Conceptual framework for tinnitus: a cognitive model in practice.

Tinnitus is a conscious attended awareness perception of sourceless sound. Widespread theoretical and evidence-based neurofunctional and psychological models have tried to explain tinnitus-related distress considering the influence of psychological and cognitive factors. However, tinnitus models seem to be less focused on causality, thereby easily misleading interpretations. Also, they may be incapable of individualization. This study proposes a Conceptual Cognitive Framework (CCF) providing insight into cognitive mechanisms involved in the predisposition, precipitation, and perpetuation of tinnitus and consequent cognitive-emotional disturbances. The current CCF for tinnitus relies on evaluative conditional learning and appraisal, generating negative valence (emotional value) and arousal (cognitive value) to annoyance, distress, and distorted perception. The suggested methodology is well-defined, reproducible, and accessible, which can help foster future high-quality clinical databases. Perceived tinnitus through the perpetual-learning process can always lead to annoyance, but only in the clinical stage directly cause annoyance. In the clinical stage, tinnitus perception can lead indirectly to distress only with experiencing annoyance either with (" I n d - 1 C " = 1.87; 95% CI 1.18-2.72)["1st indirect path in the Clinical stage model": Tinnitus Loudness → Attention Bias → Cognitive-Emotional Value → Annoyance → Clinical Distress]or without (" I n d - 2 C "= 2.03; 95% CI 1.02-3.32)[ "2nd indirect path in the Clinical stage model": Tinnitus Loudness → Annoyance → Clinical Distress] the perpetual-learning process. Further real-life testing of the CCF is expected to express a meticulous, decision-supporting platform for cognitive rehabilitation and clinical interventions. Furthermore, the suggested methodology offers a reliable platform for CCF development in other cognitive impairments and supports the causal clinical data models. It may also enhance our knowledge of psychological disorders and complicated comorbidities by supporting the design of different rehabilitation interventions and comprehensive frameworks in line with the "preventive medicine" policy.

Auditory Recognition of Digit-in-Noise under Unaided and Aided Conditions in Moderate and Severe Sensorineural Hearing Loss.

BACKGROUND AND OBJECTIVES: The speech-in-noise test is typically performed using an audiometer. The results of the digit-in-noise recognition (DIN) test may be influenced by the flat frequency response of free-field audiometry and frequency of the hearing aid fit based on fitting rationale. This study aims to investigate the DIN test in unaided and aided conditions. SUBJECTS AND METHODS: Thirty four adults with moderate and severe sensorineural hearing loss (SNHL) participated in the study. The signal-to-noise ratio (SNR) for 50% of the DIN test was obtained in the following two conditions: 1) the unaided condition, performed using an audiometer in a free field; and 2) aided condition, performed using a hearing aid with an unvented individual earmold that was fitted based on NAL-NL2. RESULTS: There was a statistically significant elevation in the mean SNR for the severe SNHL group in both test conditions when compared with that of the moderate SNHL group. In both groups, the SNR for the aided condition was significantly lower than that of the unaided condition. CONCLUSIONS: Speech recognition in hearing-impaired patients can be realized by fitting hearing aids based on evidence-based fitting rationale rather than by measuring it using free-field audiometry measurement that is utilized in a routine clinic setup.

Top-Down Auditory Plasticity: Acceptable Noise Level Predicts and Reflects the Effect of Perceptual Learning in Experience-Induced Plasticity.

OBJECTIVE: In the auditory system, tinnitus and superior speech perception in noise are examples of negative and positive plasticity that can result from sensory neural hearing loss and life experiences dealing with more complex stimuli and learning, respectively. The main objective of this study was to determine the relationship between acceptable noise level (ANL) values and perceptual learning in individuals exposed to unavoidable occupational noise. MATERIALS & METHODS: Here we document a form of plasticity in top-down auditory pathways through the measurement of the acceptable noise level in 60 adults, 27 females and 33 males, with normal hearing (Amiraalam state Hospital, Tehran, Iran 2016). Individuals were assigned to one of two groups: those with and without the occupational experience of speech perception in noise. RESULTS: The test group had statistically significant lower acceptable noise level and significantly higher background noise level scores compared with the control group. CONCLUSION: Using acceptable noise level, we attributed differences in individuals' abilities to tolerate varying amounts of background noise and speech perception in noise function to the auditory efferent system. Working in crowded locations due to job nature can influence differences in speech perception in noise function.

The Effects of Hearing Aid Digital Noise Reduction and Directionality on Acceptable Noise Level.

OBJECTIVES: Two main digital signal processing technologies inside the modern hearing aid to provide the best conditions for hearing aid users are directionality (DIR) and digital noise reduction (DNR) algorithms. There are various possible settings for these algorithms. The present study evaluates the effects of various DIR and DNR conditions (both separately and in combination) on listening comfort among hearing aid users. METHODS: In 18 participants who received hearing aid fitting services from the Rehabilitation School of Shahid Beheshti University of Medical Sciences regularly, we applied acceptable noise level (ANL) as our subjective measure of listening comfort. We evaluated both of these under six different hearing aid conditions: omnidirectional-baseline, omnidirectional-broadband DNR, omnidirectional-multichannel DNR, directional, directional-broadband DNR, and directional-multichannel DNR. RESULTS: The ANL results ranged from -3 dB to 14 dB in all conditions. The results show, among all conditions, both the omnidirectional-baseline condition and the omnidirectional-broadband DNR condition are the worst conditions for listening in noise. The DIR always reduces the amount of noise that patients received during testing. The DNR algorithm does not improve listening in noise significantly when compared with the DIR algorithms. Although both DNR and DIR algorithms yielded a lower ANL, the DIR algorithm was more effective than the DNR. CONCLUSION: The DIR and DNR technologies provide listening comfort in the presence of noise. Thus, user benefit depends on how the digital signal processing settings inside the hearing aid are adjusted.

The Acceptable Noise Level Benefit From Directionality for Listeners With Severe Hearing Loss.

OBJECTIVES: Directional microphone technology can enhance the speech intelligibility and listening comfort of listeners with hearing impairment. The main aim of this study is to investigate and compare the benefit derived by listeners with severe hearing loss from directional microphone technology with that derived by listeners with moderate hearing loss. METHODS: The acceptable noise levels (ANLs) of two groups of listeners with moderate or severe hearing impairment (17 subjects in each group) were measured under unaided, omnidirectional-baseline-aided, and directional-aided conditions. RESULTS: Although the absolute ANL of the listeners in the severe hearing loss group was significantly higher than that of the listeners in the moderate hearing loss group, their derived benefit was equivalent to that derived by the listeners in the moderate hearing loss group. ANL and hearing loss degree were significantly related. Specifically, the ANL increased with the severity of hearing loss. CONCLUSION: Directional microphone technology can provide the benefits of listening comfort to listeners with severe hearing loss.

Hearing aid or tinnitus masker: which one is the best treatment for blast-induced tinnitus? The results of a long-term study on 974 patients.

The aim of this longitudinal study was to explore whether a hearing aid or noise generator would be an effective audiological treatment for blast-induced chronic tinnitus. The amount of satisfaction from different hearing devices (hearing aid, noise generator, or both) during different time periods (1, 6, 12 and 24 months after fitting) was assessed. The 974 subjects enrolled in this study were Iran-Iraq war veterans, suffering from tinnitus for at least 2 years. About 84% of the subjects preferred just a hearing aid. Only 2.7% chose the noise generator, and the others preferred to use both devices. There were no significant differences between the hearing thresholds of the 3 groups. The satisfaction score for the hearing aid and combined devices increased by time but decreased for the noise generator. There was no correlation between the satisfaction score and parameters such as hearing thresholds, audiogram configuration and tinnitus pitch. We concluded that, compared with a noise generator, the most long-lasting treatment for blast-induced tinnitus is a hearing aid. The possible cause for such a performance is probably the recovery of the auditory function and neuroplasticity through the hearing aid.

The relationship between hearing aid frequency response and acceptable noise level in patients with sensorineural hearing loss.

BACKGROUND: When fitting hearing aid as a compensatory device for an impaired cochlea in a patient with sensorineural hearing loss (HL), it is needed to the effective and efficient frequency response would be selected regarding providing the patient's perfect speech perception. There is not any research about the effects of frequency modifications on speech perception in patients with HL regarding the cochlear desensitization. The effect (s) of modifications in frequency response of hearing aid amplification on the results of acceptable noise level (ANL) test is the main aim of this study. MATERIALS AND METHODS: The amounts of ANL in two conditions of linear amplification (high frequency emphasis [HFE] and mid frequency emphasis [MFE]) were measured. Thirty-two male subjects who participated in this study had the moderate to severe sensorineural HL. RESULTS: There was not any significant difference between ANL in linear amplification of hearing aid with HFE frequency response and ANL in linear amplification of hearing aid with MFE frequency response. CONCLUSION: The gain modification of frequency response not only does not affect the patient's performance of speech intelligibility in ANL test. This indicates that we need to note to the cochlear desensitization phenomenon when fitting hearing aid as a compensatory device for an impaired cochlea in a patient. The cochlear desensitization has not been considered properly in hearing aid fitting formula which is needed to be explored more about the bio-mechanisms of impaired cochlea.

Soil organic carbon sequestration as affected by afforestation: the Darab Kola forest (north of Iran) case study.

Following the ratification of the Kyoto Protocol, afforestation of formerly arable lands and/or degraded areas has been acknowledged as a land-use change contributing to the mitigation of increasing atmospheric CO(2) concentration in the atmosphere. In the present work, we study the soil organic carbon sequestration (SOCS) in 21 year old stands of maple (Acer velutinum Bioss.), oak (Quercus castaneifolia C.A. Mey.), and red pine (Pinus brutia Ten.) in the Darab Kola region, north of Iran. Soil samples were collected at four different depths (0-10, 10-20, 20-30, and 30-40 cm), and characterized with respect to bulk density, water content, electrical conductivity, pH, texture, lime content, total organic C, total N, and earthworm density and biomass. Data showed that afforested stands significantly affected soil characteristics, also raising SOCS phenomena, with values of 163.3, 120.6, and 102.1 Mg C ha(-1) for red pine, oak and maple stands, respectively, vs. 83.0 Mg C ha(-1) for the control region. Even if the dynamics of organic matter (OM) in soil is very complex and affected by several pedo-climatic factors, a stepwise regression method indicates that SOCS values in the studied area could be predicted using the following parameters, i.e., sand, clay, lime, and total N contents, and C/N ratio. In particular, although the chemical and physical stabilization capacity of organic C by soil is believed to be mainly governed by clay content, regression analysis showed a positive correlation between SOCS and sand (R = 0.86(**)), whereas a negative correlation with clay (R = -0.77(**)) was observed, thus suggesting that most of this organic C occurs as particulate OM instead of mineral-associated OM. Although the proposed models do not take into account possible changes due to natural and anthropogenic processes, they represent a simple way that could be used to evaluate and/or monitor the potential of each forest plantation in immobilizing organic C in soil (thus reducing atmospheric C concentration), as well as to select more appropriate species during forestation plan management at least in the north of Iran.

Effect of soil and physiographic factors on ecological plant groups in the eastern Elborz mountain rangeland of Iran.

To investigate the cause of differences among ecological plant groups in the east of the Elborz mountain rangeland, the role of edaphical and topographical characteristics was considered. Two ordination techniques, detrended correspondence analysis (DCA) and canonical correspondence analysis (CCA), were used. The values of slope, aspect, altitude and lithology information were provided by Geographic Information System (GIS), and geomorphological land units were determined by intersection of overlaid data layers. Plant sampling was undertaken within nine land units with similar lithology and altitude but which differed in slope and aspect, using 30 randomly selected 1 m2 plots per land unit. Soil samples were taken from two depths (0-20 and 20-50 cm) in each plot. Organic matter, bulk density, texture, calcium carbonate, total nitrogen and available phosphorus and potassium contents were determined. The results indicated that plant species have different responses to edaphical and topographical parameters. The invader species group had a balanced amount of influence from all soil components and topographic factors, whereas the native grasses were located in productive soils, which typically have a low grazing intensity, such as the north facing slopes. Coniferous bushy trees, cushion plants and some shrub plant groups were found on steep slopes with alkaline soils. The broad-leaved bushy trees plant group was abundant in fine texture soils on low and humid slopes.

The use of principal component analysis in studying physical, chemical and biological soil properties in southern caspian forests (North of Iran).

This research was conducted in Khanikan forests located in lowland of Mazandaran province (North of Iran). Eighteen profiles were dug and several chemical, physical and biological soil properties were investigated. The soil properties evaluated were soil pH, bulk density, saturation moisture content, electrical conductivity, organic carbon, total nitrogen, cation exchangeable capacity, available phosphorous, soil texture, calcium carbonate content, number and biomass of earthworms, litter carbon and litter nitrogen. Principal Component Analysis (PCA) was used to identify the variation of soil properties. PCA, a technique which reduces the dimensionality of multivariate data by removing Interco relations among variables, has a number of useful applications in forest researches. The results showed significant relationships between some soil factors with PC1 and PC2 axes, also, among different soil factors, the distribution of forest types was most strongly controlled with some soil characteristics such as acidity, bulk density, texture, phosphorous, organic carbon, total nitrogen and cation exchangeable capacity.

Physical soil properties and slope treatments effects on hydraulic excavator productivity for forest road construction.

Effects of moisture, porosity and soil bulk density properties, grubbing time and terrain side slopes on pc 220 komatsu hydraulic excavator productivity were investigated in Miana forests road construction project which located in the northern forest of Iran. Soil moisture and porosity determined by samples were taken from undisturbed soil. The elements of daily works were measured with a digital stop watch and video camera in 14 observations (days). The road length and cross section profiles after each 20 m were selected to estimate earthworks volume. Results showed that the mean production rates for the pc 220 komatsu excavators were 60.13 m3 h(-1) and earthwork 14.76 m h(-1) when the mean depth of excavation or cutting was 4.27 m3 m(-1), respectively. There was no significant effects (p = 0.5288) from the slope classes' treatments on productivity, whereas grubbing time, soil moisture, bulk density and porosity had significantly affected on excavator earthworks volume (p < 0.0001). Clear difference was showed between the earthwork length by slope classes (p = 0.0060). Grubbing time (p = 0.2180), soil moisture (p = 0.1622), bulk density (p = 0.2490) and porosity (p = 0.2159) had no significant effect on the excavator earthworks length.

Earthworms as ecosystem engineers and the most important detritivors in forest soils.

Earthworms are considered as soil engineers because of their effects on soil properties and their influence on the availability of resources for other organisms, including microorganisms and plants. However, the links between their impacts on the soil environment and the resulting modification of natural selection pressures on engineer as well as on other organisms have received little attention. Earthworms are known to have a positive influence on the soil fabric and on the decomposition and mineralization of litter by breaking down organic matter and producing large amounts of fasces, thereby mixing litter with the mineral soil. Therefore, they play an important part in changes from one humus from to another according to forest succession patterns. Consequently, they are also expected to be good bio-indicators for forest site quality and are thus useful when planning forest production improvement. Earthworm's populations are as indicator that in exploited regions is destruction indicator and reclamation plans is nature return indicator. In this study we summarized the current knowledge in relation to earthworm's ecology in forest soils as ecosystem engineers.

Application of two way indicator species analysis in lowland plant types classification.

A TWINSPAN classification of 60 sample plots from the Khanikan forest (North of Iran) is presented. Plant types were determined from field observations and sample plot data arranged and analyzed in association tables. The types were defined on the basis of species patterns of presence, absence and coverage values. Vegetation was sampled with randomized-systematic method. Vegetation data including density and cover percentage were estimated quantitatively within each quadrate and using the two-way indicator species analysis. The objectives of the study were to plant type's classification for Khanikan lowland forest in North of Iran, Identification of indicator species in plant types and increase our understanding in regarding to one of Multivariate analysis methods (TWINSPAN). Five plant types were produced for the study area by TWINSPAN, i.e., Menta aquatica, Oplismenus undulatifolius, Carex grioletia, Viola odarata and Rubus caesius. Therefore, at each step of the process, the program identifies indicator species that show strongly differential distributions between groups and so can severe to distinguish the groups. The final result, incorporating elements of classification can provide a compact and powerful summary of pattern in the data set.

Marginal effect of forest road on alder trees (case study: Darab Kola forest, Mazandaran province, Iran).

Forest road is one of the most important ways to access the forest and its own activities. It should have some standard qualities and also had the list harm for nature. One of the most important qualities of forest road is limited of two sides to developing of natural forest. Alder tree is the first kind of trees that grows in northern forest of Iran closed to the constructed roads. This research was done in Mazandaran forest (Darab Kola district) to evaluate how Alder grows in the two side margins of roads. Twenty half plot (upper and lower road margins) with a size of 1000 m2 in one kilometer length of this road was selected and twenty face to face Alder trees closed to the road were sampled to take two cores in a face and back of road at the DBH level. After analyzing the data with a simple variance and comparing annual rings (curves), diameter, height and growth by simple and joint t-test, the results show that there is no significant difference between growing in upwards and downwards of road and also between diameter and height of tree in two sides of road. Most diameter distribution classes of trees were in a 15-20 cm. To consider more about this matter, study of different width and slopes of forest roads in a various forest stands was proposed.