September 2013 Tia Botha, Committee Member Matt Laxton and Guest Speaker Barbara Delangre Northern Territory First Implant: Able to answer back at last June 2013 ntnews.com.au Cochlear implant surgery was carried out for the first time in the Territory at Royal Darwin Hospital. Territorian Michael Farris can hear again. The 70-year-old said suffering hearing loss meant a lot of stress and frustration. The Palmerston resident was one of the few people in the Territory with hearing problems to have a cochlear implant fitted. “It’s a bit unbelievable really, I didn’t think it (hearing) would happen again but it has. It will make things so different, I will be able to hear the TV and have conversations, and hopefully use a mobile phone.” His wife Barbara said she had to previously act as a translator between friends, family and her husband. Mr Farris said there was one downside for his partner now that he could hear again. “She won’t be able to talk back to me because I can hear her,” he joked. BBQ Day 5th May Celene McNeil and Barbara Delangre talk about Meniere’s disease Celene McNeil, audiologist in private practice at Healthy Hearing and Balance at Bondi Junction together with implant recipient, Barbara Delangre were guest presenters at our 5th May BBQ, along with Prof Gibson – a overview of his talk in on the next page. Celene explained, with great clarity and humour, connections between hearing loss, tinnitus and Meniere’s disease and cleverly pointed out that we actually hear with our brain and the ear is just the organ, which conveys the message to the brain!! Celene detailed the variety of issues that can produce tinnitus but stressed above all that it is in many ways a harmless noise. The best thing we can do is learn to understand how it comes about and try to work with the issue, rather than against it. Meniere’s Disease, caused by an imbalance of endolymph fluid in the cochlear and vestibular system, can be very disabling to those who experience its sudden attacks of vertigo and nausea. Hearing loss results as the Meniere’s progresses and while there is CICADA Australia www.cicada.org.au Celene McNeil no absolute “cure,” there is much research in progress and the symptoms can be subdued by dietary considerations, such as eating less salt, physiotherapy, psychological counselling and learning to manage the stress. Barbara Delangre, spoke about the progression of her Meniere’s disease from the first vertigo attack in 2006 to the cochlear implant she received in June 2012. From the frightening to the hilarious, Barbara related this interesting phase of her life with a great sense of humour CICADA is very grateful to Celene and Barbara for providing so much practical and helpful information in this presentation. A transcript of the talks will be posted on our website. Hearing problems in the Territory were double the national average with two in 1000 people suffering loss. Sydney Cochlear Implant Centre (SCIC) chief executive Robert McLeod said “There is a need for permanent services for the Territory and the need hasn’t been addressed.” Mr Farris paid for his treatment out of his private health fund. The SCIC has donated five cochlear implants, worth $25,000 each, meaning Territorians won’t have to travel interstate for surgery. More than 30 Territorians have received a cochlear implant and there were 10 more on a waiting list. Many NT residents needing the implants were from remote communities. Michael Farris State CICADA Associations From the President New South Wales CICADA AUSTRALIA INC. Secretary: Judy Cassell PO Box 5028 South Turramurra NSW 2074 Email: [email protected] Queensland CICADA QUEENSLAND Secretary: Shirley Edwards 85 Crotona Rd Capalaba QLD 4157 Ph/Fax: (07) 3824 5003 Email: [email protected] South Australia CICADA SOUTH AUSTRALIA PO Box 415 Angaston SA 5353 Email: [email protected] Western Australia CICADA CLUB W.A. INC. Coordinator: Lynette Fleming 33 Framfield Way Balga WA 6061 Phone: (08) 9349 7712 Fax: (08) 9349 9763 Northern Territory CICADA Darwin Coordinator Chris Blackham-Davison Email: [email protected] SMS: 0427 897 170 ACT CICADA ACT INC Secretary: Ursula Kajewski Email: [email protected] Phone: 6288 7281 SMS: 0427 042 027 Hook Up Online And Share Your News Please visit us at www.cicada.org.au Or our Facebook page Cicada Australia Inc. Darwin friends now have their own Facebook page Cicada Northern Territory If you would prefer to receive this newsletter by email, please send your details to [email protected] Donations over $2 to CICADA are tax-deductible. CICADA Australia Inc. thanks Cochlear Ltd. for supporting the design, printing and distribution of this newsletter. Our May BBQ was another great day with beautiful weather and very interesting talks on Meniere’s disease from our guest speakers, Celene McNeil and Barbara Delangre. See the report in this issue. Prof Bill Gibson has helped many people with Meniere’s disease and with the aid of a generous benefactor, has recently set up a Meniere’s research laboratory at the Brain and Mind Research Institute at Sydney University. Prof thinks there is more than one cause of Meniere’s, but a major cause might be a virus that attacks in the ear and just sits in the ear and keeps re-activating, causing further attacks. He says “It would be nice if we could find some way of treating people without having to destroy their hearing or their balance”. We had a good turnout for our August BBQ day and the highlight was Jane Opie from the MEDEL team presenting on Aging and Hearing Loss, a report on which is in this issue. Our AGM is coming up in November and I would like you to consider if you can help CICADA in some way. We try our best to provide quality guest speakers and welcome your suggestions in this regard. Our current committee enjoy working together to manage our BBQ’s, Morning Teas, newsletters, raffles and website. There is much work behind the scenes to keep these going and we would certainly welcome new members to the committee or even offers of help in other ways. We need stories for our newsletters and website. John Boyce would be happy to train an assistant BBQ master. Getting 100 or more sausages ready on time and still hot is a good skill to learn! Really, Friends, Geoffrey Johnstone and Elaine Beddie at the May BBQ we would appreciate any practical, hands-on help at the BBQ days. Regional groups are growing and these also need your support if they are to flourish. There are opportunities to help and support each other as well as make new friends and exchange advice and information with other CI recipients. It doesn’t have to be anything big and fancy, just a small gathering can be beneficial to those that attend. The CICADA Website has a calendar of events and you can contact [email protected] if you would like to organise something in your area and we can post it on the calendar and help you advertise. Hearing loss and Cochlear Implants have drawn us together and are something that we all understand. We all know that there are times when we need support and encouragement. Many people find their hearing loss difficult to accept and yet there are many ways to manage it. Sharing your own experience with others helps to deal with some of the frustrations that we have in common as well as the many delights of having a cochlear implant. Our quilt raffle is going strong and we have also started our annual Christmas Raffle. Both will be drawn at the AGM on 3rd November. A big THANKS to Johnny Boyce, who put all the ticket books together by hand and stamped them all. I value his help with this as well as his cheeky comments and the warm welcome he extends to newcomers!! Sue Walters Getting your cochlear implant working with an FM From David Lovell and Rachel Tyson We’ve just posted this: www.slideshare.net/TysonLovell/getting-your-cochlear-implantworking-with-an-fm after a fair amount of frustration in getting our daughter’s FM systems working with her cochlear implants. Hope this can be shared more widely in case others are experiencing similar frustrations. August BBQ day- Jane Opie Research Audiologist with MEDEL Oklahoma tornado miracle: Cochlear implant found in rubble of Moore hospital (examiner.com, May 2013) “That is a wonderful miracle,” Roberta Tynes, from Oklahoma City, said. “I don’t know how they were able to find it. I’ve volunteered in Moore and I don’t know how they find anything. There is certainly not much left of the Moore hospital.” It appears, despite the efforts of the EF 5 tornado, the cochlear implant was not damaged in the twister. Jane Opie, Bill Gibson, Sue Walters We were privileged to have Jane Opie, Research Audiologist with MEDEL, who spoke so clearly in her New York accent and provided much helpful information on hearing loss and aging. Jane pointed out that while hearing loss and other changes can be a natural part of aging, HEALTHY aging involves exercise, good diet, social activities and interests that enrich our lives and keep our brain active. If one of our senses becomes depleted and we have to work harder to do things that used to be easy, this places a greater load on our cognitive abilities. For example, with hearing loss, complex listening situations become more difficult- it is harder to hear in noise or to localise sound or to process fast sounds and more of our resources, more effort is required. If you have hearing loss, the best thing you can do is augment your hearing with hearing aids or cochlear implants to get as clear a signal as possible. Then you need to actively work on your listening. Jane’s advice is that COMMUNICATION and listening to music is great brain training –it is also training your memory. There are opportunities all around to practise- listening to music on YouTube, listening to radio. Jane suggests learning to localise sound by having a family member put your mobile phone somewhere in the house and then ringing your number and trying to find your mobile phone by the ring tone! The young girl it was intended for had the implant done at the nearby Norman hospital. Due to the severe damage on the Moore Medical Center, what remains of the small hospital will be demolished. STENO-“Me TOO” Live Captioning There are programs on SoundScape specifically for listening training where you can vary the background noise and the speed of the speech. It’s like exercising your hearing skills! SCIC needs you! There are still many things to learn about cochlear implantation and this is why SCIC is involved in multiple research projects. The new knowledge helps us continuously improve services to our clients. But to do this research, we need you! Research participants are essential to get a better understanding of cochlear implantation. If you want to help, send us an email with your name: [email protected] Since our presentation on LIVE CAPTIONING last year we have been fortunate to have the services of STENO-“Me Too” for most of our BBQ day presentations. This really improves access for many people who don’t quite capture all the words that the guest presenter is saying. For those who haven’t seen it in action, the guest speaker’s words are typed up by the stenocaptioner and transmitted through a second data projector onto the wall behind the guest speaker, so if you miss a word or phrase, or if you are profoundly deaf and lipreading, you can still follow the presentation word for word!! This is fantastic technology in action and STENO-“Me Too” have also provided full transcripts of the presentation after the event so that we can review the material that was covered by our guest speaker. Sincerest thanks to STENO-“Me Too” for providing this great service to our members and guests. Norman Heldon and his granddaughter Michelle standing in front of Michelle’s wonderful painting, that was inspired by her grandfather’s poems. 23rd Annual General Meeting of Cicada Australia Inc. Sunday 3rd November, 2013, commencing 11.00am CICADA’s last function for 2013 is the AGM to be held on Sunday 3rd November. A nomination form is included in this mailout, if you wish to nominate someone for a position on the Cicada Committee. Agenda for the AGM Dates for Cicada Functions at Gladesville 2013 All are Welcome. Morning Teas By the time you receive this edition of the Buzz, there will only be one morning tea left for the year on the 3rd October. There are no morning teas in November, December 2013 or January 2014. They will recommence on the first Thursday in February next year. The morning teas continue to be a great success, with a small band of regulars, plus many new faces. One of our regulars is Norman Heldon. In fact Norman’s birthday fell on our morning tea on the 1st August and we were planning a special cake for him, however his family had other activities Office Bearers and Committee Members vacate their positions planned. Norman turned 96. He still catches the train from Loftus to the city and then a bus to Gladesville. Norman sometimes mentions that he hopes he will reach 100. At the rate he is going, we think it’s very likely. He still enjoys some gardening and gets out and about almost every day. You may remember, the May 2009 issue of the Buzz featured Norman and his granddaughter Michelle on the front cover. Norman and Michelle had been our guests at the April BBQ of that year, Norman presenting a recital of poetry, some of which he had written. It’s such a wonderful photo, that we will publish it again. BBQ’s - Our last function of the Year is the Cicada AGM, to be held on the 3rd November at Gladesville. Our guest speakers Leanne Babic and Dr Isabelle Boisvert will report on Research Projects at SCIC and how they will contribute to the CI program. We are looking forward to a big turnout on the day. A flyer with details will be sent out closer to the day, together with dates set for Cicada functions in 2014. Information can also be checked on the Cicada Website www.cicada.org.au or by contacting the secretary, Judy Cassell [email protected] All are welcome. Dr Angus, grandson of Committee member Chris Boyce, on duty at a morning tea. • Welcome to members and guests (Sue Walters, President) • Apologies • Acceptance of the AGM minutes 28th October 2012 • Matters Arising • President’s Report – Sue Walters • Treasurers Report - Chris Boyce • Ratification of Office Bearers and Committee members for 2013/14 (if nominations received are not in excess of vacancies available, no election is required) Elected President takes the Chair • • • • Vote of thanks to committee New committee and year ahead Other Business Close of meeting and welcome to guest speakers Leanne Babic and Dr Isabelle Boisvert. SMS number for Deaf or Hearing Impaired NRMA members For NRMA members who are deaf or hearing impaired and wish to pay membership subscription, upgrades, payments and renewals there is a SMS only number provided. 0437 13 11 11 Please Note. This number is NOT for calling for breakdown service/roadside assistance Cicada website Check the CALENDAR on the Cicada website regularly for upcoming social events across Australia and updates Using Personal FM Celebrates her 87th Birthday An Inaugural Member of Cicada Units- an Assistive Listening Device (ALD) Written by Sue Walters For many years now, Personal FM units have been widely used by students in schools and colleges, to deliver a clearer signal to their hearing aid or cochlear implant. Many adults have also utilised this technology to hear better at meetings or social gatherings. It can be a simple and effective way of cutting out some background noise and distortion of sound over a distance. The personal FM system consists of a transmitter worn by the speaker and a receiver unit worn by the listener. The receiver part might plug directly into your sound processor or it may be a neckloop type of receiver, worn around the neck and using the T-switch. If you have a cochlear implant you could use a personal FM when you go to a class or a meeting, yet it can be a bit daunting if you haven’t tried it before. For example, I started a new yoga class. New teacher, new location which was a very old church hall with timber floor and high ceiling, all hard surfaces which echo a lot. The teacher is very softly spoken and as he walked around the room, it was frustrating trying to pick up everything he was saying, especially when I was upside down or lying on my back! So I borrowed a personal FM to see if it would help. At first I was a bit nervous to ask the teacher to use the transmitter and explain to him how it worked. You feel hesitant to make a fuss, however he was actually very interested and quite happy to try it with me. It is amazing how much difference it made. I could hear every word he said as he walked around the room- just as if he was speaking up close to me!! The teacher could tell immediately that I was following the dialogue so much better and now I use it every week. I do hear some interference at times, but mostly the quality of sound I am receiving is fantastic. I have tried it in other places, such as meetings held in a church hall that is all timber and very noisy. Once the meeting was over and everyone got up for supper and started talking, the background noise was quite loud, but I was still able to filter some more of that noise by wearing the transmitter as an external mic around my neck. I spoke to various people face- to- face and their voice came through more clearly than the noise from the crowd. It really is a delight to feel that I am getting so much more sound and information just from taking those first tentative steps. So if you see someone using something like this, go and talk to them and perhaps ask them to demonstrate it to you. We have an FM unit donated by Printacall that you can try. Please contact [email protected] Shirley Celebrating her 87th Birthday A member of Cicada since its inception in 1990, Shirley Hanke celebrated her 87th birthday at our BBQ on the 4th August. Shirley was the 3rd person in NSW to receive her implant, in 1985, having lost her hearing at the age of 11 due to an allergic reaction following a diphtheria injection. Shirley’s was a complete hearing loss, but this never daunted her. She completed her schooling, and then attended business college and was employed doing clerical work in local government. She travelled by ship to England, on her own, for a 15 month working holiday. Shirley has made a tremendous contribution to Cicada. She was the long-standing treasurer of Cicada from 1990 to 2003. She published the book “The Story of Cicada”, which documented the beginning of Cicada in NSW, and also included personal stories of early implantees. Her late husband Paul, trained in commercial art, designed the Cicada Logo. Shirley continues to support Cicada, travelling from Little Bay by public transport to most of our BBQs. Music Memories from Shirley, who played the piano prior to hearing loss, prompted by Torben’s article in the May Buzz. I will probably make you laugh at my earlier experiences with music. Paul still had a lot of records in 1985 and I would practice listening when he played them. Remember my ears hadn’t heard sound for 47 years. Every time I had a night’s muzak I would need reprogramming as it stimulated my hearing so much. Some sounds would put my ear on “edge”. Paul would recognize the instrument and I would tell Charles (audiologist Dr Charles Pauka) who loved music and he would know just where to adjust the offending sound. Paul had a very wide knowledge of music (his sister was an international pianist!) so introduced me to all types of music though I have to admit a big brass band was a big success. I realized that I could not get the melody tried the piano and the sound changes every 4th key and the electrodes not switched on were just blank. Denyse Rockey (speech pathologist working with the RPA CI program from its early days) was trying all sorts of experiments on the 85’ers. She made a tape of songs to see if we could recognize them. I knew a couple like God Save the Queen. I picked up Waltzing Matilda but had her puzzled when I said I have never heard it played before! She couldn’t believe me but Charles backed me up! I took the tape and when I brought it back I told her Paul says a lot of the records are scratched. Denyse had some ruffled feathers! Charles overheard the conversation and said “Yes they are”. It was so funny I remember it like yesterday. I would not sing for her. Before I lost my hearing I used to sing a lot and was in the school choir, etc. I kept singing after I lost my hearing until a family member, probably quoting my dad, said “I sounded like Melba with a tummy ache”. I never sang again after that. Studying the Viola with Cochlear Implants The Illawarra Support Group at a Picnic Earlier in the Year May 2013, from the President and Founder of the Association of Adult Musicians with Hearing Loss in the USA Wendy Cheng with her viola. NSW Support Groups Upcoming events in 2013 – Put these dates in your diary Cicada Illawarra Sunday 27th October North Wollongong Sunday 8th December Towradgi Beach Xmas Party Our thanks to Sarah Love and all the staff at SCIC Penrith for their ongoing support that enables us to provide this service. Morning teas continue to be held at SCIC Penrith on the first Tuesday of the month, starting 10.30 to 12.30 pm. Best wishes to Bob Ross, who is recovering from a 2nd knee operation Rhonda Greene Coordinator West Sydney Cicada Please contact Bob Ross for further information. Mobile: 0406 599 603 Email: [email protected] Mobile: 0418 630 466 Email: [email protected] Newcastle Central West Hearing Support Group Newcastle Cochlear Support Group Afternoon Tea is on Sunday 8th September at Maryann’s house at Thornton from 1.30 to 5 p.m. For details contact MaryAnn or Karen. We had a small turnout for the latest meet-up on Sat 20th July. Stella Aung, an audiologist from Australian Hearing came to speak to us about the latest hearing aids and other technology that is commonly used by hearing aid users. The next meeting is likely to be early November. Contact Xanthe for information. Xanthe on [email protected] Western Sydney Last picnic date for 2013 is November 17th. To be held at the Nurragingy Reserve Knox Road Doonside, starting at 10.30 am, with a $2 donation. A sausage sizzle will be provided. Our new monthly morning teas, held at SCIC in Penrith, have been a success with our members and their families. We are now able to provide support and information, along with a hot cup of tea or coffee, to people seeking information and support with cochlear implants, through regular meetings and contacts. MaryAnn [email protected] OR Mobile 0438 461 659 Karen [email protected] OR Mobile: 0402 072 047 Cicada-NT Group Are you interested in becoming a member of CICADA–NT Group? Be part of a group that aims to help hearing impaired Australians to find the right hearing solution for them – whether it be hearing aids, implantable devices or a combination of both. Chris Blackham-Davidson [email protected] Join our facebook page www.facebook.com/ groups/519831404697696/ I was born with normal hearing, and my mother said when I was a baby—I was born in Hsinchu, Taiwan—turning music on the radio was a surefire way to calm me down when I cried. All that changed when I turned two and came down with a high fever. The drug treatment caused hearing loss in both ears. I wore a hearing aid in my left ear for some 30-plus years. After losing residual hearing due to a viral infection in 1996, I received a cochlear implant in January 1997. Then in 2010, I went bilateral. I fell in love with the sound of bowed strings in high school, and was a violin student for many years. But after I received my first implant, I decided to switch over to viola, mostly because with my single implant, I had problems discriminating notes that were higher than two octaves above middle C on the violin. I was determined to advance to the highest level of string playing possible .To me, the sound of the viola is now more sonorous and mellow, while the sound of the violin is a little tinny. Getting a second implant with a newer processor has provided a greater ability to discriminate tones at the higher pitches and has made the task of learning a third octave a reality. Although it has been said that cochlear implants are not good at providing the pitch perception required to play music, I feel blessed to be able to hear what I can hear now to enjoy making music on the viola. If you have a hearing loss, look for ways to keep music in your life. It may not be on the same instrument you played before, and you might find yourself learning an instrument with more percussive than melodic qualities. But keeping the musical connection alive keeps your brain and kinesthetic skills working. For me, playing and performing music is truly one of life’s greatest joys. Bits and pieces From Andrew Stewart of Printacall Just the Hat for You “ I have found an Akubra that can be worn with CIs, there is only one style Akubra that works, as they are normally very stiff where the CI is, but they have brought out a specific style which is soft and pliable. I went to their factory in Kempsey to try and find one that I can use, and bought it!” The Traveller www.akubra.com.au/stock_products_ lifestyle.html Looking Cool with Cochlear Implants: Skin Its Mary Shaddox www.parents-space.com Elijah wears two cochlear implant processors and he uses Skin Its to decorate them. These make his “ears” more cool for him. They also help us determine which processor goes on which ear. He has Batman on his left ear and Superman on his right ear! The Skin Its stick to the processor really well and lasted him almost a year. They also wrap around and it looks like the processor was made that way. You can choose from ANY design they have, because they make the Skin It for you after you order www.skinit.com It takes about 10-14 days to come in. Elijah currently has the Freedom processors and the Skin Its are made specifically for the Freedom and the Nucleus 5 processor made by Cochlear Americas. I am hoping Elijah can upgrade in the next two years and by then hopefully he can get the Nucleus 6 processors that will be coming out soon. Hopefully, there will be Skin Its for those too. I am glad companies realize Technology talk that kids want to decorate their hearing devices. I see many kids with bling on their ears, but girls mostly. There are also Skin Its for phones, iPads and many other things. Queensland Budget funding to provide hearing implant help News Mail May 2013 Queensland children and adults awaiting a cochlear implant will have their procedure fast-tracked. Health Minister Lawrence Springborg visited a Brisbane audiology clinic to meet cochlear recipients and announce the allocation of an extra $5.8 million from the 2013-2014 State budget to provide more implants to patients with moderate to profound hearing loss. In addition, $2 million in proceeds from savings achieved through the corporate restructure of Queensland Health would be set aside to deliver cochlear implants to 22 children. It was Springborg’s brainchild to clear the list of people waiting for a Cochlear implant. In all, 140 people will be fitted. He explained that annual funding for Cochlear implants covered 28 adults and adolescents. People have to wait approximately three to four years. “That is just too long to wait for this life-enhancing, life-changing procedure; we want to make sure that we can remove that waiting list for this year so that we are able to get ahead of the curve next year”. New South Wales helps deaf children in Mumbai with cochlear implants Scientists Use Stem Cells to Grow Mouse Inner Ears Healthline News 14 July 2013 and Nature Although practical applications may be many years away, the study authors say they’ve found a way to create critical pieces of the ear in a three-dimensional aggregate, which may lead to answers about why people lose their hearing and perhaps even ways to restore it. The scientists used embryonic stem cells from mice to develop sensory epithelia, which consist of hair cells, supporting cells and neurons. Eri Hashino and Karl Koehler of the Stark Neurosciences Research Institute at the Indiana University School of Medicine, created the perfect “cocktail” of chemicals and proteins needed to make these hardto-grow and fragile tissues. The researchers prodded the stem cells to differentiate into hair cells, but they were still astonished to find complete, complex hair cells growing in their solution. Hashino said that once hair cells are destroyed, they are gone forever and will not naturally regenerate. So their newfound ability to grow these cells in the lab is an exciting breakthrough. These hair cells form important connections to neurons, allowing them to convert the sound waves we hear into information our brains can process. “Now we can study the hair cellneuron connection, which is very important. It shows us how the ear forms and how things go wrong,” Koehler said. (Times of India May 2013) The government of New South Wales recently announced a grant of $110,000 AUS for a centre in Mahalaxmi, Mumbai. This grant will support the Aural Education for the Hearing Impaired (AURED) centre for 10 children who will receive hearing implants. Each implant and associated therapy will cost about $11,000. The voluntary organisation raises resources to provide costly cochlear implants to deaf children and runs rehabilitation programmes for them as well. Technology talk continued overleaf. Continued... Technology talk Ear Cells Regenerate Themselves Medical Daily June 2013 Regeneration of human body parts is not entirely science fiction. Researchers have discovered that some cells in the human ear — called “tip links” — regenerate themselves in order to keep your hearing sharp. The tip links are part of the auditory sensing process — they are connector cells, creating links between hair cells that are sensitive enough to ensure sharp hearing. These connections are easily broken by loud sounds, as the hair cells get pushed too far back by the sound and when it goes back to its normal position, the tip link is no longer there to connect it to the other hair cells. Tip links are very fragile, but regenerate within a few days and sharpen hearing once more. Before now, little was known about the regeneration of tip link cells. However, researchers have now revealed not only the tip link’s composition, but the mechanism by which it regenerates. Two proteins, cadherin and protocadherin, that are sticky and adhesive keep the hair cells together in lieu of the tip links themselves. Their adhesive properties are important — tip links are also adhesive, and without the actual tip link, the hair cells need some way to be stuck together. Mature tip links form at the tips of hair cells, and these two proteins bind in the same place, indicating that they are responsible for maturing into tip link connections. Although the study is fairly dense with scientific data, it has clear practical implications: by discovering how tip links regenerate, researchers aren’t far from possible clinical trials how people with hereditary hearing loss, or people who work in loud industries, such as construction, could regain their hearing. Brain compensating for hearing loss points to better solutions 28 June 2013 Wellcome Trust, UK published in Current Biology Normally, the brain works out where sounds are coming from by relying on information from both ears located on opposite sides of the head, such as differences in volume and time delay in sounds reaching the two ears. The shape of the outer ear also helps us to interpret the location of sounds by filtering sounds from different directions - so-called ‘spectral cues’. This ability not only helps us to locate the path of moving objects but also helps us to separate different sound sources in noisy environments. Glue ear, or otitis media, is a relatively common condition caused by a build-up of fluid in the middle ear that causes temporary hearing loss. By age 10, eight out of ten children will have experienced one or more episodes of glue ear. It usually resolves itself, but more severe cases can require interventions such as the insertion of tubes (commonly known as grommets) to drain the fluid and restore hearing. If the loss of hearing is persistent, however, it can lead to impairments in later life, even after normal hearing has returned. These impairments include ‘lazy ear’, or amblyaudia, which leaves people struggling to locate sounds or pick out sounds in noisy environments such as classrooms or restaurants. Researchers at the University of Oxford found that animals raised with temporary hearing loss in one ear were still able to localise sounds accurately, by becoming more dependent on the unchanged spectral cues from the outer part of the unaffected ear. When hearing returned to normal, the animals were just as good at localising sounds as those who had never experienced hearing loss. Professor Andrew King explained: “During periods of hearing loss in one ear - when the spatial cues provided by comparing the sounds at each ear are compromised - the brain becomes much more reliant on the intact spectral cues that arise from the way sounds are filtered by the outer ear. But when hearing is restored, the brain returns to using information from both ears to work out where sounds are coming from.” The results contrast with previous studies that looked at the effects of enduring hearing loss - rather than recurring hearing loss - on brain development. These earlier studies found that changes in the brain that result from loss of hearing persisted even when normal hearing returned. The new findings suggest that intermittent experience of normal hearing is important for preserving sensitivity to those cues and could offer new strategies for rehabilitating people who have experienced hearing loss in childhood. In addition, the finding that spectral cues from the outer ear are a key source of information during periods of hearing loss has important implications for the design of hearing devices, particularly those that sit behind the ear. Hearing loss higher among obese teens June 2013 www.irishhealth.com and The Laryngoscope Hearing loss should also be added to the growing list of the negative health consequences of obesity that affect both children and adults - adding to the impetus to reduce obesity among people of all ages. Obese teenagers are more likely to suffer hearing loss compared to their normalweight peers. US scientists analysed data from almost 1,500 young people aged between 12 and 19. A number of issues were taken into account, such as family medical history, noise exposure history and current medical conditions. Obese teenagers had increased sensorineural hearing loss across all frequencies. The highest rates of hearing loss related to low-frequency sounds. At least 15% of obese teenagers had this type of hearing loss compared to just 7% of their normal-weight peers. “These results have several important public health implications. Because previous research found that 80% of adolescents with hearing loss were unaware of having hearing difficulty, adolescents with obesity should receive regular hearing screening so they can be treated appropriately to avoid cognitive and behavioural issues.
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