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Hearing aids Keynsham Somerset

Hearing aids Keynsham Somerset

 

Hearing aids & Ear wax removal Somerset

Hearing aids in Somerset at the Keynsham hearing centre. We are a family owned truly independent hearing centre based in Keynsham Somerset.

We supply and fit the very latest digital hearing aids from all the leading hearing aids manufacturers. We also conduct ear wax removal using Microsuction and the traditional water irrigation technique.

You can find out more about our ear wax Micro-suction removal here.

 

Stephen Neal News:

GN ReSound Showcases New Partnership with Google and LiNX Quattro at EUHA 2018

ReSound LiNX Quattro.

Hearing aids and Ear wax removal Keynsham Somerset

    ReSound LiNX Quattro.

With today’s start of the European Union of Hearing Aid Acousticians(EUHA) Congress in Hannover, Germany, GN ReSound has announced a new partnership with Google that will provide a full spectrum of direct streaming to hearing aids from Android devices, and the company is showcasing what the company is calling a “premium-plus” hearing aid, ReSound LiNX Quattro,™ which was previously launched in August.

Somerset hearing aids

According to ReSound, the LiNX Quattro offers “a brilliant sound experience with unprecedented Layers of Sound.” In a direct comparison, where hearing aid users were asked to listen to music and rate the sound, the company states that 95% of respondents preferred ReSound LiNX Quattro compared to other premium hearing aids.

A new high-performing chip platform drives the extensive sound quality improvements, providing 100% faster processing, twice the memory capacity, and 35% increase in frequency bandwidth compared to ReSound LiNX 3D™. With a bandwidth of up to 9.5 kHz, a greater range of high-frequency sounds is accessible to people with hearing loss. An input dynamic range of 116 dB SPL—reportedly the highest in the industry—is designed to ensure that softer sounds are clearer and louder sounds are distortion free.

Somerset ear wax removal

GN Hearing’s recently-announced partnership with Google allows it to offer a full spectrum of direct streaming from Android devices to hearing aids. It continues GN Hearing’s record of industry breakthroughs, including 2.4 GHz wireless connectivity, Binaural Directionality, direct full streaming compatibility with Apple devices, and cloud based remote fine-tuning.

Anders Hedegaard

Anders Hedegaard

“With the launch of ReSound LiNX Quattro, as well as other major technology launches and partnerships, GN Hearing is continuing to shape the future of hearing care,” said GN Hearing CEO and President Anders Hedegaard. “We want to help people hear more, do more, and be more than they ever thought possible. We are striving to support people living with hearing loss and hearing care professionals alike access the latest technology and support the provision of high-quality care.”

GN Hearing has also recently launched Beltone Amaze™, which GN characterizes as the world’s most complete hearing solution that combines great sound quality, connectivity, rechargeability and remote fine-tuning. The company also recently introduced Interton Ready™, which is designed to offer great sound, ease-of-use, and connectivity at an affordable price.

Source: GN ReSound

Cheapest hearing aids Somerset

Cheapest hearing aids Somerset?

 

Ear wax removal, Somerset, Devon, Honiton, Exeter, Crediton, Keynsham, Taunton, hearing aids, wax, microsuction,

Cheapest hearing aids, Somerset

The latest hearing aids in Somerset

We may not be the cheapest hearing aids in Somerset but we are very competitive and an independent small family owned companies.  Your ears deserve the best, we are the best in the Somerset and Wiltshire area (according to our sons). Unlike the larger high street companies, when you visit us you will be seen by the same person each time! This make a huge difference for your treatment and dispensing. Consistency is key when it comes to ear health.  We don’t have the buying power of the major companies but we are pretty close. We offer what the majors don’t. We offer one to one ongoing treatment and advice with the same person who you will get to know and we will get to know you.  For most of our clients we are almost family as we know each other so well.

If you feel like you need advice before you buy a new hearing aid or a set of hearing aids we are happy to trial these so you are 100% happy before you purchase. Please ask Anita or Steve at the Keynsham hearing centre what their costs are at the moment.

We are both committed to make sure you are happy and content with your hearing aids, so always here to make sure you get the best from them and us. We will always try and fit you in as soon as possible if you are in need to see us urgently. Stephen at Keynsham hearing centre does an out of hours appointment service also. Click here to see the details.

Ear wax removal Devon & Somerset

We also conduct ear wax removal using Micro-suction, and the traditional water irrigation technique. You can watch our videos bellow to see how these work.

Please look at our videos to see how we work. 

Ear wax removal Somerset

Ear wax removal Devon

Hearing test in Devon

Hearing test info for Somerset

Ear irrigation in Devon

Keynsham hearing centre 

Hearing issues for Bath & Bristol

Hearing issues, Bath, Bristol. Stephen Neal

 

Stephen Neal, Hearing issues.

The Keynsham hearing centre for hearing issues, is a private hearing company based in Keynsham. Stephen Neal the lead audiologist can help with all matters relating to hearing issues, ear wax removal, the latest hearing instruments (Hearing aids) and conducts hearing tests.  Book ahead for a comprehensive hearing test and discussion on your hearing heath after he hearing test result.

If you are suffering with hearing loss and suspect that ear wax maybe the issue, Stephen neal will comduct either Microsuction or the traditional water ear irrigation technique. Microsuction is painless and is the latest way to remove stubborn ear wax from your ear canal. Watch our Microsuction video here. 

 

Stephen Neal, NEWS:

Hearing issues, Bath, Bristol, Somerset, Wiltshire, Independent, Private

Hearing issues in Somerset and Wiltshire

 

HEARING issue

News originaly taken from the Hearing Review

Hearing Technology Manufacturers Call for EU Response to Hearing Loss

Published on September 19, 2018

The British and Irish Hearing Instrument Manufacturers Association (BIHIMA) works closely with its European counterpart the European Hearing Instrument Manufacturers Association (EHIMA), and has supported their recent efforts to raise awareness of hearing loss with EU policymakers, the trade association announced. EHIMA submitted a parliamentary question to the European Commission in July, which has recently received a response from ministers.

 

The question, which was signed by the Austrian MEP Heinz K. Becker, can be read in full here. The question points to a widening gap between people that self-report hearing loss and the smaller proportion that receive treatment and/or wear devices; this “suboptimal use” of devices is estimated to cost the EU over EUR 500 billion (about USD $583.73 billion) annually. Citing the European Pillar of Social Rights—principles 16 and 17 which cover health care and the inclusion of people with disabilities—the question asks how the Commission can support best practices like early screenings, community education about the benefits of hearing devices, and research related to prevention and treatment strategies for hearing loss.

HEARING issues

The European Commission published its answer on August 24, pointing to its efforts to develop the Best Practice Portal, a website described as a “one-stop shop” for best practices in a number of public health initiatives related to the 2030 Sustainable Development Goals developed by the United Nations. In particular, the website aims to meet goal 3.4, “to reduce premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being, by one-third.” Additionally, the Commission’s 7th Framework Program for Research (FP7) as well as Horizon 2020—an EU research and innovation program—have funded research on the auditory system, screening standards, hearing devices, diagnosis and treatment of hearing loss-related diseases, and sign language. Further, the Commission states they have proposed a EUR 7.7 billion (USD about $9 billion) health budget for Horizon Europe 2020, focusing on initiatives related to lifelong health, rare diseases, and health care technologies, among other things. To further facilitate hearing-related funding, the Commission said, “Horizon Europe will be open to research proposals on hearing loss, including prevention and rehabilitation and innovative treatments.”

According to BIHIMA’s announcement, the Commission’s response is considered a positive exchange of information. Further, they state, BIHIMA’s European hearing manufacturing partners are encouraged that a greater understanding of hearing loss is being fostered among European policymakers.

“BIHIMA stand fully behind our European partners, EHIMA, in their effort to draw much-needed attention to hearing loss and we applaud this initiative to influence EU decision-making,” said Chairman Paul Surridge.

BIHIMA and EHIMA are together committed to the work of improving the lives of people with hearing loss through promoting greater access to hearing technology.

Source: BIHIMA, EHIMA, European Commission

 

Hearing aid batteries for sale Somerset

Hearing aid batteries

How long should the hearing aid battery last after a full charge, and how does Bluetooth affect this?

Hearing aid batteries are available at the Keynsham base of Stephen Neal. Rechargeable and normal batteries of all makes are available to buy over the counter or we can send them by post.

Stephen Neal is a premier independent audiologist that specialises in ear wax removal for the Somerset and Wiltshire areas which include Bath, Bristol, Radstock, Midsomer Norton, Cheddar, Shepton Mallet, Frome, Devizes, Chippenham, Corsham, Yate, Iron Acton.

 

Q & As: This Week’s Top Selections

Q: How long should the battery last after a full charge?  How much does Bluetooth activity affect this? —Brent Spehar

A: This is a great and very important question.  Battery life is dependent on several factors including the amount of capacity of the battery, how fast the hearing aid drains the current, and the wear behaviours and habits of the user.

Much like how a car’s mileage range depends on its gas tank, the driving conditions, and the owner’s driving habits, a hearing aid’s battery life depends on the capacity of the battery, the wearer’s listening environments, and use of the various hearing aid functions, including audio streaming.

Hearing aid batteries Frome

I like to use the example of an automobile.  How many gallons of gas does the fuel tank hold or, for hearing aid batteries, how many mAh capacity is in the battery?  How many miles per gallon does the car use or how many mA does the battery drain both when streaming and not streaming?  And, finally, is the car driven on the highway or in the city and is the air conditioner on or off?  Or, for hearing aids, how many hours per day does the hearing aid stream?  Does the hearing aid use 2.4 GHz streaming or does it is use NFMI with an intermediate device that has its own battery?  And, what features are turned on or off on the hearing aid?

Please note a factor we have learned in our electronics’ lab.  Not all hearing aids are the same.  Some 2.4 GHz products have current drains averaging 4.8-5.0 mA when streaming while other 2.4 GHz products using lower power Bluetooth will drain the battery at 3.0-3.4 mA while streaming.  Some 2.4 GHz products when not streaming may have battery drains of 1.8-2.0 mA, while some of the newer products with bilateral beam-forming may drain the battery at 2.3-2.5 mA when not streaming.

The key is to know your products and know your patient’s listening habits.  This is critical to good counseling.

Q: Is the life of the hearing aid circuit reduced as a result of using the rechargeable system? It did happen when [a previous model of hearing aid] were rechargeable. 

A: The ZPower Rechargeable System has been thoroughly evaluated by the hearing aid manufacturers and there is no indication that the system will have a negative effect on the life of the hearing aid circuit. The ZPower silver-zinc battery is designed to mimic the performance of traditional zinc-air batteries and is transparent to the DSP of the hearing aids. Extensive studies of hearing aids using the ZPower System also show the system including the ZPower silver-zinc batteries have no impact on the electrophysiologic performance of the hearing aids. Therefore, the ZPower System will not have a negative impact on the hearing aid circuitry or performance.

Hearing aid batteries in Bath, Somerset

Previous Q & A’s

Q: What’s a realistic time frame for a rechargeable hearing aid battery to last?

A: Rechargeable silver-zinc batteries last about a year. They are removeable and therefore easily replaced. It is recommended that rechargeable silver-zinc batteries are replaced once a year by a hearing care professional.

Li-ion batteries are sealed within the hearing aid, and are usually removable only by the hearing aid manufacturer. They last approximately 4 to 5 years.

Watch our informative testimonial here


Q: What would happen if my patient accidentally places their hearing aids in the charger while they have zinc air batteries in them?

A: When the hearing aids are put on the charger, the charger will check to see what type of battery is in the hearing aid.  If the charger detects a disposable zinc air battery, the lights on the charger will turn red.  If the charger detects a silver-zinc battery, the lights on the charger will start blinking green; once the battery is fully charged, the lights will turn solid green.

Q: Can my patients overcharge a ZPower battery if they leave it in the charger for too long?

A: The batteries will not overcharge if left in the charger.  It is a best practice to put the hearing aids back on the charger when the hearing aids are not being worn during the day.  This will keep the hearing aids turned off and the batteries charged.  For long-term storage, if batteries will not be used for over 2 weeks, the rechargeable batteries should be removed from the hearing aids and stored in a location where they will not touch each other or other metal objects.

Q: What happens when the silver-zinc rechargeable battery is getting low on power?

A: The hearing aid wearer will hear the low battery warning.  Once the low-battery warning occurs or once a hearing aid shuts off due to a low battery condition, the battery door should not be opened and closed to reboot the hearing aid. Rebooting after the low battery warning can override the smart circuitry in the battery door into believing it has a traditional disposable battery installed and, although the hearing aid will continue to work for a short period, it may over-discharge the battery. If a low-battery warning from the hearing aids is received, the hearing aids should be placed in the charging base for charging or the batteries should be replaced with non-rechargeable batteries.  The rechargeable batteries should not be stored with metal objects such as keys or coins.

Q: How often should the batteries be charged?

A: The batteries should be fully charged every night. Once the hearing aids are finished charging, the indicator lights turn from blinking green to solid green. A full charge may take up to 7 hours—the charge time varies based on how much the battery was depleted during the day. Do not try to extend battery life by charging every other day, as this increases the chances of depleting the battery. A fully depleted battery will take longer to charge and may not fully charge in time for next use.

Q: What happens if the hearing aid wearer forgets to charge the battery at night?

A: They can use a disposable zinc-air battery until it is convenient to re-charge the batteries—ideally the rechargeable batteries should be charged the next night.  The rechargeable silver-zinc batteries are a gold color, so they will not be mixed up with zinc-air disposable batteries.  The rechargeable batteries should be stored in a safe place and should not be stored with metal objects such as keys or coins.

Hearing aid batteries available Devizes

If you live in the south of Somerset you maybe interested in visiting the Honiton Hearing centre

 

Ear wax removal in Wells Somerset

Ear wax removal in Wells Somerset

Stephen Neal is the premier ear wax removal Specialist for the Bath, Bristol, Wells and Frome areas of the south west.

Using the very latest ear wax removal technique such as Microsuction, Stephen Neal can have your blocked ears unlocked from wax in no time. Based In Keynsham, you can book an appointment now.

To see how Microsuction works click here. 

 

Stephen Neal blog news from around the world.

GN Hearing and Google Partner to Enable Direct Streaming from Android Devices to Hearing Aids

GN Hearing logo

GN Hearing and Google have announced a new technology partnership that will reportedly make GN Hearing the first manufacturer to enable a full spectrum of direct audio streaming from Android devices to hearing aids. In a future Android release, direct streaming may also become available for ReSound LiNX Quattro™ and Beltone Amaze™ hearing aid users.

“According to the World Health Organization, around 466 million peopleworldwide have disabling hearing loss,” said Seang Chau, vice president of engineering at Google. “This number is expected to increase to 900 million people by the year 2050. Google is working with GN Hearing to create a new open specification for hearing aid streaming support on future versions of Android devices.”

According to the joint announcement, users will be able to connect and monitor their hearing aids without using an intermediate device for streaming from Android phones and tablets to their hearing aids.

Watch a video testimonial here of Stephen Neals work

“We are honored to partner with Google for this important development, which will enable direct streaming for even more hearing aid users through their Android devices,” said Anders Hedegaard, CEO, GN Hearing. “This is another example of how GN Hearing relentlessly strives to drive innovation forward by developing new products and solutions with unique benefits for hearing aid users and audiologists around the world.”

Google has published the new hearing aid specification for Android smartphones available here: Audio Streaming for Hearing Aids (ASHA) on Bluetooth Low Energy Connection-Oriented Channels.

 

 

Source: GN Hearing, Google

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

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’

Published on 

http://www.dreamstime.com/royalty-free-stock-photos-headshot-senior-man-vertigo-suffering-dizziness-elderly-male-patient-isolated-light-blue-background-image52676798

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 

 

 

 

 

 

 

Somerset earwax removal

Best and cheapest earwax removal in Somerset. Stephen Neal.

The cheapest earwax removal using Microsuction and traditional water ear irrrigation.

 

Stephen Neal News:

 

Salt- or Sugar-Based Solution May Diminish Noise-Induced Hearing Loss

Published on 

soldier aims gun

It’s well known that exposure to extremely loud noises—whether it’s an explosion, a firecracker, or even a concert — can lead to permanent hearing loss. But knowing how to treat noise-induced hearing loss, which affects about 15% of Americans, has largely remained a mystery. That may eventually change, thanks to new research from the Keck School of Medicine of USC, which sheds light on how noise-induced hearing loss happens and shows how a simple injection of a salt- or sugar-based solution into the middle ear may preserve hearing, the school announced on its website.  The results of the study were published in PNAS.

Deafening sound

To develop a treatment for noise-induced hearing loss, the researchers first had to understand its mechanisms. They built a tool using novel miniature optics to image inside the cochlea, the hearing portion of the inner ear, and exposed mice to a loud noise similar to that of a roadside bomb.

They discovered that two things happen after exposure to a loud noise: sensory hair cells, which are the cells that detect sound and convert it to neural signals, die, and the inner ear fills with excess fluid, leading to the death of neurons.

“That buildup of fluid pressure in the inner ear is something you might notice if you go to a loud concert,” said the study’s corresponding author John Oghalai, MD, chair and professor of the USC Tina and Rick Caruso Department of Otolaryngology–Head and Neck Surgery and holder of the Leon J. Tiber and David S. Alpert Chair in Medicine. “When you leave the concert, your ears might feel full and you might have ringing in your ears. We were able to see that this buildup of fluid correlates with neuron loss.”

John Oghalai, MD

John Oghalai, MD

Both neurons and sensory hair cells play critical roles in hearing.

“The death of sensory hair cells leads to hearing loss. But even if some sensory hair cells remain and still work, if they’re not connected to a neuron, then the brain won’t hear the sound,” Oghalai says.

The researchers found that sensory hair cell death occurred immediately after exposure to loud noise and was irreversible. Neuron damage, however, had a delayed onset, opening a window of opportunity for treatment.

A simple solution

The buildup of fluid in the inner ear occurred over a period of a few hours after loud noise exposure and contained high concentrations of potassium. To reverse the effects of the potassium and reduce the fluid buildup, salt- and sugar-based solutions were injected into the middle ear, just through the eardrum, three hours after noise exposure. The researchers found that treatment with these solutions prevented 45–64% of neuron loss, suggesting that the treatment may offer a way to preserve hearing function.

The treatment could have several potential applications, Oghalai explained.

“I can envision soldiers carrying a small bottle of this solution with them and using it to prevent hearing damage after exposure to blast pressure from a roadside bomb,” he said. “It might also have potential as a treatment for other diseases of the inner ear that are associated with fluid buildup, such as Meniere’s disease.”

Oghalai and his team plan to conduct further research on the exact sequence of steps between fluid buildup in the inner ear and neuron death, followed by clinical trials of their potential treatment for noise-induced hearing loss.

Original Paper: Kim J, Xia A, Grillet N, Applegate BE, Oghalai JS. Osmotic stabilization prevents cochlear synaptopathy after blast trauma. PNAS. 2018. Available at: http://www.pnas.org/content/early/2018/05/01/1720121115.short?rss=1

Source: Keck School of Medicine of USC, PNAS

Image: Keck School of Medicine of USC

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Oticon ConnectClip Wins 2018 Red Dot Award for Product Design

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Red Dot logo 2018

Oticon ConnectClip has earned a 2018 Red Dot Award for product design, the Denmark-based hearing aid manufacturer announced. A panel of international jurors recognized ConnectClip for what was said to be “outstanding design aesthetics” that incorporated a variety of technical, performance, and functionality innovations. The intermediary device is the newest addition to the Oticon connectivity devices designed to improve Oticon Opn™users’ listening and communication experiences.  ConnectClip will be among the award-winning designs exhibited at Red Dot Design Museums around the world.

Oticon Logo

Commenting on the award win, Gary Rosenblum, president, Oticon, Inc said, “Oticon is honored to receive another prestigious Red Dot Award, this year for our new ConnectClip. This internationally recognized symbol of excellence is a testament not only to ConnectClip’s convenient, lifestyle-enhancing features, but also to the work that goes into the design and continued evolution of our Oticon Opn hearing aid, a 2017 Red Dot Award winner.”

The multi-functional ConnectClip is designed to turn Oticon Opn hearing aids into a high-quality wireless headset for clear, hands-free calls from mobile phones, including iPhone® and Android™ smartphones. Sound from the mobile phones is streamed directly to the hearing aids and ConnectClip’s directional microphones pick up the wearer’s voice. ConnectClip serves double duty as a remote/partner microphone, helping to provide improved intelligibility of the speaker wearing it, either at a distance (up to 65 feet), in very noisy environments or in a combination of the two. Opn wearers can also use ConnectClip as a remote control for their hearing aids.

Wearable Technology Award Win

Oticon also celebrates a win at the UK’s Wearable Technology and Digital Health Show Awards. Oticon Opn received the  Innovation Award for wearable originality and advancement. The win reflects votes by a combined method of professional jury and public website vote.

Organizers at the Wearable Technology and Digital Health Show Awards commented on the win: ”The judges felt that the Oticon solution presented a revolutionary approach to hearing loss, and that its technology presented a real opportunity for users to interact with the growing number of smart devices in the home. A worthy winner.”

Learn more about the expanded Oticon Opn family, ConnectClip and entire range of wireless connectivity accessories at www.Oticon.com/Connectivity.

 * Apple, the Apple logo, iPhone, iPad, iPod touch, and Apple Watch are trademarks of Apple Inc., registered in the U.S. and other countries. App Store is a service mark of Apple Inc. Android, Google Play, and the Google Play logo are trademarks of Google Inc.

Source: Oticon

Images: Oticon, Red Dot