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<title>American Journal of Audiology current issue</title>
<link>http://aja.asha.org</link>
<description>American Journal of Audiology RSS feed -- current issue</description>
<prism:eIssn>1558-9137</prism:eIssn>
<prism:coverDisplayDate>Dec  1 2009 12:00:00:000AM</prism:coverDisplayDate>
<prism:publicationName>American Journal of Audiology</prism:publicationName>
<prism:issn>1059-0889</prism:issn>
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<title>American Journal of Audiology</title>
<url>http://aja.asha.org/icons/banner/title.gif</url>
<link>http://aja.asha.org</link>
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<item rdf:about="http://aja.asha.org/cgi/content/full/18/2/87?rss=1">
<title><![CDATA[Enhanced Online Content [Editorial]]]></title>
<link>http://aja.asha.org/cgi/content/full/18/2/87?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[Pratt, S. R.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/ed-02)</dc:identifier>
<dc:title><![CDATA[Enhanced Online Content [Editorial]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>87</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>87</prism:startingPage>
<prism:section>Editorial</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/full/18/2/88?rss=1">
<title><![CDATA[Summary Publication Statistics for 2006-2008 [Editor's Report]]]></title>
<link>http://aja.asha.org/cgi/content/full/18/2/88?rss=1</link>
<description><![CDATA[]]></description>
<dc:creator><![CDATA[]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/stat)</dc:identifier>
<dc:title><![CDATA[Summary Publication Statistics for 2006-2008 [Editor's Report]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>88</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>88</prism:startingPage>
<prism:section>Editor's Report</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/89?rss=1">
<title><![CDATA[Universal Newborn Hearing Screening Follow-Up: A University Clinic Perspective [Site Visit]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/89?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>To evaluate the referral and follow-up procedures at a university clinic to determine whether the early intervention program is achieving the goals of diagnosis of hearing loss by 3 months, amplification within 1 month of diagnosis, and intervention services by 6 months, as outlined in the Joint Committee on Infant Hearing (<cross-ref type="bib" refid="B14">JCIH; 2007</cross-ref>) position statement.</p>
</sec>
<sec><st>Method</st>
<p>Files for 142 infants were examined, and the following data were collected from each file: date of birth, birth hospital, hometown, parents' ages, ethnicity, nursery status (well baby or neonatal intensive care unit), medical history, age at initial evaluation and at diagnosis, results of evaluation(s), and age at hearing aid fitting and start of early intervention services.</p>
</sec>
<sec><st>Results</st>
<p>Results revealed that 17% of infants were older than 3 months at the initial evaluation, and 18% of infants who needed further evaluation were lost to follow-up. None of the infants identified with hearing loss received amplification within 1 month of diagnosis or early intervention services by the age of 6 months.</p>
</sec>
<sec><st>Conclusions</st>
<p>The findings provide further evidence of the challenges of early intervention programs as stated by the <cross-ref type="bib" refid="B14">JCIH (2007)</cross-ref>, and they emphasize the importance of communication between practitioners and implementation of monitoring systems and checks and balances to improve the efficacy of early intervention programs.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Krishnan, L. A.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/09-0003)</dc:identifier>
<dc:title><![CDATA[Universal Newborn Hearing Screening Follow-Up: A University Clinic Perspective [Site Visit]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>98</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>89</prism:startingPage>
<prism:section>Site Visit</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/99?rss=1">
<title><![CDATA[Screening for Hearing Loss in the Elderly Using Distortion Product Otoacoustic Emissions, Pure Tones, and a Self-Assessment Tool [Paper]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/99?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>To determine whether distortion product otoacoustic emissions (DPOAEs) could be used as a hearing screening tool with elderly individuals living independently, and to compare the utility of different screening protocols: (a) 3 pure-tone screening protocols consisting of 30 dB HL at 1, 2, and 3 kHz; 40 dB HL at 1, 2, and 3 kHz; or 40 dB HL at 1 and 2 kHz; (b) the Hearing Handicap Inventory for the Elderly&mdash;Screening version (HHIE&ndash;S); (c) pure tones at 40 dB HL at 1 and 2 kHz plus the HHIE&ndash;S; and (d) DPOAEs.</p>
</sec>
<sec><st>Method</st>
<p>A total of 106 elderly individuals age 65&ndash;91 years were screened using the above protocols.</p>
</sec>
<sec><st>Results</st>
<p>Pass/fail results showed that most individuals failed at 30 dB HL, followed by DPOAEs, the 40-dB HL protocols, the HHIE&ndash;S alone, and the combined pure-tone/HHIE&ndash;S protocol. All screening results were associated except the HHIE&ndash;S and 30 dB HL and the HHIE&ndash;S and DPOAEs. A McNemar analysis revealed that the differences between the correlated pass/fail results were significant except for the HHIE&ndash;S and 40 dB at 1 and 2 kHz.</p>
</sec>
<sec><st>Conclusion</st>
<p>DPOAEs can be used to screen the elderly, with the advantage that individuals do not have to voluntarily respond to the test.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Jupiter, T.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/08-0020)</dc:identifier>
<dc:title><![CDATA[Screening for Hearing Loss in the Elderly Using Distortion Product Otoacoustic Emissions, Pure Tones, and a Self-Assessment Tool [Paper]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>107</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>99</prism:startingPage>
<prism:section>Paper</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/108?rss=1">
<title><![CDATA[Modified Head Shake Computerized Dynamic Posturography [Paper]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/108?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>Recent research on head shake posturography has demonstrated a modest increase in sensitivity to identifying peripheral vestibular system asymmetry when horizontal head movements were added to portions of the standard Sensory Organization Test (SOT) battery. However, limitations with respect to the head shake protocol were outlined, and usable data for assessing performance could not be established. The purpose of this study was to test a change in protocol for use of head shake SOT to address the noted limitations.</p>
</sec>
<sec><st>Method</st>
<p>Forty participants ranging in age from 20 to 79 years with no history of dizziness completed Conditions 2 and 5 of the SOT portion of computerized dynamic posturography on EquiTest equipment, while maintaining head still as well as 4 horizontal head movement velocity tasks.</p>
</sec>
<sec><st>Results</st>
<p>Slope of a linear regression fit to 6 performance points was used to characterize each participant. Spearman's ranked correlation (<I>r</I>) indicated a significant relationship between the slope of the line representing a decline in performance with age (<I>r</I> = &ndash;.52, <I>p</I> = .0006).</p>
</sec>
<sec><st>Conclusions</st>
<p>The head shake modification showed a trend in increasing the separation of normal individuals across age and eliminated the limitations addressed in earlier research. Future research will investigate the head shake modification for identifying vestibular peripheral system asymmetries.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Honaker, J. A., Converse, C. M., Shepard, N. T.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/09-0012)</dc:identifier>
<dc:title><![CDATA[Modified Head Shake Computerized Dynamic Posturography [Paper]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>113</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>108</prism:startingPage>
<prism:section>Paper</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/114?rss=1">
<title><![CDATA[Familial Aggregation of Age-Related Hearing Loss in an Epidemiological Study of Older Adults [Article]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/114?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>To estimate the genetic contributions to presbycusis.</p>
</sec>
<sec><st>Method</st>
<p>Presbycusis was assessed by audiometric measurements at 3 waves of the population-based Epidemiology of Hearing Loss Study (EHLS). Measurements from the most recent hearing examination were used, at which time the subjects (3,510 participants from the EHLS study) were between 48 and 100 years of age. Heritability of presbycusis was estimated using maximum likelihood methods in 973 biological relative pairs from 376 families. Familial aggregation was also evaluated by tetrachoric correlations, odds ratios, and lambda statistics in 594 sibling pairs from 373 sibships.</p>
</sec>
<sec><st>Results</st>
<p>The prevalence of presbycusis conformed to previous research, increasing with age and male sex. Heritability estimates for presbycusis adjusted for age, sex, education level, and exposure to work noise exceeded 50%, and siblings of an affected relative were at 30% higher risk. When stratified by sex, estimates of familial aggregation were higher in women than men.</p>
</sec>
<sec><st>Conclusions</st>
<p>There is evidence that genetic factors contribute to age-related hearing loss in this population-based sample. The familial aggregation is stronger in women than in men.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Raynor, L. A., Pankow, J. S., Miller, M. B., Huang, G.-H., Dalton, D., Klein, R., Klein, B. E. K., Cruickshanks, K. J.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/08-0035)</dc:identifier>
<dc:title><![CDATA[Familial Aggregation of Age-Related Hearing Loss in an Epidemiological Study of Older Adults [Article]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>118</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>114</prism:startingPage>
<prism:section>Article</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/119?rss=1">
<title><![CDATA[Measuring Tinnitus Loudness Using Constrained Psychophysical Scaling [Article]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/119?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>We measured tinnitus loudness using a new method of psychophysical scaling with the aim of introducing a potentially useful new procedure to the literature.</p>
</sec>
<sec><st>Method</st>
<p>Fourteen adults reporting tinnitus were trained to use a standardized loudness scale, and then they used that response scale to assess loudness of nonstandard stimuli and of their tinnitus. We also measured tinnitus loudness and pitch using a computer-based matching procedure, and we measured the impact of tinnitus on daily living using the Tinnitus Handicap Inventory (THI; <cross-ref type="bib" refid="B18">C. W. Newman, G. P. Jacobson, &amp; J. B. Spitzer, 1996</cross-ref>) for those 14 individuals and an additional 2 participants.</p>
</sec>
<sec><st>Results and Conclusions</st>
<p>Our 14 trained participants judged loudness similarly to normal hearing participants for pure tones at normal hearing, nontinnitus frequencies&mdash;implying that their judgments of tinnitus loudness were valid. Constrained scaling of tinnitus loudness yielded measurements that were substantially greater than the sensation level of sounds matched to tinnitus loudness. Our total of 16 participants fell into 2 groups on the basis of hearing loss, extent of abnormal loudness growth at the tinnitus frequency, and several aspects of tinnitus experience. Finally, as previously found, there was little correlation between tinnitus loudness, no matter how measured, and the impact of tinnitus on daily life as measured by the THI.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Ward, L. M., Baumann, M.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/07-0033)</dc:identifier>
<dc:title><![CDATA[Measuring Tinnitus Loudness Using Constrained Psychophysical Scaling [Article]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>128</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>119</prism:startingPage>
<prism:section>Article</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/129?rss=1">
<title><![CDATA[Pediatricians' Knowledge of, Experience With, and Comfort Levels for Cochlear Implants in Children [Article]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/129?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>Pediatricians are vital to early hearing detection and intervention programs (EHDIPs) and influence families' decisions and compliance with recommendations for their children having hearing loss. Pediatricians need current, accurate knowledge about diagnostics and treatments including cochlear implants (CIs). This study assessed pediatricians' knowledge about, experience with, and comfort levels for CIs in children.</p>
</sec>
<sec><st>Method</st>
<p>Questionnaires were mailed to a total of 220 pediatricians in 9 cities in Alabama.</p>
</sec>
<sec><st>Results</st>
<p>Nine questionnaires were undeliverable; of the remaining 211 surveys, 29 were returned (for a response rate of 13.7%), and 26 of those were usable. The results were consistent with other studies. All respondents focused on pediatrics; most were medical homes experienced with children having sensorineural hearing loss. Less than half had counseled families about CIs but had patients using them. Over half had not recommended CIs in 5 years. Several were unsure about current EHDIP goals and CIs in children. Over half were completely uncomfortable determining children's CI candidacy but were comfortable referring them to specialists. About a third were completely uncomfortable discussing CIs with and counseling families about them; most were comfortable with CIs being used in children over other habilitative options.</p>
</sec>
<sec><st>Conclusions</st>
<p>These pediatricians demonstrated deficits in current, accurate knowledge about EHDIPs and CIs in children. Audiologists should help them obtain needed information.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Mathews, M. R., Johnson, C. E., Danhauer, J. L.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/09-0002)</dc:identifier>
<dc:title><![CDATA[Pediatricians' Knowledge of, Experience With, and Comfort Levels for Cochlear Implants in Children [Article]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>143</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>129</prism:startingPage>
<prism:section>Article</prism:section>
</item>

<item rdf:about="http://aja.asha.org/cgi/content/abstract/18/2/144?rss=1">
<title><![CDATA[Changes in the Tinnitus Handicap Questionnaire After Cochlear Implantation [Article]]]></title>
<link>http://aja.asha.org/cgi/content/abstract/18/2/144?rss=1</link>
<description><![CDATA[
<sec><st>Purpose</st>
<p>To determine (a) changes in the Tinnitus Handicap Questionnaire (THQ) for patients using cochlear implants, (b) differences between patients who receive total or partial relief, and (c) identifiable characteristics of those who report tinnitus after implantation.</p>
</sec>
<sec><st>Method</st>
<p>Pre- and postoperatively, 244 adults were administered the THQ when they reported tinnitus.</p>
</sec>
<sec><st>Results</st>
<p>Of the 153 patients who had tinnitus preoperatively, 94 (61%) patients reported total suppression and 59 (39%) reported a partial reduction. In 91 patients who did not have tinnitus before implantation, 11 (12%) reported tinnitus postimplantation. The THQ score decreased from 41% preimplant to 30% postimplant. The largest reductions involved social handicap and hearing. Patients with a more severe hearing loss might be more likely to experience an exacerbation of their tinnitus. We were not able to clearly identify differences between patients who received total or partial relief and the characteristics of patients who reported tinnitus after implantation. Those who acquired tinnitus had the shortest duration hearing loss (5.6 years) and were the oldest (63 years). The average THQ score of patients getting tinnitus was 29%.</p>
</sec>
<sec><st>Conclusions</st>
<p>Most tinnitus patients benefit from receiving a cochlear implant.</p>
</sec>
]]></description>
<dc:creator><![CDATA[Pan, T., Tyler, R. S., Ji, H., Coelho, C., Gehringer, A. K., Gogel, S. A.]]></dc:creator>
<dc:date>Mon, 30 Nov 2009 17:10:55 PST</dc:date>
<dc:identifier>info:doi/10.1044/1059-0889(2009/07-0042)</dc:identifier>
<dc:title><![CDATA[Changes in the Tinnitus Handicap Questionnaire After Cochlear Implantation [Article]]]></dc:title>
<dc:publisher>American Speech-Language-Hearing Association</dc:publisher>
<prism:number>2</prism:number>
<prism:volume>18</prism:volume>
<prism:endingPage>151</prism:endingPage>
<prism:publicationDate>2009-12-01</prism:publicationDate>
<prism:startingPage>144</prism:startingPage>
<prism:section>Article</prism:section>
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