How The "Oldest Old" Experience and Adapt to Vision and Hearing Loss Through the Use of Assistive Technologies

2018 ◽  
Author(s):  
Julie Miller ◽  
Samantha Brady ◽  
Chaiwoo Lee ◽  
Lisa A. D'Ambrosio ◽  
Martina Raue ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Oldest Old ◽  
Assistive Technologies

scholarly journals Sensorial frailty: age-related hearing loss and the risk of cognitive impairment and dementia in later life

2018 ◽  
Vol 10 ◽  
pp. 204062231881100 ◽  
Author(s):  
Francesco Panza ◽  
Madia Lozupone ◽  
Rodolfo Sardone ◽  
Petronilla Battista ◽  
Marco Piccininni ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Clinical Condition ◽  
Oldest Old ◽  
Population Based ◽  
Older Age ◽  
Age Related ◽  
Increased Risk ◽  
Age Related Hearing Loss

The peripheral hearing alterations and central auditory processing disorder (CAPD) associated with age-related hearing loss (ARHL), may impact cognitive disorders in older age. In older age, ARHL is also a significant marker for frailty, another age-related multidimensional clinical condition with a nonspecific state of vulnerability, reduced multisystem physiological reserve, and decreased resistance to different stressors (i.e. sensorial impairments, psychosocial stress, diseases, injuries). The multidimensional nature of frailty required an approach based on different pathogeneses because this clinical condition may include sensorial, physical, social, nutritional, cognitive, and psychological phenotypes. In the present narrative review, the cumulative epidemiological evidence coming from several longitudinal population-based studies, suggested convincing links between peripheral ARHL and incident cognitive decline and dementia. Moreover, a few longitudinal case-control and population-based studies also suggested that age-related CAPD in ARHL, may be central in determining an increased risk of incident cognitive decline, dementia, and Alzheimer’s disease (AD). Cumulative meta-analytic evidence confirmed cross-sectional and longitudinal association of both peripheral ARHL and age-related CAPD with different domains of cognitive functions, mild cognitive impairment, and dementia, while the association with dementia subtypes such as AD and vascular dementia remained unclear. However, ARHL may represent a modifiable condition and a possible target for secondary prevention of cognitive impairment in older age, social isolation, late-life depression, and frailty. Further research is required to determine whether broader hearing rehabilitative interventions including coordinated counseling and environmental accommodations could delay or halt cognitive and global decline in the oldest old with both ARHL and dementia.

Digital Hearing Aids Using Automated Varying Bandwidth Finite Impulse Response Filter Banks

2020 ◽  
Vol 10 (9) ◽  
pp. 2005-2009
Author(s):  
Hu Jun ◽  
Zeng Jian ◽  
Yi Hong ◽  
R. Jayabharathy ◽  
V. Gomathi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Auditory System ◽  
Hearing Aids ◽  
Filter Bank ◽  
Filter Banks ◽  
Finite Impulse Response ◽  
Research Work ◽  
Assistive Technologies ◽  
Digital Hearing Aids ◽  
Variable Bandwidth

A human auditory system is a highly complex sensitive system which transfers the acoustic sound into neuroelectrical signals toward the brain. Hearing difficulties or deafness are the outcomes of the problems occurred at any part of the auditory system. Assistive technologies such as hearing aids are developed to improve the quality of life of the hearing impaired people. Current digital hearing aids have fixed bandwidth filter banks which cannot provide enough flexibility to match with audiogram of different hearing loss. Recently, variable bandwidth filter banks have been introduced with different technologies to match more closely with the audiogram of a particular hearing loss. This research work proposes and implements a software controlled variable bandwidth FIR filter bank using Matlab GUI. In the Matlab GUI, in the filter bank, the bandwidth of every filter is adjusted dynamically in the Matlab GUI such that it fits more closely to the audiogram of a particular hearing loss. An experiment has been conducted in the developed Matlab GUI with various hearing loss, and the results show that the proposed system matches the filter bank magnitude response very closely to the audiogram of a particular hearing loss and reduces the matching error.

scholarly journals Psychosocial Impact of Assistive Devices and Other Technologies on Deaf and Hard of Hearing People

2021 ◽  
Vol 18 (14) ◽  
pp. 7259
Author(s):  
Estíbaliz Jiménez-Arberas ◽  
Emiliano Díez
Keyword(s):  
Hearing Loss ◽  
Standard Deviation ◽  
Cochlear Implant ◽  
Hearing Aids ◽  
Hard Of Hearing ◽  
Psychosocial Impact ◽  
Assistive Technologies ◽  
Assistive Devices ◽  
Adoption Process ◽  
Relevant Variable

Deaf and hard of hearing people use a variety of assistive devices and technologies as a strategy to mitigate, counter or compensate for life difficulties resulting from hearing loss. Although outcome measures are commonly used with hearing aids, few studies have explored the perceived psychosocial impact of other assistive devices and technologies or the factors leading to their abandonment or lack of use. Therefore, the main aim of this study was to assess the psychosocial impact of different assistive devices on deaf and hard of hearing people using the Psychosocial Impact of Assistive Devices Scale. The sample was made up of 291 individuals, 176 women and 115 men, with an average age of 56.12 years (standard deviation (SD) = 25.11), who were all users of different assistive devices. Overall, the results of the study showed that the use of assistive devices had a positive psychosocial impact, although this impact varied slightly depending on the specific type of device. Moreover, a relationship was identified between the psychosocial impact and the probability of future abandonment of a hearing aid or a cochlear implant. The results point to the importance of considering the psychosocial impact derived from the use of a device as a relevant variable in the adoption process of assistive technologies for deaf and hard of hearing people.

Assistive technologies in caring for the oldest old: a review of current practice and future directions

Aging Health ◽  
2013 ◽  
Vol 9 (4) ◽  
pp. 365-375 ◽  
Author(s):  
Louise Robinson ◽  
Grant Gibson ◽  
Andrew Kingston ◽  
Lisa Newton ◽  
Gary Pritchard ◽  
...  
Keyword(s):  
Current Practice ◽  
Oldest Old ◽  
Assistive Technologies ◽  
Future Directions

Language Development in Deaf Children

2019 ◽  
pp. 338-368
Author(s):  
Aaron J. Newman
Keyword(s):  
Hearing Loss ◽  
Language Development ◽  
Sign Language ◽  
First Language ◽  
The United States ◽  
Assistive Technologies ◽  
Deaf Children ◽  
Future Research ◽  
Signed Language ◽  
Deaf Parents

Hearing loss affects over 1 billion people around the world and is the fifth leading cause of disability. In the United States, approximately 10,000 babies are born each year with significant hearing loss. Although assistive technologies such as cochlear implants (CIs) are available to restore hearing, deaf children who receive CIs on average show significantly poorer language skills and academic outcomes than their normally hearing peers. At the same time, a relatively small percentage of deaf children are born to deaf parents and learn sign language as their first language, and grow up to be excellent, fluent communicators who are bilingual in signed and spoken language. Historically, there has been significant tension between advocates of sign language and “oralists” who discouraged sign language use. This chapter provides a critical review of language development in deaf children, including those with CIs and those exposed to different kinds, and amounts, of signed language. The linguistic and educational outcomes of deaf children are considered in light of current understanding of neurodevelopment, sensitive periods, and neuroplasticity, while highlighting areas of controversy and important directions for future research. The chapter concludes with evidence-based recommendations in favor of sign language exposure for all deaf children.

Communication Strategies and Accommodations Utilized by Health Care Providers With Hearing Loss: A Pilot Study

2014 ◽  
Vol 23 (1) ◽  
pp. 7-19 ◽  
Author(s):  
Alanna R. Trotter ◽  
Susan B. Matt ◽  
Danuta Wojnar
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Pilot Study ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Communication Strategies ◽  
Assistive Technologies ◽  
Care Providers ◽  
Communication Techniques ◽  
Patient Provider Communication

Purpose Poor communication between health care providers and patients may negatively impact patient outcomes, and enhancing communication is one way to improve outcomes. Effective communication is particularly important for health care providers who have hearing loss. The authors found that a systematic survey of the communication strategies and experiences of health care providers with hearing loss had not yet been conducted. Method In this pilot study, 32 health care professionals with hearing loss were recruited via the Association of Medical Professionals With Hearing Losses and were asked to complete a 28-question survey. Results Health care providers with hearing loss already employ strategies that all health care providers are encouraged to use in order to enhance patient–provider communication, and survey participants have found the strategies to be effective. Conclusions The communication techniques and assistive technologies used by individuals with hearing loss seem to be effective: All participants reported feeling able to communicate effectively with patients at least most of the time. More research is needed to determine if use of these communication techniques has similar results for health care providers without hearing loss.

scholarly journals DIFICULDADES AUDITIVAS PERCEBIDAS POR MORADORES LONGEVOS E NÃO LONGEVOS DE UMA INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS

2012 ◽  
Vol 17 (1) ◽  
Author(s):  
Sabrina Braga dos Santos ◽  
Lyssandra Borba de Oliveira ◽  
Isabela Hoffmeister Menegotto ◽  
Angelo José Gonçalves Bós ◽  
Cristina Loureiro Chaves Soldera
Keyword(s):  
Hearing Loss ◽  
Oldest Old ◽  
Health Assessment ◽  
The Elderly ◽  
Social Situations ◽  
Hearing Disorders ◽  
Institutionalized Elderly ◽  
Health Assessments ◽  
Hearing Handicap ◽  
Participation Restrictions

resumo Objetivo: Estudar a diferença na percepção de restrição de participação auditiva (handicap auditivo) em indivíduos longevos (80 anos ou mais) e não longevos (menos de 80 anos), residentes em instituição de longa permanência para idosos (ILPI), avaliada pelo questionário The Hearing Handicap Inventory for the Ederly (HHIE). Métodos: Foi realizada a aplicação de um inventário sociodemográfico seguida da aplicação do questionário HHIE. Resultados: Participaram 100 indivíduos, com idades entre 59 e 104 anos, sendo 30 homens e 70 mulheres. A percepção de restrição de participação auditiva foi observada em algum grau em somente 44% dos participantes. Os longevos demonstraram possuir percepção de restrição de participação auditiva em maior número de situações diárias do que os indivíduos não longevos. As questões referentes a situações sociais demonstraram maior chance de interferir de maneira significativa na percepção de restrição de participação auditiva do indivíduo longevo, do que as emocionais. Conclusão: A maioria dos indivíduos não apresentou percepção de restrição de participação auditiva, sendo a mesma mais frequente em indivíduos longevos. Os indivíduos longevos têm maior chance de perceber restrição de participação auditiva decorrente de situações sociais, do que emocionais. O contrário, sendo verdadeiro para indivíduos não longevos. Foram observadas queixas significativas de dificuldades auditivas no cotidiano dos indivíduos institucionalizados, que dificilmente seriam verificadas em avaliações de saúde rotineiras, e que podem resultar em dificuldades de inserção do indivíduo institucionalizado em seu meio social, sugerindo que o questionário HHIE seja incluído na avaliação clínica dos idosos residentes em ILPI.   palavras-chave Transtornos da audição. Saúde do Idoso Institucionalizado. Perda Auditiva. Envelhecimento. Audição. Presbiacusia.   abstract Objective: To study the differences in perceived hearing handicap between oldest-old (80 years or older) and non-oldest-old individuals (less than 80 years-old) residing in a long-stay institution for the elderly through the application of The Hearing Handicap Inventory for the Ederly (HHIE). Methods: Both groups answered a questionnaire assessing socio and demographic status, followed by the HHIE. Results: We interviewed 100 individuals aged between 59 and 104 years old, 30 men and 70 women. Forty-four percent of the participants had some degree of perceived hearing handicap.  Oldest-old individuals showed perceived hearing handicap in a larger number of daily situations than non-oldest-old individuals. Issues relating to social situations demonstrated a greater chance to interfere significantly in perceived hearing handicap in oldest-old individuals than the emotional ones. Conclusion: Most subjects had not perceived hearing handicap. However, the presence of this perception occurs more frequently in oldest-old individuals. The long-lived individuals are more likely to perceive auditory participation restrictions resulting from social situations than result in emotional situations, the opposite being true for younger individuals. We observed significant complaints about the difficulties of hearing in the daily source of institutionalized individuals which were unlikely to be detected in routine health assessments and may result in integration difficulties of institutionalized individuals in their social environment. The finds suggest that HHIE should be included in a health assessment of the institutionalized elderly.   keywords Hearing Disorders. Health of Institutionalized Elderly. Hearing Loss. Aging. Hearing. Presbycusis.

Fluorocitrate Neural Dystrophy of the Guinea Pig Cochlea

1975 ◽  
Vol 33 ◽  
pp. 368-369
Author(s):  
G.J. Spector ◽  
C.D. Carr ◽  
I. Kaufman Arenberg ◽  
R.H. Maisel
Keyword(s):  
Hearing Loss ◽  
Hair Cells ◽  
Sodium Phosphate ◽  
Sensory Cells ◽  
Barium Salt ◽  
Perfusion Medium ◽  
Cochlear Hair Cells ◽  
Neural Degeneration ◽  
Sodium Phosphate Buffer ◽  
Cochlear Neurons

All studies on primary neural degeneration in the cochlea have evaluated the end stages of degeneration or the indiscriminate destruction of both sensory cells and cochlear neurons. We have developed a model which selectively simulates the dystrophic changes denoting cochlear neural degeneration while sparing the cochlear hair cells. Such a model can be used to define more precisely the mechanism of presbycusis or the hearing loss in aging man.Twenty-two pigmented guinea pigs (200-250 gm) were perfused by the perilymphatic route as live preparations using fluorocitrate in various concentrations (15-250 ug/cc) and at different incubation times (5-150 minutes). The barium salt of DL fluorocitrate, (C6H4O7F)2Ba3, was reacted with 1.0N sulfuric acid to precipitate the barium as a sulfate. The perfusion medium was prepared, just prior to use, as follows: sodium phosphate buffer 0.2M, pH 7.4 = 9cc; fluorocitrate = 15-200 mg/cc; and sucrose = 0.2M.

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