Πέμπτη 17 Νοεμβρίου 2016

Fast Click Rate Electrocochleography and Auditory Brainstem Response in Normal-Hearing Adults Using Continuous Loop Averaging Deconvolution.

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Objectives: Using the continuous loop averaging deconvolution (CLAD) technique for conventional electrocochleography (ECochG) and auditory brainstem response (ABR) recordings, the effects of testing at high stimulus rates may have the potential to diagnose disorders of the inner ear and auditory nerve. First, a body of normative data using the CLAD technique must be established. Design: Extratympanic click ECochG and ABR to seven stimulus rates using CLAD were measured simultaneously from a tympanic membrane electrode and surface electrodes on the forehead and mastoid of 42 healthy individuals. Results: Results showed that the compound action potential (AP) of the ECochG and waves I, III, and V of the ABR decreased in amplitude and increased in latency as stimulus rate was increased from standard 7.1 clicks/s up to 507.81 clicks/s, with sharp reduction in AP amplitude at 97.66 clicks/s and reaching asymptote at 292.97 clicks/s. The summating potential (SP) of the ECochG, however, stayed relatively stable, resulting in increased SP/AP ratios with increasing rate. The SP/AP amplitude ratio showed more stability than AP amplitude findings, thus it is recommended for use in evaluation of cochlear and neural response. Conclusions: Results of both amplitude and latency data from this normative neural adaptation function of the auditory pathway serves as guide for improving diagnostic utility of both ECochG and ABR using CLAD as a reliable technique in distinguishing inner ear and auditory nerve disorders. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

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Fast Click Rate Electrocochleography and Auditory Brainstem Response in Normal-Hearing Adults Using Continuous Loop Averaging Deconvolution.

wk-health-logo.gif

Objectives: Using the continuous loop averaging deconvolution (CLAD) technique for conventional electrocochleography (ECochG) and auditory brainstem response (ABR) recordings, the effects of testing at high stimulus rates may have the potential to diagnose disorders of the inner ear and auditory nerve. First, a body of normative data using the CLAD technique must be established. Design: Extratympanic click ECochG and ABR to seven stimulus rates using CLAD were measured simultaneously from a tympanic membrane electrode and surface electrodes on the forehead and mastoid of 42 healthy individuals. Results: Results showed that the compound action potential (AP) of the ECochG and waves I, III, and V of the ABR decreased in amplitude and increased in latency as stimulus rate was increased from standard 7.1 clicks/s up to 507.81 clicks/s, with sharp reduction in AP amplitude at 97.66 clicks/s and reaching asymptote at 292.97 clicks/s. The summating potential (SP) of the ECochG, however, stayed relatively stable, resulting in increased SP/AP ratios with increasing rate. The SP/AP amplitude ratio showed more stability than AP amplitude findings, thus it is recommended for use in evaluation of cochlear and neural response. Conclusions: Results of both amplitude and latency data from this normative neural adaptation function of the auditory pathway serves as guide for improving diagnostic utility of both ECochG and ABR using CLAD as a reliable technique in distinguishing inner ear and auditory nerve disorders. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

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Fast Click Rate Electrocochleography and Auditory Brainstem Response in Normal-Hearing Adults Using Continuous Loop Averaging Deconvolution.

wk-health-logo.gif

Objectives: Using the continuous loop averaging deconvolution (CLAD) technique for conventional electrocochleography (ECochG) and auditory brainstem response (ABR) recordings, the effects of testing at high stimulus rates may have the potential to diagnose disorders of the inner ear and auditory nerve. First, a body of normative data using the CLAD technique must be established. Design: Extratympanic click ECochG and ABR to seven stimulus rates using CLAD were measured simultaneously from a tympanic membrane electrode and surface electrodes on the forehead and mastoid of 42 healthy individuals. Results: Results showed that the compound action potential (AP) of the ECochG and waves I, III, and V of the ABR decreased in amplitude and increased in latency as stimulus rate was increased from standard 7.1 clicks/s up to 507.81 clicks/s, with sharp reduction in AP amplitude at 97.66 clicks/s and reaching asymptote at 292.97 clicks/s. The summating potential (SP) of the ECochG, however, stayed relatively stable, resulting in increased SP/AP ratios with increasing rate. The SP/AP amplitude ratio showed more stability than AP amplitude findings, thus it is recommended for use in evaluation of cochlear and neural response. Conclusions: Results of both amplitude and latency data from this normative neural adaptation function of the auditory pathway serves as guide for improving diagnostic utility of both ECochG and ABR using CLAD as a reliable technique in distinguishing inner ear and auditory nerve disorders. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.

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Vocal Parameters and Self-Perception in Individuals With Adductor Spasmodic Dysphonia

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Publication date: Available online 17 November 2016
Source:Journal of Voice
Author(s): Gleidy Vannesa E. Rojas, Hilton Ricz, Vitor Tumas, Guilherme R. Rodrigues, Patrícia Toscano, Lílian Aguiar-Ricz
ObjectiveThe study aimed to compare and correlate perceptual-auditory analysis of vocal parameters and self-perception in individuals with adductor spasmodic dysphonia before and after the application of botulinum toxin.Study DesignThis is a prospective cohort study.MethodsSixteen individuals with a diagnosis of adductor spasmodic dysphonia were submitted to the application of botulinum toxin in the thyroarytenoid muscle, to the recording of a voice signal, and to the Voice Handicap Index (VHI) questionnaire before the application and at two time points after application. Two judges performed a perceptual-auditory analysis of eight vocal parameters with the aid of the Praat software for the visualization of narrow band spectrography, pitch, and intensity contour.ResultsComparison of the vocal parameters before toxin application and on the first return revealed a reduction of oscillation intensity (P = 0.002), voice breaks (P = 0.002), and vocal tremor (P = 0.002). The same parameters increased on the second return. The degree of severity, strained-strangled voice, roughness, breathiness, and asthenia was unchanged. The total score and the emotional domain score of the VHI were reduced on the first return. There was a moderate correlation between the degree of voice severity and the total VHI score before application and on the second return, and a weak correlation on the first return.ConclusionsPerceptual-auditory analysis and self-perception proved to be efficient in the recognition of vocal changes and of the vocal impact on individuals with adductor spasmodic dysphonia under treatment with botulinum toxin, permitting the quantitation of changes along time.



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Severe dizziness treated with steroid injections into the eardrum

Injections of steroid into the ear are an effective treatment for a common form of severe dizziness, suggests a new study.

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Severe dizziness treated with steroid injections into the eardrum

Injections of steroid into the ear are an effective treatment for a common form of severe dizziness, suggests a new study.

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Severe dizziness treated with steroid injections into the eardrum

Injections of steroid into the ear are an effective treatment for a common form of severe dizziness, suggests a new study.

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Experimental observation of piezoelectric effect in cancellous bone generated by ultrasound irradiation

In this study, piezoelectric cells (PE-cells) of cancellous bone were experimentally produced to receive an ultrasound wave. In the PE-cell, a bovine cancellous bone specimen, in which the pore spaces were saturated with air, was electrically shielded to prevent electromagnetic noise. As a result, the piezoelectric signal generated in the cancellous bone specimen by irradiating an ultrasound burst wave at 1.0 MHz could be clearly observed in water. The experimental results showed that the ultrasound sensitivity per unit area of cancellous bone was estimated to be below 1/100 and 1/100 000 of cortical bone and poly(vinylidene fluoride), respectively.



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Source depth discrimination with a vertical line array

Source depth estimation with a vertical line array generally involves mode filtering, then matched-mode processing. Because mode filtering is an ill-posed problem if the water column is not well-sampled, concerns for robustness motivate a simpler approach: source depth discrimination considered as a binary classification problem. It aims to evaluate whether the source is near the surface or submerged. These two hypotheses are formulated in terms of normal modes, using the concept of trapped and free modes. Decision metrics based on classic mode filters are proposed. Monte Carlo methods are used to predict performance and set the parameters of a classifier accordingly.



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Tinnitus and leisure noise

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Commentary on the regulatory implications of noise-induced cochlear neuropathy

.


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Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Int J Audiol. 2016 Nov 16;:1-5

Authors: Dobie RA, Humes LE

Abstract
OBJECTIVE: A discussion on whether recent research on noise-induced cochlear neuropathy in rodents justifies changes in current regulation of occupational noise exposure.
DESIGN: Informal literature review and commentary, relying on literature found in the authors' files. No formal literature search was performed.
STUDY SAMPLE: Published literature on temporary threshold shift (TTS) and cochlear pathology, in humans and experimental animals, as well as the regulations of the US Occupational Safety and Health Administration (OSHA).
RESULTS: Humans are less susceptible to TTS, and probably to cochlear neuropathy, than rodents. After correcting for inter-species audiometric differences (but not for differences in susceptibility), exposures that caused cochlear neuropathy in rodents already exceed OSHA limits. Those exposures also caused "pathological TTS" (requiring more than 24 h to recover), which does not appear to occur with human broadband noise exposure permissible under OSHA.
CONCLUSION: It would be premature to conclude that noise exposures permissible under OSHA can cause cochlear neuropathy in humans.

PMID: 27849127 [PubMed - as supplied by publisher]



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Tinnitus and leisure noise.

Tinnitus and leisure noise.

Int J Audiol. 2016 Nov 16;:1-7

Authors: Williams W, Carter L

Abstract
OBJECTIVE: To study the relationship of life-time noise exposure and experience of tinnitus.
DESIGN: Audiometric measures included otoscopy, pure tone air- and bone-conduction hearing threshold levels (HTL) and otoacoustic emissions (OAEs). Participants completed questionnaires including demographic information, past hearing health, history of participation in loud leisure activities, and attitudes to noise.
STUDY SAMPLE: A representative sample (1435) of the young (11-35 years old) Australian population.
RESULTS: Of the sample, 63% indicated they experienced tinnitus in some form. There was no correlation of tinnitus experience with HTL or OAE amplitudes. Although median octave band HTLs for those who experienced tinnitus "all the time" were slightly higher for those who did not, neither group exhibited HTLs outside clinically-normal values. Of those who experienced tinnitus a direct correlation was found between frequency of experience of tinnitus and increasing cumulative, life-time noise exposure. Those who experienced tinnitus were more likely to report noticing deterioration in their hearing ability over time and to report difficulty hearing in quiet and/or noisy situations.
CONCLUSIONS: Experience of tinnitus was found throughout this young population but not associated with HTLs or variation in OAE amplitudes. Males experienced 'permanent' tinnitus at significantly greater rate than females.

PMID: 27849126 [PubMed - as supplied by publisher]



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Tinnitus and leisure noise

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2g1BmwR
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Commentary on the regulatory implications of noise-induced cochlear neuropathy

.


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Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Int J Audiol. 2016 Nov 16;:1-5

Authors: Dobie RA, Humes LE

Abstract
OBJECTIVE: A discussion on whether recent research on noise-induced cochlear neuropathy in rodents justifies changes in current regulation of occupational noise exposure.
DESIGN: Informal literature review and commentary, relying on literature found in the authors' files. No formal literature search was performed.
STUDY SAMPLE: Published literature on temporary threshold shift (TTS) and cochlear pathology, in humans and experimental animals, as well as the regulations of the US Occupational Safety and Health Administration (OSHA).
RESULTS: Humans are less susceptible to TTS, and probably to cochlear neuropathy, than rodents. After correcting for inter-species audiometric differences (but not for differences in susceptibility), exposures that caused cochlear neuropathy in rodents already exceed OSHA limits. Those exposures also caused "pathological TTS" (requiring more than 24 h to recover), which does not appear to occur with human broadband noise exposure permissible under OSHA.
CONCLUSION: It would be premature to conclude that noise exposures permissible under OSHA can cause cochlear neuropathy in humans.

PMID: 27849127 [PubMed - as supplied by publisher]



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Tinnitus and leisure noise.

Tinnitus and leisure noise.

Int J Audiol. 2016 Nov 16;:1-7

Authors: Williams W, Carter L

Abstract
OBJECTIVE: To study the relationship of life-time noise exposure and experience of tinnitus.
DESIGN: Audiometric measures included otoscopy, pure tone air- and bone-conduction hearing threshold levels (HTL) and otoacoustic emissions (OAEs). Participants completed questionnaires including demographic information, past hearing health, history of participation in loud leisure activities, and attitudes to noise.
STUDY SAMPLE: A representative sample (1435) of the young (11-35 years old) Australian population.
RESULTS: Of the sample, 63% indicated they experienced tinnitus in some form. There was no correlation of tinnitus experience with HTL or OAE amplitudes. Although median octave band HTLs for those who experienced tinnitus "all the time" were slightly higher for those who did not, neither group exhibited HTLs outside clinically-normal values. Of those who experienced tinnitus a direct correlation was found between frequency of experience of tinnitus and increasing cumulative, life-time noise exposure. Those who experienced tinnitus were more likely to report noticing deterioration in their hearing ability over time and to report difficulty hearing in quiet and/or noisy situations.
CONCLUSIONS: Experience of tinnitus was found throughout this young population but not associated with HTLs or variation in OAE amplitudes. Males experienced 'permanent' tinnitus at significantly greater rate than females.

PMID: 27849126 [PubMed - as supplied by publisher]



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Tinnitus and leisure noise

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2g1BmwR
via IFTTT

Commentary on the regulatory implications of noise-induced cochlear neuropathy

.


from #Audiology via ola Kala on Inoreader http://ift.tt/2fzA7GT
via IFTTT

Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Int J Audiol. 2016 Nov 16;:1-5

Authors: Dobie RA, Humes LE

Abstract
OBJECTIVE: A discussion on whether recent research on noise-induced cochlear neuropathy in rodents justifies changes in current regulation of occupational noise exposure.
DESIGN: Informal literature review and commentary, relying on literature found in the authors' files. No formal literature search was performed.
STUDY SAMPLE: Published literature on temporary threshold shift (TTS) and cochlear pathology, in humans and experimental animals, as well as the regulations of the US Occupational Safety and Health Administration (OSHA).
RESULTS: Humans are less susceptible to TTS, and probably to cochlear neuropathy, than rodents. After correcting for inter-species audiometric differences (but not for differences in susceptibility), exposures that caused cochlear neuropathy in rodents already exceed OSHA limits. Those exposures also caused "pathological TTS" (requiring more than 24 h to recover), which does not appear to occur with human broadband noise exposure permissible under OSHA.
CONCLUSION: It would be premature to conclude that noise exposures permissible under OSHA can cause cochlear neuropathy in humans.

PMID: 27849127 [PubMed - as supplied by publisher]



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Tinnitus and leisure noise.

Tinnitus and leisure noise.

Int J Audiol. 2016 Nov 16;:1-7

Authors: Williams W, Carter L

Abstract
OBJECTIVE: To study the relationship of life-time noise exposure and experience of tinnitus.
DESIGN: Audiometric measures included otoscopy, pure tone air- and bone-conduction hearing threshold levels (HTL) and otoacoustic emissions (OAEs). Participants completed questionnaires including demographic information, past hearing health, history of participation in loud leisure activities, and attitudes to noise.
STUDY SAMPLE: A representative sample (1435) of the young (11-35 years old) Australian population.
RESULTS: Of the sample, 63% indicated they experienced tinnitus in some form. There was no correlation of tinnitus experience with HTL or OAE amplitudes. Although median octave band HTLs for those who experienced tinnitus "all the time" were slightly higher for those who did not, neither group exhibited HTLs outside clinically-normal values. Of those who experienced tinnitus a direct correlation was found between frequency of experience of tinnitus and increasing cumulative, life-time noise exposure. Those who experienced tinnitus were more likely to report noticing deterioration in their hearing ability over time and to report difficulty hearing in quiet and/or noisy situations.
CONCLUSIONS: Experience of tinnitus was found throughout this young population but not associated with HTLs or variation in OAE amplitudes. Males experienced 'permanent' tinnitus at significantly greater rate than females.

PMID: 27849126 [PubMed - as supplied by publisher]



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Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Commentary on the regulatory implications of noise-induced cochlear neuropathy.

Int J Audiol. 2016 Nov 16;:1-5

Authors: Dobie RA, Humes LE

Abstract
OBJECTIVE: A discussion on whether recent research on noise-induced cochlear neuropathy in rodents justifies changes in current regulation of occupational noise exposure.
DESIGN: Informal literature review and commentary, relying on literature found in the authors' files. No formal literature search was performed.
STUDY SAMPLE: Published literature on temporary threshold shift (TTS) and cochlear pathology, in humans and experimental animals, as well as the regulations of the US Occupational Safety and Health Administration (OSHA).
RESULTS: Humans are less susceptible to TTS, and probably to cochlear neuropathy, than rodents. After correcting for inter-species audiometric differences (but not for differences in susceptibility), exposures that caused cochlear neuropathy in rodents already exceed OSHA limits. Those exposures also caused "pathological TTS" (requiring more than 24 h to recover), which does not appear to occur with human broadband noise exposure permissible under OSHA.
CONCLUSION: It would be premature to conclude that noise exposures permissible under OSHA can cause cochlear neuropathy in humans.

PMID: 27849127 [PubMed - as supplied by publisher]



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Tinnitus and leisure noise.

Tinnitus and leisure noise.

Int J Audiol. 2016 Nov 16;:1-7

Authors: Williams W, Carter L

Abstract
OBJECTIVE: To study the relationship of life-time noise exposure and experience of tinnitus.
DESIGN: Audiometric measures included otoscopy, pure tone air- and bone-conduction hearing threshold levels (HTL) and otoacoustic emissions (OAEs). Participants completed questionnaires including demographic information, past hearing health, history of participation in loud leisure activities, and attitudes to noise.
STUDY SAMPLE: A representative sample (1435) of the young (11-35 years old) Australian population.
RESULTS: Of the sample, 63% indicated they experienced tinnitus in some form. There was no correlation of tinnitus experience with HTL or OAE amplitudes. Although median octave band HTLs for those who experienced tinnitus "all the time" were slightly higher for those who did not, neither group exhibited HTLs outside clinically-normal values. Of those who experienced tinnitus a direct correlation was found between frequency of experience of tinnitus and increasing cumulative, life-time noise exposure. Those who experienced tinnitus were more likely to report noticing deterioration in their hearing ability over time and to report difficulty hearing in quiet and/or noisy situations.
CONCLUSIONS: Experience of tinnitus was found throughout this young population but not associated with HTLs or variation in OAE amplitudes. Males experienced 'permanent' tinnitus at significantly greater rate than females.

PMID: 27849126 [PubMed - as supplied by publisher]



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