aids. Interim Report.

    ERIC Educational Resources Information Center

    Pickett, James M.

    To investigate impaired residual disciminiation for low-frequency formants and its influence on electronic compensation effectiveness, evaluations were made on impaired discrimination for speech formants, synthetic enhancement of consonants, wearable transposer aids, and a speech perception survey. Results showed that certain persons with severe…

  1. Dual-microphone and binaural noise reduction techniques for improved speech intelligibility by hearing aid users

    NASA Astrophysics Data System (ADS)

    Yousefian Jazi, Nima

    Spatial filtering and directional discrimination has been shown to be an effective pre-processing approach for noise reduction in microphone array systems. In dual-microphone hearing aids, fixed and adaptive beamforming techniques are the most common solutions for enhancing the desired speech and rejecting unwanted signals captured by the microphones. In fact, beamformers are widely utilized in systems where spatial properties of target source (usually in front of the listener) is assumed to be known. In this dissertation, some dual-microphone coherence-based speech enhancement techniques applicable to hearing aids are proposed. All proposed algorithms operate in the frequency domain and (like traditional beamforming techniques) are purely based on the spatial properties of the desired speech source and does not require any knowledge of noise statistics for calculating the noise reduction filter. This benefit gives our algorithms the ability to address adverse noise conditions, such as situations where interfering talker(s) speaks simultaneously with the target speaker. In such cases, the (adaptive) beamformers lose their effectiveness in suppressing interference, since the noise channel (reference) cannot be built and updated accordingly. This difference is the main advantage of the proposed techniques in the dissertation over traditional adaptive beamformers. Furthermore, since the suggested algorithms are independent of noise estimation, they offer significant improvement in scenarios that the power level of interfering sources are much more than that of target speech. The dissertation also shows the premise behind the proposed algorithms can be extended and employed to binaural hearing aids. The main purpose of the investigated techniques is to enhance the intelligibility level of speech, measured through subjective listening tests with normal hearing and cochlear implant listeners. However, the improvement in quality of the output speech achieved by the

  2. Auditory acclimatization and hearing aids: late auditory evoked potentials and speech recognition following unilateral and bilateral amplification.

    PubMed

    Dawes, Piers; Munro, Kevin J; Kalluri, Sridhar; Edwards, Brent

    2014-06-01

    The aim of this study was to investigate changes in central auditory processing following unilateral and bilateral hearing aid fitting using a combination of physiological and behavioral measures: late auditory event-related potentials (ERPs) and speech recognition in noise, respectively. The hypothesis was that for fitted ears, the ERP amplitude would increase over time following hearing aid fitting in parallel with improvement in aided speech recognition. The N1 and P2 ERPs were recorded to 500 and 3000 Hz tones presented at 65, 75, and 85 dB sound pressure level to either the left or right ear. New unilateral and new bilateral hearing aid users were tested at the time of first fitting and after 12 weeks hearing aid use. A control group of long-term hearing aid users was tested over the same time frame. No significant changes in the ERP were observed for any group. There was a statistically significant 2% improvement in aided speech recognition over time for all groups, although this was consistent with a general test-retest effect. This study does not support the existence of an acclimatization effect observable in late ERPs following 12 weeks' hearing aid use. PMID:24907819

  3. Changes in intensity discrimination following monaural long-term use of a hearing aid.

    PubMed

    Robinson, K; Gatehouse, S

    1995-02-01

    Previous work has shown that a normally aided ear tested without the hearing aid is better able to identify speech-in-noise than the unaided ear at high sound levels, while performance for the unaided ear is superior at lower sound levels [S. Gatehouse, J. Acoust. Soc. Am. 86, 2103-6 (1989); J. Acoust. Soc. Am. 92, 1258-68 (1992)]. This effect was further explored using intensity discrimination for complex stimuli. Stimuli were half-octave bandpass-filtered tone complexes centered at 0.25 and 3 kHz. Four bilateral, symmetric hearing-impaired listeners with mean HL of 24 dB at 0.25 kHz, and 58 dB at 3 kHz were tested. Intensity discrimination was performed across the dynamic range of the listeners. At sound-pressure levels greater than 85 dB, the normally aided ear tested without the aid was more sensitive to changes in intensity than the unaided ear, whereas at lower levels, the converse occurred. This pattern was observed only for the 3-kHz center frequency, and not for the 0.25-kHz center frequency. Insertion gain measurements using the aids at normal volume showed an average of 20 dB gain at 3 kHz, and -2 dB gain at 0.25 kHz. The changes in intensity discrimination in the normally aided ear are consistent with the frequency-gain characteristics of the hearing aid, and suggest that a change in intensity coding occurred. PMID:7876440

  4. Indication criteria for cochlear implants and hearing aids: impact of audiological and non-audiological findings

    PubMed Central

    Haumann, Sabine; Hohmann, Volker; Meis, Markus; Herzke, Tobias; Lenarz, Thomas; Büchner, Andreas

    2012-01-01

    Owing to technological progress and a growing body of clinical experience, indication criteria for cochlear implants (CI) are being extended to less severe hearing impairments. It is, therefore, worth reconsidering these indication criteria by introducing novel testing procedures. The diagnostic evidence collected will be evaluated. The investigation includes postlingually deafened adults seeking a CI. Prior to surgery, speech perception tests [Freiburg Speech Test and Oldenburg sentence (OLSA) test] were performed unaided and aided using the Oldenburg Master Hearing Aid (MHA) system. Linguistic skills were assessed with the visual Text Reception Threshold (TRT) test, and general state of health, socio-economic status (SES) and subjective hearing were evaluated through questionnaires. After surgery, the speech tests were repeated aided with a CI. To date, 97 complete data sets are available for evaluation. Statistical analyses showed significant correlations between postsurgical speech reception threshold (SRT) measured with the adaptive OLSA test and pre-surgical data such as the TRT test (r=−0.29), SES (r=−0.22) and (if available) aided SRT (r=0.53). The results suggest that new measures and setups such as the TRT test, SES and speech perception with the MHA provide valuable extra information regarding indication for CI. PMID:26557327

  5. New developments in speech pattern element hearing aids for the profoundly deaf.

    PubMed

    Faulkner, A; Walliker, J R; Howard, I S; Ball, V; Fourcin, A J

    1993-01-01

    Two new developments in speech pattern processing hearing aids will be described. The first development is the use of compound speech pattern coding. Speech information which is invisible to the lipreader was encoded in terms of three acoustic speech factors; the voice fundamental frequency pattern, coded as a sinusoid, the presence of aperiodic excitation, coded as a low-frequency noise, and the wide-band amplitude envelope, coded by amplitude modulation of the sinusoid and noise signals. Each element of the compound stimulus was individually matched in frequency and intensity to the listener's receptive range. Audio-visual speech receptive assessments in five profoundly hearing-impaired listeners were performed to examine the contributions of adding voiceless and amplitude information to the voice fundamental frequency pattern, and to compare these codings to amplified speech. In both consonant recognition and connected discourse tracking (CDT), all five subjects showed an advantage from the addition of amplitude information to the fundamental frequency pattern. In consonant identification, all five subjects showed further improvements in performance when voiceless speech excitation was additionally encoded together with amplitude information, but this effect was not found in CDT. The addition of voiceless information to voice fundamental frequency information did not improve performance in the absence of amplitude information. Three of the subjects performed significantly better in at least one of the compound speech pattern conditions than with amplified speech, while the other two performed similarly with amplified speech and the best compound speech pattern condition. The three speech pattern elements encoded here may represent a near-optimal basis for an acoustic aid to lipreading for this group of listeners. The second development is the use of a trained multi-layer-perceptron (MLP) pattern classification algorithm as the basis for a robust real-time voice

  6. Opening the Market for Lower Cost Hearing Aids: Regulatory Change Can Improve the Health of Older Americans.

    PubMed

    Blustein, Jan; Weinstein, Barbara E

    2016-06-01

    Hearing loss is a leading cause of disability among older people. Yet only one in seven US adults who could benefit from a hearing aid uses one. This fraction has not increased over the past 30 years, nor have hearing aid prices dropped, despite trends of steady improvements and price reductions in the consumer electronics industry. The President's Council on Science and Technology has proposed changes in the regulation of hearing aids, including the creation of a "basic" low-cost over-the-counter category of devices. We discuss the potential to reduce disability as well as to improve public health, stakeholder responses to the president's council's proposal, and public health efforts to further mitigate the burden of disability stemming from age-related hearing loss. PMID:27077339

  7. Opening the Market for Lower Cost Hearing Aids: Regulatory Change Can Improve the Health of Older Americans

    PubMed Central

    Weinstein, Barbara E.

    2016-01-01

    Hearing loss is a leading cause of disability among older people. Yet only one in seven US adults who could benefit from a hearing aid uses one. This fraction has not increased over the past 30 years, nor have hearing aid prices dropped, despite trends of steady improvements and price reductions in the consumer electronics industry. The President’s Council on Science and Technology has proposed changes in the regulation of hearing aids, including the creation of a “basic” low-cost over-the-counter category of devices. We discuss the potential to reduce disability as well as to improve public health, stakeholder responses to the president’s council’s proposal, and public health efforts to further mitigate the burden of disability stemming from age-related hearing loss. PMID:27077339

  8. Integrating cognitive and peripheral factors in predicting hearing-aid processing effectiveness

    PubMed Central

    Kates, James M.; Arehart, Kathryn H.; Souza, Pamela E.

    2013-01-01

    Individual factors beyond the audiogram, such as age and cognitive abilities, can influence speech intelligibility and speech quality judgments. This paper develops a neural network framework for combining multiple subject factors into a single model that predicts speech intelligibility and quality for a nonlinear hearing-aid processing strategy. The nonlinear processing approach used in the paper is frequency compression, which is intended to improve the audibility of high-frequency speech sounds by shifting them to lower frequency regions where listeners with high-frequency loss have better hearing thresholds. An ensemble averaging approach is used for the neural network to avoid the problems associated with overfitting. Models are developed for two subject groups, one having nearly normal hearing and the other mild-to-moderate sloping losses. PMID:25669257

  9. Nonlinear Frequency Compression in Hearing Aids: Impact on Speech and Language Development

    PubMed Central

    Bentler, Ruth; Walker, Elizabeth; McCreery, Ryan; Arenas, Richard M.; Roush, Patricia

    2015-01-01

    Objectives The research questions of this study were: (1) Are children using nonlinear frequency compression (NLFC) in their hearing aids getting better access to the speech signal than children using conventional processing schemes? The authors hypothesized that children whose hearing aids provided wider input bandwidth would have more access to the speech signal, as measured by an adaptation of the Speech Intelligibility Index, and (2) are speech and language skills different for children who have been fit with the two different technologies; if so, in what areas? The authors hypothesized that if the children were getting increased access to the speech signal as a result of their NLFC hearing aids (question 1), it would be possible to see improved performance in areas of speech production, morphosyntax, and speech perception compared with the group with conventional processing. Design Participants included 66 children with hearing loss recruited as part of a larger multisite National Institutes of Health–funded study, Outcomes for Children with Hearing Loss, designed to explore the developmental outcomes of children with mild to severe hearing loss. For the larger study, data on communication, academic and psychosocial skills were gathered in an accelerated longitudinal design, with entry into the study between 6 months and 7 years of age. Subjects in this report consisted of 3-, 4-, and 5-year-old children recruited at the North Carolina test site. All had at least at least 6 months of current hearing aid usage with their NLFC or conventional amplification. Demographic characteristics were compared at the three age levels as well as audibility and speech/language outcomes; speech-perception scores were compared for the 5-year-old groups. Results Results indicate that the audibility provided did not differ between the technology options. As a result, there was no difference between groups on speech or language outcome measures at 4 or 5 years of age, and no

  10. Modern prescription theory and application: realistic expectations for speech recognition with hearing AIDS.

    PubMed

    Johnson, Earl E

    2013-01-01

    A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160-10000 Hz) and input levels (e.g., 50-75 dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories-Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) and high-frequency audibility were traded against a potential risk (i.e., loudness). The modeled performance of each prescription was compared one with another and with the efficient frontier of normal hearing sensitivity (i.e., a reference point for the most return with the least risk). For the pediatric population, NAL-NL2 was more efficient for SII, while DSL m[i/o] was more efficient for high-frequency audibility. For the adult population, NAL-NL2 was more efficient for SII, while the two prescriptions were similar with regard to high-frequency audibility. In terms of absolute return (i.e., not considering the risk of loudness), however, DSL m[i/o] prescribed more outright high-frequency audibility than NAL-NL2 for either aged population, particularly, as hearing loss increased. Given the principles and demonstrated accuracy of desensitization (reduced utility of audibility with increasing hearing loss) observed at the group level, additional high-frequency audibility beyond that of NAL-NL2 is not expected to make further contributions to speech intelligibility (recognition) for the average listener. PMID:24253361

  11. Modern Prescription Theory and Application: Realistic Expectations for Speech Recognition With Hearing Aids

    PubMed Central

    2013-01-01

    A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160–10000 Hz) and input levels (e.g., 50–75 dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories—Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) and high-frequency audibility were traded against a potential risk (i.e., loudness). The modeled performance of each prescription was compared one with another and with the efficient frontier of normal hearing sensitivity (i.e., a reference point for the most return with the least risk). For the pediatric population, NAL-NL2 was more efficient for SII, while DSL m[i/o] was more efficient for high-frequency audibility. For the adult population, NAL-NL2 was more efficient for SII, while the two prescriptions were similar with regard to high-frequency audibility. In terms of absolute return (i.e., not considering the risk of loudness), however, DSL m[i/o] prescribed more outright high-frequency audibility than NAL-NL2 for either aged population, particularly, as hearing loss increased. Given the principles and demonstrated accuracy of desensitization (reduced utility of audibility with increasing hearing loss) observed at the group level, additional high-frequency audibility beyond that of NAL-NL2 is not expected to make further contributions to speech intelligibility (recognition) for the average listener. PMID:24253361

  12. Biomimetic direction of arrival estimation for resolving front-back confusions in hearing aids.

    PubMed

    Archer-Boyd, Alan W; Whitmer, William M; Brimijoin, W Owen; Soraghan, John J

    2015-05-01

    Sound sources at the same angle in front or behind a two-microphone array (e.g., bilateral hearing aids) produce the same time delay and two estimates for the direction of arrival: A front-back confusion. The auditory system can resolve this issue using head movements. To resolve front-back confusion for hearing-aid algorithms, head movement was measured using an inertial sensor. Successive time-delay estimates between the microphones are shifted clockwise and counterclockwise by the head movement between estimates and aggregated in two histograms. The histogram with the largest peak after multiple estimates predicted the correct hemifield for the source, eliminating the front-back confusions. PMID:25994734

  13. A sub-milliwatt audio-processing platform for digital hearing aids

    NASA Astrophysics Data System (ADS)

    Jia, Yuan; Liming, Chen; Zenghui, Yu; Yong, Hei

    2014-07-01

    We present a novel audio-processing platform, FlexEngine, which is composed of a 24-bit application-specific instruction-set processor (ASIP) and five dedicated accelerators. Acceleration instructions, compact instructions and repeat instruction are added into the ASIP's instruction set to deal with some core tasks of hearing aid algorithms. The five configurable accelerators are used to execute several of the most common functions of hearing aids. Moreover, several low power strategies, such as clock gating, data isolation, memory partition, bypass mode, sleep mode, are also applied in this platform for power reduction. The proposed platform is implemented in CMOS 130 nm technology, and test results show that power consumption of FlexEngine is 0.863 mW with the clock frequency of 8 MHz at Vdd = 1.0 V.

  14. Should visual speech cues (speechreading) be considered when fitting hearing aids?

    NASA Astrophysics Data System (ADS)

    Grant, Ken

    2002-05-01

    When talker and listener are face-to-face, visual speech cues become an important part of the communication environment, and yet, these cues are seldom considered when designing hearing aids. Models of auditory-visual speech recognition highlight the importance of complementary versus redundant speech information for predicting auditory-visual recognition performance. Thus, for hearing aids to work optimally when visual speech cues are present, it is important to know whether the cues provided by amplification and the cues provided by speechreading complement each other. In this talk, data will be reviewed that show nonmonotonicity between auditory-alone speech recognition and auditory-visual speech recognition, suggesting that efforts designed solely to improve auditory-alone recognition may not always result in improved auditory-visual recognition. Data will also be presented showing that one of the most important speech cues for enhancing auditory-visual speech recognition performance, voicing, is often the cue that benefits least from amplification.

  15. Biomimetic direction of arrival estimation for resolving front-back confusions in hearing aids

    PubMed Central

    Archer-Boyd, Alan W.; Whitmer, William M.; Brimijoin, W. Owen; Soraghan, John J.

    2015-01-01

    Sound sources at the same angle in front or behind a two-microphone array (e.g., bilateral hearing aids) produce the same time delay and two estimates for the direction of arrival: A front-back confusion. The auditory system can resolve this issue using head movements. To resolve front-back confusion for hearing-aid algorithms, head movement was measured using an inertial sensor. Successive time-delay estimates between the microphones are shifted clockwise and counterclockwise by the head movement between estimates and aggregated in two histograms. The histogram with the largest peak after multiple estimates predicted the correct hemifield for the source, eliminating the front-back confusions. PMID:25994734

  16. Hearing aid and cochlear implant use in children with hearing loss at three years of age: Predictors of use and predictors of changes in use

    PubMed Central

    Marnane, Vivienne; Ching, Teresa YC

    2015-01-01

    Objective To examine usage patterns of hearing aids and cochlear implants in children up to three years of age, how usage changes longitudinally, and factors associated with device usage. Design Parent report and Parent’s Evaluation of Aural/oral performance of Children (PEACH) data were obtained at six and twelve months after hearing-aid fitting or cochlear implant switch-on, and again at three years of age. The effect of device use on auditory functional performance was investigated using the PEACH questionnaire. Study sample Four hundred and thirteen participants from the Longitudinal Outcomes of Children with Hearing Impairment (LOCHI) study were included for analysis. Result For users of hearing aids, higher usage at three years was associated with higher maternal education, and more severe hearing loss. For users of cochlear implants, higher usage was associated with higher maternal education and the absence of additional disabilities. Higher PEACH scores was associated with higher usage scores. After allowing for the effects of demographic characteristics, device use was not a significant predictor of functional performance. Conclusions Sixty-two percent of children achieved consistent use (>75% of waking hours) within the first year of receiving a hearing aid or a cochlear implant, and 71% by three years of age. PMID:25816866

  17. [Selected marketing aspects in the hearing aids fitting and their distribution].

    PubMed

    Sojkin, Bogdan; Pruszewicz, Antoni; Swidzińska, Anna; Swidziński, Piotr

    2002-01-01

    The developing of free market in Poland gives medical firms of opportunities but also necessity of adoption for more and more individual needs of customers. This article presents some aspects of marketing on the hearing aids market. The conclusions are based on long observation and empirical research. Problems mentioned in it are connected with principles like distribution channels, specific customers services and promotion. It also shows relations between medical firms, specialists, doctors, audiologists and real customers. PMID:12094647

  18. Perception of Suprasegmental Speech Features via Bimodal Stimulation: Cochlear Implant on One Ear and Hearing Aid on the Other

    ERIC Educational Resources Information Center

    Most, Tova; Harel, Tamar; Shpak, Talma; Luntz, Michal

    2011-01-01

    Purpose: The purpose of the study was to evaluate the contribution of acoustic hearing to the perception of suprasegmental features by adults who use a cochlear implant (CI) and a hearing aid (HA) in opposite ears. Method: 23 adults participated in this study. Perception of suprasegmental features--intonation, syllable stress, and word…

  19. An Alternative to Aural Rehabilitation for the Older Hearing-Aid User: An Educational Model Using Supportive Services.

    ERIC Educational Resources Information Center

    Patterson, Karen; Dancer, Jess

    1987-01-01

    Describes model for delivering aural rehabilitation services to help older hearing impaired persons adjust to a hearing aid and to foster more successful communication. Discusses training of providers by audiologists and explains the four phases of program: education, desensitization, rehabilitation strategies, and responsibility training.…

  20. HIV/AIDS Knowledge and Health-Related Attitudes and Behaviors among Deaf and Hearing Adolescents in Southern Brazil

    ERIC Educational Resources Information Center

    Bisol, Claudia Alquati; Sperb, Tania Mara; Brewer, Toye H.; Kato, Sergio Kakuta; Shor-Posner, Gail

    2008-01-01

    HIV/AIDS knowledge and health-related attitudes and behaviors among deaf and hearing adolescents in southern Brazil are described. Forty-two deaf students attending a special nonresidential public school for the deaf and 50 hearing students attending a regular public school, ages 15-21 years, answered a computer-assisted questionnaire. (There was…

  1. Medical Devices; Ear, Nose, and Throat Devices; Classification of the Tympanic Membrane Contact Hearing Aid. Final order.

    PubMed

    2016-01-21

    The Food and Drug Administration (FDA) is classifying the tympanic membrane contact hearing aid into class II (special controls). The special controls that will apply to the device are identified in this order and will be part of the codified language for the tympanic membrane contact hearing aid's classification. The Agency is classifying the device into class II (special controls) in order to provide a reasonable assurance of safety and effectiveness of the device. PMID:26803881

  2. Lithium-ion batteries for hearing aid applications. II. Pulse discharge and safety tests

    NASA Astrophysics Data System (ADS)

    Passerini, S.; Coustier, F.; Owens, B. B.

    Rechargeable lithium-ion batteries were designed to meet the power requirements of hearing aid devices (HADs). The batteries were designed in a 312-button cell size, compatible with existing hearing aids. The batteries were tested to evaluate the design and the electrochemical performance, as they relate to a typical hearing aid application. The present report covers the pulse capabilities, cycle life and preliminary safety tests. The results are compared with other battery chemistries: secondary lithium-alloy and nickel-metal hydride batteries and primary Zn-air batteries. The cell AC impedance was stable over the frequency range between 1 and 50 kHz, ranging between 5 Ω at the higher frequency and 12 Ω at the lower extreme. Pulse tests were consistent with these values, as the cells were capable of providing a series of 100 mA pulses of 10-s duration. The safety tests suggest that the design is intrinsically safe with respect to the most common types of abuse conditions.

  3. Evaluation of Speech-Perception Training for Hearing Aid Users: A Multisite Study in Progress.

    PubMed

    Miller, James D; Watson, Charles S; Dubno, Judy R; Leek, Marjorie R

    2015-11-01

    Following an overview of theoretical issues in speech-perception training and of previous efforts to enhance hearing aid use through training, a multisite study, designed to evaluate the efficacy of two types of computerized speech-perception training for adults who use hearing aids, is described. One training method focuses on the identification of 109 syllable constituents (45 onsets, 28 nuclei, and 36 codas) in quiet and in noise, and on the perception of words in sentences presented in various levels of noise. In a second type of training, participants listen to 6- to 7-minute narratives in noise and are asked several questions about each narrative. Two groups of listeners are trained, each using one of these types of training, performed in a laboratory setting. The training for both groups is preceded and followed by a series of speech-perception tests. Subjects listen in a sound field while wearing their hearing aids at their usual settings. The training continues over 15 to 20 visits, with subjects completing at least 30 hours of focused training with one of the two methods. The two types of training are described in detail, together with a summary of other perceptual and cognitive measures obtained from all participants. PMID:27587914

  4. The effect of hearing aid technologies on listening in an automobile

    PubMed Central

    Wu, Yu-Hsiang; Stangl, Elizabeth; Bentler, Ruth A.; Stanziola, Rachel W.

    2014-01-01

    Background Communication while traveling in an automobile often is very difficult for hearing aid users. This is because the automobile /road noise level is usually high, and listeners/drivers often do not have access to visual cues. Since the talker of interest usually is not located in front of the driver/listener, conventional directional processing that places the directivity beam toward the listener’s front may not be helpful, and in fact, could have a negative impact on speech recognition (when compared to omnidirectional processing). Recently, technologies have become available in commercial hearing aids that are designed to improve speech recognition and/or listening effort in noisy conditions where talkers are located behind or beside the listener. These technologies include (1) a directional microphone system that uses a backward-facing directivity pattern (Back-DIR processing), (2) a technology that transmits audio signals from the ear with the better signal-to-noise ratio (SNR) to the ear with the poorer SNR (Side-Transmission processing), and (3) a signal processing scheme that suppresses the noise at the ear with the poorer SNR (Side-Suppression processing). Purpose The purpose of the current study was to determine the effect of (1) conventional directional microphones and (2) newer signal processing schemes (Back-DIR, Side-Transmission, and Side-Suppression) on listener’s speech recognition performance and preference for communication in a traveling automobile. Research design A single-blinded, repeated-measures design was used. Study Sample Twenty-five adults with bilateral symmetrical sensorineural hearing loss aged 44 through 84 years participated in the study. Data Collection and Analysis The automobile/road noise and sentences of the Connected Speech Test (CST) were recorded through hearing aids in a standard van moving at a speed of 70 miles/hour on a paved highway. The hearing aids were programmed to omnidirectional microphone

  5. A Randomized Controlled Trial to Evaluate the Benefits of a Multimedia Educational Program for First-Time Hearing Aid Users

    PubMed Central

    Brandreth, Marian; Brassington, William; Leighton, Paul; Wharrad, Heather

    2016-01-01

    Objectives: The aims of this study were to (1) develop a series of short interactive videos (or reusable learning objects [RLOs]) covering a broad range of practical and psychosocial issues relevant to the auditory rehabilitation for first-time hearing aid users; (2) establish the accessibility, take-up, acceptability and adherence of the RLOs; and (3) assess the benefits and cost-effectiveness of the RLOs. Design: The study was a single-center, prospective, randomized controlled trial with two arms. The intervention group (RLO+, n = 103) received the RLOs plus standard clinical service including hearing aid(s) and counseling, and the waitlist control group (RLO−, n = 100) received standard clinical service only. The effectiveness of the RLOs was assessed 6-weeks posthearing aid fitting. Seven RLOs (total duration 1 hr) were developed using a participatory, community of practice approach involving hearing aid users and audiologists. RLOs included video clips, illustrations, animations, photos, sounds and testimonials, and all were subtitled. RLOs were delivered through DVD for TV (50.6%) and PC (15.2%), or via the internet (32.9%). Results: RLO take-up was 78%. Adherence overall was at least 67%, and 97% in those who attended the 6-week follow-up. Half the participants watched the RLOs two or more times, suggesting self-management of their hearing loss, hearing aids, and communication. The RLOs were rated as highly useful and the majority of participants agreed the RLOs were enjoyable, improved their confidence and were preferable to written information. Postfitting, there was no significant between-group difference in the primary outcome measure, overall hearing aid use. However, there was significantly greater hearing aid use in the RLO+ group for suboptimal users. Furthermore, the RLO+ group had significantly better knowledge of practical and psychosocial issues, and significantly better practical hearing aid skills than the RLO− group. Conclusions: The RLOs

  6. Comparison of Performance of Transcranial Contralateral Routing of Signal, Pre-Implanted Trimmer Digital and Digital Bone Anchored Hearing Aid in Adults with Unilateral Hearing Loss

    PubMed Central

    Chatni, Suma; Ramadevi, Kasetty Jagannathaiah S.; Fakruddin, Darga Baba

    2015-01-01

    Individuals with unilateral hearing loss of severe-profound degree face listening difficulties while localizing a sound source and while perceiving speech in the presence of noise. The objective was to compare the efficacy of the digitally programmable bone anchored hearing aid (BAHA), trimmer digital BAHA and the transcranial contralateral routing of signal (T-CROS) in improving the listening performance in adults with unilateral hearing loss. Twenty-four adults with unilateral hearing loss was assessed for sound field thresholds, speech perception performance in quiet and noise (direct and indirect conditions) and the subjective quality rating of speech in unaided and aided with either T-CROS or digitally programmable BAHA or trimmer digital BAHA attached to the headband. Results indicated that the participants performed better with both the digitally programmable and the trimmer digital BAHA than the T-CROS in both quiet and noise. However, the digitally programmable BAHA performed better when the speech arrived from the poorer ear side. The current study helps in prioritizing the hearing amplification devices for the trial and also helps in arriving at the appropriate hearing amplification device for the individuals with unilateral hearing loss. PMID:26779328

  7. A comparison of behind-the-ear high-fidelity linear hearing aids and two-channel compression aids, in the laboratory and in everyday life.

    PubMed

    Laurence, R F; Moore, B C; Glasberg, B R

    1983-02-01

    Eight patients suffering from sensorineural hearing losses with recruitment took part in a trial comparing their own hearing aids (or no aid if they did not normally wear one) with 'high-fidelity' linear aids and with aids incorporating two-channel syllabic compression. All aids were worn behind the ear. Speech intelligibility was measured both in quiet and in noise, and the patients were given questionnaires enquiring about the effectiveness of the aids in everyday situations. Both the intelligibility tests and the questionnaires indicated that the linear aids were substantially better than own/no aid, and the compressor aids were substantially better than the linear aids, allowing good speech discrimination over a wide range of sound levels. Six out of the eight patients derived significant benefit from being fitted with two aids rather than one. The use of directional microphones in the linear and compressor aids allowed a significant improvement for speech intelligibility in noise when the speech and noise were spatially separated. PMID:6860821

  8. Intention to use hearing aids: a survey based on the theory of planned behavior

    PubMed Central

    Meister, Hartmut; Grugel, Linda; Meis, Markus

    2014-01-01

    Objective To determine the intention to use hearing aids (HAs) by applying the theory of planned behavior (TPB). Design The TPB is a widely used decision-making model based on three constructs hypothesized to influence the intention to perform a specific behavior; namely, “attitude toward the behavior”, “subjective norm”, and “behavioral control”. The survey was based on a TPB-specific questionnaire addressing factors relevant to HA provision. Study sample Data from 204 individuals reporting hearing problems were analyzed. Different subgroups were established according to the stage of their hearing help-seeking. Results The TPB models’ outcome depended on the subgroup. The intention of those participants who had recognized their hearing problems but had not yet consulted an ear, nose, and throat specialist was largely dominated by the “subjective norm” construct, whereas those who had already consulted an ear, nose, and throat specialist or had already tried out HAs were significantly influenced by all constructs. The intention of participants who already owned HAs was clearly less affected by the “subjective norm” construct but was largely dominated by their “attitude toward HAs”. Conclusion The intention to use HAs can be modeled on the basis of the constructs “attitude toward the behavior”, “subjective norm”, and “behavioral control”. Individual contribution of the constructs to the model depends on the patient’s stage of hearing help-seeking. The results speak well for counseling strategies that explicitly consider the individual trajectory of hearing help-seeking. PMID:25258520

  9. Paired comparisons of nonlinear frequency compression, extended bandwidth, and restricted bandwidth hearing-aid processing for children and adults with hearing loss

    PubMed Central

    Brennan, Marc A.; McCreery, Ryan; Kopun, Judy; Hoover, Brenda; Alexander, Joshua; Lewis, Dawna; Stelmachowicz, Patricia G.

    2014-01-01

    Background Preference for speech and music processed with nonlinear frequency compression and two controls (restricted and extended bandwidth hearing-aid processing) was examined in adults and children with hearing loss. Purpose Determine if stimulus type (music, sentences), age (children, adults) and degree of hearing loss influence listener preference for nonlinear frequency compression, restricted bandwidth and extended bandwidth. Research Design Within-subject, quasi-experimental study. Using a round-robin procedure, participants listened to amplified stimuli that were 1) frequency-lowered using nonlinear frequency compression, 2) low-pass filtered at 5 kHz to simulate the restricted bandwidth of conventional hearing aid processing, or 3) low-pass filtered at 11 kHz to simulate extended bandwidth amplification. The examiner and participants were blinded to the type of processing. Using a two-alternative forced-choice task, participants selected the preferred music or sentence passage. Study Sample Sixteen children (8–16 years) and 16 adults (19–65 years) with mild-to-severe sensorineural hearing loss. Intervention All subjects listened to speech and music processed using a hearing-aid simulator fit to the Desired Sensation Level algorithm v.5.0a (Scollie et al, 2005). Results Children and adults did not differ in their preferences. For speech, participants preferred extended bandwidth to both nonlinear frequency compression and restricted bandwidth. Participants also preferred nonlinear frequency compression to restricted bandwidth. Preference was not related to degree of hearing loss. For music, listeners did not show a preference. However, participants with greater hearing loss preferred nonlinear frequency compression to restricted bandwidth more than participants with less hearing loss. Conversely, participants with greater hearing loss were less likely to prefer extended bandwidth to restricted bandwidth. Conclusion Both age groups preferred access to

  10. Methods and Applications of the Audibility Index in Hearing Aid Selection and Fitting

    PubMed Central

    Amlani, Amyn M.; Punch, Jerry L.; Ching, Teresa Y. C.

    2002-01-01

    During the first half of the 20th century, communications engineers at Bell Telephone Laboratories developed the articulation model for predicting speech intelligibility transmitted through different telecommunication devices under varying electroacoustic conditions. The profession of audiology adopted this model and its quantitative aspects, known as the Articulation Index and Speech Intelligibility Index, and applied these indices to the prediction of unaided and aided speech intelligibility in hearing-impaired listeners. Over time, the calculation methods of these indices—referred to collectively in this paper as the Audibility Index—have been continually refined and simplified for clinical use. This article provides (1) an overview of the basic principles and the calculation methods of the Audibility Index, the Speech Transmission Index and related indices, as well as the Speech Recognition Sensitivity Model, (2) a review of the literature on using the Audibility Index to predict speech intelligibility of hearing-impaired listeners, (3) a review of the literature on the applicability of the Audibility Index to the selection and fitting of hearing aids, and (4) a discussion of future scientific needs and clinical applications of the Audibility Index. PMID:25425917

  11. A Practical Tablet-Based Hearing Aid Configuration as an Exemplar Project for Students of Instrumentation.

    PubMed

    Simeoni, Ricardo

    2015-06-11

    This paper presents the configuration and digital signal processing details of a tablet-based hearing aid transmitting wirelessly to standard earphones, whereby the tablet performs full sound processing rather than solely providing a means of setting adjustment by streaming to conventional digital hearing aids. The presented device confirms the recognized advantages of this tablet-based approach (e.g., in relation to cost, frequency domain processing, amplification range, versatility of functionality, component battery rechargeability), and flags the future wider-spread availability of such hearing solutions within mainstream healthcare. The use of a relatively high sampling frequency was found to be beneficial for device performance, while the use of optional off-the-shelf add-on components (e.g., data acquisition device, high fidelity microphone, compact wireless transmitter/receiver, wired headphones) are also discussed in relation to performance optimization. The easy-to-follow configuration utilized is well suited to student learning/research instrumentation projects within the health and biomedical sciences. In this latter regard, the presented device was pedagogically integrated into a flipped classroom approach for the teaching of bioinstrumentation within an Allied Health Sciences School, with the subsequent establishment of positive student engagement outcomes. PMID:26779329

  12. A Practical Tablet-Based Hearing Aid Configuration as an Exemplar Project for Students of Instrumentation

    PubMed Central

    2015-01-01

    This paper presents the configuration and digital signal processing details of a tablet-based hearing aid transmitting wirelessly to standard earphones, whereby the tablet performs full sound processing rather than solely providing a means of setting adjustment by streaming to conventional digital hearing aids. The presented device confirms the recognized advantages of this tablet-based approach (e.g., in relation to cost, frequency domain processing, amplification range, versatility of functionality, component battery rechargeability), and flags the future wider-spread availability of such hearing solutions within mainstream healthcare. The use of a relatively high sampling frequency was found to be beneficial for device performance, while the use of optional off-the-shelf add-on components (e.g., data acquisition device, high fidelity microphone, compact wireless transmitter/receiver, wired headphones) are also discussed in relation to performance optimization. The easy-to-follow configuration utilized is well suited to student learning/research instrumentation projects within the health and biomedical sciences. In this latter regard, the presented device was pedagogically integrated into a flipped classroom approach for the teaching of bioinstrumentation within an Allied Health Sciences School, with the subsequent establishment of positive student engagement outcomes. PMID:26779329

  13. Speech perception and quality of life of open-fit hearing aid users

    PubMed Central

    GARCIA, Tatiana Manfrini; JACOB, Regina Tangerino de Souza; MONDELLI, Maria Fernanda Capoani Garcia

    2016-01-01

    ABSTRACT Objective To relate the performance of individuals with hearing loss at high frequencies in speech perception with the quality of life before and after the fitting of an open-fit hearing aid (HA). Methods The WHOQOL-BREF had been used before the fitting and 90 days after the use of HA. The Hearing in Noise Test (HINT) had been conducted in two phases: (1) at the time of fitting without an HA (situation A) and with an HA (situation B); (2) with an HA 90 days after fitting (situation C). Study Sample Thirty subjects with sensorineural hearing loss at high frequencies. Results By using an analysis of variance and the Tukey’s test comparing the three HINT situations in quiet and noisy environments, an improvement has been observed after the HA fitting. The results of the WHOQOL-BREF have showed an improvement in the quality of life after the HA fitting (paired t-test). The relationship between speech perception and quality of life before the HA fitting indicated a significant relationship between speech recognition in noisy environments and in the domain of social relations after the HA fitting (Pearson’s correlation coefficient). Conclusions The auditory stimulation has improved speech perception and the quality of life of individuals. PMID:27383708

  14. A Micro-Drive Hearing Aid: A Novel Non-Invasive

    PubMed Central

    Paulick, Peyton Elizabeth; Merlo, Mark W.; Mahboubi, Hossein; Djalilian, Hamid R.; Bachman, Mark

    2014-01-01

    The direct hearing device (DHD) is a new auditory prosthesis that combines conventional hearing aid and middle ear implant technologies into a single device. The DHD is located deep in the ear canal and recreates sounds with mechanical movements of the tympanic membrane. A critical component of the DHD is the microactuator, which must be capable of moving the tympanic membrane at frequencies and magnitudes appropriate for normal hearing, with little distortion. The DHD actuator reported here utilized a voice coil actuator design and was 3.7 mm in diameter. The device has a smoothly varying frequency response and produces a precisely controllable force. The total harmonic distortion between 425 Hz and 10 kHz is below 0.5% and acoustic noise generation is minimal. The device was tested as a tympanic membrane driver on cadaveric temporal bones where the device was coupled to the umbo of the tympanic membrane. The DHD successfully recreated ossicular chain movements across the frequencies of human hearing while demonstrating controllable magnitude. Moreover, the micro-actuator was validated in a short-term human clinical performance study where sound matching and complex audio waveforms were evaluated by a healthy subject. PMID:25129112

  15. In situ tuning of omnidirectional microelectromechanical-systems microphones to improve performance fit in hearing aids

    NASA Astrophysics Data System (ADS)

    Je, Sang-Soo; Kim, Jeonghwan; Harrison, Jere C.; Kozicki, Michael N.; Chae, Junseok

    2008-09-01

    Hearing aids are not a one-size-fits-all solution to hearing problems; they must be uniquely tuned for each wearer. There are currently no low-cost and/or effective methods for in situ tuning. This paper describes a microelectromechanical-systems (MEMS)-based dual omnidirectional microphone that can be tuned by growing metallic nanostructures. The nanostructures are grown on integrated solid electrolyte layers on a suspended parylene diaphragm using an external bias and tune the MEMS microphones in situ thereby limiting mismatch. In our tests, this tuning improved the directivity index from 3.5 (fair directionality) to 4.6 dB (excellent directionality) in normal (room temperature) operating environments.

  16. Clinical results with a hearing aid and a single-channel vibrotactile device for profoundly deaf adults.

    PubMed

    Blamey, P J; Dowell, R C; Brown, A M; Clark, G M

    1985-08-01

    The speech perception of a group of 19 adults with post-lingual profound to total hearing loss was tested with nine closed-set speech tests without lipreading, two open-set tests without lipreading and two open-set speech tests with lipreading. The subjects were all prospective cochlear implant patients participating in a clinical trial of the implant and the results reported here were obtained as part of the pre-operative assessment. They were divided into groups on the basis of their prior experience with the aid(s), their speech detection thresholds with the two aids and their personal preferences. Seven of the subjects used a hand-held single-channel vibrotactile device and the other 12 used a powerful conventional hearing aid. Subjects from each group scored significantly better than chance on the closed set tests without lipreading. Training or regular hearing aid use was correlated with good performance on the closed-set tests. No subject showed a significant improvement of the lipreading score when the aid was used as a supplement. The use of sophisticated wearable tactile devices and extensive training may allow a better result, but in this clinical program, neither a hearing aid nor a single-channel vibrotactile device greatly benefited the postlingually profoundly deaf adults. PMID:4063556

  17. 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…

  18. Hearing Aids

    MedlinePlus

    ... Fitness Diseases & Conditions Infections Q&A School & Jobs Drugs & Alcohol Staying Safe Recipes En Español Making a Change – Your Personal Plan Hot Topics Meningitis Choosing Your Mood Prescription Drug Abuse Healthy School Lunch Planner How Can I ...

  19. Improving performance in noise for hearing aids and cochlear implants using coherent modulation filteringa

    PubMed Central

    Won, Jong Ho; Schimmel, Steven M.; Drennan, Ward R.; Souza, Pamela E.; Atlas, Les; Rubinstein, Jay T.

    2008-01-01

    This study evaluated the maximal attainable performance of speech enhancement strategies based on coherent modulation filtering. An optimal adaptive coherent modulation filtering algorithm was designed to enhance known signals from a target talker in two-talker babble noise. The algorithm was evaluated in a closed-set, speech-recognition-in-noise task. The speech reception threshold (SRT) was measured using a one-down, one-up adaptive procedure. Five hearing-impaired subjects and five cochlear implant users were tested in three processing conditions: (1) original sounds; (2) fixed coherent modulation filtered sounds; and (3) optimal coherent modulation filtered sounds. Six normal-hearing subjects were tested with a 6-channel cochlear implant simulation of sounds processed in the same three conditions. Significant improvements in SRTs were observed when the signal was processed with the optimal coherent modulation filtering algorithm. There was no benefit when the signal was processed with the fixed modulation filter. The current study suggested that coherent modulation filtering might be a promising method for front-end processing in hearing aids and cochlear implants. An approach such as hidden Markov models could be used to generalize the optimal coherent modulation filtering algorithm to unknown utterances and to extend it to open-set speech. PMID:18295993

  20. Efficient variable bandwidth filters for digital hearing aid using Farrow structure

    PubMed Central

    Haridas, Nisha; Elias, Elizabeth

    2015-01-01

    Design of a digital hearing aid requires a set of filters that gives reasonable audiogram matching for the concerned type of hearing loss. This paper proposes the use of a variable bandwidth filter, using Farrow subfilters, for this purpose. The design of the variable bandwidth filter is carried out for a set of selected bandwidths. Each of these bands is frequency shifted and provided with sufficient magnitude gain, such that, the different bands combine to give a frequency response that closely matches the audiogram. Due to the adjustable bandedges in the basic filter, this technique allows the designer to add reconfigurability to the system. This technique is simple and efficient when compared with the existing methods. Results show that lower order filters and better audiogram matching with lesser matching errors are obtained using Farrow structure. This, in turn reduces implementation complexity. The cost effectiveness of this technique also comes from the fact that, the user can reprogram the same device, once his hearing loss pattern is found to have changed in due course of time, without the need to replace it completely. PMID:26966566

  1. A reconfigurable digital filterbank for hearing-aid systems with a variety of sound wave decomposition plans.

    PubMed

    Wei, Ying; Liu, Debao

    2013-06-01

    Current hearing-aid systems have fixed sound wave decomposition plans due to the use of fixed filterbanks, thus cannot provide enough flexibility for the compensation of different hearing impairment cases. In this paper, a reconfigurable filterbank that consists of a multiband-generation block and a subband-selection block is proposed. Different subbands can be produced according to the control parameters without changing the structure of the filterbank system. The use of interpolation, decimation, and frequency-response masking enables us to reduce the computational complexity by realizing the entire system with only three prototype filters. Reconfigurability of the proposed filterbank enables hearing-impaired people to customize hearing aids based on their own specific conditions to improve their hearing ability. We show, by means of examples, that the proposed filterbank can achieve a better matching to the audiogram and has smaller complexity compared with the fixed filterbank. The drawback of the proposed method is that the throughput delay is relatively long (>20 ms), which needs to be further reduced before it can be used in a real hearing-aid application. PMID:23335662

  2. Reorganization of auditory cortex in early-deaf people: functional connectivity and relationship to hearing aid use.

    PubMed

    Shiell, Martha M; Champoux, François; Zatorre, Robert J

    2015-01-01

    Cross-modal reorganization after sensory deprivation is a model for understanding brain plasticity. Although it is a well-documented phenomenon, we still know little of the mechanisms underlying it or the factors that constrain and promote it. Using fMRI, we identified visual motion-related activity in 17 early-deaf and 17 hearing adults. We found that, in the deaf, the posterior superior temporal gyrus (STG) was responsive to visual motion. We compared functional connectivity of this reorganized cortex between groups to identify differences in functional networks associated with reorganization. In the deaf more than the hearing, the STG displayed increased functional connectivity with a region in the calcarine fissure. We also explored the role of hearing aid use, a factor that may contribute to variability in cross-modal reorganization. We found that both the cross-modal activity in STG and the functional connectivity between STG and calcarine cortex correlated with duration of hearing aid use, supporting the hypothesis that residual hearing affects cross-modal reorganization. We conclude that early auditory deprivation alters not only the organization of auditory regions but also the interactions between auditory and primary visual cortex and that auditory input, as indexed by hearing aid use, may inhibit cross-modal reorganization in early-deaf people. PMID:25000527

  3. Cochlear implants, vibrators and hearing aids in the rehabilitation of postlingual deafness.

    PubMed

    Rihkanen, H; Jauhiainen, T; Linkola, H; Palva, T

    1990-01-01

    Three groups of postlingually deaf adults were formed by non-random selection. The subjects with some residual hearing were fitted with a powerful hearing aid (HA group, n = 10). The others received either a single-channel vibrotactile aid (V group, n = 8) or a single-channel intracochlear implant (CI group, n = 10). Training containing individual counselling and rehearsal in small groups was arranged. During the follow-up (CI group 2.0 yrs, V group 1.8 yrs, HA group 2.6 yrs), the subject's achievement was assessed by a repetition of audiological testing and written questionnaires. Whereas the HA group obtained the highest scores in the audiological tests, the CI group found the implant most beneficial in everyday life. No significant improvement in the test scores was observed during the follow-up. The extent of personal training, after an initial training period and motivation of the user, did not affect the test scores or the subjective evaluation. PMID:2371535

  4. Psychophysics, fitting, and signal processing for combined hearing aid and cochlear implant stimulation.

    PubMed

    Francart, Tom; McDermott, Hugh J

    2013-01-01

    The addition of acoustic stimulation to electric stimulation via a cochlear implant has been shown to be advantageous for speech perception in noise, sound quality, music perception, and sound source localization. However, the signal processing and fitting procedures of current cochlear implants and hearing aids were developed independently, precluding several potential advantages of bimodal stimulation, such as improved sound source localization and binaural unmasking of speech in noise. While there is a large and increasing population of implantees who use a hearing aid, there are currently no generally accepted fitting methods for this configuration. It is not practical to fit current commercial devices to achieve optimal binaural loudness balance or optimal binaural cue transmission for arbitrary signals and levels. There are several promising experimental signal processing systems specifically designed for bimodal stimulation. In this article, basic psychophysical studies with electric acoustic stimulation are reviewed, along with the current state of the art in fitting, and experimental signal processing techniques for electric acoustic stimulation. PMID:24165299

  5. [Audiological analysis and peri-and postoperative complications in bone-anchored hearing aid surgery].

    PubMed

    Noguchi, Yoshihiro; Takahashi, Masatoki; Kitamura, Ken

    2011-07-01

    The bone-anchored hearing aid (BAHA) has advantages over conventional hearing aids in sound quality and speech reception in silence, but requires surgery and may have peri-and postoperative complications. We evaluated audiological findings and complications in 12 subjects (13 ears)-8 men and 4 women aged 20-71--undergoing BAHA surgery from September 2001 to October 2005. Surgery was for single-sided deafness in one subject. Mean warble tone thresholds with BAHA were 29.9dB and 65.2dB without. Functional gains ranged from 16 to 52dB (mean: 35.3dB). Dural exposure or venous hemorrhage was seen in 4 ears, and mastoid cells opened and a skin flap was damaged in 1 ear each. No severe complications occurred perioperatively. Skin reactions categorized into grade 1 or more were recognized in nearly 70% of ears during the first postoperative year but most were a grade 1 reaction and skin reactions decreased with time. Skin overgrowth occurred in 1 ear immediately after an abutment separated accidentally from the fixture. All complications were treated in outpatient clinics. No fixture extrusion occurred. The decision to proceed with BAHA surgery thus required fully informed consent based on knowledge of peri-and postoperative complications. PMID:21838056

  6. Using hearing aid adaptive directional microphones to enhance cochlear implant performance.

    PubMed

    Chung, King; Zeng, Fan-Gang

    2009-04-01

    The goal of this study was to investigate whether adaptive microphone directionality could enhance cochlear implant performance. Speech stimuli were created by fitting a digital hearing aid with programmable omnidirectional (OM), fixed directional (FDM), or adaptive directional (ADM) microphones to KEMAR, and recording the hearing aid output in three noise conditions. The first condition simulated a diffused field with noise sources from five stationary locations, whereas the second and third condition represented one or three non-stationary locations in the back hemifield of KEMAR. Speech was always presented to 0 degrees azimuth and the overall signal-to-noise ratio (SNR) was +5 dB in the sound field. Eighteen postlingually deafened cochlear implant users listened to the recorded test materials via the direct audio input of their speech processors. Their speech recognition ability and overall sound quality preferences were assessed and the correlation between the amount of noise reduction and the improvement in speech recognition were calculated. The results indicated that ADM yielded significantly better speech recognition scores and overall sound quality preference than FDM and OM in all three noise conditions and the improvement in speech recognition scores was highly correlated with the amount of noise reduction. Factors influencing the noise level are discussed. PMID:19450437

  7. Horizontal sound localization in cochlear implant users with a contralateral hearing aid.

    PubMed

    Veugen, Lidwien C E; Hendrikse, Maartje M E; van Wanrooij, Marc M; Agterberg, Martijn J H; Chalupper, Josef; Mens, Lucas H M; Snik, Ad F M; John van Opstal, A

    2016-06-01

    Interaural differences in sound arrival time (ITD) and in level (ILD) enable us to localize sounds in the horizontal plane, and can support source segregation and speech understanding in noisy environments. It is uncertain whether these cues are also available to hearing-impaired listeners who are bimodally fitted, i.e. with a cochlear implant (CI) and a contralateral hearing aid (HA). Here, we assessed sound localization behavior of fourteen bimodal listeners, all using the same Phonak HA and an Advanced Bionics CI processor, matched with respect to loudness growth. We aimed to determine the availability and contribution of binaural (ILDs, temporal fine structure and envelope ITDs) and monaural (loudness, spectral) cues to horizontal sound localization in bimodal listeners, by systematically varying the frequency band, level and envelope of the stimuli. The sound bandwidth had a strong effect on the localization bias of bimodal listeners, although localization performance was typically poor for all conditions. Responses could be systematically changed by adjusting the frequency range of the stimulus, or by simply switching the HA and CI on and off. Localization responses were largely biased to one side, typically the CI side for broadband and high-pass filtered sounds, and occasionally to the HA side for low-pass filtered sounds. HA-aided thresholds better than 45 dB HL in the frequency range of the stimulus appeared to be a prerequisite, but not a guarantee, for the ability to indicate sound source direction. We argue that bimodal sound localization is likely based on ILD cues, even at frequencies below 1500 Hz for which the natural ILDs are small. These cues are typically perturbed in bimodal listeners, leading to a biased localization percept of sounds. The high accuracy of some listeners could result from a combination of sufficient spectral overlap and loudness balance in bimodal hearing. PMID:27178443

  8. Working Memory and Hearing Aid Processing: Literature Findings, Future Directions, and Clinical Applications.

    PubMed

    Souza, Pamela; Arehart, Kathryn; Neher, Tobias

    2015-01-01

    Working memory-the ability to process and store information-has been identified as an important aspect of speech perception in difficult listening environments. Working memory can be envisioned as a limited-capacity system which is engaged when an input signal cannot be readily matched to a stored representation or template. This "mismatch" is expected to occur more frequently when the signal is degraded. Because working memory capacity varies among individuals, those with smaller capacity are expected to demonstrate poorer speech understanding when speech is degraded, such as in background noise. However, it is less clear whether (and how) working memory should influence practical decisions, such as hearing treatment. Here, we consider the relationship between working memory capacity and response to specific hearing aid processing strategies. Three types of signal processing are considered, each of which will alter the acoustic signal: fast-acting wide-dynamic range compression, which smooths the amplitude envelope of the input signal; digital noise reduction, which may inadvertently remove speech signal components as it suppresses noise; and frequency compression, which alters the relationship between spectral peaks. For fast-acting wide-dynamic range compression, a growing body of data suggests that individuals with smaller working memory capacity may be more susceptible to such signal alterations, and may receive greater amplification benefit with "low alteration" processing. While the evidence for a relationship between wide-dynamic range compression and working memory appears robust, the effects of working memory on perceptual response to other forms of hearing aid signal processing are less clear cut. We conclude our review with a discussion of the opportunities (and challenges) in translating information on individual working memory into clinical treatment, including clinically feasible measures of working memory. PMID:26733899

  9. Histologic and morphologic evaluation of explanted bone anchors from bone-anchored hearing aids.

    PubMed

    Mlynski, Robert; Goldberg, Eva; Ebmeyer, Joerg; Scheich, Matthias; Gattenlöhner, Stefan; Schwager, Konrad; Hagen, Rudolf; Shehata-Dieler, Wafaa

    2009-05-01

    Bone-anchored hearing aids are a standard option in rehabilitation of patients with conductive or mixed hearing loss, and also CROS fitting. However, the skin-penetrating bone anchor repeatedly gives reason for discussion about the risk of infection of surrounding tissues as a major cause of malfunction. In the present study, explanted bone anchors with surrounding bone and soft tissue were examined and compared with the morphology of lost implants. The anchors originated from five patients. Two needed explantation due to deafness with the need of cochlea implantation. A third patient underwent explantation due to meningeal irritation by the bone anchor. Another patient lost the implant due to mechanical stress shortly after implantation. The last implant was lost in a child without apparent reason. All implants were clinically free of infection and had been stable for a median implantation period of 12 months. During the explantation procedure, the fixtures were recovered together with the attached soft tissue and bone. The specimens were examined by light microscopy or scanning electron microscopy (SEM). Sectioning for light microscopy was performed with a diamond-coated saw microtome. Histopathologic examination of the surrounding skin and subcutaneous soft tissue showed slight inflammation in one case only. The bone was regularly vital, presenting no signs of inflammation. The threads of the fixtures were filled with bone, with particularly strong attachment to the flank of traction. The SEM investigation exposed the ultrastructural interaction of bone with the implant surface. Filiform- and podocyte-like processes of osteocytes attach to the implant; lost implants did not reflect these features. Implant integration involves both osseointegration as well as soft tissue integration. Titanium oxide as the active implant surface promotes this integration even in unstable implants. The morphologic analysis exposed structural areas of the implant with weak bone

  10. Working Memory and Hearing Aid Processing: Literature Findings, Future Directions, and Clinical Applications

    PubMed Central

    Souza, Pamela; Arehart, Kathryn; Neher, Tobias

    2015-01-01

    Working memory—the ability to process and store information—has been identified as an important aspect of speech perception in difficult listening environments. Working memory can be envisioned as a limited-capacity system which is engaged when an input signal cannot be readily matched to a stored representation or template. This “mismatch” is expected to occur more frequently when the signal is degraded. Because working memory capacity varies among individuals, those with smaller capacity are expected to demonstrate poorer speech understanding when speech is degraded, such as in background noise. However, it is less clear whether (and how) working memory should influence practical decisions, such as hearing treatment. Here, we consider the relationship between working memory capacity and response to specific hearing aid processing strategies. Three types of signal processing are considered, each of which will alter the acoustic signal: fast-acting wide-dynamic range compression, which smooths the amplitude envelope of the input signal; digital noise reduction, which may inadvertently remove speech signal components as it suppresses noise; and frequency compression, which alters the relationship between spectral peaks. For fast-acting wide-dynamic range compression, a growing body of data suggests that individuals with smaller working memory capacity may be more susceptible to such signal alterations, and may receive greater amplification benefit with “low alteration” processing. While the evidence for a relationship between wide-dynamic range compression and working memory appears robust, the effects of working memory on perceptual response to other forms of hearing aid signal processing are less clear cut. We conclude our review with a discussion of the opportunities (and challenges) in translating information on individual working memory into clinical treatment, including clinically feasible measures of working memory. PMID:26733899

  11. Three-dimensional laser scanning and reconstruction of ear canal impressions for optimal design of hearing aid shells

    NASA Astrophysics Data System (ADS)

    Tognola, Gabriella; Parazzini, Marta; Svelto, Cesare; Ravazzani, Paolo; Grandori, Ferdinando

    2003-05-01

    The hearing aid shell (or earmold) couples the hearing aid with the user ear. Proper fitting of the earmold to the subject ear canal is required to achieve satisfactory wearing comfort, reduction in acoustic feedback, and unwanted changes in the electroacoustic characteristics of the aid. To date, the hearing aid shell manufacturing process is fully manual: the shell is fabricated as a replica of the impression of the subject ear canal. The typical post-impression processes made on the ear impression modify the physical dimensions and the shape of the final shell thus affecting the overall performance of the hearing aid. In the proposed approach, the surface of the original ear impression is 3D laser scanned by a prototype equipment consisting of a pair of CCD cameras and a commercial He-Ne laser. The digitized surface is reconstructed by means of iterative deformations of a geometrical model of simple and regular shape. The triangular mesh thus obtained is smoothed by a non-shrinking low-pass spatial filter. With this approach, post-impression processes are no more needed because the digitally reconstructed impression can be directly fed to rapid prototyping equipments, thus achieving a better accuracy in obtaining an exact replica of the ear impression. Furthermore, digital reconstruction of the impression allows for simple and reliable storage and transmission of the model without handling a physical object.

  12. Hearing aid or tinnitus masker: which one is the best treatment for blast-induced tinnitus? The results of a long-term study on 974 patients.

    PubMed

    Jalilvand, Hamid; Pourbakht, Akram; Haghani, Hamid

    2015-01-01

    The aim of this longitudinal study was to explore whether a hearing aid or noise generator would be an effective audiological treatment for blast-induced chronic tinnitus. The amount of satisfaction from different hearing devices (hearing aid, noise generator, or both) during different time periods (1, 6, 12 and 24 months after fitting) was assessed. The 974 subjects enrolled in this study were Iran-Iraq war veterans, suffering from tinnitus for at least 2 years. About 84% of the subjects preferred just a hearing aid. Only 2.7% chose the noise generator, and the others preferred to use both devices. There were no significant differences between the hearing thresholds of the 3 groups. The satisfaction score for the hearing aid and combined devices increased by time but decreased for the noise generator. There was no correlation between the satisfaction score and parameters such as hearing thresholds, audiogram configuration and tinnitus pitch. We concluded that, compared with a noise generator, the most long-lasting treatment for blast-induced tinnitus is a hearing aid. The possible cause for such a performance is probably the recovery of the auditory function and neuroplasticity through the hearing aid. PMID:25924663

  13. [Instructor in the army and fortifications guard--risk occupations for acute acoustic trauma and for wearing a hearing aid].

    PubMed

    Rey, B; Künzli, N; Probst, R; Ackermann-Liebrich, U

    1999-01-01

    In the Swiss army instructors and fortifications guards are exposed to firearms' noise which harms the ear. It was investigated whether the decline in the cases of acute acoustic traumas in non-professional soldiers serving in the army from 1987 to 1996 also was detectable in army instructors and fortifications guards (professional soldiers) and whether these persons were wearing hearing aids (as an indicator of hearing loss) more often than the average of the male Swiss population. First, we analyzed a historical time series of the incidence density of acute acoustic traumas in non-professional soldiers as well as in army instructors and fortifications guards. Second, we compared the prevalence rate of wearing a hearing aid in army instructors and fortifications guards with the male Swiss population. The incidence density for acute acoustic traumas in army instructors and fortifications guards observed over ten years showed no significant change whereas among non-professional soldiers a strong decline (-12% per year) was observed. The prevalence rate of wearing a hearing aid in army instructors and fortifications guards was significantly higher (RR 3.91 [95% CI 3.09-4.96]) than in the male Swiss population. These results suggest increased hearing impairment among army instructors and fortifications guards which is probably due to the high exposure to impulse noise events (occupational disease). It is recommended that these persons be subjected to a compulsory prevention program. PMID:10588036

  14. Dilemmatic group memberships of hard-of-hearing employees during the process of acquiring and adapting to the use of hearing aids.

    PubMed

    Koskela, Inka; Ruusuvuori, Johanna; Juvonen-Posti, Pirjo; Nevala, Nina; Husman, Päivi; Aaltonen, Tarja; Lonka, Eila; Laakso, Minna

    2016-09-01

    We describe how hard-of-hearing (HOH) employees renegotiate both their existing and new group memberships when they acquire and begin to use hearing aids (HAs). Our research setting was longitudinal and we carried out a theory-informed qualitative analysis of multiple qualitative data. When an individual discovers that they have a hearing problem and acquire a HA, their group memberships undergo change. First, HOH employees need to start negotiating their relationship with the HOH group. Second, they need to consider whether they see themselves as members of the disabled or the nondisabled employee group. This negotiation tends to be context-bound, situational, and nonlinear as a process, involving a back-and-forth movement in the way in which HOH employees value different group memberships. The dilemmatic negotiation of new group memberships and the other social aspects involved in HA rehabilitation tend to remain invisible to rehabilitation professionals, occupational healthcare, and employers. PMID:27128825

  15. Effects of release time and directionality on unilateral and bilateral hearing aid fittings in complex sound fields.

    PubMed

    Novick, M L; Bentler, R A; Dittberner, A; Flamme, G A

    2001-01-01

    In studies to date, the effectiveness of the directional microphone has been investigated independently of the signal processing scheme used in the hearing aid. In addition, the number and placement of the background noise speakers can create an advantage for a particular polar pattern (i.e., cardioid, supercardioid, and hypercardioid) in any laboratory design. With these considerations in mind, the purpose of this investigation was twofold: (1) to determine the effect of different amplitude-compression release times on speech perception ability in noise, measured with directional microphone hearing aids, and (2) to determine the impact of environment (classroom vs anechoic chamber) on those measures. Ten subjects with mild to moderate sensorineural hearing loss participated. Using an eight-speaker complex sound field, speech perception was assessed in an anechoic chamber and a typical classroom environment. None of the release times resulted in superior performance in either the anechoic or classroom environment. PMID:11791940

  16. Social representation of hearing aids: cross-cultural study in India, Iran, Portugal, and the United Kingdom

    PubMed Central

    Manchaiah, Vinaya; Danermark, Berth; Vinay; Ahmadi, Tayebeh; Tomé, David; Krishna, Rajalakshmi; Germundsson, Per

    2015-01-01

    Background The current study was aimed at understanding the social representation of hearing aids in India, Iran, Portugal, and the United Kingdom. We also compared these results to explore the cross-cultural differences and similarities among these countries. Methods The study involved a cross-sectional design, and the data were collected from four different countries using the snowball sampling method. Data were analyzed using a content analysis to identify the most-similar categories of responses reported, a co-occurrences analysis to see which of these categories are reported commonly, and a chi-square analysis to study if there was any association between positive, neutral, and negative connotations among participants in different countries. Results The current study revealed four different social representations of hearing aids from India, Iran, Portugal, and the United Kingdom, and also a global index. Conclusion The study results provide very useful insights into how hearing aids are represented in the society. These findings may have important implications for public education and also for manufacturers from the viewpoint of designing and marketing hearing aids in different countries. PMID:26504376

  17. The Effects of Hearing Aid Compression Parameters on the Short-Term Dynamic Range of Continuous Speech

    ERIC Educational Resources Information Center

    Henning, Rebecca L. Warner; Bentler, Ruth A.

    2008-01-01

    Purpose: The purpose of this study was to evaluate and quantitatively model the independent and interactive effects of compression ratio, number of compression channels, and release time on the dynamic range of continuous speech. Method: A CD of the Rainbow Passage (J. E. Bernthal & N. W. Bankson, 1993) was used. The hearing aid was a…

  18. Surgical and Audiologic Comparison Between Sophono and Bone-Anchored Hearing Aids Implantation

    PubMed Central

    Shin, Joong-Wook; Kim, Sung Huhn; Choi, Jae Young; Park, Hong-Joon; Lee, Seung-Chul; Choi, Jee-Sun; Park, Han Q; Lee, Ho-Ki

    2016-01-01

    Objectives Bone-anchored hearing aids (BAHA) occasionally cause soft tissue problems due to abutment. Because Sophono does not have abutment penetrating skin, it is thought that Sophono has no soft tissue problem relating to abutment. On the other hand, transcutaneous device’s output is reported to be 10 to 15 dB lower than percutaneous device. Therefore, in this study, Sophono and BAHA were compared to each other from surgical and audiological points of view. Methods We retrospectively reviewed the medical records of 9 Sophono patients and 10 BAHA patients. In BAHA cases, single vertical incision without skin thinning technique was done. We compared Sophono to BAHA by operation time, wound healing time, postoperative complications, postoperative hearing gain after switch on, and postoperative air-bone gap. Results The mean operation time was 60 minutes for Sophono and 25 minutes for BAHA. The wound healing time was 14 days for Sophono and 28 days for BAHA. No major intraoperative complication was observed. Skin problem was not observed in the 2 devices for the follow-up period. Postoperative hearing gain of bilateral aural atresia patients was 39.4 dB for BAHA (n=4) and 25.5 dB for Sophono (n=5). However, the difference was not statistically significant. In all patients included in this study, the difference of air-bone gap between two groups was 16.6 dB at 0.5 kHz and 18.2 dB at 4 kHz. BAHA was statistically significantly better than Sophono. Conclusion Considering the audiologic outcome, BAHA users were thought to have more audiologic benefit than Sophono users. However, Sophono had advantages over BAHA with abutment in cosmetic outcome. Sophono needed no daily skin maintenance and soft tissue complication due to abutment would not happen in Sophono. Therefore, a full explanation about each device is necessary before deciding implantation. PMID:26976022

  19. Simulation of multi-microphone hearing aids in multiple interference environments.

    PubMed

    Hoffman, M W; Stewart, R W

    1996-08-01

    In this study, the advantages of Digital Signal Processing (DSP) hardware for hearing aids are investigated in the context of multiple microphone arrays. One key question in multiple microphone DSP system design remains the allocation of processing resources between the number of microphones and the number of adjustable tap weights applied to each microphone. This study addresses the appropriate distribution of these resources for currently implementable adaptive DSP systems. Comparisons are made by computer simulation that includes acoustic headshadow, reverberation effects and non-ideal microphone array hardware in a wide variety of environments. Variations in the number of interfering sources, the amount of reverberation and the microphone array configuration leads to several important conclusions. Performance improvements provided by the processors are reported as the broadband unweighted signal-to-babble ratio of pre-emphasized speech and speech-shaped babble. Results are demonstrated for both fixed and robust adaptive systems. PMID:8879690

  20. Lithium-ion batteries for hearing aid applications: I. Design and performance

    NASA Astrophysics Data System (ADS)

    Passerini, S.; Owens, B. B.; Coustier, F.

    Rechargeable batteries have been designed for powering hearing aid devices (HAD). The cells, based on the lithium-ion chemistry, were designed in a size that is compatible with the existing HAD. The 10 mA h batteries were tested to characterize the design and the electrochemical performance from the point of view of a typical HAD application. Results are presented for constant-current tests, first-cycle conditions, charge voltage cut-off, rate performance, and cycle life. The pulse capabilities and the preliminary safety tests of the batteries will be presented in a following report. The results of the lithium-ion HAD cells developed in this project are compared with other battery chemistries: lithium-alloy and nickel-metal hydride secondary batteries and Zn-air primary batteries.

  1. Robust Distributed Noise Reduction in Hearing Aids with External Acoustic Sensor Nodes

    NASA Astrophysics Data System (ADS)

    Bertrand, Alexander; Moonen, Marc

    2009-12-01

    The benefit of using external acoustic sensor nodes for noise reduction in hearing aids is demonstrated in a simulated acoustic scenario with multiple sound sources. A distributed adaptive node-specific signal estimation (DANSE) algorithm, that has a reduced communication bandwidth and computational load, is evaluated. Batch-mode simulations compare the noise reduction performance of a centralized multi-channel Wiener filter (MWF) with DANSE. In the simulated scenario, DANSE is observed not to be able to achieve the same performance as its centralized MWF equivalent, although in theory both should generate the same set of filters. A modification to DANSE is proposed to increase its robustness, yielding smaller discrepancy between the performance of DANSE and the centralized MWF. Furthermore, the influence of several parameters such as the DFT size used for frequency domain processing and possible delays in the communication link between nodes is investigated.

  2. Improved BTE hearing-aid directivity using a directional microphone array

    NASA Astrophysics Data System (ADS)

    Jones, Douglas L.; Lockwood, Michael E.; Lansing, Charissa R.; Feng, Albert S.

    2001-05-01

    Extraction of speech in noise is of great importance to hearing-impaired listeners. Directional microphones are incorporated in some hearing aids to improve noise rejection through increased directivity. A symmetric cardioid response is created either with a single directional microphone, or using beamforming with two omnidirectional microphones. The head-related transfer function (HRTF), however, introduces an asymmetry that cannot be exploited by a linear array of omnidirectional microphones. A new BTE array consisting of a gradient directional microphone with nulls in the front-back vertical plane and two omnidirectional microphones exploits the asymmetry of the HRTF to obtain almost 2 dB better directivity than the best cardioid. HRTFs measured on KEMAR with this array were transformed to the frequency domain, where directivity-maximizing coefficients in each band were derived. The Articulation-Index (AI) weighted directivity gain of this optimal three-element directional array was 6.4 dB greater than a single omnidirectional microphone on the BTE, whereas the directivity gain of the HRTF-optimized two-omni beamformer was 4.6 dB, and the optimal free-field cardioid placed on the head yielded 4.4 dB. [Work partially supported by NIH (NIDCD) under Grant No. 1 R01 DC005762-01A1.

  3. 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…

  4. Speech-clarity judgments of hearing-aid-processed speech in noise: differing polar patterns and acoustic environments.

    PubMed

    Amlani, Amyn M; Rakerd, Brad; Punch, Jerry L

    2006-06-01

    This investigation assessed the extent to which listeners' preferences for hearing aid microphone polar patterns vary across listening environments, and whether normal-hearing and inexperienced and experienced hearing-impaired listeners differ in such preferences. Paired-comparison judgments of speech clarity (i.e. subjective speech intelligibility) were made monaurally for recordings of speech in noise processed by a commercially available hearing aid programmed with an omnidirectional and two directional polar patterns (cardioid and hypercardioid). Testing environments included a sound-treated room, a living room, and a classroom. Polar-pattern preferences were highly reliable and agreed closely across all three groups of listeners. All groups preferred listening in the sound-treated room over listening in the living room, and preferred listening in the living room over listening in the classroom. Each group preferred the directional patterns to the omnidirectional pattern in all room conditions. We observed no differences in preference judgments between the two directional patterns or between hearing-impaired listeners' extent of amplification experience. Overall, findings indicate that listeners perceived qualitative benefits from microphones having directional polar patterns. PMID:16777778

  5. [Direct hearing aid provision by ENT specialists: Recommendations for prevention and treatment of complications after taking ear impressions].

    PubMed

    Caffier, Ph P; Sedlmaier, B; Hölzl, M

    2009-07-01

    In times of budgeting, rising costs and monetary losses, an increasing number of ENT specialists considers the hearing system sector due to the distinct undersupply and the expected demographic development to be a market of the future and appropriate to enlarge their field of competence. Exact prevalence of direct hearing aid provision by German otorhinolaryngologists as well as its complication rate are not well-known. Retrospectively, all patients were evaluated who presented at our department with complications in the context of outpatient direct hearing aid supply within the last 3 years. Inappropriate fitting contains the danger of malformed or displaced ear impressions with various injury patterns comprising the external auditory canal, tympanic membrane and ossicular chain. Practical advices for prevention of complications include the accurate modeling and placement of sufficient impression pads behind the second bend of the auditory canal, using an adequate type of impression material as well as performing the correct application procedures. Recommendations for diagnostic patterns and treatment of complications after taking ear impressions are presented, the differences between German "traditional" and "direct" hearing aid provision are critically discussed. PMID:19579285

  6. A 1-channel 3-band wide dynamic range compression chip for vibration transducer of implantable hearing aids.

    PubMed

    Kim, Dongwook; Seong, Kiwoong; Kim, Myoungnam; Cho, Jinho; Lee, Jyunghyun

    2014-01-01

    In this paper, a digital audio processing chip which uses a wide dynamic range compression (WDRC) algorithm is designed and implemented for implantable hearing aids system. The designed chip operates at a single voltage of 3.3V and drives a 16 bit parallel input and output at 32 kHz sample. The designed chip has 1-channel 3-band WDRC composed of a FIR filter bank, a level detector, and a compression part. To verify the performance of the designed chip, we measured the frequency separations of bands and compression gain control to reflect the hearing threshold level. PMID:24211991

  7. Children with ANSD fitted with hearing aids applying the AAA Pediatric Amplification Guideline: Current Practice and Outcomes

    PubMed Central

    Walker, Elizabeth A.; McCreery, Ryan W.; Spratford, Meredith; Roush, Patricia A.

    2015-01-01

    Background Up to 15% of children with permanent hearing loss have auditory neuropathy spectrum disorder (ANSD), which involves normal outer hair cell function and disordered afferent neural activity in the auditory nerve or brainstem. Given the varying presentations of ANSD in children, there is a need for more evidence-based research on appropriate clinical interventions for this population. Purpose This study compared the speech production, speech perception, and language outcomes of children with auditory neuropathy spectrum disorder (ANSD) who are hard of hearing and children with similar degrees of mild to moderately-severe sensorineural hearing loss (SNHL), all of whom were fitted with bilateral hearing aids based on the American Academy of Audiology (AAA) pediatric amplification guidelines. Research design Speech perception and communication outcomes data were gathered in a prospective accelerated longitudinal design, with entry into the study between six months and seven years of age. Three sites were involved in participant recruitment: Boys Town National Research Hospital, the University of North Carolina at Chapel Hill, and the University of Iowa. Study sample: The sample consisted of 12 children with ANSD and 22 children with SNHL. The groups were matched based on better-ear pure-tone average, better-ear aided speech intelligibility index, gender, maternal education level, and newborn hearing screening result (i.e., pass or refer). Data collection and analysis Children and their families participated in an initial baseline visit, followed by visits twice a year for children under age 2 years and once a year for children older than 2 years. Paired-sample t-tests were used to compare children with ANSD to children with SNHL. Results Paired t-tests indicated no significant differences between the ANSD and SNHL groups on language and articulation measures. Children with ANSD displayed functional speech perception skills in quiet. Although the number of

  8. Influence of Acoustic Feedback on the Learning Strategies of Neural Network-Based Sound Classifiers in Digital Hearing Aids

    NASA Astrophysics Data System (ADS)

    Cuadra, Lucas; Alexandre, Enrique; Gil-Pita, Roberto; Vicen-Bueno, Raúl; Álvarez, Lorena

    2009-12-01

    Sound classifiers embedded in digital hearing aids are usually designed by using sound databases that do not include the distortions associated to the feedback that often occurs when these devices have to work at high gain and low gain margin to oscillation. The consequence is that the classifier learns inappropriate sound patterns. In this paper we explore the feasibility of using different sound databases (generated according to 18 configurations of real patients), and a variety of learning strategies for neural networks in the effort of reducing the probability of erroneous classification. The experimental work basically points out that the proposed methods assist the neural network-based classifier in reducing its error probability in more than 18%. This helps enhance the elderly user's comfort: the hearing aid automatically selects, with higher success probability, the program that is best adapted to the changing acoustic environment the user is facing.

  9. An application of boundary element method calculations to hearing aid systems: The influence of the human head

    NASA Astrophysics Data System (ADS)

    Rasmussen, Karsten B.; Juhl, Peter

    2001-05-01

    Boundary element method (BEM) calculations are used for the purpose of predicting the acoustic influence of the human head in two cases. In the first case the sound source is the mouth and in the second case the sound is plane waves arriving from different directions in the horizontal plane. In both cases the sound field is studied in relation to two positions above the right ear being representative of hearing aid microphone positions. Both cases are relevant for hearing aid development. The calculations are based upon a direct BEM implementation in Matlab. The meshing is based on the original geometrical data files describing the B&K Head and Torso Simulator 4128 combined with a 3D scan of the pinna.

  10. 21 CFR 801.420 - Hearing aid devices; professional and patient labeling.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... special training to diagnose and treat hearing loss. Such physicians are also known as otolaryngologists... rapidly progressive hearing loss within the previous 90 days. (iv) Acute or chronic dizziness. (v) Unilateral hearing loss of sudden or recent onset within the previous 90 days. (vi) Audiometric air-bone...

  11. 21 CFR 801.420 - Hearing aid devices; professional and patient labeling.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... special training to diagnose and treat hearing loss. Such physicians are also known as otolaryngologists... rapidly progressive hearing loss within the previous 90 days. (iv) Acute or chronic dizziness. (v) Unilateral hearing loss of sudden or recent onset within the previous 90 days. (vi) Audiometric air-bone...

  12. 21 CFR 801.420 - Hearing aid devices; professional and patient labeling.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... special training to diagnose and treat hearing loss. Such physicians are also known as otolaryngologists... rapidly progressive hearing loss within the previous 90 days. (iv) Acute or chronic dizziness. (v) Unilateral hearing loss of sudden or recent onset within the previous 90 days. (vi) Audiometric air-bone...

  13. 21 CFR 801.420 - Hearing aid devices; professional and patient labeling.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... special training to diagnose and treat hearing loss. Such physicians are also known as otolaryngologists... rapidly progressive hearing loss within the previous 90 days. (iv) Acute or chronic dizziness. (v) Unilateral hearing loss of sudden or recent onset within the previous 90 days. (vi) Audiometric air-bone...

  14. Tactual Artificial Hearing as an Aid to Speech and Language Acquisition.

    ERIC Educational Resources Information Center

    Oller, D. Kimbrough; And Others

    1989-01-01

    Recent developments are described in transmission of speech information to the skin of hearing-impaired individuals through artificial hearing devices. Discussed are tactual hearing instrument characteristics; transmission of speech sounds by tactual vocoders; vocabulary acquisition, sentence recognition, and discourse tracking through tactual…

  15. A comparison of NAL and DSL prescriptive methods for paediatric hearing-aid fitting: Predicted speech intelligibility and loudness

    PubMed Central

    Ching, Teresa Y.C.; Johnson, Earl E.; Hou, Sanna; Dillon, Harvey; Zhang, Vicky; Burns, Lauren; van Buynder, Patricia; Wong, Angela; Flynn, Christopher

    2013-01-01

    OBJECTIVE To examine the impact of prescription on predicted speech intelligibility and loudness for children. DESIGN A between-group comparison of Speech Intelligibility Index (SII) and loudness, based on hearing aids fitted according to NAL-NL1, DSL v4.1, or DSL m[i/o] prescriptions. A within-group comparison of gains prescribed by DSL m[i/o] and NAL-NL2 for children in terms of SII and loudness. STUDY SAMPLE Participants were 200 children , who were randomly assigned to first hearing-aid fitting with either NAL-NL1, DSL v4.1, or DSL m[i/o]. Audiometric data and hearing aid data at 3 years of age were used. RESULTS On average, SII calculated on the basis of hearing-aid gains were higher for DSL than for NAL-NL1 at low input level, equivalent at medium input level, and higher for NAL-NL1 than DSL at high input level. Greater loudness was associated with DSL than with NAL-NL1, across a range of input levels. Comparing NAL-NL2 and DSL m[i/o] target gains revealed higher SII for the latter at low input level. SII was higher for NAL-NL2 than for DSL m[i/o] at medium- and high-input levels despite greater loudness for gains prescribed by DSL m[i/o] than by NAL-NL2. CONCLUSION The choice of prescription has minimal effects on speech intelligibility predictions but marked effects on loudness predictions. PMID:24350692

  16. Over-the-Counter Hearing Aids: A Lost Decade for Change

    PubMed Central

    Chan, Zoe Yee Ting; McPherson, Bradley

    2015-01-01

    Background. Hearing aids sold directly to consumers in retail stores or through the internet, without individual prescription by audiological professionals, are termed over-the-counter (OTC) devices. This study aimed to determine whether there was any change in the electroacoustic characteristics of OTC devices compared to research carried out a decade earlier. The previous results indicated that most OTC devices were low-frequency-emphasis devices and were unsuitable for elderly people with presbycusis, who were likely to be the major consumers of these products. Methods. Ten OTC devices were selected and their electroacoustic performance was measured. Appropriate clients for the OTC devices were derived, using four linear prescription formulae, and OTC suitability for elderly persons with presbycusis was investigated. Results. OTC electroacoustic characteristics were similar to those in the earlier study. Most OTC devices were not acoustically appropriate for potential consumers with presbycusis. Although several of the devices could match prescriptive targets for individuals with presbycusis, their poor electroacoustic performance—including ineffective volume control function, high equivalent input noise, and irregular frequency response—may override their potential benefit. Conclusion. The low-cost OTC devices were generally not suitable for the main consumers of these products, and there has been little improvement in the appropriateness of these devices over the past decade. PMID:26557701

  17. Evaluation of an adaptive directional system in a DSP hearing aid.

    PubMed

    Bentler, Ruth A; Tubbs, Jill L; Egge, Jessica L M; Flamme, Gregory A; Dittberner, Andrew B

    2004-06-01

    The effectiveness of an adaptive directional microphone design, as implemented in the Phonak Claro behind-the-ear hearing aid, is evaluated. Participants were fit bilaterally and tested in 2 environments, an anechoic chamber and a moderately reverberant classroom, with the microphones in the fixed (cardioid) setting and the adaptive setting. Five speakers were placed between 110 degrees and 250 degrees azimuth around the listener. Speech-weighted noise was presented from those speakers at an overall level (OAL) of 65 dB (A). Noise was increased by 8 dB from 1 speaker at a time, using 2-s modulation and random assignment, while the output from the other speakers was reduced to maintain the constant OAL. Results of 2 speech perception tasks used as outcome measures indicated that the adaptive system was not able to follow the dominant noise source in the presence of lower level noise sources. Self-report measures obtained after blinded home trials were consistent with laboratory findings that the participants did not perceive this adaptive microphone design to be more effective than the default fixed-microphone option. PMID:15248806

  18. Using a signal cancellation technique to assess adaptive directivity of hearing aids.

    PubMed

    Wu, Yu-Hsiang; Bentler, Ruth A

    2007-07-01

    The directivity of an adaptive directional microphone hearing aid (DMHA) cannot be assessed by the method that calls for presenting a "probe" signal from a single loudspeaker to the DMHA that moves to different angles. This method is invalid because the probe signal itself changes the polar pattern. This paper proposes a method for assessing the adaptive DMHA using a "jammer" signal, presented from a second loudspeaker rotating with the DMHA, that simulates a noise source and freezes the polar pattern. Measurement at each angle is obtained by two sequential recordings from the DMHA, one using an input of a probe and a jammer, and the other with an input of the same probe and a phase-inverted jammer. After canceling out the jammer, the remaining response to the probe signal can be used to assess the directivity. In this paper, the new method is evaluated by comparing responses from five adaptive DMHAs to different jammer intensities and locations. This method was shown to be an accurate and reliable way to assess the directivity of the adaptive DMHA in a high-intensity-jammer condition. PMID:17614507

  19. Electronic filters, repeated signal charge conversion apparatus, hearing aids and methods

    NASA Technical Reports Server (NTRS)

    Morley, Jr., Robert E. (Inventor); Engebretson, A. Maynard (Inventor); Engel, George L. (Inventor); Sullivan, Thomas J. (Inventor)

    1993-01-01

    An electronic filter for filtering an electrical signal. Signal processing circuitry therein includes a logarithmic filter having a series of filter stages with inputs and outputs in cascade and respective circuits associated with the filter stages for storing electrical representations of filter parameters. The filter stages include circuits for respectively adding the electrical representations of the filter parameters to the electrical signal to be filtered thereby producing a set of filter sum signals. At least one of the filter stages includes circuitry for producing a filter signal in substantially logarithmic form at its output by combining a filter sum signal for that filter stage with a signal from an output of another filter stage. The signal processing circuitry produces an intermediate output signal, and a multiplexer connected to the signal processing circuit multiplexes the intermediate output signal with the electrical signal to be filtered so that the logarithmic filter operates as both a logarithmic prefilter and a logarithmic postfilter. Other electronic filters, signal conversion apparatus, electroacoustic systems, hearing aids and methods are also disclosed.

  20. Investigating Differences in Preferred Noise Reduction Strength Among Hearing Aid Users.

    PubMed

    Neher, Tobias; Wagener, Kirsten C

    2016-01-01

    Even though hearing aid (HA) users can respond very differently to noise reduction (NR) processing, knowledge about possible drivers of this variability (and thus ways of addressing it in HA fittings) is sparse. The current study investigated differences in preferred NR strength among HA users. Participants were groups of experienced users with clear preferences ("NR lovers"; N = 14) or dislikes ("NR haters"; N = 13) for strong NR processing, as determined in two earlier studies. Maximally acceptable background noise levels, detection thresholds for speech distortions caused by NR processing, and self-reported "sound personality" traits were considered as candidate measures for explaining group membership. Participants also adjusted the strength of the (binaural coherence-based) NR algorithm to their preferred level. Consistent with previous findings, NR lovers favored stronger processing than NR haters, although there also was some overlap. While maximally acceptable noise levels and detection thresholds for speech distortions tended to be higher for NR lovers than for NR haters, group differences were only marginally significant. No clear group differences were observed in the self-report data. Taken together, these results indicate that preferred NR strength is an individual trait that is fairly stable across time and that is not easily captured by psychoacoustic, audiological, or self-report measures aimed at indexing susceptibility to background noise and processing artifacts. To achieve more personalized NR processing, an effective approach may be to let HA users determine the optimal setting themselves during the fitting process. PMID:27604781

  1. Comparison of acceptance of background noise and speech reception threshold in quantifying the hearing aid directivity benefit

    NASA Astrophysics Data System (ADS)

    Freyaldenhoven, Melinda C.; Nabelek, Anna K.; Burchfield, Samuel B.

    2003-04-01

    Hearing aid directivity benefit was compared as improvement in acceptance of background noise and speech reception threshold (SRT). Forty adult subjects were tested wearing binaural hearing aids in omnidirectional and directional listening conditions. Acceptance of background noise was determined by having subjects select their most comfortable listening level (MCL) for a story delivered from a loudspeaker (0). Next, speech babble was added (180) and the subjects selected the maximum background noise level (BNL) which was acceptable while listening to and following the story. The MCL minus the BNL yielded the acceptable noise level (ANL), all in dB. The difference between the ANL for the omni-directional and directional conditions is the directivity benefit. The SRT was determined by delivering spondaic words (0) at the subjects MCL. Next, speech babble was delivered (180) and adjusted until the subject could repeat 50% of the spondees. The difference between the SRT for the omni-directional and directional conditions is the directivity benefit. Mean directional benefit, ANL=3.50 dB and SRT=3.60 dB, were not significantly different. The individual ANLs and SRTs were significantly correlated (r=-0.36, p=0.002). The ANL procedure appears to be a viable tool for quantifying hearing aid directivity benefit. [Work supported by NIDCD (NIH) 3 RO1 DC 05018-01S1.

  2. A hearing aid on-chip system based on accuracy optimized front- and back-end blocks

    NASA Astrophysics Data System (ADS)

    Fanyang, Li; Hao, Jiang

    2014-03-01

    A hearing aid on-chip system based on accuracy optimized front- and back-end blocks is presented for enhancing the signal processing accuracy of the hearing aid. Compared with the conventional system, the accuracy optimized system is characterized by the dual feedback network and the gain compensation technique used in the front- and back-end blocks, respectively, so as to alleviate the nonlinearity distortion caused by the output swing. By using the technique, the accuracy of the whole hearing aid system can be significantly improved. The prototype chip has been designed with a 0.13 μm standard CMOS process and tested with 1 V supply voltage. The measurement results show that, for driving a 16 Ω loudspeaker with a normalized output level of 300 mVp-p, the total harmonic distortion reached about -60 dB, achieving at least three times reduction compared to the previously reported works. In addition, the typical input referred noise is only about 5 μVrms.

  3. Hearing Loss in Adults.

    ERIC Educational Resources Information Center

    House, John W.

    1997-01-01

    This article discusses hearing loss in adults. It begins with an explanation of the anatomy of the ear and then explains the three types of hearing loss: conductive hearing loss, sensorineural hearing loss, and mixed conductive-sensorineural hearing loss. Tinnitus, hearing aids, and cochlear implants are also addressed. (CR)

  4. AIDS and Young Children: Emerging Issues. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundredth Congress, First Session. Hearing Held in Berkeley, California.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

    This field hearing in Berkeley, California examined: (1) the increasing incidence of babies born with, or at risk of contracting, Acquired Immune Deficiency Syndrome (AIDS); (2) the ability of health and social service systems to care for AIDS-infected infants and children and their families; and (3) prevention efforts to reduce the spread of…

  5. Congressional Methodology: How It Affects Federal Student Financial Aid Eligibility. Hearing before the Subcommittee on Postsecondary Education of the Committee on Education and Labor, House of Representatives. 100th Congress, Second Session. Hearing held in Teaneck, New Jersey.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    A transcript is provided of the subcommittee hearing on the effect of Congressional Methodology (the system established to determine eligibility for federal student aid) on federal student financial aid eligibility. The statements of the following persons are provided: Francine Andrea, New Jersey Association of Student Financial Aid…

  6. Challenges and Recent Developments in Hearing Aids: Part II. Feedback and Occlusion Effect Reduction Strategies, Laser Shell Manufacturing Processes, and Other Signal Processing Technologies

    PubMed Central

    Chung, King

    2004-01-01

    This is the second part of a review on the challenges and recent developments in hearing aids. Feedback and the occlusion effect pose great challenges in hearing aid design and usage. Yet, conventional solutions to feedback and the occlusion effect often create a dilemma: the solution to one often leads to the other. This review discusses the advanced signal processing strategies to reduce feedback and some new approaches to reduce the occlusion effect. Specifically, the causes of three types of feedback (acoustic, mechanical, and electromagnetic) are discussed. The strategies currently used to reduce acoustic feedback (i.e., adaptive feedback reduction algorithms using adaptive gain reduction, notch filtering, and phase cancellation strategies) and the design of new receivers that are built to reduce mechanical and electromagnetic feedback are explained. In addition, various new strategies (i.e., redesigned sound delivery devices and receiver-in-the-ear-canal hearing aid configuration) to reduce the occlusion effect are reviewed. Many manufacturers have recently adopted laser shell-manufacturing technologies to overcome problems associated with manufacturing custom hearing aid shells. The mechanisms of selected laser sintering and stereo lithographic apparatus and the properties of custom shells produced by these two processes are reviewed. Further, various new developments in hearing aid transducers, telecoils, channel-free amplification, open-platform programming options, rechargeable hearing aids, ear-level frequency modulated (FM) receivers, wireless Bluetooth FM systems, and wireless programming options are briefly explained and discussed. Finally, the applications of advanced hearing aid technologies to enhance other devices such as cochlear implants, hearing protectors, and cellular phones are discussed. PMID:15735871

  7. Comparison of Gated Audiovisual Speech Identification in Elderly Hearing Aid Users and Elderly Normal-Hearing Individuals: Effects of Adding Visual Cues to Auditory Speech Stimuli.

    PubMed

    Moradi, Shahram; Lidestam, Björn; Rönnberg, Jerker

    2016-01-01

    The present study compared elderly hearing aid (EHA) users (n = 20) with elderly normal-hearing (ENH) listeners (n = 20) in terms of isolation points (IPs, the shortest time required for correct identification of a speech stimulus) and accuracy of audiovisual gated speech stimuli (consonants, words, and final words in highly and less predictable sentences) presented in silence. In addition, we compared the IPs of audiovisual speech stimuli from the present study with auditory ones extracted from a previous study, to determine the impact of the addition of visual cues. Both participant groups achieved ceiling levels in terms of accuracy in the audiovisual identification of gated speech stimuli; however, the EHA group needed longer IPs for the audiovisual identification of consonants and words. The benefit of adding visual cues to auditory speech stimuli was more evident in the EHA group, as audiovisual presentation significantly shortened the IPs for consonants, words, and final words in less predictable sentences; in the ENH group, audiovisual presentation only shortened the IPs for consonants and words. In conclusion, although the audiovisual benefit was greater for EHA group, this group had inferior performance compared with the ENH group in terms of IPs when supportive semantic context was lacking. Consequently, EHA users needed the initial part of the audiovisual speech signal to be longer than did their counterparts with normal hearing to reach the same level of accuracy in the absence of a semantic context. PMID:27317667

  8. Audio-visual speechreading in a group of hearing aid users. The effects of onset age, handicap age, and degree of hearing loss.

    PubMed

    Tillberg, I; Rönnberg, J; Svärd, I; Ahlner, B

    1996-01-01

    Speechreading ability was investigated among hearing aid users with different time of onset and different degree of hearing loss. Audio-visual and visual-only performance were assessed. One group of subjects had been hearing-impaired for a large part of their lives, and the impairments appeared early in life. The other group of subjects had been impaired for a fewer number of years, and the impairments appeared later in life. Differences between the groups were obtained. There was no significant difference on the audio-visual test between the groups in spite of the fact that the early onset group scored very poorly auditorily. However, the early-onset group performed significantly better on the visual test. It was concluded that the visual information constituted the dominant coding strategy for the early onset group. An interpretation chiefly in terms of early onset may be the most appropriate, since dB loss variations as such are not related to speechreading skill. PMID:8976000

  9. Evaluation of Hearing Aid Frequency Response Fittings in Pediatric and Young Adult Bimodal Recipients

    PubMed Central

    Davidson, Lisa S.; Firszt, Jill B.; Brenner, Chris; Cadieux, Jamie H.

    2015-01-01

    Background A coordinated fitting of a cochlear implant (CI) and contralateral hearing aid (HA) for bimodal device use should emphasize balanced audibility and loudness across devices. However, guidelines for allocating frequency information to the CI and HA are not well established for the growing population of bimodal recipients. Purpose The study aim was to compare the effects of three different HA frequency responses, when fitting a CI and an HA for bimodal use, on speech recognition and localization in children/young adults. Specifically, the three frequency responses were wideband, restricted high frequency, and nonlinear frequency compression (NLFC), which were compared with measures of word recognition in quiet, sentence recognition in noise, talker discrimination, and sound localization. Research Design The HA frequency responses were evaluated using an A B1 A B2 test design: wideband frequency response (baseline-A), restricted high-frequency response (experimental-B1), and NLFC-activated (experimental-B2). All participants were allowed 3–4 weeks between each test session for acclimatization to each new HA setting. Bimodal benefit was determined by comparing the bimodal score to the CI-alone score. Study Sample Participants were 14 children and young adults (ages 7–21 yr) who were experienced users of bimodal devices. All had been unilaterally implanted with a Nucleus CI24 internal system and used either a Freedom or CP810 speech processor. All received a Phonak Naida IX UP behind-the-ear HA at the beginning of the study. Data Collection and Analysis Group results for the three bimodal conditions (HA frequency response with wideband, restricted high frequency, and NLFC) on each outcome measure were analyzed using a repeated measures analysis of variance. Group results using the individual “best bimodal” score were analyzed and confirmed using a resampling procedure. Correlation analyses examined the effects of audibility (aided and unaided hearing

  10. Improvement of Adult BTE Hearing Aid Wearers' Front/Back Localization Performance Using Digital Pinna-Cue Preserving Technologies: An Evidence-Based Review

    PubMed Central

    Han, Woojae

    2014-01-01

    This systematic review evaluated the impact of using digital pinna-cue preserving technologies (PPT) on front/back sound localization for adult hearing aid users. Two peer-reviewed studies and two non-peer-reviewed studies were included. Lab-based and self-report outcomes were both assessed. The overall findings suggested that PPT was superior to omni-directional and full directional settings in a relatively quiet, well-controlled laboratory environment but not in the real world. However, observed individual differences in self-report measures suggested that PPT was potentially beneficial to certain hearing aid users. PPT candidacy was discussed and the importance of a pre-fitting interview/consultation was emphasized to assist clinicians in making a solid evidence-based and cost-effectiveness decision when prescribing hearing aids to adults with hearing impairment. PMID:25558403

  11. Psychometric properties of a revised Danish translation of the international outcome inventory for hearing aids (IOI-HA)

    PubMed Central

    2014-01-01

    Objective The original Danish translation of the international outcome inventory for hearing aids (IOI-HA) proved problematic as the wording of item 5 was not semantically clear, rendering the questionnaire internally inconsistent. The objective of this study was to examine data collected with a revised Danish translation of the IOI-HA in order to: (1) evaluate the effect of the revision, and (2) to examine if the psychometric properties of the revised translation of the IOI-HA are equivalent to those of previously validated translations. Design Psychometric properties were evaluated performing inter-item correlation analysis, principal component analysis, and item-total correlation. Study sample Three hundred forty-one adult hearing-impaired participants—all of whom were voluntary hearing aid testers attached to the Global Audiology Group in GN ReSound A/S on a non-payment basis — were mailed a revised Danish IOI-HA questionnaire. Results Statistical analysis revealed good internal consistency along with a clear division of items into two distinct factors. Conclusions The revised Danish translation of the IOI-HA proves internally consistent. Furthermore, it possesses psychometric properties equivalent to those reported in several corresponding studies of other translations. Data obtained from it can therefore validly be considered comparable to data obtained from previously validated translations of the IOI-HA. PMID:24475867

  12. The Speech Intelligibility Index and the Pure-Tone Average as Predictors of Lexical Ability in Children Fit with Hearing Aids

    ERIC Educational Resources Information Center

    Stiles, Derek J.; Bentler, Ruth A.; McGregor, Karla K.

    2012-01-01

    Purpose: To determine whether a clinically obtainable measure of audibility, the aided Speech Intelligibility Index (SII; American National Standards Institute, 2007), is more sensitive than the pure-tone average (PTA) at predicting the lexical abilities of children who wear hearing aids (CHA). Method: School-age CHA and age-matched children with…

  13. Condom Advertising and AIDS. Hearing before the Subcommittee on Health and the Environment of the Committee on Energy and Commerce. House of Representatives, One Hundredth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Energy and Commerce.

    This document present witnesses' testimonies from the Congressional hearing called to examine condom advertising and Acquired Immune Deficiency Syndrome (AIDS). Opening statements are included by Congressmen Henry Waxman, William Dannemeyer, and Jim Bates. C. Everett Koop, United States Surgeon General, and Gary Noble, AIDS coordinator for the…

  14. AIDS and Teenagers: Emerging Issues. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundredth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

    This document presents testimonies from the Congressional hearing examining the Acquired Immunodeficiency Syndrome (AIDS) crisis and its impact on teenagers. Opening remarks from Representatives George Miller, Dan Coats, Ted Weiss, Ron Packard, and J. Roy Rowland stress the importance of determining how to protect adolescents from AIDS. C. Everett…

  15. 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…

  16. AIDS Epidemic. Hearing before the Committee on Labor and Human Resources. United States Senate, One Hundredth Congress, First Session on Reviewing Federal Efforts Being Conducted toward Combating the AIDS Epidemic.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    The text of a Senate hearing called to review federal efforts combating acquired immune deficiency syndrome (AIDS) is presented in this document. Opening statements reviewing the AIDS crisis are given by Senators Edward Kennedy and Lowell Weicker, Jr. Prepared statements are included by Senators Orrin Hatch and Ted Stevens. David Baltimore and…

  17. Age-Related Hearing Loss

    MedlinePlus

    ... hearing loss. Here are the most common ones: Styles of hearing aids Source: NIH/NIDCD Hearing aids ... list of organizations, contact: NIDCD Information Clearinghouse 1 Communication Avenue Bethesda, MD 20892-3456 Toll-free Voice: ( ...

  18. Wireless charing pillow for a fully implantable hearing aid: Design of a circular array coil based on finite element analysis for reducing magnetic weak zones.

    PubMed

    Lim, Hyung-Gyu; Kim, Jong Hoon; Shin, Dong Ho; Woo, Seong Tak; Seong, Ki Woong; Lee, Jyung Hyun; Kim, Myoung Nam; Wei, Qun; Cho, Jin-Ho

    2015-01-01

    Many types of fully implantable hearing aids have been developed. Most of these devices are implanted behind the ear. To maintain the implanted device for a long period of time, a rechargeable battery and wireless power transmission are used. Because inductive coupling is the most renowned method for wireless power transmission, many types of fully implantable hearing aids are transcutaneously powered using inductively coupled coils. Some patients with an implantable hearing aid require a method for conveniently charging their hearing aid while they are resting or sleeping. To address this need, a wireless charging pillow has been developed that employs a circular array coil as one of its primary parts. In this device, all primary coils are simultaneously driven to maintain an effective charging area regardless of head motion. In this case, however, there may be a magnetic weak zone that cannot be charged at the specific secondary coil's location on the array coil. In this study, assuming that a maximum charging distance is 4 cm, a circular array coil-serving as a primary part of the charging pillow-was designed using finite element analysis. Based on experimental results, the proposed device can charge an implantable hearing aid without a magnetic weak zone within 4 cm of the perpendicular distance between the primary and secondary coils. PMID:26405942

  19. Monitoring the Hearing Handicap and the Recognition Threshold of Sentences of a Patient with Unilateral Auditory Neuropathy Spectrum Disorder with Use of a Hearing Aid

    PubMed Central

    Lima, Aline Patrícia; Mantello, Erika Barioni; Anastasio, Adriana Ribeiro Tavares

    2015-01-01

    Introduction Treatment for auditory neuropathy spectrum disorder (ANSD) is not yet well established, including the use of hearing aids (HAs). Not all patients diagnosed with ASND have access to HAs, and in some cases HAs are even contraindicated. Objective To monitor the hearing handicap and the recognition threshold of sentences in silence and in noise in a patient with ASND using an HA. Resumed Report A 47-year-old woman reported moderate sensorineural hearing loss in the right ear and high-frequency loss of 4 kHz in the left ear, with bilateral otoacoustic emissions. Auditory brainstem response suggested changes in the functioning of the auditory pathway (up to the inferior colliculus) on the right. An HA was indicated on the right. The patient was tested within a 3-month period before the HA fitting with respect to recognition threshold of sentences in quiet and in noise and for handicap determination. After HA use, she showed a 2.1-dB improvement in the recognition threshold of sentences in silence, a 6.0-dB improvement for recognition threshold of sentences in noise, and a rapid improvement of the signal-to-noise ratio from +3.66 to −2.4 dB when compared with the same tests before the fitting of the HA. Conclusion There was a reduction of the auditory handicap, although speech perception continued to be severely limited. There was a significant improvement of the recognition threshold of sentences in silence and in noise and of the signal-to-noise ratio after 3 months of HA use. PMID:27096026

  20. An Evidence-Based Systematic Review of Directional Microphones and Digital Noise Reduction Hearing Aids in School-Age Children With Hearing Loss

    PubMed Central

    McCreery, Ryan W.; Venediktov, Rebecca A.; Coleman, Jaumeiko J.; Leech, Hillary M.

    2013-01-01

    Purpose The purpose of this evidence-based systematic review was to evaluate the efficacy of digital noise reduction and directional microphones for outcome measures of audibility, speech recognition, speech and language, and self- or parent-report in pediatric hearing aid users. Method The authors searched 26 databases for experimental studies published after 1980 addressing one or more clinical questions and meeting all inclusion criteria. The authors evaluated studies for methodological quality and reported or calculated p values and effect sizes when possible. Results A systematic search of the literature resulted in the inclusion of 4 digital noise reduction and 7 directional microphone studies (in 9 journal articles) that addressed speech recognition, speech and language, and/or self-or parent-report outcomes. No digital noise reduction or directional microphone studies addressed audibility outcomes. Conclusions On the basis of a moderate level of evidence, digital noise reduction was not found to improve or degrade speech understanding. Additional research is needed before conclusions can be drawn regarding the impact of digital noise reduction on important speech, language, hearing, and satisfaction outcomes. Moderate evidence also indicates that directional microphones resulted in improved speech recognition in controlled optimal settings; however, additional research is needed to determine the effectiveness of directional microphones in actual everyday listening environments. PMID:22858614

  1. An Evidence-Based Systematic Review of Amplitude Compression in Hearing Aids for School-Age Children With Hearing Loss

    PubMed Central

    McCreery, Ryan W.; Venediktov, Rebecca A.; Coleman, Jaumeiko J.; Leech, Hillary M.

    2013-01-01

    Purpose Two clinical questions were developed: one addressing the comparison of linear amplification with compression limiting to linear amplification with peak clipping, and the second comparing wide dynamic range compression with linear amplification for outcomes of audibility, speech recognition, speech and language, and self- or parent report in children with hearing loss. Method Twenty-six databases were systematically searched for studies addressing a clinical question and meeting all inclusion criteria. Studies were evaluated for methodological quality, and effect sizes were reported or calculated when possible. Results The literature search resulted in the inclusion of 8 studies. All 8 studies included comparisons of wide dynamic range compression to linear amplification, and 2 of the 8 studies provided comparisons of compression limiting versus peak clipping. Conclusions Moderate evidence from the included studies demonstrated that audibility was improved and speech recognition was either maintained or improved with wide dynamic range compression as compared with linear amplification. No significant differences were observed between compression limiting and peak clipping on outcomes (i.e., speech recognition and self-/parent report) reported across the 2 studies. Preference ratings appear to be influenced by participant characteristics and environmental factors. Further research is needed before conclusions can confidently be drawn. PMID:22858616

  2. Computer-assisted reading intervention with a phonics approach for children using cochlear implants or hearing aids.

    PubMed

    Nakeva von Mentzer, Cecilia; Lyxell, Björn; Sahlén, Birgitta; Dahlström, Orjan; Lindgren, Magnus; Ors, Marianne; Kallioinen, Petter; Uhlén, Inger

    2014-10-01

    The present study examined computer-assisted reading intervention with a phonics approach for deaf and hard of hearing (DHH) children in Sweden using cochlear implants or hearing aids, or a combination of both. The study included 48 children, 5, 6 and 7 years of age. Sixteen children with normal hearing (NH) served as a reference group. The first purpose of the study was to compare NH and DHH children's reading ability at pre and post-intervention. The second purpose was to investigate effects of the intervention. Cognitive and demographic factors were analyzed in relation to reading improvement. Results showed no statistically significant difference for reading ability at the group level, although NH children showed overall higher reading scores at both test points. Age comparisons revealed a statistically significant higher reading ability in the NH 7-year-olds compared to the DHH 7-year-olds. The intervention proved successful for word decoding accuracy, passage comprehension and as a reduction of nonword decoding errors in both NH and DHH children. Reading improvement was associated with complex working memory and phonological processing skills in NH children. Correspondent associations were observed with visual working memory and letter knowledge in the DHH children. Age was the only demographic factor that was significantly correlated with reading improvement. The results suggest that DHH children's beginning reading may be influenced by visual strategies that might explain the reading delay in the older children. PMID:25078707

  3. LESSONS LEARNED FROM MORE THAN Two DECADES OF HIV/AIDS PREVENTION EFFORTS: IMPLICATIONS FOR PEOPLE WHO ARE DEAF OR HARD OF HEARING

    PubMed Central

    Winningham, April; Gore-Felton, Cheryl; Galletly, Carol; Seal, David; Thornton, Melanie

    2009-01-01

    In Contrast with the nearly 30 years of HIV/AIDS research with the hearing community, data on HIV infection among persons who are deaf and hard of hearing is primarily anecdotal. Although the few available estimates suggest that deaf and hard of hearing persons are disproportionately affected by HIV infection, no surveillance systems are in place to Identify either frequency or mode of HIV infection within this population. Moreover, to date, all empirically validated HIV prevention interventions have relied on communication strategies developed for persons who hear. Therefore, understanding and developing-effective prevention methods is crucial for persons who are deaf or hard of hearing. The authors explore (a) factors among this population that may contribute to HIV-related behaviors, (b) four key concepts consistently included in successful interventions, and (c) practical ways in which to use this information to tailor effective intervention strategies for this population. PMID:18619068

  4. A randomized controlled comparison of NAL and DSL prescriptions for young children: Hearing-aid characteristics and performance outcomes at three years of age

    PubMed Central

    Ching, Teresa YC; Dillon, Harvey; Hou, Sanna; Zhang, Vicky; Day, Julia; Crowe, Kathryn; Marnane, Vivienne; Street, Laura; Burns, Lauren; Van Buynder, Patricia; Flynn, Christopher; Thomson, Jessica

    2013-01-01

    Objective To determine the influence of choice of prescription and other child-, family- and intervention-related factors on speech, language, and functional performance of hearing-impaired children by three years of age. Design and study sample A randomized controlled design was implemented as part of a population-based, longitudinal study on outcomes of children with hearing impairment (LOCHI) in Australia. Two hundred and eighteen children were randomly assigned to either the NAL or the DSL prescription for first fitting of hearing aids. Their performance outcomes were evaluated. Results Prescriptive targets were closely matched in children's hearing aids. There were not significant differences in children's language, speech production, or functional performance between prescriptions. Parents' ratings of children's device usage and loudness discomfort were not significantly different between prescription groups. Functional performance within the first year of fitting together with degree of hearing loss, presence of additional disabilities, and maternal education explained 44% of variation in language ability of children by three years of age. Conclusions There was no significant association between choice of hearing-aid prescription and variance in children's outcomes at three years of age. In contrast, additional disability, maternal educational level, and early functional performance were significant predictive factors of children's outcomes. PMID:22934930

  5. SVD-based optimal filtering for noise reduction in dual microphone hearing aids: a real time implementation and perceptual evaluation.

    PubMed

    Maj, Jean-Baptiste; Royackers, Liesbeth; Moonen, Marc; Wouters, Jan

    2005-09-01

    In this paper, the first real-time implementation and perceptual evaluation of a singular value decomposition (SVD)-based optimal filtering technique for noise reduction in a dual microphone behind-the-ear (BTE) hearing aid is presented. This evaluation was carried out for a speech weighted noise and multitalker babble, for single and multiple jammer sound source scenarios. Two basic microphone configurations in the hearing aid were used. The SVD-based optimal filtering technique was compared against an adaptive beamformer, which is known to give significant improvements in speech intelligibility in noisy environment. The optimal filtering technique works without assumptions about a speaker position, unlike the two-stage adaptive beamformer. However this strategy needs a robust voice activity detector (VAD). A method to improve the performance of the VAD was presented and evaluated physically. By connecting the VAD to the output of the noise reduction algorithms, a good discrimination between the speech-and-noise periods and the noise-only periods of the signals was obtained. The perceptual experiments demonstrated that the SVD-based optimal filtering technique could perform as well as the adaptive beamformer in a single noise source scenario, i.e., the ideal scenario for the latter technique, and could outperform the adaptive beamformer in multiple noise source scenarios. PMID:16189969

  6. Wind noise at microphones within and across hearing aids at wind speeds below and above microphone saturation.

    PubMed

    Zakis, Justin A

    2011-06-01

    The variation of wind noise at hearing-aid microphones with wind speed, wind azimuth, and hearing-aid style was investigated. Comparisons were made across behind-the-ear (BTE) and completely-in-canal (CIC) devices, and between microphones within BTE devices. One CIC device and two BTE devices were placed on a Knowles Electronics Manikin for Acoustic Research. The smaller BTE device had vented plastic windshields around its microphone ports while the larger BTE device had none. The microphone output signals were digitally recorded in wind generated at 0, 3, 6, and 12 m/s at 8 wind azimuths. The microphone output signals were saturated at 12 m/s with wind-noise levels of up to 116 dB SPL at the microphone output. Wind-noise levels differed by up to 12 dB between microphones within the same BTE device, and across BTE devices by up to 6 or 8 dB for front or rear microphones, respectively. On average, wind-noise levels were lowest with the CIC device and highest at the rear microphone of the smaller BTE device. Engineering and clinical implications are discussed. PMID:21682412

  7. A laboratory study on a capacitive displacement sensor as an implant microphone in totally implant cochlear hearing aid systems.

    PubMed

    Huang, Ping; Guo, Jun; Megerian, Cliff A; Young, Darrin J; Ko, Wen H

    2007-01-01

    A totally implant cochlear hearing aids system, integrating an implant microphone, interface electronics, a speech processor, a stimulator, and cochlear electrodes, can overcome the uncomfortable, inconvenient, and stigma problems associated with the conventional and semi-implantable hearing aids. This paper presents a laboratory feasibility study on the use of an electret condenser microphone (ECM) displacement sensor, serving as an implant microphone, and combined with a spring coupler to directly sense the umbo acoustic vibration. The umbo vibration characteristics were extracted from literature to determine the coupler and sensor requirements. A laboratory model was built to simulate the vibration source and experimentally study the transmission coefficient. Experimental data demonstrate that by using a 5 N/m stiffness spring, the umbo vibration amplitude as high as 67% can be transmitted to the sensor. Measurement of the sensor system on the temporal bone was also made. The minimum detectable sound pressure level (SPL) at 1 kHz is 41 and 67 dB for laboratory and 38 and 64 dB for temporal bone measurement for 1 and 388 Hz bandwidth, respectively. Better performance was achieved in a higher frequency. Results and analysis of this study can be used as a guideline for the future design of displacement sensors as implant microphones. PMID:18003304

  8. Hearing aid for vertebrates via multiple episodic adaptive events on prestin genes.

    PubMed

    Liu, Zhen; Li, Gong-Hua; Huang, Jing-Fei; Murphy, Robert W; Shi, Peng

    2012-09-01

    Auditory detection is essential for survival and reproduction of vertebrates, yet the genetic changes underlying the evolution and diversity of hearing are poorly documented. Recent discoveries concerning prestin, which is responsible for cochlear amplification by electromotility, provide an opportunity to redress this situation. We identify prestin genes from the genomes of 14 vertebrates, including three fishes, one amphibian, one lizard, one bird, and eight mammals. An evolutionary analysis of these sequences and 34 previously known prestin genes reveals for the first time that this hearing gene was under positive selection in the most recent common ancestor (MRCA) of tetrapods. This discovery might document the genetic basis of enhanced high sound sensibility in tetrapods. An investigation of the adaptive gain and evolution of electromotility, an important evolutionary innovation for the highest hearing ability of mammals, detects evidence for positive selections on the MRCA of mammals, therians, and placentals, respectively. It is suggested that electromotility determined by prestin might initially appear in the MRCA of mammals, and its functional improvements might occur in the MRCA of therian and placental mammals. Our patch clamp experiments further support this hypothesis, revealing the functional divergence of voltage-dependent nonlinear capacitance of prestin from platypus, opossum, and gerbil. Moreover, structure-based cdocking analyses detect positively selected amino acids in the MRCA of placental mammals that are key residues in sulfate anion transport. This study provides new insights into the adaptation and functional diversity of hearing sensitivity in vertebrates by evolutionary and functional analysis of the hearing gene prestin. PMID:22416033

  9. 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.

  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. [A totally implantable hearing aid for inner ear deafness: TICA LZ 3001].

    PubMed

    Leysieffer, H; Baumann, J W; Mayer, R; Müller, D; Müller, G; Schön, T; Volz, A; Zenner, H P

    1998-10-01

    Recently, Zenner et al. implanted the first totally implantable electronic hearing devices in patients with SNHL (HNO 46 [1998] 844-852). In the present report, technical and audiological features of the implant TICA are published. The development of the piezoelectric transducer and the microphone for implantation in the posterior wall of the auditory canal as components for the present fully implantable hearing system has already been described (HNO 45, 1997, 792-880). Here we report about our experience with the electronic main module that completes the TICA LZ 3001 system. This module is suited for implantation in the mastoid bone and contains the signal-processing electronics and an integrated battery that can be recharged transcutaneously with a portable charger. The recharging time is around 2 h for an implant operating time of 50 h. The microphone and transducer connectors allow for easy replacement of the main module when the battery lifetime is reached. This lifetime is around 3-5 years. A small wireless remote control allows volume adjustment, contains an on/off switch, and permits selection of four different individual hearing programs. The basic audiological features are provided by a flexible, digitally programmable 3-channel-AGC-system with a peak clipping function. The total bandwidth is around 10 kHz. To our knowledge this is the first fully implantable hearing system that has been in implanted in humans. PMID:9846265

  12. 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.

  13. Hearing Aid Batteries in One Pocket; Car Keys in the Other.

    ERIC Educational Resources Information Center

    Stern, Virginia W.

    1987-01-01

    A mother describes her family's experiences with her third child, a profoundly hearing-impaired male. Topics of focus include the child's special problems with communication, transportation, and work. Emphasis is on enhancing the disabled child's independence and providing equipment (e.g., communication devices, automobiles) and personal skills to…

  14. The Complexities of Using Direct-Input Hearing Aids with FM Systems.

    ERIC Educational Resources Information Center

    Thibodeau, Linda M.; McCaffrey, Helen A.

    1992-01-01

    This article reviews issues to be considered in the selection and monitoring of direct-input personal Frequency Modulation (FM) systems for individuals with hearing impairments. The article discusses boot configurations, signal options, ordering issues, and maintenance issues. (Author/JDD)

  15. Federal Student Financial Aid Delivery Systems. Hearing before the Subcommittee on Postsecondary Education of the Committee on Education and Labor. House of Representatives, One Hundredth Congress, Hearing Held in Missoula, Montana, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    The U.S. House Subcommittee on Postsecondary Education of the Committee on Education and Labor met in Missoula, Montana for an oversight hearing on the student aid delivery system. An opening statement from Pat Williams is followed by a report of the Advisory Committee on Student Financial Assistance on the issue of multiple data entry (MDE)…

  16. Relating hearing loss and executive functions to hearing aid users' preference for, and speech recognition with, different combinations of binaural noise reduction and microphone directionality.

    PubMed

    Neher, Tobias

    2014-01-01

    Knowledge of how executive functions relate to preferred hearing aid (HA) processing is sparse and seemingly inconsistent with related knowledge for speech recognition outcomes. This study thus aimed to find out if (1) performance on a measure of reading span (RS) is related to preferred binaural noise reduction (NR) strength, (2) similar relations exist for two different, non-verbal measures of executive function, (3) pure-tone average hearing loss (PTA), signal-to-noise ratio (SNR), and microphone directionality (DIR) also influence preferred NR strength, and (4) preference and speech recognition outcomes are similar. Sixty elderly HA users took part. Six HA conditions consisting of omnidirectional or cardioid microphones followed by inactive, moderate, or strong binaural NR as well as linear amplification were tested. Outcome was assessed at fixed SNRs using headphone simulations of a frontal target talker in a busy cafeteria. Analyses showed positive effects of active NR and DIR on preference, and negative and positive effects of, respectively, strong NR and DIR on speech recognition. Also, while moderate NR was the most preferred NR setting overall, preference for strong NR increased with SNR. No relation between RS and preference was found. However, larger PTA was related to weaker preference for inactive NR and stronger preference for strong NR for both microphone modes. Equivalent (but weaker) relations between worse performance on one non-verbal measure of executive function and the HA conditions without DIR were found. For speech recognition, there were relations between HA condition, PTA, and RS, but their pattern differed from that for preference. Altogether, these results indicate that, while moderate NR works well in general, a notable proportion of HA users prefer stronger NR. Furthermore, PTA and executive functions can account for some of the variability in preference for, and speech recognition with, different binaural NR and DIR settings. PMID

  17. Relating hearing loss and executive functions to hearing aid users' preference for, and speech recognition with, different combinations of binaural noise reduction and microphone directionality

    PubMed Central

    Neher, Tobias

    2014-01-01

    Knowledge of how executive functions relate to preferred hearing aid (HA) processing is sparse and seemingly inconsistent with related knowledge for speech recognition outcomes. This study thus aimed to find out if (1) performance on a measure of reading span (RS) is related to preferred binaural noise reduction (NR) strength, (2) similar relations exist for two different, non-verbal measures of executive function, (3) pure-tone average hearing loss (PTA), signal-to-noise ratio (SNR), and microphone directionality (DIR) also influence preferred NR strength, and (4) preference and speech recognition outcomes are similar. Sixty elderly HA users took part. Six HA conditions consisting of omnidirectional or cardioid microphones followed by inactive, moderate, or strong binaural NR as well as linear amplification were tested. Outcome was assessed at fixed SNRs using headphone simulations of a frontal target talker in a busy cafeteria. Analyses showed positive effects of active NR and DIR on preference, and negative and positive effects of, respectively, strong NR and DIR on speech recognition. Also, while moderate NR was the most preferred NR setting overall, preference for strong NR increased with SNR. No relation between RS and preference was found. However, larger PTA was related to weaker preference for inactive NR and stronger preference for strong NR for both microphone modes. Equivalent (but weaker) relations between worse performance on one non-verbal measure of executive function and the HA conditions without DIR were found. For speech recognition, there were relations between HA condition, PTA, and RS, but their pattern differed from that for preference. Altogether, these results indicate that, while moderate NR works well in general, a notable proportion of HA users prefer stronger NR. Furthermore, PTA and executive functions can account for some of the variability in preference for, and speech recognition with, different binaural NR and DIR settings. PMID

  18. Monitor, a vibrotactile aid for environmental perception: a field evaluation by four people with severe hearing and vision impairment.

    PubMed

    Ranjbar, Parivash; Stenström, Ingeborg

    2013-01-01

    Monitor is a portable vibrotactile aid to improve the ability of people with severe hearing impairment or deafblindness to detect, identify, and recognize the direction of sound-producing events. It transforms and adapts sounds to the frequency sensitivity range of the skin. The aid was evaluated in the field. Four females (44-54 years) with Usher Syndrome I (three with tunnel vision and one with only light perception) tested the aid at home and in traffic in three different field studies: without Monitor, with Monitor with an omnidirectional microphone, and with Monitor with a directional microphone. The tests were video-documented, and the two field studies with Monitor were initiated after five weeks of training. The detection scores with omnidirectional and directional microphones were 100% for three participants and above 57% for one, both in their home and traffic environments. In the home environment the identification scores with the omnidirectional microphone were 70%-97% and 58%-95% with the directional microphone. The corresponding values in traffic were 29%-100% and 65%-100%, respectively. Their direction perception was improved to some extent by both microphones. Monitor improved the ability of people with deafblindness to detect, identify, and recognize the direction of events producing sounds. PMID:23861651

  19. Monitor, a Vibrotactile Aid for Environmental Perception: A Field Evaluation by Four People with Severe Hearing and Vision Impairment

    PubMed Central

    Stenström, Ingeborg

    2013-01-01

    Monitor is a portable vibrotactile aid to improve the ability of people with severe hearing impairment or deafblindness to detect, identify, and recognize the direction of sound-producing events. It transforms and adapts sounds to the frequency sensitivity range of the skin. The aid was evaluated in the field. Four females (44–54 years) with Usher Syndrome I (three with tunnel vision and one with only light perception) tested the aid at home and in traffic in three different field studies: without Monitor, with Monitor with an omnidirectional microphone, and with Monitor with a directional microphone. The tests were video-documented, and the two field studies with Monitor were initiated after five weeks of training. The detection scores with omnidirectional and directional microphones were 100% for three participants and above 57% for one, both in their home and traffic environments. In the home environment the identification scores with the omnidirectional microphone were 70%–97% and 58%–95% with the directional microphone. The corresponding values in traffic were 29%–100% and 65%–100%, respectively. Their direction perception was improved to some extent by both microphones. Monitor improved the ability of people with deafblindness to detect, identify, and recognize the direction of events producing sounds. PMID:23861651

  20. The Development and Piloting of a Decision Aid for Parents Considering Sequential Bilateral Cochlear Implantation for Their Child with Hearing Loss

    ERIC Educational Resources Information Center

    Johnston, J. Cyne; Smith, Andree Durieux; O'Connor, Annette; Benzies, Karen; Fitzpatrick, Elizabeth M.; Angus, Douglas

    2009-01-01

    A decision aid for parents considering sequential bilateral cochlear implantation for their children with severe-to-profound hearing loss was developed using local and published evidence. Eight parents of children currently using one cochlear implant, who faced a decision regarding a second cochlear implant, and five clinicians involved in the…

  1. AIDS Education of School-Aged Youth. Hearing before the Committee on Governmental Affairs. United States Senate, One Hundred First Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

    The focus of this hearing was two Government Accounting Office (GAO) evaluative reports on the Centers for Disease Control (CDC) programs to educate school-aged youth about the dangers of Acquired Immune Deficiency Syndrome (AIDS) and ways to avoid human immunodeficiency virus (HIV) infection. The GAO's first report is based on its national survey…

  2. A systematic review on skin complications of bone-anchored hearing aids in relation to surgical techniques.

    PubMed

    Mohamad, Shwan; Khan, Imran; Hey, S Y; Hussain, S S Musheer

    2016-03-01

    A systematic review to study the skin complications associated with the bone-anchored hearing aid in relation to surgical techniques. The following databases have been searched: MEDLINE, EMBASE, the Cochrane Library , Google scholar and the PubMed. The literature search date was from January 1977 until November 2013. Randomised controlled trials and retrospective studies were included. Initial search identified 420 publications. Thirty articles met the inclusion criteria of this review. The most common surgical techniques identified were full-thickness skin graft, Dermatome and linear incision techniques. The result shows that dermatome technique is associated with higher rate of skin complications when compared to linear incision and skin graft techniques. Based on the available literature, the use of a linear incision technique appears to be associated with lower skin complications; however, there is limited data available supporting this. Higher quality studies would allow a more reliable comparison between the surgical techniques. PMID:25503356

  3. The choice of compression speed in hearing AIDS: theoretical and practical considerations and the role of individual differences.

    PubMed

    Moore, Brian C J

    2008-06-01

    Compression is used in hearing aids to compensate for the effects of loudness recruitment. This article describes the distinction between, and relative merits of, slow and fast compression systems. A study of Gatehouse and coworkers leads to the following conclusions: (a) The benefit from compression is greatest among individuals who experience a wide range of sound levels within short periods of time, (b) slow compression generally leads to higher listening comfort than fast compression, (c) the benefit from fast compression varies across individuals, and those with high cognitive ability are able to benefit from fast compression to take advantage of temporal dips in a background sound. It is argued that listening in the dips depends on the ability to process the temporal fine structure of sounds. It is proposed that a test of the ability to process temporal fine structure might be useful for selecting compression speed for an individual. PMID:18567591

  4. Measuring Levels of Stress and Depression in Mothers of Children Using Hearing Aids and Cochlear Implants: A Comparative Study

    ERIC Educational Resources Information Center

    Prakash, Santhi S; Prakash, S. G. R.; Ravichandran, Aparna; Susan, K. Y.; Alex, Winnie

    2013-01-01

    Hearing impairment is an exceptional circumstance that restricts the child's ability to communicate verbally. Depression is a common stress-related response for hearing parents of children with hearing loss. Evidence suggests that mothers are more inclined than fathers to experience depression in response to their child's hearing loss…

  5. Estimating uncomfortable loudness levels using evoked potentials to auditory stimuli for hearing aid fitting.

    PubMed

    Adachi, Shinobu; Morikawa, Koji; Kato, Yumiko O; Ozawa, Jun; Nittono, Hiroshi

    2012-01-01

    Determining the loudest sound level that a person can comfortably tolerate (uncomfortable loudness level: UCL) imposes a strain on people suffering from hearing loss. In the present study, we propose a method of estimating UCL based on auditory evoked potentials (AEPs). Adults with normal hearing (18 men aged 25-56 years) participated in the study. Three tone bursts (S1, S2 and S3; a triplet) of the same frequency (either 1k, 2k or 4k Hz) were presented to the right or left ear with an interstimulus interval of 300 ms. The sound intensity decreased gradually by 5 dB HL from 80 dB (S1) to 70 dB HL (S3). The interval between triplets was 450 ± 50 ms. The frequency of a given triplet differed from the frequency of the preceding triplet. An electroencephalogram was recorded from three scalp electrode sites (Cz, C3, and C4) with the right mastoid reference. The 900-ms period after the onset of the triplet was transformed to a wavelet coefficient and averaged separately by stimulated ear and tone frequency. The UCLs were estimated by linear discriminant analysis on the basis of trained data of the other participants' subjective UCLs and the wavelet coefficients. The mean estimation error was 4.9 ± 5.0 dB. This result suggests that the UCLs could be estimated successfully on the basis of AEPs to triplets of auditory tones. PMID:23366337

  6. Temporal and spatio-temporal vibrotactile displays for voice fundamental frequency: an initial evaluation of a new vibrotactile speech perception aid with normal-hearing and hearing-impaired individuals.

    PubMed

    Auer, E T; Bernstein, L E; Coulter, D C

    1998-10-01

    Four experiments were performed to evaluate a new wearable vibrotactile speech perception aid that extracts fundamental frequency (F0) and displays the extracted F0 as a single-channel temporal or an eight-channel spatio-temporal stimulus. Specifically, we investigated the perception of intonation (i.e., question versus statement) and emphatic stress (i.e., stress on the first, second, or third word) under Visual-Alone (VA), Visual-Tactile (VT), and Tactile-Alone (TA) conditions and compared performance using the temporal and spatio-temporal vibrotactile display. Subjects were adults with normal hearing in experiments I-III and adults with severe to profound hearing impairments in experiment IV. Both versions of the vibrotactile speech perception aid successfully conveyed intonation. Vibrotactile stress information was successfully conveyed, but vibrotactile stress information did not enhance performance in VT conditions beyond performance in VA conditions. In experiment III, which involved only intonation identification, a reliable advantage for the spatio-temporal display was obtained. Differences between subject groups were obtained for intonation identification, with more accurate VT performance by those with normal hearing. Possible effects of long-term hearing status are discussed. PMID:10491709

  7. Hearing Disorders and Deafness

    MedlinePlus

    ... If you have trouble hearing, you can get help. Possible treatments include hearing aids, cochlear implants, special training, certain medicines, and surgery. NIH: National Institute on Deafness and Other Communication Disorders

  8. Ranking Hearing Aid Input-Output Functions for Understanding Low-, Conversational-, and High-Level Speech in Multitalker Babble

    ERIC Educational Resources Information Center

    Chung, King; Killion, Mead C.; Christensen, Laurel A.

    2007-01-01

    Purpose: To determine the rankings of 6 input-output functions for understanding low-level, conversational, and high-level speech in multitalker babble without manipulating volume control for listeners with normal hearing, flat sensorineural hearing loss, and mildly sloping sensorineural hearing loss. Method: Peak clipping, compression limiting,…

  9. Eldercare at Home: Hearing Problems

    MedlinePlus

    ... members and friends to comment on how much communication has improved when your mother is wearing the hearing aid. If your mother is concerned about the appearance of a hearing aid, tell her that most women can style their hair to cover the hearing aids. Problem " ...

  10. An Assessment of the Level of Influence of Family Life and HIV/AIDS Education on Knowledge, Attitude and Decision Making among Adolescents with Hearing Impairment in Some States in Nigeria

    ERIC Educational Resources Information Center

    Adeniyi, S. O.; Oyewumi, A. M.; Fakolade, O. A.

    2011-01-01

    This study investigated knowledge, attitude and decision making on HIV/AIDS among adolescents with hearing impairment in Oyo, Lagos and Kwara States. Seventy-six respondents participated in the study with age range between 16 and 20. The research adopted a descriptive survey research design. Seventy-six students with hearing impairment…

  11. Hearing-aid automatic gain control adapting to two sound sources in the environment, using three time constants

    NASA Astrophysics Data System (ADS)

    Nordqvist, Peter; Leijon, Arne

    2004-11-01

    A hearing aid AGC algorithm is presented that uses a richer representation of the sound environment than previous algorithms. The proposed algorithm is designed to (1) adapt slowly (in approximately 10 s) between different listening environments, e.g., when the user leaves a single talker lecture for a multi-babble coffee-break; (2) switch rapidly (about 100 ms) between different dominant sound sources within one listening situation, such as the change from the user's own voice to a distant speaker's voice in a quiet conference room; (3) instantly reduce gain for strong transient sounds and then quickly return to the previous gain setting; and (4) not change the gain in silent pauses but instead keep the gain setting of the previous sound source. An acoustic evaluation showed that the algorithm worked as intended. The algorithm was evaluated together with a reference algorithm in a pilot field test. When evaluated by nine users in a set of speech recognition tests, the algorithm showed similar results to the reference algorithm. .

  12. Challenges and Recent Developments in Hearing Aids: Part I. Speech Understanding in Noise, Microphone Technologies and Noise Reduction Algorithms

    PubMed Central

    Chung, King

    2004-01-01

    This review discusses the challenges in hearing aid design and fitting and the recent developments in advanced signal processing technologies to meet these challenges. The first part of the review discusses the basic concepts and the building blocks of digital signal processing algorithms, namely, the signal detection and analysis unit, the decision rules, and the time constants involved in the execution of the decision. In addition, mechanisms and the differences in the implementation of various strategies used to reduce the negative effects of noise are discussed. These technologies include the microphone technologies that take advantage of the spatial differences between speech and noise and the noise reduction algorithms that take advantage of the spectral difference and temporal separation between speech and noise. The specific technologies discussed in this paper include first-order directional microphones, adaptive directional microphones, second-order directional microphones, microphone matching algorithms, array microphones, multichannel adaptive noise reduction algorithms, and synchrony detection noise reduction algorithms. Verification data for these technologies, if available, are also summarized. PMID:15678225

  13. Hearing aid gain prescriptions balance restoration of auditory nerve mean-rate and spike-timing representations of speech.

    PubMed

    Dinath, Faheem; Bruce, Ian C

    2008-01-01

    Linear and nonlinear amplification schemes for hearing aids have thus far been developed and evaluated based on perceptual criteria such as speech intelligibility, sound comfort, and loudness equalization. Finding amplification schemes that optimize all of these perceptual metrics has proven difficult. Using a physiological model, Bruce et al. [1] investigated the effects of single-band gain adjustments to linear amplification prescriptions. Optimal gain adjustments for model auditory-nerve fiber responses to speech sentences from the TIMIT database were dependent on whether the error metric included the spike timing information (i.e., a time-resolution of several microseconds) or the mean firing rates (i.e., a time-resolution of several milliseconds). Results showed that positive gain adjustments are required to optimize the mean firing rate responses, whereas negative gain adjustments tend to optimize spike timing information responses. In this paper we examine the results in more depth using a similar optimization scheme applied to a synthetic vowel /E/. It is found that negative gain adjustments (i.e., below the linear gain prescriptions) minimize the spread of synchrony and deviation of the phase response to vowel formants in responses containing spike-timing information. In contrast, positive gain adjustments (i.e., above the linear gain prescriptions) normalize the distribution of mean discharge rates in the auditory nerve responses. Thus, linear amplification prescriptions appear to find a balance between restoring the spike-timing and mean-rate information in auditory-nerve responses. PMID:19163029

  14. A current mode feed-forward gain control system for a 0.8 V CMOS hearing aid

    NASA Astrophysics Data System (ADS)

    Fanyang, Li; Haigang, Yang; Fei, Liu; Tao, Yin

    2011-06-01

    A current mode feed-forward gain control (CMFGC) technique is presented, which is applied in the front-end system of a hearing aid chip. Compared with conventional automatic gain control (AGC), CMFGC significantly improves the total harmonic distortion (THD) by digital gain control. To attain the digital gain control codes according to the extremely weak output signal from the microphone, a rectifier and a state controller implemented in current mode are proposed. A prototype chip has been designed based on a 0.13 μm standard CMOS process. The measurement results show that the supply voltage can be as low as 0.6 V. And with the 0.8 V supply voltage, the THD is improved and below 0.06% (-64 dB) at the output level of 500 mVp-p, yet the power consumption is limited to 40 μW. In addition, the input referred noise is only 4 μVrms and the maximum gain is maintained at 33 dB.

  15. Speech Perception and Localisation with SCORE Bimodal: A Loudness Normalisation Strategy for Combined Cochlear Implant and Hearing Aid Stimulation

    PubMed Central

    Francart, Tom; McDermott, Hugh

    2012-01-01

    A significant fraction of newly implanted cochlear implant recipients use a hearing aid in their non-implanted ear. SCORE bimodal is a sound processing strategy developed for this configuration, aimed at normalising loudness perception and improving binaural loudness balance. Speech perception performance in quiet and noise and sound localisation ability of six bimodal listeners were measured with and without application of SCORE. Speech perception in quiet was measured either with only acoustic, only electric, or bimodal stimulation, at soft and normal conversational levels. For speech in quiet there was a significant improvement with application of SCORE. Speech perception in noise was measured for either steady-state noise, fluctuating noise, or a competing talker, at conversational levels with bimodal stimulation. For speech in noise there was no significant effect of application of SCORE. Modelling of interaural loudness differences in a long-term-average-speech-spectrum-weighted click train indicated that left-right discrimination of sound sources can improve with application of SCORE. As SCORE was found to leave speech perception unaffected or to improve it, it seems suitable for implementation in clinical devices. PMID:23115622

  16. Objective analysis of ambisonics for hearing aid applications: Effect of listener's head, room reverberation, and directional microphones.

    PubMed

    Oreinos, Chris; Buchholz, Jörg M

    2015-06-01

    Recently, an increased interest has been demonstrated in evaluating hearing aids (HAs) inside controlled, but at the same time, realistic sound environments. A promising candidate that employs loudspeakers for realizing such sound environments is the listener-centered method of higher-order ambisonics (HOA). Although the accuracy of HOA has been widely studied, it remains unclear to what extent the results can be generalized when (1) a listener wearing HAs that may feature multi-microphone directional algorithms is considered inside the reconstructed sound field and (2) reverberant scenes are recorded and reconstructed. For the purpose of objectively validating HOA for listening tests involving HAs, a framework was developed to simulate the entire path of sounds presented in a modeled room, recorded by a HOA microphone array, decoded to a loudspeaker array, and finally received at the ears and HA microphones of a dummy listener fitted with HAs. Reproduction errors at the ear signals and at the output of a cardioid HA microphone were analyzed for different anechoic and reverberant scenes. It was found that the diffuse reverberation reduces the considered time-averaged HOA reconstruction errors which, depending on the considered application, suggests that reverberation can increase the usable frequency range of a HOA system. PMID:26093433

  17. Hear, Hear!

    ERIC Educational Resources Information Center

    Rittner-Heir, Robbin

    2000-01-01

    Examines the problem of acoustics in school classrooms; the problems it creates for student learning, particularly for students with hearing problems; and the impediments to achieving acceptable acoustical levels for school classrooms. Acoustic guidelines are explored and some remedies for fixing sound problems are highlighted. (GR)

  18. Comparison of the benefits of cochlear implantation versus contra-lateral routing of signal hearing aids in adult patients with single-sided deafness: study protocol for a prospective within-subject longitudinal trial

    PubMed Central

    2014-01-01

    Background Individuals with a unilateral severe-to-profound hearing loss, or single-sided deafness, report difficulty with listening in many everyday situations despite having access to well-preserved acoustic hearing in one ear. The standard of care for single-sided deafness available on the UK National Health Service is a contra-lateral routing of signals hearing aid which transfers sounds from the impaired ear to the non-impaired ear. This hearing aid has been found to improve speech understanding in noise when the signal-to-noise ratio is more favourable at the impaired ear than the non-impaired ear. However, the indiscriminate routing of signals to a single ear can have detrimental effects when interfering sounds are located on the side of the impaired ear. Recent published evidence has suggested that cochlear implantation in individuals with a single-sided deafness can restore access to the binaural cues which underpin the ability to localise sounds and segregate speech from other interfering sounds. Methods/Design The current trial was designed to assess the efficacy of cochlear implantation compared to a contra-lateral routing of signals hearing aid in restoring binaural hearing in adults with acquired single-sided deafness. Patients are assessed at baseline and after receiving a contra-lateral routing of signals hearing aid. A cochlear implant is then provided to those patients who do not receive sufficient benefit from the hearing aid. This within-subject longitudinal design reflects the expected care pathway should cochlear implantation be provided for single-sided deafness on the UK National Health Service. The primary endpoints are measures of binaural hearing at baseline, after provision of a contra-lateral routing of signals hearing aid, and after cochlear implantation. Binaural hearing is assessed in terms of the accuracy with which sounds are localised and speech is perceived in background noise. The trial is also designed to measure the impact of

  19. Acquired Immune Deficiency Syndrome (AIDS) and the Veterans' Administration. Hearing before the Subcommittee on Hospitals and Health Care of the Committee on Veterans' Affairs. House of Representatives, One Hundredth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Veterans' Affairs.

    This document presents witness testimony and prepared statements from the Congressional hearing called to examine the issue of acquired immune deficiency syndrome (AIDS) and the role of the Veterans' Administration (VA) in combating AIDS. Opening statements are included from Representatives G. V. Montgomery, J. Roy Rowland, Joseph P. Kennedy, II,…

  20. AIDS and Young Children in South Florida. Hearing before the Select Committee on Children, Youth, and Families. House of Representatives, One Hundred First Congress, First Session (Miami, FL, August 7, 1989).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Select Committee on Children, Youth, and Families.

    This document is a record of a hearing on acquired immune deficiency syndrome (AIDS) and young children in South Florida. Opening statements are provided by Congressmen George Miller, William Lehman, and Richard Durbin; a fact sheet on AIDS and young children in South Florida is also presented. Testimony is presented by the following: (1) Ana…

  1. Identification of Acoustically Similar and Dissimilar Vowels in Profoundly Deaf Adults Who Use Hearing Aids and/or Cochlear Implants: Some Preliminary Findings

    PubMed Central

    Hay-McCutcheon, Marcia J.; Peterson, Nathaniel R.; Rosado, Christian A.; Pisoni, David B.

    2014-01-01

    Purpose In this study, the authors examined the effects of aging and residual hearing on the identification of acoustically similar and dissimilar vowels in adults with postlingual deafness who use hearing aids (HAs) and/or cochlear implants (CIs). Method The authors used two groups of acoustically similar and dissimilar vowels to assess vowel identification. Also, the Consonant–Nucleus–Consonant Word Recognition Test (Peterson & Lehiste, 1962) and sentences from the Hearing in Noise Test (Nilsson, Soli, & Sullivan, 1994) were administered. Forty CI recipients with postlingual deafness (ages 31–81 years) participated in the study. Results Acoustically similar vowels were more difficult to identify than acoustically dissimilar vowels. With increasing age, performance deteriorated when identifying acoustically similar vowels. Vowel identification was also affected by the use of a contralateral HA and the degree of residual hearing prior to implantation. Moderate correlations were found between speech perception and vowel identification performance. Conclusions Identification performance was affected by the acoustic similarity of the vowels. Older adults experienced more difficulty identifying acoustically similar confusable vowels than did younger adults. The findings might lend support to the ease of language understanding model (Ronnberg, Rudner, Foo, & Lunner, 2008), which proposes that the quality and perceptual robustness of acoustic input affects speech perception. PMID:23824440

  2. Buying a Hearing Aid

    MedlinePlus

    ... program (MedWatch Online Reporting Form 3500). To report deceptive business practices or other types of consumer fraud, ... protection agency. The FTC works to prevent fraudulent, deceptive and unfair business practices in the marketplace. Privacy ...

  3. AIDS Federal Policy Act of 1987. Hearings on S. 1575: To Amend the Public Health Service Act To Establish a Grant Program To Provide for Counseling and Testing Services Relating to Acquired Immune Deficiency Syndrome and To Establish Certain Prohibitions for the Purpose of Protecting Individuals with Acquired Immune Deficiency Syndrome or Related Conditions. Committee on Labor and Human Resources. United States Senate, One Hundredth Congress, First Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    This document presents the text from two Senate hearings on the AIDS Federal Policy Act of 1987 which concerns voluntary testing for AIDS virus, education and counseling to stop the spread of AIDS (Acquired Immune Deficiency Syndrome), and confidentiality and discrimination against AIDS victims. In the first hearing, opening statements are…

  4. The effect of multi-channel wide dynamic range compression, noise reduction, and the directional microphone on horizontal localization performance in hearing aid wearers.

    PubMed

    Keidser, Gitte; Rohrseitz, Kristin; Dillon, Harvey; Hamacher, Volkmar; Carter, Lyndal; Rass, Uwe; Convery, Elizabeth

    2006-10-01

    This study examined the effect that signal processing strategies used in modern hearing aids, such as multi-channel WDRC, noise reduction, and directional microphones have on interaural difference cues and horizontal localization performance relative to linear, time-invariant amplification. Twelve participants were bilaterally fitted with BTE devices. Horizontal localization testing using a 360 degrees loudspeaker array and broadband pulsed pink noise was performed two weeks, and two months, post-fitting. The effect of noise reduction was measured with a constant noise present at 80 degrees azimuth. Data were analysed independently in the left/right and front/back dimension and showed that of the three signal processing strategies, directional microphones had the most significant effect on horizontal localization performance and over time. Specifically, a cardioid microphone could decrease front/back errors over time, whereas left/right errors increased when different microphones were fitted to left and right ears. Front/back confusions were generally prominent. Objective measurements of interaural differences on KEMAR explained significant shifts in left/right errors. In conclusion, there is scope for improving the sense of localization in hearing aid users. PMID:17062498

  5. Longitudinal Improvements in Communication and Socialization of Deaf Children with Cochlear Implants and Hearing Aids: Evidence from Parental Reports

    ERIC Educational Resources Information Center

    Bat-Chava, Yael; Martin, Daniela; Kosciw, Joseph G.

    2005-01-01

    Background: Research has shown that the cochlear implant may improve deaf children's speech and communication skills. However, little is known about its effect on children's ability to socialize with hearing peers. Methods: Using a standardized psychological measure completed by parents and a longitudinal design, this study examined the…

  6. Speech Perception Benefits of FM and Infrared Devices to Children with Hearing Aids in a Typical Classroom

    ERIC Educational Resources Information Center

    Anderson, Karen L.; Goldstein, Howard

    2004-01-01

    Children typically learn in classroom environments that have background noise and reverberation that interfere with accurate speech perception. Amplification technology can enhance the speech perception of students who are hard of hearing. Purpose: This study used a single-subject alternating treatments design to compare the speech recognition…

  7. The Experience of Pleasure before and after Hearing Rehabilitation

    ERIC Educational Resources Information Center

    Rey, Gwladys

    2010-01-01

    Hearing loss may lead to major changes in the social and emotional aspects of daily life. This follow-up study investigated the effect of hearing-aid use on emotional experience in adults with hearing impairment. Thirteen individuals with impaired hearing were tested before and after 6 months of hearing-aid use, and were compared with 19…

  8. [Presbycusis - Age Related Hearing Loss].

    PubMed

    Fischer, N; Weber, B; Riechelmann, H

    2016-07-01

    Presbycusis or age related hearing loss can be defined as a progressive, bilateral and symmetrical sensorineural hearing loss due to age related degeneration of inner ear structures. It can be considered a multifactorial complex disorder with environmental and genetic factors. The molecular, electrophysiological and histological damage at different levels of the inner ear cause a progressive hearing loss, which usually affects the high frequencies of hearing. The resulting poor speech recognition has a negative impact on cognitive, emotional and social function in older adults. Recent investigations revealed an association between hearing impairment and social isolation, anxiety, depression and cognitive decline in elderly. These findings emphasize the importance of diagnosis and treating hearing loss in the elderly population. Hearing aids are the most commonly used devices for treating presbycusis. The technical progress of implantable hearing devices allows an effective hearing rehabilitation even in elderly with severe hearing loss. However, most people with hearing impairments are not treated adequately. PMID:27392191

  9. Nonhospital Care for AIDS Victims. Hearing before the Subcommittee on Health and the Environment of the Committee on Energy and Commerce. House of Representatives, Ninety-Ninth Congress, Second Session (March 5, 1986).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Energy and Commerce.

    This document presents the text of the Congressional hearing called to discuss the provision of health care services to people with Acquired Immune Deficiency Syndrome (AIDS) outside of hospitals, including home health care, hospice care, nursing home care, personal care and counseling, and other support services for patients and their families.…

  10. A 155 μ W 88-dB DR discrete-time ∆Σ modulator for digital hearing aids exploiting a summing SAR ADC quantizer.

    PubMed

    Porrazzo, Serena; Morgado, Alonso; San Segundo Bello, David; Cannillo, Francesco; Van Hoof, Chris; Yazicioglu, Refet Firat; van Roermund, Arthur H M; Cantatore, Eugenio

    2013-10-01

    This paper presents a low-power switched-capacitor ∆Σ modulator for digital hearing-aid applications that features a novel summing successive approximation (SAR). The summing SAR performs multi-bit quantization together with the analog addition required in feed-forward (FF) ∆Σ modulator (∆ΣM) topologies, with no attenuation of the input signals and no need for amplifiers. The prototype is implemented in a 0.18- μ m CMOS technology and its measurements demonstrate a dynamic range of 88 dB in 10 kHz bandwidth while consuming 155 μW from a 1.8 V supply. The combined use of passive addition and SAR quantization reduces the complexity and power consumption of the modulator. The summing SAR ADC quantizer results in a calculated power saving of 40% when compared to a multi-bit FF ∆ΣM using active addition and flash quantization. PMID:24232624

  11. Devices for hearing loss

    MedlinePlus

    ... bring the sound from your TV, radio, or music player directly to your inner ear. Many listening devices now work through a wireless link and can connect directly to your hearing aid. There is also television closed-captioning, which ...

  12. Hearing Loss in the Elderly: An Overview

    PubMed Central

    Blakley, Brian W.

    1989-01-01

    Loss of hearing is tragic, yet most of those afflicted can be helped. Surgery is sometimes appropriate, but for the majority a hearing aid is the best answer. This article reviews what happens in different hearing losses, and gives an overview of hearing aids for the physician who lacks an extensive technical background but wishes to understand these devices a little better. Simple tips for investigation of hearing-aid complaints are included, as well as some tips for communication with hard-of-hearing persons. PMID:21249000

  13. Hearing Loss

    MedlinePlus

    ... version of this page please turn Javascript on. Hearing Loss What is Hearing Loss? Hearing loss is a common problem caused by ... sec Click to watch this video Types of Hearing Loss Hearing loss comes in many forms. It can ...

  14. 2014 CODEPEH recommendations: Early detection of late onset deafness, audiological diagnosis, hearing aid fitting and early intervention.

    PubMed

    Núñez-Batalla, Faustino; Jáudenes-Casaubón, Carmen; Sequí-Canet, Jose Miguel; Vivanco-Allende, Ana; Zubicaray-Ugarteche, Jose

    2016-01-01

    The latest scientific literature considers early diagnosis of deafness as the key element to define the educational and inclusive prognosis of the deaf child, because it allows taking advantage of the critical period of development (0-4 years). Highly significant differences exist between deaf people who have been stimulated early and those who have received late or improper intervention. Early identification of late-onset disorders requires special attention and knowledge on the part of every childcare professional. Programs and additional actions beyond neonatal screening should be designed and planed to ensure that every child with a significant hearing loss is detected early. For this purpose, the CODEPEH would like to highlight the need for continuous monitoring of children's auditory health. Consequently, CODEPEH has drafted the recommendations included in the present document. PMID:26443498

  15. Are Experienced Hearing Aid Users Faster at Grasping the Meaning of a Sentence Than Inexperienced Users? An Eye-Tracking Study.

    PubMed

    Habicht, Julia; Kollmeier, Birger; Neher, Tobias

    2016-01-01

    This study assessed the effects of hearing aid (HA) experience on how quickly a participant can grasp the meaning of an acoustic sentence-in-noise stimulus presented together with two similar pictures that either correctly (target) or incorrectly (competitor) depict the meaning conveyed by the sentence. Using an eye tracker, the time taken by the participant to start fixating the target (the processing time) was measured for two levels of linguistic complexity (low vs. high) and three HA conditions: clinical linear amplification (National Acoustic Laboratories-Revised), single-microphone noise reduction with National Acoustic Laboratories-Revised, and linear amplification ensuring a sensation level of ≥ 15 dB up to at least 4 kHz for the speech material used here. Timed button presses to the target stimuli after the end of the sentences (offline reaction times) were also collected. Groups of experienced (eHA) and inexperienced (iHA) HA users matched in terms of age, hearing loss, and working memory capacity took part (N = 15 each). For the offline reaction times, no effects were found. In contrast, processing times increased with linguistic complexity. Furthermore, for all HA conditions, processing times were longer (poorer) for the iHA group than for the eHA group, despite comparable speech recognition performance. Taken together, these results indicate that processing times are more sensitive to speech processing-related factors than offline reaction times. Furthermore, they support the idea that HA experience positively impacts the ability to process noisy speech quickly, irrespective of the precise gain characteristics. PMID:27595793

  16. Telecoils. Tipsheet: Serving Students Who Are Hard of Hearing

    ERIC Educational Resources Information Center

    Davis, Cheryl D.; Atcherson, Samuel R.

    2009-01-01

    Telecoils, now available on both hearing aids and cochlear implants, can make a vast difference in the quality of sound for an individual with hearing loss. Hearing aids and cochlear implants may be very effective alone, but when noise is introduced, the hearing device by itself may not be able to adequately compensate. This is why assistive…

  17. Methodological aspects of an adaptive multidirectional pattern search to optimize speech perception using three hearing-aid algorithms

    NASA Astrophysics Data System (ADS)

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

    2004-12-01

    In this study we investigated the reliability and convergence characteristics of an adaptive multidirectional pattern search procedure, relative to a nonadaptive multidirectional pattern search procedure. The procedure was designed to optimize three speech-processing strategies. These comprise noise reduction, spectral enhancement, and spectral lift. The search is based on a paired-comparison paradigm, in which subjects evaluated the listening comfort of speech-in-noise fragments. The procedural and nonprocedural factors that influence the reliability and convergence of the procedure are studied using various test conditions. The test conditions combine different tests, initial settings, background noise types, and step size configurations. Seven normal hearing subjects participated in this study. The results indicate that the reliability of the optimization strategy may benefit from the use of an adaptive step size. Decreasing the step size increases accuracy, while increasing the step size can be beneficial to create clear perceptual differences in the comparisons. The reliability also depends on starting point, stop criterion, step size constraints, background noise, algorithms used, as well as the presence of drifting cues and suboptimal settings. There appears to be a trade-off between reliability and convergence, i.e., when the step size is enlarged the reliability improves, but the convergence deteriorates. .

  18. Expectation as a factor of influence on the success of use of hearing aids in elderly individuals

    PubMed Central

    Schuster, Larissa Cristina; Costa, Maristela Julio; Menegotto, Isabela Hoffmeister

    2012-01-01

    Summary Introduction: Auditory prosthesis is distinguished in function of the lesser technologies that become them each time, more powerful and efficient. The marketing can generate unreal expectations how much to the results with the amplification use, mainly in inexperienced individuals. Objective: To verify the relation between expectations and success of the process of election and adaptation of auditory prosthesis in aged. Method: Clinical and experimental study, 16 aged, inexperienced individuals with the amplification use, the election and adaptation of auditory prosthesis had been evaluated 15 days before and after. Questionnaire for evaluation of the expectations of aged the adult individual was used “/, new user of auditory prosthesis”, Hearing Handicap Inventory will be the Elderly/Screening Version, for evaluation of the perception of the restriction of participation and the International Questionnaire - Device of Amplification Sonora Individual (QI-AASI), to verify the subjective benefit with the use of the auditory prosthesis. The Percentile Index of Recognition of Sentences in Silence was determined (IPRSS), by means of the test Lists of Sentences in Portuguese to verify the objective benefit of the adaptation. The data had been analyzed by means of not-parametric test, with level of significance of 5%. Results: The entire sample presented positive expectations. Subjectively benefit for the reduction of the perception of the participation restriction and for the positive evaluation of the adaptation, evidenced for the QI-AASI was verified. Objective the improvement of the IPRSS with the use of auditory prosthesis also evidenced benefits. Conclusion: The expectation how much to the results with the amplification use, it was factor of negative influence in the success of the process of election and adaptation of auditory prosthesis, in the subjective scope. PMID:25991936

  19. Effect of low-frequency gain and venting effects on the benefit derived from directionality and noise reduction in hearing aids.

    PubMed

    Keidser, Gitte; Carter, Lyndal; Chalupper, Josef; Dillon, Harvey

    2007-10-01

    When the frequency range over which vent-transmitted sound dominates amplification increases, the potential benefit from directional microphones and noise reduction decreases. Fitted with clinically appropriate vent sizes, 23 aided listeners with varying low-frequency hearing thresholds evaluated six schemes comprising three levels of gain at 250 Hz (0, 6, and 12 dB) combined with two features (directional microphone and noise reduction) enabled or disabled in the field. The low-frequency gain was 0 dB for vent-dominated sound, while the higher gains were achieved by amplifier-dominated sounds. A majority of listeners preferred 0-dB gain at 250 Hz and the features enabled. While the amount of low-frequency gain had no significant effect on speech recognition in noise or horizontal localization, speech recognition and front/back discrimination were significantly improved when the features were enabled, even when vent-transmitted sound dominated the low frequencies. The clinical implication is that there is no need to increase low-frequency gain to compensate for vent effects to achieve benefit from directionality and noise reduction over a wider frequency range. PMID:17922345

  20. Innovative Technology in Hearing Instruments

    PubMed Central

    2011-01-01

    Hearing instrument technology research is almost entirely focused on the projected needs of the consumer market in the developed world. However, two thirds of the world’s population with hearing impairment live in developing countries and this proportion will increase in future, given present demographic trends. In developing regions, amplification and other hearing health needs may differ from those in industrialized nations, for cultural, health, or economic reasons. World Health Organization estimates indicate that at present only a small percentage of individuals in developing countries who are in need of amplification have access to hearing aid provision. New technologies, such as trainable hearing aids, advanced noise reduction algorithms, feedback reduction circuitry, nano coatings for hearing aid components, and innovative power options, may offer considerable potential benefits, both for individuals with hearing impairment in developing countries and for those who provide hearing health care services in these regions. This article considers the possible supporting role of innovative hearing instrument technologies in the provision of affordable hearing health care services in developing countries and highlights the need for research that considers the requirements of the majority of the world population in need of hearing instrument provision. PMID:22068223

  1. 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,…

  2. Clinical determination of target registration error of an image-guided otologic surgical system using patients with bone-anchored hearing aids

    NASA Astrophysics Data System (ADS)

    Balachandran, Ramya; Labadie, Robert F.; Fitzpatrick, J. Michael

    2007-03-01

    Image guidance in otologic surgery has been thwarted by the need for a non-invasive fiducial system with target registration error (TRE) at the inner ear below 1.5mm. We previously presented a fiducial frame for this purpose that attaches to the upper dentition via patient-specific bite blocks and demonstrated a TRE of 0.73mm (+/-0.23mm) on cadaveric skulls. In that study, TRE measurement depended upon placement of bone-implanted, intracranial target fiducials-clearly impossible to repeat clinically. Using cadaveric specimens, we recently presented a validation method based on an auditory implant system (BAHA System® Cochlear Corp., Denver, CO). That system requires a skull-implanted titanium screw behind the ear upon which a bone-anchored hearing aid (BAHA) is mounted. In our validation, we replace the BAHA with a fiducial marker to permit measurement of TRE. That TRE is then used to estimate TRE at an internal point. While the method can be used to determine accuracy at any point within the head, we focus in this study on the inner ear, in particular the cochlea, and we apply the method to patients (N=5). Physical localizations were performed after varying elapsed times since bite-block fabrication, and TRE at the cochlea was estimated. We found TRE to be 0.97mm at the cochlea within one month and 2.5mm after seven months. Thus, while accuracy deteriorates considerably with delays of seven months or more, if this frame is used within one month of the fabrication of the bite-block, it achieves the goal and in fact exhibits submillimetric accuracy.

  3. Normative data for the Attitudes towards Loss of Hearing Questionnaire.

    PubMed

    Saunders, Gabrielle H; Cienkowski, Kathleen M; Forsline, Anna; Fausti, Stephen

    2005-10-01

    Investigations have shown that patient attitudes toward hearing loss and hearing aids impact self-reported handicap and disability, hearing aid benefit, and hearing aid use. The Attitudes towards Loss of Hearing Questionnaire (ALHQ) was developed by Saunders and Cienkowski (1996) to examine some of the psychosocial factors underlying the use and acquisition of hearing aids. Here we report data from a new version of questionnaire (ALHQ v2.1), which examines attitudes towards hearing loss and hearing aids on five scales: Denial of Hearing Loss, Negative Associations, Negative Coping Strategies, Manual Dexterity and Vision, and Hearing-Related Esteem. Reliability values, internal consistency values, and cut points for typical and atypical scores are provided, along with comparison of the scores of women, men, current hearing aid users, non-hearing aid users, and paying versus nonpaying individuals. The ALHQ takes about ten minutes to complete and identifies for the clinician some of the issues that might jeopardize successful hearing aid outcome. PMID:16515136

  4. You Heard What? A Look at Hearing.

    ERIC Educational Resources Information Center

    Ludeker, Colleen T.

    1999-01-01

    Discusses how hearing loss can occur, the importance of knowing the decibel levels, and tips for knowing sound levels without the aid of a "high-tech" device. Identifies devices that protect hearing and provides a list of websites and literature on hearing. (CMK)

  5. 14 CFR 152.117 - Public hearings.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Public hearings. 152.117 Section 152.117... AIRPORT AID PROGRAM Eligibility Requirements and Application Procedures § 152.117 Public hearings. (a... opportunity for a public hearing, in accordance with paragraph (b) of this section, for the purpose of—...

  6. Hearing Problems

    MedlinePlus

    ... This flow chart will help direct you if hearing loss is a problem for you or a family ... may damage the inner ear. This kind of hearing loss is called OCCUPATIONAL. Prevent occupational hearing loss by ...

  7. Evaluation of the Siemens Minifonator vibrotactile aid.

    PubMed

    Weisenberger, J M

    1989-03-01

    The Siemens Hearing Instruments Minifonator, a single-channel, wrist-worn vibrotactile aid, was evaluated in a laboratory setting with hearing-impaired adults. Eight subjects, with hearing loss greater than 70 dB in the better ear, were administered a test battery including sound-field detection, speech awareness threshold, environmental sound identification, syllable rhythm and stress categorization, and sentence identification subtests. Performance on each subtest was compared for hearing-aided and tactile-aided conditions. Mean performance levels for the two conditions were comparable for all but one subtest. However, closer inspection revealed that the data for the hearing-aided condition were bimodal: some subjects proved to be good hearing aid users and other performed at chance levels with their hearing aids. Performance in the tactile-aided conditions did not show such variability and mean levels fell between the hearing-aided levels for "good" and "poor" hearing aid users. The effects of training with the device were assessed for two normal-hearing subjects, who were trained in 1-hour daily sessions over a several week period on the environmental sounds and syllable rhythm and stress subtests. Results indicated substantial improvements in performance over the course of training. The implications of these results for long-term use of the device are discussed. PMID:2704198

  8. Understanding an Audiogram. Tipsheet: Serving Students Who Are Hard of Hearing

    ERIC Educational Resources Information Center

    Johnson, Marni

    2009-01-01

    The type, degree, and configuration of hearing loss, if one is present, can be determined by reading an audiogram. The type of hearing loss is determined by comparing auditory thresholds obtained using head-phones or insert earphones (air-conduction thresholds) to those obtained using a bone oscillator (bone-conduction thresholds). By itself, the…

  9. [Progressive hearing loss].

    PubMed

    Reiss, M; Reiss, G

    2000-01-01

    Progressive sensorineural hearing loss (SNHL) is defined as hearing loss of unknown etiology with fairly high-speed progression. Its diagnostic criteria consist of the following: that it is 1) progressive, 2) with bilateral involvement, and 3) of unknown etiology. Due to recent advances in diagnostics, imaging and management, SNHL has gained much interest from otologists in the last few years. They provide new insight into the physiology and pathophysiology of hearing. SNHL which is sudden in onset, fluctuating, and/or progressive complicates medical management, hearing aid selection, and individualized educational planning for a hearing-impaired patient. Existing hypotheses on the etiology of SNHL are judged on experimental, clinical, laboratory and radiological evidence. Cardiovascular and rheologic diseases, hereditary disorders, immunological phenomena, infections, environmental causes like noise, ototoxic drugs and industrial substances and systemic maladies must be included in the diagnostic reflections. Potential concepts of treatment include rheologic medications and corticosteroids. Hearing aids and timely cochlear implant operation are further possible forms of treatment. PMID:10893764

  10. Hearing Loss: Diagnosis and Evaluation.

    PubMed

    Zazove, Philip; Atcherson, Samuel R; Moreland, Christopher; McKee, Michael M

    2015-07-01

    Hearing loss is a common disability in the United States, most frequent among men, elderly individuals, and veterans but is increasingly affecting other younger adults. Types of hearing loss include sensorineural, conductive, and mixed. Hearing loss in children often is related to infections, time spent in a neonatal intensive care unit, and genetic etiologies. Presbycusis (ie, age-related hearing loss) is the most common etiology in adults. Adverse effects of untreated hearing loss include isolation, depression, lower income, and higher unemployment. Hearing aid use reduces levels of disability, cognitive impairment, and psychosocial distress while improving quality of life. At least 75% of individuals with hearing loss are not receiving treatment for it. All infants should be screened for hearing loss, as should children and adults with risk factors. The Joint Commission on Infant Hearing Screening has a 1-3-6 goal for screening: identification by age 1 month, confirmation by age 3 months, and intervention by age 6 months. The presence of an ongoing physician-patient relationship increases the likelihood that a patient will admit to having a hearing loss. Adults can be screened using single-question or standardized instrument screens. All patients with suspected hearing loss should undergo audiometry by an audiology subspecialist. PMID:26161523

  11. Hearing Screening

    ERIC Educational Resources Information Center

    Johnson-Curiskis, Nanette

    2012-01-01

    Hearing levels are threatened by modern life--headsets for music, rock concerts, traffic noises, etc. It is crucial we know our hearing levels so that we can draw attention to potential problems. This exercise requires that students receive a hearing screening for their benefit as well as for making the connection of hearing to listening.

  12. Oversight Hearing on Student Aid Forms. Hearing Before the Subcommittee on Postsecondary Education of the Committee on Education and Labor. House of Representatives, Ninety-Seventh Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    Hearings on the charging of processing fees to low- and middle-income students who apply for federal student assistance under Title IV of the Higher Education Act are presented. Attention is focused on whether the Department of Education's decision to eliminate the "check-off" option from the forms provided by the major processors violates the…

  13. 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

  14. 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.

  15. About Hearing

    MedlinePlus

    ... ability to hear and understand. The duration and nature of a conductive loss will influence a student's ... nih.gov/health/hearing/neuropathy.asp . Implications: The nature and extent to which the hair cells in ...

  16. Abuses in Federal Student Aid Programs, Hearing Before the Permanent SubCommittee on Investigations of the Committee on Governmental Affairs. United States Senate, One Hundred First Congress, Second Session, Part 3: Lenders, Guarantee Agencies, Loan Servicers, and the Secondary Market (September 25, 26, 1990).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Governmental Affairs.

    The congressional hearing report scrutinized the role of banks, guarantee agencies, student loan secondary markets, and loan servicers in the operation of federal student aid programs. Program weaknesses which have contributed towards to abuse and fraudulent practices of federally backed student loans were identified. Witnesses included officials…

  17. Minority Participation and Retention in Higher Education. Hearing on Examining Certain Issues Relating to Minority Participation in Higher Education, Focusing on Student Aid Programs before the Subcommittee on Education, Arts, and Humanities of the Committee on Labor and Human Resources. United States Senate, One Hundred Third Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Subcommittee on Education, Arts and Humanities.

    This hearing transcript presents testimony concerning minority participation and retention in higher education with emphasis on implications for student aid programs. Oral testimony or prepared statements were presented by Senators Paul Simon, Claiborne Pell, and Carol Mosely-Braun. Testimony was also offered by: (1) the president and three…

  18. Part 5: Impact Aid. Hearings before the Subcommittee on Elementary, Secondary, and Vocational Education of the Committee on Education and Labor, House of Representatives, Ninety-Fifth Congress, First Session on H.R. 15 (June 21, 22, 23, 28, 29 and 30, 1977).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    This document contains testimony, prepared statements, letters, and supplemental materials submitted during six days of hearings held in June, 1977. Under consideration was a five-year extension of the Impact Aid program that compensates school districts for educating children who are in an area as a result of federal activities. Primarily, the…

  19. Hearing loss and the high speed dental handpiece.

    PubMed Central

    Zubick, H H; Tolentino, A T; Boffa, J

    1980-01-01

    A pure tone air conduction audiometric evaluation was administered to 137 dentists and 80 physicians. The physicians were found to have better hearing threshold levels, notably in the 4000HZ center frequency range. The left ear of right handed dentists showed a greater loss of hearing ostensibly related to proximity to the noise source. Dental specialists showed a loss pattern similar to those of the general dentists. The findings suggest that there may be a cause and effect relationship between hearing loss and use of the highspeed dental handpiece. PMID:6990802

  20. Development of the Hearing Attitudes in Rehabilitation Questionnaire (HARQ).

    PubMed

    Hallam, R S; Brooks, D N

    1996-06-01

    A questionnaire devised by Brooks to measure attitudes towards hearing impairment and provision of a hearing aid in older people was factor analysed and subsequently enlarged and modified into a new 40 item self-report scale. The Hearing Attitudes in Rehabilitation Questionnaire (HARQ) assesses three attitudes towards hearing impairment (personal distress/inadequacy, hearing loss stigma and minimization of loss) and four attitudes towards provision of a hearing aid (hearing aid stigma, aid-not-wanted, pressure to be assessed and positive expectation). Scale development, reliability and other psychometric properties are reported. Potential uses of the scale include identification of patients who may require counselling, evaluation of audiological rehabilitation and further empirical investigations of attitudes in this area. PMID:8818247