Articles de revues : « Moderate hearing loss »

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KAWANO, MICHIO. « Moderate hearing loss causing delayed detection. » AUDIOLOGY JAPAN 29, n^o 5 (1986) : 533–34. http://dx.doi.org/10.4295/audiology.29.533.

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JOHNSON, KATE. « ‘Mild to Moderate’ Hearing Loss Underappreciated ». Family Practice News 38, n^o 5 (mars 2008) : 57. http://dx.doi.org/10.1016/s0300-7073(08)70328-1.

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Dinces, Elizabeth A., et Sanjay R. Parikh. « Implantable hearing aids for moderate-to-severe hearing loss ». Operative Techniques in Otolaryngology-Head and Neck Surgery 14, n^o 4 (décembre 2003) : 277–81. http://dx.doi.org/10.1053/s1043-1810(03)00060-5.

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Markova, Tatiana, Natalia Alekseeva, Maria Lalayants, Oxana Ryzhkova, Olga Shatokhina, Nailya Galeeva, Elena Bliznetz et al. « Audiological Evidence of Frequent Hereditary Mild, Moderate and Moderate-to-Severe Hearing Loss ». Journal of Personalized Medicine 12, n^o 11 (4 novembre 2022) : 1843. http://dx.doi.org/10.3390/jpm12111843.

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Congenital and early onset bilateral sensorineural hearing loss (SNHL) is mainly caused by mutations in numerous genes. The introduction of universal newborn hearing screening (UNHS) has increased the number of infants with mild, moderate, and moderate-to-severe sensorineural hearing loss (SNHL) detected in the first year of life. We aimed to evaluate the audiological features in patients with mild, moderate, and moderate-to-severe SNHL according to genotype. Audiological and genetic data were analyzed for 251 patients and their relatives with congenital bilateral mild, moderate, and moderate-to-severe SNHL. Hearing loss severity, audiogram profile, interaural symmetry, and dynamics of hearing thresholds were analyzed. In this case, 165 patients had GJB2 gene mutations, 30 patients were identified with STRC mutations, and 16 patients had pathogenic or likely pathogenic USH2A mutations. The presence of at least one GJB2 non-truncating variant in genotype led to less severe hearing impairment. The flat and gently sloping audiogram profiles were mostly revealed in all groups. The follow-up revealed the stability of hearing thresholds. GJB2, STRC, and USH2A pathogenic variants were detected in most patients in our cohort and were congenital in most cases.

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KOTERA, KAZUOKI. « Indication of hearing aid for mild-to-moderate hearing loss. » AUDIOLOGY JAPAN 29, n^o 5 (1986) : 551–52. http://dx.doi.org/10.4295/audiology.29.551.

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Guerra, Alexis. « Malaria Drug Could Moderate Genetic Hearing Loss ». Hearing Journal 72, n^o 7 (juillet 2019) : 20. http://dx.doi.org/10.1097/01.hj.0000575364.22209.74.

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JOHNSON, KATE. « Experts Flag ‘Mild to Moderate’ Hearing Loss ». Pediatric News 42, n^o 3 (mars 2008) : 34. http://dx.doi.org/10.1016/s0031-398x(08)70133-4.

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Lofgren, Sarah, Martha Montgomery, Nathan Yueh, Alice Namudde, Joshua Rhein, Mahsa Abassi, Abdu Musubire, David Meya et David Boulware. « Hearing Loss in Cryptococcal Meningitis Survivors ». Open Forum Infectious Diseases 4, suppl_1 (2017) : S306. http://dx.doi.org/10.1093/ofid/ofx163.709.

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Abstract Background Hearing loss is a known complication cryptococcal meningitis (CM); however, there is a paucity of data. We aimed to describe hearing loss in CM survivors. Methods We assessed hearing via audiometry 8 and 18 weeks after diagnosis of CM in Kampala, Uganda from 2015-2016. We measured at 0.5, 1, 2, 4 Hz. Normal hearing was defined as minimum hearing level at <25 decibels (dB), mild at 25-39, moderate hearing at 40–69, severe at 70–89, and profound hearing loss at 90+ dB. We compared clinical factors, fungal burden, and CSF parameters to evaluate for factors associated with improvement (change in hearing loss category). Results We evaluated hearing symptoms via audiogram at week 8 (n = 117) and week 18 (n = 98). At 8-weeks, 6 (5%) participants had normal hearing, 36 (31%) had mild hearing loss, 72 (62%) had moderate hearing loss, 3 (3%) had severe hearing loss and none had profound hearing loss. Of those with moderate/severe/profound loss at week 8, 63 (54%) had mixed conductive + sensorineural hearing loss, 15 (13%) had sensorineural hearing loss, and 14 (12%) had conductive hearing loss. An additional 19 (16%) had sensorineural loss but unknown air conduction, and 3 (3%) did not have sensorineural loss but unknown air conduction. We compared risk factors for hearing loss summarized in Table 1. We assessed 66 participants who had repeated audiograms at week 8 and week 18. Of those 31 (47%) had no change, 30 (45%) had improvement and 5 (8%) had worsening. Conclusion Moderate/severe hearing loss was common 8 weeks after diagnosis of CM. More than half had mixed hearing loss and 20% had conductive hearing loss which represents a higher incidence than noted in other types of meningitis. The data is complicated by advanced HIV. Further research is needed evaluating immunologic factors causes hearing impairment in those who survived CM. Disclosures All authors: No reported disclosures.

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Tasell, Dianne J. Van. « Hearing Loss, Speech, and Hearing Aids ». Journal of Speech, Language, and Hearing Research 36, n^o 2 (avril 1993) : 228–44. http://dx.doi.org/10.1044/jshr.3602.228.

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Modern hearing aids permit adjustment of a number of electroacoustic parameters, among them frequency response, saturation sound pressure level, and various aspects of compression. Relatively little is known, however, about how the electroacoustic characteristics of hearing aids affect the information-bearing properties of speech. Even less is known about how hearing aids might alleviate or exacerbate the effects of impaired hearing. This article reviews current knowledge in three areas: (a) characteristics of mild/moderate hearing loss, (b) informationbearing aspects of speech, and (c) the relation between electroacoustic characteristics of hearing aids and the speech signal. Concluding suggestions are made regarding the implications of the current data for selecting hearing-aid characteristics.

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Lister, Jennifer, Aryn Harrison Bush, Jennifer O’Brien, Laura Conover et Nasreen Sadeq. « DOES HEARING LOSS MODERATE THE RELATIONSHIP BETWEEN COGNITION AND DEPRESSION ? » Innovation in Aging 7, Supplement_1 (1 décembre 2023) : 753. http://dx.doi.org/10.1093/geroni/igad104.2436.

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Abstract Hearing loss, depression, and cognitive impairment are common, co-occurring conditions experienced by older adults, but the nature of the relationship among these conditions remains unclear. Both depression and hearing loss have been identified as risk factors for dementia, but for different stages of life (e.g., Singh-Manoux et al., 2017; Livingston et al., 2020). Hearing loss is described as the strongest modifiable risk factor in mid-life, and depression is second only to smoking as the strongest modifiable risk factor in late-life (Livingston et al., 2020). The association between hearing loss and depression is well documented in the literature (e.g., Lawrence et al., 2015). It is possible that hearing loss, as an earlier risk factor, moderates the relationship between depression and cognition. Therefore, as part of an ongoing longitudinal study of early indicators of cognitive decline, we examined the moderating effect of two measures of hearing (pure-tone hearing threshold average, Dichotic Sentence Identification test) on the relationship between depression (Geriatric Depression Scale) and cognition (Montreal Cognitive Assessment, Digit Symbol Substitution test) for a group of 65 older adults (mean age 74). Although none of the hearing or cognitive measures were significant predictors of depression scores on their own, there was a significant negative interaction between the Montreal Cognitive Assessment and pure-tone hearing threshold average, p = 0.048. These results may be interpreted to suggest that individuals with higher (poorer) hearing thresholds show a decrease in depression as their cognitive scores improve, whereas individuals with lower (better) hearing thresholds show the opposite pattern.

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Fujiyoshi, Akie, Akira Uno, Akiko Sugaya et Kunihiro Fukushima. « Disproportionate Language Impairment (DLI) with Moderate Hearing Loss ». Japan Journal of Logopedics and Phoniatrics 64, n^o 3 (2023) : 182–89. http://dx.doi.org/10.5112/jjlp.64.182.

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Sato, Kiyoko, Tomoko Sugiuchi, Osamu Shiromoto, Shiori Karashima et Ayumi Negishi. « A study on the hearing difficulty and self-recognition of hearing loss in people with moderate hearing loss ». AUDIOLOGY JAPAN 62, n^o 4 (30 août 2019) : 290–98. http://dx.doi.org/10.4295/audiology.62.290.

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Kim, Sang Hyun, Tae Hwan Kim, Mi Yeon Lee, Jung Yeop Lee, Joon Pyo Hong, Sun O. Chang, Min-Beom Kim et Sang Hyuk Lee. « Analysis Between Kidney Function and Hearing Loss Using Hemodynamic and Physical Characteristics : A Large Cross-Sectional Cohort Study With Health Screening Test ». Korean Journal of Otorhinolaryngology-Head and Neck Surgery 65, n^o 10 (21 octobre 2022) : 587–93. http://dx.doi.org/10.3342/kjorl-hns.2022.00444.

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Background and Objectives A large-scale community-based study of the general population has not been conducted. There have been no studies on the relationship between decreased renal function and the degree of hearing loss. Thus, the purpose was to evaluate the relationship between hearing loss and impaired renal function with a large number of populations.Subjects and Method We performed a cross-sectional population-based cohort study by enrolling 470718 adults, 18 to 80 years old with pure tone audiometry tests who had regular health screening between 2013 and 2018. Hearing loss was defined as a pure-tone average of thresholds at 500, 1000, and 2000 Hz in both right and left ears. Kidney function was evaluated based on eGFR. Chronic kidney disease (CKD) was diagnosed as an eGFR<60 mL/ min/1.73 m². Other predictor variables including noise and age that can affect hearing were also used to evaluate correlation factors.Results Of Participants with CKD, 14.2% had any hearing loss (>25 dB) and 5.0% had above moderate hearing loss (>40 dB). But those with normal kidney function, 2.0% either had any hearing loss and 0.4% had above moderate hearing loss. The odds ratio (OR) of above moderate hearing loss for participants with CKD was 1.51 (95% confidence interval [CI]: 1.15-2.00, <i>p</i>=0.003) but the OR of mild hearing loss for participants with CKD was 0.82 (95% CI: 0.67- 1.02, <i>p</i>=0.073). The result suggested that CKD and above moderate hearing loss were related even after correcting for potential confounders, but had no statistical significance with mild hearing loss.Conclusion Decreased kidney function is associated with above moderate hearing loss.

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Kossler, Andrea, Connie Martin Sears et Chrysoula Dosiou. « Hearing Loss and Teprotumumab ». Journal of the Endocrine Society 5, Supplement_1 (1 mai 2021) : A839. http://dx.doi.org/10.1210/jendso/bvab048.1713.

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Abstract Thyroid eye disease (TED) is an unpredictable autoimmune inflammatory disease which can be sight-threatening, debilitating, and disfiguring. Teprotumumab (IV infusion every 3 weeks x 8 doses) was recently approved as the first and only FDA-approved drug for TED in 2020. Phase 2 and 3 studies showed significant improvement in proptosis, double vision, soft tissue inflammation and quality of life for patients with active moderate to severe TED. Side effects were experienced by 85% of patients on teprotumumab. Hearing loss symptoms were reported in 10% of patients and were reported to be reversible upon stopping the drug. Objective: To explore the incidence of hearing loss symptoms and sensorineural hearing loss in patients treated with teprotumumab. Methods: All patients, followed at one institution, treated with at least 4 infusions of teprotumumab were evaluated. Charts were evaluated for baseline hearing symptoms and hearing symptoms during or after therapy with teprotumumab. Those patients with hearing symptoms were referred for audiogram testing and patulous eustachian tube (PET) testing. Results: Twenty-eight patients were included in this analysis. Thirteen patients (46%) complained of hearing symptoms. The most common symptoms were autophony or an ear plugging sensation and hearing loss or muffled hearing. Hearing symptoms developed after a mean of 3.6 infusions. Of the patients with hearing symptoms, three patients (23%) had sensorineural hearing loss documented on audiogram (n=2) or patulous eustachian tube (n=1) documented on PET testing. To date, the patient with PET has experienced some improvement, but not resolution, of her symptoms. The two patients with documented sensorineural hearing loss have not experienced a significant improvement in hearing, on audiogram, on average 3 months after stopping teprotumumab. Conclusion: Teprotumumab is a promising new therapy for active moderate to severe thyroid eye disease. Providers should consider performing a baseline audiogram with PET testing and performing audiograms with PET testing for patients that develop hearing symptoms during or after therapy. Hearing loss is a concerning adverse event and its mechanism and reversibility should be further studied.

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Alicea, Carly C. M., et Karen A. Doherty. « Motivation to Address Self-Reported Hearing Problems in Adults With Normal Hearing Thresholds ». Journal of Speech, Language, and Hearing Research 60, n^o 12 (20 décembre 2017) : 3642–55. http://dx.doi.org/10.1044/2017_jslhr-h-17-0110.

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PurposeThe purpose of this study was to compare the motivation to change in relation to hearing problems in adults with normal hearing thresholds but who report hearing problems and that of adults with a mild-to-moderate sensorineural hearing loss. Factors related to their motivation were also assessed.MethodThe motivation to change in relation to self-reported hearing problems was measured using the University of Rhode Island Change Assessment (McConnaughy, Prochaska, & Velicer, 1983). The relationship between objective and subjective measures and an adult's motivation was examined.ResultsThe level of hearing handicap did not differ significantly between adults with normal hearing who reported problems hearing in background noise and adults who had a mild-to-moderate sensorineural hearing loss. Hearing handicap, personal distress, and minimization of hearing loss were factors significantly related to motivation. Age, degree of hearing loss, speech-in-noise scores, working memory, and extended high-frequency average thresholds were not significantly related to their motivation.ConclusionsAdults with normal hearing thresholds but self-reported hearing problems had the same level of hearing handicap and were equally motivated to take action for their hearing problems as age-matched adults with a mild-to-moderate sensorineural hearing loss. Hearing handicap, personal distress, and minimization of hearing loss were most strongly correlated with an individual's motivation to change.

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Lorenzi, Christian, Christophe Micheyl, Frédéric Berthommier et Serge Portalier. « Modulation Masking in Listeners With Sensorineural Hearing Loss ». Journal of Speech, Language, and Hearing Research 40, n^o 1 (février 1997) : 200–207. http://dx.doi.org/10.1044/jslhr.4001.200.

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This study compares amplitude-modulation (AM) masking in listeners with normal hearing and in listeners with a hearing loss. To address this issue, we measured the detection of sinusoidal AM applied to a white noise carrier, as a function of the frequency of a masking sinusoidal AM applied to the same noise carrier. These input filter patterns were measured for four listeners with normal hearing and three listeners with moderate or mild-to-severe sensorineural hearing losses. Stimuli were presented at 50 dB SL for all listeners with normal hearing and for two of the three listeners with hearing loss. The third listener with hearing loss was tested at 25 dB SL. For the listeners with normal hearing, the input filter patterns obtained for 100-Hz signal modulation had a broad bandpass characteristic. All input filter patterns showed a primary masking peak at 100 Hz. A secondary masking peak was apparent also at 50 Hz. For the listeners with impaired hearing, the unmasked modulation thresholds were similar to those measured in the listeners with normal hearing. One listener with moderate hearing loss exhibited a broadly tuned input filter pattern with a masking peak at 100 Hz, but no secondary peak. The two other listeners with moderate or mild-to-severe sensorineural hearing loss showed no main masking peak and increased thresholds at low masker modulation frequencies. These results suggest that cochlear damage may affect performance in a modulation masking task.

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Tharpe, Anne Marie, et Samantha Gustafson. « Management of Children with Mild, Moderate, and Moderately Severe Sensorineural Hearing Loss ». Otolaryngologic Clinics of North America 48, n^o 6 (décembre 2015) : 983–94. http://dx.doi.org/10.1016/j.otc.2015.07.005.

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Brennan-Jones, Christopher G., Elizabeth Weeda et Melanie Ferguson. « Cochrane corner : hearing aids for mild to moderate hearing loss in adults ». International Journal of Audiology 57, n^o 7 (31 janvier 2018) : 479–82. http://dx.doi.org/10.1080/14992027.2018.1432903.

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Mohandudwe et Mamataj Begum. « Management of Badhirya(Sensory Loss Of Hearing) with Ayurveda ». International Research Journal of Ayurveda & ; Yoga 06, n^o 04 (2023) : 56–60. http://dx.doi.org/10.47223/irjay.2023.6408.

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Sensory neural hearing loss occurs when there is a problem in the sensory apparatus -cochlea (sensory) or in the pathways of conduction of nerve impulses to the brain. Sensory neural hearing loss can be Peripheral and Central (auditory pathway or cortex).It can be congenital or acquired. Congenital: present at birth, due to anomalies of inner ear or due to pre or perinatal factors. In present study we have discussed a case of a 12-year-old male child who came to OPD with complains of Sensory neural hearing Loss since childhood. Audiometry report showed Right ear moderate to profound mixed hearing loss Left ear -moderate to severe sensory neural hearing loss. First Ayurvedatreatment of Sensory neural hearing loss with three sittings of MarshaNasyafrom Anu Taila, 3 sittings of Karnapuranafrom Bilwadi Taila And Sarivadi Vatiwith the dose of 250mg thrice a day with luke warm water or milk for 1 month were given in a month and same procedure followed for 6 months. After that his hearing improved showing audiometric findings of Moderate hearing in both ear. After six months repeat Audiometry was done. Patient also felt better hearing in both ears. Decreased hearing due to Sensory neural hearing loss is result of Damage of hair cells, which can be managed with the help of Ayurvedatreatment Marsha Nasya, Karnapurana with Rasayanatreatment. Hearing loss to school going children is a very serious problem affecting their education, skills and socialrelationship with others.

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Wolfe, Jace, Andrew John, Erin Schafer, Myriel Nyffeler, Michael Boretzki et Teresa Caraway. « Evaluation of Nonlinear Frequency Compression for School-Age Children with Moderate to Moderately Severe Hearing Loss ». Journal of the American Academy of Audiology 21, n^o 10 (novembre 2010) : 618–28. http://dx.doi.org/10.3766/jaaa.21.10.2.

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Background: Previous research has indicated that children with moderate hearing loss experience difficulty with recognition of high-frequency speech sounds, such as fricatives and affricates. Conventional behind-the-ear (BTE) amplification typically does not provide ample output in the high frequencies (4000 Hz and beyond) to ensure optimal audibility for these sounds. Purpose: To evaluate nonlinear frequency compression (NLFC) as a means to improve speech recognition for children with moderate to moderately severe hearing loss. Research Design: Within subject, crossover design with repeated measures across test conditions. Study Sample: Fifteen children, aged 5–13 yr, with moderate to moderately severe high-frequency sensorineural hearing loss were fitted with Phonak Nios, microsized, BTE hearing aids. These children were previous users of digital hearing aids and communicated via spoken language. Their speech and language abilities were age-appropriate. Data Collection and Analysis: Aided thresholds and speech recognition in quiet and in noise were assessed after 6 wk of use with NLFC and 6 wk of use without NLFC. Participants were randomly assigned to counter-balanced groups so that eight participants began the first 6 wk trial with NLFC enabled and the other seven participants started with NLFC disabled. Then, the provision of NLFC was switched for the second 6 wk trial. Speech recognition in quiet was assessed via word recognition assessments with the University of Western Ontario (UWO) Plural Test and recognition of vowel-consonant-vowel nonsense syllables with the Phonak Logatome test. Speech recognition in noise was assessed by evaluating the signal-to-noise ratio in dB for 50% correct performance on the Bamford-Kowal-Bench Speech-in-Noise (BKB-SIN) test, an adaptive test of speech perception in a multitalker babble background. Results: Aided thresholds for high-frequency stimuli were significantly better when NLFC was enabled, and use of NLFC resulted in significantly better speech recognition in quiet for the UWO Plural Test and for the phonemes /d/ and /s/ on the Phonak Logatome test. There was not a statistically significant difference in performance on the BKB-SIN test between the NLFC enabled and disabled conditions. Conclusions: These results indicate that NLFC improves audibility for and recognition of high-frequency speech sounds for children with moderate to moderately severe hearing loss in quiet listening situations.

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Davies-Venn, Evelyn, et Pamela Souza. « The Role of Spectral Resolution, Working Memory, and Audibility in Explaining Variance in Susceptibility to Temporal Envelope Distortion ». Journal of the American Academy of Audiology 25, n^o 06 (juin 2014) : 592–604. http://dx.doi.org/10.3766/jaaa.25.6.9.

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Background: Several studies have shown that hearing thresholds alone cannot adequately predict listeners’ success with hearing-aid amplification. Furthermore, previous studies have shown marked differences in listeners’ susceptibility to distortions introduced by certain nonlinear amplification parameters. Purpose: The purpose of this study was to examine the role of spectral resolution, working memory, and audibility in explaining perceptual susceptibility to temporal envelope and other hearing-aid compression-induced distortions for listeners with mild to moderate and moderate to severe hearing loss. Research Design: A between-subjects repeated-measures design was used to compare speech recognition scores with linear versus compression amplification, for listeners with mild to moderate and moderate to severe hearing loss. Study Sample: The study included 15 adult listeners with mild to moderate hearing loss and 13 adults with moderate to severe hearing loss. Data Collection/Analysis: Speech recognition scores were measured for vowel-consonant-vowel syllables processed with linear, moderate compression, and extreme compression amplification. Perceptual susceptibility to compression-induced temporal envelope distortion was defined as the difference in scores between linear and compression amplification. Both overall scores and consonant feature scores (i.e., place, manner, and voicing) were analyzed. Narrowband spectral resolution was measured using individual measures of auditory filter bandwidth at 2000 Hz. Working memory was measured using the reading span test. Signal audibility was quantified using the Aided Audibility Index. Multiple linear regression was used to determine the predictive role of spectral resolution, working memory, and audibility benefit on listeners’ susceptibility to compression-induced distortions. Results: For all listeners, spectral resolution, working memory, and audibility benefit were significant predictors of overall distortion scores. For listeners with moderate to severe hearing loss, spectral resolution and audibility benefit predicted distortion scores for consonant place and manner of articulation features, and audibility benefit predicted distortion scores for consonant voicing features. For listeners with mild to moderate hearing loss, the model did not predict distortion scores for overall or consonant feature scores. Conclusions: The results from this study suggest that when audibility is adequately controlled, measures of spectral resolution may identify the listeners who are most susceptible to compression-induced distortions. Working memory appears to modulate the negative effect of these distortions for listeners with moderate to severe hearing loss.

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Segal, Nili, Mark Shkolnik, Anat Kochba, Avichai Segal et Mordechai Kraus. « Asymmetric Hearing Loss in a Random Population of Patients with Mild to Moderate Sensorineural Hearing Loss ». Annals of Otology, Rhinology & ; Laryngology 116, n^o 1 (janvier 2007) : 7–10. http://dx.doi.org/10.1177/000348940711600102.

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Fitzpatrick, Elizabeth M., Flora Nassrallah, Bénédicte Vos, JoAnne Whittingham et Jessica Fitzpatrick. « Progressive Hearing Loss in Children With Mild Bilateral Hearing Loss ». Language, Speech, and Hearing Services in Schools 51, n^o 1 (8 janvier 2020) : 5–16. http://dx.doi.org/10.1044/2019_lshss-ochl-19-0013.

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Purpose This study investigated progressive hearing loss in a cohort of children who were identified with permanent mild bilateral hearing loss. Method This population-based study included 207 children with permanent mild bilateral hearing loss, diagnosed and followed from 2003 to 2016 in 1 region of Canada. Clinical characteristics and initial audiologic results were collected prospectively at diagnosis, and audiologic information was updated. Changes in hearing levels between the 1st and most recent assessment were analyzed to determine progressive hearing loss. Clinical characteristics were compared between children with progressive and stable hearing loss. The association between risk indicators and progressive hearing loss was explored through logistic regression. Results A total of 47.4% (94 of 207) had progressive hearing loss in at least 1 ear, and 50% (47 of 94) of those experienced more than 20-dB average drop in thresholds. For these 94 children, a total of 147 ears were affected, and 116 (78.9%) ears experienced sufficient change in thresholds to be coded as a worse category of hearing loss. In the subset of 85 children with more than 5 years of audiologic follow-up, 56.4% (53/85) showed a decrease in hearing. Of the total sample of 207 children, 137 (66.2%) continued to have mild hearing loss in the better ear. There was no association between the risk factors examined (family history of hearing loss, admission to the neonatal intensive care unit, or presence of a syndrome) and progressive hearing loss. Conclusion This study found that almost half of children with mild bilateral hearing loss showed a decrease in hearing in at least 1 ear. One third of the children first diagnosed with mild hearing loss in the better ear now have moderate or worse hearing loss in both ears. These findings point to the importance of careful long-term monitoring of children who present with mild hearing loss.

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Glassman, Jennifer, Timothy Jordan, Jiunn-Jye Sheu, Lori Pakulski et Amy Thompson. « Health Status of Adults with Hearing Loss in the United States ». Audiology Research 11, n^o 1 (10 mars 2021) : 100–111. http://dx.doi.org/10.3390/audiolres11010011.

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Purpose: The purpose of this study was to identify the current health status of adults in the United States with self-reported hearing loss and compare it with US adults with a self-reported excellent or good hearing in three areas: (1) chronic disease states and general health status, (2) medical screening behaviors, and (3) lifestyle behaviors. Methods: A secondary data analysis was conducted using the 2014 data set from the National Health Interview Survey (NHIS), specifically the Sample Adult Public Use File (samadult). For this questionnaire set, one adult per family was randomly selected. This individual self-reported their response to the questionnaire items. Binary regressions were used to analyze the odds ratio to find differences for selected disease states, screenings, and lifestyle behaviors. Respondents were grouped into one of four categories: excellent/good hearing, a little trouble hearing, moderate/a lot of trouble hearing, and deaf. Results: The excellent/good hearing group was used as the comparison group for the other three levels of hearing. There are many differences in likelihood to self-report disease states; the greatest increased likelihoods include tinnitus and heart disease, with tinnitus being 8.6 times more likely for those who identified as having moderate/a lot of hearing loss. Those with any level of hearing loss were 3 to 5 times more likely to self-report heart disease. Regarding lifestyle factors, individuals with any level of hearing loss were less likely to consume alcohol and 2.5 to 9 times more likely to be unable to engage in moderate or vigorous activity on a weekly basis, respectively. Conclusions: There is a difference in the health status of individuals with hearing loss across all three areas examined (chronic disease states and general health status, medical screening behaviors, and lifestyle behaviors), and those differences vary based on level of hearing loss, the most notable being the self-reported inability to engage in moderate and vigorous physical activity. Disproportionate rates of tinnitus and heart disease were evident in all levels of hearing loss but most notable in those identifying as having moderate/a lot of trouble hearing. Further interdisciplinary research is necessary to improve the health of individuals with all levels of hearing loss, increase awareness of the hearing/health connection, and decrease hearing loss in general.

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Pittman, Andrea L., Ayoub Daliri et Lauren Meadows. « Vocal Biomarkers of Mild-to-Moderate Hearing Loss in Children and Adults : Voiceless Sibilants ». Journal of Speech, Language, and Hearing Research 61, n^o 11 (8 novembre 2018) : 2814–26. http://dx.doi.org/10.1044/2018_jslhr-h-17-0460.

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PurposeThe purpose of this study was to determine if an objective measure of speech production could serve as a vocal biomarker for the effects of high-frequency hearing loss on speech perception. It was hypothesized that production of voiceless sibilants is governed sufficiently by auditory feedback that high-frequency hearing loss results in subtle but significant shifts in the spectral characteristics of these sibilants.MethodSibilant production was examined in individuals with mild to moderately severe congenital (22 children; 8–17 years old) and acquired (23 adults; 55–80 years old) hearing losses. Measures of hearing level (pure-tone average thresholds at 4 and 8 kHz), speech perception (detection of nonsense words within sentences), and speech production (spectral center of gravity [COG] for /s/ and /ʃ/) were obtained in unaided and aided conditions.ResultsFor both children and adults, detection of nonsense words increased significantly as hearing thresholds improved. Spectral COG for /ʃ/ was unaffected by hearing loss in both listening conditions, whereas the spectral COG for /s/ significantly decreased as high-frequency hearing loss increased. The distance in spectral COG between /s/ and /ʃ/ decreased significantly with increasing hearing level. COG distance significantly predicted nonsense-word detection in children but not in adults.ConclusionsAt least one aspect of speech production (voiceless sibilants) is measurably affected by high-frequency hearing loss and is related to speech perception in children. Speech production did not predict speech perception in adults, suggesting a more complex relationship between auditory feedback and feedforward mechanisms with age. Even so, these results suggest that this vocal biomarker may be useful for identifying the presence of high-frequency hearing loss in adults and children and for predicting the impact of hearing loss in children.

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van der Zee, Rosanne B., Noëlle N. Uilenburg, Catharina (Kitty) P. B. van der Ploeg et Evelien Dirks. « Prevalence of Hearing Loss in Dutch Newborns ; Results of the Nationwide Well-Baby Newborn Hearing Screening Program ». Applied Sciences 12, n^o 4 (16 février 2022) : 2035. http://dx.doi.org/10.3390/app12042035.

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Background: Few studies report prevalence rates of hearing loss in newborns for nationwide populations. The Dutch well-baby newborn hearing screening covers almost all eligible children and has high participation rates for follow-up screening rounds and diagnosis. This allows calculating reliable prevalence rates of permanent neonatal hearing loss specified by severity. Methods: Results from the well-baby newborn hearing screening program and diagnostic follow-up of referred children from 2015 to 2019 were included in calculating prevalence rates. Hearing loss was classified according to the degree of severity. Results: A total of 99.7% of 833,318 children eligible for screening were included. A total of 0.3% were referred for audiological diagnostics. Permanent bilateral hearing loss of ≥40 dB was diagnosed in 23.7% of them and unilateral hearing loss in 14.4%. A prevalence rate of 1.23 per 1000 children was found, 0.46 for unilateral hearing loss and 0.76 for bilateral hearing loss. Moderate hearing loss is most common in children with bilateral hearing loss (0.47), followed by profound (0.21) and severe (0.06) hearing loss. In children with unilateral hearing loss, prevalence rates are the highest for profound hearing loss (0.21), followed by moderate (0.16) and severe (0.09) hearing loss. A total of 87.5% of the children were diagnosed within the age of 3 months. Conclusions: Because of the high quality of the Dutch well-baby hearing screening program, reported results approximate true prevalence rates of permanent hearing loss by severity.

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Reed, Nicholas. « AN INTERDISCIPLINARY APPROACH TO ADDRESSING HEARING LOSS IN THE INPATIENT SETTING TO IMPROVE COMMUNICATION ». Innovation in Aging 7, Supplement_1 (1 décembre 2023) : 447. http://dx.doi.org/10.1093/geroni/igad104.1470.

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Abstract Nearly half of all adults over 60 years of age have hearing loss which is associated with decreased satisfaction with care, higher risk of readmission, and longer length of stay. These associations may be mediated by the barriers hearing loss places on patient-provider communication. There is a paucity of sustainable programs focused on addressing hearing loss among older adults in the inpatient. An interdisciplinary collaborative team comprising audiologists, geriatricians, and nurses developed and implemented a quality initiative to address hearing loss in the inpatient setting in two medical inpatient units at Johns Hopkins Bayview Medical Center that started with offering 16 training session slots to raise awareness of hearing loss and teach technologic, environmental, and communication considerations for adults with hearing loss. Over a 3-month period, 543 of 644 admitted patients were screened for hearing loss using a sustainable model built into the admission process. Those without hearing loss (52.6%) received no intervention, those with mild loss (31.3%) received signage in the room reminding providers of training, and those with moderate or greater loss (16.1%) received signage and an amplifier. At discharge, 79% and 81.6% of those with mild and moderate hearing loss indicated improved communication during their current stay relative to previous stays. Notably, a larger proportion of those without hearing loss (52.9%) also indicated improved communication. A post study survey among 18 nurses suggested themes of moderate (33%) desiring more training and overwhelming perceptions (94.4%) the program didn’t interfere with other duties and made communication with patients easier.

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Tripathi, Prashant. « Correlation between Preoperative Hearing Evaluation with Intra-operative Ossicular Status in COM Mucosal ». Nepalese Journal of ENT Head and Neck Surgery 5, n^o 2 (20 mars 2018) : 15–17. http://dx.doi.org/10.3126/njenthns.v5i2.19410.

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Objective: To correlate the preoperative pure tone audiogram findings with intra-operative status of ossicular chain in patients with chronic otitis media mucosal type.Material and Methods: Prospective, descriptive study conducted over a period of twenty months at GMSMA of ENT-Head and Neck Studies, TUTH, IOM, Kathmandu, Nepal. Patients included in the study were both children and adults with central perforation in tympanic membrane which was dry for at least 4 weeks. Patients with SNHL or mixed HL and in those where ossicular status was not assessed were excluded from study.Results: There were 274 patients operated for COM Mucosal and 67 patients were excluded from study as they did not meet inclusion criteria. Hence, there were 207 patients included in the study. Out of them, 4 (1.9%) patients had minimal hearing loss, 73 (35.3%) had mild hearing loss, 117 (56.5%) had moderate hearing loss and 13 (6.3%) had severe hearing loss. On correlating with ossicular status, when there was discontinuity of ossicular chain average hearing loss was more than 50 dB and none of the patients had mild hearing loss. When there were restricted or fixed ossicles, there was moderate to severe hearing loss in majority of cases (85%). With intact and mobile ossicles, about 95% patients had mild to moderate hearing loss. When there was only mild hearing loss, 90% patients had intact and mobile ossicles and 10% had ossicular fixation or restricted mobility.Conclusion: In our study, we found that preoperative pure tone audiogram can predict the possibility of the involvement of the ossicular chain in patients with COM Mucosal. Ossicular involvement is more common with moderate to severe hearing loss either in the form of fixation or discontinuity.Nepalese Journal of ENT Head and Neck Surgery, Vol. 5, No. 2, 2014, Page: 15-17

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Trebusak Podkrajsek, Katarina, Tine Tesovnik, Nina Bozanic Urbancic et Saba Battelino. « Novel GRHL2 Gene Variant Associated with Hearing Loss : A Case Report and Review of the Literature ». Genes 12, n^o 4 (26 mars 2021) : 484. http://dx.doi.org/10.3390/genes12040484.

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In contrast to the recessive form, hearing loss inherited in a dominant manner is more often post-lingual and typically results in a progressive sensorineural hearing loss with variable severity and late onset. Variants in the GRHL2 gene are an extremely rare cause of dominantly inherited hearing loss. Genetic testing is a crucial part of the identification of the etiology of hearing loss in individual patients, especially when performed with next-generation sequencing, enabling simultaneous analysis of numerous genes, including those rarely associated with hearing loss. We aimed to evaluate the genetic etiology of hearing loss in a family with moderate late-onset hearing loss using next-generation sequencing and to conduct a review of reported variants in the GRHL2 gene. We identified a novel disease-causing variant in the GRHL2 gene (NM_024915: c.1510C>T; p.Arg504Ter) in both affected members of the family. They both presented with moderate late-onset hearing loss with no additional clinical characteristics. Reviewing known GRHL2 variants associated with hearing loss, we can conclude that they are more likely to be truncating variants, while the associated onset of hearing loss is variable.

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Popelka, Michael M., Karen J. Cruickshanks, Terry L. Wiley, Theodore S. Tweed, Barbara E. K. Klein, Ronald Klein et David M. Nondahl. « Moderate Alcohol Consumption and Hearing Loss : A Protective Effect ». Journal of the American Geriatrics Society 48, n^o 10 (octobre 2000) : 1273–78. http://dx.doi.org/10.1111/j.1532-5415.2000.tb02601.x.

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Lopez-Poveda, Enrique A., Christopher J. Plack, Ray Meddis et José L. Blanco. « Cochlear compression in listeners with moderate sensorineural hearing loss ». Hearing Research 205, n^o 1-2 (juillet 2005) : 172–83. http://dx.doi.org/10.1016/j.heares.2005.03.015.

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Thomas, Ewan, Francesco Martines, Antonino Bianco, Giuseppe Messina, Valerio Giustino, Daniele Zangla, Angelo Iovane et Antonio Palma. « Decreased postural control in people with moderate hearing loss ». Medicine 97, n^o 14 (avril 2018) : e0244. http://dx.doi.org/10.1097/md.0000000000010244.

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Westby, Carol. « Theory of Mind in Children With Moderate Hearing Loss ». Word of Mouth 31, n^o 4 (4 février 2020) : 8–11. http://dx.doi.org/10.1177/1048395020902396b.

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Swanepoel, DeWet, et Hettie Erasmus. « Auditory steady-state responses for estimating moderate hearing loss ». European Archives of Oto-Rhino-Laryngology 264, n^o 7 (9 mai 2007) : 755–59. http://dx.doi.org/10.1007/s00405-007-0327-8.

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Acke, Frederic R. E., et Els M. R. De Leenheer. « Hearing Loss in Stickler Syndrome : An Update ». Genes 13, n^o 9 (1 septembre 2022) : 1571. http://dx.doi.org/10.3390/genes13091571.

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Stickler syndrome is a connective tissue disorder characterized by ocular, skeletal, orofacial and auditory manifestations. Its main symptoms are high myopia, retinal detachment, joint hypermobility, early osteoarthritis, cleft palate, midfacial hypoplasia, micrognathia and hearing loss. Large phenotypical variability is apparent and partly explained by the underlying genetic heterogeneity, including collagen genes (COL2A1, COL11A1, COL11A2, COL9A1, COL9A2, COL9A3) and non-collagen genes (BMP4, LRP2, LOXL3). The most frequent type of Stickler syndrome (COL2A1) is characterized by a rather mild high-frequency sensorineural hearing loss in about half of the patients. COL11A1- and COL11A2-related Stickler syndrome results in more frequent hearing loss, being moderate and involving all frequencies. Hearing loss in the rarer types of Stickler syndrome depends on the gene expression in the cochlea, with moderate to severe downsloping hearing loss for Stickler syndrome caused by biallelic type IX collagen gene mutations and none or mild hearing loss for the non-collagen genes. Inherent to the orofacial manifestations, middle ear problems and temporary conductive hearing loss, especially at young age, are also prevalent. Consequently, hearing loss should be actively sought for and adequately treated in Stickler syndrome patients given its high prevalence and the concomitant visual impairment in most patients.

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Abraham, Zephania Saitabau, et Aveline Aloyce Kahinga. « Characteristics of hearing loss in Dar es Salaam, Tanzania ». South Sudan Medical Journal 15, n^o 4 (25 novembre 2022) : 143–46. http://dx.doi.org/10.4314/ssmj.v15i4.5.

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Introduction: Hearing loss is a major public health problem in developed and developing countries. The objective of this study was to determine the causes and patterns of hearing loss at a private hospital that serves the largest number of patients with ear, nose and throat diseases in Tanzania’s largest city. Method: This was a hospital based descriptive cross-sectional study that was conducted at a private hospital in Dar es Salaam. Data were collected from January to June 2021 and analysed using Statistical Package for Social Sciences (SPSS) version 20. P-value<0.05 was considered to be statistically significant. Results: Of the 250 patients recruited with hearing loss, there were 115 (46%) males and 135 (54%) females (F:M ratio of 1.2:1). The commonest cause of hearing loss was presbyacusis 132 (52.8%) followed by ototoxicity 26 (10.4%) and chronic suppurative otitis media 26(10.4%). Based on laterality, 73.2% of the patients had unilateral hearing loss whereas 26.8% had bilateral hearing loss. Regarding the type of hearing loss, 85.6% of the patients had sensorineural hearing loss followed by conductive type (13.2%) and mixed hearing loss (1.2%). Based on severity, 40.8% of the patients had moderate hearing loss followed by both moderately severe and severe hearing loss each accounting for 18% of cases. Conclusion: Sensorineural hearing loss was the commonest type of hearing loss in this study. Both unilateral hearing loss according to laterality and moderate hearing loss upon classifying by severity predominated. Age‑related hearing loss was the most common cause of hearing loss followed by ototoxicity and chronic suppurative otitis media.

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Goode, Richard L., et Jodi Krusemark. « Advantages of a New Miniature Hearing Aid for Mild to Moderate Hearing Loss ». Laryngoscope 109, n^o 12 (décembre 1999) : 1919–23. http://dx.doi.org/10.1097/00005537-199912000-00004.

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Başkent, Deniz, Cheryl L. Eiler et Brent Edwards. « Phonemic restoration by hearing-impaired listeners with mild to moderate sensorineural hearing loss ». Hearing Research 260, n^o 1-2 (février 2010) : 54–62. http://dx.doi.org/10.1016/j.heares.2009.11.007.

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Tanigawa, T., R. Shibata, H. Tanaka, M. Gosho, N. Katahira, Y. Horibe, Y. Nakao et H. Ueda. « Usefulness of three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging to detect inner-ear abnormalities in patients with sudden sensorineural hearing loss ». Journal of Laryngology & ; Otology 129, n^o 1 (8 décembre 2014) : 11–15. http://dx.doi.org/10.1017/s0022215114003028.

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AbstractObjective:Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging has been used to detect alterations in the composition of inner-ear fluid. This study investigated the association between hearing level and the signal intensity of pre- and post-contrast three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging in patients with sudden-onset sensorineural hearing loss.Method:Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging was performed in 18 patients with sudden-onset sensorineural hearing loss: 12 patients with mild-to-moderate sensorineural hearing loss (baseline hearing levels of 60 dB or less) and 6 patients with severe-to-profound sensorineural hearing loss (baseline hearing levels of more than 60 dB).Results:High-intensity signals in the inner ear were observed in two of the six patients (33 per cent) with severe-to-profound sensorineural hearing loss, but not in those with mild-to-moderate sensorineural hearing loss (mid-p test, p = 0.049). These signals were observed on magnetic resonance imaging scans 6 or 18 days after sensorineural hearing loss onset.Conclusion:The results indicate that three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging is not a useful tool for detecting inner-ear abnormalities in patients with mild sensorineural hearing loss.

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Ichinose, Aya, Hideaki Moteki, Mitsuru Hattori, Shin-ya Nishio et Shin-ichi Usami. « Novel Mutations in LRTOMT Associated With Moderate Progressive Hearing Loss in Autosomal Recessive Inheritance ». Annals of Otology, Rhinology & ; Laryngology 124, n^o 1_suppl (18 mars 2015) : 142S—147S. http://dx.doi.org/10.1177/0003489415575043.

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Objective: We present a patient who was identified with novel mutations in the LRTOMT gene and describe the clinical features of the phenotype including serial audiological findings. Methods: One hundred six Japanese patients with mild to moderate sensorineural hearing loss from unrelated and nonconsanguineous families were enrolled in the study. Targeted genomic enrichment and massively parallel sequencing of all known nonsyndromic hearing loss genes were performed to identify the genetic cause of hearing loss. Results: Compound heterozygotes with a novel frame-shift mutation and a missense mutation were identified in the LRTOMT gene. The mutated residues were segregated in both alleles of LRTOMT, present within the LRTOMT2 protein coding region. The patient had moderate sloping hearing loss at high frequencies, which progressed at 1000 Hz and higher frequencies over a period of 6 years. Conclusion: Hearing loss caused by mutations in the LRTOMT gene is extremely rare. This is the first case report of a compound heterozygous mutation in a nonconsanguineous family.

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Cheung, Steven W., Craig A. Atencio, Eliott R. J. Levy, Robert C. Froemke et Christoph E. Schreiner. « Anisomorphic cortical reorganization in asymmetric sensorineural hearing loss ». Journal of Neurophysiology 118, n^o 2 (1 août 2017) : 932–48. http://dx.doi.org/10.1152/jn.00119.2017.

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Mild-to-moderate hearing loss in one ear and essentially normal hearing in the other triggers cortical reorganization that is different in the two hemispheres. Asymmetry of cochlea sensitivities does not simply propagate to the two auditory cortices in mirror-image fashion. The resulting anisomorphic cortical reorganization may be a neurophysiological basis of clinical deficits in asymmetric hearing loss, such as difficulty with hearing in noise, impaired spatial hearing, and accelerated decline of the poorer ear.

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Feresin, Agnese, Martina Bevacqua, Giulia Del Piero, Paola Staffa, Egidio Barbi et Eva Orzan. « La prima infezione urinaria febbrile in bambini di età compresa tra 2 mesi e 3 anni ». Medico e Bambino 39, n^o 8 (15 octobre 2020) : 505–11. http://dx.doi.org/10.53126/meb39505.

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Conductive, mild-moderate hearing impairment in children is a very frequent condition after newborn hearing screening that easily leads to misdiagnosis. Conductive hearing impairment needs an accurate differential diagnosis to avoid inadequate treatments. The paper reports a case of bilateral, sensorineural hearing impairment of moderate degree in a 5-month male infant that was diagnosed after the failure of newborn hearing screening and because of a family history of hearing loss. His parents asked for an advice about the need of hearing aids at the Audiological and Otolaryngology Department. The diagnostic and audiological assessment recognised a conductive, moderate hearing loss associated with tympanic effusion and velar-tube dysfunction. After two months, in the follow-up, the child’s hearing threshold was normal. The case underlines the importance of early identification of hearing impairment and of a complete evaluation programme before indicating any treatment.

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Hayes, Deborah. « Hearing Loss in Infants with Craniofacial Anomalies ». Otolaryngology–Head and Neck Surgery 110, n^o 1 (janvier 1994) : 39–45. http://dx.doi.org/10.1177/019459989411000104.

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Results of auditory brainstem response (ABR) evaluation of 145 infants, ages 6 months and younger with craniofacial anomalies (CFA), were examined to determined predicted degree and nature of hearing loss. Approximately 50% of infants demonstrated at least mild bilateral hearing loss. Presence and degree of hearing loss varied by CFA. All infants with bilateral aural atresia exhibited at least a moderate bilateral hearing loss; less than 20% of infants with isolated external ear anomalies (ear tags, isolated microtia) exhibited any degree of hearing loss. In 92% of infants with hearing loss, results of ABR were consistent with primarily conductive dysfunction. Implications for early identification and audiologic management of infants with CFA and hearing loss are discussed.

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Abes, Generoso T., Ma Rina T. Reyes-Quintos et Ma Leah S. Tantoco. « Accuracy of Siemens HearCheck™ Navigator as a Screening Tool for Hearing Loss ». Philippine Journal of Otolaryngology-Head and Neck Surgery 26, n^o 1 (27 juin 2011) : 10–15. http://dx.doi.org/10.32412/pjohns.v26i1.593.

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Objective: To calculate the accuracy, sensitivity, specificity and positive predictive values of the Siemens HearCheck™ Navigator in detecting hearing loss and to compare values of these parameters when the examination is done in a soundproof booth and in a quiet room. Methods: Design: Analytical, cross-sectional study Setting: Tertiary Public University Hospital Patients: Patients seen at the Ear Unit of a tertiary public university hospital from June 2009 to August 2010 were tested using the Siemens HearCheck™ Navigator and pure tone audiometry, inside a soundproof audiometry booth and in a quiet room with an ambient noise of 50dB, with a different investigator for each examination. Each ear was treated as a separate subject. Results obtained from the HearCheck™ Navigator were designated as observed values and were classified as “no hearing loss” for green light, and “with hearing loss” for yellow or red lights. Results were compared with pure tone air conduction averages designated as gold standard values. Normal hearing acuity (0-25 dB) was classified as no hearing loss. Pure tone air conduction averages of 26dB and above were classified as “with hearing loss” and were further stratified as mild hearing loss (26-40dB) and moderate or worse hearing loss (>41 dB). Observed and gold standard values were compared and tabulated in a 2x2 table for all levels of hearing loss, mild hearing loss, and moderate or worse hearing loss. Accuracy, sensitivity, specificity, positive and negative predictive values of the Siemens HearCheck™ Navigator inside a soundproof audiometry booth and in a quiet room were determined using pure tone audiometry as the gold standard. Results: 100 patients (200 ears) were tested, with a median age of 43 years old (range 15-75), and an almost equal number of male and female participants (52 males, 48 females). Accuracy rate of the Siemens HearCheck™ Navigator inside the soundproof audiometry booth and in a quiet room were 82.5% and 84% respectively for all levels of hearing loss. Sensitivity, specificity, positive and negative predictive values were similar whether the examination was done inside the soundproof audiometry booth or in a quiet room. These values were notably higher in patients with moderate or worse hearing loss compared to patients with mild hearing loss. Conclusion: The Siemens HearCheck™ Navigator shows potential as an accurate, portable, easy-to-use tool to screen for hearing loss, especially for cases of moderate or worse hearing loss, without the need for soundproof audiometry booths or special training. It is recommended that further studies be done to differentiate degrees of hearing loss, and to evaluate its usefulness in other target populations, including school children and the elderly. Keywords: hearing screening, hearing screening tool, accuracy, hearingloss, HearCheck™ Navigator

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Scinicariello, Franco, Jennifer Przybyla, Yulia Carroll, John Eichwald, John Decker et Patrick N. Breysse. « Age and sex differences in hearing loss association with depressive symptoms : analyses of NHANES 2011–2012 ». Psychological Medicine 49, n^o 6 (18 juin 2018) : 962–68. http://dx.doi.org/10.1017/s0033291718001617.

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AbstractBackgroundDepression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20–69 years.MethodsNational Health and Nutrition Examination Survey (NHANES) data (2011–2012) were used to assess the potential relationship between hearing loss and depression, in adults (20–69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ⩾26–40 dB; moderate/worse hearing loss ⩾41 dB by pure tone audiometry examination.ResultsModerate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95% CL 1.04–2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95% CL 1.39–10.65) and moderate/worse SFHL (OR 5.75, 95% CL 1.46–22.71) were associated with depressive symptoms in women ages 52–69 years.ConclusionsModerate/worse speech frequency and HFHL are associated with depression in women ages 52–69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.

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Karp, Adrienne. « Hearing Loss Associated with Retinitis Pigmentosa ». Journal of Visual Impairment & ; Blindness 79, n^o 9 (novembre 1985) : 404–5. http://dx.doi.org/10.1177/0145482x8507900906.

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Clients with retinitis pigmentosa and a mild, moderate, or progressive hearing loss may be unrecognized and unserved by our diagnostic and rehabilitation programs. They are often treated separately for their visual and hearing dysfunctions, with no dialogue between managing agencies. The purpose of this article is to offer professionals a description of this particular variation of Usher's syndrome, and appropriate guidelines for its identification.

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Davis, Julia M., Jill Elfenbein, Robert Schum et Ruth A. Bentler. « Effects of Mild and Moderate Hearing Impairments on Language, Educational, and Psychosocial Behavior of Children ». Journal of Speech and Hearing Disorders 51, n^o 1 (février 1986) : 53–62. http://dx.doi.org/10.1044/jshd.5101.53.

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An extensive psychoeducational evaluation was administered to 40 hearing-impaired children to investigate the effects of degree of hearing impairment, age, and other factors on intellectual, social, academic, and language behavior. Although children varied greatly in performance, hearing loss of any degree appeared to affect psychoeducational development adversely, leading to the conclusion that even minimal hearing loss places children at risk for language and learning problems.

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Koyama, Hajime, Akinori Kashio, Shinichi Nishimura, Haruo Takahashi, Shinichi Iwasaki, Katsumi Doi, Takashi Nakagawa, Ken Ito et Tatsuya Yamasoba. « Etiology, Severity, and Device Usage in Patients with Unilateral Moderate to Profound Sensorineural Hearing Loss in Japan ». Journal of Clinical Medicine 12, n^o 13 (26 juin 2023) : 4290. http://dx.doi.org/10.3390/jcm12134290.

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Background: Few studies have reported on the etiology, severity, or device usage of unilateral sensorineural hearing loss (UHL) compared to bilateral hearing loss. Therefore, this study investigated the characteristics of UHL in adults and children. Methods: We performed a survey using questionnaires for secondary and tertiary otolaryngology institutions. Results: We included 15,981 patients (1549 children and 14,432 adults) from 196 institutions with otolaryngology residency programs and 2844 patients (336 children and 2508 adults) from 27 institutions with board members of the Japan Audiology Society. The latter submitted audiological data. Among children, most diagnoses were made at age 0. Approximately half of them had profound hearing loss, and 37 children (2.2%) used hearing devices. Among adults, the number of cases increased with age, but decreased when people reached their 80s and 90s. More than half of them had moderate hearing loss. Sudden sensorineural hearing loss was the most common cause of UHL of all ages; 4.4% of UHL patients used hearing devices, and most of the device users (98.6%) selected a conventional hearing aid. Conclusions: Hearing aid use is limited in children and adults with UHL in Japan. There could be many candidates with UHL for intervention such as a cochlear implant.

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Schimmel, Carly, Kayla Cormier, Vinaya Manchaiah, De Wet Swanepoel et Anu Sharma. « Digits-in-Noise Test as an Assessment Tool for Hearing Loss and Hearing Aids ». Audiology Research 14, n^o 2 (8 avril 2024) : 342–58. http://dx.doi.org/10.3390/audiolres14020030.

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The aim of this study was to examine the relationship between an American English Digits in Noise (DIN) test and commonly used audiological measures to evaluate the DIN test’s ability to detect hearing loss and validate hearing aid fitting. QuickSIN and DIN tests were completed by participants with untreated hearing loss (n = 46), prescription hearing aids (n = 15), and over-the-counter (OTC) hearing aids (n = 12). Performance on the QuickSIN showed moderate positive correlations with DIN for untreated hearing loss participants and prescription hearing aid users, but not for OTC hearing aid users. For untreated hearing loss participants, both QuickSIN and DIN tests showed positive moderate to strong correlations with high frequency puretone averages. In OTC users, DIN scores did not significantly change over a 6-month time period and were better when conducted remotely compared to in-person testing. Our results suggest that the DIN test may be a feasible monitoring option for individuals with hearing loss and those fitted with hearing aids. However, due to small sample size in this pilot study, future research is needed to examine DIN test’s utility for fitting and validating OTC hearing aids.

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Ozmeral, Erol J., Ann C. Eddins et David A. Eddins. « How Do Age and Hearing Loss Impact Spectral Envelope Perception ? » Journal of Speech, Language, and Hearing Research 61, n^o 9 (19 septembre 2018) : 2376–85. http://dx.doi.org/10.1044/2018_jslhr-h-18-0056.

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Purpose The goal was to evaluate the potential effects of increasing hearing loss and advancing age on spectral envelope perception. Method Spectral modulation detection was measured as a function of spectral modulation frequency from 0.5 to 8.0 cycles/octave. The spectral modulation task involved discrimination of a noise carrier (3 octaves wide from 400 to 3200 Hz) with a flat spectral envelope from a noise having a sinusoidal spectral envelope across a logarithmic audio frequency scale. Spectral modulation transfer functions (SMTFs; modulation threshold vs. modulation frequency) were computed and compared 4 listener groups: young normal hearing, older normal hearing, older with mild hearing loss, and older with moderate hearing loss. Estimates of the internal spectral contrast were obtained by computing excitation patterns. Results SMTFs for young listeners with normal hearing were bandpass with a minimum modulation detection threshold at 2 cycles/octave, and older listeners with normal hearing were remarkably similar to those of the young listeners. SMTFs for older listeners with mild and moderate hearing loss had a low-pass rather than a bandpass shape. Excitation patterns revealed that limited spectral resolution dictated modulation detection thresholds at high but not low spectral modulation frequencies. Even when factoring out (presumed) differences in frequency resolution among groups, the spectral envelope perception was worse for the group with moderate hearing loss than the other 3 groups. Conclusions The spectral envelope perception as measured by spectral modulation detection thresholds is compromised by hearing loss at higher spectral modulation frequencies, consistent with predictions of reduced spectral resolution known to accompany sensorineural hearing loss. Spectral envelope perception is not negatively impacted by advancing age at any spectral modulation frequency between 0.5 and 8.0 cycles/octave.

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