Digital Hearing aids Somerset

Digital Hearing aids Somerset

 

Digital Hearing aids Somerset can be found at the Keynsham hearing centre, Somerset. We specialise as a truly independent hearing company to get your hearing back to a level you may have missed in a while. We offer a full spectrum hearing test. This test is designed to find out exactly what hearing loss you may have so we can then tailor the correct type of hearing aid/s you may require.  Not all hearing aids are the same. Depending on what type of hearing loss you have depends on what type of hearing aid you may need. Stephen Neal the lead audiologist has a wealth of knowledge and will guide you on to what type of hearing iAd would suit your needs.

Keynsham hearing centre

Not all hearing aids are the same. Stephen will explain what would suit you, so you are well informed to make your own decision before you embark on buying hearing aids.  Hearing aids can be perceived at being expensive but to have your hearing back to a level which you no longer miss out on conversations in loud environments is the difference between being in the conversation or not. Hearing health is as important as eye sight so why not get your hearing test booked in now.

Somerset hearing aids

After the hearing test we will know more about what your hearing loss is so we can then get you back to some sort of normality when it comes to hearing in noisy crowded rooms, traffic noise, or watching the TV at your level while not annoying your loved ones.  Hearing is a sense we all take for granted but as we get older it can and does deteriorate. Why put up with second best living standards when with our help we can get you back some of the normality in hearing you enjoyed when you were younger.

Contact Anita on reception to book an initial hearing test, from there let us start your journey together to really get your hearing heath back to some normality.

If you need ear wax removal in Somerset please look at our video here to see Micro-suction ear wax removal.

Hearing aids, ear wax removal-Somerset

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Starkey hearing aids

Starkey hearing aids, Stephen Neal Hearing

 

We sell and dispense all types of hearing aids at the Keynsham hearing centre run by Stephen Neal . One of the big guns is Starkey. Recently they announced a new innovation for their Live Ai hearing aids. It now comes with fall detection, meaning it will detect if you have a fall and if you are paired with your phone it will message up to 3 contacts  that you have specified before hand.

Read the full press statement bellow for more info, or if you are interested in knowing more please pop in or make an appointment so we can walk you through the new hearing aid and it’s features.

 

Stephen Neal hearing news:

Starkey Releases World’s First Hearing Aid with Fall Detection and Alerts to Livio AI Users

balance problems increase risk for fallsStarkey Hearing Technologies, Eden Prairie, Minn, has released its new Fall Detection and Alert feature in Livio AI hearing aids to a limited number of hearing professionals, and plans to offer the feature to all dispensing professionals and their clients in late February, according to CTO Achin Bhowmik, PhD, in an interview with Hearing Review on Tuesday, December 18. Using integrated sensors, the Fall Detection and Alert feature is designed to automatically detect falls and send messages to as many as three contacts.

Fall detection sensors are currently implemented in all Livio AI devices as part of its standard hardware platform, and Starkey has been working on the Fall Alert feature to maximize its utility for end users prior to the system’s widespread implementation.

Falls are a massive public health problem, particularly for older adults. It’s estimated that injuries due to falls will account for $67.7 billion in public health spending by 2020, and according to the National Council on the Aging (NCOA) falls are currently responsible for an older adult being admitted to a US emergency room every 11 seconds. Additionally, people with hearing loss are particularly susceptible to falls. A Johns Hopkins study suggests that having hearing loss triples the risk of falls for people age 40 and older—and the findings hold up regardless of whether their hearing loss is moderate or severe.

StarkeyFallsInfoGraphic

How Starkey Fall Detection and Alerts work. Starkey’s new Fall Detection system is said to have several benefits over existing stand-alone medical alert systems, which are typically attached to a lanyard around the neck. “The first key advantage is that a hearing aid is almost always in your ear during your active hours, making for one less thing to carry or remember. One of the major problems with medical alert systems is getting people to wear them,” says Bhowmik. “Second, we have two fall detection sensors [in binaural fittings] for the right side and the left side, whereas most fall detection systems have only one. And the way the two sensors are spaced apart and the way in which you hold your head, we can get better and more accurate results than neck-worn sensors designed to detect falls.”

Starkey CTO Achin Bhowmik spoke about the possibility of fall detection and other sensor-based capabilities at the 2018 Starkey Expo held in January.

Starkey CTO Achin Bhowmik spoke about the possibility of fall detection and other sensor-based capabilities at the 2018 Starkey Expo held in January.

According to Bhowmik, part of Starkey’s recent research has revolved around what constitutes an actual fall as opposed false-positives such as quick downward movements or even accidentally dropping the hearing aid. “If you take the hearing aid off your ear and drop it on the ground, you will not get a false-positive for falling with Livio AI,” says Bhowmik. “We have been working on [eliminating false-positives] for over a year. A good AI system is only as good as the data you train the system with. In this particular case, if the left hearing aid detects a fall, it immediately checks with the right hearing aid to see if the data matches what would indicate a fall for the system. Unless it detects a fall from the hearing aids in tandem for both the right and left sides of the head, the device will eliminate those non-fall events and false-positives.”

Starkey Livio AI hearing aid

Starkey Livio AI hearing aid.

The hearing care professional will be able to activate Fall Detection and Alerts through an easy-to-use interface within the fitting software for Starkey’s Livio AI hearing aids. The user can then enter the Auto Alert contacts—up to three people who are to be alerted in the event of a fall within the Thrive Hearing App. When a fall is detected by the system, an audio prompt asks the user if they have fallen. He or she then has 60 seconds to provide an Event Cancellation and stop the outgoing Fall Alert messages from being sent to their designated contacts. If the hearing aid user has fallen and elects to send the Fall Alert message to his/her contacts, they receive confirmation when each contact has been successfully reached.

The system also allows for a Manual Alert which can be activated by simply pressing the hearing aid button, sending an alert for a fall or non-fall related event. “Maybe you didn’t fall, but instead just felt dizzy or were otherwise forced to sit down on the floor,” explains Bhowmik. “Obviously, this is not a fall. But you can still use the Manual Alert to get help when you need it. By tapping a button, you can send an automatic alert to your contacts, telling them you need assistance.”

This is just another step in the direction of making the hearing aid a multi-purpose, multi-functional device, according to Starkey.

To learn more about Starkey’s Livio AI you can visit: https://www.starkey.com/hearing-aids/technologies/livio-artificial-intelligence-hearing-aids

 

Frome ear syringing available now!

Frome ear syringing available now!

If you are not as close to Keynsham as to Devizes we would recommend our sister company

Wiltshire ear clinic 

 

Frome ear syringing or ear wax removal. The Keynsham hearing centre is an independent hearing centre run by Stephen Neal and Anita Neal and are based in Keynsham near Bath.  Just a short drive and you can get an earlier appointment for your ear wax removal or your hearing test. Keynsham hearing are also a major Somerset centre for the latest DIGITAL hearing aids. If you are suffering with hearing loss and need impartial expert advice them please call Anita on reception to book your appointment to speak with Stephen.

Watch our ear wax removal video here.

 

Stephen Neal News:

 

A New Enhanced Operating System in Phonak Hearing Aids: AutoSense OS 3.0

Original story by The Hearing Review

Tech Topic | February 2019 Hearing Review

A review of the rationale for and enhanced features in AutoSense OS 3.0  with binaural signal processing, and how the new system is designed to achieve the most appropriate settings for the wearer, optimizing hearing performance in all listening environments, including media steaming.

It can be challenging to hear, understand, and actively engage in conversation in today’s fast-paced and “acoustically dynamic” world, especially for a listener with hearing loss. The Phonak automatic program has been designed to adapt seamlessly, based on the acoustic characteristics of the present environment and the benefit for clients.

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AutoSense OS™ 3.0 is the enhanced automatic operating system in Phonak Marvel™ hearing aids. It has been optimized to recognize additional sound environments for even more precise classification, applying dual path compression, vent loss compensation, and a new first-fit algorithm. In combination, these new enhancements to the Phonak automatic classification system ensure that the listener gains access to speech clarity and quality of sound irrespective of the environment, enabling them to actively participate in everyday life.

Optimal sound quality in every listening environment for listeners with hearing loss is always the goal of hearing aid manufacturers and hearing care professionals alike. As pointed out by MarkeTrak, “Hearing well in a variety of listening situations is rated as highly important to hearing aid wearers and has a direct impact on the satisfaction of hearing aid use throughout daily tasks and listening environments.”1

Without conscious effort, humans naturally classify audio signals throughout each day. For example, we recognize a voice on the telephone, or tell the difference between a telephone ring versus a doorbell ring. For the most part, this type of classification task does not pose a significant challenge; however, problems may arise when the sound is soft, when there is competing noise, or when the sounds are very similar in acoustical nature. Of course, these tasks become even more difficult in the presence of a hearing loss, and hence, great strides have been made in hearing instrument technology to incorporate classification capabilities within the automatic program.

Technology Evolution

In previous years, the sound processing of hearing aids was limited to a single amplification setting used for all situations. However, since the soundscape around us is dynamic—with frequent acoustical changes in the environment—it is unrealistic for a hearing aid with only one amplification setting to deliver maximum benefit in every environment. The evolution of hearing aids has seen the introduction of sound-cleaning features, such as noise cancellation, dereverberation, wind noise suppression, feedback cancellation, and directionality. These features offer maximum benefit to overall sound quality and speech intelligibility when they are appropriately applied, based on analysis of the sound environment.

Rather than having these sound-cleaning features permanently activated, their impact is greatest when they are applied selectively. For example, a wearer may not hear oncoming traffic if noise cancellation is permanently suppressing sound from all directions. Thus, defaults are set in the system for different environments.

Frome hearing aid centre

Of course, the possibility exists to add manual programs to accommodate acoustic characteristics of specific listening environments (eg, an “everyday” program with an omnidirectional microphone enabled and a “noise” program with a directional microphone enabled). However, having several manual programs increases the complexity for the hearing aid wearer. Research data shows the increasing preference of wearers for automatically adaptive sound settings over manual programs for different environments,and this is further confirmed by data-logging statistics which reveal a decline in manually added programs with the launch of newer technology platforms (Figure 1).3

Figure 1. Market research data from Phonak in 2017: Percentage of fittings with manual programs at 2nd session across hearing aid platforms Spice/Spice+, Quest, Venture, and Belong (n = 183,331).

Figure 1. Market research data from Phonak in 2017: Percentage of fittings with manual programs at 2nd session across hearing aid platforms Spice/Spice+, Quest, Venture, and Belong (n = 183,331).

Results of studies focusing specifically on speech intelligibility demonstrate that the majority of participants achieve a 20% improvement in speech understanding while listening in AutoSense OS than in a “preferred” manual program across a wide variety of listening environments, suggesting that manual programs may not always be appropriately or accurately selected.Even more interesting is the fact that users rate sound quality as being equal between the automatic and manual programs.According to this same research from Searchfield et al,a possible explanation may be that the practical application of selection relies on the wearer’s manual dexterity, normal cognition, noticeable benefit, and motivation levels. Furthermore, their research confirms a bias towards selection of the first program in the setup—whether or not this would be considered “audiologically” optimal.

Having an automatic program which can seamlessly adjust to select the most appropriate settings in any environment therefore saves both the client and the hearing care professional effort, time, and hassle.

First-generation AutoSense OS™

When Phonak AutoSense OS was originally developed, data from several sound scenes was recorded and used to “train” the system to identify acoustic characteristics and patterns. These characteristics include level differences, estimated signal-to-noise ratios  (SNRs), and synchrony of temporal onsets across frequency bands, as well as amplitude and spectrum information. Probabilities of the degree of match between “trained” versus “identified” acoustic parameters in real time are then calculated for the most optimal selection of sound settings in each environment. There are seven sound classes: Calm Situation, Speech in Noise, Speech in Loud Noise, Speech in Car, Comfort in Noise, Comfort in Echo, and Music. Three of the programs—Speech in Loud Noise, Music, and Speech in Car—are considered “exclusive classes” (ie, stand-alone) while the other four programs can be activated as a blend when it is not possible to define complex, real-world environments by one acoustic classification. For example, Comfort in Echo and Calm Situation can be blended with respect to how much each of these classifications are detected in the environment.

Enhanced Benefits for Wearers

With AutoSense OS 3.0, Phonak has gone a step further and incorporated data from even more sound scenes for the classes Calm Situation, Speech in Noise, and Noise into the training for additional system robustness. Enabling the desired signal processing is the goal of automatic classification, so to support the wearer’s understanding in speech-in- noise situations, the program Speech in Noise is activated even earlier than before.

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AutoSense OS 3.0 is the foundation for steering the signal processing and applying the most appropriate setting for the wearer based on the acoustics present in the environment. Refinements to the audiological settings within this are always sought to further enhance the user experience, and the improvements occur in different areas of the signal processing.

In order to maintain the natural modulations of speech in noise as well as streamed media, dual path compression is available and activated based on the listening environment. This allows temporal and spectral cues in speech to be more easily identified and used by the wearer.6

It is known that a full and rich sound is preferred by wearers while streaming audio, so the system enhances the sound quality of streamed audio signals by increasing the vent loss gain compensation. The result is an increase in low-frequency gain by up to 35 dB, which is especially beneficial to overcome the vent loss of a receiver-in-canal (RIC) hearing aid, most likely to be fitted with an open coupling (depending on the hearing loss and/or client comfort). This low-frequency “boost” is applied to streamed signals (or any other alternative input source, including a telecoil), while inputs received directly to the hearing aid microphones remain uncompromised, maintaining the frequency response of a Calm situation.

The Adaptive Phonak Digital (APD) algorithm has also been enhanced for spontaneous first-fit acceptance. The gain for first-time wearers fitted to an adaptation level of 80% has been softened for frequencies above 3000 Hz to reduce reported shrillness, but without compromising speech intelligibility. The desired effect of this is that the wearer experiences a comfortable and clear sound quality from the outset.7

New Classification of Media Signals 

Listening to music and enjoying it is achieved by an alternate setting that is used to attain optimal speech understanding. In an internal study conducted at the Phonak Audiology Research Center (PARC), participants emphasized their preferences for clarity of speech for dialogue-dominated sound samples and sound quality for music-dominated samples (C Jones, unpublished data, “Preferred settings for varying streaming media types,” 2017). This preference applies not only in the acoustic environment where signals reach the hearing instrument microphones directly, but also for streamed media inputs via the Phonak TV Connector or Bluetooth connection to a mobile device.

Phonak Audéo Marvel with AutoSense OS 3.0 now incorporates streamed inputs into the automatic classification process offering the wearer speech clarity as well as an optimal music experience. A recent study conducted at DELTA SenseLab in Denmark confirmed that the new Audéo Marvel, in combination with the TV Connector, is rated by wearers as close to their defined ideal profile of sound attributes for streamed media across a range of samples including, speech, speech in noise, music, and sport (Figure 2). The Audéo Marvel streaming solution was also rated among the top streaming solutions across 7 competitor solutions.This confirms that the way in which the classifier now categorizes streamed media into the sound classes “Speech” versus “Music” is yet another way in which the system provides ideal hearing performance for wearers in their everyday lives.

Figure 2. Sound attributes plot for Ideal profile (in gray) & AutoSense OS 3.0 in Phonak Audéo Marvel with TV Connector (in green).

Figure 2. Sound attributes plot for Ideal profile (in gray) & AutoSense OS 3.0 in Phonak Audéo Marvel with TV Connector (in green).

Binaural VoiceStream Technology

The Binaural VoiceStream Technology™ has been reintroduced within AutoSense OS 3.0. This technology facilitates binaural signal processing, such as binaural beamforming, and enables programs and features such as Speech in Loud Noise (when StereoZoom™ is activated), Speech in 360°, and DuoPhone. StereoZoom uses 4 wirelessly connected microphones to create a narrow beam towards the front, for access to speech in especially loud background noise. We know that the ability to stream the full audio bandwidth in real time and bidirectionally across both ears improves speech understanding and reduces listening effort in challenging listening situations.This reduction in listening effort, and consequently, memory effort, has been demonstrated in recent studies employing electrophysiological measures, such as electroencephalography (EEG), where significantly reduced Alpha-wave brain activity is noted when listening with StereoZoom compared to listening with more open approaches of directionality.10 When we consider this in terms of the “Limited Resources Theory” described in psychology by Kahneman11(ie, that the brain operates on a limited number of neural resources), it highlights that efficiencies in sensory processing, through use of such advanced signal processing, may serve to free up resources to benefit higher cognitive processing for the wearer.

Taking this a step further to look into behavioral patterns of speakers and listeners with hearing loss in a typical group communication scenario in the real world, methods such as video and communication analyses have been used effectively. Changes in behavior when listening with StereoZoom versus traditional fixed directional technologies have been compared and correlated with subjective ratings of listening effort. StereoZoom has been shown to increase communication participation by 15%, and decrease listening effort by 15% relative to the fixed directional condition.12

Summary

The ability of a hearing instrument to offer acceptable “hands-free” listening by automatically adapting to multiple situations increases the adoption rate of the instrument.The enhanced AutoSense OS 3.0, with binaural signal processing, achieves this by selecting the most appropriate settings for the wearer, optimizing hearing performance in all listening environments, and now during media streaming, too. The wearer is freed from expending energy on effortful listening and can focus their enjoyment instead on tasks which are more meaningful to them, confident in the knowledge that their hearing instruments will automatically take care of the rest.

Screen Shot 2019-01-21 at 11.35.38 AM


Correspondence
 can be addressed to Tania Rodrigues at: tania.rodrigues@phonak.com

Citation for this article: Rodrigues T. A new enhanced operating system in Phonak hearing aids: AutoSense OS 3.0. Hearing Review. 2019;26(2)[Feb]:22-26.

References 

  1. Kochkin S. MarkeTrak VIII: Consumer satisfaction with hearing aids is slowly increasing. Hear Jour. 2010;63(1):19-32.

  2. Rakita L; Phonak. AutoSense OS: Hearing well in every listening environment has never been easier. https://www.phonakpro.com/content/dam/phonakpro/gc_hq/en/resources/evidence/white_paper/documents/insight_btb_autosense-os_belong_s3_028-1585.pdf Published August 2016.

  3. Überlacker E, Tchorz J, Latzel M. Automatic classification of acoustic situation versus manual selection. Hörakustik. 2015.

  4. Rakita L, Jones C. Performance and preference of an automatic hearing aid system in real-world listening environments. Hearing Review. 2015;22(12):28-34.

  5. Searchfield GD, Linford T, Kobayashi K, Crowhen D, Latzel M.  The performance of an automatic acoustic-based program classifier compared to hearing aid users’ manual selection of listening programs. Int J Audiol. 2017;57(3):201-212.

  6. Gatehouse S, Naylor G, Elberling C. Linear and nonlinear hearing aid fittings-1.Patterns of benefit. Int J Audiol. 2006;45(3):130–152.

  7. Jansen S, Woodward J; Phonak. Love at first sound: The new Phonak precalculation. https://www.phonakpro.com/content/dam/phonakpro/gc_hq/en/resources/evidence/white_paper/documents/insight_btb_marvel_precalculation_season4_2018_028-1931.pdf. Published July 2018.

  8. Legarth S, Latzel M; Phonak. Benchmark evaluation of hearing aid media streamers. DELTA SenseLab, Force Technology. www.phonakpro.com/evidence

  9. Winneke A, Appell J, De Vos M, et al. Reduction of listening effort with binaural algorithms in hearing aids: An EEG study. Poster presented at: The 43rd Annual Scientific and Technology Conference of the American Auditory Society; March 3-5, 2016; Scottsdale, AZ.

  10. Winneke A, Latzel M, Appleton-Huber J; Phonak. Less listening- and memory effort in noisy situations with StereoZoom. https://www.phonakpro.com/content/dam/phonakpro/gc_hq/en/resources/evidence/field_studies/documents/fsn_stereozoom_eeg_less_listening_effort.pdf. Published July 2018.

  11. Kahneman D. Attention and Effort.Englewood Cliffs, NJ: Prentice-Hall, Inc;1973.

  12. Schulte M, Meis M, Krüger M, Latzel M, Appleton-Huber J; Phonak. Significant increase in the amount of social interaction when using StereoZoom. https://www.phonakpro.com/content/dam/phonakpro/gc_hq/en/resources/evidence/field_studies/documents/fsn_increased_social_interaction_stereozoom_gb.pdf. Published September 2018.

 

 

Hearing aids Somerset

 Hearing aids Bath Somerset

   Keynsham hearing centre

Hearing aids at the Keynsham hearing centre run by Stephen and Anita Neal. Digital hearing aids have changed beyond recognition in the last 5 years. If you are using older hearing aids or have been using NHS hearing aids and would like to try the latest discreet digital hearing aids with connectivity with your mobile phone, tablet and T.V. Keynsham hearing offer a free trial. Please contact Anita on reception. We use PhonakGN ReSoundOticon and other manufacturers hearing aids.

       EAR WAX REMOVAL

The Keynsham hearing centre also conduct ear wax removal using Microsuction and the traditional water irrigation technique. You can watch our video here to see how we do this and how painless and quick it really is.

Keynsham hearing news:

Researchers Identify Gene Associated with Age-related Hearing Loss

 

Mouse study reveals contributor to hearing loss

An international group of researchers, led by Ronna Hertzano, MD, PhD, associate professor, Department of Otorhinolaryngology-Head & Neck Surgery, at the University of Maryland School of Medicine (UMSOM), and Michael Bowl, PhD, program leader track scientist, Mammalian Genetics Unit, MRC Harwell Institute, UK, have identified the gene that acts as a key regulator for special cells needed in hearing.

The discovery of this gene (Ikzf2) will help researchers better understand this unique type of cell that is needed for hearing and potentially develop treatments for common age-related hearing loss, UMSOM announced.

“Outer hair cells are the first inner ear cells lost as we age,” said Hertzano, whose research will be published in the journal Nature. “Age-related hearing loss happens to everyone. Even a 30-year-old has lost some of the outer hair cells that sense higher pitch sounds. Simple exposure to sound, especially loud ones, eventually causes damage to these cells.”

The inner ear has two kinds of sensory hair cells required for hearing. The inner hair cells convert sounds to neural signals that travel to the brain. This compares to outer hair cells, which function by amplifying and tuning sounds. Without outer hair cells, sound is severely muted and inner hair cells don’t signal the brain. Loss of outer hair cells is said to be the major cause of age-related loss of hearing.

About the Research

Hertzano’s group, in collaboration with Ran Elkon, PhD, senior lecturer, Department of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine in Tel Aviv, Israel, took a bioinformatics and functional genomics approach to discover a gene critical for the regulation of genes involved in outer hair cell development. Bowl’s group studied mice from the Harwell Aging Screen to identify mice with hearing loss. Bowl identified mice with an early-onset hearing loss caused by an outer hair cell deficit. When the two groups realized that they were studying the same gene, they began to collaborate to discover its biological function and role in outer hair cell development. The gene is Ikzf2 gene, which encodes helios. Helios is a transcription factor, a protein that controls the expression of other genes. The mutation in the mice changes one amino acid in a critical part of the protein, which impaired the transcriptional regulatory activity of helios in the mice.

To test if helios could drive the differentiation of outer hair cells, the researchers introduced a virus engineered to overexpress helios into the inner ear hair cells of newborn mice. As a result, some of the mature inner hair cells became more like outer hair cells. In particular, the inner hair cells with an excess of helios started making the protein prestin and exhibited electromotility, a property limited to outer hair cells. Thus, helios can drive inner hair cells to adopt critical outer hair cell characteristics.

Funding for the research was provided by Action on Hearing Loss UK, the National Institute on Deafness and Other Communication Disorders (NIDCD) at the National Institutes of Health, and the Department of Defense (DOD).

As Professor Steve Brown, PhD, director, MRC Harwell Institute, said, “The development of therapies for age-related hearing loss represents one of the big challenges facing medicine and biomedical science. Understanding the genetic programs that are responsible for the development and maturation of sound-transducing hair cells within the inner ear will be critical to exploring avenues for the regeneration of these cells that are lost in abundance during age-related hearing loss. The teams from the University of Maryland and the MRC Harwell Research Institute have given us the first insights into that program. They have identified a master regulator, Ikzf2/helios, that controls the program for maturation of outer hair cells. Now, we have a target that we can potentially use to induce the production of outer hair cells within damaged inner ears, and we are one step closer to offering treatments for this disabling condition.”

Original Paper: Chessum L, Matern MS, Kelly MC, et al. Helios is a key transcriptional regulator of outer hair cell maturation. Nature. November 21, 2018.

Source: University of Maryland School of Medicine, Nature

Image: University of Maryland School of Medicine