An Essential Guide to Hearing and Balance Disorders

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Author :
Publisher : Psychology Press
ISBN 13 : 1351576690
Total Pages : 652 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis An Essential Guide to Hearing and Balance Disorders by : R. Steven Ackley

Download or read book An Essential Guide to Hearing and Balance Disorders written by R. Steven Ackley and published by Psychology Press. This book was released on 2018-03-29 with total page 652 pages. Available in PDF, EPUB and Kindle. Book excerpt: An Essential Guide to Hearing and Balance Disorders consolidates the most significant clinical aspects of hearing and balance disorders, ranging from cause and diagnosis to treatment and cure. Experts in various subspecialties of this extensive topic introduce readers to the most sophisticated and state of the art methods of diagnosis and treatment. Each chapter expands on a specific topic area along the continuum of how medical personnel diagnose hearing and balance disorders, to how surgical implantation of the cochlea and rehabilitation can remedy various conditions. In concise format, the book begins with a case history and follows with comprehensive descriptions of current knowledge regarding fundamental causes of hearing loss and balance disorders, as well as a thorough examination of objective assessment. The latter half of the volume presents specialized treatment and rehabilitative options for various disorders. The chapters in this part cover special topics and conclude with pertinent case studies. Unique areas of discussion in a text of this kind include: genetics of deafness pediatric hearing loss and hearing loss later in life business essentials in audiology private practice professional issues, such as ethics, methods of practice, and conflicts of interest. As its title implies, this book is critically important for all students and professionals in hearing/balance related disciplines, including audiology, otolaryngology, general medicine, and rehabilitation oriented allied health care occupations.

An Essential Guide to Hearing and Balance Disorders

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Author :
Publisher : Psychology Press
ISBN 13 : 1351576704
Total Pages : 504 pages
Book Rating : 4.3/5 (515 download)

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Book Synopsis An Essential Guide to Hearing and Balance Disorders by : R. Steven Ackley

Download or read book An Essential Guide to Hearing and Balance Disorders written by R. Steven Ackley and published by Psychology Press. This book was released on 2018-03-29 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: An Essential Guide to Hearing and Balance Disorders consolidates the most significant clinical aspects of hearing and balance disorders, ranging from cause and diagnosis to treatment and cure. Experts in various subspecialties of this extensive topic introduce readers to the most sophisticated and state of the art methods of diagnosis and treatment. Each chapter expands on a specific topic area along the continuum of how medical personnel diagnose hearing and balance disorders, to how surgical implantation of the cochlea and rehabilitation can remedy various conditions. In concise format, the book begins with a case history and follows with comprehensive descriptions of current knowledge regarding fundamental causes of hearing loss and balance disorders, as well as a thorough examination of objective assessment. The latter half of the volume presents specialized treatment and rehabilitative options for various disorders. The chapters in this part cover special topics and conclude with pertinent case studies. Unique areas of discussion in a text of this kind include: genetics of deafness pediatric hearing loss and hearing loss later in life business essentials in audiology private practice professional issues, such as ethics, methods of practice, and conflicts of interest. As its title implies, this book is critically important for all students and professionals in hearing/balance related disciplines, including audiology, otolaryngology, general medicine, and rehabilitation oriented allied health care occupations.

A Textbook of Audiological Medicine

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Author :
Publisher : CRC Press
ISBN 13 : 9781901865349
Total Pages : 928 pages
Book Rating : 4.8/5 (653 download)

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Book Synopsis A Textbook of Audiological Medicine by : Linda Luxon

Download or read book A Textbook of Audiological Medicine written by Linda Luxon and published by CRC Press. This book was released on 2002-12-19 with total page 928 pages. Available in PDF, EPUB and Kindle. Book excerpt: Audiological medicine is a relatively new specialty spanning the investigation, diagnosis and medical management of hearing and balance disorders. Recent years have seen its growth as a separate medical discipline, although its practice depends not only upon a clear understanding of the basic sciences relevant to auditory and vestibular function, but also upon experience and knowledge in a wide range of clinical disciplines relevant to hearing and balance disorders, including genetics, immunology, pediatrics, geriatrics, neurology, otolaryngology, ophthalmology, psychiatry and general internal medicine. A Textbook of Audiological Medicine integrates the science and medicine of auditory and vestibular disorders, providing the first comprehensive textbook on the subject. There are five main sections; the first deals with both the auditory and vestibular systems, and then each system is considered in terms of the relevant basic sciences and clinical disorders.

Dizziness

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Author :
Publisher : JHU Press
ISBN 13 : 1421420899
Total Pages : 205 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Dizziness by : Gregory T. Whitman

Download or read book Dizziness written by Gregory T. Whitman and published by JHU Press. This book was released on 2016-11-15 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Drs. Gregory Whitman, an otoneurologist, and Robert Baloh, a neurologist, have written a remarkably readable and compassionate book for anyone who has dizziness, whether acutely, episodically, or chronically. Their book describes the conditions that cause dizziness and explains what people with dizziness can do to feel better. For older people especially, addressing dizziness means a better chance of avoiding a fall and retaining independence. The authors begin by explaining why it's important to overcome dizziness and describing how dizziness is diagnosed and treated. They then describe two conditions--benign paroxysmal positional vertigo and orthostatic hypotension--which cause dizzy spells when a person changes position. Next are the causes of dizzy spells that happen in attacks and without any trigger, most prominently Meniere's disease and migraine-associated dizziness. The third part of the book is for people who have a single bout of dizziness that lasts for days and then gradually improves, generally brought on by either vestibular neuritis or stroke and transient ischemic attacks (TIAs). Finally, the authors explore the causes of constant dizziness that lasts for days, months, and even years. These are anxiety, Mal de debarquement Syndrome, dizziness due to loss of function in both ears, and small vessel ischemic disease. An Appendix offers advice about home exercises for dizziness, and a Glossary defines terms. This book stands to become the definitive consumer health book on this topic. With the aging of the population, dizziness will become a more common problem, so the book may also be of interest and use to primary care providers"--

The Ear Book

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Publisher : JHU Press
ISBN 13 : 1421422867
Total Pages : 256 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis The Ear Book by : Thomas J. Balkany

Download or read book The Ear Book written by Thomas J. Balkany and published by JHU Press. This book was released on 2017-06-18 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Everything you ever wanted to know about ears from two outstanding physician scientists. I loved this book!” —Donna Shalala, Former U.S. Secretary of Health and Human Services In The Ear Book, Drs. Thomas J. Balkany and Kevin D. Brown, recognized experts on ears and hearing, explain how the anatomy of the ear facilitates hearing and balance and then examine the causes, symptoms, and treatment of common problems of the outer, middle, and inner ear. Their explanations take the mystery out of hearing aids, the proper care of ears, and how the pressurized conditions of scuba diving and air travel affect the ears. And they debunk ear-related myths—from the notion that exposure to loud noise strengthens the ear to the idea that tinnitus can be cured with nutrients—and urge readers to stop using ear candling or Q-tips to get rid of wax. Drs. Balkany and Brown address such common questions as: Can dizziness be cured? How loud is too loud? Why do my ears ring? Do cochlear implants work for nerve deafness? What promise do innovations in gene therapy and stem cell therapy hold for the future? Fully illustrated and including helpful tables, hearing preservation tips, a glossary of terms, lists of ear medications and resources, and suggestions for further reading, The Ear Book is sure to be a welcome family guide. “This book is gem for everyone with questions about their ears. I highly recommend it—especially the chapter on Myths of the Ear!” —D. Bradley Welling, MD, PhD, Harvard University Department of Otolaryngology

Audiology Treatment

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Author :
Publisher : Thieme
ISBN 13 : 1626233292
Total Pages : 784 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Audiology Treatment by : Jason A. Galster

Download or read book Audiology Treatment written by Jason A. Galster and published by Thieme. This book was released on 2018-07-13 with total page 784 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to treating hearing loss and auditory disorders in the 21st century Hearing loss impacts an estimated 360 million people worldwide and may precipitate poorer academic performance, reduced quality of life, decreased social engagement, and increased fatigue. Audiology Treatment, Third Edition by Jason Galster and a cadre of renowned audiology experts, is updated in full color with 180 illustrations and new topics. Pearls, best practices, and pitfalls on the management and treatment of hearing loss reflect significant knowledge gleaned from the authors' collective experience. The book is a one-stop resource on hearing aids, covering the many scientific aspects of hearing loss and devices, fitting and measuring patients, and methods to ensure optimal performance over time. In-depth chapters cover the treatment of auditory disorders in children to older adults, including assessments, hearing aid coupling, real-ear measurements, and case studies. Key Highlights Physical properties of hearing aids, verification of acoustic performance, methods of audio signal processing to shape and filter sound, and a detailed introduction to prescription devices Clinical outcome measures utilizing quality-of-life, costs analyses, and evidence-based methods The expanded use of cochlear implants in children and adults Unique topics such as bone-anchored hearing aids, assistive technologies, hearing protection, and management of tinnitus and hyperacusis This title is part of a three-volume set on Audiology (Diagnosis, Treatment, and Practice Management). Together, these books cover every aspect of audiology, providing a remarkably comprehensive resource - essential reading for doctoral students in audiology and must-have bookshelf references for audiologists.

Balance Function Assessment and Management, Third Edition

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Author :
Publisher : Plural Publishing
ISBN 13 : 1635501997
Total Pages : 734 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis Balance Function Assessment and Management, Third Edition by : Gary P. Jacobson

Download or read book Balance Function Assessment and Management, Third Edition written by Gary P. Jacobson and published by Plural Publishing. This book was released on 2020-01-20 with total page 734 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE BEST-SELLING BOOK ON THE TOPIC! The third edition of Balance Function Assessment and Management, the leading textbook on the subject, continues to comprehensively address the assessment and treatment of balance system impairments through contributions from top experts in the areas of dizziness and vertigo. Designed for use in graduate audiology programs and by practicing audiologists, this is also a valuable text for those in the fields of physical therapy, otolaryngology, and neurology. New to the Third Edition: * Reorganized with the expertise of four additional Editors: Kamran Barin, PhD, Robert F. Burkard, PhD, Kristen Janky, AuD, PhD, and Devin L. McCaslin, PhD * Three new chapters: An Historical Perspective of the Perception of Vertigo, Dizziness, and Vestibular Medicine (Zalewski); Vestibular Balance Therapy for Children (Christy); and Challenging Cases (Shepard) * All existing chapters have been revised and updated * An effort has been made to make the text more concise * Three new helpful appendices covering the pathophysiology behind dizziness, coding and billing, and an overview of Interprofessional Education (IPE) and Interprofessional Practice (IPP) Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.

Overcoming Positional Vertigo

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Author :
Publisher : Bull Publishing
ISBN 13 : 1945188286
Total Pages : 236 pages
Book Rating : 4.9/5 (451 download)

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Book Synopsis Overcoming Positional Vertigo by : Carol A Foster

Download or read book Overcoming Positional Vertigo written by Carol A Foster and published by Bull Publishing. This book was released on 2019-01-08 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Benign paroxysmal positional vertigo, or BPPV, is dizziness that comes from the inner ear. It affects more than eight million people in the United States alone. The good news is that this condition can be managed at home. Carol A. Foster, an Associate Professor of Otolaryngology at the University of Colorado, Denver School of Medicine, developed a maneuver that allows sufferers to treat their own symptoms. Her YouTube video demonstrating the maneuver has more than five million views. Written in a friendly and approachable tone, Overcoming Positional Vertigo provides readers a more in-depth guide to the diagnosis of BPPV, the specifics of treatments and maneuvers, and preventative measures one can take to avoid recurrence.

Clinical Neurotology

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Author :
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Clinical Neurotology by : Lawrence R. Lustig

Download or read book Clinical Neurotology written by Lawrence R. Lustig and published by . This book was released on 2003 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Hearing Health Care for Adults

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Publisher : National Academies Press
ISBN 13 : 0309439264
Total Pages : 325 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Hearing Health Care for Adults by : National Academies of Sciences, Engineering, and Medicine

Download or read book Hearing Health Care for Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-06 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: The loss of hearing - be it gradual or acute, mild or severe, present since birth or acquired in older age - can have significant effects on one's communication abilities, quality of life, social participation, and health. Despite this, many people with hearing loss do not seek or receive hearing health care. The reasons are numerous, complex, and often interconnected. For some, hearing health care is not affordable. For others, the appropriate services are difficult to access, or individuals do not know how or where to access them. Others may not want to deal with the stigma that they and society may associate with needing hearing health care and obtaining that care. Still others do not recognize they need hearing health care, as hearing loss is an invisible health condition that often worsens gradually over time. In the United States, an estimated 30 million individuals (12.7 percent of Americans ages 12 years or older) have hearing loss. Globally, hearing loss has been identified as the fifth leading cause of years lived with disability. Successful hearing health care enables individuals with hearing loss to have the freedom to communicate in their environments in ways that are culturally appropriate and that preserve their dignity and function. Hearing Health Care for Adults focuses on improving the accessibility and affordability of hearing health care for adults of all ages. This study examines the hearing health care system, with a focus on non-surgical technologies and services, and offers recommendations for improving access to, the affordability of, and the quality of hearing health care for adults of all ages.

Restore Hearing Naturally

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Author :
Publisher : Simon and Schuster
ISBN 13 : 1620558947
Total Pages : 325 pages
Book Rating : 4.6/5 (25 download)

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Book Synopsis Restore Hearing Naturally by : Anton Stucki

Download or read book Restore Hearing Naturally written by Anton Stucki and published by Simon and Schuster. This book was released on 2020-01-07 with total page 325 pages. Available in PDF, EPUB and Kindle. Book excerpt: A step-by-step training program to improve your hearing through enhanced perception with all five senses • Provides detailed instructions for 20 simple, practical exercises you can do at home to improve your hearing and train your senses • Explains the connection between hearing loss and emotional stress and trauma • Shares stories from people who have used this method to compensate for deafness in one ear, others who have been able to ditch their hearing aids completely, as well as the positive effect restored hearing has for patients with dementia and Alzheimer’s Through hearing we are connected with everything that surrounds us. Yet millions of people, young and old, suffer from hearing loss, which disrupts this special connection not only with our surroundings but also with our friends, loved ones, and coworkers. As Anton Stucki reveals, onset hearing loss as well as other conditions of the ear canal, such as tinnitus, industrial hearing loss, and vertigo, are not part of our normal physiological aging process. The brain is naturally able to compensate for hearing loss, even in situations with loud background noise, yet as we age, we lose this adaptive ability. In this step-by-step guide, Stucki explains his revolutionary hearing recovery system, complete with detailed instructions for 20 simple, practical exercises you can do at home to improve your hearing and train your senses. Drawing from physiology, biology, physics, psychology, trauma therapy, and brain research, he goes beyond the mechanical notion that damage in the ear is responsible for hearing loss and shows that hearing recovery is possible in many cases. He shares stories from people who used this method to compensate for deafness in one ear, even after multiple unsuccessful surgeries, and others who have been able to ditch their hearing aids completely as well as the positive effect restored hearing has for patients with dementia and Alzheimer’s. He explains how the program does not regenerate inner ear growth directly--the practices work by developing and training your perceptual system to be able to grasp whole meaning from incomplete or partially understood information. Thus the system also helps you establish contact with your inner self and enhances the brain’s self-regulation of all five senses. Exploring the mind-body role of consciousness and belief on overall health, the author reveals how onset hearing loss can be a manifestation of an inner state of imbalance, driven by emotional causes and stress, and how finding the “triggering event” stored in our bodies and dissolving the trauma surrounding it can help restore your hearing. Offering a way to reconnect with the sound environment around us and enhance our inner and outer senses of perception, Stucki shows how improving your hearing can also restore balance to our overall health physically, emotionally, and mentally.

Vestibular Function

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Author :
Publisher : Thieme
ISBN 13 : 9781588901668
Total Pages : 248 pages
Book Rating : 4.9/5 (16 download)

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Book Synopsis Vestibular Function by : Alan Desmond

Download or read book Vestibular Function written by Alan Desmond and published by Thieme. This book was released on 2004 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Multiple etiologies and a lack of clinical evidence both contribute to the challenges of diagnosing and treating dizziness and balance disorders. These health-related complaints are common among the fastest growing age group (75+). This text provides a dynamic introduction to balance disorders and is the first of its kind to explore the clinical, scientific, and economic demands of the field. Key features: -Covers the full range of examination techniques to expand your scope of treatment options -Provides an overview of all the clinical fundamentals: anatomy, physiology, testing, and interpretation -Basic format designed for beginners and students; it is perfect as a course book -Offers an objective review of the rationale and cost-effectiveness of starting a vestibular laboratory -Unique coverage of the business aspects, such as necessary equipment, where to buy it, and how to build a successful and profitable practice The cause and effect of vestibular and balance disorders extend into a broad range of specialities, making proper treatment more relevant and critical than ever. Highly instructional and thorough, this book offers a complete overview of the field and is a practical hands-on guide for beginners, as well as a useful reference for audiologists, otolaryngologists, physical therapists, and neurologists.

Introduction to Audiology

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Author :
Publisher : Allyn & Bacon
ISBN 13 : 9780132108218
Total Pages : 0 pages
Book Rating : 4.1/5 (82 download)

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Book Synopsis Introduction to Audiology by : Frederick N. Martin

Download or read book Introduction to Audiology written by Frederick N. Martin and published by Allyn & Bacon. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Eleventh Edition, provides in-depth coverage of the physics of sound; the anatomy of the auditory system; the causes and treatment of hearing and balance disorders; and the relevant diagnostic and therapeutic techniques for these disorders. Now including a new chapter on clinical masking as well as new internet resources, this leading text continues to emphasize the proper evaluation of hearing disorders and the treatment avenues available for these disorders. The new edition of this textbook also includes expanded sections on the management of auditory processing disorders, the role of the audiologist in vestibular management, and the role of the audiologist in the counseling process.

Medical-legal Evaluation of Hearing Loss

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Author :
Publisher : Van Nostrand Reinhold Company
ISBN 13 :
Total Pages : 412 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Medical-legal Evaluation of Hearing Loss by : Robert A. Dobie

Download or read book Medical-legal Evaluation of Hearing Loss written by Robert A. Dobie and published by Van Nostrand Reinhold Company. This book was released on 1993 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide for professionals involved in court cases regarding hearing loss in the workplace and elsewhere. Helps readers identify causes of hearing loss and assign appropriate allocations of causation when more than one cause is present. Integrates the specific concerns of physicians, lawyers, employers and insurance professionals. Case studies give a good sense of the challenges and solutions of commonly encountered situations. Complete and well documented. Annotation copyright by Book News, Inc., Portland, OR

Tinnitus

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Author :
Publisher : Allyn & Bacon
ISBN 13 : 9780205315376
Total Pages : 0 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Tinnitus by : Jane L. Henry

Download or read book Tinnitus written by Jane L. Henry and published by Allyn & Bacon. This book was released on 2002 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tinnitus: A Self Management Guide for the Ringing in Your Ears provides a comprehensive self-help program to managing tinnitus ("ringing in the ears") and related difficulties (e.g. low mood, stress, anxiety, poor sleep). The aim of this book is to provide a comprehensive self-help program for people with tinnitus ("ringing in the ears"). The book provides a resource integrating educational materials with pragmatic information on how to effectively implement a tailor-made approach to managing tinnitus. It consists of up-to-date coverage of a range of psychological techniques as well as step-by-step instruction in each of the specific techniques to assist the reader in designing and implementing a program to manage their tinnitus and associated difficulties. These techniques, when practiced daily, will change the way a person thinks about and responds to their tinnitus, and, in time, the tinnitus will be perceived to be less of a problem.

Binaural Interference: a Guide for Audiologists

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Author :
Publisher : Plural Publishing
ISBN 13 : 163550077X
Total Pages : 137 pages
Book Rating : 4.6/5 (355 download)

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Book Synopsis Binaural Interference: a Guide for Audiologists by : James Jerger

Download or read book Binaural Interference: a Guide for Audiologists written by James Jerger and published by Plural Publishing. This book was released on 2018-02-23 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: Binaural interference occurs when the speech input to one ear interferes with the input to the other ear during binaural stimulation. The first published study on binaural interference twenty-five years ago demonstrated that some individuals, particularly older individuals, perform more poorly with two hearing aids than with one and/or more poorly with binaural than monaural stimulation on electrophysiologic as well as behavioral measures. Binaural interference is relevant to every audiologist because it impacts the successful use of binaural hearing aids and may explain communicative difficulty in noise or other challenging listening situations in persons with normal-hearing sensitivity as well as persons with hearing loss. This exciting new book written by two highly respected audiologists first traces the history of its study by researchers, then reviews the evidence, both direct and indirect, supporting its reality. This is followed by a discussion of the possible causes of the phenomenon and in-depth analysis of illustrative cases. The authors outline a systematic approach to the clinical detection, evaluation and amelioration of individuals who exhibit binaural interference. Suggestions are furnished on improved techniques for evaluation of the binaural advantage in general and on sensitized detection of the disorder in particular. The book ends with recommendations for future directions. Given the adverse impact of binaural interference on auditory function and its occurrence in a significant subset of the population with hearing loss, as well as in some individuals with normal-hearing sensitivity, research on binaural interference only recently has begun to flourish, and adaptation of audiologic clinical practice to identify, assess, and manage individuals with binaural interference has yet to become widespread. The authors intend for the book to provide impetus for pursuing further research and to encourage audiologists to explore the possibility of binaural interference when patient complaints suggest it and when performing audiologic evaluations. The book is intended for practicing clinical audiologists, audiology students, and hearing scientists.

Hearing Impairment

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 4431683976
Total Pages : 579 pages
Book Rating : 4.4/5 (316 download)

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Book Synopsis Hearing Impairment by : J. Suzuki

Download or read book Hearing Impairment written by J. Suzuki and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 579 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hearing Impairment - An Invisible Disability is the first work of its kind to comprehensively cover all aspects of hearing impairment. It covers the following categories through more than 100 contributions from all over the world to constitute an encyclopedia of hearing impairment: - Hearing Basics: What does hearing impairment mean? Its causes and effects are explained through many real-world examples. - Children: Childhood is a time when hearing impairment often begins, so proper treatment at an early stage can help alleviate difficulties and allow for as normal a life as possible. Many case studies from both the developed and developing parts of the world, including Indonesia and Latin America in the latter category, are provided to aid comprehension. - Hearing Aids: Through newly emerging technology and with the help of electronics companies, new and affordable hearing aids are being developed and marketed. The authors take a closer look at this burgeoning field. - Medical Aspects: Medical treatment of hearing impairment has recently shown remarkable change, manifested in improved techniques and applications all over the world. Although mainly of relevance to researchers and practicing physicians, the clear explanation of the medical and technical terminology is likely to be of interest to all concerned with the future of hearing impairment. - Social and International Help: With a wealth of assistance from individuals, NGOs, and international organizations specifically tailored to help the hearing impaired, those in need of guidance can gain confidence from the knowledge that substantial support is available to help them pursue a full and varied life.