August 2009


Features

Cover Story
  Fitting Science
Is the Hearing Instrument to Blame When Things Get Really Noisy?
  by Gitte Keidser, PhD; Elizabeth Convery, MS; Jürgen Kiessling, PhD; and Ruth Bentler, PhD
  This study suggests that more than 80% of both aided hearing-impaired and normal-hearing mature adults experience loudness discomfort in real life—despite the aided population being fitted with acceptable/conservative gain and output levels. While it is important to ensure that hearing instruments do not cause loudness discomfort, it may be impossible to completely avoid experiences of infrequent loudness discomfort without compromising the sound quality of speech.
Cover photography by
© 2009 John Foxx/Stockbyte/Getty Images


Hearing Technology
Developments in Auditory Steady-State Responses (ASSR): 2009
  by Douglas L. Beck, AuD; David P. Speidel, MS; and Jill Gordon Craig, MA
  ASSR has multiple applications with regard to hearing screenings and diagnostic audiology. The ASSR facilitates a rapid and statistically valid estimate of hearing thresholds, and can add significant threshold information while evaluating patients unable or unwilling to participate in behavioral tests. Recent findings and new developments with regard to ASSR stimulus, software-based algorithms, and hardware solutions are addressed.
Enhancing Temporal Resolution and Sound Quality: A Novel Approach to Compression
  by Arthur Schaub, Dipl Phys
  For more than a decade, hearing loss has been recognized as the loss of a fast-acting compression mechanism. Likewise, existing technology has been recognized as being slow for effective compensation. Bernafon's ChannelFree system has been designed to tackle this problem, offering effective compression for consecutive phonemes in speech, while taking the necessary steps to preserve sound quality.

Practice Management
Two Proven Ways to Engage Front Office Staffers in Your Practice
  by Brian Taylor, AuD
  Gathering pre-fitting information using questionnaires and working your existing database to schedule routine follow-up appointments are straightforward tactics that, when faithfully executed by front office staff, can have a profound impact on the overall productivity of your practice.
The SMART Way to Set Professional and Financial Goals
  by Kevin St. Clergy, MS
  By clearly stating, effectively communicating, and following through on your goals, you will put the necessary processes in place to ensure your success.

Departments

HR Online
  Staff Standpoint
Sales Up, But Mostly from VA
  by Karl Strom

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