Pure tone audiometry is used to test hearing sensitivity to pure tones. It can determine if a subject has a hearing loss and what type by comparing air and bone conduction thresholds. The audiometer generates pure tones of different frequencies that are presented through headphones or a bone vibrator. Threshold is the lowest sound level at which a subject responds correctly 50% of the time. Interpreting the pure tone audiogram can indicate if a hearing loss is conductive, sensorineural, or mixed based on the air-bone gap and differences in thresholds.
This document discusses concepts related to loudness perception and discomfort for individuals with hearing loss. It defines key terms like dynamic range, loudness recruitment, most comfortable level, uncomfortable level, and loudness discomfort level. LDL testing involves using tones or noise to determine the level at which sounds become uncomfortably loud. LDLs measured in dB HL must be converted to dB SPL for real-ear comparison to hearing aid output, using RETSPL and RECD values. Comparing measured LDLs to real-ear saturation response can help ensure hearing aid output does not exceed discomfort levels.
This document discusses the assessment of both peripheral and central auditory function. It describes tests used to evaluate the peripheral auditory system including pure tone audiometry, speech audiometry, and otoacoustic emissions. It also discusses tests of central auditory processing such as the staggered spondaic word test, speech-in-noise test, and masking level difference test. The document emphasizes the importance of a multidisciplinary approach involving otologists, speech pathologists, and audiologists in evaluating both peripheral hearing and central auditory processing.
Pure tone audiometry is used to determine the hearing thresholds of a patient across different frequencies. It involves presenting pure tones through air conduction and bone conduction headphones to measure the softest sounds a patient can detect. The results are plotted on a graph called an audiogram. Interpreting the audiogram can provide information about the type, degree and configuration of any hearing loss. It is an important diagnostic tool but does not assess all aspects of hearing. Masking noise is sometimes used to isolate testing of one ear. Proper technique and interpretation are required to obtain accurate results.
1. The document discusses cochlear implants, which are surgically implanted devices that help overcome problems in the inner ear and allow deaf individuals to regain hearing abilities.
2. It describes the components of a cochlear implant, including an implant package that is secured inside the skull and a sound processor worn externally, and explains how it works to stimulate hearing.
3. While cochlear implants can help many regain hearing, the process of learning to use the implant takes months of therapy and gradual adjustments to fully activate the device.
This document provides information on various speech recognition tests:
- Speech Recognition Threshold (SRT) measures the decibel level required for a patient to correctly identify 50% of two-syllable words. It should be 20dB above pure tone average and use the same bracketing method as pure tone testing.
- Most Comfortable Listening Level (MCL) establishes a comfortable intensity for speech using "cold running speech" and increases the level 20dB above SRT.
- Word Recognition tests speech discrimination as a percentage of correctly identified words from phonetically balanced word lists at the MCL level. It is conducted for each ear separately and both ears together.
Pure tone audiometry is used to test hearing sensitivity to pure tones. It can determine if a subject has a hearing loss and what type by comparing air and bone conduction thresholds. The audiometer generates pure tones of different frequencies that are presented through headphones or a bone vibrator. Threshold is the lowest sound level at which a subject responds correctly 50% of the time. Interpreting the pure tone audiogram can indicate if a hearing loss is conductive, sensorineural, or mixed based on the air-bone gap and differences in thresholds.
This document discusses concepts related to loudness perception and discomfort for individuals with hearing loss. It defines key terms like dynamic range, loudness recruitment, most comfortable level, uncomfortable level, and loudness discomfort level. LDL testing involves using tones or noise to determine the level at which sounds become uncomfortably loud. LDLs measured in dB HL must be converted to dB SPL for real-ear comparison to hearing aid output, using RETSPL and RECD values. Comparing measured LDLs to real-ear saturation response can help ensure hearing aid output does not exceed discomfort levels.
This document discusses the assessment of both peripheral and central auditory function. It describes tests used to evaluate the peripheral auditory system including pure tone audiometry, speech audiometry, and otoacoustic emissions. It also discusses tests of central auditory processing such as the staggered spondaic word test, speech-in-noise test, and masking level difference test. The document emphasizes the importance of a multidisciplinary approach involving otologists, speech pathologists, and audiologists in evaluating both peripheral hearing and central auditory processing.
Pure tone audiometry is used to determine the hearing thresholds of a patient across different frequencies. It involves presenting pure tones through air conduction and bone conduction headphones to measure the softest sounds a patient can detect. The results are plotted on a graph called an audiogram. Interpreting the audiogram can provide information about the type, degree and configuration of any hearing loss. It is an important diagnostic tool but does not assess all aspects of hearing. Masking noise is sometimes used to isolate testing of one ear. Proper technique and interpretation are required to obtain accurate results.
1. The document discusses cochlear implants, which are surgically implanted devices that help overcome problems in the inner ear and allow deaf individuals to regain hearing abilities.
2. It describes the components of a cochlear implant, including an implant package that is secured inside the skull and a sound processor worn externally, and explains how it works to stimulate hearing.
3. While cochlear implants can help many regain hearing, the process of learning to use the implant takes months of therapy and gradual adjustments to fully activate the device.
This document provides information on various speech recognition tests:
- Speech Recognition Threshold (SRT) measures the decibel level required for a patient to correctly identify 50% of two-syllable words. It should be 20dB above pure tone average and use the same bracketing method as pure tone testing.
- Most Comfortable Listening Level (MCL) establishes a comfortable intensity for speech using "cold running speech" and increases the level 20dB above SRT.
- Word Recognition tests speech discrimination as a percentage of correctly identified words from phonetically balanced word lists at the MCL level. It is conducted for each ear separately and both ears together.
PURE TONE AUDIOMENTRY - 1. Pure-tone audiometry could be described as a behavioral test used to measure hearing sensitivity. The essence of PTA is to determine the threshold level for hearing in a patient. In addition it helps the audiologist at #DENOC to identify the degree (mild, moderate, severe, profound) of hearing loss.
IMPEDANCE AUDIOMETRY - Impedance audiometry is done to determine the status of the #tympanic membrane and middle ear via tympanometry.
Auditory Brain Stem Response - The Auditory Brain Stem Response (ABR) is a test to measure the brain wave activity in response to certain tones and is recorded using electrodes placed on the scalp.
Tinnitus Retraining Therapy (TRT) - Is there any sound in your ear or head? #Tinnitus retraining therapy will help you to go out of from this problem.
Speech Audiometry - training to help people with #speech and #language problems to speak more clearly.
Pure tone audiometry uses pure tones of single frequencies to test a patient's hearing thresholds through air and bone conduction testing. Air conduction testing evaluates the function of the outer, middle and inner ear by presenting tones from 250Hz to 8kHz through headphones. Bone conduction testing from 250Hz to 4kHz assesses inner ear function by presenting tones to the mastoid bone. The lowest intensity level at which the patient hears 50% of the tones is considered their threshold, which is plotted on a graph with frequency on the x-axis and decibels on the y-axis to evaluate the type, degree and configuration of any hearing loss.
This document provides a summary of Widex hearing aid models including their range, placement, number of channels, signal processing features, directionality, speech and noise management, audibility extenders, number of programs, additional features, eco technology features, data logging capabilities, and remote control options. The models summarized are the Passion 440, Passion 110, Passion 105, Mind 440, Mind 330, Aika, Flash, Real, Bravissimo, and Bravo.
Short 10 Min Presentation on Speech Audiogram & Audiometry. Delivered by Abubakkar Raheel (4th Year Mbbs)
Frontier Medical College, Abbottabad, Pakistan.
1. Behavioral tests are used to evaluate hearing in infants and young children, including behavioral observation audiometry for infants under 6 months and condition orientation reflex audiometry (CORA) for children 6 months to 1 year old.
2. CORA uses operant conditioning to teach the child to orient towards a sound source to receive a visual reinforcement from a lighted toy.
3. Visual reinforcement audiometry (VRA) and tangible reinforcement operant conditioning audiometry (TROCA) build on CORA principles to test older children using reinforcement strategies.
4. Conditioned play audiometry (CPA) teaches children ages 2-4 to perform tasks after hearing tones to make the
Pure tone audiometry involves testing a subject's hearing sensitivity using pure tone sounds of fixed frequencies. It aims to determine if hearing loss is present, its type and degree. A pure tone audiometer generates pure tones and delivers them via headphones or bone conduction vibrator. Threshold testing finds the lowest sound level at which a subject responds correctly to 50% of tones. Interpretation of the audiogram provides qualitative information about the hearing loss.
This document summarizes key aspects of the auditory system and hearing assessment. It describes the organ of Corti and its components that transfer sound energy into electrical signals. Clinical tests for hearing assessment include tuning fork tests, pure tone audiometry to measure air and bone conduction thresholds, and speech audiometry. Special tests include impedance audiometry, short increment sensitivity index test, and evoked response audiometry like electrocochleography and auditory brainstem response. The document provides details on the procedures and clinical significance of these various hearing assessment methods.
This document provides an overview of auditory brainstem response (ABR) audiometry, which is a neurologic test that evaluates auditory brainstem function in response to auditory stimuli. It describes the basic procedure, physiology, and waveform components. The main applications of ABR audiometry are the identification of retrocochlear pathology and evaluation of symptoms of eighth nerve pathology. Factors that can influence ABR results are discussed, as well as findings suggestive of retrocochlear pathology and the sensitivity of ABR for detecting tumors of different sizes.
This document provides guidance on performing speech audiometry tests, including speech reception threshold (SRT), word recognition score (WRS), and speech-in-noise tests. It discusses procedures for determining SRT and WRS, considerations for non-native English speakers and those with hearing loss, and the clinical significance of test results including how they can indicate site of lesion. Masking procedures are also outlined to limit interference between ears during testing.
This document summarizes information about noise, sound level measurements, and the effects of noise on humans. It discusses how the decibel scale is used to measure sound intensity, how the loudness of sounds is quantified using phons and sones, and how long-term exposure to noise can cause temporary or permanent hearing loss. It also outlines Occupational Safety and Health Administration standards for permissible noise exposure limits in the workplace.
u can read in this PPT about Audiometer , types of audiometer and parts of audiometer.
hope this ppt will help you. u can suggest me through mail , my maild is anantarun27@gmail.com
This document discusses pure tone audiometry, which is a test used to evaluate hearing levels. It describes the equipment used including audiometers and bone conduction vibrators. It outlines the roles of the patient, which involves responding to tones, and the clinician, which involves administering the test and interpreting results. Test procedures like air and bone conduction audiometry are explained. Audiogram interpretations for different types of hearing loss and degree of loss are also provided. Masking, which limits unwanted sound interference, is briefly mentioned.
This document describes the Bekesy audiometry procedure and its diagnostic value. It involves a patient listening to a pure tone that slowly increases in frequency and loudness, and pushing a button when they hear it. Their threshold is traced on an audiogram. Two tracings are made - one with an interrupted tone and one with a continuous tone. The relationship between the tracings indicates four possible types of results that can diagnose disorders in the middle ear, cochlea, or eighth nerve.
Here are the comments on the hearing in the following cases:
1. Positive Rinne in each ear & Weber test referred equally to each ear:
- This indicates symmetrical hearing in both ears with normal hearing or bilateral equally reduced sensorineural hearing loss.
2. Negative Rinne on right & Weber referred to right:
- This suggests conductive hearing loss in the right ear.
3. Negative Rinne on left & Weber referred to left:
- This suggests conductive hearing loss in the left ear.
4. Negative Rinne bilaterally & Weber referred to left:
- This indicates conductive hearing loss in both ears, but worse in the left ear.
5.
Clinical and audiological assessment of hearing
undergraduate level
MBBS
Presentation by Khair-Ullah and Sana-Ullah 4th year MBBS, Karachi, pakistan
ENT ward
This document provides an overview of acoustics and basic audiometry concepts. It defines key terms like frequency, intensity, pitch and loudness. It explains that frequency is a physical property of sound measured in Hertz, while pitch is the human perception of how high or low a sound is. Intensity is the physical measurement of sound pressure in decibels, while loudness is the human perception of sound intensity. The document also reviews concepts like pure tones, complex sounds, fundamental frequency, harmonics, and resonant frequency. It describes how to perform a basic audiologic assessment, including taking a case history, performing puretone audiometry to test air and bone conduction thresholds, and assessing speech recognition.
Pure tone audiometry is a test used to evaluate hearing thresholds across different frequencies. It involves presenting pure tones to a patient through headphones and determining the lowest volume they can detect at each frequency. Key information obtained includes the type, degree, and configuration of any hearing loss. PTA requires patient cooperation and provides an objective measure of hearing sensitivity. Proper testing conditions and techniques are important for accurate results.
A pure tone audiometry test is used to find out actual hearing levels as well as type and degree of hearing loss by means of two pathways the Air conduction and Bone conduction.
The document discusses how to read and interpret an audiogram, which is a graph that charts a person's hearing levels. An audiogram measures a person's hearing thresholds in decibels at different frequencies, from low to high pitches. It indicates the type of hearing loss, such as conductive, sensorineural, or mixed hearing loss. While an audiogram provides information about a person's response to sounds, further testing is needed to understand how they function with speech in real-world settings.
Audiometry class by Dr. Kavitha Ashok Kumar MSU MalaysiaKavitha Ashokb
1. Pure tone audiometry is an objective test that measures air and bone conduction thresholds to evaluate the type and severity of hearing loss. It is helpful for documentation and diagnosis.
2. Impedance audiometry objectively measures middle ear function through tympanometry and acoustic reflex testing. It can detect middle ear pathologies and is a fast screening test.
3. Otoacoustic emissions are sounds originating from the cochlea that can help diagnose cochlear hearing loss through an objective, noninvasive test done in both children and adults.
PURE TONE AUDIOMENTRY - 1. Pure-tone audiometry could be described as a behavioral test used to measure hearing sensitivity. The essence of PTA is to determine the threshold level for hearing in a patient. In addition it helps the audiologist at #DENOC to identify the degree (mild, moderate, severe, profound) of hearing loss.
IMPEDANCE AUDIOMETRY - Impedance audiometry is done to determine the status of the #tympanic membrane and middle ear via tympanometry.
Auditory Brain Stem Response - The Auditory Brain Stem Response (ABR) is a test to measure the brain wave activity in response to certain tones and is recorded using electrodes placed on the scalp.
Tinnitus Retraining Therapy (TRT) - Is there any sound in your ear or head? #Tinnitus retraining therapy will help you to go out of from this problem.
Speech Audiometry - training to help people with #speech and #language problems to speak more clearly.
Pure tone audiometry uses pure tones of single frequencies to test a patient's hearing thresholds through air and bone conduction testing. Air conduction testing evaluates the function of the outer, middle and inner ear by presenting tones from 250Hz to 8kHz through headphones. Bone conduction testing from 250Hz to 4kHz assesses inner ear function by presenting tones to the mastoid bone. The lowest intensity level at which the patient hears 50% of the tones is considered their threshold, which is plotted on a graph with frequency on the x-axis and decibels on the y-axis to evaluate the type, degree and configuration of any hearing loss.
This document provides a summary of Widex hearing aid models including their range, placement, number of channels, signal processing features, directionality, speech and noise management, audibility extenders, number of programs, additional features, eco technology features, data logging capabilities, and remote control options. The models summarized are the Passion 440, Passion 110, Passion 105, Mind 440, Mind 330, Aika, Flash, Real, Bravissimo, and Bravo.
Short 10 Min Presentation on Speech Audiogram & Audiometry. Delivered by Abubakkar Raheel (4th Year Mbbs)
Frontier Medical College, Abbottabad, Pakistan.
1. Behavioral tests are used to evaluate hearing in infants and young children, including behavioral observation audiometry for infants under 6 months and condition orientation reflex audiometry (CORA) for children 6 months to 1 year old.
2. CORA uses operant conditioning to teach the child to orient towards a sound source to receive a visual reinforcement from a lighted toy.
3. Visual reinforcement audiometry (VRA) and tangible reinforcement operant conditioning audiometry (TROCA) build on CORA principles to test older children using reinforcement strategies.
4. Conditioned play audiometry (CPA) teaches children ages 2-4 to perform tasks after hearing tones to make the
Pure tone audiometry involves testing a subject's hearing sensitivity using pure tone sounds of fixed frequencies. It aims to determine if hearing loss is present, its type and degree. A pure tone audiometer generates pure tones and delivers them via headphones or bone conduction vibrator. Threshold testing finds the lowest sound level at which a subject responds correctly to 50% of tones. Interpretation of the audiogram provides qualitative information about the hearing loss.
This document summarizes key aspects of the auditory system and hearing assessment. It describes the organ of Corti and its components that transfer sound energy into electrical signals. Clinical tests for hearing assessment include tuning fork tests, pure tone audiometry to measure air and bone conduction thresholds, and speech audiometry. Special tests include impedance audiometry, short increment sensitivity index test, and evoked response audiometry like electrocochleography and auditory brainstem response. The document provides details on the procedures and clinical significance of these various hearing assessment methods.
This document provides an overview of auditory brainstem response (ABR) audiometry, which is a neurologic test that evaluates auditory brainstem function in response to auditory stimuli. It describes the basic procedure, physiology, and waveform components. The main applications of ABR audiometry are the identification of retrocochlear pathology and evaluation of symptoms of eighth nerve pathology. Factors that can influence ABR results are discussed, as well as findings suggestive of retrocochlear pathology and the sensitivity of ABR for detecting tumors of different sizes.
This document provides guidance on performing speech audiometry tests, including speech reception threshold (SRT), word recognition score (WRS), and speech-in-noise tests. It discusses procedures for determining SRT and WRS, considerations for non-native English speakers and those with hearing loss, and the clinical significance of test results including how they can indicate site of lesion. Masking procedures are also outlined to limit interference between ears during testing.
This document summarizes information about noise, sound level measurements, and the effects of noise on humans. It discusses how the decibel scale is used to measure sound intensity, how the loudness of sounds is quantified using phons and sones, and how long-term exposure to noise can cause temporary or permanent hearing loss. It also outlines Occupational Safety and Health Administration standards for permissible noise exposure limits in the workplace.
u can read in this PPT about Audiometer , types of audiometer and parts of audiometer.
hope this ppt will help you. u can suggest me through mail , my maild is anantarun27@gmail.com
This document discusses pure tone audiometry, which is a test used to evaluate hearing levels. It describes the equipment used including audiometers and bone conduction vibrators. It outlines the roles of the patient, which involves responding to tones, and the clinician, which involves administering the test and interpreting results. Test procedures like air and bone conduction audiometry are explained. Audiogram interpretations for different types of hearing loss and degree of loss are also provided. Masking, which limits unwanted sound interference, is briefly mentioned.
This document describes the Bekesy audiometry procedure and its diagnostic value. It involves a patient listening to a pure tone that slowly increases in frequency and loudness, and pushing a button when they hear it. Their threshold is traced on an audiogram. Two tracings are made - one with an interrupted tone and one with a continuous tone. The relationship between the tracings indicates four possible types of results that can diagnose disorders in the middle ear, cochlea, or eighth nerve.
Here are the comments on the hearing in the following cases:
1. Positive Rinne in each ear & Weber test referred equally to each ear:
- This indicates symmetrical hearing in both ears with normal hearing or bilateral equally reduced sensorineural hearing loss.
2. Negative Rinne on right & Weber referred to right:
- This suggests conductive hearing loss in the right ear.
3. Negative Rinne on left & Weber referred to left:
- This suggests conductive hearing loss in the left ear.
4. Negative Rinne bilaterally & Weber referred to left:
- This indicates conductive hearing loss in both ears, but worse in the left ear.
5.
Clinical and audiological assessment of hearing
undergraduate level
MBBS
Presentation by Khair-Ullah and Sana-Ullah 4th year MBBS, Karachi, pakistan
ENT ward
This document provides an overview of acoustics and basic audiometry concepts. It defines key terms like frequency, intensity, pitch and loudness. It explains that frequency is a physical property of sound measured in Hertz, while pitch is the human perception of how high or low a sound is. Intensity is the physical measurement of sound pressure in decibels, while loudness is the human perception of sound intensity. The document also reviews concepts like pure tones, complex sounds, fundamental frequency, harmonics, and resonant frequency. It describes how to perform a basic audiologic assessment, including taking a case history, performing puretone audiometry to test air and bone conduction thresholds, and assessing speech recognition.
Pure tone audiometry is a test used to evaluate hearing thresholds across different frequencies. It involves presenting pure tones to a patient through headphones and determining the lowest volume they can detect at each frequency. Key information obtained includes the type, degree, and configuration of any hearing loss. PTA requires patient cooperation and provides an objective measure of hearing sensitivity. Proper testing conditions and techniques are important for accurate results.
A pure tone audiometry test is used to find out actual hearing levels as well as type and degree of hearing loss by means of two pathways the Air conduction and Bone conduction.
The document discusses how to read and interpret an audiogram, which is a graph that charts a person's hearing levels. An audiogram measures a person's hearing thresholds in decibels at different frequencies, from low to high pitches. It indicates the type of hearing loss, such as conductive, sensorineural, or mixed hearing loss. While an audiogram provides information about a person's response to sounds, further testing is needed to understand how they function with speech in real-world settings.
Audiometry class by Dr. Kavitha Ashok Kumar MSU MalaysiaKavitha Ashokb
1. Pure tone audiometry is an objective test that measures air and bone conduction thresholds to evaluate the type and severity of hearing loss. It is helpful for documentation and diagnosis.
2. Impedance audiometry objectively measures middle ear function through tympanometry and acoustic reflex testing. It can detect middle ear pathologies and is a fast screening test.
3. Otoacoustic emissions are sounds originating from the cochlea that can help diagnose cochlear hearing loss through an objective, noninvasive test done in both children and adults.
The document discusses key concepts in acoustics and psychoacoustics including:
1) The just noticeable difference or difference limen, which is the smallest difference between two sounds that can be perceived, and how it varies based on frequency and intensity.
2) How the minimum difference in frequency, intensity, and duration that can be perceived also varies based on the original frequency or intensity.
3) Key acoustic concepts such as wavelength, reflection, reverberation, periodic and aperiodic sounds, fundamental frequency, and resonant frequency.
This document discusses measuring sound levels and determining if they are harmful to hearing. It defines a sound wave as a longitudinal wave that creates areas of high and low pressure when propagating. Sound levels are measured in decibels (dB), which uses a logarithmic scale to compare sound intensities. The document provides a key formula for calculating dB from sound intensity and uses this to analyze a problem about a nightclub measuring 2.5 W/m2. Applying the formula, it determines the nightclub's sound level is 113.98 dB, which is considered harmful since 85 dB or above can damage hearing.
Hearing tests like Rinne's test, Weber's test, and audiometry are used to evaluate hearing function and determine the cause of any impairment. Rinne's test compares bone conduction to air conduction, while Weber's test identifies whether a sound is louder on one side. Audiometry precisely measures hearing levels at different frequencies and can distinguish between conductive and sensorineural hearing loss based on bone conduction results.
- Sound is a form of energy produced by vibrating objects that travels in waves. The velocity of sound differs in various media like air, liquid, and solids.
- Frequency refers to the number of cycles per second and is measured in Hertz. A pure tone is a sound with a single frequency while complex sounds have multiple frequencies.
- Intensity measures the strength of a sound wave and determines its loudness, which is the subjective perception of intensity. Intensity is measured in decibels.
- Noise is an aperiodic complex sound that can be white, narrowband, or speech-related. Masking involves using one sound to render another inaudible.
Pure tone audiometry (PTA) is used to measure hearing thresholds through pure tones. It involves testing air conduction (AC) and bone conduction (BC) thresholds separately for each ear at different frequencies to determine the type and severity of hearing loss. PTA is done in a soundproof room using an audiometer to present tones through headphones for AC and a vibrator for BC. The results are plotted on an audiogram. PTA can identify conductive, sensorineural, and mixed hearing losses based on the thresholds and air-bone gap. It is useful for diagnosis, treatment monitoring, and hearing aid selection. Masking of the non-tested ear is sometimes needed to avoid cross-hearing.
Audiology (pure tone audiometry, speech audiometry) .pptxAmro1988
Pure tune audiometry
Air- and bone-conduction thresholds
Recruitment
Carhart’s tone decay test
Bekesy audiometry
Speech audiometry
Impendence audiometry
Tympanometry
Acoustic reflex
Acoustic reflex decay test
This study investigated how acute low-tone sensorineural hearing loss (ALHL) affects the perception of binaural beats (BBs). The researchers measured the frequency ranges where BBs were not perceived in 22 ALHL patients, 11 recovered ALHL patients, 5 high-tone hearing loss patients, and 14 normal controls. They found the frequency ranges were significantly wider in ALHL patients and narrowed with hearing recovery. The ranges did not differ between high-tone loss patients and controls, suggesting low-frequency damage affects BB perception by degrading frequency coding. Endolymphatic hydrops presence did not correlate with frequency range widths.
The document discusses psychoacoustic audiometry and evoked physiological measurements of auditory sensitivity. It describes pure-tone audiometry techniques including equipment, testing procedures, sources of error, and clinical applications. Speech audiometry is also discussed as an important functional test that complements pure-tone audiometry by measuring speech recognition ability.
The document provides an overview of audiological evaluation techniques, including:
1. Behavioral tests like play audiometry and pure tone audiometry that measure hearing sensitivity. Objective tests like ABR, OAEs, and electrocochleography are used for infants and difficult to test patients.
2. Middle ear assessment tools like tympanometry and acoustic reflex testing evaluate the function of the middle ear.
3. Evoked potential tests like ABR, ECochG and OAEs assess cochlear and neural hearing function without depending on behavioral responses. ABR in particular provides threshold information and can detect neurological abnormalities.
This document discusses concepts related to the perception of sound including loudness, pitch, and timbre. It defines key terms like intensity, loudness, frequency, pitch, phon, sone, mel, and timbre. Intensity is a physical property measured in decibels, while loudness, pitch and timbre represent human perception. The phon, sone and mel scales were developed through experiments with listeners adjusting tones to be equally loud or high in pitch. Understanding these concepts is important for audio engineering and applying amplification for hearing loss.
The document discusses sound and how it is produced through vibrations. It describes how different instruments produce sound through vibrating strings, lips, reeds or air columns. It also discusses properties of sound including frequency, pitch, loudness, intensity, harmonics, resonance, the human ear, and how sounds are perceived.
This document discusses the psychoacoustic effects of hearing loss. Sensorineural hearing loss causes the basilar membrane response to become more linear, resulting in loudness recruitment and reduced frequency selectivity. This impairs one's ability to perceive timbre and localize sounds. Conductive hearing loss does not affect the cochlea, so frequency tuning remains normal. However, sounds are softer and may have an unnatural tonal quality depending on the frequencies affected.
Auditory brainstem responses are generated by the
activity in structures of the ascending auditory
pathways that occurs during the first 8–10 ms
after a transient sound such as a click sound has
been applied to the ear.
Noise can be defined as unwanted sound that is loud or unpleasant. Sound becomes noise when it reaches unbearable levels and causes irritation or damage to the ear. The speed of sound depends on factors like the type of medium and temperature, traveling faster in liquids, solids, and at higher temperatures. Noise can harm hearing by causing temporary or permanent threshold shifts. The decibel scale is used to measure sound pressure levels, with prolonged exposure to sounds over 85 dB posing risk of noise-induced hearing loss. NIHL arises from repeated exposure in noisy areas and damages the inner ear over time.
The patient presented with increased hearing loss and tinnitus in the right ear following a right cortical mastoidectomy. Audiological assessment revealed a severe to profound mixed hearing loss in the right ear and normal hearing in the left ear. Tests results, including a short increment sensitivity index (SISI) score of 10%, positive tone decay of 30%, absent acoustic reflex, and positive acoustic reflex decay, suggest retrocochlear pathology in the right ear such as vestibulocochlear nerve damage.
This document provides information on assessing hearing loss through various tests. It defines key terms like sound, frequency, and pitch. Hearing tests aim to determine if there is a loss, the severity, and type (conductive, sensorineural, or mixed). Common tests include Rinne, Weber, and tuning fork tests to distinguish conductive from sensorineural loss. Pure tone audiometry measures air and bone conduction thresholds to create an audiogram and diagnose type and degree of loss. Masking may be used to ensure only the tested ear can respond.
This document summarizes information about noise, sound level measurements, and the effects of noise on humans. It discusses how the decibel scale is used to measure sound intensity, how the loudness of sounds is quantified using phons and sones, and how long-term exposure to noise can cause both temporary and permanent hearing loss. It also outlines Occupational Safety and Health Administration standards for permissible noise exposure limits in the workplace.
Unveiling the Dynamic Personalities, Key Dates, and Horoscope Insights: Gemin...my Pandit
Explore the fascinating world of the Gemini Zodiac Sign. Discover the unique personality traits, key dates, and horoscope insights of Gemini individuals. Learn how their sociable, communicative nature and boundless curiosity make them the dynamic explorers of the zodiac. Dive into the duality of the Gemini sign and understand their intellectual and adventurous spirit.
Best practices for project execution and deliveryCLIVE MINCHIN
A select set of project management best practices to keep your project on-track, on-cost and aligned to scope. Many firms have don't have the necessary skills, diligence, methods and oversight of their projects; this leads to slippage, higher costs and longer timeframes. Often firms have a history of projects that simply failed to move the needle. These best practices will help your firm avoid these pitfalls but they require fortitude to apply.
[To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
This PowerPoint compilation offers a comprehensive overview of 20 leading innovation management frameworks and methodologies, selected for their broad applicability across various industries and organizational contexts. These frameworks are valuable resources for a wide range of users, including business professionals, educators, and consultants.
Each framework is presented with visually engaging diagrams and templates, ensuring the content is both informative and appealing. While this compilation is thorough, please note that the slides are intended as supplementary resources and may not be sufficient for standalone instructional purposes.
This compilation is ideal for anyone looking to enhance their understanding of innovation management and drive meaningful change within their organization. Whether you aim to improve product development processes, enhance customer experiences, or drive digital transformation, these frameworks offer valuable insights and tools to help you achieve your goals.
INCLUDED FRAMEWORKS/MODELS:
1. Stanford’s Design Thinking
2. IDEO’s Human-Centered Design
3. Strategyzer’s Business Model Innovation
4. Lean Startup Methodology
5. Agile Innovation Framework
6. Doblin’s Ten Types of Innovation
7. McKinsey’s Three Horizons of Growth
8. Customer Journey Map
9. Christensen’s Disruptive Innovation Theory
10. Blue Ocean Strategy
11. Strategyn’s Jobs-To-Be-Done (JTBD) Framework with Job Map
12. Design Sprint Framework
13. The Double Diamond
14. Lean Six Sigma DMAIC
15. TRIZ Problem-Solving Framework
16. Edward de Bono’s Six Thinking Hats
17. Stage-Gate Model
18. Toyota’s Six Steps of Kaizen
19. Microsoft’s Digital Transformation Framework
20. Design for Six Sigma (DFSS)
To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations
HR search is critical to a company's success because it ensures the correct people are in place. HR search integrates workforce capabilities with company goals by painstakingly identifying, screening, and employing qualified candidates, supporting innovation, productivity, and growth. Efficient talent acquisition improves teamwork while encouraging collaboration. Also, it reduces turnover, saves money, and ensures consistency. Furthermore, HR search discovers and develops leadership potential, resulting in a strong pipeline of future leaders. Finally, this strategic approach to recruitment enables businesses to respond to market changes, beat competitors, and achieve long-term success.
Brian Fitzsimmons on the Business Strategy and Content Flywheel of Barstool S...Neil Horowitz
On episode 272 of the Digital and Social Media Sports Podcast, Neil chatted with Brian Fitzsimmons, Director of Licensing and Business Development for Barstool Sports.
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1. Perception-based protection from low-
frequency sounds may not be enough
Alec N. Salt, Ph.D.
&
Jeffery T. Lichtenhan, Ph.D
Department of Otolaryngology
Washington University School of Medicine
St. Louis, Missouri, USA
InterNoise, New York, August 2012
2. Human Hearing at Low Frequencies
120
100
Hearing (perception) is
insensitive to very low
80
Level (dB SPL)
60
109 dB SPL at 5 Hz
frequency sounds
40
20
0
1 10 100 1000
Freq (Hz)
As a result, some have concluded that:
Subaudible, low frequency sound and infrasound from wind turbines do not present a
risk to human health. (AWEA, CanWEA Report Colby et al. 2009)
Our data show that the ear is sensitive to infrasound frequencies
that are not heard. The electrical responses of the ear can be
substantially larger than to any other type of acoustic
stimulation.
InterNoise, New York, August 2012
3. Measurements from the Low
inner ear with tonal Frequencies
stimuli
For most sounds, electrical
responses from the ear are never High
larger than a few mV. Frequencies
From an electrode in endolymph
near the apical (low frequency)
end of the ear we measure
enormous (19 mV) electrical
responses with a 5 Hz
(infrasound) stimulus.
Much larger responses than with
sounds in the normal audible
range.
InterNoise, New York, August 2012
4. Response Amplitude with Tone Level
500 Hz perceptual threshold: 18 dB SPL
Linear
1 dB/dB
(10X per
20 dB)
InterNoise, New York, August 2012
5. Response Amplitude with Tone Level
500 Hz perceptual threshold: 18 dB SPL
Responses
saturate at
4 mV
InterNoise, New York, August 2012
6. Response Amplitude with Tone Level
50 Hz perceptual threshold: 53 dB SPL
Responses
saturate at
10 mV
InterNoise, New York, August 2012
7. Response Amplitude with Tone Level
5 Hz perceptual threshold: ~ 124 dB SPL
Responses
saturate at
>17 mV
Larger voltages mean
larger transduction
currents, more ion
transport, more
metabolic demand.
The system is being
driven harder.
InterNoise, New York, August 2012
8. The large responses to infrasound (5 Hz) are suppressed by
higher frequency tones (500 Hz)
InterNoise, New York, August 2012
9. Initial Conclusions
●
The ear generates larger responses to infrasound than it
does for low frequency sounds in the audible range.
●
Audible low frequency sounds suppress the response to
infrasound.
InterNoise, New York, August 2012
10. Measurements with low-
pass filtered frozen noise
Some types of low pass filtered noise have been
shown to be very annoying (Krahé, 2008,2010)
Changing cutoff frequency alters
high frequency content but does
not affect sound below 125 Hz.
As filter cutoff is reduced below
1 kHz, sound becomes quieter,
especially when measured as
dBA.
125 Hz cutoff is 56 dBA, which
is -33.6 dB re. 8 kHz cutoff
noise.
InterNoise, New York, August 2012
11. Responses measured
simultaneously from
the ear canal (mic)
and from the inner
ear.
Responses from the ear
are larger when high
frequency components
are absent.
Similar to previous
results with tones.
InterNoise, New York, August 2012
12. Responses with level
With higher
frequencies
present,
responses
saturate
InterNoise, New York, August 2012
13. Responses with level
Without higher
frequencies,
responses keep
growing
InterNoise, New York, August 2012
15. Responses vs A-weighted sound level
41 dBA with 125 Hz cutoff
stimulates the ear to the same
degree as 85 dB wide band noise
InterNoise, New York, August 2012
16. Responses vs A-weighted sound level
46 dBA (or higher) with 125 Hz
cutoff stimulates the ear more
than ANY wide band noise level.
InterNoise, New York, August 2012
17. From Rand and Ambrose, 2011
Responses vs A-weighted sound level
46 dBA (or higher) with 125 Hz
cutoff stimulates the ear more
than ANY wide band noise level.
InterNoise, New York, August 2012
18. Low frequency sounds are strongly stimulating the
ear at low dBA levels.
Ear
Although an influence on the
Hearing body is not be mediated though
perception……
Brain
InterNoise, New York, August 2012
19. Low frequency sounds are strongly stimulating the
ear at low dBA levels.
Ear
We also need to consider
scientifically-plausible
Hearing mechanisms that do not involve
perception of the low frequency
sound.
Brain
There are at least 3 possibilities
InterNoise, New York, August 2012
20. 1) Infrasound-induced amplitude modulation
Low frequency and infrasound cause amplitude modulation of sounds
you can hear that is well-established in auditory neuroscience,
described as low frequency biasing.
This is BIOLOGICAL in origins and cannot be measured with a sound
level meter.
Data recorded
from single
auditory nerve
fiber.
Salt & Lichtenhan
2011
Expected symptoms: Pulsating sounds, annoyance, stress .
InterNoise, New York, August 2012
21. 2) Endolymphatic Hydrops (fluid disturbance)
Low frequency sound at non-damaging levels for just 3 minutes causes a
swelling of the endolymphatic space - endolymphatic hydrops.
As the most compliant part of the endolymphatic system is the saccule, this
could lead to saccular disturbance.
Normal Mild Severe
Hydrops Hydrops
Expected Symptoms: fullness, unsteadiness, tinnitus,
“seasickness”, possibly vertigo.
InterNoise, New York, August 2012
22. 3) Non-perceived neural pathways
5% of auditory nerve fibers connect multiple outer hair
cells (the source of our large responses) to the brain.
Similar fibers that innervate multiple hair cells in birds
respond strongly to infrasound.
Auditory
Pathway
Pathway from
Outer Hair Cells
Expected Symptoms: Sleep disturbance, stress, leading to
secondary effects such as elevated blood pressure and
memory disturbances.
InterNoise, New York, August 2012
23. To Summarize
There are at least 3 processes, each with
supporting scientific data, by which low
frequency stimulation could influence
people.
The assertion that effects of low frequencies can
ONLY be mediated by hearing the sound is simply
untenable.
InterNoise, New York, August 2012
24. Final Conclusions
The ear generates larger responses to infrasound than it does for low
frequency sounds in the audible range.
Audible low frequency sounds suppress the response to infrasound.
Optimal masking of low frequency responses to noise occurs with
frequencies of 150 Hz -1.5 kHz.
There are a number of scientifically plausible pathways, unrelated to
perception, by which low frequency sounds could influence someone.
We need to better understand how low frequencies affect the ear
before we dismiss their influence on people.
InterNoise, New York, August 2012
25. Additional Slides for questions
Measurements
from the inner ear
of guinea pigs
Guinea pigs vs Humans
Guinea pig hearing is about 15 dB less sensitive than humans
BUT
We make our measurements with the middle ear open,
which makes them ~10-15 dB more sensitive at low frequency.
The sensitivity we measure will be comparable to humans.
InterNoise, New York, August 2012
26. Demonstration that
measured responses to
infrasound are
generated locally in the
apical turns
Response changes are shown for an injection of toxic KCl
(150 mM) into the cochlear apex. The calculated elevation
of K at various locations is shown at the top. K
progressively moves from apex to base with time.
Lower Panel: Compound APs are suppressed progressively
with frequency, showing the basal movement.
Middle Panel: Response from turn 3 with 4.8 Hz
stimulation is ablated before CAP thresholds start rising.
This confirms the response is locally generated near the
recording site.
InterNoise, New York, August 2012
27. Infrasound
Production by Dun
Law Wind Farm, UK
From Styles et al. 2005,
Keele University
Peak spectral output at ~ 0.5 Hz
with harmonics up to ~ 7 Hz.