Curriculum for graduate courses in amplification
- PMID: 25425878
- PMCID: PMC4172255
- DOI: 10.1177/108471389800300102
Curriculum for graduate courses in amplification
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References
I. Introduction to Hearing Aids
A. History
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B. Hearing through an impaired system
1. Review/General:
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2. Specific psychoacoustic properties of the system:
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3. Additional psychoacoustic references:
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C. Who is a candidate
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D. The process of remediating hearing loss
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E. Infection control
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F. The manufacturers
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II. Diagnostic/Measurement
A. Patient Needs/Potential Benefit
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B. What we're trying to hear
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C. Dynamic Range
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D. HL to SPL / Transducers
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E. Understanding Speech
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F. Cerumen Management
G. Real ear measurement
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- Dirks D, Ahlstrom J, Eisenberg L. (1996). Comparison of probe insertion methods on estimates of ear canal SPL. J Amer Acad Audiol 7: 31–38 - PubMed
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- Feigin J, Kopun J, Stelmachowicz P, Gorga M. (1989). Probe-tube microphone measures of ear-canal sound pressure levels in infants and children. Ear Hear 10: 254–258 - PubMed
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- Ickes M, Hawkins D, Cooper W. (1991). Effect of reference microphone location and loudspeaker azimuth on probe tube microphone measurements. J Amer Acad Audiol 2: 156–163 - PubMed
H. Coupler measurement
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- American National Standards Institute (1987). Specification of Hearing Aid Characteristics, ANSI S3.22 - 1987. New York: American Standards Institute, Inc.
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I. Real ear characteristics
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J. Real ear to coupler difference
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- Bentler R, Pavlovic C. (1989). Transfer functions and correction factors used in hearing aid evaluation and research. Ear Hear 10: 58–63 - PubMed
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- Hawkins D, Cooper W, Thompson D. (1990). Comparisons among SPLs in real ears, 2cm3 and 6cm3 couplers. J Amer Acad Audiol 1: 154–161 - PubMed
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III. Up-front Considerations
B. Style/type/spare
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- Chartrand M. (1991). Transcranial or internal CROS fittings: Evaluation and validation protocol. Hear J 44 (9): 24–28
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- Consumer Reports. (November, 1992). How to buy a hearing aid. Consumer Reports 716–721
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C. Monaural vs. Binaural
1. General
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- Palmer C. (1994). Variables to consider when interpreting the impact of monaural amplification. J Amer Acad Audiol 5: 286–290 - PubMed
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- Valente M. (1982). Binaural amplification: Part 2. Audiol: J for Continuing Education 7 (6).
2. Auditory Deprivation/Nonuse
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- Batkin S., Ansberry M. (1964). Effects of auditory deprivation. J Acoust Soc Amer 36: 598
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- Boothroyd A. (1993). Recovery of Speech Perception Performance after prolonged auditory deprivation: Case Study. J Amer Acad Audiol 4: 331–337 - PubMed
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D. Microphone type/location
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- Fortune T, Preves D. (1994). Effects of CIC, ITC, and ITE microphone placement on the amplification of wind noise. Hear J 47 (9): 23–27
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- Fortune T. (1997). Real-ear polar patterns and aided directional sensitivity. J Amer Acad Audiol 8: 119–131 - PubMed
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- Hawkins D, Yacullo W. (1984). Signal-to-noise ratio advantage of binaural hearing aids and directional microphones under different levels of reverberation. J Speech Hear Dis 49 (3): 278–286 - PubMed
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- Soede W, Bilsen F, Berkhout A. (1993). Assessment of a directional microphone array for hearing-impaired listeners. J Acoust Soc Amer 94 (2): 799–808 - PubMed
E. Earmold material /type/color
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- Agnew J. (1994). Acoustic advantages of deep canal hearing aid fittings. Hear lustrum 45 (8): 22–25
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- Alvord L, Morgan R, Cartwright K. (1997). Anatomy of an earmold: A formal terminology. J Amer Acad Audiol 8: 100–103 - PubMed
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- Clark W. (1991). Noise exposure from leisure activities: A review. J Acoust Soc Amer 90 (1): 175–181 - PubMed
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- Griffing T. (1992). Proposed: A safety protocol for taking ear impressions. Hear J 45 (2): 28–29
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- Microsonic (1994). Custom Ear Mold Manual - Revised, 5th ed. Ambridge, PA: Microsonic, Inc.
F. Earmold length/vent
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- Killion M, Wilber L, Gudmundsen G. (1988). Zwislocki was right… a potential solution to the “hollow voice” problem. Hear Instrum 39 (1): 14–18
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- Studebaker G, Hochberg I. (Eds.). (1993). Acoustical factors affecting hearing aid performance. (2nd ed.). Boston: Allyn and Bacon
G. Sound channel (receiver to ear canal)
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- Killion M. (August, 1984). Recent earmolds for wideband OTE and ITE hearing aids. Hear J 37 (8): 15–22
H. Bandwidth
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- Skinner M, Miller J. (183). Amplification bandwidth and intelligibility of speech in quiet and noise for listeners with sensorineural hearing loss. Audiol 22: 253–279 - PubMed
I. Receiver type
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- Johnson W, Killion M. (1994). Amplification: Is class D better than class B? Amer J Audiol 3: 11–13
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- Palmer C, Killion M, Wilber L, Ballad W. (1995). Comparison of two hearing aid receiver-amplifier combinations using sound quality judgments. Ear Hear 16 (6): 587–598 - PubMed
J. Compression options
1. Review/General:
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- Armstrong S. (1993). The dynamics of compression: Some key elements explored. Hear J 46 (11): 43–41
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- Barfod J. (1978). Automatic regulation systems with relevance to hearing aids. Scan Audiol (Suppl. 6): 355–378 - PubMed
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- Boothroyd A, Springer N, Smith L, Schulman J. (1988). Amplitude compression and hearing loss. J Speech Hear Res 31 (3): 362–376 - PubMed
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- Dillon H. (1990). Compression in hearing aids. In Sandlin R. (ed.) Handbook of Hearing Aid Amplification, Volume I., San Diego: College-Hill, 121–146.
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- Dillon H. (1996) Tutorial. Compression? Yes, but for low or high frequencies, for low or high intensities, and with what response times? Ear Hear 17 (4): 287–307 - PubMed
2. Studies comparing various compression and linear signal processing:
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- Abramovitz R. (1980). Frequency shaping and multiband compression in hearing aids. J Comm Dis 13 (6): 483–488 - PubMed
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- Benson D, Clark T, Johnson J. (1992). Patient experiences with multiband full dynamic range compression. Ear Hear 13 (5): 320–330 - PubMed
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- Boothroyd A. (1990). Signal processing for the profoundly deaf. Acta Otolaryngol 469: 166–171 - PubMed
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- Braida L, Durlach N, Lippman R, Hicks B, Rabinowitz W, Reed C. (1979). Hearing aids-a review of past research on linear amplification, amplitude compression, and frequency lowering. ASHA Monographs 19: 1–114 - PubMed
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- Dawson P, Dillon H, Battaglia J. (1990). Output limiting compression for the severe-profoundly deaf. Austral J Audiol 13: 1–12
3. Phone/speech perception & syllabic compression:
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- Boothroyd A, Mulhearn B, Gong J, Ostroff J. (1996). Effects of spectral smearing on phoneme and word recognition. J Acoust Soc Amer 100 (3): 1807–1818 - PubMed
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- Crain T, Yund E. (1995). The effect of multichannel compression on vowel and stop-consonant discrimination in normal-hearing and hearing-impaired subjects. Ear Hear 16 (5): 529–543 - PubMed
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- De Gennaro S, Braida L, Durlach N. (1986). Multichannel syllabic compression for severely impaired listeners. J Rehab Res Dev 23 (1): 17–24 - PubMed
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- Dreschler W. (1988). The effect of specific compression settings on phoneme identification in hearing-impaired subjects. Scan Audiol 17 (1): 35–43 - PubMed
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- Dreschler W. (1989). Phoneme perception via hearing aids with and without compression and the role of temporal resolution. Audiol 28 (1): 49–60 - PubMed
4. Data related to Attack/Release times in compression signal processing:
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- Bentler R, Nelson J. (1997). Assessing Release-Time Options in a 2-Channel AGC Hearing Aid. Amer J Audiol 6: 43–51
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- Burnett E, Schweitzer H. (1977). Attack and release times of automatic gain control aids. J Acoust Soc Amer 62 (3): 784–786 - PubMed
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- Jerlvall L, Lindblad A. (1978). The influence of attack time and release time on speech intelligibility. A study of the effects of AGC on normal hearing and hearing impaired subjects. Scan Audiol (Suppl. 6): 341–353 - PubMed
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- Lynn G, Carhart R. (1963). Influence of attack and release in compression amplification on understanding of speech by hypoacusics. J Speech Hear Dis 28 (2): 124–143 - PubMed
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- Moore B, Glasberg B, Stone M. (1991). Optimization of a slow-acting automatic gain control system for use in hearing aids. Bri J Audiol 25 (3): 171–182 - PubMed
K. Noise Reduction
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- Dubno J, Dirks D. (1982). Evaluation of hearing-impaired listeners using a nonsense-syllable test: I. Test Reliability. J Speech Hear Res 25: 135–141 - PubMed
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- Killion M, Villchur E. (1993). Kessler was right - partly: But SIN test shows some aids improve hearing in noise. Hear J 46 (9): 31–35
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- Killion M. (1985). The noise problem: There's hope. Hear Instrum 36 (ll): 26–32
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- Kollmeier B, Peissig J, Hohmann V. (1993). Real-time multiband dynamic compression and noise reduction for binaural hearing aids. J Rehab Res Dev 30 (1): 82–94 - PubMed
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- Kuk F, Tyler R, Mims L. (1990). Subjective ratings of noise-reduction hearing aids. Scan Audiol 19 (4): 237–244 - PubMed
L. Output limiting
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- Bustamante D, Braida L. (1987). Multiband compression limiting for hearing-impaired listeners. J Rehab Res Dev 24 (4): 149–160 - PubMed
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- Dreschler W. (1988). Dynamic-range reduction by peak clipping or compression and its effects on phoneme perception in hearing-impaired listeners. Scan Audiol 17 (1): 45–51 - PubMed
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- Fortune T, Preves D. (1992). Hearing aid saturation and aided loudness discomfort. J Speech Hear Res 35: 175–185 - PubMed
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- Hawkins D, Naidoo S. (1993). Comparison of sound quality with asymmetrical peak clipping and output limiting compression. Amer J Audiol 4: 221–228 - PubMed
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- Hawkins D, Prosek R, Walden B, Montgomery A. (1987). Binaural loudness summation in the hearing impaired. J Speech Hear Res 30: 37–43 - PubMed
M. Multi-Channel
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- Barfod J. (1978). Multichannel compression hearing aids: Experiments and consideration on clinical applicability. Scan Audiol (Suppl. 6): 315–340 - PubMed
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- Benson D, Clark T, Johnson J. (1992). Patient experiences with multiband full dynamic range compression. Ear Hear 13 (5): 320–330 - PubMed
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- Dirks D, Ahlstrom J, Noffsinger D. (1993). Preferred frequency response for two- and three-channel amplification systems. J Rehab Res Dev 30 (3): 305–317 - PubMed
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- Dreschler W. (1992). Fitting multichannel-compression hearing aids. Audiol 31 (3): 121–131 - PubMed
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- Hickson L. (1994). Compression Amplification in hearing aids. Amer J Audiol 3 (3): 51–65 - PubMed
N. Ability to fine-tune
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- Bentler R. (1991). Programmable hearing aid review. Amer J Audiol 2: 25–28 - PubMed
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- Preeves D. (1993). Flexibility in frequency response shaping and signal processing with analog hearing aids. Amer J Audiol 2 (2): 29–40 - PubMed
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- Robertson P. (1996). A guide to NOAH-Compatible programmable fitting software. Hear Rev 3 (2): 12–18
O. Multi-memory
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- Fabry D. (1996). Clinical applications of multimemory hearing aids. Hear J 49 (8): 53–56
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- Goldstein D, Shields A, Sandlin R. (1991). A multiple memory, digitally-controlled hearing instrument. Hear Instrum 42 (1): 18–21
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- Keidser G. (1996). Selecting different amplification for different listening conditions. J Amer Acad Audiol 7: 92–104 - PubMed
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- Keidser G, Dillon H., Byrne D. (1996). Guidelines for fitting multiple memory hearing aids. J Amer Acad Audiol 7: 406–418 - PubMed
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- Kuk F. (1990). Preferred insertion gain of hearing aids in listening and reading-aloud situations. J Speech Hear Res 33: 520–529 - PubMed
P. Analog vs. digital
Q. Previous experience
1. General:
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- Martin F. (1997). Introducing a hearing aid teaching tool.Hear J 50 (3): 62–64
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- Palmer C. (September, 1995). Sound quality as a function of hearing aid experience and hearing loss. Hearing Aid Research and Development Conference, National Institutes of Health and the Veterans Administration, Bethesda, MD.
2. Plasticity:
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- Harrison R, Nagasawa A, Smith D, Stanton S, Mount R. (1991). Reorganization of auditory cortex after neonatal high frequency cochlear hearing loss. Hear Res 54: 11–19 - PubMed
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- Kraus N, McGee T, Carrell T, King C, Tremblay K, Nicol T. (1995). Central auditory system plasticity associated with speech discrimination training. J Cognit Neurosc 7: 25–32 - PubMed
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- Leake P, Snyder R, Merzenich M. (1992). Topographic organization of the cochlear spiral ganglion demonstrated by restricted lesions of the anteroventral cochlear nucleus. J Comparative Neurol 320: 468–478 - PubMed
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- Merzenich M, Jenkins W. (1993). Reorganization of cortical representations of the hand following alterations of skin inputs induced by nerve injury, skin island transfers, and experience. J Hand Therapy 6: 89–104 - PubMed
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- Moore D. (1993). Plasticity of binaural hearing and some possible mechanisms following late-onset deprivation. J Amer Acad Audiol 4: 277–283 - PubMed
R. Coupling to ALDs
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- Compton C. (1994). Providing effective telecoil performance with in-the-ear hearing instruments. Hear J 47 (4): 23–33
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- Davidson S, Noe C. (1994). Programmable telecoil responses: Potential advantages for assistive listening device fittings. Amer J Audiol 2: 59–64 - PubMed
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- Hawkins D. (1987). Clinical ear canal probe tube measurements. Ear Hear 8 (Suppl.): 74S–81S - PubMed
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- Mueller G. (1992). Assessment of telecoils and assistive listening devices. In Mueller HG, Hawkins D, Northern J, (eds). Probe microphone measurements, San Diego: Singular Publishing Group Inc., 227–250
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- Palmer C. (1996) Preserving general classroom listening while enhancing the signal from the teacher: Evaluation of two methods. J Acad Rehab Audiol 29: 49–69
S. Frequency transposition
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- AVR Sonovation Brochure. (1993). Transonic preliminary client screening guide. AVR Communications Ltd. 1450 Park Court, Chanhassen, MN 55317.
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- AVR Communications LTD. (1994). Transonic technical review and principles of operation. AVR Sonovation. 1450 Park Court, Chanhassen, MN 55317.
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- Beasley D, Mosher N, Orchik D. (1976). Use of frequency-shifted/time compressed speech with hearing-impaired children. Audiol 15: 395–406 - PubMed
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- Bennett D, Byers V. (1967). Increased intelligibility in the hypacusic by slow-play frequency transposition. J Auditory Res 7: 107–118
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- Davis-Penn W, Ross M. (1993). Pediatric experiences with frequency transposing. Hear Instrum 44 (4): 26–32
T. Batteries
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- Agnew J. (1993). Determining the battery life of your customers' hearing aids. Hear Instrum 44 (8): 26–28
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- Megahed S, Dopp R. (1990). Batteries for present and future hearing aids. Asha 32 (6/7): 52–54 - PubMed
IV. Ordering/Selecting the Hearing Aids
A. Two dimensional: Gain as a function of frequency response
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- Berger K. (1991). Introduction to three current hearing aid fitting methods. Amer J Otol 12 (1): 40–45 - PubMed
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- Byrne D. (1996). Hearing aid selection for the 1990s: Where to? J Amer Acad Audiol 7: 377–395 - PubMed
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- Byrne D, Dillon H. (1986). The national acoustics laboratories' (NAL) new procedure for selecting the gain and frequency response of a hearing aid. Ear Hear 7 (4): 257–265 - PubMed
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- Kuk F, Pape N. (1993). Relative satisfaction for frequency responses selected with a simplex procedure in different listening conditions. J Speech Hear Res 36: 168–177 - PubMed
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- McCandless G, Lyregaard P. (1983). Prescription of gain and output (POGO) for hearing aids. Hear Instrum 34 (3): 16–21
B. Three dimensional: Gain as a function of frequency and input level
Threshold to UCL
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- Cornelisse L, Seewald R, Jamieson D. (1995). The input/output formula: A theoretical approach to the fitting of personal amplification devices. J Acoust Soc Amer 97 (3): 1854–1864 - PubMed
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- Cornielisse L, Seewald R, Jamieson D. (1994). Fitting wide-dynamic range compression hearing aids: The DSL I/O approach. Hear J 47 (10): 23–29
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- Gitles T, Niquette P. (1995). FIG6 in ten. Hear Rev 2 (10): 28–30
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- Hawkins D, Morrison T, Halligan P, Cooper W. (1989). Use of probe microphone measurements in hearing aid selection for children: Some initial clinical experiences. Ear Hear 10: 281–287 - PubMed
Return to normal loudness growth/loudness scaling: individual data
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- Cox R. (1995). Using loudness data for hearing aid selection: The IHAFF approach. Hear J 48 (2):10,38–45
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- Grey H, Dyrlund O. (1996). Putting loudness scaling to work: Moving from theory to practice. Hear J 49 (3): 49–54
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- Kates J. (1993). Optimal estimation of hearing-aid compression parameters. J Acoust Soc Amer 94 (1): 1–12 - PubMed
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- Meskan M. (1997). Understanding differences between non-linear fitting approaches. Hear Rev 4 (4): 64–72
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- Mueller G. (1994). Getting ready for the IHAFF protocol. Hear J 47 (6):10,46–48
V. Fine-tuning/Verification of the Selection
A. Learning and Adaptation
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- Arkis P, Burkey J. (1994). What WRS's say about client performance, adjustment to hearing aids. Word recognition scores: Do they support adaptation? Hear Instrum 45 (1): 24–25
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- Bentler R, Niebuhr D, Getta J, Anderson C. (1993). Longitudinal study of hearing aid effectiveness. I: Objective Measures. J Speech Hear Res 36: 808–819 - PubMed
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- Bentler R, Niebuhr D, Getta J, Anderson C. (1993). Longitudinal study of hearing aid effectiveness. II: Subjective Measures. J Speech Hear Res 36: 820–831 - PubMed
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- Boothroyd A. (1993). Recovery of Speech Perception Performance after prolonged auditory deprivation: Case Study. J Amer Acad Audiol 4: 331–337 - PubMed
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- Cox R, Alexander G. (1992). Maturation of hearing aid benefit: Objective and subjective measurements. Ear Hear 13 (3): 131–141 - PubMed
B. Functional Gain
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- Balfour P, Hawkins D. (1993). Aided masked thresholds: Case of deception. J Amer Acad Audiol 4: 272–274 - PubMed
C. Insertion Gain
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- Humes L, Houghton R. (1992). Beyond insertion gain. Hear Instrum 43 (3): 32–35
D. Auditory Mapping/Real Ear Aided Response
E. Loudness Ratings
F. Rating Speech
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- McDaniel D, Cox R. (1992). Evaluation of the speech intelligibility rating (SIR) test for hearing aid comparisons. J Speech Hear Res 35: 686–693 - PubMed
G. Articulation Index
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- Mueller H, Killion M. (1990). An easy method for calculating the articulation index. Hear J 43 (9): 14–17
VI. Orientation/Follow-up/Evaluation of Benefit
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- Cox R, Rivera I. (1992). Predictability and reliability of hearing aid benefit measured using the PHAB. J Amer Acad Audiol 3: 242–254 - PubMed
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- Mueller HG, Palmer C. (1998). The Profile of Aided Loudness: A new “PAL” for ′98. Hear J 51 (1): 10–19
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- Nelson C., Palmer C. (1994). Test-retest reliability of the profile of hearing aid performance. J Speech Hear Res 37: 1211–1215 - PubMed
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- Palmer C, Mormer E. (1996). A systematic program for hearing aid orientation and adjustment. Hear Rev Suppl. High Performance Hearing Solutions, 45–52
VII. Trouble Shooting
A. Trouble Shooting/Modifications
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- Berger K. (July, 1993). But clients often use less gain than prescribed. Amer J Audiol 17–18 - PubMed
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- Bisgaard N, Dyrlund O. (1991). Acoustic feedback part I: Traditional feedback suppression methods. Hear Instrum 42 (9): 24–26
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- Curran J. (January/February, 1990). Practical modifications and adjustments of in-the-ear and in-the-canal hearing aids. Audiol Today 2 (1): 27–28
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- Joson H, Asano F, Suzuki Y, Sone T. (1993). Adaptive feedback cancellation with frequency compression for hearing aids. J Acoust Soc Amer 94 (6): 3254–3258 - PubMed
References
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- Berlin C. (1995). Hair Cells and Hearing Aids. San Diego: Singular Press, Inc.
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- Loavenbruck A, Madell J. (1981). Hearing Aid Dispensing for Audiologists. New York: Grune & Stratton, Inc.
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- Mueller H, Hawkins D, Northern J. (1992). Probe Microphone Measurements: Hearing Aid Selection and Assessment. San Diego: Singular Publishing Group, Inc.
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- Pollack M.C. (Ed.). (1975). Amplification for the Hearing-Impaired. New York: Grune & Stratton.
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- Rubin M. (Ed.). (1976). Hearing Aids: Current Developments and Concepts. Baltimore: University Park Press
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