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Author: admin | 28.03.2014 | Category: Tinnitus Causes And Treatments

We offer SerenadeA®, a new Sound Therapy based on amplitude modulated sounds matching certain frequency zones associated with the frequencies of your particular tinnitus.
The Serenade system consists of a handheld device, earphones, and proprietary treatment sounds that research has suggested may address the underlying neurological cause of tinnitus. Sound Cure may be used as a treatment for immediate relief, as well as long term therapy. PDF access policyFull text access is free in HTML pages; however the journal allows PDF access only to subscribers. Therefore, the sounds of Serenade are customized to reflect the frequency of tinnitus, degree of hearing loss, and levels of sound discomfort. This technology is simple to use and has the potential to produce immediate temporary reduction of tinnitus. Since its effect does not depend on the habituation process, results can be immediate and usually are observable within the first month. Although recreational firearm users who shoot firearms without proper hearing protection are at risk for NIHL, a specific subgroup involved in hunting waterfowl may also be at risk due to their particular shooting habits.
In addition to compensation payments, service-related hearing disorders cost the US Department of Veterans Affairs in terms of provision of hearing aids, hearing aid-related services, and clinical services at its 220 facilities nationwide. Aminoglycoside antibiotics, used for treating or preventing life-threatening bacterial infections, also induce cytotoxicity in the cochlea.
Clinical research at the National Center for Rehabilitative Auditory Research has resulted in a clinical model of tinnitus management referred to as Progressive Audiologic Tinnitus Management (PATM). The purpose of this study was to assess the attitudes of music majors toward noise and to compare them to students not majoring in music. A questionnaire was administered to 479 fourth and fifth graders in their school classrooms.
This study was undertaken to research whether certified audiometric technicians without practical hands-on training could reliably use insert earphones when compared to a clinically experienced audiologist. The in-field research described in this paper was conducted to examine operational performance effects of three different hearing enhancement protection systems (HEPS) that are intended to provide both protection and audibility. However, this treatment is new and there are no clinically significant long-term results demonstrating long-term benefit as of yet.
The goal of the present study was to investigate the shooting habits of this particular group of U.S. It is imperative that hearing conservation among military personnel and veterans be addressed. Combined noise and aminoglycoside exposure, particularly in neonatal intensive care units, can lead to auditory threshold shifts greater than simple summation of the two insults. The model involves five hierarchical levels of management: Triage, Audiologic Evaluation, Group Education, Tinnitus Evaluation, and Individualized Management. Participants ( N = 467) filled out a questionnaire designed to assess attitudes toward noise in youth culture and attitudes toward influencing their sound environment.

Results indicated that children scored low (62.0%) on this hearing conservation questionnaire.
Hearing thresholds were obtained on 60 human ears by six certified audiometric technicians using insert earphones for the first time.
The experiment utilized operationally-defined measures in full-scale, simulated combat scenarios with Army ROTC Cadet Soldiers as subjects.
Certainly the noise-exposed workforce is more knowledgeable about the hazards of noise, and the use of hearing protection devices (HPDs) has greatly increased.
In this paper, we describe the rationale for and the development of a multimedia Hearing Loss Prevention Program aimed at preventing the progression of hearing loss among veterans associated with social, recreational, and nonmilitary occupational noise exposure. The synergistic toxicity of acoustic exposure and aminoglycoside antibiotics is not limited to simultaneous exposures. Counseling by audiologists and, as needed, mental health providers, is a key component of PATM. Results showed that students majoring in music have a healthier attitude toward sound compared to students not majoring in music.
Technician-acquired audiometric thresholds were compared to thresholds obtained under the same conditions by a clinical audiologist experienced in the use of the insert earphones.
The Soldiers' operational performance was evaluated in two missions: reconnaissance and raid (attack on enemy camp).
There have been significant strides in the technology for measuring noise and for protecting hearing through HPDs.
A 23-item written survey was sent to waterfowl hunting club members regarding their shooting behaviors, use of hearing protective devices (HPDs), and auditory status. The program was developed based on the principles outlined in the Health Belief Model of Rosenstock (1966) and the Health Promotion Model of Pender et al. Prior acoustic insult which does not result in permanent threshold shifts potentiates aminoglycoside ototoxicity. This style of counseling focuses less on didactic informational counseling; instead, counseling is used for facilitating patients' learning to adjust to the disturbing auditory symptom by successfully employing tools from two powerful skillsets for self-management of chronic tinnitus - the therapeutic uses of sound and techniques from cognitive-behavioral psychology. Findings also showed that music majors are more aware and attentive to noise in general, likely to perceive sound that may be risky to hearing as something negative, and are more likely to carry out behaviors to decrease personal exposure to loud sounds.
Only 55% of children knew that hearing protective devices could protect them against noise. Statistical analyses of audiometric thresholds were performed to investigate the relationships between audiometric threshold values at each frequency obtained by certified technicians vs. Results indicated that waterfowl hunters in this study typically used large bore semiautomatic shotguns, did not consistently utilize HPDs during target practice or hunting and were exposed to multiple, unprotected shots during the past waterfowl season. In addition, exposure to subdamaging doses of aminoglycosides aggravates noise-induced cochlear damage. This article provides an overview of the methods of counseling used with PATM and provides details concerning the overarching principles of collaborative adult learning that are believed to be most important in facilitating self-management by patients who complain of tinnitus.

Due to these differences, music majors may be more likely than other students to respond to and benefit from a hearing loss prevention program.
Approximately 28% of children did not intend to adopt any protective behavior in noise and the major reason for this was lack of knowledge. Some of the noise regulation's provisions are embarrassingly outdated, some are in dire need of improvement, and others, such as the requirements for engineering noise control, are not being enforced. The mechanisms by which aminoglycosides cause auditory dysfunction are still being unraveled, but likely include the following: 1) penetration into the endolymphatic fluid of the scala media, 2) permeation of nonselective cation channels on the apical surface of hair cells, and 3) generation of toxic reactive oxygen species and interference with other cellular pathways. These relationships were examined for the group as a whole as well as when ear tip size and earphone insertion depth varied between the audiologist and the technicians. Other subjective ratings were obtained after each training exercise from both the Officers and the Soldiers, including detailed impressions about each HEPS after extended use. This group of recreational firearm users also reported high incidences of hearing loss and tinnitus. Here we discuss the effect of combined noise and aminoglycoside exposure to identify pivotal synergistic events that can potentiate ototoxicity, in addition to a current understanding of aminoglycoside trafficking within the cochlea. No significant differences (p > .01) were found between mean group thresholds at any of the test frequencies (500-8000 Hz). Information provided by this study may help hearing conservationists and hearing healthcare providers understand and better educate these shooters regarding the risk of acquiring NIHL. Preventing the ototoxic synergy of noise and aminoglycosides is best achieved by using non-ototoxic bactericidal drugs, and by attenuating perceived noise intensity when life-saving aminoglycoside therapy is required. Mean group thresholds differed by .01) even when the audiologist and technicians varied in their selection of ear tip size or in the amount of insertion depth achieved. This study suggests that CAOHC-certified audiometric technicians can reliably use insert earphones without practical training when testing in quiet environments by reading the earphone package directions provided by the manufacturer. In the military mission entailing location of and attack on an enemy camp, the CEPS device resulted in the longest (earliest) average auditory detection distance of the camp (400 feet), followed by the Peltor (233 feet) and then the Combat Arms Earplug (150 feet), in comparison to detection by the unprotected, normal ear at about 220 feet. Commanding officers' ratings of mission performance and overall success slightly favored the electronic HEPS, but these ratings were dependent upon the particular mission undertaken.
Clearly, the results of this in-field experiment demonstrate that more development is needed to achieve the levels of hearing performance and user acceptance from the HEPS that is desirable and needed for combat conditions.
In this vein, it is important to note that HEPS designs are continually evolving, and certain upgrades to the three devices evaluated in the late 2006 timeframe of this study have occurred and further evaluations are thus warranted.

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