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The Effect of Passing Time on Self-reported Satisfaction with Hearing Aid Amplification 时间流逝对助听器放大自我报告满意度的影响
Pub Date : 2003-05-01 DOI: 10.1375/AUDI.25.1.28.31123
B. Mcleod, L. Upfold
The self-report inventory Satisfaction with Amplification in Daily Life (SADL) has been found to give significantly different results if applied at 2 weeks and 12 months post-fitting. This finding did not indicate when satisfaction is stabilised. While a number of studies have suggested benefit from aid fitting is stabilised by 4-6 weeks post-fitting, benefit is only a small part of satisfaction as measured by the SADL. As a consequence, there can be no certainty that the time delay between fitting and stability of benefit is similar to that of satisfaction. An investigation was undertaken of post-fitting changes in satisfaction as measured by the SADL. A total of 383 pensioner clients were asked to complete the SADL at times ranging from 2 weeks to 12 months post-fitting. A net return of 281 SADLs was obtained, with different rates of return depending on time since fitting and method of administration. Factors related to non-return were also investigated. Satisfaction was assessed for eight different times post-fitting. The results indicated that different aspects of satisfaction stabilise to long-term levels at different times after fitting. It was concluded that application of the SADL before the third month postfitting will overestimate long-term satisfaction in three of the five measures provided. As a consequence, decisions must be taken regarding when, and how, the measurement is to be performed.
自我报告的日常生活满意度量表(SADL)如果在拟合后2周和12个月使用,结果会有显著差异。这一发现并没有表明满意度何时稳定。虽然许多研究表明,辅助试穿的好处在试穿后4-6周内稳定下来,但根据SADL的测量,好处只是满意度的一小部分。因此,不能肯定的是,在适应和稳定的利益之间的时间延迟是类似的满意。通过SADL对拟合后满意度的变化进行了调查。共有383名领取养老金的客户被要求在配型后2周到12个月的时间内完成SADL。获得281个sadl的净收益,其收益率取决于自拟合以来的时间和管理方法。对不回报的相关因素也进行了调查。对8次不同的贴合后满意度进行评估。结果表明,不同方面的满意度在拟合后的不同时间稳定在长期水平。结论是,在拟合后的第三个月之前应用SADL会高估所提供的五项措施中的三项的长期满意度。因此,必须就何时以及如何执行度量作出决定。
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引用次数: 3
Audiology and the Educational Management of Children with Hearing Loss 听力损失儿童的听力学与教育管理
Pub Date : 2003-05-01 DOI: 10.1375/AUDI.25.1.1.31128
F. Rickards
This article is a shortened version of the Denis Byrne Memorial Oration to the Joint Conference of the Audiological Society of Australia and the New Zealand Audiological Society in Melbourne in March 2002. The article focuses on the important developments relevant to the management of hearing impaired children.
本文是2002年3月在墨尔本举行的澳大利亚听力学学会和新西兰听力学学会联合会议上发表的丹尼斯·伯恩纪念演说的缩短版。本文着重介绍了与听障儿童管理有关的重要进展。
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引用次数: 0
A Conceptual Framework to Aid the Diagnosis and Treatment of Severe Tinnitus 辅助重度耳鸣诊断和治疗的概念框架
Pub Date : 2002-11-01 DOI: 10.1375/AUDI.24.2.59.31107
M. Meikle
Diagnostic and treatment efforts for severe tinnitus are currently impeded by the lack of standardised methods for measuring the negative impacts of tinnitus upon the affected individuals. Such efforts could benefit from application of the World Health Organization (WHO) method for categorising the negative effects caused by chronic conditions. The WHO method starts by defining the relevant impairment (physical or mental), which leads to disability, and finally to handicap. Evaluating each patient's status using the WHO categories of impairment, disability, and handicap can facilitate diagnostic and treatment efforts by clarifying relationships between specific problems and corresponding treatment needs. Systematic classification of patients' tinnitus-related problems in this way can serve as a basis for comparing the content domains of different tinnitus questionnaires, and also can contribute unifying themes to aid in developing standardised methods for evaluating the severity of tinnitus. Such standardised measures are needed in order to provide a rational basis for stratifying patients for assignment to different treatment groups, and they will greatly facilitate meta-analyses and other types of comparison and evaluation of treatment results obtained at different centers.
目前,由于缺乏衡量耳鸣对患者的负面影响的标准化方法,严重耳鸣的诊断和治疗工作受到阻碍。如果采用世界卫生组织(卫生组织)对慢性病造成的负面影响进行分类的方法,这些努力将会受益。世卫组织的方法首先界定导致残疾的相关缺陷(身体或精神上的),最后界定残疾。使用世卫组织的损伤、残疾和残疾类别评估每位患者的状况,可以通过澄清具体问题与相应治疗需求之间的关系,促进诊断和治疗工作。以这种方式对患者耳鸣相关问题进行系统分类,可以作为比较不同耳鸣问卷内容域的基础,也可以为制定耳鸣严重程度评估的标准化方法提供统一的主题。这些标准化的措施是必要的,以便为患者分层分配到不同的治疗组提供合理的依据,并将极大地促进对不同中心获得的治疗结果进行meta分析和其他类型的比较和评价。
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引用次数: 19
Hyperacusis: Testing, Treatments and a Possible Mechanism 听觉亢进:测试、治疗和可能的机制
Pub Date : 2002-11-01 DOI: 10.1375/AUDI.24.2.68.31109
J. Vernon
Hyperacusis is a well known phenomenon consisting of a collapse of loudness tolerance. The following generalisations can be made: (1) Hyperacusis is not heightened hearing sensitivity (hearing thresholds are not better than normal); (2) hyperacusis is often accompanied by tinnitus; (3) the severity of hyperacusis is usually inversely proportional to the pitch of the offending noise; (4) perhaps most important, overprotection of the ears is a natural reaction of hyperacusic patients but it must be avoided as it progressively exacerbates hyperacusis. A testing procedure, which involves determining loudness discomfort levels at a number if frequencies, will be described and typical data will be presented. Successful treatment for hyperacusis involves two components: First, training patients to use sound level meters to distinguish between truly damaging sound levels versus those which simply sound too loud; and second, instructing them in the use of a desensitisation program which involves listening to pink noise for several hours daily, starting at a low sound level and progressively increasing it over a period of several months. A new type of protective hearing device will also be described which allows the wearer to avoid loud sounds while preventing over-protection of the ears. When using the device, known as the Star 2001, hyperacusis patients are able to go out and about without fear of encountering loud sounds.The theoretical basis for hyperacusis is not yet known but a potential neural mechanism will be discussed.
听觉亢进是一种众所周知的现象,由响度耐受能力的崩溃组成。可以归纳如下:(1)听觉亢进不是听力敏感性增高(听力阈值不比正常人好);(2)听觉亢进常伴有耳鸣;(3)听觉亢进的严重程度通常与冒犯性噪音的音高成反比;(4)也许最重要的是,过度保护耳朵是听觉亢进患者的自然反应,但必须避免,因为它会逐渐加剧听觉亢进。一个测试程序,包括在若干频率下确定响度不适程度,将被描述和典型数据将被呈现。听觉亢进的成功治疗包括两个组成部分:首先,训练患者使用声级计来区分真正有害的声级和那些听起来太大的声级;第二,指导他们使用脱敏程序,包括每天听几个小时的粉红色噪音,从低音量开始,在几个月的时间里逐渐增加音量。还将介绍一种新型的保护性听力装置,它可以让佩戴者在避免大声声音的同时防止对耳朵的过度保护。当使用这种被称为Star 2001的设备时,听觉过敏患者可以外出走动,而不必担心遇到大声的声音。听觉亢进的理论基础尚不清楚,但可能的神经机制将被讨论。
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引用次数: 14
Decreased Sound Tolerance and Tinnitus Retraining Therapy (TRT) 降低声音耐受性和耳鸣再训练治疗(TRT)
Pub Date : 2002-11-01 DOI: 10.1375/AUDI.24.2.74.31105
Margaret M. Jastreboff, P. Jastreboff
The main objective of Tinnitus Retraining Therapy (TRT) is habituation of activation of the autonomic nervous system, evoked by signals present in the auditory pathways. Sound therapy aims at decreasing the strength of these signals. The same systems in the brain are involved in tinnitus and decreased sound tolerance, and the same basic neurophysiological mechanisms are utilised for decreasing the tinnitusrelated neuronal activity and, in case of hyperacusis, abnormally enhanced activity induced by external sounds. The similarity of TRT treatment between tinnitus and misophonia is even closer, as in both situations the goal is to achieve extinction of functional connections between the auditory and the limbic and autonomic nervous systems. The increased gain within the auditory pathways that are presumably responsible for hyperacusis could enhance the tinnitus signal, thus it is possible to expect coexistence of tinnitus and hyperacusis, and the predisposition of hyperacusis patients to develop tinnitus. As such, for some patients tinnitus and hyperacusis may be considered the double manifestation of the same internal phenomenon.
耳鸣再训练疗法(TRT)的主要目的是使自主神经系统的激活习惯化,由听觉通路中的信号引起。声音疗法旨在降低这些信号的强度。大脑中相同的系统涉及耳鸣和声音耐受性降低,并且相同的基本神经生理机制用于减少与耳鸣相关的神经元活动,并且在听觉亢进的情况下,由外部声音引起的异常增强活动。TRT治疗耳鸣和恐音症的相似之处甚至更接近,因为在这两种情况下,目标都是消除听觉与边缘和自主神经系统之间的功能连接。听觉通路内的增益增加可能导致耳鸣信号增强,因此可以预期耳鸣和耳鸣并存,并且耳鸣患者易患耳鸣。因此,对于一些患者来说,耳鸣和耳鸣可能被认为是同一内部现象的双重表现。
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引用次数: 149
Summary of Highlights from the 7th International Tinnitus Seminar 第七届国际耳鸣研讨会要点总结
Pub Date : 2002-11-01 DOI: 10.1375/AUDI.24.2.57.31108
Pam Gabriels
The highlights of the 7th International Tinnitus Seminar are presented in the following article. The papers that were of particular interest during the seminar were those presented by the keynote speakers and guest speakers.
第七届国际耳鸣研讨会的亮点将在以下文章中介绍。研讨会期间特别令人感兴趣的是主讲人和嘉宾发表的论文。
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引用次数: 0
Wavelet Analysis for Audiologists 听力学家的小波分析
Pub Date : 2002-11-01 DOI: 10.1375/AUDI.24.2.92.31110
W. Wilson
Wavelets and wavelet analysis represent a significant advance in our ability to record and analyse auditory evoked potentials (AEPs). Obtaining knowledge about this growing area can be difficult, however, as existing wavelet reviews are typically entrenched in mathematical theory. This paper provides the first practical wavelet review written for the clinical audiologist. Specifically, the paper will answer the question “what is a wavelet”, describe continuous and discrete wavelet analyses, describe four of the most promising applications of AEP wavelet analysis, review AEP wavelet research conducted to date, and comment on AEP wavelet applications for the future. It is hoped this review will give audiologists a better understanding of current AEP wavelet research, and prepare them for the clinical implications that will follow.
小波和小波分析在我们记录和分析听觉诱发电位(AEPs)的能力方面取得了重大进展。然而,由于现有的小波评论通常在数学理论中根深蒂固,因此获得关于这个不断发展的领域的知识可能很困难。本文为临床听力学家提供了第一个实用的小波综述。具体来说,本文将回答“什么是小波”的问题,描述连续和离散小波分析,描述AEP小波分析最有前途的四个应用,回顾迄今为止进行的AEP小波研究,并对未来的AEP小波应用进行评论。希望这篇综述能让听力学家更好地了解当前的AEP小波研究,并为接下来的临床应用做好准备。
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引用次数: 5
Considerations When Evaluating a Tinnitus Patient for Compensation 评估耳鸣患者赔偿时的考虑因素
Pub Date : 2002-11-01 DOI: 10.1375/AUDI.24.2.85.31106
R. Tyler
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引用次数: 4
Neonatal Transient Evoked Otoacoustic Emissions Screening: How Many Stimuli Are Enough? 新生儿瞬态诱发耳声发射筛查:多少刺激才足够?
Pub Date : 2002-05-01 DOI: 10.1375/AUDI.24.1.49.31114
L. Cropper, J. Kei, V. Smyth, M. Maurer, June Young, D. Tudehope, B. McPherson
The present study examined the effect of stimulus number on two pass criteria in neonatal transient evoked otoacoustic emission (TEOAE) screening. Participants were 25 normal, full-term neonates (mean age = 2.7 days, SD = 1.3), with normal peripheral auditory function in both ears. The Otodynamics ILO88 (Quickscreen) program was used and the TEOAE spectrum was analysed after the presentation of 10, 50, 100 and 260 stimuli. Two pass criteria were used: Criterion 1 - whole wave reproducibility (WWR) ≥ 60%, and Criterion 2 - SNR ≥ 3 dB for all three frequency bands centered at 2.4, 3.2 and 4.0 kHz. The results revealed that the number of stimuli used to achieve a "Pass" status depended on the pass criterion and the activity state of neonates. Although the use of an initial minimum stimulus number of 50 in neonatal TEOAE screening is justified, clinicians should continue testing if necessary until a set of predetermined stopping criteria are satisfied.
本研究探讨了刺激数对新生儿瞬态诱发耳声发射(TEOAE)筛查两项通过标准的影响。参与者为25名正常的足月新生儿(平均年龄2.7天,SD = 1.3),双耳外周听觉功能正常。使用Otodynamics ILO88 (Quickscreen)程序,分析10、50、100和260个刺激后的TEOAE谱。采用两个通过标准:标准1 -全波重现性(WWR)≥60%,标准2 -信噪比≥3db,所有三个频带均以2.4,3.2和4.0 kHz为中心。结果显示,达到“通过”状态的刺激数量取决于通过标准和新生儿的活动状态。虽然在新生儿TEOAE筛查中使用初始最小刺激数为50是合理的,但如果有必要,临床医生应该继续测试,直到满足一组预先确定的停止标准。
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引用次数: 1
Conversion from the Body-worn Spectra to the Ear-level ESPrit22 in Children 儿童体戴光谱到耳级ESPrit22的转换
Pub Date : 2002-05-01 DOI: 10.1375/AUDI.24.1.1.31113
K. Plant, L. Whitford, P. Seligman, Katie Hill, L. Winton, J. Decker, Emma Rushbrooke, Lia Lassig
A multi-centre study was conducted involving 93 children, aged 5.7 to 18.0 years, who approached their cochlear implant centres for conversion from the body-worn Spectra to the ear-level ESPrit22 processor. Eighty-seven per cent of the children attending the centres could be fitted with the ESPrit22 without any program adjustment, 9% required some adjustment and 4% were unable to be fitted with the ESPrit22 because of high power requirements in the speech processor program. For subjects requiring significant adjustment to stimulation mode for ESPrit22 fitting an initial decrease in word recognition was observed, with progressive improvement over time. For those subjects where direct conversion from the Spectra to the ESPrit22 was possible (n = 60) mean monosyllabic open-set word recognition at initial fitting was equivalent between the two processors. However after using the ESPrit22 for a period of 4 weeks there was a significant improvement in performance from 46.5% with the Spectra to 54.4% with the ESPrit22. A similar pattern was observed for BKB sentence recognition in noise with a smaller group of 8 subjects. The majority of children reported immediate adjustment to the ESPrit22 and chose to use the ESPrit22 for most of the time in a range of listening environments.
一项多中心研究涉及93名儿童,年龄在5.7岁到18.0岁之间,他们来到他们的耳蜗植入中心,将身体佩戴的Spectra转换为耳级ESPrit22处理器。87%参加中心的儿童可以在没有任何程序调整的情况下安装ESPrit22, 9%需要一些调整,4%由于语音处理器程序的高功率要求而无法安装ESPrit22。对于需要对ESPrit22拟合的刺激模式进行重大调整的受试者,观察到单词识别的初始下降,随着时间的推移逐渐改善。对于那些可以直接从Spectra转换到ESPrit22的受试者(n = 60),在初始拟合时,两个处理器之间的平均单音节开集词识别是等效的。然而,在使用ESPrit22 4周后,性能显著改善,从光谱的46.5%提高到ESPrit22的54.4%。在一个较小的8名被试群体中,BKB在噪声条件下的句子识别也出现了类似的模式。大多数儿童报告说,他们立即适应了ESPrit22,并选择在一系列听力环境中大部分时间使用ESPrit22。
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引用次数: 0
期刊
Australian and New Zealand Journal of Audiology
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