Hearing test Amersham
You may not think you have wax but know there is something going on with your ears! If this is the case contact the practice for an Ear Check appointment.
Following an initial discussion regarding your health and hearing, we begin by examining your ears using a fibre optic camera. The camera sits just at the entrance of the ear, and enables both you and the audiologist to view your ear canal and ear drum on a large screen. If wax is present, this will removed.
Ear wax removed Amersham
If there is no wax or debris present in the canal, there may be other tell-tale signs of what the problem is. We will perform a Tympanogram, which measures whether the mechanical function of the ear drum and middle ear cavity are working normally. This also highlights if you are suffering from any form of Eustachian tube dysfunction which is common. These results usually dictate the best next step.
If you have any referable symptoms or require antibiotic treatment, we will write to your GP with the outcome of your appointment.
The Chalfont hearing centre, Little Chalfont
Buckinghamshire hearing aids
Hearing aids at the Chalfont Hearing Centre covering Bucks and beyond
The Chalfont hearing centre are a truly independent small hearing company based in Little Chalfont. Leon Cox is a fully qualified audiologist and a member of the professional body of hearing experts. Fully comprehensive hearing test, ear wax removal using Micro-Suction and the traditional ear wax removal using water irrigation. For a full hearing test please call to book an appointment.
Our comprehensive hearing tests are conducted with the latest hearing and digital audiology equipment. Please go here to watch our hearing test video and other hearing related videos. If you feel you need a hearing test them please call Sam on reception to book an appointment.
Digital hearing aids
We pride ourselves on dispensing the very latest digital hearing aids supplied by the leading hearing aid manufacturers. The digital hearing aids of today are more advanced than you could imagine. They connect wirelessly with your mobile phone, iPad, and T.V. just ask Leon Cox our lead audiologist to advice you on hearing aid connectivity.
Chalfont hearing News:
Widex Announces New Insights into EVOKE Hearing Aid’s AI Function
Widex announced the first data gathered from the WIDEX EVOKE™ hearing aid, which is said to achieve “a new level of Artificial Intelligence (AI)” through machine learning, and is helping to bring new insights into how users are taking control of their sound environment to improve their hearing experience, according to the company.
Denmark-based Widex launched the WIDEX EVOKE hearing aid in April. The hearing aid is reportedly the first to give users the ability to employ real-time machine learning that can solve the tricky hearing problems that users face in their daily lives.
“We launched WIDEX EVOKE with SoundSense technology to put users back in control of the most difficult hearing situations,” said Jens Brehm Nielsen, data science & machine learning architect at Widex. “And we can see that EVOKE users have taken the opportunity to do that and, in the process, are helping us understand more about them. That information will help us to make the EVOKE and future hearing aids even better.”
Hearing aids in Bucks
SoundSense Learn is an AI system, because AI is said to refer to systems that solve tasks humans are inherently good at—such as driving a car, doing the dishes, etc. SoundSense Learn expands into entirely new applications by helping end users adjust their hearing aids in the moment, reportedly something that no humans can replicate to the same degree of accuracy, according to Widex.
The SoundSense Learn smartphone app is connected to the EVOKE hearing aids and uses machine learning to guide users in optimizing the settings to their exact needs. The app gathers a variety of anonymous data such as how often they turn the volume up or down, which sound presets they use, and how many custom settings they create—including those made with SoundSense Learn.
Ear wax removal Amersham
Tagging of custom settings has proved to be one of the interesting pieces of data generated by EVOKE.
“We found that many people have created a setting and tagged it with, for instance, ‘work’ which suggests that it is something that our end users need and want,” said Nielsen. “And from SoundSense Learn we already have an idea of how they like the settings.”
Some hearing aids give users the ability to customize their sound experience by adjusting frequency bands to boost or cut bass, middle or high tones. Adjusting frequencies works well in many situations once the initial settings have been set by a skilled audiologist. However, some situations are so complex that hitting the right combination of adjustments can be difficult.
“Widex hearing aids are well known for the quality of their sound,” said Nielsen. “But SoundSense Learn has added an extra layer of quality sound on top of that by using a machine learning algorithm together with reinforcement learning—the two key ingredients in state-of-the art AI algorithm, that enables the algorithm to learn in the moment.
“The algorithm learns an optimal setting every time a user finds the sound to be a little below expectations in a given sound environment. It learns these settings by simply asking the user to compare two settings that are carefully picked by the algorithm. This allows it to learn an optimal setting in a new environment very fast.”
By collating and analyzing the anonymous data WIDEX EVOKE will continue to become even smarter as time passes.
Hearing loss in Bucks
The Chalfont hearing centre for hearing issues, is a private hearing company based in Chalfont, Buckinghamshire. Leon Cox, the lead audiologist can help with all matters relating to hearing issues & ear wax removal, also the latest hearing instruments (Hearing aids) and conducts hearing tests. Book ahead for a comprehensive hearing test and discussion on your hearing heath after the hearing test result.
If you are suffering with hearing loss and suspect that ear wax maybe the issue, Leon Cox will conduct either Micro-suction or use the traditional water ear irrigation technique. Microsuction is painless and is the latest way to remove stubborn ear wax from your ear canal.
News originaly taken from the Hearing Review
Hearing Technology Manufacturers Call for EU Response to Hearing Loss
The British and Irish Hearing Instrument Manufacturers Association (BIHIMA) works closely with its European counterpart the European Hearing Instrument Manufacturers Association (EHIMA), and has supported their recent efforts to raise awareness of hearing loss with EU policymakers, the trade association announced. EHIMA submitted a parliamentary question to the European Commission in July, which has recently received a response from ministers.
The question, which was signed by the Austrian MEP Heinz K. Becker, can be read in full here. The question points to a widening gap between people that self-report hearing loss and the smaller proportion that receive treatment and/or wear devices; this “suboptimal use” of devices is estimated to cost the EU over EUR 500 billion (about USD $583.73 billion) annually. Citing the European Pillar of Social Rights—principles 16 and 17 which cover health care and the inclusion of people with disabilities—the question asks how the Commission can support best practices like early screenings, community education about the benefits of hearing devices, and research related to prevention and treatment strategies for hearing loss.
The European Commission published its answer on August 24, pointing to its efforts to develop the Best Practice Portal, a website described as a “one-stop shop” for best practices in a number of public health initiatives related to the 2030 Sustainable Development Goals developed by the United Nations. In particular, the website aims to meet goal 3.4, “to reduce premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being, by one-third.” Additionally, the Commission’s 7th Framework Program for Research (FP7) as well as Horizon 2020—an EU research and innovation program—have funded research on the auditory system, screening standards, hearing devices, diagnosis and treatment of hearing loss-related diseases, and sign language. Further, the Commission states they have proposed a EUR 7.7 billion (USD about $9 billion) health budget for Horizon Europe 2020, focusing on initiatives related to lifelong health, rare diseases, and health care technologies, among other things. To further facilitate hearing-related funding, the Commission said, “Horizon Europe will be open to research proposals on hearing loss, including prevention and rehabilitation and innovative treatments.”
According to BIHIMA’s announcement, the Commission’s response is considered a positive exchange of information. Further, they state, BIHIMA’s European hearing manufacturing partners are encouraged that a greater understanding of hearing loss is being fostered among European policymakers.
“BIHIMA stand fully behind our European partners, EHIMA, in their effort to draw much-needed attention to hearing loss and we applaud this initiative to influence EU decision-making,” said Chairman Paul Surridge.
BIHIMA and EHIMA are together committed to the work of improving the lives of people with hearing loss through promoting greater access to hearing technology.
Source: BIHIMA, EHIMA, European Commission
Depression and Hearing Loss
Depression and its connection to hearing loss seems pretty logical and self-evident, especially if you’re a dispensing professional who experiences daily the difference that amplification can make in a person’s life. In fact, many clinicians find themselves explaining the connection as follows: a person’s hearing loss and related communication problems can lead to gaffes and social faux pas; leading to embarrassment, anxiety, and loss of self-esteem; leading to gradual withdrawal from social situations and physical activity; leading to social isolation and loneliness; and eventually bringing them down the path to depression.
While this is probably an adequate description for some cases, a recent webinar1 by Victor Bray, PhD, associate professor and former dean of Salus University’s Osborne College of Audiology, points to more recent scientific literature that paints a far more complex picture of hearing loss and its association with depression—one we all should be aware of. The utility of hearing aids, cochlear implants, and assistive devices is made no less important by this complexity; however, it’s vital to understand who might be most at risk for depression in your patient population, how best to administer simple screening tools (ie, the PHQ-2 or PHQ-9), and why it’s important to refer patients to a medical doctor or psychologist, when indicated.
Depression, also known as major depressive disorder (MDD), is present in 5-10% of the general population (up to 40% in some groups), and is a serious medical illness that negatively affects feelings, thoughts, and actions. The primary risk factors for depression are co-morbid chronic medical conditions (hearing loss is a pervasive chronic condition, especially among seniors) and recent stressful events. And, as with cognitive decline and dementia—the subject of my editorial last month—the stakes in treating depression are high for society and healthcare professionals. As Hsu and colleagues (2016) pointed out:
Depression is a common mental disorder, which affects 350 million people in the world. Unipolar depressive disorders and adult-onset hearing loss, the most common neuropsychiatric conditions, and sense organ disorder, respectively, are the first and second leading nonfatal causes of year loss due to disability among adults in high-income countries.2
Several of the studies reviewed by Dr Bray tend to suggest that the odds ratio for acquiring depression increases by a factor of about two if you have untreated hearing loss. However, a lot of the studies also show that a variety of chronic illnesses—ranging from cirrhosis to diabetes mellitus—can be associated with depression, so there could be some underlying neurophysiological common cause in hearing loss and other health problems that hasn’t been discovered yet. Dr Bray also looks at some very intriguing research about how dual-sensory loss (ie, hearing and vision loss) and sudden sensorineural hearing loss (particularly among young people) can greatly increase the risk for depression, as well as studies that are shedding light on how treated hearing loss might positively affect those suffering from anxiety, loneliness, and depression.
As Dr Bray explains, the linkage of hearing loss to depression could come from both a social (downstream) effect, as described at the beginning of this article, and a biological/neurological (upstream) effect, as proposed in a model by Rutherford et al.3 If that were the case, an effective treatment plan could involve therapy and/or medication from a psychologist, in coordination with a hearing device and/or auditory and cognitive retraining from a hearing care professional.
Dr Bray’s webinar was sponsored by Hamilton CapTel, and the company also sponsored an exceptionally interesting and well-viewed webinar last year about hearing loss and associated co-morbidities (including depression) by Harvey Abrams, PhD.4,5 When viewed together, they put an exclamation point on the fact that hearing loss isn’t just about the ears, it’s about health, the brain, quality of life, healthy aging, and so much more—while underscoring the crucial role of the hearing care professional in general healthcare.
To see Dr Bray’s webinar, visit https://bit.ly/2Lpt4AW.
Citation for this article: Strom KE. Depression and hearing loss. Hearing Review. 2018;25(8):6.
1. Bray V. Depression, hearing loss, and treatment with hearing aids [Webinar]. July 13, 2018. Available at: http://www.hearingreview.com/2018/07/new-webinar-depression-hearing-loss-treatment-hearing-aids
2. Hsu W-T, Hsu C-C, Wen M-H, et al. Increased risk of depression in patients with acquired sensory hearing loss: A 12-year follow-up study. Medicine. 2016;95(44):e5312.
3. Rutherford BR, Brewster K, Golub JS, Kim AH, Roose SP. Sensation and psychiatry: Linking age-related hearing loss to late-life depression and cognitive decline. Am J Psychiatry. 2017;175(3):215-224.
4. Abrams H. Hearing loss and associated comorbidities: What do we know [Webinar]? May 31, 2017. Available at: http://www.hearingreview.com/2017/05/new-webinar-hearing-loss-associated-comorbidities-know/
5. Abrams H. Hearing loss and associated comorbidities: What do we know? Hearing Review. 2017;24(12):32-35. Available at: http://www.hearingreview.com/2017/11/hearing-loss-associated-comorbidities-know/
Newsreader Lewis Vaughan Jones makes debut wearing hearing aid.
A newsreader who suddenly lost the hearing in his left ear, has received messages of support after his first appearance on air with a hearing aid.
Lewis Vaughan Jones, 37, feared his career presenting the news on the BBC and ITN was over after doctors told him the hearing loss was permanent.
“That was the darkest moment,” he told BBC Radio 5 live.
He also spoke of his embarrassment in social situations and the difficulties of coming to terms with a hearing aid.
Vaughan Jones had good hearing all his life until he got a cold several months ago and couldn’t hear in one ear.
Doctors found his left eardrum was no longer working and the nerve which takes sound to the brain had given up, he told BBC Breakfast.
When they told him the sudden hearing loss and the tinnitus were permanent, he walked out of hospital “completely bamboozled”, he added.
The charity Action on Hearing Loss says about 11m people in the UK have some form of hearing loss, and 2m use hearing aids. It estimates that there are about 6.7m people who could benefit from hearing aids.
Before being fitted with a hearing aid, Vaughan Jones said his situation had left him frustrated and embarrassed.
“There’s only so many times you can interrupt. You feel embarrassed so you withdraw,” he said.
He also described how he would smile and nod along when spending time with friends and family, feeling unable to engage and as though he was missing out.
His hearing aid, he said, has been a massive help, allowing him to return to work.
His return to screen, however, was a noisy one as he can hear the director and correspondents through an earpiece in his right ear and an amplified, distorted version of his own voice through the hearing aid in his left.
The brain should learn to quieten down that distortion, he said.
Getting used to wearing a hearing aid has not come easy.
“I was self-conscious about it. My hair is slightly longer so that’s a reflection that I might have been trying to hide it,” he adds.
Now back on air, he wants to show everyone he is wearing one.
“There’s no logical reason why I shouldn’t wear my hearing aid on air and feel good about it,” he said.
Some took to Twitter to agree.
Robbie M said he started wearing two hearing aids five years ago after finding he was unable to hear in meetings. He advised Vaughan Jones to “wear them with pride,” adding: “Quality of life over people’s thoughts every time.”
Nikki Magrath said: “Great to hear you talk about SSHL [Sudden Sensorineural Hearing Loss] today. I know just how it feels. Has happened twice – once with full recovery.”
The best hearing centre in Bucks?
Here at The Chalfont hearing centre we don’t really go around saying we are the best hearing centre in Bucks all the time, but we do like to think we are one of the best.
We offer the most up to date tech for getting your hearing back to a liveable level that you will really notice. We also offer ear wax removal using the very gentle Microsuction Technique or the traditional water ear irrigation technique. As we are the leading audiology clinic in the area we do have the very latest in hearing tech and digital hearing aids.
Chalfont Hearing. News:
Brainwave Abnormality Could Be Common to Parkinson’s Disease, Tinnitus, Depression
Vanneste and his colleagues—Dr Jae-Jin Song of South Korea’s Seoul National University and Dr Dirk De Ridder of New Zealand’s University of Otago—analyzed electroencephalograph (EEG) and functional brain mapping data from more than 500 people to create what Vanneste believes is the largest experimental evaluation of TCD, which was first proposed in a paper published in 1996.
“We fed all the data into the computer model, which picked up the brain signals that TCD says would predict if someone has a particular disorder,” Vanneste said. “Not only did the program provide the results TCD predicted, we also added a spatial feature to it. Depending on the disease, different areas of the brain become involved.”
“The strength of our paper is that we have a large enough data sample to show that TCD could be an explanation for several neurological diseases.”
Brainwaves are the rapid-fire rhythmic fluctuations of electric voltage between parts of the brain. The defining characteristics of TCD begin with a drop in brainwave frequency—from alpha waves to theta waves when the subject is at rest—in the thalamus, one of two regions of the brain that relays sensory impulses to the cerebral cortex, which then processes those impulses as touch, pain, or temperature.
A key property of alpha waves is to induce thalamic lateral inhibition, which means that specific neurons can quiet the activity of adjacent neurons. Slower theta waves lack this muting effect, leaving neighboring cells able to be more active. This activity level creates the characteristic abnormal rhythm of TCD.
“Because you have less input, the area surrounding these neurons becomes a halo of gamma hyperactivity that projects to the cortex, which is what we pick up in the brain mapping,” Vanneste said.
While the signature alpha reduction to theta is present in each disorder examined in the study—Parkinson’s, pain, tinnitus, and depression—the location of the anomaly indicates which disorder is occurring.
“If it’s in the auditory cortex, it’s going to be tinnitus; if it’s in the somatosensory cortex, it will be pain,” Vanneste explained. “If it’s in the motor cortex, it could be Parkinson’s; if it’s in deeper layers, it could be depression. In each case, the data show the exact same wavelength variation—that’s what these pathologies have in common. You always see the same pattern.”
EEG data from 541 subjects was used. About half were healthy control subjects, while the remainder were patients with tinnitus, chronic pain, Parkinson’s disease, or major depression. The scale and diversity of this study’s data set are what set it apart from prior research efforts.
“Over the past 20 years, there have been pain researchers observing a pattern for pain, or tinnitus researchers doing the same for tinnitus,” Vanneste said. “But no one combined the different disorders to say, ‘What’s the difference between these diseases in terms of brainwaves, and what do they have in common?’ The strength of our paper is that we have a large enough data sample to show that TCD could be an explanation for several neurological diseases.”
With these results in hand, the next step could be a treatment study based on vagus nerve stimulation—a therapy being pioneered by Vanneste and his colleagues at the Texas Biomedical Device Center at UT Dallas. A different follow-up study will examine a new range of psychiatric diseases to see if they could also be tied to TCD.
For now, Vanneste is glad to see this decades-old idea coming into focus.
“More and more people agree that something like thalamocortical dysrhythmia exists,” he said. “From here, we hope to stimulate specific brain areas involved in these diseases at alpha frequencies to normalize the brainwaves again. We have a rationale that we believe will make this type of therapy work.”
Original Paper: Vanneste S, Song J-J, De Ridder D. Thalamocortical dysrhythmia detected by machine learning. Nature Communications. 2018;9(1103)
Source: Nature Communications, University of Texas at Dallas
Image: University of Texas at Dallas
Rechargeable hearing aid batteries available in Chalfont
The Chalfont hearing centre offer the very latest rechargeable hearing aid batteries on the market today. We are posting a news item that explains the benefits of rechargeable hearing aid batteries below.
Rechargeable hearing aids are also available at the henley Hearing Clinic, Bucks
How long should the hearing aid battery last after a full charge, and how does Bluetooth affect this?
Courtesy of ZPower
About Our Expert…
Henley hearing clinic offer the very latest rechargeable hearing aid batteries.
Barry Freeman, PhD, is vice president of business development for ZPower, and has been leader and educator in the global audiology community for over 35 years. Prior to joining ZPower, he was CEO and president of Audiology Consultants Inc (ACI), a private audiology consulting firm, and senior director of Audiology and Education for Starkey Hearing Technologies, a global manufacturer of hearing aids. Dr Freeman has served as chair and professor of Audiology at Nova Southeastern University (NSU) and has taught full time or as an adjunct professor in some of the most distinguished audiology programs in the country. Additionally, he owned and practiced for 20 years at the Center for Audiology in Clarksville, Tenn, and Hearing Services of Kentucky in Hopkinsville, Ky. He is a past president of the American Academy of Audiology (AAA), served on the AAA Board of Directors for 6 years, and continues to serve on several professional boards.
Q & As: This Week’s Top Selections
Q: How long should the battery last after a full charge? How much does Bluetooth activity affect this? —Brent Spehar
A: This is a great and very important question. Battery life is dependent on several factors including the amount of capacity of the battery, how fast the hearing aid drains the current, and the wear behaviors and habits of the user.
I like to use the example of an automobile. How many gallons of gas does the fuel tank hold or, for hearing aid batteries, how many mAh capacity is in the battery? How many miles per gallon does the car use or how many mA does the battery drain both when streaming and not streaming? And, finally, is the car driven on the highway or in the city and is the air conditioner on or off? Or, for hearing aids, how many hours per day does the hearing aid stream? Does the hearing aid use 2.4 GHz streaming or does it is use NFMI with an intermediate device that has its own battery? And, what features are turned on or off on the hearing aid?
Ask Your Question!
Send your questions to email@example.com or via the comment box below.
Once you answer these questions, you can figure out “how long the battery will last after a full charge.” I gave some example calculations in the HRarticle: The Changing Landscape of Hearing Aid Batteries (Hearing Review, October 31, 2017).
Please note a factor we have learned in our electronics’ lab. Not all hearing aids are the same. Some 2.4 GHz products have current drains averaging 4.8-5.0 mA when streaming while other 2.4 GHz products using lower power Bluetooth will drain the battery at 3.0-3.4 mA while streaming. Some 2.4 GHz products when not streaming may have battery drains of 1.8-2.0 mA, while some of the newer products with bilateral beam-forming may drain the battery at 2.3-2.5 mA when not streaming.
The key is to know your products and know your patient’s listening habits. This is critical to good counseling.
Q: Is the life of the hearing aid circuit reduced as a result of using the rechargeable system? It did happen when [a previous model of hearing aid] were rechargeable. —Anjan Muhury
A: The ZPower Rechargeable System has been thoroughly evaluated by the hearing aid manufacturers and there is no indication that the system will have a negative effect on the life of the hearing aid circuit. The ZPower silver-zinc battery is designed to mimic the performance of traditional zinc-air batteries and is transparent to the DSP of the hearing aids. Extensive studies of hearing aids using the ZPower System also show the system including the ZPower silver-zinc batteries have no impact on the electrophysiologic performance of the hearing aids. Therefore, the ZPower System will not have a negative impact on the hearing aid circuitry or performance.
Previous Q & A’s
Q: What’s a realistic time frame for a rechargeable hearing aid battery to last?
A: Rechargeable silver-zinc batteries last about a year. They are removeable and therefore easily replaced. It is recommended that rechargeable silver-zinc batteries are replaced once a year by a hearing care professional.
Li-ion batteries are sealed within the hearing aid, and are usually removable only by the hearing aid manufacturer. They last approximately 4 to 5 years.
A: When the hearing aids are put on the charger, the charger will check to see what type of battery is in the hearing aid. If the charger detects a disposable zinc air battery, the lights on the charger will turn red. If the charger detects a silver-zinc battery, the lights on the charger will start blinking green; once the battery is fully charged, the lights will turn solid green.
Q: Can my patients overcharge a ZPower battery if they leave it in the charger for too long?
A: The batteries will not overcharge if left in the charger. It is a best practice to put the hearing aids back on the charger when the hearing aids are not being worn during the day. This will keep the hearing aids turned off and the batteries charged. For long-term storage, if batteries will not be used for over 2 weeks, the rechargeable batteries should be removed from the hearing aids and stored in a location where they will not touch each other or other metal objects.
Q: What happens when the silver-zinc rechargeable battery is getting low on power?
A: The hearing aid wearer will hear the low battery warning. Once the low-battery warning occurs or once a hearing aid shuts off due to a low battery condition, the battery door should not be opened and closed to reboot the hearing aid. Rebooting after the low battery warning can override the smart circuitry in the battery door into believing it has a traditional disposable battery installed and, although the hearing aid will continue to work for a short period, it may over-discharge the battery. If a low-battery warning from the hearing aids is received, the hearing aids should be placed in the charging base for charging or the batteries should be replaced with non-rechargeable batteries. The rechargeable batteries should not be stored with metal objects such as keys or coins.
Q: How often should the batteries be charged?
A: The batteries should be fully charged every night. Once the hearing aids are finished charging, the indicator lights turn from blinking green to solid green. A full charge may take up to 7 hours—the charge time varies based on how much the battery was depleted during the day. Do not try to extend battery life by charging every other day, as this increases the chances of depleting the battery. A fully depleted battery will take longer to charge and may not fully charge in time for next use.
Q: What happens if the hearing aid wearer forgets to charge the battery at night?
A: They can use a disposable zinc-air battery until it is convenient to re-charge the batteries—ideally the rechargeable batteries should be charged the next night. The rechargeable silver-zinc batteries are a gold color, so they will not be mixed up with zinc-air disposable batteries. The rechargeable batteries should be stored in a safe place and should not be stored with metal objects such as keys or coins.
Hearing aids and wax removal in Buckinghamshire
‘CNN’ Profiles Inventor of HearGlass
Peter Sprague, the 78-year-old inventor of HearGlass—a technology that incorporates amplification into eyeglass frames—is featured in a recent CNN profile.
According to the article, Sprague was frustrated by how standard hearing aids “distorted audio” and has incorporated directional microphones, Bluetooth and WiFi capabilities, and a discreet design into his fourth-generation prototype.
If you are closer to Henley try our Henley Hearing Clinic branch? http://www.henleyhearing.co.uk
Marshall Chasin, a frequent contributor to Hearing Review, was quoted in the article about the ways hearing aid manufacturers have improved their devices to help provide users with more dynamic sound options.
Hearing loss centre in Bucks.
The Chalfont hearing centre in Buckinghamshire for all info on hearing aids and ear issues.
Salt- or Sugar-Based Solution May Diminish Noise-Induced Hearing Loss
It’s well known that exposure to extremely loud noises—whether it’s an explosion, a firecracker, or even a concert — can lead to permanent hearing loss. But knowing how to treat noise-induced hearing loss, which affects about 15% of Americans, has largely remained a mystery. That may eventually change, thanks to new research from the Keck School of Medicine of USC, which sheds light on how noise-induced hearing loss happens and shows how a simple injection of a salt- or sugar-based solution into the middle ear may preserve hearing, the school announced on its website. The results of the study were published in PNAS.
To develop a treatment for noise-induced hearing loss, the researchers first had to understand its mechanisms. They built a tool using novel miniature optics to image inside the cochlea, the hearing portion of the inner ear, and exposed mice to a loud noise similar to that of a roadside bomb.
They discovered that two things happen after exposure to a loud noise: sensory hair cells, which are the cells that detect sound and convert it to neural signals, die, and the inner ear fills with excess fluid, leading to the death of neurons.
“That buildup of fluid pressure in the inner ear is something you might notice if you go to a loud concert,” said the study’s corresponding author John Oghalai, MD, chair and professor of the USC Tina and Rick Caruso Department of Otolaryngology–Head and Neck Surgery and holder of the Leon J. Tiber and David S. Alpert Chair in Medicine. “When you leave the concert, your ears might feel full and you might have ringing in your ears. We were able to see that this buildup of fluid correlates with neuron loss.”
Both neurons and sensory hair cells play critical roles in hearing.
“The death of sensory hair cells leads to hearing loss. But even if some sensory hair cells remain and still work, if they’re not connected to a neuron, then the brain won’t hear the sound,” Oghalai says.
The researchers found that sensory hair cell death occurred immediately after exposure to loud noise and was irreversible. Neuron damage, however, had a delayed onset, opening a window of opportunity for treatment.
A simple solution
The buildup of fluid in the inner ear occurred over a period of a few hours after loud noise exposure and contained high concentrations of potassium. To reverse the effects of the potassium and reduce the fluid buildup, salt- and sugar-based solutions were injected into the middle ear, just through the eardrum, three hours after noise exposure. The researchers found that treatment with these solutions prevented 45–64% of neuron loss, suggesting that the treatment may offer a way to preserve hearing function.
The treatment could have several potential applications, Oghalai explained.
“I can envision soldiers carrying a small bottle of this solution with them and using it to prevent hearing damage after exposure to blast pressure from a roadside bomb,” he said. “It might also have potential as a treatment for other diseases of the inner ear that are associated with fluid buildup, such as Meniere’s disease.”
Oghalai and his team plan to conduct further research on the exact sequence of steps between fluid buildup in the inner ear and neuron death, followed by clinical trials of their potential treatment for noise-induced hearing loss.
Original Paper: Kim J, Xia A, Grillet N, Applegate BE, Oghalai JS. Osmotic stabilization prevents cochlear synaptopathy after blast trauma. PNAS. 2018. Available at: http://www.pnas.org/content/early/2018/05/01/1720121115.short?rss=1
Source: Keck School of Medicine of USC, PNAS
Image: Keck School of Medicine of USC
City, University of London to Pilot Language and Reading Intervention for Children
Researchers from City, University of London have been awarded £97k ($USD approximately $136,479) from the Nuffield Foundation to pilot a language and reading intervention with 120 children in their first year of formal education, the school announced on its website.
Involving Dr Ros Herman, Professor Penny Roy, and Dr Fiona Kyle from the School of Health Science’s Division of Language and Communication Science, in collaboration with Professor Charles Hulme from Oxford University, the study—which is reportedly the first reading intervention study to include both deaf and hearing children—will trial the new intervention in primary schools for a year and compare outcomes with other schools that offer the standard literacy teaching.
The research team have shown in previous research that many severely and profoundly deaf children have significant reading delays, yet are typically excluded from reading intervention research.
In this new study, teachers will be trained to deliver the intervention program, comprising systematic phonics teaching alongside a structured vocabulary program, during the school literacy hour. The study will investigate whether all children, or only specific groups of children, benefit from the integrated program and whether a full-scale evaluation is merited.
Dr Herman said, “Our previous research has revealed the scale of reading difficulties among deaf children. Our findings suggest that deaf children will benefit from specialist literacy interventions such as those currently offered to hearing children with dyslexia. In addition, deaf children and many hearing children require ongoing support to develop the language skills that underlie literacy.
“As a result we hope our new study, which will pilot a combined language and reading intervention, will address these issues so that teachers can provide the vital support needed to prevent both hearing and deaf children from unnecessarily falling behind their peers.”
Source: City, University of London