Sleep quality in noise exposed Brazilian workers.
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This study investigated the effect of chronic workplace exposure to excessive noise on sleep quality. It involved 40 male workers aged 33 to 50 years, 20 of whom had been exposed to environmental workplace noise levels of 85 dB or more on 40-hour-a-week jobs. Another 20 workers who were not exposed to excessive noise were used as controls. All subjects were interviewed and submitted to physical examination, pure tone and speech audiometry, immittance testing and nocturnal polysomnography. Comparative analysis demonstrated that the two groups were similar, except for the exposure to noise. Fisher's test comparison of pure tone and speech audiometry and immittance testing revealed mild to moderate noise-induced hearing loss (P < 0.001) in the > or = 85-dB group. Indicators of sleep continuity were abnormal in both groups, demonstrating poor sleep quality; however, sleep quantity was normal. Of the 40 individuals, 13 (32.5%) presented respiratory sleep disorders. Of those 13, 10 presented daytime somnolence according to the Epworth Scale. The Mann-Whitney test showed that sleep was identical in the two groups. Fisher's exact test revealed no association between altered sleep and hearing status in either group. Our results show that active men working 40-hour-a-week in the presence of excessive noise without adequate protection for more than eight years presented with noise-induced hearing loss but their quality or quantity of night sleep was unaffected. Sensori-neural deafness may represent an element of adaptation against noise during sleep. (+info)
The benefit method: fitting hearing aids in noise.
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The most common complaint among individuals with hearing impairment is the inability to follow a conversation when several people are talking simultaneously, a noisy listening situation which is completely different from the quiet surrounding of the conventional pure tone audiometry used as basis for the hearing aid settings. The purpose of this report was to present important characteristics of the BeneFit Method (BFM), a procedure that fits the hearing aid under simulated conditions of competing speech and also a clinical pilot evaluation study comparing the BFM to the NAL-R recommendations and also to the Logic procedure, a GN resound proprietary fitting algorithm representing a modern digital hearing aid fitting procedure. Speech recognition scores in noise (SRSN) using monosyllabic words presented under different background noise levels were evaluated on 21 randomly selected subjects with hearing impairment. The subjects were fitted with the same type of hearing aid Danalogic 163D according to the BFM procedure as well as the logic procedure, the latter developed and recommended by the manufacturer. A comparison of the SRSN when using the subjects' current hearing aid fitted according to the NAL-R procedure was also made. Only the BFM procedure provided a significant SRSN improvement compared to the unaided condition (P< 0.01) in a signal/speech-noise level of 75/65 dB corresponding to a normal cocktail party condition. Moreover, patients performed significantly higher SRSN when fitted according to the BFM, than when fitted according the Logic or NAL-R procedures. The BFM procedure, which is based on individual and functional detection of hearing thresholds in noise levels corresponding to a cocktail party condition, can improve SRSN significantly. Hearing aids should be fitted under conditions similar to those when the hearing disability is perceived the most, i.e, in an environment with background noise. (+info)
Hearing loss in aging.
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Aging is a natural consequence of a society developing process. The city of Sao Paulo has almost one million people who are above sixty years of age. Age-related hearing loss equals the total hearing loss resulted from cell degeneration caused by noise exposure, ototoxic agents and the loss caused by disorders and medical treatments. AIM: To study age-related hearing degeneration by means of higher thresholds and hearing sensitivity measures. MATERIALS AND METHODS: Cross-sectional contemporary cohort study in which we assessed 211 elderly patients with mean age of 75.24 years, of whom 61 were females and 150 were males. The subjects were submitted to an interview and a conventional audiometric assessment; and later divided into four groups according to age range. RESULTS: Significant threshold drop in the four established age groups, decrease in speech recognition ratio, and a significant difference regarding gender. CONCLUSION: As age advanced there was a gradual increase in hearing loss, men showed a lower threshold in the 4000 Hz frequency when compared to women, and in the speech intelligibility test there was also a gradual decrease with aging. (+info)
Speech enhancement using the modified phase-opponency model.
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In this paper we present a model called the Modified Phase-Opponency (MPO) model for single-channel speech enhancement when the speech is corrupted by additive noise. The MPO model is based on the auditory PO model, proposed for detection of tones in noise. The PO model includes a physiologically realistic mechanism for processing the information in neural discharge times and exploits the frequency-dependent phase properties of the tuned filters in the auditory periphery by using a cross-auditory-nerve-fiber coincidence detection for extracting temporal cues. The MPO model alters the components of the PO model such that the basic functionality of the PO model is maintained but the properties of the model can be analyzed and modified independently. The MPO-based speech enhancement scheme does not need to estimate the noise characteristics nor does it assume that the noise satisfies any statistical model. The MPO technique leads to the lowest value of the LPC-based objective measures and the highest value of the perceptual evaluation of speech quality measure compared to other methods when the speech signals are corrupted by fluctuating noise. Combining the MPO speech enhancement technique with our aperiodicity, periodicity, and pitch detector further improves its performance. (+info)
Study of the fundamental frequency in elderly women with hearing loss.
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Increased life expectancy raises demands for special attention for the elderly population; speech, language and hearing science deals with their communication disorders. Hearing loss is a common disorder affecting this age group. It is known that the auditory feedback system is essential to human vocalizing, as it organizes voice production. AIM: To assess and correlate the hearing system and the Fundamental Frequency (F0) of women who have variable degrees of sensorineural hearing loss. MATERIAL AND METHOD: a cross-sectional descriptive study. 30 women with a mean age of 75.95 (SD = 7,41) were included. Inclusion criteria were: symmetric sensorineural hearing loss, a high-frequency sloping configuration, and a type A tympanogram. Subjects underwent Pure Tone Audiometry, a Word Recognition Test, Tympanometry, and Voice Assessment. RESULTS: Patients with higher degrees of hearing loss showed an increased fundamental frequency. CONCLUSION: In aged individuals with hearing loss, audiovocal monitoring is altered, resulting in voice parameter changes. (+info)
Aging and speech-on-speech masking.
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OBJECTIVES: A common complaint of many older adults is difficulty communicating in situations where they must focus on one talker in the presence of other people speaking. In listening environments containing multiple talkers, age-related changes may be caused by increased sensitivity to energetic masking, increased susceptibility to informational masking (e.g., confusion between the target voice and masking voices), and/or cognitive deficits. The purpose of the present study was to tease out these contributions to the difficulties that older adults experience in speech-on-speech masking situations. DESIGN: Groups of younger, normal-hearing individuals and older adults with varying degrees of hearing sensitivity (n = 12 per group) participated in a study of sentence recognition in the presence of four types of maskers: a two-talker masker consisting of voices of the same sex as the target voice, a two-talker masker of voices of the opposite sex as the target, a signal-envelope-modulated noise derived from the two-talker complex, and a speech-shaped steady noise. Subjects also completed a voice discrimination task to determine the extent to which they were able to incidentally learn to tell apart the target voice from the same-sex masking voices and to examine whether this ability influenced speech-on-speech masking. RESULTS: Results showed that older adults had significantly poorer performance in the presence of all four types of maskers, with the largest absolute difference for the same-sex masking condition. When the data were analyzed in terms of relative group differences (i.e., adjusting for absolute performance) the greatest effect was found for the opposite-sex masker. Degree of hearing loss was significantly related to performance in several listening conditions. Some older subjects demonstrated a reduced ability to discriminate between the masking and target voices; performance on this task was not related to speech recognition ability. CONCLUSIONS: The overall pattern of results suggests that although amount of informational masking does not seem to differ between older and younger listeners, older adults (particularly those with hearing loss) evidence a deficit in the ability to selectively attend to a target voice, even when the masking voices are from talkers of the opposite sex. Possible explanations for these findings include problems understanding speech in the presence of a masker with temporal and spectral fluctuations and/or age-related changes in cognitive function. (+info)
The effect of hearing impairment on the identification of speech that is modulated synchronously or asynchronously across frequency.
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