Ear wax removal in Weston Super mare

Ear wax removal in Weston Super-mare

 

Stephen Neal the premier ear wax removal specialist is now taking clients from the W.S.M area including Banwell, Worle, Cheddar and Wells in the Mendips. Weston super mare.

 

If you are suffering from blocked ears and think you may have ear wax blocking your ear or ears, then Stephen Neal (based in Keynsham) can remove this excess ear wax. Using Microsuction (view video here)

Stephen Neal, word audiology news:

 

Starkey Launches Livio AI Hearing Aid with Integrated Sensors and Artificial Intelligence

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ear wax removal, Somerset, W.S.M. Weston Super Mare, Wells-Somerset, Cheddar, Worle

Ear wax removal in Weston Super Mare

Starkey® Hearing Technologies is said to have “reinvented both the hearing experience and the hearing aid” with Livio AI. Livio AI is reportedly “the world’s first” Healthable™ hearing aid to utilize integrated sensors and artificial intelligence and the first device to track physical activity and cognitive health as measured by hearing aid use in social situations, Starkey announced.

The launch also includes a brand-new mobile app—Thrive™ Hearing—and three new wireless accessories, the Starkey Hearing Technologies TV, the Remote, and the Remote Microphone +. With the Remote Micorophone+, Livio AI is also the first hearing aid to feature Amazon® Alexa connectivity.

“First and foremost, Livio AI is the best performing and best sounding hearing aid we have ever made,” said Starkey Hearing Technologies President Brandon Sawalich. “What makes today a pivotal moment in the hearing industry, is that with Livio AI, we have transformed a single-use device into the world’s first multi-purpose hearing aid, a Healthable with integrated sensors and artificial intelligence. Livio AI is so much more than just a hearing aid, it is a gateway to better health and wellness.”

According to Starkey, the new Hearing Reality™ technology is said to provide an average 50% reduction in noisy environments, significant reduced listening effort, and newly enhanced clarity of speech, while the use of artificial intelligence and integrated sensors enables it to help optimize the hearing experience.

Artificial intelligence and advancements in hearing technology enabled Livio AI to provide the following unique features and benefits, according to Starkey’s announcement:

  • Understand and see the real-time health benefits of using hearing aids – NEW
  • Overall health and wellness tracking through the app’s combined brain and body health score (Thrive Wellness Score) – NEW
  • Integration of the physical activity data measured by inertial sensors of the hearing aids with Apple Health and Google Fit apps – NEW
  • Personalized Control for customizable adjustments to sound and programs
  • Remote programming by users’ hearing professionals to put hearing healthcare in the hands of the users – NEW
  • Natural user interface with tap control – NEW
  • Unprecedented, natural listening, and speech clarity in the noisiest environments with the new Hearing Reality technology – NEW
  • Integrated language translation – NEW
  • Dual-radio wireless platform: 2.4GHz radio for streaming of phone calls, music, media, apps, and connecting with various devices including TVs and Amazon Alexa; near-field magnetic induction technology for true ear-to-ear communication and binaural noise reduction
  • Fall detection with inertial sensors integrated within the hearing aids (App support coming soon) – NEW

Designed to help users live their healthiest life, Livio AI is available as a RIC 312 and BTE 13 in a variety of colors. In addition to the above features, Livio AI also includes Starkey’s feedback cancellation, high-definition music prescription, Multiflex Tinnitus Technology, and Surface™ NanoShield pioneering water, wax, and moisture repellant system to help protect and ensure durability and dependability.

How integrated sensors and AI helped Starkey transform the hearing aid

“Artificial intelligence, coupled with advanced sensing devices, is rapidly changing the world around us,” Starkey Hearing Technologies Chief Technology Officer and Executive Vice President of Engineering Dr Achin Bhowmik said. “We are proud to introduce these transformational technologies into the world of hearing aids to both optimize the users’ hearing experiences and enable them to continuously monitor and improve their overall health besides treating hearing loss, reducing the associated risks of dementia, anxiety, and social isolation.”

The integrated 3D motion sensors inside Livio AI enable the hearing aids to detect movement, track activities, and recognize gestures. The hearing aids communicate with each other and compatible mobile accessories to deliver meaningful, real-time feedback about users’ overall body and cognitive health and fitness.

This technology may allow people to take a proactive and personal approach to treating hearing loss, which has been linked to various health issues including dementia, cognitive decline, anxiety, stress, social isolation, and an increased risk of falling.

Weston Super mare ear wax removal

Livio AI is reportedly the first device utilizing the ears to help users better understand not only how to improve their overall health and wellness, but also the deep connection between treating hearing loss and reducing health risks. This helps to improve key areas of wellbeing by reconnecting users to the people, places, and activities they love.

Livio AI is available in the United States and Canada at this time, with a global rollout to more than 20 countries in 2019. For more information about Livio AI hearing aids, the Thrive mobile app, and new Starkey Hearing Technologies accessories, please visit www.starkey.com

Stay tuned to Hearing Review for a follow-up article detailing Starkey’s launch of Livio AI.

Source: Starkey

Depression and Hearing loss

Depression and Hearing Loss

Stephen Neal the ear wax removal specialist in Somerset. News

 

Depression and its connection to hearing loss seems pretty logical and self-evident, especially if you’re a dispensing professional who experiences daily the difference that amplification can make in a person’s life. In fact, many clinicians find themselves explaining the connection as follows: a person’s hearing loss and related communication problems can lead to gaffes and social faux pas; leading to embarrassment, anxiety, and loss of self-esteem; leading to gradual withdrawal from social situations and physical activity; leading to social isolation and loneliness; and eventually bringing them down the path to depression.

Karl Strom_photo

While this is probably an adequate description for some cases, a recent webinar1 by Victor Bray, PhD, associate professor and former dean of Salus University’s Osborne College of Audiology, points to more recent scientific literature that paints a far more complex picture of hearing loss and its association with depression—one we all should be aware of. The utility of hearing aids, cochlear implants, and assistive devices is made no less important by this complexity; however, it’s vital to understand who might be most at risk for depression in your patient population, how best to administer simple screening tools (ie, the PHQ-2 or PHQ-9), and why it’s important to refer patients to a medical doctor or psychologist, when indicated. 

Depression, also known as major depressive disorder (MDD), is present in 5-10% of the general population (up to 40% in some groups), and is a serious medical illness that negatively affects feelings, thoughts, and actions. The primary risk factors for depression are co-morbid chronic medical conditions (hearing loss is a pervasive chronic condition, especially among seniors) and recent stressful events. And, as with cognitive decline and dementia—the subject of my editorial last month—the stakes in treating depression are high for society and healthcare professionals. As Hsu and colleagues (2016) pointed out:

Depression is a common mental disorder, which affects 350 million people in the world. Unipolar depressive disorders and adult-onset hearing loss, the most common neuropsychiatric conditions, and sense organ disorder, respectively, are the first and second leading nonfatal causes of year loss due to disability among adults in high-income countries.2

Several of the studies reviewed by Dr Bray tend to suggest that the odds ratio for acquiring depression increases by a factor of about two if you have untreated hearing loss. However, a lot of the studies also show that a variety of chronic illnesses—ranging from cirrhosis to diabetes mellitus—can be associated with depression, so there could be some underlying neurophysiological common cause in hearing loss and other health problems that hasn’t been discovered yet. Dr Bray also looks at some very intriguing research about how dual-sensory loss (ie, hearing and vision loss) and sudden sensorineural hearing loss (particularly among young people) can greatly increase the risk for depression, as well as studies that are shedding light on how treated hearing loss might positively affect those suffering from anxiety, loneliness, and depression. 

As Dr Bray explains, the linkage of hearing loss to depression could come from both a social (downstream) effect, as described at the beginning of this article, and a biological/neurological (upstream) effect, as proposed in a model by Rutherford et al.3 If that were the case, an effective treatment plan could involve therapy and/or medication from a psychologist, in coordination with a hearing device and/or auditory and cognitive retraining from a hearing care professional. 

Dr Bray’s webinar was sponsored by Hamilton CapTel, and the company also sponsored an exceptionally interesting and well-viewed webinar last year about hearing loss and associated co-morbidities (including depression) by Harvey Abrams, PhD.4,5 When viewed together, they put an exclamation point on the fact that hearing loss isn’t just about the ears, it’s about health, the brain, quality of life, healthy aging, and so much more—while underscoring the crucial role of the hearing care professional in general healthcare.

To see Dr Bray’s webinar, visit https://bit.ly/2Lpt4AW

Citation for this article: Strom KE. Depression and hearing loss. Hearing Review. 2018;25(8):6.

References

1. Bray V. Depression, hearing loss, and treatment with hearing aids [Webinar]. July 13, 2018. Available at: http://www.hearingreview.com/2018/07/new-webinar-depression-hearing-loss-treatment-hearing-aids

2. Hsu W-T, Hsu C-C, Wen M-H, et al. Increased risk of depression in patients with acquired sensory hearing loss: A 12-year follow-up study. Medicine. 2016;95(44):e5312.

3. Rutherford BR, Brewster K, Golub JS, Kim AH, Roose SP. Sensation and psychiatry: Linking age-related hearing loss to late-life depression and cognitive decline. Am J Psychiatry. 2017;175(3):215-224.

4. Abrams H. Hearing loss and associated comorbidities: What do we know [Webinar]? May 31, 2017. Available at: http://www.hearingreview.com/2017/05/new-webinar-hearing-loss-associated-comorbidities-know/

5. Abrams H. Hearing loss and associated comorbidities: What do we know? Hearing Review. 2017;24(12):32-35. Available at: http://www.hearingreview.com/2017/11/hearing-loss-associated-comorbidities-know/

Heading a football could create Balance issues

Heading a Football May Be Linked to Increase in Balance Problems

Stephen Neal News:

Somerset. WSM, Cheddar, Radstock, Keynsham, Warmley, Bath, Bristol

Ear-wax removal in Somerset. WSM, Cheddar, Radstock, Keynsham

Soccer players who head the ball more often may be more likely to have balance problems than players who do not head the ball as often, according to a preliminary study released today that will be presented at the American Academy of Neurology’s (AAN) Sports’ Concussion Conference in Indianapolis July 20 to 22, 2018, the AAN announced on its website.

“Soccer headers are repetitive subconcussive head impacts that may be associated with problems with thinking and memory skills and structural changes in the white matter of the brain,” said study author John Jeka, PhD, of the University of Delaware in Newark, Del. “But the effect of headers on balance control has not been studied.”

For the study, 20 soccer players recruited from the community in Newark took a balance test where they walked along a foam walkway with their eyes closed under two conditions: with galvanic vestibular stimulation (GVS) and without GVS. For GVS, electrodes placed behind each ear stimulate the nerves that send messages from the balance system in the inner ear to the brain. So the stimulator can make you feel like you are moving when you are not. In this case, it made participants feel like they were falling sideways.

The soccer players, who had an average age of 22, also completed questionnaires about how many times they had headed the ball during the past year. The number of headers over a year for each participant ranged from 16 to 2,100, with an average of 451 headers. Those numbers were calculated by asking participants for the average number of headers during a practice and game, the average number of practices and games per week, and the average number of months per year that the player participated.

The study found that the players with the largest number of headers had the largest balance responses to GVS in both foot placement and hip adduction during the walking test, which indicated that they had vestibular processing and balance recovery problems. Researchers found for every 500 headers, foot placement response increased about 9 millimeters and hip adduction response increased about 0.2 degrees.

“Soccer players must have good balance to play the game well, yet our research suggests that headers may be undermining balance, which is key to all movement, and yet another problem now linked to headers,” said study author Fernando V. Santos, PT, of the University of Delaware. “It is important that additional research be done to look more closely at this possible link with balance and to confirm our findings in larger groups of people.”

A limitation of the study was that participants relied on memory when reporting how many times they headed the ball. The study was supported by the National Institutes of Health (NIH).

Learn more about concussion at www.BrainandLife.org, the American Academy of Neurology’s free patient and caregiver magazine and website focused on the intersection of neurologic disease and brain health. Follow Brain & Life on FacebookTwitter, and Instagram.

To learn more about the AAN’s Sports Concussion Guideline and access resources, visit https://www.aan.com/concussion.

Original Paper: Santos FV, Caccese JB, Gongora M, et al. Greater exposure to repetitive subconcussive head impacts is associated with vestibular dysfunction and balance impairments during walking. Paper presented at: 2018 AAN Sports Concussion Conference; Indianapolis, IN. https://www.aan.com/PressRoom/Home/GetDigitalAsset/12757

Source: AAN

Image: © Macleoddesigns Dreamstime.com

http://www.keynshamhearing.co.uk

Tinnitus App now available

Stehen Neal is a specialist in ear-wax removal and is based in Somerset but covers both Somerset and Wiltshire.

Stephen Neal News:

An international study from 2012 found that 15% of the global population experience permanent tinnitus but many more are affected by temporary tinnitus. A Danish study, also from 2012, with 14,000 participants found that 27% of those in the study experienced either temporary or permanent tinnitus. In other words, more than one quarter of the Danish population are affected tinnitus.

But despite a lot of research on the topic, there is still a lot to learn about tinnitus. According to Chief Physician Ture Andersen at Odense University Hospital in Denmark, tinnitus is often a symptom of damage to the inner ear. Tinnitus is not a disease, but can be a symptom of a disease or an impaired auditory system. It is defined as the perception of noise or ringing in the ears when no external sound is actually present. The sounds are most commonly described as ringing, whistling, wheezing, buzzing or humming, but can be described in many other ways. A large Swedish study showed that excessive noise at work and in other environments results in fatigue, headaches and ultimately impaired hearing or tinnitus. Another study, from France, shows that only one in 123 people with tinnitus do not have a hearing impairment.

 

Eva’s history

Eva Jensen, who lives in Greve, Denmark, fits in well to these statistics. With a moderate to severe hearing loss, Eva can’t hear much without her hearing aids and she experiences tinnitus.

“What does your tinnitus sound like?” I asked Eva. She explained that it is a constant buzzing sound, which lies somewhere in the middle of the pitch spectrum. “I think it developed at my work where there was a lot of noise,” says Eva. In 2006 she stopped working as an Educational Assistant in a nursery because of a back injury and since then she has suffered from constant back pain.

“It was only when I stopped working that I started thinking about my tinnitus. My husband was still working so I was at home alone where it was completely quiet and I became more aware of the ringing in my ears.” She experiences it all day, especially when she takes off her hearing aids in the evening. “Since my injury I have the TV on constantly – it helps me think of something other than my back pain,” says Eva.

Eva’s experience with Relief app

“It’s really great to be able to use the app when my tinnitus is driving me crazy. If you are strongly affected by tinnitus, I would definitely recommend this app. There are so many possibilities with creating your own soundscapes, you can always find a sound that’s comfortable. There is no doubt that I’m going to keep it on my phone, so I can get help when my tinnitus it really bothering me,” says Eva with a smile.

ReSound Relief

The idea of helping people focus on something other than the pain, or in this case tinnitus, is the basic concept of a new app made by the hearing aid manufacturer GN Hearing. The free app is called ReSound Relief and offers a combination of audio therapy and relaxation exercises. My editorial team and I tested the app, which offers some new and unique features compared to other apps we have tried. One very smart feature of the app is that it allows you to create your own soundscapes.

Relief allows you to combine a variety of familiar sounds such as birdsong or bubbling water with music and other therapeutic nature sounds. The ability to combine sounds, offers an almost endless amount of possibilities. This sound mixing feature allows you to mix five different sounds and you can individually adjust the volume of each sound.

After downloading the app, you can listen to music on your smartphone as usual, and if you use wireless hearing aids or headphones, you can stream directly through them. The ReSound Relief app also contains a feature called MyRelief that keeps a record of how you use the app and which sounds you have used the most. It creates a personalized plan and allows you to track your progress, much like an exercise app. “When we were developing the concept of this app, we analyzed the market for other tinnitus apps and found that mostof them just use sounds as a distraction. Very few actually guide the user through the tinnitus management process. Tinnitus management for many is more than just playing a sound.

The idea of MyRelief is that you can use it as part of the treatment provided by a Hearing Care Professional. Because MyRelief keeps a record of your use, it provides useful information that a Hearing Care professional can use as part of tinnitus counseling” says Michael Piskosz, Senior Audiologist at GN Hearing.

The app gives you some great tools to help you with your tinnitus.

Learn more about ReSound Relief

Avoid a vicious spiral

Worldwide, around 700 million people experience tinnitus. Around two thirds of them have mild to moderate tinnitus. People in the last third with more severe tinnitus can even experience feelings of desperation and hopelessness. International studies show that only about 3-5% of people seek help, so many people just try to live with tinnitus without any support. “In the United States, 70-80% of the population have a smartphone, and because we know that many people are desperately searching for help, we made this app. In most cases, the app will be beneficial. In addition to the distracting sounds there is also therapeutic support,” says Michael Piskosz. “ReSound Relief includes relaxation exercises and techniques for dealing with the tension and stress that tinnitus can cause. If you are extremely affected by tinnitus, the app alone will not be enough but it is a very useful tool and a great first step for people seeking help with tinnitus.”

This strategy is supported by a study by Professor Ture Andersen from Odense University Hospital.  “Unfortunately, the more emotionally you react to your tinnitus, the more the tinnitus signals will pass through the hearing center in your brain. If you respond by getting irritated or with stress or anxiety, it can actually make you more aware of the tinnitus sounds. You may end up getting into a “vicious cycle” where your tinnitus ends up controlling you. It’s important to learn how to avoid this. One way is by training  yourself not to respond to the tinnitus sounds. This way, the brain will filter out the noise signals to a large extent before reaching the hearing center. Then you’ll only hear a weak sound in the background, a light soundscape that makes it less distracting.” The study also shows that music can help. The volume of the music should not be particularly high – it’s not about covering up the sound of tinnitus with a louder sound – but about focusing your attention on the music and away the tinnitus.

“In some cases, when you use audio therapy to get relief from your tinnitus, the focus on it can increase,” explains Michael Piskosz. “Many people believe that this is due to the introduction of the technology to help with the tinnitus. Often times, people monitor their tinnitus more, to see if the technology is helping. It’s similar to when someone gets a new pair of shoes. At first, they are very aware of the shoes, and getting used to the fit. But, with time, they adjust and acclimate. Typically, users will find that the focus on tinnitus will be reduced over-time by using an app like ReSound Relief.”

More information about ReSound apps, please click here.  

New Study Examines Inequality in Treatment for Hearing Loss

New Study Examines Inequality in Treatment for Hearing Loss

Stephen Neal News:

Stephen Neal is an independent ear wax removal specialist.

Hearing loss seems like one of the great equalizers of old age, striking people of all kinds as their ears gradually lose the ability to pick out sounds or hear certain pitches.

But a new national study reveals major gaps in whether Americans over age 55 get help for their hearing loss—gaps that vary greatly by age, race, education, and income, according to an article published on the Michigan Medicine website.

In all, just over a third of older adults who say they have hearing loss are using a hearing aid to correct it, the study finds. But those who are non-Hispanic white, college educated, or have incomes in the top 25% were about twice as likely as those of other races, education levels, or income ranges to have a hearing aid.

The cost of hearing aids is most to blame, say the researchers from the University of Michigan who published the study in The Gerontologist. They presented it this week at the annual research meeting of the AcademyHealth professional society for health care researchers.

Hearing aids can cost thousands of dollars out of a patient’s pocket because most health insurance programs, including Medicare, don’t cover them.

In fact, the study finds that the only factor that leveled the playing field for hearing aid use was having insurance through the Department of Veterans Affairs, which covers hearing aids in many cases. Hearing-impaired veterans ages 55 to 64 were more than twice as likely as their nonveteran peers to use a hearing aid, even after the researchers corrected for other differences. The gap between veterans and nonveterans was also significant for those over 65.

But the detailed interviews conducted for the study also show that personal concerns about hearing aid use, and lack of engagement with health providers, play a role.

“Hearing aids are not easy for many to obtain due to their costs,” says Michael McKee, MD, MPH, the U-M family medicine physician and assistant professor who led the analysis.

Michael McKee, MD, MPH

Michael McKee, MD, MPH

“However, there are a number of additional issues that place at-risk groups at an even larger disadvantage to achieving good hearing health. Many of these issues are beyond the financial aspects, including racial/ethnicity and sociocultural elements, for instance stigma and vanity.”

National survey and local interviews

McKee, who uses a cochlear implant to overcome his own hearing loss, worked on the study with Helen Levy, PhD, a health economist and professor at the U-M Institute for Social Research, and other colleagues. The authors are members of the U-M Institute for Healthcare Policy and Innovation.

They used survey data from the nationally representative Health and Retirement Study, which is based on interviews conducted by the Institute for Social Research with funding from the National Institutes of Health.

The analysis included data from more than 35,500 people nationwide over age 55 who said they had hearing loss. In addition, McKee and colleagues conducted in-depth interviews with 21 other older adults with hearing loss in the communities surrounding the university.

The authors conclude that the Centers for Medicare & Medicaid Servicesshould consider covering hearing aids for Medicare participants and those in Medicaid plans for lower-income adults of any age. Some state Medicaid plans do cover hearing aids, but it is not required.

“Many people may not realize that Medicare does not cover hearing aids,” says Levy. “But it doesn’t, so cost can be a significant obstacle preventing older adults with hearing loss from getting the help that they need.”

More findings from the study:

  • The percentage of older adults with hearing loss who used a hearing aid rose with age, from about 15% of those in their late 50’s to more than 57% of those in their late 80s.
  • Forty percent of non-Hispanic white adults with hearing loss used a hearing aid, compared with 18.4% of non-Hispanic black and 21.1% of Hispanic adults with hearing loss.
  • Nearly 46% of hearing-impaired older adults who had gone to college reported that they used a hearing aid, compared with just under 29% of those who hadn’t graduated from high school.
  • Nearly half of those with incomes in the top 25% wore a hearing aid, compared with about one-quarter of those in the bottom 25%.
  • There were no significant differences in hearing aid use based on the size of the community where the person lived, nor their level of health literacy as measured on a standard test.
  • Interviews showed that cost, lack of insurance coverage (or knowledge about insurance coverage), vanity, and stigma were common reasons for not using hearing aids. Participants also cited a lack of attention to hearing loss by their primary care provider and worries about finding an audiologist they could trust.
  • Many interview participants who used a hearing aid mentioned efforts that hearing-related professionals made to connect them to discounts and insurance programs.

More about hearing loss

Estimates of hearing loss incidence place it at 29% of people in their 50s, 45% of those in their 60s, 68% of those in their 70s, and 89% of those in their 80s.

Previous studies have shown that untreated hearing loss reduces older adults’ ability to carry out everyday tasks, reduces their quality of life, and is linked to social isolation, lower income, reduced cognitive function, and poorer physical and psychological health.

A recent study led by McKee’s colleague Elham Mahmoudi, PhD, found that having a hearing aid was associated with a lower chance of being hospitalized or visiting an emergency room in the past year. That study focused on people over 65 who had severe hearing loss, and it used data from a federal database.

McKee leads the Health Info Lab, which is researching health information use and literacy among deaf and hard-of-hearing individuals.

This article is copyrighted by the University of Michigan and used with permission.

Original Paper: McKee MM, Choi H, Wilson S, DeJonckheere MJ, Zazove P, Levy H. Determinants of hearing aid use among older Americans with hearing loss. The Gerontologist. 2018. Available at: https://academic.oup.com/gerontologist/advance-article-abstract/doi/10.1093/geront/gny051/5000029?redirectedFrom=fulltext

Source: Michigan Medicine/University of Michigan, The Gerontologist

Image: University of Michigan

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Best independent earwax removal specialist in Somerset

Best independent earwax removal specialist in Somerset

 

Stephen Neal is regarded as the best independent earwax removal specialist in the Bath, Bristol, Somerset and Wiltshire areas. Based in Keynsham he offers out of hours appointments.

 

Stephen Neal, hearing news:

 

Though public transportation is thought to be better for the environment in that it reduces greenhouse gas emissions, saves energy, and improves air quality, according to the Federal Transit Administration, there may be a negative effect on your personal health.

good hearing helps job performance

According to a recent Canadian study, commuters traveling during peak hours were exposed to maximum noise levels. A summary of the study’s results, published on the Hear-it AISBL—a nonprofit organization that provides information on hearing loss—website, show the results of the study, which was published in the Journal of Otolaryngology—Head & Neck Surgery. In this article, we’ll share the highlights, edited and adapted from the Hear-it website.

COMMUTING STYLES

Researchers looked at two different commuting situations among Toronto residents: people waiting for a streetcar/bus as compared to people walking/biking to a subway. Bikers were exposed to louder noise than those walking or driving a vehicle. Noise levels were higher for those waiting on a subway platform as compared to those in the subway car. And, finally, research showed that those waiting at bus stops were exposed to the loudest noise of all.

KPIs on your business dashboard

PEAK NOISE

Though commuters often only experienced short and intense bursts of impulse noise exceeding the 114 dBA limit recommended by the EPA, researchers concluded this can be just as harmful as prolonged noise exposure. Up to 20% of the peak mean noise measurementsexceeded 114 dBA, and up to 85% of measurements at bus stops were higher than 120 dBA, according to the study. Researchers were concerned that prolonged exposure could lead to noise-induced hearing loss.

 

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Earwax removal, Wiltshire

Earwax removal, Wiltshire

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

Wiltshire ear clinic 

Stephen Neal the earwax removal expert covering Somerset and Wiltshire

If you are in need of earwax removal then look no further than Stephen Neal the earwax removal specialist. Based at his Keynsham practice he covers from Bath & Bristol, to further afield such as Chippenham, Corsham, Devizes and beyond. For the very latest gentle Microsuction technique to the traditional water irrigation, Stephen Neal can help you keep your ears clear from ear wax.  https://stephenneal.co.uk/microsuction-wax-removal/

Along with earwax removal Stephen Neal is a fully qualified top audiologist and dispenses the very latest digital hearing aids that will work with all types of mobile phones including the iPhone X.

 

Stephen Neal news update:

 

Researchers Identify New Type of Vertigo, According to Study Published in ‘Neurology’

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Neurologists have identified a new type of vertigo with no known cause, according to a study published in the May 23, 2018 online issue of Neurology, the medical journal of the American Academy of Neurology(AAN), the AAN announced on its website.

With vertigo, people have episodes of dizziness that can last from minutes to days. Vertigo can be caused by serious conditions, such as tumors, or conditions that are fairly benign, such the inner ear disorder Meniere’s disease. But for some people, no cause can be found.

In this new study, neurologists have identified a new type of vertigo where treatment may be effective.

“These conditions can be difficult to diagnose and quite debilitating for people, so it’s exciting to be able to discover this new diagnosis of a condition that may respond to treatment,” said study author Ji-Soo Kim, MD, PhD, of Seoul National University in Seongnam, South Korea.

To diagnose this new condition, the person sits in a dark room and the examiner moves the patient’s head forward and then the head is shaken horizontally for about 15 seconds. Then the patient opens his or her eyes and a video recording is taken of eye movements. The neurologists discovered that after the test, people with this new condition had eye movements called nystagmus that lasted longer than for other people. The new condition is called recurrent spontaneous vertigo with head-shaking nystagmus.

Among 338 people with vertigo with no known cause, 35 had this new condition and were included in the study. The participants had attacks of vertigo ranging from two or three times a week to once a year. They also experienced nausea or vomiting, headaches, and intolerance of head motions during the attacks.

The participants were compared to 35 people with other conditions that can cause vertigo, such Meniere’s disease, vestibular migraine, and vestibular neuritis. The test measured the time constant, or the time that represents the speed with which the reflexive eye movements can respond to change. For those with the new condition, the time constant during the primary phase of the nystagmus was 12 seconds, while it was six seconds for those with Meniere’s disease and five seconds for those with vestibular neuritis and vestibular migraine.

The neurologists also found that people with the new type of vertigo were more likely to have severe motion sickness than those with other types of vertigo.

A total of 20 of the 35 people with the new type of vertigo who had frequent attacks and severe symptoms were given preventive medication. About one-third of those had partial or complete recovery with the new medication. During the long-term follow-up of an average of 12 years after the first symptoms for 31 participants, five reported no more attacks, 14 said their symptoms had improved, and only one said symptoms had gotten worse.

Kim said that people with this condition may have a hyperactive mechanism in their vestibular system that helps the brain respond to movement of the body and in the environment.

“It’s possible that the vertigo occurs when this unstable mechanism is disrupted by factors either within the person’s body or in their environment,” Kim said.

The study was supported by the National Research Foundation of Korea. Learn more about the brain at www.BrainandLife.org, the American Academy of Neurology’s free patient and caregiver magazine and website focused on the intersection of neurologic disease and brain health. Follow Brain & Life on FacebookTwitter, and Instagram.

The American Academy of Neurology is said to be the world’s largest association of neurologists and neuroscience professionals, with 34,000 members. The AAN is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as Alzheimer’s disease, stroke, migraine, multiple sclerosis, concussion, Parkinson’s disease, and epilepsy.

For more information about the American Academy of Neurology, visit AAN.com or find us on FacebookTwitterLinkedIn, and YouTube.

Original Paper: Lee S-U, Jeong-Yoon C, Hyo-Jung K, Ji-Soo, K. Recurrent spontaneous vertigo with interictal headshaking nystagmus. Neurology. 2018. Available at: http://n.neurology.org/content/early/2018/05/23/WNL.0000000000005689

Source: AAN, Neurology 

 

 

 

 

 

 

Earwax removal Bristol and Bath

Ear wax removal Bristol and Bath by Stephen Neal

 

Out of hours earwax removal available weekly.

Brainwave Abnormality Could Be Common to Parkinson’s Disease, Tinnitus, Depression

Stephen Neal news update:

A brainwave abnormality could be a common link between Parkinson’s disease, neuropathic pain, tinnitus, and depression—a link that authors of a new study suggest could lead to treatment for all four conditions.

Dr Sven Vanneste, an associate professor in the School of Behavioral and Brain Sciences at The University of Texas at Dallas, is one of three authors of a paper in the journal Nature Communications regarding thalamocortical dysrhythmia (TCD), a theory that ties a disruption of brainwave activity to the symptoms of a wide range of neurological disorders, The University of Texas announced.

Dr Sven Vanneste, associate professor in the School of Behavioral and Brain Sciences.

Dr Sven Vanneste, associate professor in the School of Behavioral and Brain Sciences.

Vanneste and his colleagues—Dr Jae-Jin Song of South Korea’s Seoul National University and Dr Dirk De Ridder of New Zealand’s University of Otago—analyzed electroencephalograph (EEG) and functional brain mapping data from more than 500 people to create what Vanneste believes is the largest experimental evaluation of TCD, which was first proposed in a paper published in 1996.

“We fed all the data into the computer model, which picked up the brain signals that TCD says would predict if someone has a particular disorder,” Vanneste said. “Not only did the program provide the results TCD predicted, we also added a spatial feature to it. Depending on the disease, different areas of the brain become involved.”

The strength of our paper is that we have a large enough data sample to show that TCD could be an explanation for several neurological diseases.

Brainwaves are the rapid-fire rhythmic fluctuations of electric voltage between parts of the brain. The defining characteristics of TCD begin with a drop in brainwave frequency—from alpha waves to theta waves when the subject is at rest—in the thalamus, one of two regions of the brain that relays sensory impulses to the cerebral cortex, which then processes those impulses as touch, pain, or temperature.

A key property of alpha waves is to induce thalamic lateral inhibition, which means that specific neurons can quiet the activity of adjacent neurons. Slower theta waves lack this muting effect, leaving neighboring cells able to be more active. This activity level creates the characteristic abnormal rhythm of TCD.

“Because you have less input, the area surrounding these neurons becomes a halo of gamma hyperactivity that projects to the cortex, which is what we pick up in the brain mapping,” Vanneste said.

While the signature alpha reduction to theta is present in each disorder examined in the study—Parkinson’s, pain, tinnitus, and depression—the location of the anomaly indicates which disorder is occurring.

“If it’s in the auditory cortex, it’s going to be tinnitus; if it’s in the somatosensory cortex, it will be pain,” Vanneste explained. “If it’s in the motor cortex, it could be Parkinson’s; if it’s in deeper layers, it could be depression. In each case, the data show the exact same wavelength variation—that’s what these pathologies have in common. You always see the same pattern.”

EEG data from 541 subjects was used. About half were healthy control subjects, while the remainder were patients with tinnitus, chronic pain, Parkinson’s disease, or major depression. The scale and diversity of this study’s data set are what set it apart from prior research efforts.

“Over the past 20 years, there have been pain researchers observing a pattern for pain, or tinnitus researchers doing the same for tinnitus,” Vanneste said. “But no one combined the different disorders to say, ‘What’s the difference between these diseases in terms of brainwaves, and what do they have in common?’ The strength of our paper is that we have a large enough data sample to show that TCD could be an explanation for several neurological diseases.”

With these results in hand, the next step could be a treatment study based on vagus nerve stimulation—a therapy being pioneered by Vanneste and his colleagues at the Texas Biomedical Device Center at UT Dallas. A different follow-up study will examine a new range of psychiatric diseases to see if they could also be tied to TCD.

For now, Vanneste is glad to see this decades-old idea coming into focus.

“More and more people agree that something like thalamocortical dysrhythmia exists,” he said. “From here, we hope to stimulate specific brain areas involved in these diseases at alpha frequencies to normalize the brainwaves again. We have a rationale that we believe will make this type of therapy work.”

The research was funded by the National Research Foundation of Korea(NRF) and the Seoul National University Bundang Hospital.

Original Paper: Vanneste S, Song J-J, De Ridder D. Thalamocortical dysrhythmia detected by machine learning. Nature Communications. 2018;9(1103)

Source: Nature Communications, University of Texas at Dallas

Image: University of Texas at Dallas

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Researchers Find Increased Risk of Hearing Loss Among Smokers

Researchers Find Increased Risk of Hearing Loss Among Smokers

Stephen Neal the earwax expert in Somerset

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New research published in Nicotine & Tobacco Researchhas shown evidence that smoking is associated with hearing loss, according to a news release from the journal’s publisher, Oxford Press.

The study—which included 50,000 participants over an 8-year period—looked at data from annual health checkups, which included factors such as smoking status, number of cigarettes smoked per day, and the duration of smoking cessation on hearing loss, according to the release. Researchers calculated a 1.2 to 1.6 increased risk of hearing loss among smokers as compared to those who had never smoked before.

The risk of hearing loss decreased five years after smoking cessation.

For additional information, please click here to view the release on Science Daily’s website.

Original Paper: Hu H, Sasaki N, Ogasawara T, et al. Smoking, smoking cessation, and the risk of hearing loss: Japan epidemiology collaboration on occupational health study. Nicotine & Tobacco Research. March 14, 2018.

Source: Science Daily, Nicotine & Tobacco Research, Oxford Press

Oticon Opn™ A new hearing aid.

Oticon Opn™ A new digital hearing aid.

 

Stephen Neal audiologist at the Keynsham Hearing Centre knows all about hearing aids and earwax removal using Microsuction and ear irrigation techniques, and shares the latest hearing aid from Oticon. Digital hearing instruments really are the latest option for a living in a digital world. Contact Stephen Neal to book an appointment at his Keynsham hearing centre. Stephen also does out of hours appointments too.

Hearing

The challenge of hearing clearly amidst background noise is a complaint hearing care professionals commonly encounter. Houston-based audiologist Jana Austin discusses how the Oticon Opn helped Bryan Caswell, a chef, manage the “tornado” of background noise coming at him from all directions in a busy restaurant environment. With its OpenSound Navigator and Spatial Sound LX working in tandem to identify sounds and manage noise, Caswell can hear a conversation from across the kitchen that he likens to a dart of sound that he’s catching. For Austin, the Opn reaffirms her ability to improve a patient’s quality of life.

Stephen Neal at Keynsham hearing centre near Bristol and Bath can help with supply and fit of this hearing aid or any other hearing aid on the market today. With Digital hearing instruments now so advanced you will be surprised on how yoru life can be totally changed within a few days of fitting.

Stephen Neal is a registered HCPC dispenser and works with all the large hearing aid/instrument manufacturers. With his expert advice and fitting, you will be surprised on how digital technology in the hearing world really has changed in recent years. Ask Stephen for a demo on how connecting with your smart phone, iPad and T.V. can transform your world.