Hearing loss in diabetics

1993 ◽  
Vol 107 (3) ◽  
pp. 179-182 ◽  
Author(s):  
J. R. Cullen ◽  
M. J. Cinnamond

The relationship between diabetes and senbsorineural hearing loss has been disputed. This study compares 44 insulin-dependent diabetics with 38 age and sex matched controls. All had pure tone and speech audiometry performed, with any diabetics showing sensorineural deafness undergoing stapedial reflecx decat tests. In 14 diabetics stapedial reflex tests showed no tone decay in any patient, but seven showed evidence of recruitment. Analysis of vaiance showed the diabetics to be significantly deafer than the control population.The hearing loss affected high frequencies in both sexes, but also low frequencies in the male. Speech discrimination scores showed no differences. Further analysis by sex showed the males to account for most of the differences. Analysys of the audiograms showered mostly a high tone loss. Finally duration of disbetes, insulin dosage and family history of diabtes were not found to have a significant effect on threshold.

1989 ◽  
Vol 69 (3-2) ◽  
pp. 1107-1113 ◽  
Author(s):  
Ross Levin

The present study was designed to investigate empirically the relationship between self-reports of nightmare frequency and ego strength and death anxiety in both men and women. In addition, the interrelations among these variables were assessed. 20 undergraduates with high frequencies of nightmares and 20 with low frequencies (10 men and 10 women per group) were administered the Barron Ego Strength Scale and a death anxiety scale. Significant differences were found between nightmare groups on the Barron scale for men and women but none on the death anxiety scale either by nightmare frequency or sex. A significant negative correlation of -.47 between death anxiety and ego strength was found for women and in one high frequency group. Women with high frequencies of nightmares showed the highest correlation, -.83. These data suggest that nightmare frequency may be a mediating factor in the relationship between ego strength, death anxiety, and sex of subject.


2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Benjamin J. Wycherly ◽  
Jared J. Thompkins ◽  
H. Jeffrey Kim

Objective. To review our experience with intratympanic steroids (ITSs) for the treatment of idiopathic sudden sensorineural hearing loss (ISSNHL), emphasizing the ideal time to perform follow-up audiograms.Methods. Retrospective case review of patients diagnosed with ISSNHL treated with intratympanic methylprednisolone. Injections were repeated weekly with a total of 3 injections. Improvement was defined as an improved pure-tone average ≥20 dB or speech-discrimination score ≥20%.Results. Forty patients met the inclusion criteria with a recovery rate of 45% (18/40). A significantly increased response rate was found in patients having an audiogram >5 weeks after the first dose of ITS (9/13) over those tested ≤5 weeks after the first dose of ITS (9/27) ().Conclusions. Recovery from ISSNHL after ITS injections occurs more frequently >5 weeks after initiating ITS. This may be due to the natural history of sudden hearing loss or the prolonged effect of steroid in the inner ear.


1976 ◽  
Vol 41 (2) ◽  
pp. 244-255 ◽  
Author(s):  
Daniel M. Schwartz ◽  
Jay W. Sanders

Critical bandwidth measurements and sensitivity prediction from the acoustic reflex (SPAR) test results were obtained on 20 normal-hearing and two groups of 10 hearing-impaired subjects each representing mild-to-moderate and severe hearing loss. Results of critical bandwidth measurements indicated that for center frequencies of 1000 and 2000 Hz the critical bandwidth was significantly greater for the hearing-impaired subjects. A statistical analysis of the difference in critical bandwidth between those predicted by the SPAR test to have a mild-to-moderate hearing loss and those subjects for whom the test predicted severe hearing loss indicated no differences in critical bandwidth at 2000 Hz. A significant difference was found at 1000 Hz but in the wrong direction. Analysis of the relationship between predicted slope of hearing loss and critical bandwidth also failed to show significance. Although the data for hearing-impaired subjects fail to support the rationale for the SPAR test, the results for the entire research sample offer substantial support. Further, the ability of the test to predict categorically degree of hearing loss was also strongly supported.


1977 ◽  
Vol 86 (4) ◽  
pp. 463-480 ◽  
Author(s):  
Douglas E. Mattox ◽  
F. Blair Simmons

This is a prospective in-depth study of patients with sudden idiopathic sensorineural hearing loss. We found that 65% recover completely to functional hearing levels spontaneously and independent of any type of medical treatment. The majority do so within 14 days and many within the first few days. Prognosis can be predicted according to the slope of the initial audiogram (low-frequency losses do better than high-frequency losses), hearing at 8 kHz, erythrocyte sedimentation rates, in some select instances spatial disorientation symptoms, and speech discrimination scores. There was a very poor correlation between hearing and vestibular test abnormalities, except hypoactive calorics. There were no correlations with age (excepting the very elderly), with antecedent respiratory infections. hypertension, diabetes, or other chronic diseases. We conclude that there is a fundamental difference in the behavior of apical and basal cochlea losses, that hearing recovery is always better at low than at high frequencies, that because of the high spontaneous recovery rates, tympanotomies seeking perilymph fistulas should be delayed ten days unless there is a progressive hearing loss, and that none of the current recommended treatments, especially histamine, have any effect on the outcome.


1989 ◽  
Vol 69 (3_suppl) ◽  
pp. 1107-1113 ◽  
Author(s):  
Ross Levin

The present study was designed to investigate empirically the relationship between self-reports of nightmare frequency and ego strength and death anxiety in both men and women. In addition, the interrelations among these variables were assessed. 20 undergraduates with high frequencies of nightmares and 20 with low frequencies (10 men and 10 women per group) were administered the Barron Ego Strength Scale and a death anxiety scale. Significant differences were found between nightmare groups on the Barron scale for men and women but none on the death anxiety scale either by nightmare frequency or sex. A significant negative correlation of −.47 between death anxiety and ego strength was found for women and in one high frequency group. Women with high frequencies of nightmares showed the highest correlation, −.83. These data suggest that nightmare frequency may be a mediating factor in the relationship between ego strength, death anxiety, and sex of subject.


1998 ◽  
Vol 112 (2) ◽  
pp. 154-157 ◽  
Author(s):  
Tapio S. Karhuketo ◽  
Heikki J. Puhakka ◽  
Pekka J. Laippala

AbstractThe diagnosis of conductive hearing loss is usually based on audiological methods and radiology. The aim of our study was to show that there is a useful additive method to clarify the findings of diseases with conductive hearing loss.Patients (151 ears) with conductive hearing loss were examined using several methods: otomicroscopy, air- and bone-conduction threshold, pure tone average, speech threshold, speech discrimination, tympanometry and stapedial reflex and tympanoscopy.The management of the patients changed in 17 per cent of cases due to tympanoscopy. In a group with normal tympanic membrane the movement of the stapes during endoscopy was compared to stapedial reflex. Stiff stapes were found more often than an abnormal stapedial reflex.Middle ear endoscopy can increase the accuracy of diagnosis of conductive hearing loss thus enhancing decision making in the case of the patient.


Author(s):  
Konstantina Chrysouli ◽  
Dimitrios Kikidis

<p class="abstract">Noise induced hearing loss (NIHL) is regarded as a serious problem and one of the most recorded occupational disorders in Europe and in the rest of the world and amounts to between 7% and 21% of the hearing loss. Aim of this study is to explore the development and the prevalence of low frequency noise-induced hearing loss (NIHL) in a hospital, especially in microbiology laboratory workers. Generally it is known that 4 KHz is the main NIHL frequency. Despite current theories, our study suggests for the first time the impact of low frequency noise in hearing loss among laboratory workers. According to the results, the population examined, namely the employees at the Microbiology Department of the Hospital, showed lower hearing levels compared to the control group, who had no history of occupational exposure to noise. There are many other studies which suggest that prolonged exposures to high noise levels have negative physiological and psychological effects on workers. The finding of the correlation of noise frequency with the frequency of the generated hearing loss is involved in the controversy about the pathophysiology of noise effect.</p>


2016 ◽  
Vol 139 (2) ◽  
Author(s):  
Kuan Chen ◽  
Mohammed Albonaeem ◽  
Yeongmin Kim ◽  
Nam Jin Kim ◽  
Sang Hoon Lim ◽  
...  

A thermal-to-acoustic energy converter (TAC) was developed and tested to produce sound waves in the kilohertz range directly from solar energy. The converter consisted of a glass window and a small amount of steel wool in the shape of a disk sealed in an aluminum housing. A Fresnel lens and a chopper wheel with 60 holes in it were employed to generate a pulsed sunbeam of approximately 200 sun intensity as the heat source of the TAC. Various designs and techniques were tested to improve the sound amplitude and signal-to-noise ratio of the converter at high frequencies. Reduction in air volume, better cooling, and improvement in air tightness were found to be effective in enhancing the sound amplitude. A shockproof mount commonly used in radio studios to reduce microphone vibration was essential in noise reduction for the TAC at high chopper wheel rotations. The sound amplitude was found to rapidly decrease with the increase in pulse frequency of the sunbeam at low frequencies. The relationship between the decibel value and frequency of the generated sound waves was changed to linear for sunbeam frequencies above 1 kHz. This is the frequency at which the penetration of surface temperature fluctuations into the aluminum housing becomes comparable with the aluminum housing thickness. At a given frequency, the sound amplitude increased almost exponentially with the increase in solar flux intensity. To the best of our knowledge, the 3 kHz sound frequency measured in our experiments is by far the highest frequency produced by a solar-to-acoustical energy converter.


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