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EN
The article presents results of the work on creation of an application for Android mobile devices to perform hearing screening using pure-tone air conduction audiometry. The application was created in accordance with the procedure defined in the ISO 8253-1: 2010 standard and is to serve the widest possible group of people in a domestic environment, using headphones included with mobile devices. The effectiveness of the application was verified by performing comparative hearing tests on a representative group of patients with different hearing status. Validation was performed using the Interacoustics AD629 clinical audiometer and procedures adopted in the standards. The results of the test comparison were satisfactory. The mean error of the hearing threshold tested using the mobile application, compared to the clinical audiometer was 5.2 dBHL. In addition, the hearing threshold curves for the mobile application are similar in shape to the hearing thresholds for the clinical audiometer and coincide with the auditory experiences of the patients.
PL
Artykuł przedstawia wyniki prac nad stworzeniem aplikacji na urządzenia mobilne z systemem Android w celu wykonania przesiewowych badań słuchu w zakresie progowej audiometrii tonalnej przy przewodnictwie powietrznym. Aplikacja została stworzona zgodnie z procedurą określoną w normie ISO 8253-1:2010 i ma służyć jak najszerszej grupie osób w domowych warunkach badań przy wykorzystaniu słuchawek dedykowanych urządzeniom mobilnym. Działanie aplikacji zostało zweryfikowane poprzez wykonanie porównawczych badań słuchu na reprezentatywnej grupie pacjentów o zróżnicowanym stanie słuchu. Walidację przeprowadzono przy użyciu audiometru klinicznego Interacoustics AD629 i procedur przyjętych w normach. Wyniki badań porównawczych okazały się zadowalające. Średni błąd zbadanego progu słyszenia przy pomocy aplikacji mobilnej, w porównaniu do badań przeprowadzonych przy pomocy audiometru klinicznego, wyniósł 5.2 dBHL. Dodatkowo, krzywe progu słyszenia dla aplikacji mobilnej są zbliżone w kształcie do krzywych progu słyszenia dla audiometru klinicznego i pokrywają się z wrażeniami słuchowymi pacjentów.
EN
A questionnaire survey was conducted in the residential quarters of Guangzhou, for which 582 elderly people over 60 years old were randomly recruited. The hearing impairment of the participants was evaluated using the Hearing Handicap Inventory for the Elderly (HHIE). The participants’ subjective responses to the acoustical environment of their living place and the impact of the living acoustical environment (LAE) on the participants were investigated. The results show that the participants with a low HHIE score and no hearing impairment evaluated their LAE more favourably, and they considered that the effect of the LAE on their daily life was weak. However, those with a high HHIE score and severe hearing impairment evaluated their LAE poorly, and considered its effect on their daily lives to be significant. For the elderly, the worse the hearing is, the higher their demand for a better LAE. Traffic noise, construction noise, noise from residential quarters, and noise from next door or upstairs neighbours were the main noise sources in the elderly’s living places, and traffic noise, construction noise, and noise from next door and upstairs were the most influential sources. 28.9% of the respondents had trouble hearing what their family said in their living place. The elderly without hearing impairment considered that continuous noise was the main reason that they could not hear what their family said in their living place, while those with hearing impairment believed that their own hearing problem was a contributing factor.
EN
Identification of factors that affect postural stability may help to improve diagnostic accuracy and enhance the quality of treatment and rehabilitation. This study sought to assess the relationship between postural stability parameters and anthropometric factors of persons with hearing impairment (HI). Methods: The study included 128 individuals – 42 subjects with HI and 86 without HI (healthy controls). Research methodology included an interview and a medical examination, anthropometric measurements and stabilometric tests on platforms with stable and unstable surfaces. Results: In the group of female study participants with HI, significant correlations were only noted between body height and the Fall Risk Index (FRI). In the group of male subjects with HI, the study revealed significant correlations between FRI and body mass, BMI, % MM (muscle mass percentage) and % FAT (fat percentage). Moreover, moderate correlation was found between COP path with eyes open and body mass, while high correlation was observed between COP path with eyes open and BMI, % MM and % FAT. No significant correlation was noted between FRI and body height in men with HI. Conclusions: The examination of correlations between postural stability and body build of persons with HI did not confirm the effects of body height on postural stability in the examined group of individuals with HI, but revealed a greater influence of somatic parameters (body mass, BMI, % MM, % FAT) on postural stability in hearing-impaired men.
EN
The paper presents the results of sentence and logatome speech intelligibility measured in rooms with induction loop for hearing aid users. Two rooms with different acoustic parameters were chosen. Twenty two subjects with mild, moderate and severe hearing impairment using hearing aids took part in the experiment. The intelligibility tests composed of sentences or logatomes were presented to the subjects at fixed measurement points of an enclosure. It was shown that a sentence test is more useful tool for speech intelligibility measurements in a room than logatome test. It was also shown that induction loop is very efficient system at improving speech intelligibility. Additionally, the questionnaire data showed that induction loop, apart from improving speech intelligibility, increased a subject’s general satisfaction with speech perception.
PL
W wyniku przeprowadzonych badań hałasu w Zakładzie Przeróbki Mechanicznej Węgla (ZPMW) w jednej z kopalń węgla kamiennego wskazano możliwe rozwiązania. Zaproponowano propozycje rozwiązań mających na celu zmniejszenie poziomu hałasu, ograniczenie liczby narażonych na ten czynnik pracowników, a tym samym ograniczenie ryzyka wystąpienia chorób zawodowych powodowanych przez hałas.
EN
As a result of the research into noise in the Mechanical Coal Processing Plant (Zakład Przeróbki Mechanicznej Węgla – ZPMW) in one of the bituminous coal mines, possible solutions have been pointed out. The proposed solutions have been aimed at the reduction of noise and the number of workers exposed to this factor, and at the same time the decrease of the risk of occupational diseases caused by noise.
6
Content available Hearing Ability in Orchestral Musicians
EN
Pure-tone audiometry (PTA) and transient-evoked otoacoustic emissions (TEOAEs) were determined in 57 classical orchestral musicians along with a questionnaire inquiry using a modified Amsterdam Inventory for Auditory Disability and Handicap ((m)AIADH). Data on musicians’ working experience and sound pressure levels produced by various groups of instruments were also collected. Measured hearing threshold levels (HTLs) were compared with the theoretical predictions calculated according to ISO 1999:1990. High frequency notched audiograms typical for noise-induced hearing loss were found in 28% of the subjects. PTA and TEOAE consistently showed a tendency toward better hearing in females vs. males, younger vs. older subjects, and lower- vs. higher-exposed to orchestral noise subjects. Audiometric HTLs were better than theoretical predictions in the frequency range of 2000–4000 Hz. The (m)AIADH scores indicated some hearing difficulties in relation to intelligibility in noisy environment in 26% of the players. Our results indicated a need to implement a hearing conservation program for this professional group.
7
Content available remote Effect of cochlea damage on the detection of difference tone in signal envelope
EN
Recent studies have demonstrated that the detection of complex temporal envelopes relies on the perception of a distortion component generated by cochlear and postcochlear (central) nonlinearity. In the present study, 4-kHz carrier was modulated by tones f1 and f2 to produce the difference tone f3=f2-f1 in the amplitude modulation domain. Detection thresholds for canceling tone f3 were obtained for subjects with normal-hearing and hearing-impaired subjects. In three experimental conditions, monaural and binaural presentation of tones was used to test possible central origin of the nonlinearity in modulation domain. Modulation depth at threshold was measured as a function of the phase of the canceling component f3 varied from 0° to 270° in 45° steps. Results showed that level of canceling tone f3 was phase dependent at all signal frequencies. Thresholds for normal-hearing and hearing-impaired subjects were lower for the in-phase condition than for the antiphase condition. Results demonstrated that cochlear damage had no large effect on the nonlinearity in the AM envelope indicating that the distortion component must be generated by a more central non linear effects.
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