Volume 37 Issue 1

HOH-LD-News
Vol. 37, Issue 1
October 4, 2008

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Table of Contents
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- Article 1: Tinnitus in a computer model

- Article 2: HLAA Exhibits - Part One

- Article 3: Why 80% of Americans with Hearing Loss Do Not Purchase Hearing Aids

- 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:
YOUR AD HERE
Second Premium Placement:
ClearSounds A300 DECT Amplified Cordless Phone on Sale
Third Premium Placement:
Hearing Aid Repairs from Hearing Haven
Fourth Premium Placement:
MAXI Digital from Bellman Audio now at Sound Clarity, Inc.
Classified Section:
One Online Store, one Call for Papers, and three Employment Opportunities

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Contact information and disclaimers are at the end of this newsletter.
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YOUR AD HERE
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If you're interested in getting your message out to people who are hard of hearing or late deafened, and to the people who serve them, you might consider a premium ad in this newsletter! Our rates are surprisingly affordable and we reach the movers and shakers in the hearing loss world. And this newsletter (unlike some of the others) is strictly "opt-in", which means that everyone who receives it WANTS to receive it!

For more information please point your browser to: http://www.hearinglossweb.com/res/pub/nsltr/hln/adv.htm
or contact larry@hearinglossweb.com
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- Article 1: Tinnitus in a computer model
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Editor: As something of a technogeek, I think this is a very interesting development, and I'm hopeful that it will increase our knowledge of tinnitus and how to overcome it. But I'm also mindful of the old computer science slogan of "garbage in, garbage out", which means that the results of the computer model are only as good as the assumptions the modelers made and the data they put into the model.

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Scientists from Berlin study how hearing loss can lead to tinnitus.

Tinnitus, i.e. the perception of phantom sounds in the absence of an acoustic stimulus, can be caused by hearing loss. Under which circumstances does this occur? Which mechanisms are involved? Roland Schaette and Richard Kempter from the Bernstein Center for Computational Neuroscience and the Humboldt University in Berlin found answers to these questions using computer simulations.

Tinnitus arises in the auditory pathway of the central nervous system. In animal studies, tinnitus-like activity of neurons - so-called hyperactivity - has been found in the dorsal cochlear nucleus (DCN), the first processing stage for acoustic information in the brain. Neurons of the DCN receive input directly from the auditory nerve and react to it with neuronal discharges - one says, they "fire". Even without any acoustic signals, however, cells of the auditory nerve and the auditory pathway are still active and fire spontaneously at a certain rate, the "spontaneous firing rate" - comparable to the background noise produced by electrical devices. Various studies suggest that hearing loss can increase the spontaneous firing rate of nerve cells in the DCN and that animals perceive this as a kind of tinnitus. In a theoretical model, Schaette and Kempter explain the link between tinnitus and hearing loss for the first time.

After hearing loss, auditory nerve fibers and neurons along the auditory pathway only react to loud sounds. For soft sounds below the increased hearing threshold, the neurons fire spontaneously. Many neurons thus show an overall reduced activity. This could trigger a mechanism called "homeostatic plasticity", which ensures that neuronal activity is neither too high nor too low. If the average activity of the neurons is too low, homeostasis enhances their sensitivity. As the scientists could show in their model, neurons then react more strongly to the activity of the auditory nerve; in particular the spontaneous firing rate increases.

Moreover, Schaette and Kempter also demonstrated in their model that this mechanism only applies to certain types of neurons - for example to type III neurons of the DCN. These neurons are primarily activated by sound. Therefore, their average activity initially drops after hearing loss and the mechanism described above is initiated: homeostasis has to counteract this loss in activity and elevate firing rates, which then also leads to an increased spontaneous firing rate. In contrast, type IV neurons are either activated or inhibited by sound, depending on sound intensity. Hearing loss only has a minor effect on their average activity. Accordingly, these neurons are less susceptible to hyperactivity. This prediction of the Berlin scientists' model corresponds with experimental findings: In rodents type III neurons dominate in the DCN. Here, tinnitus-like hyperactivity has been observed. In contrast, such an activity has not yet been found in cats, whose DCN mainly holds type IV neurons.

"Our studies have corroborated the association between hearing loss and tinnitus, which could provide a foundation for new treatment strategies," Kempter states. "Our hope would be that a tailored exposure to acoustic signals over an appropriate frequency range could help to drive back the hyperactivity caused by hearing loss".

Original publication:
Schaette R, Kempter R: Development of tinnitus-related neuronal hyperactivity through homeostatic plasticity after hearing loss: a computational model. Europ J Neurosci 23:3124-38 (2006). doi: 10.1111/j.1460-9568.2006.04774.x

Schaette R, Kempter R: Development of hyperactivity after hearing loss in a computational model of the dorsal cochlear nucleus depends on neuron response type. Hear Res 240:57-72 (2008). doi:10.1016/j.heares.2008.02.006

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The A300 is a DECT phone which means it has a dedicated channel reserved for voice communication applications and is less likely to experience interference from other wireless devices. Other features include a large LCD display, an adjustable loud ringer and a flashing ring signaler in the handset with a vibrate feature if you do not wish to be disturbed by incoming calls.

The A300 is on sale now for only $99.95, regularly $129.95. Save $30! Sale ends October 16, 2008.

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- Article 2: HLAA Exhibits - Part One
By Cheryl Heppner
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Editor: One of the best things about the HLAA convention is the opportunity to see all the latest and greatest technology. For those who can't make it to the convention, Cheryl Heppner does an OUTSTANDING job of reporting on the exhibits.

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Mobile Ear

New at the HLAA convention this year is Mobile Ear, a company with a mainstream product that can be very useful for people with hearing loss. Mobile Ear is a wireless listening device that looks like the Bluetooth gizmos that have become a common on the nation's ears. It allows you to listen to TVs and stereos, play an instrument, and do many other things without disturbing others. It uses infrared technology.

People with mild to moderate hearing loss can also benefit from this device in situations like hearing a lecturer in a noisy lecture hall, and at theaters and museums. Mobile Ear comes in a kit that includes a charger that can be used anywhere in the world. Staff at the exhibit were Serrai Bui, Justin Bui, and Clim Moore.

www.mobileear.com
1-888-316-6245

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Costco

Another new exhibitor is Costco, with information and displays of the hearing aids and batteries it sells. A growing number of Costco stores throughout the country now have hearing aid centers selling the aids at competitive prices. I talked with Carolyn Lovelance, A.A.S., BC-HIS, the hearing instrument specialist at Sparks #466 in Sparks, NV.

Among the materials available at the table was the 2008 Consumer's Guide to Hearing Aids, which is billed as the world's only thirty-party source of hearing aid comparisons. It shows manufacturer suggested retail prices. This publication compares over 350 hearing aids, including all major brands. In addition there are articles such as Eight Reasons Open-Fit Hearing Aids are Winning Higher Customer Satisfaction, Seven Reasons You Hear Better With Two Ears, and Directional Microphone Hearing Aid Technology. It was published in 2008 by James Wilson Group Strategic Solutions LP (817-831-0591).

www.costco.com

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Consumer Electronics Association

Megan Pollock, Senior Manager of Communications at the Consumer Electronics Association (CEA), had set up an two small televisions side by side. Both received a signal with rabbit ear antennas. One had a shiny new digital TV converter box. Comparing the picture from the TV with just the rabbit ears to the one with the rabbit ears plus the DTV converter box gave a striking testimony to how superior the digital picture can be. Megan had also activated the caption feature in the converter box, and the captions were very readable.

A new fact sheet from the CEA, "Digital Television Enhances Closed Captioning," was also available. According to Megan it can also be found on the CEA's website. She had information on the DTV Converter Box Coupon Program, including coupon application forms, and information about the organization's "Convert Your Mom" program targeted to help those who are less tech savvy easily make the digital TV transition at home.

www.DigitalTips.org
www.CE.org

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Hearing Loss Association of America

HLAA's own exhibit had new versions of the HLAA brochure, Questions and Answers on Hearing Loss, and the Tips card for communicating with hearing people as well as for hearing people to communicate with hard of hearing people. The HLAA brochure starts with "A New Attitude" which proclaims "Our clear, straightforward message has changed the lives of thousands of people for over two decades. Hearing loss is a daily challenge you can overcome. You do not have to hide your hearing loss. You do not have to face hearing loss alone."

The Questions and Answers brochure gives the important statistics:
- One out of ten people in the United States has a hearing loss
- At age 65, one out of three people has a hearing loss
- Hearing loss ranks with arthritis, high blood pressure, and heart disease as one of the most common physical conditions
- There are 43 million Americans with disabilities -- of those, 31 million have a hearing loss
- It is estimated that 30 school children per 1,000 have a hearing loss

www.hearingloss.org

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(c)2008 by Northern Virginia Resource Center for Deaf and Hard of Hearing Persons (NVRC), 3951 Pender Drive, Suite 130, Fairfax, VA 22030; www.nvrc.org. 703-352-9055 V, 703-352-9056 TTY, 703-352-9058 Fax. You do not need permission to share this information, but please be sure to credit NVRC.

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- Article 3: Why 80% of Americans with Hearing Loss Do Not Purchase Hearing Aids
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Editor: I have to admit that I find Wohlers' statement that the reason people don't purchase hearing aids is NOT denial or lack of money pretty hard to accept. But there is some food for thought in this press release from the folks at HearPod.com

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September 2008

According to the Mayo Clinic, an estimated one-quarter of Americans between the ages of 65 and 75 and around three-quarters of those older than 75 have some degree of hearing loss.

But according to Randy Wohlers, founder of http://www.MyHearPod.com, only about 20% ever purchase a device to help restore their hearing abilities... not because of denial or lack of money, but rather due to misinformation or even lack of understanding from the medical community.

"99.9% of the patients who come into my private practice have no idea that one of the most serious consequences of losing our hearing is that we can lose our ability to process sounds into words," said Wohlers. "Usually the more prolonged and the more severe the hearing loss the worse the ability of processing and understanding words becomes. In my private practices we have about 8 % of our patients who have zero discrimination or ability to understand words."

As a result, Wohlers says that anyone who waits too long to get a hearing aid still won't find the help that they expect when they do purchase a hearing aid all because their brain has lost the ability to form words out of incoming sound.

Wohlers places the blame for this directly on the medical community. "The medical community neglects to inform someone with a hearing loss that for most patients when their hearing diminishes so does their ability to convert sounds into words," he said regarding the lack of information and perhaps not even understanding this almost always occurs with a hearing loss.

With digital technology available in hearing aids, there has never been more advanced hearing assistance available. But calibrated phonetically balanced word lists given to patients, demonstrating their ability to capture sounds as words, indicate that the ability to translate sounds into words has a direct correlation as to how long they have had a hearing loss and how severe the loss has become.

Organizations like the Hearing Loss Association of America have also recognized the lack of information available to adults regarding hearing loss. According to their web site, they created an online "Academy" to provide detailed, specific information regarding hearing loss.

"I believe this information is important to get out there to everyone who may have a hearing loss regarding the possibility of losing their ability to recognize words. Every patient we ask, 'If you knew this years ago would you have gotten help earlier?' The answer is always, 'I would have gotten help years ago.' Without word recognition, quality of life can greatly diminish," said Wohlers.

About HearPod, Inc. - Hearing Aids:

HearPod hearing aids are the successful culmination of 30 years of solving the needs of hearing impaired people. HearPod aids are 100% digital, full-featured and have some of the most advanced noise canceling and sound amplification computer chips available. Our unique design also reduces sound feedback inside the ear, thereby making HearPod hearing aids among the most comfortable to wear.

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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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Determining if Two Cochlear Implants are Necessary

The human auditory system possesses an amazing ability to accept and integrate sensory information from two ears. The ability to understand sound using two ears allows listeners to hear more effectively in noisy environments and to determine the directionality of sound. In this paper, we will discuss the binaural processing cues that our auditory system uses to recognize sounds and to separate them into different sound sources. We will also talk about ways to determine if two cochlear implants are necessary for optimal speech perception and localization performance or if one cochlear implant or one cochlear implant and one hearing aid on the opposite ear is sufficient.

http://tinyurl.com/4gd6u4

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ADA Restoration Act to Become Law

Millions of Americans with diseases or impairments such as diabetes, epilepsy, heart disease, cancer and carpal tunnel syndrome will be protected from job discrimination under a new disability rights measure set to become law this week. The bill, five years in the making, won final passage in Congress last week, and President Bush said he would sign it. The measure overturns a series of Supreme Court rulings that sharply limited who was covered by the Americans With Disabilities Act. When it was first passed in 1990, Congress said the anti-discrimination law protected anyone with a "physical or mental impairment" that "substantially limits" them. But the high court interpreted the law to apply only to people who were truly disabled, not to those with common impairments such as a hearing loss or a medical condition that can be treated . . . . "Courts have created an absurd Catch-22 by allowing employers to say a person is 'too disabled' to do the job but not 'disabled enough' to be protected by the ADA," a coalition of disability rights groups told Congress.

http://tinyurl.com/4bwne5

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Beltone Reach Features New Tinnitus Breaker

Responding to the need of individuals with tinnitus, Beltone has developed a specific tool to help manage the perception of the unwanted sounds. The Tinnitus BreakerTM - featured in the Beltone ReachTM hearing instruments - produces low-volume white noise comprised of mixed frequencies that, when combined with counseling, is designed to make the distressing tinnitus sound less noticeable. As the brain adjusts to this new way of perceiving sounds, the emotional importance associated with the tinnitus is reduced.

http://www.hearingreview.com/insider/2008-09-18_11.asp

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- Classifieds
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One Online Store, one Call for Papers, and three Employment Opportunities appear in this issue. (Ads appear after this brief table of contents.)

WCI. Providing Solutions for People with Hearing Loss.
10% OFF NEW TV EARS 2.3 LOOP SYSTEM AT WCI!
http://www.weitbrecht.com

Call for Speakers & Sessions
HEAR2008
Hosted by Hearing Loss Association of California
www.HEAR2009.com

Employment Opportunity 1
Various Positions
GLAD
Various Southern California Locations

Employment Opportunity 2
Various Employment Opportunities
Georgia School for the Deaf
Cave Spring, GA

Employment Opportunity 3
Sign Language Interpreter (12 months)
Georgia School for the Deaf
Cave Spring, GA

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WCI. Providing Solutions for People with Hearing Loss.
10% OFF NEW TV EARS 2.3 LOOP SYSTEM AT WCI!
http://www.weitbrecht.com
-------------------

Just in time for football season the new TV Ears 2.3 Loop System is now 10% off in October. Enjoy all your favorite college and NFL football games with clarity and comfort. Patented self molding TV ear tips reduces room noise so television dialog is clear and understandable. The super lightweight wireless headset has convenient volume and tone controls with amplification up 120dB!

Take advantage of this specially priced offer! Call us now at 1-800-233-9130 (V/TTY) or visit us online at http://www.weitbrecht.com for details (Use code WCIH1008 when ordering).

For a copy of our NEW catalog, email your request to sales@weitbrecht.com

WCI. Your Single Source for Assistive Technology

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Call for Speakers & Sessions
HEAR2008
Hosted by Hearing Loss Association of California
www.HEAR2009.com
-------------------

HEAR2009, the regional conference hosted by the Hearing Loss Association of California, will take place February 13 - 15 in Anaheim, CA, and we are soliciting speakers and presentations!

The four tracks:

1. Hearing - This track focuses on the various medical, economic and psychological aspects of hearing loss, and how individuals can best maximize their potential regardless of their hearing.

2. Entertainment - From our Southern California base, a look at how Hollywood deals with - and often ignores - those with hearing loss. Includes captioning, access to and participation in the arts.

3. Advocacy - What can we do to advance the agenda of hearing loss? For that matter, what is the "agenda"? Includes how to effectively fight for equal access individually and collectively.

4. Research - The cutting-edge science conducted at universities, labs and corporate offices. We hope to give attendees a glimpse at the treatments, products and technologies that may soon emerge.

Deadline for submissions is Friday October 3, 2008.

Additional information, including the complete Call for Papers, may be accessed at www.HEAR2009.com

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Employment Opportunity 1
Various Positions
GLAD
Various Southern California Locations
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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, Crenshaw, Norwalk, and Pacoima, CA
* Community Interpreter - Bakersfield, Los Angeles, Riverside, CA
* Community Advocate - Ventura, Los Angeles, CA
* Community Health Educator - Los Angeles, CA
* Administrative Assistant - Los Angeles, CA

* Administrative Assistant - Riverside, CA

* LIFESIGNS Dispatcher - Los Angeles, CA

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
Various Employment Opportunities
Georgia School for the Deaf
Cave Spring, GA
-------------------

Currently accepting applications for the following positions:

Middle School Science Teacher (10 mth. position)*
Literacy Content Specialist - Pre K-12 (10 mth. position)*
Reading Content Specialist - Pre K-12 (10 mth. position)*
Graduation Coach (10 mth. position)*
Paraprofessional - Classroom (10 mth. positions)*
Paraprofessional - Residential Services (Two 10 mth. positions)*
Residential Advisor (Two 10 mth. positions)*
Speech Language Pathologist (10 mth. position)*
Substitute Teachers (hourly paid, based on credentials)
Occupational Therapist (hourly paid)
Physical Therapist (hourly paid)

*10 month employees work 200 days (10 months) but receive payroll checks during each of the 12 months of the year.

For more information about these positions, visit the Georgia Department of Education web site at http://www.doe.k12.ga.us/pea_hr_jobsearch.aspx

Download Job Applications at:
http://www.spa.ga.gov/word/jobinfo/stateapp-emp.doc

Completed applications may be mailed, e-mailed, or faxed to:

Denise Clark
Georgia School for the Deaf
232 Perry Farm Rd. SW
Cave Spring, Georgia 30124
denise.clark@doe.k12.ga.us
Fax: (706) 777-2240

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Employment Opportunity 3
Sign Language Interpreter (12 months)
Georgia School for the Deaf
Cave Spring, GA
-------------------

Location:
Georgia School for the Deaf
232 Perry Farm Road, SW
Cave Spring, GA 30124

Program/Unit: State Schools/Office of Policy and External Affairs

Description of Duties:

Under general supervision, provides sign language interpreting and transliterating services for students, staff, and visitors of the Georgia School for the Deaf (GSD) who are deaf. Duties include interpreting for vocational classes, VR meetings, transition meetings/planning, community based instruction, vocationally related field trips; small group meetings, staff development activities, assemblies, and Individualized Education Program (IEP) meetings; interpreting for individual staff and students; provides in-service training to faculty and staff regarding the interpreting process, Deaf Culture, American Sign Language, and various other disability and access issues; and performing clerical/secretarial tasks as needed. NOTE: Off campus interpreting may require overnight or weekend travel.

Minimum Qualifications:

A current Georgia Quality Assurance Screening (G-QAS) rating of Level III or higher in both interpreting and transliterating, as approved and maintained by the Georgia Department of Labor/Vocational Rehabilitation Program (DOL/VR), and/or documentation of advanced interpreting skills and qualifications through current national certification from the Registry of Interpreters for the Deaf (RID), and/or documentation of advanced interpreting skills and qualifications through current national certification from the National Association of the Deaf (NAD) Levels III, IV or V, and/or documentation of advance interpreting skills and qualifications through a current Educational Interpreter Performance Assessment(r) (EIPA) rating of Level 3.5 or higher. The EIPA rating cannot be more than five years old.

Preferred Qualifications:

Preference will be given to applicants who, in addition to meeting the minimum qualifications, possess one or more of the following: • National certification from the Registry of Interpreters for the Deaf (RID), AND/OR National Association of the Deaf (NAD) Levels, III, IV, or V • Three years of interpreting and transliterating experience in a K-12 education setting

Salary/Benefits:

Pay grade 17 -Annual salary range $43,063.23 (minimum) to $75,523.31 (maximum). Benefit options include life, disability, dental and health insurance; annual/sick leave; and Employees' Retirement or Teachers Retirement.

To Apply:

Submit a Georgia School for the Deaf Application* or State of Georgia Application for Employment to:
Personnel Office
Attn: Denise Clark
Georgia School for the Deaf
232 Perry Farm Road
Cave Spring, GA 30124
Tel: (706) 7772286
E-mail: dclark@doe.k12.ga.us

*Resume/application should include daytime telephone number and prior employment history with addresses and telephone numbers. If a resume is submitted, it must be accompanied by a cover letter.

Consideration/interviews will begin as soon as a list of applicants is established. Applications/resumes will be evaluated and only those meeting the qualifications will be considered. Top candidates will be contacted for interviews. No notification will be sent to applicants except those who are selected for interviews. Due to the large volume of applications received by this office, we are unable to provide information on your application status.
It is the policy of the Georgia School for the Deaf not to discriminate on the basis of race, color, sex, national origin, disability, or age in its employment practices.

In accordance with Public Law 99-603, also known as the Immigration Reform and Control Act of 1986, the Department of Education employs only U.S. citizens and lawfully authorized alien workers. All persons hired by the Georgia School for the Deaf are required to verify identity and employment eligibility and must agree to undergo drug screening and a criminal background investigation.
An Equal Opportunity Employer

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- Contact Information and Disclaimers
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