Screening for hearing loss using the electronic whisper test: A prospective cross-sectional study.

Background: Hearing screening is a method for early identification of hearing loss. Hearing screening is widely used in hospitals as part of physical examination. However, some of them are difficult to operate outside the hospitals regarding portability and user-friendliness. Therefore, we developed a simple yet easy-to-use portable electronic whisper test (EWT) for field deployment, particularly on many subjects. The EWT validity is a hearing screening method compared to pure-tone audiometry. Methods: This study was a cross-sectional comparative with a prospective approach. The subjects were outpatients at the Audiology Clinic of Dr. Soetomo Academic Medical Center, Surabaya, Indonesia, who met the inclusion and exclusion criteria. Statistical analysis made sensitivity and specificity tables using a 2 × 2 table, positive and negative predictive values. Results: Samples of 50 participants (100 ears) obtained a sensitivity value of 83%, specificity of 78%, positive predictive value of 45%, and negative predictive value of 95%. Conclusions: The EWT is valid for use as a hearing screening method.

Validity of automated audiometry for hearing examination in patients with multidrug-resistant tuberculosis.

Background: The objective of this study was to test the validity of automated audiometry as a method of hearing examination in patients with multidrug-resistant tuberculosis. Method s: This was a cross-sectional comparative study with a retrospective approach, using patient medical records. Patients with multidrug-resistant tuberculosis (MDR-TB) were recruited based-on medical records that met the inclusion and exclusion criteria at the Pulmonology outpatient unit, then referred to the Otorhinolaryngology outpatient unit of the Dr. Soetomo Academic Medical Center. The subjects' hearing function was measured with two different devices (automated audiometer and conventional audiometer) before being given anti-tuberculosis drug therapy (aminoglycoside injection) as ototoxicity monitoring from July to December 2019 period. Sensitivity and specificity analysis was used to assess the validity of the test. Results: A total of 36 patients (72 ears) were included. The comparison test results using the Mann-Whitney test showed that there were significant differences between automated audiometry and conventional audiometry in both ears. Analysis values were: sensitivity 80-97%, specificity 37-96%, positive predictive value 74-98%, and negative predictive value 59-96%. Conclusion s: Automated audiometry is valid for use as a method of hearing examination and monitoring in patients with multidrug-resistant tuberculosis.

On- and off-frequency compression estimated using a new version of the additivity of forward masking technique.

On- and off-frequency compression at the 4000- and 8000-Hz cochlear places were estimated using a new version of the additivity of forward masking (AFM) technique, that measures the effects of combining two non-overlapping forward maskers. Instead of measuring signal thresholds to estimate compression of the signal as in the original AFM technique, the decrease in masker threshold in the combined-masker condition compared to the individual-masker conditions is used to estimate compression of the masker at the signal place. By varying masker frequency it is possible to estimate off-frequency compression. The maskers were 500-Hz-wide bands of noise, and the signal was a brief pure tone. Compression at different levels was estimated using different overall signal levels, or different masker-signal intervals. It was shown that the new AFM technique and the original AFM technique produce consistent results. Considerable compression was observed for maskers well below the signal frequency, suggesting that the assumption of off-frequency linearity used in other techniques may not be valid. Reducing the duration of the first masker from 200 to 20 ms reduced the compression exponent in some cases, suggesting a possible influence of olivocochlear efferent activity.

Estimates of compression at low and high frequencies using masking additivity in normal and impaired ears.

Auditory compression was estimated at 250 and 4000 Hz by using the additivity of forward masking technique, which measures the effects on signal threshold of combining two temporally nonoverlapping forward maskers. The increase in threshold in the combined-masker condition compared to the individual-masker conditions can be used to estimate compression. The signal was a 250 or 4000 Hz tone burst and the maskers (M1 and M2) were bands of noise. Signal thresholds were measured in the presence of M1 and M2 alone and combined for a range of masker levels. The results were used to derive response functions at each frequency. The procedure was conducted with normal-hearing and hearing-impaired listeners. The results suggest that the response function in normal ears is similar at 250 and 4000 Hz with a mid level compression exponent of about 0.2. However, compression extends over a smaller range of levels at 250 Hz. The results confirm previous estimates of compression using temporal masking curves (TMCs) without assuming a linear off-frequency reference as in the TMC procedure. The impaired ears generally showed less compression. Importantly, some impaired ears showed a linear response at 250 Hz, providing a further indication that low-frequency compression originates in the cochlea.