J. Madell - Academia.edu (original) (raw)
Papers by J. Madell
Approximately 38 million people in the United States have hearing loss.1 The inability to underst... more Approximately 38 million people in the United States have hearing loss.1 The inability to understand speechin-noise (SIN) is one of the main complaints of people with untreated sensorineural hearing loss (SNHL), as well as many people who wear traditional hearing aids.2 It is also estimated that an additional 26 million American adults possess hearing thresholds within the range of normal limits (WNL), but they, too, complain of hearing difficulty (HD) and SIN problems, as will be reviewed below. These additional 26 million adults with HD and/or SIN problems (ie, suprathreshold auditory deficits) often report experiencing a reduced quality of life (QOL) due to their auditory problems (see sidebar, “A Common Scenario”). When these individuals seek help from audiologists, they are often informed that their hearing thresholds are WNL and are subsequently counseled about advantages that can be derived from better lighting, use of visual redundancy, sitting closer to the person speaking,...
The Journal of practical nursing, 1973
Otology & Neurotology, 2008
Journal of Speech and Hearing Research, 1972
Acoustic clicks at 9.6/sec were presented monaurally at nine sensation levels (SL) from −10 to 70... more Acoustic clicks at 9.6/sec were presented monaurally at nine sensation levels (SL) from −10 to 70 dB to 24 normal-hearing young adults. Each subject participated in two experimental sessions in whi...
Ear and Hearing, 1992
The use of FM systems as primary amplification for children with severe and profound hearing loss... more The use of FM systems as primary amplification for children with severe and profound hearing loss is discussed. The FM advantage for improving speech perception and for reducing the detrimental effects of distance, noise, and reverberation is described. Both hypothetical and actual cases are used to demonstrate the FM advantage. An evaluation method for selecting an appropriate FM system is described.
International journal of pediatric otorhinolaryngology, 2009
With more children receiving cochlear implants during infancy, there is a need for validated asse... more With more children receiving cochlear implants during infancy, there is a need for validated assessments of pre-verbal and early verbal auditory skills. The LittlEARS Auditory Questionnaire is presented here as the first module of the LittlEARS test battery. The LittlEARS Auditory Questionnaire was developed and piloted to assess the auditory behaviour of normal hearing children and hearing impaired children who receive a cochlear implant or hearing aid prior to 24 months of age. This paper presents results from two studies: one validating the LittlEARS Auditory Questionnaire on children with normal hearing who are German speaking and a second validating the norm curves found after adaptation and administration of the questionnaire to children with normal hearing in 15 different languages. Scores from a group of 218 German and Austrian children with normal hearing between 5 days and 24 months of age were used to create a norm curve. The questionnaire was adapted from the German orig...
e-Learning
... Tom Begley, Rayovac 9/18/2006 Sound Therapy Option Profile (STOP): A Tool for Selecting Devic... more ... Tom Begley, Rayovac 9/18/2006 Sound Therapy Option Profile (STOP): A Tool for Selecting Devices Used in Tinnitus Treatment Craig W. Newman, Ph.D. & Sharon A. Sandridge, Ph.D., Cleveland Clinic, Cleveland, OH, Audiology Online Contributing Editors ??? Adult ...
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 1999
Otitis media with effusion is among the most common illnesses of childhood and is often associate... more Otitis media with effusion is among the most common illnesses of childhood and is often associated with chronic or persistent middle ear effusion (MEE). Our goal was to develop and validate a self-administered parent survey that would identify children at high risk for mild hearing loss caused by MEE. We evaluated 115 children. Parents rated their child's hearing using the HL-7, a 7-item self-administered survey, and a global visual-analog scale. Static admittance and gradient were recorded. Test-retest reliability, internal consistency, and validity of the HL-7 were compared with the 4-frequency pure-tone average (PTA) hearing level (HL) for the better hearing ear. The HL-7 had good test-retest reliability and internal consistency. Survey scores correlated well with the global hearing rating (R = 0.67, P < 0.001) but did not correlate with PTA (R = 0.10, P = 0.29). Tympanometric gradient was unrelated to ear-specific PTA, but not abnormal static admittance (<0.2 cc), whic...
Otolaryngology - Head and Neck Surgery, 1995
New England Journal of Medicine, 2001
... RONALD A. HOFFMAN, MD JANE R. MADELL, PH.D. Beth Israel Medical Center New York, NY 10003 rho... more ... RONALD A. HOFFMAN, MD JANE R. MADELL, PH.D. Beth Israel Medical Center New York, NY 10003 rhoffman@bethisraelny.org ... Chadds Ford, Pa.: Endo Pharmaceuticals, September 1999. 2. Montejo Rosas G, Bruera E. Palliative care in Mexico. ...
Journal of Communication Disorders, 1978
The importance of the selection of proper amplification for the hearing impaired child is discuss... more The importance of the selection of proper amplification for the hearing impaired child is discussed including goals of amplification, specific methods of choosing amplification, and test procedures including speech audiometry. Evaluation controversies discussed include: monaural versus binaural amplification; body worn versus post auricular hearing aids; maximum output; and special hearing aid modifications.
Ear and Hearing, 1984
Fabricating feedback-free earmolds has become an increasingly critical problem as more powerful h... more Fabricating feedback-free earmolds has become an increasingly critical problem as more powerful hearing aids become commonplace. Current earmold impression materials and techniques may be contributing to the problem. This paper evaluates current earmold materials and techniques and makes suggestions for modifications in current procedures to reduce or eliminate feedback.
Archives of Otolaryngology–Head & Neck Surgery, 1998
To determine the accuracy of parent assessment of child hearing. Prospective study. Hospital-base... more To determine the accuracy of parent assessment of child hearing. Prospective study. Hospital-based pediatric otolaryngology practice in a metropolitan area. One hundred eighty-six children aged 6 months to 12 years (median age, 3.4 years) with chronic otitis media with effusion or recurrent acute otitis media enrolled in a quality-of-life study. Parents rated their child's hearing over the prior 4 weeks using a 7-point response scale. Otoscopic findings, static admittance, tympanometric width, and audiometric thresholds were recorded concurrently. Fifty children were reassessed to monitor changes in hearing. Correlation of parent hearing assessments with baseline hearing status (pure tone average for the better hearing ear) and with changes in hearing status. The hearing loss questions had good test-retest reliability (R=0.79) but did not correlate with audiometric results (R=-0.13; P=.09). Only when caregivers reported hearing to be an "extreme problem" were median hearing levels (31 dB) significantly greater than the median response (20 dB). Conversely, static admittance and tympanometric gradient were significant predictors of hearing levels (2-way analysis of variance, P<.01) and explained 44% of the ear-specific variations. Abnormal immittance measures in both ears had an 84% predictive value for hearing loss (20-dB hearing level or poorer), and normal immittance measures in both ears had a 76% predictive value for normal hearing. Caregiver assessments of change in hearing status did not correlate with changes in audiometric results (R=0.07; P=.65). Caregiver assessments of child hearing do not accurately predict hearing levels or changes in hearing status. Immittance measures can help identify children at low or high risk for hearing loss, but cannot substitute for audiometry.
Archives of Otolaryngology - Head and Neck Surgery, 1991
Younger siblings of children with sensorineural hearing loss of possible hereditary cause underwe... more Younger siblings of children with sensorineural hearing loss of possible hereditary cause underwent interval audiologic examination. Seven siblings (in unrelated families) were found to have progressive sensorineural hearing loss despite early audiograms documenting normal hearing levels for age. Continued testing of these children allowed for early identification and intervention. We advocate regular otolaryngologic and audiologic follow-up even after normal audiologic assessments are made for younger siblings of children with documented sensorineural hearing loss, unless a definite nongenetic origin of the hearing loss in the older child is known. Recessive sensorineural hearing loss with onset in infancy or childhood may present with no antecedent family history and with normal behavioral audiograms early in life.
Archives of Otolaryngology - Head and Neck Surgery, 1975
Forty children, aged 9 to 16 years, with severe and profound sensorineural hearing loss received ... more Forty children, aged 9 to 16 years, with severe and profound sensorineural hearing loss received acupuncture five times weekly for three out of four weeks for a period of six months. The children had weekly audiometric evaluations. There were no clinically important differences during and post acupuncture.
Otology & Neurotology, 2008
During the past three decades, unilateral cochlear implantation (CI) has been established as an a... more During the past three decades, unilateral cochlear implantation (CI) has been established as an accepted medical treatment for selected individuals with advanced degrees of sensorineural hearing loss. More recently, a growing number of patients have received bilateral CI, and a developing body of literature has demonstrated a significant additional benefit from 2 implants. In turn, this has generated increasing public interest in bilateral CI. Naturally, third-party payers and governmental agencies have sought evidence to justify bilateral CI. In response, the William House Cochlear Implant Study Group (CISG) critically examined putative additional benefits of bilateral implantation.
Approximately 38 million people in the United States have hearing loss.1 The inability to underst... more Approximately 38 million people in the United States have hearing loss.1 The inability to understand speechin-noise (SIN) is one of the main complaints of people with untreated sensorineural hearing loss (SNHL), as well as many people who wear traditional hearing aids.2 It is also estimated that an additional 26 million American adults possess hearing thresholds within the range of normal limits (WNL), but they, too, complain of hearing difficulty (HD) and SIN problems, as will be reviewed below. These additional 26 million adults with HD and/or SIN problems (ie, suprathreshold auditory deficits) often report experiencing a reduced quality of life (QOL) due to their auditory problems (see sidebar, “A Common Scenario”). When these individuals seek help from audiologists, they are often informed that their hearing thresholds are WNL and are subsequently counseled about advantages that can be derived from better lighting, use of visual redundancy, sitting closer to the person speaking,...
The Journal of practical nursing, 1973
Otology & Neurotology, 2008
Journal of Speech and Hearing Research, 1972
Acoustic clicks at 9.6/sec were presented monaurally at nine sensation levels (SL) from −10 to 70... more Acoustic clicks at 9.6/sec were presented monaurally at nine sensation levels (SL) from −10 to 70 dB to 24 normal-hearing young adults. Each subject participated in two experimental sessions in whi...
Ear and Hearing, 1992
The use of FM systems as primary amplification for children with severe and profound hearing loss... more The use of FM systems as primary amplification for children with severe and profound hearing loss is discussed. The FM advantage for improving speech perception and for reducing the detrimental effects of distance, noise, and reverberation is described. Both hypothetical and actual cases are used to demonstrate the FM advantage. An evaluation method for selecting an appropriate FM system is described.
International journal of pediatric otorhinolaryngology, 2009
With more children receiving cochlear implants during infancy, there is a need for validated asse... more With more children receiving cochlear implants during infancy, there is a need for validated assessments of pre-verbal and early verbal auditory skills. The LittlEARS Auditory Questionnaire is presented here as the first module of the LittlEARS test battery. The LittlEARS Auditory Questionnaire was developed and piloted to assess the auditory behaviour of normal hearing children and hearing impaired children who receive a cochlear implant or hearing aid prior to 24 months of age. This paper presents results from two studies: one validating the LittlEARS Auditory Questionnaire on children with normal hearing who are German speaking and a second validating the norm curves found after adaptation and administration of the questionnaire to children with normal hearing in 15 different languages. Scores from a group of 218 German and Austrian children with normal hearing between 5 days and 24 months of age were used to create a norm curve. The questionnaire was adapted from the German orig...
e-Learning
... Tom Begley, Rayovac 9/18/2006 Sound Therapy Option Profile (STOP): A Tool for Selecting Devic... more ... Tom Begley, Rayovac 9/18/2006 Sound Therapy Option Profile (STOP): A Tool for Selecting Devices Used in Tinnitus Treatment Craig W. Newman, Ph.D. &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; Sharon A. Sandridge, Ph.D., Cleveland Clinic, Cleveland, OH, Audiology Online Contributing Editors ??? Adult ...
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 1999
Otitis media with effusion is among the most common illnesses of childhood and is often associate... more Otitis media with effusion is among the most common illnesses of childhood and is often associated with chronic or persistent middle ear effusion (MEE). Our goal was to develop and validate a self-administered parent survey that would identify children at high risk for mild hearing loss caused by MEE. We evaluated 115 children. Parents rated their child's hearing using the HL-7, a 7-item self-administered survey, and a global visual-analog scale. Static admittance and gradient were recorded. Test-retest reliability, internal consistency, and validity of the HL-7 were compared with the 4-frequency pure-tone average (PTA) hearing level (HL) for the better hearing ear. The HL-7 had good test-retest reliability and internal consistency. Survey scores correlated well with the global hearing rating (R = 0.67, P < 0.001) but did not correlate with PTA (R = 0.10, P = 0.29). Tympanometric gradient was unrelated to ear-specific PTA, but not abnormal static admittance (<0.2 cc), whic...
Otolaryngology - Head and Neck Surgery, 1995
New England Journal of Medicine, 2001
... RONALD A. HOFFMAN, MD JANE R. MADELL, PH.D. Beth Israel Medical Center New York, NY 10003 rho... more ... RONALD A. HOFFMAN, MD JANE R. MADELL, PH.D. Beth Israel Medical Center New York, NY 10003 rhoffman@bethisraelny.org ... Chadds Ford, Pa.: Endo Pharmaceuticals, September 1999. 2. Montejo Rosas G, Bruera E. Palliative care in Mexico. ...
Journal of Communication Disorders, 1978
The importance of the selection of proper amplification for the hearing impaired child is discuss... more The importance of the selection of proper amplification for the hearing impaired child is discussed including goals of amplification, specific methods of choosing amplification, and test procedures including speech audiometry. Evaluation controversies discussed include: monaural versus binaural amplification; body worn versus post auricular hearing aids; maximum output; and special hearing aid modifications.
Ear and Hearing, 1984
Fabricating feedback-free earmolds has become an increasingly critical problem as more powerful h... more Fabricating feedback-free earmolds has become an increasingly critical problem as more powerful hearing aids become commonplace. Current earmold impression materials and techniques may be contributing to the problem. This paper evaluates current earmold materials and techniques and makes suggestions for modifications in current procedures to reduce or eliminate feedback.
Archives of Otolaryngology–Head & Neck Surgery, 1998
To determine the accuracy of parent assessment of child hearing. Prospective study. Hospital-base... more To determine the accuracy of parent assessment of child hearing. Prospective study. Hospital-based pediatric otolaryngology practice in a metropolitan area. One hundred eighty-six children aged 6 months to 12 years (median age, 3.4 years) with chronic otitis media with effusion or recurrent acute otitis media enrolled in a quality-of-life study. Parents rated their child's hearing over the prior 4 weeks using a 7-point response scale. Otoscopic findings, static admittance, tympanometric width, and audiometric thresholds were recorded concurrently. Fifty children were reassessed to monitor changes in hearing. Correlation of parent hearing assessments with baseline hearing status (pure tone average for the better hearing ear) and with changes in hearing status. The hearing loss questions had good test-retest reliability (R=0.79) but did not correlate with audiometric results (R=-0.13; P=.09). Only when caregivers reported hearing to be an "extreme problem" were median hearing levels (31 dB) significantly greater than the median response (20 dB). Conversely, static admittance and tympanometric gradient were significant predictors of hearing levels (2-way analysis of variance, P<.01) and explained 44% of the ear-specific variations. Abnormal immittance measures in both ears had an 84% predictive value for hearing loss (20-dB hearing level or poorer), and normal immittance measures in both ears had a 76% predictive value for normal hearing. Caregiver assessments of change in hearing status did not correlate with changes in audiometric results (R=0.07; P=.65). Caregiver assessments of child hearing do not accurately predict hearing levels or changes in hearing status. Immittance measures can help identify children at low or high risk for hearing loss, but cannot substitute for audiometry.
Archives of Otolaryngology - Head and Neck Surgery, 1991
Younger siblings of children with sensorineural hearing loss of possible hereditary cause underwe... more Younger siblings of children with sensorineural hearing loss of possible hereditary cause underwent interval audiologic examination. Seven siblings (in unrelated families) were found to have progressive sensorineural hearing loss despite early audiograms documenting normal hearing levels for age. Continued testing of these children allowed for early identification and intervention. We advocate regular otolaryngologic and audiologic follow-up even after normal audiologic assessments are made for younger siblings of children with documented sensorineural hearing loss, unless a definite nongenetic origin of the hearing loss in the older child is known. Recessive sensorineural hearing loss with onset in infancy or childhood may present with no antecedent family history and with normal behavioral audiograms early in life.
Archives of Otolaryngology - Head and Neck Surgery, 1975
Forty children, aged 9 to 16 years, with severe and profound sensorineural hearing loss received ... more Forty children, aged 9 to 16 years, with severe and profound sensorineural hearing loss received acupuncture five times weekly for three out of four weeks for a period of six months. The children had weekly audiometric evaluations. There were no clinically important differences during and post acupuncture.
Otology & Neurotology, 2008
During the past three decades, unilateral cochlear implantation (CI) has been established as an a... more During the past three decades, unilateral cochlear implantation (CI) has been established as an accepted medical treatment for selected individuals with advanced degrees of sensorineural hearing loss. More recently, a growing number of patients have received bilateral CI, and a developing body of literature has demonstrated a significant additional benefit from 2 implants. In turn, this has generated increasing public interest in bilateral CI. Naturally, third-party payers and governmental agencies have sought evidence to justify bilateral CI. In response, the William House Cochlear Implant Study Group (CISG) critically examined putative additional benefits of bilateral implantation.