Growing Your Business with HyperSound

Today’s course will review the new HyperSound Clear 500P technology and how it can grow your practice. My goal is to explain why HyperSound should be included in your current product portfolio and how it can be positioned as a viable recommendation in your clinic. In order to satisfy the needs of new and existing patients, HyperSound ought to be a routine offering, along with hearing aids, assistive devices and aural rehabilitation.

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Growing Your Business with HyperSound

Today’s course will review the new HyperSound Clear 500P technology and how it can grow your practice. My goal is to explain why HyperSound should be included in your current product portfolio and how it can be positioned as a viable recommendation in your clinic. In order to satisfy the needs of new and existing patients, HyperSound ought to be a routine offering, along with hearing aids, assistive devices and aural rehabilitation.

from #Audiology via ola Kala on Inoreader http://ift.tt/2aqQYKU
via IFTTT

Growing Your Business with HyperSound

Today’s course will review the new HyperSound Clear 500P technology and how it can grow your practice. My goal is to explain why HyperSound should be included in your current product portfolio and how it can be positioned as a viable recommendation in your clinic. In order to satisfy the needs of new and existing patients, HyperSound ought to be a routine offering, along with hearing aids, assistive devices and aural rehabilitation.

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Reproductive management through integration of PGD and MPS-based noninvasive prenatal screening/diagnosis for a family with GJB2-associated hearing impairment.

Related Articles

Reproductive management through integration of PGD and MPS-based noninvasive prenatal screening/diagnosis for a family with GJB2-associated hearing impairment.

Sci China Life Sci. 2015 Sep;58(9):829-38

Authors: Xiong W, Wang D, Gao Y, Gao Y, Wang H, Guan J, Lan L, Yan J, Zong L, Yuan Y, Dong W, Huang S, Wu K, Wang Y, Wang Z, Peng H, Lu Y, Xie L, Zhao C, Wang L, Zhang Q, Gao Y, Li N, Yang J, Yin Z, Han B, Wang W, Chen ZJ, Wang Q

Abstract
A couple with a proband child of GJB2 (encoding the gap junction protein connexin 26)-associated hearing impairment and a previous pregnancy miscarriage sought for a reproductive solution to bear a healthy child. Our study aimed to develop a customized preconception-to-neonate care trajectory to fulfill this clinical demand by integrating preimplantation genetic diagnosis (PGD), noninvasive prenatal testing (NIPT), and noninvasive prenatal diagnosis (NIPD) into the strategy. Auditory and genetic diagnosis of the proband child was carried out to identify the disease causative mutations. The couple then received in-vitro-fertilization treatment, and eight embryos were obtained for day 5 biopsy. PGD was performed by short-tandem-repeat linkage analysis and Sanger sequencing of GJB2 gene. Transfer of a GJB2c.235delC heterozygous embryo resulted in a singleton pregnancy. At the 13th week of gestation, genomic DNA (gDNA) from the trio family and cell-free DNA (cfDNA) from maternal plasma were obtained for assessment of fetal chromosomal aneuploidy and GJB2 mutations. NIPT and NIPD showed the absence of chromosomal aneuploidy and GJB2-associated disease in the fetus, which was later confirmed by invasive procedures and postnatal genetic/auditory diagnosis. This strategy successfully prevented the transmission of hearing impairment in the newborn, thus providing a valuable experience in reproductive management of similar cases and potentially other monogenic disorders.

PMID: 26432548 [PubMed - indexed for MEDLINE]

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Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Related Articles

Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Int J Audiol. 2016 Jul 22;:1-14

Authors: Theelen-van den Hoek FL, Boymans M, van Dijk B, Dreschler WA

Abstract
OBJECTIVE: In sound processors of cochlear implant (CI) users, input sound signals are analysed in multiple frequency channels. The amplitude mapping function (AMF) is the output compression function dictating the conversion from (acoustical) channel output levels to (electrical) current levels used for electrode stimulation. This study focused on the detectability of AMF adjustments by CI users and the effects of detectable AMF adjustments on subjective preference and performance.
DESIGN: Just noticeable differences (JNDs) for AMF settings were measured for pre-processed sentences at 60 dB SPL in quiet and noise. Three AMF settings, ranging twice the JND, were used during a take-home trial period of 12 days. Subjective ratings were collected and speech recognition in quiet and noise was measured.
STUDY SAMPLE: JND measurements: 17 CI users. Field experiment: 15 CI users.
RESULTS: JNDs for AMF settings varied among subjects and were similar in quiet and noise. A steeper AMF in the lower part was advantageous for speech recognition in quiet at soft levels. Subjective ratings showed limited agreement with speech recognition, both in quiet and noise.
CONCLUSIONS: CI users may benefit from different AMF settings in different listening situations regarding subjective preference and speech perception, especially for speech in quiet.

PMID: 27447758 [PubMed - as supplied by publisher]

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Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Related Articles

Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Int J Audiol. 2016 Jul 22;:1-14

Authors: Theelen-van den Hoek FL, Boymans M, van Dijk B, Dreschler WA

Abstract
OBJECTIVE: In sound processors of cochlear implant (CI) users, input sound signals are analysed in multiple frequency channels. The amplitude mapping function (AMF) is the output compression function dictating the conversion from (acoustical) channel output levels to (electrical) current levels used for electrode stimulation. This study focused on the detectability of AMF adjustments by CI users and the effects of detectable AMF adjustments on subjective preference and performance.
DESIGN: Just noticeable differences (JNDs) for AMF settings were measured for pre-processed sentences at 60 dB SPL in quiet and noise. Three AMF settings, ranging twice the JND, were used during a take-home trial period of 12 days. Subjective ratings were collected and speech recognition in quiet and noise was measured.
STUDY SAMPLE: JND measurements: 17 CI users. Field experiment: 15 CI users.
RESULTS: JNDs for AMF settings varied among subjects and were similar in quiet and noise. A steeper AMF in the lower part was advantageous for speech recognition in quiet at soft levels. Subjective ratings showed limited agreement with speech recognition, both in quiet and noise.
CONCLUSIONS: CI users may benefit from different AMF settings in different listening situations regarding subjective preference and speech perception, especially for speech in quiet.

PMID: 27447758 [PubMed - as supplied by publisher]

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High Frequency Sensorineural Hearing Loss Associated With Vestibular Episodic Syndrome.

Related Articles

High Frequency Sensorineural Hearing Loss Associated With Vestibular Episodic Syndrome.

Clin Otolaryngol. 2016 Jul 22;

Authors: Martin-Sanz E, Esteban J, Vaduva C, Sanz R, Lopez-Escamez JA

Abstract
Current diagnostic criteria of Meniere's disease (MD) have been formulated by the Classification Committee of the Bárány Society, the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), the Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), and the Korean Balance Society(1) . This article is protected by copyright. All rights reserved.

PMID: 27443791 [PubMed - as supplied by publisher]

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A patient assessed morbidity to evaluate outcome in surgically treated vestibular schwannomas.

Related Articles

A patient assessed morbidity to evaluate outcome in surgically treated vestibular schwannomas.

World Neurosurg. 2016 Jul 18;

Authors: Al-Shudifat AR, Kahlon B, Höglund P, Lindberg S, Magnusson M, Siesjo P

Abstract
OBJECTIVE: Outcome after treatment of vestibular schwannomas can be evaluated by health providers as mortality, recurrence, performance and morbidity. As mortality and recurrence are rare events evaluation has to focus on performance and morbidity. The latters have mostly been reported by health providers. In the present study we validate two new scales for patient assessed performance and morbidity in comparison with different outcome tools as QOL (EQ5D), facial nerve score and work capacity.
METHODS: 167 patients in a retrospective (n=90) and a prospective (n=50) cohort of surgically treated vestibular schwannomas were studied. A new patient assessed morbidity score (paMS), a patient assessed Karnofsky score (paKPS), the patient assessed QOL (EQ-5D) score, work capacity and House Brackmann facial nerve score were used as outcome measures. Analysis of paMS components and their relation to other outcomes were done in uni- and multivariate analysis.
RESULTS: All outcome instruments except EQ5D and paKPS showed a significant decrease postoperatively. Only the facial nerve score (HB) differed significantly between the retrospective and prospective cohorts. Out of the 16 components of the patient assessed morbidity score hearing dysfunction, tear dysfunction, balance dysfunction and eye irritation were most often reported. Both paMS and EQ-5D correlated significantly to work capacity.
CONCLUSIONS: Standard QOL and performance instruments may not be sufficiently sensitive or specific to measure outcome at the cohort level after surgical treatment of vestibular schwannomas. A morbidity score may yield more detailed information on symptoms that can be relevant for rehabilitation and occupational training after surgery.

PMID: 27443231 [PubMed - as supplied by publisher]

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High Frequency Sensorineural Hearing Loss Associated With Vestibular Episodic Syndrome.

Related Articles

High Frequency Sensorineural Hearing Loss Associated With Vestibular Episodic Syndrome.

Clin Otolaryngol. 2016 Jul 22;

Authors: Martin-Sanz E, Esteban J, Vaduva C, Sanz R, Lopez-Escamez JA

Abstract
Current diagnostic criteria of Meniere's disease (MD) have been formulated by the Classification Committee of the Bárány Society, the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), the Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology (EAONO), and the Korean Balance Society(1) . This article is protected by copyright. All rights reserved.

PMID: 27443791 [PubMed - as supplied by publisher]

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via IFTTT

A patient assessed morbidity to evaluate outcome in surgically treated vestibular schwannomas.

Related Articles

A patient assessed morbidity to evaluate outcome in surgically treated vestibular schwannomas.

World Neurosurg. 2016 Jul 18;

Authors: Al-Shudifat AR, Kahlon B, Höglund P, Lindberg S, Magnusson M, Siesjo P

Abstract
OBJECTIVE: Outcome after treatment of vestibular schwannomas can be evaluated by health providers as mortality, recurrence, performance and morbidity. As mortality and recurrence are rare events evaluation has to focus on performance and morbidity. The latters have mostly been reported by health providers. In the present study we validate two new scales for patient assessed performance and morbidity in comparison with different outcome tools as QOL (EQ5D), facial nerve score and work capacity.
METHODS: 167 patients in a retrospective (n=90) and a prospective (n=50) cohort of surgically treated vestibular schwannomas were studied. A new patient assessed morbidity score (paMS), a patient assessed Karnofsky score (paKPS), the patient assessed QOL (EQ-5D) score, work capacity and House Brackmann facial nerve score were used as outcome measures. Analysis of paMS components and their relation to other outcomes were done in uni- and multivariate analysis.
RESULTS: All outcome instruments except EQ5D and paKPS showed a significant decrease postoperatively. Only the facial nerve score (HB) differed significantly between the retrospective and prospective cohorts. Out of the 16 components of the patient assessed morbidity score hearing dysfunction, tear dysfunction, balance dysfunction and eye irritation were most often reported. Both paMS and EQ-5D correlated significantly to work capacity.
CONCLUSIONS: Standard QOL and performance instruments may not be sufficiently sensitive or specific to measure outcome at the cohort level after surgical treatment of vestibular schwannomas. A morbidity score may yield more detailed information on symptoms that can be relevant for rehabilitation and occupational training after surgery.

PMID: 27443231 [PubMed - as supplied by publisher]

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via IFTTT

Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Related Articles

Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Int J Audiol. 2016 Jul 22;:1-14

Authors: Theelen-van den Hoek FL, Boymans M, van Dijk B, Dreschler WA

Abstract
OBJECTIVE: In sound processors of cochlear implant (CI) users, input sound signals are analysed in multiple frequency channels. The amplitude mapping function (AMF) is the output compression function dictating the conversion from (acoustical) channel output levels to (electrical) current levels used for electrode stimulation. This study focused on the detectability of AMF adjustments by CI users and the effects of detectable AMF adjustments on subjective preference and performance.
DESIGN: Just noticeable differences (JNDs) for AMF settings were measured for pre-processed sentences at 60 dB SPL in quiet and noise. Three AMF settings, ranging twice the JND, were used during a take-home trial period of 12 days. Subjective ratings were collected and speech recognition in quiet and noise was measured.
STUDY SAMPLE: JND measurements: 17 CI users. Field experiment: 15 CI users.
RESULTS: JNDs for AMF settings varied among subjects and were similar in quiet and noise. A steeper AMF in the lower part was advantageous for speech recognition in quiet at soft levels. Subjective ratings showed limited agreement with speech recognition, both in quiet and noise.
CONCLUSIONS: CI users may benefit from different AMF settings in different listening situations regarding subjective preference and speech perception, especially for speech in quiet.

PMID: 27447758 [PubMed - as supplied by publisher]

from #Audiology via ola Kala on Inoreader http://ift.tt/2alVWav
via IFTTT

Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Related Articles

Adjustments of the amplitude mapping function: Sensitivity of cochlear implant users and effects on subjective preference and speech recognition.

Int J Audiol. 2016 Jul 22;:1-14

Authors: Theelen-van den Hoek FL, Boymans M, van Dijk B, Dreschler WA

Abstract
OBJECTIVE: In sound processors of cochlear implant (CI) users, input sound signals are analysed in multiple frequency channels. The amplitude mapping function (AMF) is the output compression function dictating the conversion from (acoustical) channel output levels to (electrical) current levels used for electrode stimulation. This study focused on the detectability of AMF adjustments by CI users and the effects of detectable AMF adjustments on subjective preference and performance.
DESIGN: Just noticeable differences (JNDs) for AMF settings were measured for pre-processed sentences at 60 dB SPL in quiet and noise. Three AMF settings, ranging twice the JND, were used during a take-home trial period of 12 days. Subjective ratings were collected and speech recognition in quiet and noise was measured.
STUDY SAMPLE: JND measurements: 17 CI users. Field experiment: 15 CI users.
RESULTS: JNDs for AMF settings varied among subjects and were similar in quiet and noise. A steeper AMF in the lower part was advantageous for speech recognition in quiet at soft levels. Subjective ratings showed limited agreement with speech recognition, both in quiet and noise.
CONCLUSIONS: CI users may benefit from different AMF settings in different listening situations regarding subjective preference and speech perception, especially for speech in quiet.

PMID: 27447758 [PubMed - as supplied by publisher]

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