Volume 26 Issue 11

HOH-LD-News
Vol. 26, Issue 11
March 11, 2006

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Table of Contents
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- Article 1: Hormone linked to good hearing as we age

- Article 2: Internet Protocol (IP) Relay Panel Discussion - Part 2

- Article 3: Early Intervention Key to Hearing Development in Deaf Children

- Article 4: Short Takes

Our advertisers make it possible for us to provide HOH-LD-News as a free service. Please let them know you appreciate their support, and please mention that you saw their message in HOH-LD-News.

- Advertisers in this Issue
First Premium Placement:
Pocketalker Ultra on Sale at Sound Clarity
Second Premium Placement:
March Madness Continues at Harris Communications
Third Premium Placement:
IHHD Online Educational Opportunities
Fourth Premium Placement:
"In The News" - HLW Provides Ongoing Hearing Loss News Coverage
Classified Section:
Two Online Stores
One Trip to Israel
Three Employment Opportunities

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Contact information and disclaimers are at the end of this newsletter.
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- Article 1: Hormone linked to good hearing as we age
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Editor: Researchers have discovered that the presence of a particular hormone is related to how well people retain their hearing as they age. Here's the press release from the University of Rochester Medical Center.

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Researchers have linked a hormone known to adjust levels of key brain chemicals to the quality of our hearing as we age. The more of the hormone that older people have in their bloodstream, the better their hearing is, and the less of the hormone, the worse their hearing is. The hormone, aldosterone, is known to regulate kidney function and also plays a role in controlling levels of two crucial signaling chemicals in the nervous system, potassium and sodium.

For nerves to send signals crisply and work properly, potassium and sodium must be in precise proportion, without any disruption in the molecular channels or gates through which they move. Levels of potassium are particularly crucial in the sensitive inner ear, where fluid rich in potassium plays a central role in converting sounds into signals that the nervous system recognizes.

The team of scientists in Rochester, N.Y., put 47 healthy men and women between the ages of 58 and 84 through a battery of sophisticated hearing tests. Scientists also measured their blood levels of aldosterone, which is known to drop as people age. They found that people with severe hearing loss had on average about half as much aldosterone in their bloodstream as their counterparts with normal hearing. The researchers noted, however, that the levels of aldosterone found in all the participants is considered normal, and that no patients or physicians should consider altering aldosterone levels without more research.

The findings come from researchers at the International Center for Hearing and Speech Research (ICHSR), a group funded by the National Institute on Aging that is recognized as a leader in research on age-related hearing loss. The center includes scientists from the National Technical Institute for the Deaf at Rochester Institute of Technology and neuroscientists from the University of Rochester.

"The inner ear is especially sensitive to any disruption in potassium levels," said Robert D. Frisina, Ph.D., professor of Otolaryngology at the University of Rochester Medical Center and an adjunct professor at Rochester Institute of Technology. "We know that potassium levels in the inner ear seem to decrease as we age and that these falling levels play a role in age-related hearing loss, and we also know that blood levels of aldosterone generally decrease with age.

"We found a direct link between blood levels of aldosterone and the ability of people to hear normally as they age. Depressed hormone levels may hurt hearing both in the inner ear and the part of the brain used for hearing. More research is needed, however, to understand the precise role that aldosterone plays - for instance, whether it's a cause of failed hearing, or whether it's symptomatic. Before we understand the issue more fully, people should not worry about their aldosterone levels or look to boost the amount in their bloodstream."

The team led by Frisina published its results in the November issue of the journal Hearing Research. This week at the annual international meeting of the Association for Research in Otolaryngology in Baltimore, the team presented its latest results showing just how important potassium regulation is to age-related hearing loss.

In Baltimore, Otolaryngology medical resident Jared Spencer, M.D., presented results from "knockout" mice whose genes controlling the potassium channels in the inner ear don't function properly, and confirmed that malfunctioning potassium channels are central to age-related hearing loss, or presbycusis. The channels are highly concentrated in a part of the brain that plays an important role providing feedback from the brain to the ears. Frisina's team previously discovered that the feedback system is one of the first things to go wrong in age-related hearing loss, often declining in people who are in their 40s and 50s, usually before they even realize their hearing is declining.

"We are now working out some of the underlying biology about how the decline occurs," said Frisina. "We have evidence that these potassium channels may play an important role in the failure of the feedback system, which is a big part of age-related hearing loss."

Nearly everyone wrestles with failing hearing at some point. While some people suffer from hearing damage as a result of exposure to loud noise, or from other causes such as the side effects of some medications, for many people hearing problems occur with no known cause. Some people notice problems in their 40s and 50s, but the process becomes very noticeable for most people in their 60s and older.

Frisina said that until the biology of the problem is better understood, the best advice for people concerned about hearing loss is to limit exposure to loud, damaging noise and to medications that are toxic to the ears. He also counsels people to eat healthy and to exercise - "all those things you know you should be doing to stay healthy with age," he said.

Meanwhile, his team is looking at the possibility of using gene therapy to try to correct the problem. It may be possible some day to modify a person's inner ear to correct the potassium imbalance that is central to hearing loss. Such an approach might also address the biggest cause of congenital deafness, which involves a genetic mutation that mucks up the potassium balance in the inner ear.

The new findings come from a research group founded by Robert Frisina's father, D. Robert Frisina, Ph.D., founding director of NTID, who heads one of the largest research groups in the world studying age-related hearing loss. The group has attracted top researchers from around the world to come together to study the problem. Members of the group, which numbers more than two dozen, hail from Egypt, Brazil, Russia, China, Korea, India, and the United States.
In addition to Frisina, Frisina and Spencer, the team includes post-doctoral research associate Sherif Tadros, M.D., of both the University and NTID, who is first author of the Hearing Research paper; research nurse Susan Frisina of both NTID and the University; audiologist Frances Mapes of NTID; and otolaryngologist Xiaozia Zhu, M.D., of the University.

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March Madness Continues at Harris Communications
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For more information, go to http://www.harriscomm.com/link/?www.harriscomm.com?sr=hlw or contact us at mailto:info@harriscomm.com
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- Article 2: Internet Protocol (IP) Relay Panel Discussion - Part 2
By Cheryl Heppner
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Editor: Are you familiar with Internet Protocol (IP) Relay? It's a relay service that allows TTY users to make or receive relay calls using a computer instead of a TTY. Because internet-connected computers are much more common than TTYs, IP Relay really opens up telecommunications access to folks who struggle with a standard voice phone.

Here's Cheryl Heppner's report on the IP Relay Panel Discussion at last years TDI Conference. If you'd like to share this report, be sure to credit NVRC. Attribution information is at the end of this article.

This is part two of two parts

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Q: We know as consumers what we've experienced on an IP Relay call, but what is it like for hearing people?

Eric Emmons: Feedback from hearing people has been positive. When they got calls through traditional relay, they would forget to say "GA" anyway and have to be reminded. He formerly had a business and found that hearing people would get tired of waiting for a response and say "I have to go now." That no longer happens with IP relay.

Anne Girard: As a hearing person, she likes it, especially the ability to interrupt the deaf person just as she could in a call with another hearing person.

Mark Stern: The training of the operators is one of the main reasons for a better experience. GoAmerica's training is week-long.

Bill McClellan: Hearing people are basically lazy in making their phone calls; that is why the ability to dial 711 to make a call was so important. The less cumbersome the call is, the better. MCI now allows consumers to customize the call, and they can choose how they set up a conversation. One of the options is not to announce or explain that it is an IP relay call.

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Q: What would make IP relay more accessible to us?

Mark Stern: GoAmerica's i711.com gives more options for call processing, such as storing phone numbers.

Mike Baer: Wireless lag time is an issue.

Bill McClellan: The next big jump in technology is to get rid of communication assistants and have a system that takes care of translating from voice to text and text to voice.

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Q: I can't use my BlackBerry for IP Relay due to problems with support to connect with the service. How can we encourage this?

Eric Emmons: Sorenson has technical support. You can send an e-mail to get help.

Anne Girard: Hamilton offers IP relay through BlackBerry and is the only provider that works well with BlackBerry.

Mike Baer: Sprint has heard a lot of complaints and will be working to become more compatible.

Bill McClellan: Services to BlackBerry, Ogo, Pocket PC, Sidekick and Treo are all coming.

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Q: Some IP Relay services will work through IM, but I still hear complaints about interoperability with other instant messaging services. What's the latest?

Bill McClellan: IM is offered by AOL, Yahoo, and MSN. None of them works the same. There are a few programs out there to create interoperability. Some companies have been very open and some have not. It often takes more legal work than development work to accomplish a solution.

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Q: We know it's possible to integrate voice and text and video. When will it happen that we can choose from among them?

Bill McClellan: Technically it is possible today, but there are so many different systems and protocols that it's complex. Research is being done on an individual device being customized for them. With SIP (Session-Initiated Protocol), the device on the other end is customized so the two devices know how to talk to each other. When will we see it? The best guess is 7 years.

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Q: I'm concerned about IP Relay scams. What can be done to prevent them?

Mike Baer: Sprint's position is that the communications assistant shouldn't have to judge the call; as a result they do not support any kind of regulation. People who are doing the scams will adapt to find new ways to continue to do so. The person who picks up the phone should be the one who decides how to act.

Anne Girard: Hamilton has set up technology to try to identify calls coming from addresses in countries other than the US. They have that information on a platform so it can block the call before it reaches a communications assistant. Hamilton also educates business and the hearing community about scams.

Bill McClellan: MCI tried blocking all international calls, but it didn't stop the scams. The people doing the scams were able to access US computers and take over the system to make calls. MCI actively monitors IP traffic and looks for suspicious patterns.

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Some miscellaneous comments:

Mike Baer: There will be some exciting changes in the next five years. You won't need a telephone at all. CapTel will be available inside a small port. Instead of phone-to-phone you will be seeing person-to-person calling.

Mark Stern: We're moving beyond relay to features that work within the location.

Bill McClellan: The technology we now have is a direct result of cost recovery via the Interstate TRS Fund. Continued support from the FCC through this cost recovery is crucial for continued innovation.

***************
(c)2005 by Northern Virginia Resource Center for Deaf and Hard of Hearing Persons (NVRC), www.nvrc.org. When sharing this information, please ensure credit is given to NVRC.

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You're Career Oriented... Career Driven...and Hard of Hearing or Deaf
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The Institute for Persons Who Are Hard of Hearing or Deaf (IHHD) is a nonprofit Congressionally-funded agency dedicated to facilitating workplace and career advancement for aspiring professionals like you.

IHHD provides important online educational opportunities to share experiences, access top professional leaders, and develop crucial communication and business skills. Choose from a number of programs that cover all aspects of career growth - from starting a business to leadership and advocacy development.

These month-long courses are delivered online using National University's acclaimed state-of-the-art interactive learning system to provide optimal accessibility. Visit: http://cha.nu.edu/ec/formihhd-careerdev.html?ypd002
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- Article 3: Early Intervention Key to Hearing Development in Deaf Children
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Editor: A recent study by the University of Maryland and Stanford verify conclusions that implanting children early results in better auditory performance.

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A new study from the University of Maryland's Child Development Laboratory and Stanford University shows that early intervention with cochlear implants can make a significant difference in auditory development in deaf children.

In a paper appearing in the December 8 issue of the Proceedings of the National Academy of Sciences, the team found that deaf children who have cochlear implants by the time they are two-and-a-half years old have the best chance of developing auditory abilities close to those of children with normal hearing.

"This study shows the power of early intervention," says Maryland Professor Nathan Fox, director of the Child Development Laboratory, and a co-author of the paper. "We often hear the claim that the earlier you intervene the better, but there are preciously few data on human studies to support this. Our paper is novel in providing evidence for the claim."

Efrat Schorr, a doctoral student in the Child Development Laboratory, Virginie Van Wassenhove a fellow in the University of Maryland Cognitive Neuroscience of Language Laboratory (CNL) and Eric Knudsen, professor of neurobiology at the Stanford University School of Medicine, are co-authors of the paper.

Seeing and Hearing

The Maryland team studied children between the ages of four and 14, who have been deaf from birth and speak English as their primary language. All subjects also had a cochlear implant for at least a year. They were studied over an 18-month period.

"The children who had received the cochlear implants after the age of two-and-a-half did not do as well in the fusion of auditory and visual speech perception as the children who received the implant earlier," says Fox.

The key to auditory development is in the ability to fuse auditory information -- hearing -- and visual information -- lips moving, for example -- a skill that is developed early in life, according to Nathan. "We found that when the speech stimuli were incongruent -- different information from auditory and visual channels -- the children who received cochlear implants before the age of two-and-a-half did almost as well as normal hearing children," says Fox.

"The study shows that children are able to make use of the auditory information with remarkable success when they have a cochlear implant at a young age," says Efrat Schorr.

The study was funded by grants from the American Hearing Research Foundation and the National Institute of Deafness and Other Communication Disorders. David Poeppel, University of Maryland associate professor, provided the stimuli from the CNL Laboratory.

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"In The News" - HLW Provides Ongoing Hearing Loss News Coverage
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Hearing Loss Web (Publisher of HOH-LD-News) is thrilled to announce a new chapter on our website. Called "In the News", this section will keep you current with what's happening in the hearing loss world between weekly issues of HOH-LD-News.

We're using the same editorial discretion about what stories to include on "In the News" as we do for stories to include in HOH-LD-News. So what you'll see are the hearing loss stories that we think are important!

If you like the HOH-LD-News story selection, you'll like the "In the News" story selection.

Don't forget to bookmark:
http://www.hearinglossweb.com/news/curr.htm
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- Article 4: Short Takes
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Editor: Here are our picks of some additional stories that you may find interesting. For more, please point your browser to:
http://www.hearinglossweb.com/news/curr.htm

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Hearing loss on rise among troops

The Army's chief of staff, Gen. Peter Schoomaker, wears hearing aids. Asked why once, the crusty special operations veteran grinned and said: "Guns, helicopters, demolition - 36 years of it." Gen. Schoomaker's faulty hearing is far from rare in the military. And experts say the war in Iraq has led to epidemic rates of hearing loss among troops. Yet while all the armed services are scrambling to come up with better hearing protection, the Army is slashing its staff of military audiologists - the specialists who combat hearing loss - to make room for more "trigger pullers" at the front. Only two military audiologists, for example, are at Fort Hood, home base for more than 40,000 soldiers.

http://tinyurl.com/md83q

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Hearing aids for healthy ears

Many people who hear normally but can't decipher background noise from the real message, such as in a loud restaurant, are benefiting from open-ear hearing devices. Originally developed for those with high-pitch hearing loss, these digital devices also may help adults and children with processing disorders that keep them from filtering out the static in their environments. . . . . Fisher has found that open-ear hearing devices are beneficial even if one does not have a high-pitch loss but has difficulty understanding against background noise.

http://tinyurl.com/rxh4o

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Where those TV captions come from

Ever wonder where the captioning on your TV's mute setting comes from? Doesn't it seem remarkable that live news and sports events can be captioned even as the action happens? Well, even if you've never thought about it, we have. And we found out the information for you. According to Time Warner Cable's Government Relations and Public Affairs Vice President Peter Taubkin, all closed-captioning comes directly from the networks themselves. "Closed-captioning is hidden within the signal we get from the programmers. It is embedded in something called the line 21 vertical blanking interval, and basically it comes through on the signal sent from the network or program. It is not something the cable operator originates," Taubkin said.

http://www.poststar.com/story.asp?storyid=211618

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- Classifieds
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Two Online Stores, one Trip to Israel, and three Employment Opportunities appear in this issue. (Ads appear after this brief table of contents.)

WCI - Your Single Source for Assistive Technology
Telephone Accessories on sale!
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Trip to Israel
August 13-25, 2006
Registration Ends on March 15th!

Potomac Technology - Everything You Need Under One Roof!
Free Shipping & 15% off Clarity Phones!
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Employment Opportunity 1
Various Opportunities
GLAD
Various Southern California Locations

Employment Opportunity 2
Chief Executive Officer (CEO)
Deaf Counseling, Advocacy and Referral Agency (DCARA)
San Leandro, CA

Employment Opportunity 3
Rehabilitation Counselor for the Deaf
Vocational Rehabilitation Program
Macon, GA

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-------------------
Trip to Israel
August 13-25, 2006
Registration Ends on March 15th!
-------------------

Trip: Israel Extended LAST Registration- April 1, 2006

For Jewish deaf and hard of hearing people (single, married, Reform, Conservative, Orthodox,....) on August 13-25, 2006

Tourism
From USA, 450,000 visitors in 2005
See website.

Security
Body guard/medic person with group at all times
See website.

Highlights
Hiking: Golan Heights and Galilee, Swimming: Dead Sea, Climbing Masada (or cable car), Baking pita bread, Making olive oil, Exploring ancient, holy city of Jerusalem, Meeting deaf and hard of hearing Israelis. See website for proposed itinerary.

Website
http://www.njcd.org/ourway/sections.php?id=C0_70_9

Contact:

Email: Landau9@optonline.net

Fax: 908 352 7395

JDSR
PO Box 2005
New York, NY 10159-2005

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Potomac Technology - Everything You Need Under One Roof!
Free Shipping & 15% off Clarity Phones!
http://www.potomactech.com
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Potomac Technology March Special

Free Shipping & 15% off Clarity Phones!

It must be the luck of the Irish! Not only are all Clarity Phones 15% off during March, you also get free shipping on orders over $50.00! Fill your shopping cart with all the wonderful items Potomac Technology has to offer. Start with a Clarity phone like the CLS45i that not only is cordless but also has speakerphone capabilities both in the handset and on the phone base, or choose from several cordless telephones available. Whatever your needs, we have a Clarity Phone to fit your lifestyle.

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Use code "PTEC306H" when ordering.

Potomac Technology. Everything You Need Under One Roof!

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Employment Opportunity 1
Various Opportunities
GLAD
Various Southern California Locations
-------------------

GLAD is an Affirmative Action Employer with equal opportunity for men, women and people with disabilities. For more information on the following positions, please go to: www.gladinc.org. The status of all positions is: Regular, Full-time, Non-Exempt, Full Fringe Benefits unless otherwise noted. All positions are open until filled.

* JOB DEVELOPER/INTERPRETER - Anaheim and Norwalk

* HARD OF HEARING SPECIALIST - Riverside

If interested for any of these positions then please submit resume and application to:

Jeff Fetterman
Human Resources Specialist
Greater Los Angeles Agency on Deafness, Inc.
2222 Laverna Avenue
Los Angeles, CA 90041
V/TDD: (323) 550-4207
Fax #: (323)550-4204
E-mail: jfetterman@gladinc.org

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Employment Opportunity 2
Chief Executive Officer (CEO)
Deaf Counseling, Advocacy and Referral Agency (DCARA)
San Leandro, CA
-------------------

DCARA is seeking a Chief Executive Officer to build on over 40 years of continuous growth and evolution of the non-profit, community-based social service agency. DCARA serves the Deaf Community in the San Francisco Bay Area and 14 counties in Northern California. The CEO will be responsible for all aspects of the agency's operations, programs, finances, and personnel. To see the full job announcement including information about DCARA, minimum qualifications and application process, visit http://www.dcara.org.

CLOSING DATE: March 31, 2006

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Employment Opportunity 3
Rehabilitation Counselor for the Deaf
Vocational Rehabilitation Program
Macon, GA
-------------------

GEORGIA DEPARTMENT OF LABOR
REHABILITATION SERVICES
Vocational Rehabilitation Program
2720 Riverside Drive, STE 132 • P.O. Box 7566 • Macon, Georgia 31209-7566
(478) 751-6272 • Fax (478) 751-6446
MICHAEL L. THURMOND COMMISSIONER

Announcement of Vacancy - February, 2006
The position will remain open until filled

Job Title: Rehabilitation Counselor for the Deaf
Job Code: 14681
Pay Grade: 14
Beginning Salary: $2,622.84 per month

Location of Vacancy: Vocational Rehabilitation, Region 6 - Macon VR Unit

Duties & Responsibilities: Come join our team of Rehabilitation Professionals in historic, Macon, Georgia to assist people with disabilities to work. We are seeking an individual who is energetic, self-motivated, and who possesses the innate capability to foster the development of others and provide them with realistic support and guidance. Under limited supervision, the incumbent will evaluate, authorize and coordinate vocational counseling activities and services for a specialty caseload of deaf/deaf-blind clients whose preferred and/or required mode of communication is sign language. This individual will also determine appropriate means of communication based on the clients personal, social, and educational background, translate paperwork into signed language for clients, assist eligible clients in preparing for, obtaining, and/or maintaining employment, and counsel with employers concerning their special needs. Candidates should also possess the ability to cultivate and coordinate community and agency resources in advancement of this vocational goal and to ensure the provision of quality services to the deaf/deaf blind population. The individual selected to fill this position will handle a caseload that covers the 10-county area that makes up Region 6. Therefore, travel and use of your personal vehicle will be required.

Minimum Qualifications: Current certification as a Certified Rehabilitation Counselor (CRC) AND an "Intermediate" level proficiency standard rating based on the General Sign Communication Proficiency Interview (SCPI) OR Eligibility for Certified Rehabilitation Counselor (CRC) Certification which requires a Masters degree in Rehabilitation or Counseling related field (Counselor Education, School Guidance Counseling, Community Counseling, Psychology, etc.) AND an "Intermediate" level proficiency standard rating based on the General Sign Communication Proficiency Interview (SCPI) OR Interns who are within 12 weeks of graduation from a regionally accredited Masters Rehabilitation Counseling program AND an "Intermediate" level proficiency standard rating based on the General Sign Communication Proficiency Interview (SCPI).

Other Information needed: Interns will be required to show proof of graduation prior to beginning employment. All individuals must submit a transcript along with a State of Georgia Application for Employment, which verifies their eligibility for CRC Certification and a letter stating their Sign Communication Proficiency Interview (SCPI). Individuals will be required to produce certificate from CRC to verify certification. As a condition of employment, individuals who are not CRC certified will be required to obtain their certification at their own expense, within the time period established by CRC certification.

This position will be filled in the unclassified service.

Interested Individuals should mail completed State of Georgia Application for Employment, Transcripts and SCPI letter to:
MS. NANCY SHREVE, DEPT OF LABOR, VOCATIONAL REHABILITATION PROGRAM,
P. O. BOX 7566, MACON, GA 31209-7566,
Fax: 478-751-6446, Telephone: 478-751-6043,
E-mail address: Nancy.Shreve@dol.state.ga.us

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