Volume 40 Issue 9

HOH-LD-News
Vol. 40, Issue 9
August 29, 2009

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Table of Contents
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- Article 1: Take up music so you can hear in background noise

- Article 2: Hearing impaired get better hearing with cochlear implant plus hearing aid

- Article 3: HLAA Exhibits - Part Two

- 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.

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Hearing Aid Repairs from Hearing Haven
Classified Section:
One Online Store, one Free Telephone Captioning Service, and three Employment Opportunities

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Contact information and disclaimers are at the end of this newsletter.
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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!

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- Article 1: Take up music so you can hear in background noise
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Editor: If you want to hear better, it might help to take up music. At least that's what the folks at Northwestern University are finding out. Here's the press release.

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Anyone with an MP3 device -- just about every man, woman and child on the planet today, it seems -- has a notion of the majesty of music, of the primal place it holds in the human imagination.

But musical training should not be seen simply as stuff of the soul -- a frill that has to go when school budgets dry up, according to a new Northwestern University study.

The study shows that musicians -- trained to hear sounds embedded in a rich network of melodies and harmonies -- are primed to understand speech in a noisy background, say in a restaurant, classroom or plane.

It is the first demonstration of musical training offsetting the deleterious effects of background noise, and the implications are provocative.

"The study points to a highly pragmatic side of music's magic," said Nina Kraus, Hugh Knowles Professor of Communication Sciences and Neurobiology and director of Northwestern's Auditory Neuroscience Laboratory, where the research was done.

The findings strongly support the potential therapeutic and rehabilitation use of musical training to address auditory processing and communication disorders throughout the life span.

Hearing speech in noise is difficult for everyone. But the difficulty is particularly acute for older adults, who are likely to have hearing and memory loss, and for poor readers who have normal hearing but whose nervous systems poorly transcribe sounds that ultimately are critical to good reading skills.

"Many older adults will say, 'I can hear what you're saying, but I don't understand you,'" Kraus said. "So they might have a little bit of a hearing loss, but often not enough to warrant the difficulty that a lot of older adults report."

Such populations could benefit from the reordering of the nervous system that occurs with musical training, according to the study. Because the brain changes with experience, musicians have better-tuned circuitry -- the pitch, timing and spectral elements of sound are represented more strongly and with greater precision in their nervous systems.

"Musical training makes musicians really good at picking out melodies, the bass line, the sound of their own instruments from complex sounds," Kraus said. Now, for the first time, this study has confirmed that such fine tuning of the nervous system also makes musicians highly adept at translating speech in noise.

The finding has particular implications for hearing certain consonants which are vulnerable to misinterpretation by the brain and are a big problem for some poor readers in a noisy environment. The brain's unconscious faulty interpretation of sounds makes a big difference in how words ultimately will be read.

Thirty-one study participants, with normal hearing and a mean age of 23, were divided into one group with music experience and another without it. They had to listen to sentences presented in increasingly noisy conditions and repeat back what they heard.

Better perception in noise was linked with better working memory and tone discrimination ability. The results imply that musical training enhances the ability to hear speech in challenging listening environments by strengthening auditory memory and the representation of important acoustic features.

In one of the tests, for example, participants had to repeat back "The square peg will settle in the round hole." Such longer sentences that are syntactically correct but lack familiar cues measure working memory as well as the ability to distinguish sounds in noise.

The Auditory Neuroscience Lab at Northwestern has helped establish the relationship between sound encoding in the brain and linguistic abilities by showing that the very neural sound transcription processes that are deficient in children with dyslexia are enhanced in people with musical experience. Based on this collective work, poor readers may show greater benefits from training programs that include music as well as speech sounds.

By reinforcing the pervasive effects that musical experience has on sound-processing abilities, Kraus stressed, this study underscores the importance of music education being more accessible to the general population.

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"Musician Enhancement for Speech-in-Noise" was published online in Ear and Hearing, the official journal of the American Auditory Society. The study's investigators are Alexandra Parbery-Clark, Erika Skoe, Carrie Lam and Nina Kraus. The National Science Foundation supported the study.

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- Article 2: Hearing impaired get better hearing with cochlear implant plus hearing aid
By Gwen Ericson
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Editor: Bilateral cochlear implants (CIs) seem to be all the rage these days. And it's certainly true that hearing with both ears is better than hearing with only one. But that doesn't necessarily mean that bilateral CIs is the best solution. I know several people who get outstanding results with a CI in one ear and a hearing aid in the other. Now the folks at Washington University are confirming the efficacy of such a solution. Here's their press release. An abstract of the article as cited in the Journal of the American Academy of Audiology is available at http://tinyurl.com/plfgdj

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Adults with severe hearing loss benefit from pairing a cochlear implant in one ear with a hearing aid in the other ear, even though the sound signals from each device are very different, according to a study at Washington University School of Medicine in St. Louis published in the June issue of the Journal of the American Academy of Audiology.

The patients were better able to hear spoken words and to locate the direction of a sound with both devices turned on compared with either device alone. Additionally, the patients liked the fuller, richer sound they heard when using both devices.

"It is increasingly common to place cochlear implants in both ears when patients have profound hearing loss on both sides, but the majority of these bilateral implants are done in children," says lead author Lisa Potts, Ph.D., research instructor in otolaryngology. "Many adults lose their hearing as they age, and it may not be financially or physically possible for them to undergo surgery for two cochlear implants. So it is important to know if there is a benefit to using a hearing aid plus a single cochlear implant."

Each of the 19 study participants received a cochlear implant in one ear and a hearing aid for the other ear. Washington University surgeons at Barnes-Jewish Hospital performed the implantations. The participants were seen at the Adult Cochlear Implant and Aural Rehabilitation Division at the School of Medicine for cochlear implant programming and hearing aid fitting.

Because the participants were profoundly hearing impaired, the hearing aid restored only partial hearing in one ear, while the cochlear implant gave them a greater level of hearing in the other ear. In addition to the imbalance in sound levels, each device processes sound information in a unique way: a cochlear implant translates sounds into electrical impulses that directly stimulate the hearing nerves of the inner ear, while a hearing aid amplifies sounds so the ear can sense its acoustic vibrations. Specialists have questioned whether patients could adequately integrate the asymmetric signals from implants and hearing aids.

This study showed that when the participants used both a cochlear implant and a hearing aid, speech recognition improved by an average of 14 percent over when they used just an implant or just a hearing aid. When both devices were active, participants also made fewer mistakes in determining sound direction - they were better able to say which loudspeaker emitted sound in a semicircular array of 15 loudspeakers placed 10 degrees apart.

Interestingly, when the participants wore both devices, speech recognition and localization was equally good, no matter the direction of the sound source. That was surprising because of the lower sound correction in the hearing aid ear.

"That result really got our attention," Potts says. "It shows that even when patients have minimal hearing with a hearing aid, it still helps them get input and helps them catch important sound cues. The two inputs are complimenting each other. Hearing aids are better at giving temporal speech cues, while implants supply a fuller spectrum of sound frequencies."

Temporal information is important for music appreciation. "Patients report that they actually prefer music with a hearing aid and cochlear implant together. There's something more natural about that tone," Potts says.

Potts adds that the brain learns to integrate these two separate signals. The sound signals meet in the brainstem and cross all along the auditory pathway up to the brain's hearing centers, which interpret the signals as one sound.

When asked about their subjective sense of how well they heard with the devices, most patients said they felt they heard sound better with both devices turned on. When they were both on, they described the sound as "louder, clearer and more natural," "more complete," and having "a little extra depth, richness and volume."

The participants, eight men and 11 women, ranged in age from 26 to 79, with an average age of 50. Almost half had some hearing impairment before age six. But nearly all were adults when diagnosed with severe to profound deafness. The patients' ages or hearing history had no statistically significant effect on the results of the hearing tests conducted in the study.

The researchers are now studying whether a second cochlear implant gives additional benefit over that of an implant plus hearing aid in some of the same patients who participated in this study. But Potts indicates that for some adults with profound deafness, a single implant with a hearing aid may be the best solution.

"A high-power hearing aid may cost a couple thousand dollars, while a cochlear implant costs tens of thousands of dollars," Potts says. "Implantation is a relatively low-risk surgery, but as you grow older, elective surgery is always something that has to be carefully considered. Our studies are providing information that will help determine the best treatment options for these patients."

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Potts LG, Skinner MW, Litovsky RA, Strube MJ, Kuk F. Recognition and localization of speech by adult cochlear implant recipients wearing a digital hearing aid in the nonimplanted ear (bimodal hearing). Journal of the American Academy of Audiology. 2009 Jun;20(6):353-73.

The Widex Corporation donated the hearing aids used in this study.

Washington University School of Medicine's 2,100 employed and volunteer faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Children's hospitals. The School of Medicine is one of the leading medical research, teaching and patient care institutions in the nation, currently ranked third in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Children's hospitals, the School of Medicine is linked to BJC HealthCare.

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- Article 3: HLAA Exhibits - Part Two
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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- ACS
- SafeAwake

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Alternative Communication Services (ACS)

Its website proclaims that Alternative Communications Services (ACS) exists to provide the highest quality voice-to-text services possible, delivering Onsite CART, Remote CART, Captioning, Closed Captioning and Text Interpreting services to consumers throughout the world, recognizing the unique strengths of each individual in the process.

I visited with Phil Hyssong to learn more about what ACS business is like these days. Phil said that 60% of their work is now done in education settings. What's changed, though, is the source of those requests. At one time most of the demand came from higher education institutions which were providing accommodations for graduate students. Then there was a jump in the number of requests for undergraduate students. Now the company is seeing an increasing number of requests to accommodate high school students. Can grade school and the great potential to increase reading levels be next?

http://www.acscaptions.com/

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SafeAwake

Timothy Shaffer, President and CEO of SafeAwake showed me the new pyramid-shaped SafeAwake and answered a barrage of my questions. SafeAwake was developed through a grant from the National Institutes of Health, through which Combustion Science & Engineering, Inc. found the technology to be effective at waking sleeping people in sleep tests. SafeAwake has a flashing white light, and a high decibel, low-frequency audible signal.

I held the round bed shaker in my hand as I listened to an explanation of how it vibrates intermittently, the most optimal way to alert from sleep. The bed shaker reminded me strongly of the quirky mouse that came with my first iMac computer.

Mr. Shaffer explained that the ShakeAwake was built like a medical device and that the final piece of UL approval is expected in October 2009. He wants to be able to sell the product commercially and believes it will also be a good choice for any heavy sleeper with or without hearing loss. Already the power supply for this low-voltage device has UL approval.

From the SafeAwake website:

"Conventional home smoke alarms typically warn people to the danger of fire through sound. That leaves deaf and hard-of-hearing people at high risk - especially while sleeping, because ordinary smoke alarms may not be jarring enough to awaken them."

The company has its headquarters in Columbia, Maryland.

www.safeawake.com

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(c)2009 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 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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Can a Tiny Fish Save Your Ears?

For many people, loss of hearing is irreversible. For scientists trying to figure out what can be done about that, one answer may lie-or swim, actually-in freshwater aquariums. About one of every 10 Americans suffers from hearing impairment, according to a survey conducted by the Better Hearing Institute, a nonprofit advocacy group. By far the most common cause of hearing loss is damage to the so-called hair cells in the inner ear as a result of excessive noise, certain illnesses and drugs, and simple aging. The problem is that once hair cells die, humans (like other mammals) aren't able to grow new ones. In recent years, a research team at the University of Washington in Seattle has been working on finding a way to resolve that problem in experiments involving the zebrafish, a common aquarium denizen. The zebrafish, like many aquatic creatures, has clusters of hair cells running along the outside of its body that help sense vibrations in the water, working in a similar way to hair cells in the human inner ear. But unlike humans, zebrafish are able to regenerate their damaged hair cells. Researchers hope their work can unlock secrets to protect human hair cells from becoming damaged and to stimulate the cells to regenerate.

http://tinyurl.com/lozkga

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COAT Supports Nationwide CapTel in Statement to FCC

In a six page statement to the FCC -- the federal agency that regulates relay services for people with speech & with hearing disabilities -- COAT submitted Comments supporting a nationwide mandate for captioned telephone service (CTS) as a form of telecommunications relay service. COAT's comments emphasized that CTS, where available now, is used by a unique and growing number of people, that CTS has been proven to work, that there is diverse and industry support for CTS, that the marketplace is expanding and that there is a need for a nationwide approach to providing CTS. For further information email COAT.

http://tinyurl.com/nylt2v

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Device Allows Deaf Blind Folks to Communicate with Hearing Folks

The DeafBlind Communicator changes all that. It features a laptop-sized device that has either a regular or Braille keyboard. Beneath that keyboard is a second, smaller keyboard with Braille keys. There is also a second, smaller device that resembles a personal digital assistant, or PDA, in size and appearance. When a deaf-blind person wishes to communicate with a non-signing person, he or she simply hands over the smaller device and sends the following message, which is both displayed on the text screen and electronically spoken through speakers: "Hi, I am deaf-blind (I can't hear or see). To communicate with me, type a message and press" the return arrow. The return message is converted into Braille, which the deaf-blind person is able to read by touch on the smaller set of keys on the keyboard device.

http://tinyurl.com/nm29en

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- Classifieds
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One Online Store, one free Telephone Captioning Service, and three Employment Opportunities (Ads appear after this brief table of contents.)

WCI. Your Single Source for Assistive Technology
10% OFF SELECT NECKLOOPS!
http://www.weitbrecht.com

Free Telephone Captioning Service
www.PhoneCaption.com

Employment Opportunity 1
Exciting Career Opportunities at GLAD
Various Southern California Locations

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

Employment Opportunity 3
Various Employment Opportunities
Deaf Services Center
Glenside, PA

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WCI. Your Single Source for Assistive Technology
10% OFF SELECT NECKLOOPS!
http://www.weitbrecht.com
-------------------

WCI is offering two neckloops at 10% off during the entire month of September. As a convenient solution for better sound quality the Williams Sound T-Coil neckloop can be used in conjunction with hearing aids that have a T-coil or T-switch. For hands free home and cell phone conversations, the flexible Artone neckloop can be used with any phone that has a 2.5mm jack. Call 1-800-233-9130 (V/TTY) or visit us at http://www.weitbrecht.com/specials.html?WCIH909 for more details. (Use code WCIHH909 to order)

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

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Free Telephone Captioning Service
www.PhoneCaption.com
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An estimated 30 million Americans suffer from some form of hearing loss. Are you or someone close to you one of these people? Let PhoneCaption.com help you with our free captioning service!

Register online to receive a personally assigned toll-free number and begin receiving word-for-word captions of your telephone conversations in real-time today! With your own dedicated PhoneCaption telephone number, you can make both domestic and international calls 24 hours a day, 7 days a week. Start communicating clearly with your friends and loved ones today!

For more information, please visit www.PhoneCaption.com.

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Employment Opportunity 1
Exciting Career Opportunities at GLAD
Various Southern California Locations
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Exciting Career Opportunities at GLAD

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, Pacoima, CA
* Community Interpreter - Los Angeles, CA
* Community Advocate - Bakersfield, CA
* Placement Coordinator - Crenshaw, 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
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Currently accepting applications for the following positions:

Assistant Director for Residential Services - see http://www.hearinglossweb.com/res/emp/gsd2.htm
Assistant Director of Instruction (12 mth. position)
Teacher - Graduation Coach (10 mth. position)
Teacher - High School Math (10 mth. position)*
Teacher - Middle School Language Arts (10 mth. position)*
Teacher - Middle School Science (10 mth. position)*
Teacher - Reading Content Specialist - Pre K-12 (10 mth. position)*
Accountant Paraprofessional (12 mth. position)
Housekeeper (12 mth. position)
Job Coach (hourly paid)
Instructor - Residential Services (12 mth. position)
Residential Advisor (10 mth. position)*
Secretary I (12 mth. position)
Speech Language Pathologist (10 mth. position)*
Substitute Teachers (hourly paid, based on credentials)
Systems Support Tech (IT Assistant) (12 mth. position)*

* 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, Personnel Office
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
Various Employment Opportunities
Deaf Services Center
Glenside, PA
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Deaf Services Center (DSC) is a dynamic team of behavioral health professionals serving Deaf and hard of hearing children and adults. We take great pride that our program is strongly Deaf centered with about 85% of our staff being Deaf or hard of hearing. Our staff environment is one of incredible teamwork and mutual support. As a result, we are rapidly growing with new programs and expansions of our existing programs. Whether you are a high school graduate, recent college graduate or have many years experience in the field of human services we have a career building position waiting for you! DSC is looking for dedicated, motivated, energetic individuals who are fluent in American Sign Language and knowledgeable about Deaf Culture and the Deaf Community to fill the following positions:

PROGRAM DIRECTORs: INTENSIVE CASE MANAGEMENT SERVICES: (Full time) This position oversees the case management services for clients who reside in the community. Responsibilities include: day to day management and supervision of case management; coordination of services and programs with other service agencies; manage program expenses accordingly with budget; provide supervision, crisis management, training and coordinate scheduling for case managers; participate in meetings with Deaf Services Center programs as well as other programming service providers. Qualifications: a bachelor's degree in sociology, social work, psychology, gerontology, anthropology, political science, history, criminal justice, theology, counseling, education, or be a registered nurse and 5 years of mental health direct care experience preferably in a case management setting, must have 2 years of supervisory experience. Fluency in American Sign Language required.

STAFF INTERPRETER: (Full time preferred) Responsibilities include: Interpret for emergencies (physical and psychiatric), mental health evaluations, groups, staff meetings and sessions, home visits with deaf adults and children. Also interpret for in internal office and community meetings with both hearing and deaf professional staff. Must be able to work with a team of hearing and/or deaf interpreters and be a team player. The qualified candidate shall possess: AA degree with minimum 2 years of Interpreting experience with Deaf individuals. Knowledge of mental illness and/or developmental disabilities is a plus. Must be willing to travel throughout the SE counties and be flexible to do some evenings and weekends when needed. Current national certification and PA State Reistered through ODHH are preferred. Full/part time position available (Note: Full time includes complete benefits package, pt does not include benefits.)

OFFICE COORDINATOR: (Full time) Responsibilities include: Prepare and process personnel files, organize & monitor training activities, maintain training records, compile various reports, memos and minutes, maintain HR database, and complete payroll items. Provide technical assistance with various office equipment and trouble shoot facility/maintenance issues when needed. Assist with providing consultation to supervisory staff on issues surrounding human resources related issues, policies and procedures. Assist in licensure/audit activities for all programs. Assist with supervising & training support staff. The qualified candidate shall possess: Bachelors Degree in business administration, human resources management or related field with 6 years of administrative experience. Must have strong skills in Microsoft office software.

RESIDENTIAL COUNSELORS: (various positions available) This position provides direct client services including encouraging client independence in areas such as skills in daily living and community integration. The qualified candidate shall possess: HS + 1 year related experience or AA; valid drivers' license; advanced fluency in ASL; minimum of 2 years experience with Deaf Community; demonstrated competency in independent living skills; ability to teach, advise and motivate Deaf Consumers; strong interpersonal skills. Duties: Provide supported living and training to Deaf consumers with mental illness and/or developmental disabilities living in the community; promote consumers' independence and social relationships. Positions open for weekend and evening shifts.

Send your letter of intent and resumes to:
Linda Claypool, Office Manager/HR
Deaf Services Center
Email: lclaypool@salisb.com or Fax: 215-884-9774

DEAF SERVICES CENTER
614 N. Easton Road, Glenside, PA 19038
215-884-9770 TTY/V 215-884-9774 FAX/VP

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