Speech and Hearing Science Commons^™

Optimizing Communication In Palliative And Hospice Care: A Toolkit For Audiologists, Sherry E. Queen

Dissertations, Theses, and Capstone Projects

The prevalence of hearing loss increases with age, with age-related hearing loss (ARHL) being one of the most prevalent forms of sensory decline in older adults. Hearing loss is often overlooked in medical settings including palliative and hospice care. Screening for hearing loss in these settings is rare as is formal staff training on assessing and managing hearing loss in palliative and hospice care. An evidence-based toolkit for integrating audiologists into end-of-life care protocols is presented. This toolkit was developed to optimize communication in palliative and hospice care for patients, caregivers, audiologists, physicians, and other palliative care staff. Effective communication …

Primary Care Physician Perceptions Of Hearing Loss And Amplification: A Survey, Sophie Racine

Dissertations, Theses, and Capstone Projects

The goal of this survey is to determine primary care physicians’ (PCP) views regarding hearing loss and hearing amplification. A questionnaire was created, using TypeForm©. Factors interrogated in the survey included structural aspects of the health care delivery system, presence of stigma among providers regarding hearing amplification, PCPs’ knowledge of hearing loss, the utility of amplification, official recommendations on screening and amplification, costs of hearing aids and risks of untreated hearing loss, and practitioners’ viewpoints and practice behaviors surrounding hearing loss and amplification. The survey instrument is comprised of four domains: 1) demographics, 2) knowledge of hearing loss and amplification, …

Induction Of Nocebo Effects By Verbal Suggestions During The Caloric Test, Abbey Weist

Dissertations, 2020-current

The caloric test is the most frequently performed vestibular diagnostic test and is considered the “gold-standard” for the assessment of the peripheral vestibular system. Using a warm or cool stimulus, the caloric test alters the temperature gradient in the vestibular system resulting in nausea and dizziness. The nocebo effect is a phenomenon that can occur when negative expectations result in negative effects. No study has examined whether expectations of nausea and dizziness during the caloric test enhance the experience of unwanted symptoms. The purpose of this investigation was to determine whether a nocebo response can be elicited during the caloric …

Advanced Phenotyping Of Otosclerosis In An Ontario Population And Two Large Newfoundland Families, Matthew B. Lucas

Electronic Thesis and Dissertation Repository

Otosclerosis is a relatively common hearing loss disorder characterized by abnormal bone growth in the otic capsule leading to stapes fixation. In approximately half of cases, otosclerosis is inherited as an autosomal dominant trait. Typically, gene discovery efforts rely on surgical confirmation, audiometry and occasionally acoustic reflexes to identify affected cases of otosclerosis within families, requiring that the otosclerosis was at an advanced stage to be detected. This makes it difficult to identify individuals with early otosclerosis. The use of advanced phenotyping to identify cases of otosclerosis was tested in an Ontario otosclerotic population as well as in two large …

Counseling For Patients With Hyperacusis, Mary Maraist

Communication Sciences and Disorders: Student Scholarship & Creative Works

Hyperacusis is the phenomenon of experiencing moderately loud sounds as overly loud and/or intensely annoying. Hyperacusis can also cause fear or pain in response to sound. There is no one known cause of hyperacusis, and because of the variety of ways it presents itself, the approximate prevalence is difficult to determine. Despite the ambiguity of hyperacusis, the audiologist is an important part of diagnosing and educating clients with hyperacusis. During this project we aimed to discover the challenges individuals with hyperacusis face. These include anxiety, depression and avoidance behavior, and sometimes co-occurring tinnitus and hearing loss. Another aim was to …

Effects Of Primary And Secondary Cigarette Smoke On Auditory Function: A Systematic Review, Hilary Mcmanus

Dissertations, Theses, and Capstone Projects

Objective: The goal of this paper was to systematically review literature in order to investigate the effects of active and passive cigarette smoke on auditory function when assessing outcome measures including pure tone audiometry, otoacoustic emissions, high-frequency audiometry, and auditory evoked potentials.

Methods: A comprehensive search using the Medline Complete database was conducted to identify relevant studies published after 2005. Inclusion criteria included the use of pure tone audiometry, high-frequency audiometry, otoacoustic emissions, and/or auditory evoked potentials to examine the effect of primary or secondary cigarette smoke. Studies involving noise exposure or other confounding factors were excluded.

Results: A total …

Screening For Hearing Loss: Physician Attitudes And Practice, Theresa N. Vitale

Dissertations, Theses, and Capstone Projects

Age related hearing loss (ARHL) is considered a public health hazard in large part due to the negative health outcomes with which it is associated, such as, cognitive decline, increased risk of falling, social isolation and depression. Despite the health-related costs of ARHL, physician’s rarely screen older adults for ARHL. Some of the reasons previously cited include a lack of time and resources in medical offices, a lack of reimbursement for such measures, or lack of knowledge of risk factors associated with hearing loss. The latter is problematic as improved communication among physicians and their patients is an important correlate …

Recreational Sound Risk For A University Student: Case Study, Michele Wattman, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Concern about noise exposure in recreational settings is growing and unsafe levels of sound are frequently being experienced in a variety of non-occupational settings such as pubs, nightclubs, concerts, parties, and fitness classes. Damage to the auditory system may occur with regular participation in these loud activities. A case study was conducted to estimate sound exposure levels and risk associated with common activities. Findings demonstrated that pubs presented a hazardous sound environment, so information about health-oriented behavior is essential to effectively improve hearing conservation awareness for university students. Public awareness and personal hearing protection should be strongly considered to prevent …

Development And Deployment Of A Small Stereo-Hearing Testing System: Two Manuscripts, Sofia A. Ganev

Dissertations, 2014-2019

MANUSCRIPT #1 TITLE

Development of a Deployable Stereo-Hearing System

ABSTRACT

Objective: To investigate the effectiveness and efficiency of a portable stereo-hearing testing system with the intent of deployment for data collection in future studies. We quantify sound localization accuracy and speech-in-noise thresholds comparing unilateral (such as single-sided deafness) and bilateral subjects. We desired to design a small, inexpensive system that would show a large effect size between binaural and monaural subjects in a variety of stereo hearing tasks.

Methods: Subjects were tested on localization accuracy and speech understanding in noise using a laboratory-made stereo-hearing testing device. For the …

A Case Study Of Cochlear Implants And Complications, Carly E. Amurao

Senior Honors Projects

A cochlear implant is an electronic medical device that replaces the function of the damaged inner ear, allowing the individual access to sound. In recent years, there has been tremendous progress in developing technology in the area of cochlear implants to aid those with severe/profound hearing loss. Specifically, there has been a movement towards bilateral implantation. Each cochlear implant candidate has a unique hearing loss, and must reach required bench marks in order to be considered a viable candidate for a cochlear implant. This process includes: meeting the required level of hearing loss, a required trial with hearing aids that …

Variability In Clinically Measured Wideband Acoustic Immittance Over Time In Young And Old Adults, Allison G. Mcgrath

Dissertations, 2014-2019

Wideband acoustic immittance (WAI) measures of the middle ear have the potential to increase our ability to detect changes in the middle ear transfer function not seen using traditional tympanometry. In order to use this new tool diagnostically we must first understand its normal clinical variability. The present study aimed to investigate the variability that occurs when wideband acoustic immittance (WAI) is measured clinically within subjects as a function of subject age, as a function of time, and as a function of pressure. A total of thirty-six ears from eighteen subjects were studied (n=18 young adults ears, n=18 older adult …

Differential Effects Of Cdh23753a On Auditory And Vestibular Functional Aging In C57bl/6j Mice, Bruce E. Mock, Sarath Vijayakumar, Jessica Pierce, Timothy A. Jones, Sherri M. Jones

Department of Special Education and Communication Disorders: Faculty Publications

The C57BL/6J (B6) mouse strain carries a cadherin 23 mutation (Cdh23^753A, also known as Ahl), which affects inner ear structures and results in age-related hearing loss. The B6.CAST strain harbors the wild type Cdh23 gene, and hence, the influence of Ahl is absent. The purpose of the present study was to characterize the effect of age and gender on gravity receptor function in B6 and B6.CAST strains and to compare functional aging between auditory and vestibular modalities. Auditory sensitivity declined at significantly faster rates than gravity receptor sensitivity for both strains. Indeed, vestibular functional aging was …

Examining Monaural And Binaural Measures Of Phase-Locking As A Function Of Age, Larissa M. Heckler

Dissertations, 2014-2019

Understanding speech in the presence of background noise is a common complaint of middle-aged and older listeners with clinically normal audiograms. There is great interest in understanding how age-related changes in auditory physiology make it harder for older adults to understand speech in difficult listening situations, compared to young listeners. It was recently reported that middle-aged and older normal-hearing listeners showed frequency-dependent, age-related declines in the behavioral and physiological detection of interaural phase differences (Grose & Mamo, 2010; Ross et al, 2007). There is also evidence of an age-related, frequency-dependent decline in the frequency-following response (FFR) (Clinard et al., 2010), …

Psychophysical Auditory Filter Estimates Reveal Sharper Cochlear Tuning In Musicians, Gavin Bidelman, Jonathan Schug, Skyler Jennings, Shaum Bhagat

Faculty Publications

Musicianship confers enhancements to hearing at nearly all levels of the auditory system from periphery to percept. Musicians' superior psychophysical abilities are particularly evident in spectral discrimination and noise-degraded listening tasks, achieving higher perceptual sensitivity than their nonmusician peers. Greater spectral acuity implies that musicianship may increase auditory filter selectivity. This hypothesis was directly tested by measuring both forward- and simultaneous-masked psychophysical tuning curves. Sharper filter tuning (i.e., higher Q10) was observed in musicians compared to nonmusicians. Findings suggest musicians' pervasive listening benefits may be facilitated, in part, by superior spectral processing/decomposition as early as the auditory periphery.

Monitoring Carboplatin Ototoxicity With Distortion-Product Otoacoustic Emissions In Children With Retinoblastoma, Shaum Bhagat, Johnnie Bass, Stephanie White, Ibrahim Qaddoumi, Matthew Wilson, Jianrong Wu, Carlos Rodriguez-Galindo

Faculty Publications

ObjectiveCarboplatin is a common chemotherapy agent with potential ototoxic side effects that is used to treat a variety of pediatric cancers, including retinoblastoma. Retinoblastoma is a malignant tumor of the retina that is usually diagnosed in young children. Distortion-product otoacoustic emission tests offer an effective method of monitoring for ototoxicity in young children. This study was designed to compare measurements of distortion-product otoacoustic emissions obtained before and after several courses of carboplatin chemotherapy in order to examine if (a) mean distortion-product otoacoustic emission levels were significantly different; and (b) if criterion reductions in distortion-product otoacoustic emission levels were observed in …

Time Course Of Loudness Recalibration: Implications For Loudness Enhancement, Yoav Arieh, Lawrence E. Marks

Department of Psychology Faculty Scholarship and Creative Works

Loudness recalibration, the effect of a relatively loud 2500-Hz recalibrating tone on the loudness of a relatively soft 2500-Hz target tone, was measured as a function of the interstimulus interval (ISI) between them. The loudness of the target tone, assessed by a 500-Hz comparison tone, declined when the ISI equaled or exceeded about 200 ms and leveled off at an ISI of about 700 ms. Notably, the target tone’s loudness did not change significantly at very short ISIs (<150 ms). The latter result is incompatible with the literature reporting loudness enhancement in this time window but is compatible with the suggestion made by Scharf, Buus, and Nieder [J. Acoust. Soc. Am. 112, 807–810 (2002)] that early measurements of enhancement were contaminated by the influence of the recalibrating tone on the comparison …

An Investigation Of Temporary Threshold Shift Among Helmeted Motorcycle Riders, Alamander Hicks

Dissertations and Theses

The purpose of the present study involved the investigation of the significance of wind noise as a contributing factor toward temporary threshold shifts among a select sample of motorcycle riders. Five ' normal-hearing, helmeted, female subjects were administered pure-tone air-conduction hearing tests immediately before and within 2 minutes after exposure to three noise-related aspects of motorcycle riding. The amount of ,hearing loss present at 3k, 4k and 6k Hz after each 20 minute exposure condition was recorded as the TTS for that subject. The three conditions consisted of motorcycle noise only, wind noise only and motorcycle and wind noise combined. …

Correlation Of Auditory Feedback And The Kottmeyer Diagnostic Spelling Test, Jerd Vance Tuman

All Master's Theses

This paper is a correlation study of fourth grade students' scores on the Kottmeyer Diagnostic Spelling Test and the Auditory Feedback Test. The purpose of the paper is to determine if students who are poor spellers have poor auditory discrimination. Recommendations included the use of a spelling test which requires greater auditory discrimination than the Kottmeyer Spelling Test. Also recommended is a correlation study using primary students as the population.

An Investigation Of The Value Of Auditory Training In The Education Of Deaf Children, Martha Yattaw Walker

University of the Pacific Theses and Dissertations

For over a quarter of a century a difference of opinion has existed regarding the relative value of auditory training in the education of the deaf child. The opponents have insisted that in most deaf children there is little or no residual hearing on which to use acoustic stimulation. The proponents have insisted that there are extremely few deaf children who do not have some residual hearing which could be stimulated to promote better speech, to increase speech perception, and to advance better mental health.

The purpose of this study has been (1) to investigate (a) the development of speech …