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Author: admin, 29.05.2015. Category: How To Stop Ringing In Ears Home Remedies

On the inside of the eardrum, the middle ear is open to the throat at the back of the mouth through the Eustachian tube, which equalizes air pressure on each side of the eardrum. All hearing losses can be divided into two general groups, based on where in the ear the loss originates from, namely sensorineural and conductive.A  Hearing losse can also be a combination of conductive and sensorineural types.
Sensorineural hearing loss involves deterioration of the delicate hair cells in the inner ear or nerve pathway to the brain. Noise exposure: A can result from a single incident or prolonged exposure to excessive noise a€“ military and sport firearms, industrial and home machinery, music concerts, i-pod. You have difficulty understanding conversation in a noisy restaurant, crowded room, or large group. A professional hearing evaluation will be conducted by a hearing care professional (audiologist or hearing aid acoustician) using calibrated audiometric equipment. Case history : to gather information with regard to the individuala€™s difficulties andA  concerns about hearing, medical history, previous hearing assessments and treatment , and the impact of hearing loss on the individuala€™s personal, social and vocational functioning. A comprehensive audiology test battery, tailored to suit the age and co-operative abilities of each individual, will be conducted.
Recommendation of treatment solutions, A including referral to an Ear, Nose and ThroatA  specialist or general practitioner if a conductive hearing loss has been detected, or, in cases of sensorineural hearing loss, hearing instrument recommendation based on the persona€™s hearing needs, lifestyle,A  personal preferences and budget.
Tinnitus is often described as ringing, buzzing, hissing, roaring or whooshing noise, which in over 95% of all cases, is only audible to the person concerned. Most professional tinnitus management methods use a combination counseling and sound stimulation. To do this, you must have Adobe Acrobat® Reader (version 4 or higher) installed on your computer. This medical discussion paper will be useful to those seeking general information about the medical issue involved. Each medical discussion paper is written by a recognized expert in the field, who has been recommended by the Tribunala€™s medical counsellors. A mixed hearing loss occurs when both a sensorineural and conductive hearing loss are present at the same time. According to the 1990 Noise and Hearing Loss Consensus Conference, a€?Noise Induced Hearing Loss (NIHL) results from damage to the ear from sounds of sufficient intensity and duration that a temporary or permanent sensorineural hearing loss is produced. PTS refers to a permanent loss of sensorineural hearing which is the direct result of irreparable injury to the organ of Corti.
The 4000 Hz a€?notcha€? or a€?dipa€? in sensorineural hearing has been a classic finding in NIHL over the years.
Why the 4000 Hz frequency appears more affected than other frequencies continues to generate some controversy.
Individuals vary in their susceptibility to noise and the damage it may cause to the cochlea. Of interest, one universal finding is that on average hearing threshold levels (HTLs) in the right ear are better than the left ear by about 1dB. Whether one ear is more resilient to noise in the same individual (the so- called a€?tough vs.
Please remember that when an asymmetric sensorineural hearing loss exists steps often need to be taken to exclude pathologic causes (i.e. The following statements tend to reflect what is agreed upon by the majority of scientists and physicians who deal with NIHL.
Noise induced hearing loss (NIHL) may produce a temporary threshold shift (TTS), permanent threshold shift (PTS) or a combination of both. A PTS is caused by destruction of certain inner ear structures that cannot be replaced or repaired. The amount of hearing loss produced from a given noise exposure varies from person to person.
NIHL initially affects higher frequency hearing (3-6 kHz range, for nearly all occupational exposures) than those frequencies essential for communication (i.e.
Daily noise exposure (8hrs) > 90 dB for over 5 years (or equivalent) causes varying degrees of hearing loss in susceptible individuals. NIHL is a decelerating process; the largest changes occur in the early years with progressively smaller changes in the later years (so-called Corso's theorem).
NIHL first affects hearing in the 3-6 kHz range, for nearly all occupational exposures; the lower frequencies are less affected.
Once the exposure to noise is discontinued, there is no substantial further worsening of hearing as a result of noise unless other causes occur.
Continuous noise exposure over the years is more damaging than interrupted exposure to noise which permits the ear to have a rest period. The pathologic basis for presbycusis appears to be one of gradual devascularization of the cochlea and loss of functioning hair cells.
Clinically hearing loss from presbycusis appears to be an accelerating process unlike hearing loss in NIHL. Unfortunately, there is no specific treatment available that will prevent age related hearing loss at present.
In the adjudication process of an occupational NIHL claim it is often difficult to separate the total amount of hearing loss from noise and age related change. For example, not everyone as they age will experience age-related presbycutic change (changes from presbycusis are variable with some individuals experiencing greater degrees of age related change than others). Moreover, exposure to high level noise early on may produce hearing loss more rapidly than aging such that the aging process has a negligible effect (i.e.
The effects of noise exposure and aging on hearing when not combined are reasonably well-understood.
Although it seems logical to a€?subtracta€? the age-related effects from the total hearing loss in order to quantitate the amount of hearing loss due to noise, this is really quite simplistic when one considers that aging effects and noise exposure effects can at times be practically indistinguishable for the most part audiometrically. Because compensation claims have required some consideration of presbycusis and its role in the total hearing loss of an individual various correction factors have been applied. Dobiea€™s theorem states that the total hearing loss from noise and age are essentially additive (this is the theory put into practice when a standard correction factor for age after 60 years is applied in the Province of Ontario). Corsoa€™s theorem on the other hand states that any correction for age should be based on a variable ratio (as individuals age the assumption is that the effects of presbycusis variably accelerate by decade).
Nevertheless the quantification of hearing loss attributable to age when occupational NIHL is present is really quite a complex phenomenon. This is an inner ear disorder characterized by episodes of vertigo (an illusion of movement) lasting minutes to hours, fluctuating hearing loss and tinnitus (unwanted head noise). Usually one ear is involved initially although over time the other ear becomes affected in nearly 50% of cases. Treatment is medical in most cases involving a low salt diet and diuretics and vestibular sedatives. Otosclerosis usually results in a conductive hearing loss from stapes footplate fixation due to new bone growth in this area. The diagnosis of cochlear otosclerosis is usually made when a family history of otosclerosis exists and other rare causes for a chronic progressive loss can be excluded. Although no medical treatment can ever reverse the sensorineural hearing loss, treatment with oral sodium fluoride may minimize and possibly stabilize an individuala€™s hearing.
Physical injury to the ear is usually the result of blunt trauma in the circumstances of a significant head injury. When physical trauma is severe enough to cause a temporal bone fracture (the temporal bone is the larger part of the skull bone that houses all the structures of the ear), two types of fractures occur; longitudinal and transverse. In general terms longitudinal fractures are much more common and tend to result in a fracture line through the roof of the middle ear and ear canal. Transverse fractures of the temporal bone occur when the fracture lines run directly through the hard bone of the otic capsule. Ototoxicity is defined as the tendency of certain substances to cause functional impairment and cellular damage to the tissues of the inner ear, especially to the cochlea and the vestibular apparatus. Aminoglycoside antibiotics are powerful weapons in the treatment of certain bacterial infections.
Antimalarial drugs such as quinine and chloroquin unfortunately have ototoxicity as a side effect if taken in excess. This is a pathologic misnomer since this tumour is strictly a schwannoma of the vestibular nerve. Although benign this tumour has serious health implications for the patient and is sought for by otolaryngologists when there is an undiagnosed asymmetry in the hearing.
This diagnosis is given to the individual who experiences a sudden hearing loss in one ear.
An individual's threshold hearing to pure tones at different frequencies (250 - 8000 Hz) is performed. Air conduction (AC) thresholds are delivered via headphones and the individual is asked to respond to the sound of the lowest intensity (in dB) they hear at the frequency being tested. The pure tone audiogram forms the basis for assessing if an individual qualifies for Workplace Safety and Insurance Board (WSIB) benefits in the Province of Ontario. Complex words with equal emphasis on both syllables (so called spondaic words such as a€?hotdoga€?, a€?uptowna€?, a€?baseballa€? etc.) are given an individual at the lowest intensity they can hear.
A list of phonetically balanced single syllable words (these are words commonly found in the English language in everyday speech such as a€?fata€?, a€?asa€?, a€?doora€? etc.) are presented to an individual at 40 dB above their speech reception threshold (SRT) in the ear being tested. In this test a probe is placed into the ear canal that both emits a sound and can vary pressure within the canal which causes the ear drum to move.
This tells whether the pressure in the middle ear is within normal limits and provides some indirect measurement of Eustachian tube function. Stiffening of the ear drum from loud noise occurs when the stapedius muscle contracts in the middle ear. Absent stapedial reflexes are usually seen in middle ear pathology such as otitis media with effusion or otosclerosis. If one measures how the ear drum moves when pressure is changed in the external ear canal from negative to positive a series of curves can be attained. The ability to measure minute electrical potentials following sound stimulation of the cochlea (i.e. Electrocochleography (ECoG) - This test measures electrical activity in the cochlea during the first 2 msec of cochlear stimulation. Auditory Brainstem Response (ABR) - This term is synonymous with the term brainstem evoked potential (BEP) or the brainstem evoked response audiogram (BERA). Threshold Evoked Potentials (TEP) - These electrical waveforms are usually identified between 50 - 200 msec following cochlear stimulation and are thought to represent cortical pathways of electrical activity. If AC thresholds are greater than BC thresholds this usually implies there is a conductive component to hearing loss from pathology involving the external or middle ear. If BC thresholds are greater than AC thresholds this would typically suggest an exaggerated hearing loss or malingering.
In its classic presentation a notched sensorineural hearing loss is noted at 4000 Hz that should be relatively symmetric. Age related hearing loss typically presents with a bilateral symmetrical high frequency sensorineural hearing loss. There are often numerous discrepancies noted such as the presence of acoustic reflexes at levels below volunteered pure tone thresholds, discrepancies between volunteered pure tone average and speech reception thresholds etc.
Subjective tinnitus can only be appreciated by the affected individual, is usually associated with a sensorineural hearing loss of some type and is the most common type noted. Objective tinnitus, on the other hand, is quite rare but by definition is a noise that can be appreciated by an observer. Regardless of cause tinnitus can be quite disturbing for many individuals and can certainly affect their well-being.
Treatment for tinnitus includes the use of more pleasurable competing background noise (i.e.
The individual affected has undergone treatments to try to alleviate their perceived unwanted head noise (i.e.
Evidence to support a personality change or a sleep disorder as a result of the tinnitus.
Hyperacusis is a curious phenomenon where an individual describes an uncomfortable, sometimes painful hypersensitivity to sounds that would be normally well tolerated in daily life. Treatment usually requires the gradual introduction of increasing sound intensity that becomes better tolerated with time.
American Academy of Otolaryngology-Head and Neck Surgery Foundation Subcommittee on the Medical Aspects of Noise. American Academy of Otolaryngology-Head and Neck Surgery Foundation: Guide for Conservation of Hearing in Noise.
Noise Induced Hearing Loss by Lonsbury-Martin BL, Martin GK and Telischi FF, Volume 4, Chapter 126 in Otolaryngology-Head and Neck Surgery 3rd Edition. Permanent Impairment of Hearing - When any anatomic or functional abnormality produces a permanent reduced hearing sensitivity. Permanent Handicap for Hearing - The disadvantage imposed by an impairment sufficient to affect the individuala€™s efficiency in the activities of daily living (ADL). Permanent Disability - A person is permanently disabled or under permanent disability when the actual presumed ability to engage in gainful activity is reduced because of handicap and no appreciable improvement can be expected.
Acoustic Neuroma (Vestibular Schwannoma) - A benign brain tumour that arises on the vestibular nerve usually within the internal auditory canal (IAC). Menierea€™s Disease - A classic inner ear disorder associated fluctuant sensorineural hearing loss, tinnitus and episodic attacks of vertigo lasting minutes-hours. Otitis Media with Effusion - An encompassing term that describes the presence of fluid behind the TM. Otosclerosis- Genetically inherited condition (approximately 1 in 20 people carry the otosclerosis gene) associated with the development of new, immature bone which primarily involves the stapes footplate leading to a progressive conductive hearing loss.
Tympanosclerosis - Calcification of the middle layer of the eardrum that looks like a patch of white chalk.
Mastoidectomy - Procedure designed to exteriorize disease in the mastoid air cells and adjoining middle ear. Ossiculoplasty - Procedure where the ossicular chain is repaired in order to try and improve hearing. Tympanoplasty - When used in its most simplistic context it means the repair of a previous TM perforation. Ventilation (myringotomy) Tube - The placement of an open ended tube or a€?grommeta€? into the TM acts like an artificial Eustachian tube which helps ventilate the middle ear space. Decibel (dB) - A decibel is an accepted measure of sound pressure level used to describe sound intensity. Evoked Response Audiometry - Measures electrical responses within the inner ear, cochlear nerve and central nervous system that are generated by loud repetitive clicks. This test is typically performed as one of the tests to confirm or exclude whether an exaggerated hearing loss (malingering) is present.
Otoacoustic Emissions (OAEs) - Evoked test that measures minute responses to sound thought to arise from the contractile elements of the outer hair cells.
Recruitment - Perceived abnormal progressive loudness of noise in an individual with a sensorineural hearing loss.
Speech Discrimination Score (SDS) - The percentage score an individual correctly identifies when presented with a list of phonetically balanced (PB) words usually tested at 40dB above their hearing threshold. Tympanometry - Formal tracing of how the TM moves when pressure is altered in the external auditory canal.
Acoustic Trauma - Damage to the ear caused by a single exposure to an impulse nose of high density. Continuous Noise - A noise that remains relatively constant in sound level for at least 0.2 seconds. Dosimeter - An instrument that integrates a function of constant varying sound pressure over a specified time period in such a manner that it directly indicates a noise dose and estimates the hazard of an entire exposure period.
Permanent Threshold Shift (PTS) - The permanent depression in hearing sensitivity resulting from exposure to noise at damaging intensities and durations.
Temporary Threshold Shift (TTS) - The temporary (usually several hours) depression in hearing sensitivity resulting from exposure to noise at damaging intensities and durations.
Time Weighted Average (TWA) - The sound level or noise equivalent that, if constant over an eight hour day would result in the same exposure as the noise level in question (assuming a 5 dB doubling rule).
The ear is a complex organ that has dual responsibility for hearing and balance (vestibular) function. The ear canal (external auditory canal) originates from the concha (so-called bowl) of the auricle and extends medially to the tympanic membrane. The ear canala€™s primary function is to provide a conduit for airborne sound waves to reach the tympanic membrane.
The middle ear cleft is a more extensive designation of the middle ear that has three main components which include the middle ear cavity, mastoid air cell system and the Eustachian tube. The mastoid air cell system consists of a series of small mucosal lined air cells interconnected with each other and the middle ear proper. Important structures of the middle ear include the tympanic membrane and the ossicular chain. The ossicular chain consists of the three small interconnected mobile bones known as the malleus (hammer), incus (anvil) and stapes (stirrup). The inner ear is the sensory end organ within the hardest bone of the body known as the petrous portion of the temporal bone. The cochlea specifically refers to the sensory portion of the inner ear responsible for hearing. The vestibular portion of the inner ear consists of three fluid lined semicircular (superior, lateral and posterior) canals and the area called the vestibule which houses the otolithic macular endorgans. Sound vibrations are picked up by the pinna and transmitted down the external auditory canal where they strike the TM causing it to vibrate.
When the mechanical vibrations of the stapes footplate reach the inner ear they create traveling waves in the cochlea. Although the vast majority of the cochlear nerve fibres are termed afferent (ie nerves that carry electrical activity from the inner ear to the brain), within the cochlear nerve itself we have a small number of nerve fibres designated as efferent (nerves that carry electrical activity from the brain to the inner ear). Of interest when the outer hair cells become injured or affected by pathology they also lose their ability to a€?fine tunea€? the electrical responses arising from the inner ear. Although an individual may have apparently normal hearing it does not necessarily mean the cochlear nerve is undamaged.
Sound is the propagation of pressure waves through a medium such as air and water for example. This is a very relevant question that is based on the definition of how hearing loss causes a handicap for the affected individual in their ability to identify spoken words or sentences under everyday conditions of normal living. Although the higher frequencies are initially affected in NIHL an individual will really only begin to demonstrate a significant handicap to hearing to everyday speech in a quiet surrounding when the average of the hearing thresholds at 500, 1000, 2000 ( + 3000) Hz is above 25 dB. The inclusion of the 3000 Hz threshold value for NIHL awards is not always required depending on the jurisdiction. In the province of Ontario the Workplace Safety and Insurance Board (WSIB)a€™s Operational Policy Manual (OPM) Document No.
A presbycusis (aging) correction factor of 0.5 dB is deducted from the measured hearing loss (averaged over the 500, 1000, 2000 and 3000 Hz frequencies) for every year the worker is over the age of 60 at the time of the audiogram. It is important to also appreciate that decisions can also be made on an exceptional basis which the WSIB has recognized.
Since individual susceptibility to noise varies, if the evidence of noise exposure does not meet the above exposure criteria, claims will be adjudicated on the real merits and justice of the case, having regard to the nature of the occupation, the extent of the exposure, and any other factors peculiar to the individual case. A comprehensive list of US comparisons for NIHL and benefits can be found in Table 35.1 pages 797-799 in the Chapter concerning State and Federal Formulae Differences in Occupational Hearing Loss, 3rd Edition. It is likely that the two effects are not additive (Corsoa€™s theorem) but from a practical point of view this is how they are usually viewed with regards to compensation claims (Dobiea€™s theorem). At any given age for frequencies above 1000 Hz men will have more age related hearing loss than women. Age related hearing loss affects all frequencies although the higher frequencies are usually more affected. Age related hearing loss is an accelerating process where the rate of change increases with age. One can speculate that this might be one of the reasons an individual early on in their exposures may not be aware of a hearing loss, only to appreciate a hearing loss later in life when other factors such as presbycutic change occur.
Although we think of presbycusis as an age related event not all individuals will develop this condition.
Future genetic studies may provide us with further information concerning those at greater risk for progressive hearing loss from presbycusis in future. A TTS is considered to represent a pathological metabolically induced fatigue of the hair cells or other structures within the Organ of Corti. In a PTS the destruction and eventual cochlear hair cell loss is thought to arise from direct mechanical destruction from high-intensity sound and from metabolic decompensation with subsequent degeneration of sensory elements. While one would normally expect full recovery of hearing function after a TTS there is one important consideration that needs to be taken into account. The position in the world literature continues to support that any progressive hearing loss from acute trauma ceases unless the individual is re-exposed to more acute acoustic trauma or some other factor (s) occurs ( i.e.
The classic studies of acute acoustic trauma by Segal et al (1988) and Kellerhals (1991) are often used to support this position. In the cohort study by Segal et al, 841 individuals from either the regular US army or military reserve sustained a permanent sensorineural hearing loss from acute acoustic trauma without subsequent re-exposure. The importance of the Segal study is that after 1 year one would not expect further worsening of hearing in subjects who ceased to have further noise exposure.
Kellerhalsa€™ study reviewed a much smaller series of individuals who were exposed to acute acoustic trauma but looked at them over a 20 year duration. So the research began, I was reading up and collecting information on places of interest for children.
As for Melbourne, we took a day tour on the Puffing Billy, had a warm fuzzy lunch by the winery, yummy gelato at the Yarra Chocolatiere and had a guided tour of the Healesville Sanctuary (got up-close with the Red Kangaroos, emus, platypus and koalas). So what could a Stay-At-Home-Mom do for money considering there is already so little time after all the dishes and laundry and cooking and cleaning are done?
Blog - I started a blog when my first born was about 2 years old and began earning USD4-5 thousand monthly very soon after. Write for others - This is if you can write, you could be a freelance writer for advertising agencies who are always on the lookout for part-timers. Bake - there are many, many Moms baking for income which means lots of competition but there is only one you.
Start a little home business - this could be anything from making something to being a trader to being a marketing affiliate. Failing which, allow me to interview you and I will think of what you could do for a living from home. I have been working with a company for 18 years and for the past 7 years, I have been working full time from home. My kids were 3yo and 1yo then and I knew I wanted to spend those precious growing years with them and not having to depend on anyone else to care for them. Working from home does not mean that you can sit at home, shake legs and catch the latest Korean drama Yes - unfortunately for some.
This is important because if you’re going to be in conference calls for a least 30 mins, the last thing you want is to be holding the handset to your head.
In between work, I need to step to for my school run and this timing is fixed and has been shared with my manager and peers. If you’re going to be spending 8-10 hours of your day sitting in front of a computer, make sure your workspace is ergonomic. Remember to take mini breaks and stretch or go for a little walk to get that blood circulating. She was excited initially (we did some prep talk weeks before), thinking that she will be going into the same class as her older brother. We didn’t have a party for Honeybun, we had a small celebration for her at her play school and also with our families. Her favourite for the past few months has been rubber duckies (and bath toys) and particularly characters from a cartoon called Lucky Duck. It took me more than a year to resign from my previous job as an engineer in a multinational oil & gas company. However, as time went by, I started to think about my children who were about to enrol in primary school. But if you really want to change your profession from FTWM (fulltime working mum) to WAHM (working at home mum), I’d like to share some tips that might help you to have something in mind. I always suggest to friends who wanted to let go their jobs for a home business, to get some ideas about how and what their home businesses would be. I like to recommend to my fellow friends who want to resign and start a business, begin before you sign your resignation. Don’t leave your job if you just can’t take it, leave it if you figure out there are other priorities than your career.
I was at the Asia Model Festival Awards 2015 in Seoul, Korea but had to rush back to attend Ashton’s School Day. Mother’s Day is coming so I would to wish all mommies, “Happy Mother’s Day and enjoy motherhood!
He was in an art class holiday program which he enjoyed a lot; learning crafty things and the best part was that he had a good friend participating in the same program. He also attended a three-day Speech and Drama program in which the main program focuses on the kids having to perform a mini sketch. I will not deny that a couple of months ago, I bought a tab (of course, it’s slightly smaller than my iPad) for my then 2-year old. Even when my son was younger, I started to expose him to technology – I absolutely loved the idea that my son will not feel like an outcast had he not been exposed to one from an early age.
Fast forward two months later, we re-introduced the iPad & the tab to him BUT very gradually.
As parents, I guess the hardest part of actually spending more time with Nooh to do these exciting fun-filled family activities is….
Gradually moving away from these gadgetries and being less attached to these smart electronic ‘imps’ really does make us better parents. Especially for kindergarten - if they can’t make it for a full day, we can send them for maybe an hour or so. Set boundaries and set some rules during schooldays so that the child won’t feel attached to home during his school time. Our bottom line is to plan properly, get mutual understanding with our spouse, decide and stick to the plan. But then whenever I look at my son (who himself loves other people’s birthday celebration), I feel guilty of not organising his own birthday celebration. So much has happened in the last year that this New Year 2015, is a year full of changes for me and my family.
I found out that it is impossible for women to get along in a group of more than a hundred. Although everyone knows what is good for you for great health, they are still not practising good healthy habits.
So after all the stress that I went through last year, there was one blessing that entered my life despite having to quit my job and make regular visits to the hospital. Ashton went on a holiday without us for the first time and it was also the first time he was away from us.


When he was walking pass the immigration check point at the airport, he kept looking back at us.
It is the school holidays and I am already cracking my head on kids’ activities as we are not planning any trips this time.
Last but not least, they had a ride on a pony.  The fee had increased from last year and even the ride’s duration was shortened! Letting kids take a year out from school or at any time during the course of their educational path is a great choice that many parents are reluctant to make due to the kiasu nature of Asian parenting in always wanting to get ahead and staying ahead.
The thing is, at 15 or 16 or even at 20, did you know exactly what you wanted to do with your life?
We ourselves here have experienced taking a year out merely by accident but nonetheless a good thought out coincidence because my kids are only 10 and 5 this year yet they have already experienced what it is like to not only NOT go to school every single day but were given the great opportunity to explore the world and get to know themselves a bit better.
NEW EXPERIENCES & EXPLORATION – With not going to school, we actually had the opportunity to participate and attend many events that being in school would not have allowed us to do due to scheduling conflicts. EXTRA TIME - Being at home every day gave them the extra time to learn new languages and skills such as how to make glue, how to make sago Melaka, how to make Sugee Cake, how to prepare for a public exhibition, how to present publicly, etc. GETTING CLOSER TO SELF – Inherently, I feel that one succeeds in this world when one is comfortable in their own skin. Iceland had always been my dream destination because I would like to see its midnight sun during summer solstice, where there is no night in Iceland. When my husband told us that the next country on our list would be Iceland during the mid-year school holiday (in June), I took it as a gift! However, we were lucky as the weather was so good from day one – the sun shone brightly for us. Iceland is a land of fairies; many locals still believe that trolls and elves still exist around the island. Ashton is at the willfull stage – I made my decision already, I am not going to change my mind!  And he has a ready reason for everything he wants to do too.
I asked Ashton for his opinion on his coming birthday party and he surprised me with “I am already a big boy, I don’t want Angry Bird party. Ever since the kids were comfortable in the water, it has been part of our family weekly activity – Swimming!
Take a look at the following list to see which habits your should adopt to prevent or delay hearing loss. Exposure to Noise:     Noise-induced hearing loss is the most common yet preventable cause of hearing  loss. Diabetes:       The National Institute of Health (NIH) has found that hearing loss is twice as  common in people with diabetes. Cardiovascular disease:      Not only does exercise help to prevent type 2 diabetes, but cardiovascular  health and hearing health appear associated. If the tube gets infected and becomes blocked by mucus, pressure builds up on one side or the other, and the eardrum bulges, causing pain. A While there is no cure for A sensorineural hearing loss, in most cases (90%) hearing aids will help. If the hearing test results indicate that you have a conductive hearing loss, you will be referred to an Ear, Nose, and Throat specialist of your choice for medical intervention. It is essential that you contact an audiologist or hearing aid acoustician who will test your hearing, explain the results and recommend solutions. Tinnitus is a chain reaction of perception, emotion and attention and thus involves processes in both the ear and the brain. The perceived sound is typically a mere 10 dB or less (fainter tha a leaf fallingto the ground). It is intended to provide a broad and general overview of a medical topic that is frequently considered in Tribunal appeals. Each author is asked to present a balanced view of the current medical knowledge on the topic.
A vice-chair or panel may consider and rely on the medical information provided in the discussion paper, but the Tribunal is not bound by an opinion expressed in a discussion paper in any particular case. This is the type of hearing loss that is found in routine unprotected daily exposure to loud noise potentially injurious to hearing in the occupational work force. This type of loss might be found in an individual, for example, with a large tympanic membrane (TM) perforation where mechanical vibrations along the ossicular chain are dampened.
For example an individual with a large TM perforation who received topical antibiotic ear drops for the treatment of a middle ear infection that caused inadvertent toxicity to the inner ear in addition (i.e. The hearing loss may range from mild to profound, may result in tinnitus (unwanted head noise) and is cumulative over a lifetimea€?. Noise induced deafness generally affects hearing between 3000-6000 Hz with maximal injury centering around 4000 Hz initially, an important point to remember.
There is good pathologic evidence however that demonstrates maximal cochlear hair cell loss in the tonal areas where the 4000 Hz hair cells normally reside in both animals and humans. In susceptible individuals the early effects of presbycusis are occasionally seen around age 40.
Secondary to hair cell loss one can often see progressive neuronal dropout along the cochlear nerve.
In this regard the effects of aging in the absence of other factors cause a loss of hearing at all frequencies whose rate of growth becomes more rapid as age increased (especially after 60 years): an important point to remember in this context. To a large degree hearing loss with age is genetically primed; in other words the hearing your parents had as they aged is often passed on to you.
When the two processes are combined the resultant pathology and its effects upon hearing are not as well understood.
This certainly generates a more complicated mathematical model but probably more closely approaches what is happening physiologically. The hearing loss is typically a low-frequency sensorineural loss that fluctuates initially often reverting close to normal between attacks in the early stages. The presence of a pink-flamingo hue to the middle ear on otoscopy (so-called Schwartzea€™s sign), absent stapedial reflexes on audiometry and bone density changes involving the surrounding bone of the inner ear best appreciated on high-resolution CT scanning also helps in the diagnosis.
Most patients suffering deafness by this mechanism will have had at least transient unconsciousness and have been admitted to hospital.
A fracture through this bone (which is the hardest bone in the body) implies the force of the injury was severe and often incompatible with survival.
Unfortunately these antibiotics can cause varying degrees of cochlear, vestibular and renal toxicity. The Auditory Brainstem Response (ABR) is used as a screening test while a gadolinium enhanced Magnetic Resonance Imaging (MRI) study is the gold standard investigation. The extent of the loss varies from a partial loss at one frequency right up to a profound loss at all frequencies with a profound discrimination loss. For the purposes of compensation, the most reliable audiograms will likely be performed by an audiologist who typically has a mastersa€™ degree or doctorate in audiology. The audiometer used to test hearing has been especially calibrated so that each frequency of sound tested for hearing has been normalized where 0 dB represents the lowest intensity of sound that the majority of people with normal hearing can hear from large population studies. When a conductive hearing loss is suspected the ear canal and inner ear mechanisms for transmission of sound energy to the inner ear are bypassed by placing a bone vibrator over the mastoid which directly stimulates the inner ear.
A weighted pure tone average from frequencies at 500, 1000, 2000 and 3000 Hz is required for this determination from AC thresholds if a pure sensorineural hearing loss is present or from BC thresholds if any conductive element to hearing loss is present. As a general rule the SRT value should roughly equal the pure tone average in the speech frequencies at 500, 1000 and 2000 Hz. Most individuals with normal sensorineural hearing should get over 80% of the words correct at this level.
Most individuals with normal sensorineural hearing will exhibit a reflex at 70-80 dB above their hearing threshold level at the frequency being tested. When reflexes occur at less than a difference than 70-80 dB above hearing threshold at the frequency tested this is indirect evidence of a phenomenon called recruitment which is usually seen in cochlear pathology (i.e. ECoGa€™s chief value lies in its ability to demonstrate wave 1 of the auditory brainstem response (ABR) and whether waveform morphology is suggestive of changes thought to occur in endolymphatic hydrops, the pathophysiologic substrate of MeniA?rea€™s disease. This test measures electrical waveforms obtained in the first 10 msec from cochlear stimulation. Middle ear pressures should be normal, stapedial reflexes present and a normal tympanogram noted.
In some instances it can be quite disabling for the affected individual who tends to withdraw from any exposure to uncomfortable noise.
Cognitive behavioural therapy (CBT) has also demonstrated promise in a recent randomized controlled study. The Relative Contributions of Occupational Noise and Aging in Individual Cases of Hearing Loss.
Specialized treatment based on cognitive behavior therapy versus usual care for tinnitus: a randomized controlled trial. Diabetes and hearing impairment in the United States: Audiometric evidence from the National Health and Nutrition Examination Survey (1999-2004). The pathology is thought to arise from excess fluid in the inner ear leading to membrane ruptures (so-called endolymphatic hydrops). Certain antibiotics (especially the aminoglycoside class), antimalarials, chemotherapeutic agents and even excessive doses of ASA can be toxic to the inner ear. Although changes may take place as early as age 40, hearing loss due to aging usually starts to accelerate around ages 55-60 yrs and continues with age. Auditory Brainstem Response (ABR) - Synonymous with the term BERA (brainstem evoked response audiometry) or auditory BEPa€™s (brainstem evoked potentials).
Cortical Evoked Response Audiometry - Synonymous with Threshold Evoked Potential (TEP) testing. Depending on the frequency of the sound certain parts of the cochlea will emit an a€?echoa€? in response. This occurs to a loud noise typically 70-80 dB above an individuala€™s hearing level at the frequency tested which causes stiffness of the ossicular chain and tympanic membrane Absent stapedial reflexes are usually seen in otosclerosis due to stapes footplate fixation for example. Conceptually it has three distinct anatomical components which include the external, middle and inner ear. The auricle is a flattened, funnel shaped appendage that contains a cartilage framework covered by skin. The anatomy favours the transmission of sound waves typically between 500-8,000 Hz which interestingly represents the common speech frequencies of most individuals. Proper function of the Eustachian tube which connects the middle ear cavity to the back of the nose (nasopharynx) is important for the normal middle ear aeration and function. The tympanic membrane or ear drum is an ovoid, pale gray, semi-transparent membrane positioned obliquely at the medial end of the ear canal.
The tensor tympani and stapes muscles help stabilize the bones along with suspensory ligaments of connective tissue inside the middle ear. Covered by an otic capsule its membranous portion (or labyrinth) contains a delicate system of fluid-filled canals lined with sensory neuroepithelium necessary for hearing and balance perception. It is a three chambered organ containing anatomical spaces known as the scala media, scala vestibuli and scala tympani.
The scala vestibuli and scala tympani (T) by comparison contain fluid rich in sodium called perilymph. Within each semicircular canal is an area called the ampulla which contains hair cells sensitive to low frequency bidirectional fluid displacement that occurs with angular acceleration type movements of the head. The sound vibrations are then transmitted across the air-filled middle ear space by the 3 tiny linked bones of the ossciular chain: the malleus, incus and stapes . The hair cells change these mechanical vibrations from the waves into electrochemical impulses that can interpreted by the central nervous system (CNS). It can be a simple sound commonly known as a pure tone or it may be complex when we think of speech, music and noise. The prediction of a handicap did not appear to be improved by the inclusion of other frequencies > 4000 Hz. What do other jurisdictions consider to be disabling hearing loss (provincial, national and international)? The hearing loss that remains after the presbycusis adjustment is then used to determine entitlement to benefits. It is generally thought that if an ear has suffered a permanent threshold shift from a noise induce etiology further noise exposure will cause less damage than would occur in a normal ear to a similar exposure. As previously noted the effects of noise exposure and aging on hearing when not combined are reasonably well understood. One however has to qualify this by saying that there is a significant amount of redundancy within the inner ear as it pertains to hearing. Moreover we really dona€™t have a lot of good prospective longterm studies over 4-5 decades that can ultimately answer this question completely. Can moderate workplace noise exposure causing a TTS and repeated exposures later cause a PTS? Repeated noise exposure that causes a temporal threshold shift (TTS) can ultimately lead to a permanent threshold shift (PTS) with repeated exposures. Some of this is based on the redundancy principle within the inner ear: not all hairs cells possibly recover following a TTS but enough do as to prevent hearing loss. Following acute acoustic trauma what is the natural history of the subsequent hearing loss?
Audiometric evaluations were performed on these individuals at 6 months, 1, 2 and 4 years after initial exposure. In his study cohort only 1% of individuals following acute acoustic trauma demonstrated deterioration of hearing of more than 20 dB in at least 1 frequency.
So far, we have been taking the kids on holidays to no other than beach destinations in and out of Malaysia and the kids loved every bit of it, even more especially after they had learnt how to swim. If you don’t, you just need to be that much more disciplined but it can be done and I am pure testament to that.
But then blogosphere got crowded and I got pregnant again and then went back to full time employment for a bit so the blog got put aside for awhile. Finding something you could do from the computer is an easy and fast way to save some pocket money.
I switched from a consulting job to a desk-bound program support job which enabled me to work from home full time and support the Asia Pacific region. So when I got this job, I thanked God and my colleague, Agnes because she was the one who roped me into her team.
Therefore, it’s important that you invest in a good headset with the ability to mute your line. I also block off my time in Microsoft Outlook for school runs so that my colleagues will know that I will be out of office at specific times of the day.
We are all given a notebook to work from but since I am a teleworker, I am able to order additional accessories for my notebook which include a docking station, monitor stand and a 24 inch monitor so that I can comfortably work in front of the computer (like a geek).
We should resign from our job in a way that reinforces our professional image and keep our current employer relationships positive. It might be different for those who resign and decide to stay at home taking care of family, without any proposal to do home-based business or work. If you start now, you’ll get the rhythm and it’ll be easier to adapt later when you leave the office. Sugar is not just defined as the raw sugar that you put into your coffee but sugar from fruit, sugar from carbohydrates such as white flour, rice, noodles, bread and pastry. Although you may lose weight purely by limiting the portions and the quality of food that you eat, exercise is still incredibly important because it not only strengthens your bones and muscles but promotes the circulatory system within your body. In order to live a great, healthy life that will not succumb to illnesses, the body requires an ovoerfluous amount of vegetables. It is so worth it to do so because I have seen too many people suffer from poor health being once a patient of poor health myself. Recently, he modelled for Lord’s Tailor at the Pavilion Fashion Week show (he stole the limelight!) and was the opening model for the Go Go Green Charity show. Chinese schools give their students a lot of homework so my husband and I have to watch him finish his homework every day. He is the first person I want to see, the first person I want to kiss, the first person I miss.
Every night, as mummy is lazy to read bedtime stories, he’ll ask me to have a chat with him before he goes to bed.
Well, really I had intended it for my own use, but over time I felt it was more convenient (and lighter) for me to bring around just to console my son whenever my husband and I needed some “rest time” during our family outings. He’ll get to use it if he truly behaved and finished his food or slept earlier the night before. We even introduced Nooh very light housechores for him to assist Mommy & Daddy with, and we began to seriously organise more fun-filled family activities on alternate weekends.
My cousin makes really beautiful cakes, so I’m going to ask her to make a customised birthday cake for Nooh. Over the last year, I learnt several lessons along the way that I would like to share with you in hope that it will benefit you in some way. To be fair, not everyone in Malaysia is educated enough about health but they should really take the initiative to learn it up as it is their own bodies and they should never take that for granted. We had planned for the trip to a theme park in China well in advance but I could not make it as it was just 3 days after my operation. I spoke to him every day for the 5 days that he was there.  The first day he asked, “Mommy are you okay? Sometimes, he gets drinks of water for me and tells me that when I am sick, I need to drink a lot of water. We plan to have a small do with just my family but my friends asked me to hold a small party.
We had been there before last year but it is still a fun place, especially for young toddlers. I can never understand this concept why it is so important for children to be the youngest graduate. By widening your children’s eyes, stretching their ears, increasing their perspectives in having a broader mind, they get to think more, do more, and ultimately make better decisions about what they like and do not like. This year alone, we got to participate in entrepreneurial markets where my eldest daughter got to learn how to barter, trade and sell. They also managed to hone in on their language skills and dug deeper into any subject of interest such as loom bands and art and model making.
The world becomes clear and there is no pretence on any part when you know who you are, what you are capable of, where you want to go and how you are going to get there. When people are directionless sometimes, they take a year out from the hustle and bustle of work and spend a year traveling or doing other things to decide where they truly want to be. It is extremely enlightening and if you ever have the opportunity, don’t think too hard about letting your kids take a year out.
We departed from KLIA to Schipol, Amsterdam and transited for about 8 hours to taste the freshness of raw herring, standing on the bridge overlooking a canal near Central Station. Our target was to drive from Reykjavik to the South, around Iceland, and back to Reykjavik from Sn?fellsnes Peninsula. One minute, you might be blinded by the hot sun whilst the next minute, you could be soaked by an extreme downpour. According to an Icelandic we met, they were having bad weather for weeks before we arrived. I asked my children about going back to Iceland and they replied that they really wanted to visit Iceland again. I want Pocoyo party!“ So, he is going to have an entirely different themed party this year after having Angry Bird themed parties for three years. He has set ideas on colours for girls and boys - pink and red are for girls and blue is for boys. My son already knows simple arithmetic like 1+2=3, 4+5=9 and can count the money I give him .
I was going,  “The Angry Bird opens his hands to pick up the things” when he said, “NO NO Mommy, Stop! Exposure to dangerous levels of noise can occur at work, home and in many  recreational activities. This is a great idea to use for kids and gradkids when they are using your tablet or phone to play games and watch movies with their headphones on.
Furthermore, of the 79 million adults with  pre-diabetes, the rate of hearing loss is 30 percent higher than in those with  normal blood sugar levels. Cerumen cleans and lubricates the skin of the ear  canal and provides protection from bacteria, fungi, insects and water.  Attempting to remove cerumen or cleaning the ear canal with a cotton swab tends  to push earwax deeper into the ear canal. The sound waves reach one ear a split second before the other and a slightly different pressure.
The amplified vibrations spread through the fluid-filled cochlea and stimulate sensitive hair cells, which converts vibrations into nerve signals that travel along the auditory nerve to the cerebrum of the brain where the sensation of sound is produced. The sacs contain chalky granules, called otoliths or balancing stones, which lie on sensory fibres.A  When your head tilts the otoliths move under gravity, pulling on the fibres . Because of the gradual development and unaffected loudness, people are often not aware that there hearing is deteriorating. A Its causes are diverse, including hearing loss or inner ear damage, extreme stress or trauma,A  Meniere disease, acoustic neuroma, degeneration of the middle ear,loud noise exposure (including loud music) and certain medications.
However, those who suffer from itA  often struggle to explain their problemA  and to be taken seriously by family, friends and co-workers. Occupational NIHL and presbycusis (degenerative hearing from aging change) represent the two most common causes of sensorineural hearing loss in society today.
For this reason workers ideally should be out of noise for at least 24 hours if not 48 hours prior to audiometric testing to avoid the effects of TTS on hearing.
Noise exposure from chipping machines and jackhammers characteristically damage the higher frequencies severely before affecting the lower frequencies.
Nevertheless some individuals exposed to noise not infrequently demonstrate some asymmetry to their hearing loss. The majority of changes histopathologically are noted in the basal turn of the cochlea where the high frequency hair cells and their corresponding cochlear nerve neurons are found.
When the distended membranes rupture the resulting admixture of inner (endolymph) and outer (perilymph) fluids causes electrolyte disturbances (i.e.
When the foci primarily affect the cochlea the patient may present with a chronic progressive sensorineural hearing loss in one or both ears.
As otosclerosis is a lifelong condition, the sensorineural hearing loss from cochlear otosclerosis is often superimposed on hearing loss from advancing age (i.e. The hearing loss noted is usually conductive and usually arises from discontinuity of the ossicular chain although any combination of conductive and sensorineural hearing loss can occur. If the individual survives there is usually complete loss of hearing and vestibular function on the involved side. Persistence of a conductive loss after the TM has healed would suggest continued problems with the ossicular chain.
Careful and regular monitoring of auditory function (especially in the ultra high frequencies > 8000 Hz) and serum antibiotic levels may help the physician predict when ototoxic effects are occurring. Pressure on or devascularization of the acoustic nerve or inner ear causes hearing loss, usually a high-frequency loss with reduced speech discrimination. Patients can sometimes identify the moment of occurrence or wake with it or appreciate it only when they go to use the phone. If there is a significant discrepancy this could imply an exaggerated hearing loss is present as well. When speech discrimination scores are especially poor this implies that there may be a lesion involving the cochlear nerve (i.e. In general terms if the Eustachian tube is functioning normally pressure on both sides of the ear drum should be similar (i.e.
Waveform morphology is thought to arise from the cochlear nerve and the various relay stations in the brainstem the electrical response has to travel through. The test is often indicated in an individual if there are concerns regarding an exaggerated hearing loss.
Tinnitus maskers are noise generators worn like a hearing aid that produces a sound of similar frequency to an individuala€™s tinnitus.
The problem with tinnitus however is that it is difficult to quantify objectivity and to fully appreciate how it affects an individuala€™s well-being.
This test measure electrical activity along the cochlear nerve and at the various relay stations in the brainstem between 1-10 msec of stimulation. This test looks at electrical waveforms in the cortical areas of the brain between 50-200 msec after cochlear stimulation.
In humans the auricle has rudimentary functions for gathering sounds and in sound localization which is much more important in animals.
The first part of the ear canal is cartilaginous and is lined by thick, hair bearing skin that contains numerous sebaceous and ceruminous glands. Malfunction of the Eustachian tube remains the leading cause for most middle ear disorders.
The air cell system is typically underdeveloped or even absent (sclerotic) in individuals with a past history of recurrent ear disease. It is a three layered structure whose outer epithelial layer is contiguous with the skin of the external auditory canal, its middle layer is fibrous and its inner layer is composed of the same mucosal lining found throughout the middle ear cleft.
Clinically the malleus is attached by its handle to the tympanic membrane and is readily visible in most individuals on otoscopic examination.
The separate but intimately related perilymphatic and endolymphatic compartments of the inner ear and their ionic constituents are efficiently controlled by the stria vascularis of the cochlea and the dark cells of the vestibular apparatus. This ionic difference between these chambers forms the basis of the endocochlear electrical potential which is necessary for the conversion of mechanical activity from fluid movement within the cochlea to electrical activity arising from the hair cells. The hair cells of the otolithic endorgans (utricle and saccule) are covered by otoliths ( literally a€?little stonesa€? or crystals of calcium carbonate ). The mechanical vibrations are transmitted to the inner ear via the vibrations of the stapes footplate.
The tiny cilia (little hairs) on top of the hair cells (both inner and outer) are covered by a gelatinous membrane called the tectorial membrane. This apparent internal a€?feedback loopa€? is thought to be responsible for a€?fine tuninga€? by inhibiting some unwanted electrical impulses and by changing the mechanical properties of the basilar and tectorial membranes. Distortion of certain sounds arises when enough hair cells are damaged such that the hearing threshold is reduced. A cycle of a pure tone is represented by a sine wave appearance with an area of compression followed by rarefaction.
Low sounds tend to have a long wavelength relative to higher pitched sounds which have shorter wavelengths by comparison. Entitlement to health care and rehabilitation benefits is available when the adjusted hearing loss is at least 22.5 dB in each ear. When the two processes are combined, the resultant pathology and its effects upon aging are not as well understood. In other words many hair cells in a similar region of the cochlea will produce a certain frequency response to sound stimulation.
Upon saying this however we can actually demonstrate that many individuals will start to show early changes in hearing as early as age 40 years (in subjects screened to rule out other ear disease and noise exposure). It is agreed that hearing loss and injury to the ear increases with the noise level, the duration of exposure, the number of exposures and the susceptibility of the individual.


The findings also indicate that the late progression of hearing loss following a single episode of acute acoustic trauma did not exist.
If we have the chance to visit Melbourne again, we’ll definitely take a train to spend our own sweet time at those places. Whatever it is, whatever it takes, you either have a project going or take time out to be by yourself, do something. Many of us waste far too much time on Facebook when some of that time could be spent more productively.
All you need to do is to have samples of your writing in hand and inform them that you are available. Get out of your comfort zone and start a business where you will be in complete control of your life. When I work from home, I am very productive because I already save time to get ready for work and to commute to and from work and there have been times that I work through lunch as well. It’s important that they are not neglected as well because the whole idea to work from home is so that you can spend quality time with the kids right?
But the good news is; on the 1st week itself, the teacher informed us that she just sobbed a little and stopped after we left. This can be anything from processed cheeses, processed cereals, canned food, snacks that you buy from the convenience store wrapped in plastic, even commercial muesli bars; they all add toxins into the body over time.
Good circulation ensures that every part of your body functions well and gets good quality oxygenated blood that is filled with the nutrients that each part of your body needs.
Usually this is not possible and especially not for children when they are fussy eaters and thus, good, natural supplements are necessary.
This is because water has Hydrogen and Hydrogen is everywhere in our cells binding our DNA. If you do not sleep enough, you are giving the free radicals more opportunity to multiply within your body. Think of your children, they need you thus you owe it to them to care best for your own body at no sacrifice. The place was pretty packed which limited us to much fewer activities in comparison to the first time we were there.
Of course, occasionally work beckons, but it is more important to be connected with your own children – especially during their formative years. Now at 4 years old, he still carry that same temperament even though I had sent him to kindergarten since he was 2 years old with a change to another school since then. However, after meeting his friends and as the learning session begins, he starts to enjoy himself. As much as I tried to moderate little tiffs and differences in opinions, some women are so set in their ways and are unforgiving.
She had always been a sparkle of health doing daily morning brisk walks and eating mostly vegetables and fish with very little oil and lots of fruit, but still despite the clean health record from the Doctors, she died suddenly when her heart stopped without warning. Instead of taking prescribed drugs from the Doctors which could potentially lead to other problems, let alone side effects and what not, I am now healing with only these natural supplements and it has been very positive. My husband also stayed behind to be with me so my mother-in-law and father-in-law took Ashton on the trip. Your tummy is okay?” Second day, he asked: “Mommy why so long you aren’t here yet?” I had to explain to him again that I told him I cannot go and he sounded disappointed. We had a great time with the orphans and I am very glad that Amber Chia Academy and Pensonic supported this campaign. He keeps asking me, “How many days are there to Christmas?” Christmas and his birthday are the 2 occasions that he looks forward to the most. It is not entirely stroller friendly as there are a couple of bumpy rides but overall, a stroller comes in handy especially with younger toddlers.
Had we been at school, the most we could have taken off would be 2-3 weeks but since we weren’t at school, 5 weeks was our Haven.
With all this time, the world was their oyster and they only needed to drown themselves in anything that they wished.
Unfortunately for us, this was also a year that my Mother-in-Law passed away, my Mother passed away and the diagnosis of my heart disease happened, all within this last 2 months. It is nourishment for their soul to find themselves and it is only when you know who you are that you can truly succeed in this amazing world.
We had no internet connection and relied only on the hotels’ wifi (which we didn’t book any, except Reyjavik’s), a GPS and our travel book. We went to the district which is famous for the hidden valley of elves, fairies, and puffin! I think it is because of the different experiences they had while they were in Iceland - rivers, waterfalls, larva field, fjords, valleys, hills, glaciers, icebergs, beaches, lagoons, towns, villages, and many more. We went back to Keflavik, had a little rest before catching our flight back to Kuala Lumpur via Amsterdam at 2.30 o’clock in the morning. What was most important thing was the kids: as long as they enjoyed themselves, the whole trip would be the best we ever had. Ashton will be turning four soon, at the end of this month and it’s time for me to plan for baby number two.
It is a different stage of motherhood, a different set of experience and I enjoy every moment of it.
Recently, I asked him to try on a wig so that we can have an idea of how his sister will look like. I think it became a habit from the time he was little when I would ask him about his day without fail.
Sometimes when I ask him about a certain character, he will go to Youtube and tell me the history.
Moderate weight loss, eating healthy and exercise  can delay or prevent type 2 diabetes among adults at-risk for diabetes. Exposure to second-hand tobacco  smoke almost doubles the risk of hearing loss among adolescents. Short fibers in the first part of the cochlea respond to high-frequency vibrations, while long fibres in the last part (apex) are sensitive to low-frequency vibrations.
The fibres fire a nerve signal which reaches the brain and set off a reflex tending to return the body to its normal posture The semicircular canals contain sense organs that respond to movements of the fluid. The stress caused by hearing loss is often a significant factor behind the tinnitus.A  Hearing and understanding better by wearing aids reduces stress and fatigue. Tribunal adjudicators recognize that It is always open to the parties to an appeal to rely on or to distinguish a medical discussion paper, and to challenge it with alternative evidence: see Kamara v. Constant or steady state noise by comparison remains relatively constant and lasts longer although fluctuations in sound intensity may occur. This is however usually related to the fact that one ear receives a greater exposure to the noise than another. Nevertheless the changes seen in presbycusis are typically non-specific and can also be seen in a vast number of pathologies including the effects of noise upon the inner ear. Occasionally both a low-frequency and a high-frequency loss occurs but not usually the type of high frequency loss seen following noise exposure. When vertigo is incapacitating the balance function of the inner ear may be attenuated or ablated by the trans-tympanic instillation of gentamicin with relative preservation of hearing.
If the footplate as well as the cochlea is involved then a mixed (conductive and sensorineural) loss might result. The pathognomic sign of a longitudinal temporal bone fracture is the so-called a€?step deformitya€? in the deep ear canal.
Facial paralysis from an injury to the facial nerve (a nerve that runs in close approximation to the inner ear) typically occurs. The prolonged use of topical aminoglycoside antibiotics to treat middle ear pathology in the presence of a TM perforation is not without some risk which should always be kept in mind.
In fact some people with a€?superhumana€? hearing can even hear sound intensities less than this relative value of sound pressure. In complex situations (mixed hearing losses) it may also be necessary to a€?maska€? the ear not being tested (to prevent crossover of sound to the other ear). When tinnitus is severe enough to affect an individuala€™s well-being a trial of pharmacological treatment is generally recommended.
Investigations such as a magnetic resonance imaging (MRI) are generally required to exclude the remote possibility of central nervous system pathology.
Because of the brains proximity possible life-threatening complications can occur if left untreated (i.e. This test is typically performed when an asymmetric sensorineural hearing loss is present when there is concern a retrocochlear lesion such as an acoustic neuroma or MS might be present. The presence of waveforms following stimulation with the lowest intensity sound an individuala€™s cochlea hears provides us with a reasonable estimation of an individuala€™s hearing (usually within 5-10 dB of the anticipated threshold hearing at the frequency tested). The deeper part of the ear canal is bony, lacks skin appendages and is lined by thinner skin densely adherent to the periosteal lining of the bone. It is anatomically divided into 2 parts: the pars tensa and the pars flaccida (located in what is called the attic region of the tympanic membrane). Medially the arch (crura) of the stapes attaches to the inner ear via its footplate (which is a thin, flat oval piece of bone approximately 7mm X 3mm in dimension).
Series of generation potentials culminate to form action potentials that transmit this electrical activity along the cochlear nerve fibres to the brainstem and onto the higher centers of auditory processing. The hair cells of the vestibular macula respond primarily to gravity and linear accelerations. The presence of active non-muscular contractile elements within the outer hair cells and their effects on movement of the basilar membrane is used to explain the concept of otoacoustic emission (OAE) testing.
When the sound gets loud enough the inability to a€?fine tunea€? sound becomes lost and more nearby hair cells are drawn into the firing needed to create an electrical signal; hence the distortion of a loud sound. Hair cell loss can continue until a certain critical point is breeched with the individual unaware of a hearing deficit.
Follow-up beyond the 1 year mark did not reveal any further deterioration of hearing in any individual. So, we narrowed it down to Hong Kong (as they have Disneyland there), Japan (Disneyland too, but main language is in Japanese) and Australia (heard good reviews from people who travelled there with young children).
Generally, the people there are ever willing to give an extra hand and give way to people with strollers.
We also managed to visit the SeaLife Aquarium, spent some time at the DFO South Wharf by Yarra River. We of course pray that it never happens, but is it not wise to just be prepared even if a little?
This is also something I have done before and is a good way to earn if you do not like moving about. Actually, I should start this business on what to recommend for Stay-At-Home-Moms to do to earn an income! Instead of spending every waking moment in front of the TV, spend some time actually building something for yourself. If you consume it in very low quantities, you can probably get away with it, but if you are a regular consumer of processed food, at some point in your life or your child’s life, there are bound to be consequences. If you have poor circulation, certain parts of your body will start deteriorating and over time, disease sets in. However, if you can be diligent to juice several times daily in order to make up for the lack of nutrients that your body requires, then you could almost negate the supplements but honestly, how many of us have the time to juice 6-7 times a day on top of eating 3 meals that are filled with several dishes of fruit and vegetables? Sometimes, it is a struggle, “Mommy I don’t like Chinese!” I think he is picking up Mandarin well. For the first few days, he kept asking and looking for the iPad & tab – pining like a lost lover!
Nooh is now 3-years young, and every time we look at him, we know we’ll miss his baby face and cheekiness when he eventually goes off to college to pursue his studies. I have led a life of over indulgence eating lots of sugary desserts and chocolate, and I literally ate anything I wanted to as nobody slapped me into consciousness. I have much more energy as a busy Stay-At-Home-Mom now (previously I would collapse in exhaustion whenever my Oxygen levels were low and sleep during the day for up to 4 hours) and I haven’t had a bout of chest pain since. By choice, we did not visit all the touristy sites in Europe because we decided from the start that this was a children’s trip to experience another continent, the weather, the food, the people, learn about currencies, and to observe most of all how people lived other than in our home country. We attended the Home schooling Sports Day which was completely different from a typical school’s sports day where the community just stuck together with support and trust with everyone seen helping one another and not being at competition with each other.
When you truly know yourself, you get to dictate your own terms on how you will live your life and not have the urge to compare yourself and your life to anyone else like the majority of people do. This makes me realise that there is a reason for everything and had we not taken a gap year, the stress of these changes might have flung me towards a nervous breakdown. We wanted to discover Iceland’s glory for ourselves and decided that the best way to explore the country was on a road trip. During that flight, the man who sat next to me would not allow us to change seats with him despite my child crying in front of him. It was 11 o’clock and supposedly near midnight in our country but thanks to the midnight sun, it was bright as day. I have been trying to conceive for a year and I thought a relaxing holiday may well do the trick.
The other day, he told me, “Mommy, it is okay to have a boy” because I am used to comforting him with, “Ashton, it is okay…” whenever he is not happy with something. When you rotate your head, the fluid lags behind and bends a jelly-like blob called the copula at one end of the canal. Furthermore the inner ear noises are usually reduced to the surrounding background when external sounds are once again fully perceived.A  Even with hearing loss in only one ear, people profit from a hearing instrument. For example, truck drivers in North America not infrequently have a greater degree of hearing loss in their left ear (when the window is rolled down the left ear would be exposed to more sound from the engine).
In the last resort the whole inner ear can be destroyed surgically by a procedure called a labyrinthectomy. Exploration of the middle ear surgically with correction of the ossicular chain or insertion of a prosthesis is called an ossiculoplasty. On examination blood is usually seen in the middle ear behind the ear drum (a hemotympanum). The resultant hearing loss depending on the mechanism can be conductive, sensorineural or a combination thereof. Of interest the first course of cisplatinum often demonstrates which patients are vulnerable to cochlear damage and what may happen in future if continued treatment courses are required.
ANs are overwhelmingly unilateral, but in association with a rare genetic disorder, neurofibromatosis type 2, they may be bilateral.
Another concept to appreciate is that the dB scale is a logarithmic (an exponentially increasing) rather than arithmetic (linear increasing) scale which makes it difficult to apply a percentage hearing loss to any individual. Certain anti- depressants (especially the tricyclic or SSRI classes) and anti-convulsants (medications used for seizure control) have been effective for some individuals.
Mean comfort levels (MCLa€™s) and uncomfortable loudness levels (ULLa€™s) during audiometry provide some information concerning the threshold intensity of sound an individual can tolerate. One general maxim in medicine is that a€?an unexplained unilateral sensorineural hearing loss should be considered an acoustic neuroma until proven otherwisea€?. Continuous migration of epithelium from the deeper to the lateral portion of the ear canal tends to keep the ear clean. The pars tensa or lower four-fifths of the ear drum is conically shaped and has a strong fibrous middle layer which provides strength. The blood supply to the incus can be tenuous compared to other structures of the middle ear. Abnormalities in vestibular end organ function often result in the patient experiencing the subjective complaint of vertigo. In general terms the greater the frequency the higher the pitch of the sound and the greater the intensity the louder we hear it. Of interest, in a parallel series of control patients who were further exposed to repeated episodes of acute acoustic trauma during the same study period by the end of 4 years 30% of these individuals had demonstrated significant hearing deterioration.
It is similar to a science centre; older children would be able to relate more on the exhibits. We learnt how to take a train to Brighton Beach where the famous colourful bathing boxes are located (those boxes are basically storage space for surfers).
One would go mental and seriously lose a lot of self-esteem plus not to mention that once the kids leave the nest, you’d be crippled.
I’m too lazy to bake these days so I’d most likely order from you instead if your cake tastes good.
If you are interested, send me your CV and tell me what you like to do and I will find you a work from home job based on your interests, your time that you want to put in versus how much money you would like to make. Processed food contain food preservatives, additives, fillers, food conditioners and flavourings, or you would not be able to keep them in your pantry for more than a few days. Because it not only feeds our already existing but dormant cancer cells within our body but overworks our pancreas and gallbladder into producing excessive insulin. Exercise will also strengthen bones and build muscles, keep a healthy heart and give you overall great health. Of course there is a thing as too much water so the correct amount to drink per person is based on their weight in pounds (lbs) divided by 2 in ounces (oz). Sleep is the time when our cells regenerate and heal, so if you sleep very little, there is very little opportunity for your cells to do a thorough and complete cell renewal process.
And as much as I tried to diffuse situations, it was only me in the end that ended up getting burnt to charcoal. The lesson learnt is that if you have spent quality time with your loved ones continuously, the tragedy of loss will be much easier on the heart. I was an emotional eater too and that didn’t help so it was a very bad habit, this daily eating bad food habit. I am praying very hard that these supplements will heal my heart so well that I will not have to go for an open heart surgery as the Doctors have suggested.
Some just want their kids to get into the working world as fast as possible to either be ahead of their peers or to start earning as early as possible. From the batch of my classmates and peers, I’d say less than 50% are performing what they graduated in. It was an amazingly rich experience for us just spending the whole 35 days as a family unit moving from city to city, having to make decisions, compromise and spend quality time with host families in every country. The kids got to participate in story telling sessions, yoga classes, baking classes, started Capoeira classes, went ice-skating, made an array of new dishes in the kitchen, learnt how to prepare a full dinner without my intervention, visited Bank Negara, the National Musuem, etc and you know what?
Having this time out of school undeniably has given my girls a chance to get to know themselves better.
I have to really study all the cartoon characters as Ashton is getting more knowledgeable about the cartoons than me.
Tiny hairs rooted in nerve cells at the base of the copula are stimulated to send information about head rotation to the brain. A Sound stimulation can also be delivered by broad-band or narrow-band signals from a noise generating device, environmental sounds and soft, slow paced music. All things being equal most noise in industry however is a combination of primary continuous and superimposed impact type noise.
Those who fire guns often demonstrate a greater degree of hearing loss in the ear closest to the barrel (the left ear in a right-handed shooter) because that ear would be closest to the explosion and the other ear would be protected by a a€?head shadowa€?.
However the natural history is enigmatic with unpredictable periods of exacerbation and remission. For example the difference between 10 and 40 dB in sound pressure intensities is not a 4xa€™s increase but actually an increase by a factor of 1,000 or 103 in sound pressure intensities!
An experienced tester, typically an audiologist, is required to perform these technically demanding tests. Wax and debris can collect in the ear canal when this migratory mechanism fails or is overloaded from infectious or inflammatory conditions.
The pars flaccida or upper one-fifth is less distinct and has a poorly developed middle fibrous layer.
When pathology affects its blood supply it can lead to the erosion of its long process which is attached to the stapes. It’s a great tool for many reasons but is reading and posting about what you ate yesterday going to change your life?
They are stuck because they never had the forethought to keep something for themselves and when shits hit the fan, they are well and truly stuck with not enough options.
Whenever we consume sugar, our body produces a spurt of insulin to balance out our body’s blood sugar level. For example, take a heavy, large me who is 80kg which is 176lbs, divide that by 2 to make 88 ounces, which is the amount of water for my body to function optimally, which converted into litres is 2.64 litres. So when’re you can, do sleep and best by 11pm because that is the best time the body starts its healing work. Where are you?” It can be frustrating at times when I am busy at events but I enjoy the sweet feeling that he misses me. The ring is not my style but I love it and wear it because it was given to me by my beloved son. At that moment, I saw a different side of my son, the expressive side and the confident side. I truly think now that if you want your kids to love school, to give them a year out and keep them at home but do NOTHING with them until they get so bored that they are begging to go back to school. I am thankful that we did just that and so although we are terribly saddened by their deaths, we are not crippled and celebrate their passing with continuing their legacies in our daily living. And suddenly last year, when I least expected it just before my Mother passed away, I had a bout of chest pain and was diagnosed with heart disease. Another blessing is that I found a business that I could run from home and am exploring other business opportunities too! I want him to know that there are children who are not as fortunate as him,  children who do not have parents but are still able to stay positive. Some did a degree of their parent’s choice because they just couldn’t decide and didn’t know how to decide, some are just going with the flow and carrying on with the degrees they’d graduated with. It has given them a quiet confidence that no school could ever instil as it is a solo journey of self-discovery.
He can also explain somewhat the meaning of words – “Surprise is when you see something and you are happy” and “Disgusting is when the people are very ugly”.
When I asked him to tell me bed time stories instead, he insists that it is Mommy’s job to do that. Based on the semicircular canalsa€™ angles to each other, the brain can detect movement in any direction. This makes the pars flaccida especially susceptible to negative middle ear pressure and prone to retractions that can lead to the formation of retraction pockets.
Another structure called Reissnera€™ s membrane (R) forms the roof of the scala media (M) which separates this from the scala vestibuli (V). In complex sounds the interaction of its pure tone components forms the basis of its complexity or its psychological counterpart known as timbre.
You could have your own definition but better still if whatever you do actually contributed to the family income, wouldn’t that be fantastic? It takes many years of experience to know what works and what doesn’t and I have experimented with various blogs to learn all that. Over time, our body becomes insulin resistance and despite the pancreas producing more insulin, it no longer works to remove the sugar from our blood. However if you exercise or are active and sweat a lot, then there is no harm drinking a little more than your recommended water intake. If you have work to do, wake early to do it even at 4am, but sleep early rather than sleep late. It is not that I have no confidence in him but he is such an active character, always bouncing about, moving and learning ever so quickly that I am amazed he could listen to the drama teacher’s instructions pretty well.
Just be the politician and be nice to everyone even if you do not really agree with what others do.
Some people are not so fortunate and feel a deep sense of regret, sometimes for the rest of their lives. I hope he continues with this habit in future as I want to be able to give him proper advice when required. When I asked him about his China trip, he told me, “Boring, Mommy!”  I am looking forward to our little family holiday trip. I am very grateful that my kids had this opportunity to give themselves the time and love for the things they are truly passionate about.
When retraction pockets fail to be self-cleansing they fill with debris and desquamated skin that can lead to secondary infection and bone erosion better known as cholesteatoma.
We grabbed a couple of souvenirs at Paddy’s Market for decent prices and our kids were overjoyed with their new kangaroo and platypus soft toys. I’m just saying out of the very little time that you already have, spend a portion of it doing something productive. Like it or not, we will die without water and water contains good Hydrogen that will repair and cleanse out our defective cells known as free radicals from the body. I want to spend as much time as possible with him so I try to cut down on my trips and travel. So listen up, if you have not been spending quality time with your loved ones, start now because they can go. Happy with sticking to our core degrees and spending the rest of our lives making a living out of it?
Free radicals are defective cells that get produced from bad food, stress, environmental pollutants, smells, creams, pollution, and the mere act of breathing because our body is like a car and cars produce fumes as a by product from burning fuel. If any of you are Stay-At-Home-Moms and want to have something for yourself apart from children and the household only, there are definitely options that you could explore. Time to come home.” I am touched that he misses me so much but sometimes I feel helpless, not being able to have him understand why I cannot be with him. However, most people aren’t consuming sugar after a long workout and their livers are already full of glycogen.
And I believe that even if you had the most forward thinking women in a group, this problem will still surface. It is a big problem because now, not only have we lost a source of big income, we have an extra expense – HOSPITAL BILLS!!!
So please, please, please, make a conscious decision on how you will be improving your lifestyle health-wise today. Some of this fat gets shipped out, but a part of it remains in the liver and builds up over time and you get Liver Disease. Eating sugar also increases bad cholesterol and triglycerides and can contribute to Leptin resistance which will then cause weight gain, cravings, sleep problems and such.
Eating sugar will create an addictive sugar response in the brain plus it doesn’t fill you up and instead encourages you to eat more.



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