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Psychoacoustic and Objective Assessment of Hearing
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Josephine Marriage, Marina Salorio-Corbetto
It is advised that the measurement of OAEs is combined with tympanometry, especially in cases where OAEs are absent, because middle ear problems can interfere with the recording of OAEs. A key application of OAEs is the diagnosis of auditory neuropathy (Chapter 16). The newborn hearing screening programme (NHSP) uses automated OAE recordings in babies together with automated auditory brainstem responses (ABRs).
Current and Emerging Clinical Applications of the auditory Steady-State Response
Published in Stavros Hatzopoulos, Andrea Ciorba, Mark Krumm, Advances in Audiology and Hearing Science, 2020
Although OAEs and automated ABR are established evidence-based techniques for newborn hearing screening, there are multiple reasons to also consider ASSR for hearing screening of newborn infants. Two advantages of ASSR that immediately come to mind are (1) the opportunity to simultaneously screen both ears with multiple stimuli within the speech frequency region (e.g., 500–4000 Hz), rather than one ear within a rather limited frequency region and (2) statistical determination of response presence versus absence (i.e., pass versus fail outcome) at an appropriate low stimulus intensity level. The latter advantage, of course, allows for infant hearing screening by nonaudiology personnel. We have heard anecdotal reports of audiologists experimenting with ASSR for this clinical purpose, usually in babies already undergoing ABR screening with a device that also had an ASSR option. And, of course, there are a number of recent reports of ASSR as a tool for confirming or ruling out hearing loss in newborn infants with fail outcomes for OAE or AABR hearing screening [e.g., see Hall (2015) for review; Yang et al., 2016; Song et al., 2015; Nunez-Batalla et al., 2016; Farhat et al., 2015].
The Role of the Audiologist in Life Care Planning
Published in Roger O. Weed, Debra E. Berens, Life Care Planning and Case Management Handbook, 2018
William D. Mustain, Carolyn Wiles Higdon
By the early 1990s, advances in screening technology using nonbehavioral hearing assessment technologies, such as OAEs and AER, led many professional organizations to call for hearing screening at birth (Joint Committee on Infant Hearing, 1994). In 2000, the Joint Committee on Infant Hearing (JCIH) endorsed universal newborn hearing screening through an integrated, interdisciplinary system of Early Hearing Detection and Intervention (EHDI) programs operating at the state level. That same year congress approved federal funding for EHDI programs, as well as authorized HRSA to develop newborn hearing screening and follow-up services, the Centers for Disease Control and Prevention (CDC) to develop data and tracking systems, and the National Institute for Deafness and Communicative Disorders to support research in EHDI. By 2005, every state had implemented newborn hearing screening, and as of 2012 over 95 percent of all newborns in the United States were being screened for hearing loss before hospital discharge (CDC, 2015).
Non-negative matrix factorization improves the efficiency of recording frequency-following responses in normal-hearing adults and neonates
Published in International Journal of Audiology, 2023
Fuh-Cherng Jeng, Tzu-Hao Lin, Breanna N. Hart, Karen Montgomery-Reagan, Kalyn McDonald
To examine the effectiveness of the SSNMF algorithm for participants during their immediate postnatal days, 15 American neonates (6 girls and 9 boys, 1–3 days after birth) were also recruited. All neonates were born to native English speakers at OhioHealth O’Bleness Hospital in Athens, Ohio. Neonatal participants completed the mandatory Universal Newborn Hearing Screening and received passing results through distortion-product otoacoustic emissions or automated auditory brainstem responses. Parents of all neonates gave written consent. All recordings were obtained in a quiet room at the hospital when the neonates were asleep or resting in a bassinette. All research protocols and experimental procedures were approved by the Institutional Review Boards at Ohio University and OhioHealth O’Bleness Hospital.
An evaluation of newborn hearing screening brochures and parental understanding of screening result terminology
Published in International Journal of Audiology, 2023
Erin M. Picou, Sarah N. McAlexander, Brittany C. Day, Karina J. Jirik, Alison Kemph Morrison, Anne Marie Tharpe
Second, picture relevance can affect content understanding. Pictures centre a reader’s attention and enhance learning (e.g. Alemdag and Cagiltay 2018) and can reduce perceived difficulty of learning new content (Lenzner, Schnotz, and Müller 2013). However, the relevance of the pictures is also critical for learning (Mayer 2002). Irrelevant pictures can draw attention towards irrelevant information (Lenzner, Schnotz, and Müller 2013; Rop et al. 2018) by decreasing the attention on relevant content (Korbach, Brünken, and Park 2016; Park, Korbach, and Brünken 2015). Within the context of newborn hearing screening brochures, irrelevant pictures could include those of assistive hearing devices (e.g. hearing aids or cochlear implants) or pictures of older children (e.g. toddlers or school-aged children). Because the purpose of the newborn hearing screening is to identify newborns who need additional follow-up diagnostic evaluations, pictures of assistive devices or older children, rather than pictures of newborns, are premature and could send confusing messages. For example, pictures of assistive devices could suggest everyone who does not pass a hearing screening requires hearing technology. Likewise, pictures of older children could suggest follow-up testing can wait until a newborn is older.
Applied tele-audiology research in clinical practice during the past decade: a scoping review
Published in International Journal of Audiology, 2021
Karen Muñoz, Naveen K. Nagaraj, Natalie Nichols
No recent studies were identified in our review on tele-audiology diagnostic hearing assessment for older children and adults. Studies on clinical populations are clearly warranted before recommending tele-audiology diagnostic hearing threshold estimation without audiometric sound treated rooms. However, several included studies have successfully implemented cHearing diagnostic evaluation for infants to address the loss to follow-up after a failed newborn hearing screening. CDC (2017) summary of Early Hearing Detection and Intervention (EHDI) hearing screening and follow-up survey data suggest that 34.8% of infants (n= 21,872) who did not pass hearing screening in the United States did not have a diagnostic evaluation documented with their state EHDI program. Remote infant diagnostic testing is an opportunity to reach more children within the timeframe benchmarks described in the Joint Committee on Infant Hearing Position Statement (JCIH 2020). The feasibility study by Canada’s British Columbia Early Hearing Program can serve as a model for implementing tele-audiology diagnostic services for infants (Hatton et al. 2019). Recent advances in automated CE-Chirp ABR/ASSR show promise in providing objective interpretation of results to obtain faster and accurate estimates of hearing threshold in infants (Sininger et al. 2018), and are an area in need of further research for tele-audiology opportunities, including comparing traditional click and toneburst ABR with novel stimuli (e.g. chirp).