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Tuesday, December 21, 2010

Disadvantages of Hearing aids

In the canal hearing aids: This is used for mild to moderately severe deafness.
Adv: It has the same advantage as of in the ear hearing aid. It is even less visible and more cosmetically pleasing.
Disadv: Even smaller than the in the ear Hearing aids requires good manual dexterity.

A hearing aid generally must be cared carefully. The user should know how to care and what to do if it fails. He should also have spare parts readily available.

Common medical problems among hearing aid users are otitis externa and pressure ulcers in the external auditory canal or meatus.

Other hearing aid problems includes
1. whistling noise,
2. loose ear mold which are improperly worn or made or worn out,
3. improper aid selection requiring too much power to seperate between microphone and reciever,
4. inadequate amplification,
5. pain from mold.

There are other Hearing aids which are implanted postauricularly under the skin into the skull and an external device is worn above the ear which transmits the sound through the skin.Eg: cochlear implants which are done for patients with little or no hearing. It has to meet all the consequence as of other surgeries including finance.
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Saturday, December 18, 2010

Open fit devices Hearing aids

Open-fit" or "Over-the-Ear" OTE Hearing aids are small behind-the-ear type devices. This type is characterized by a small plastic case behind the ear, and a very fine clear tube running into the ear canal. Inside the ear canal, a small soft silicone dome or a molded, highlyvented acrylic tip holds the tube in place. This design is intended to reduce the occlusion effect. Conversely, because of the increased possibility of feedback, and because an open fit allows low frequency sounds to leak out of the ear canal, they are limited to moderately severe high frequency losses. Whilst the design approach is attractive to a general hearing aid user where they fall into the category to be considered fitted with one of these types of hearing instruments it has to be taken into account that Open-fit devices can by their design have problems when connected to Assistive Listening Devices (ALD's). This is due to the open-ear effect and that the user would hear Low Frequency sounds normally via no Occlusion whilst the hearing aid filters and provides the high frequencies. When a ALD's such as a Wireless FM system are provided to help a hearing aid user to hear over a distance in some cases only the high frequencies are provided to the user and the Low frequencies are lost over distance. This can easily be verified by taking different open ear Hearing aids and measuring their Output Frequency Response using a hearing aid Analyzer and then comparing the output when connected to ALD device and observing if any considered Gain in Low Frequency has been provided
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Friday, December 17, 2010

Extended wear hearing aids

Extended wear Hearing aids are hearing devices that are non-surgically placed in the ear canal by a hearing professional. The extended wear hearing aid represents the first "invisible" hearing device. The concept was invented by Adnan Shennib. These devices are worn for 1–3 months at a time without removal. They are made of soft material designed to contour to each user and can be used by people with mild to moderately severe hearing loss. They work by directing sound into the ear canal from the outer ear. Their close proximity to the ear drum results in improved sound directionality and localization, reduced feedback, and improved high frequency gain.While traditional BTE or ITC hearing aids require daily insertion and removal, extended wear Hearing aids are worn continuously and then replaced with a new device. Users can change volume and settings without the aid of a hearing professional. The devices are very useful for active individuals because their design protects against moisture and earwax and can be worn while exercising, showering, etc. Because the device’s placement within the ear canal makes them invisible to observers, extended wear hearing aids are popular with those who are self-conscious about the aesthetics of BTE or ITC hearing aid models. As with other hearing devices, compatibility is based on an individual’s hearing loss, ear size and shape, medical conditions, and lifestyle. The disadvantages include regular removal and reinsertion of the device when the battery dies, inability to go underwater, earplugs when showering, and for some discomfort with the fit since it is inserted deeply in the ear canal in the only part of the body where skin rests directly on top of bone.

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Thursday, December 16, 2010

Disposable hearing aids

Disposable Hearing aids are hearing aids that have a non-replaceable battery. These aids are designed to use power sparingly, so that the battery lasts longer than batteries used in traditional hearing aids. Disposable hearing aids are meant to remove the task of battery replacement and other maintenance chores (adjustment or cleanings). To date, two companies have brought disposable hearing aids to market: Songbird Hearing and Lyric. Both are digital, but are used in very different ways by the consumer. Songbird is a BTE Hearing aids that is bought online and worn like any other BTE device. When it runs out, the user replaces it with a new one. Lyric is implanted deep in the ear canal by a professional. When it runs out, it must be removed and replaced with a new one by a professional.
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Wednesday, December 15, 2010

Digital hearing aids Technology

Digital audio/Programmable control: Both the audio circuit and the additional control circuits are fully digital. The hearing professional programs the hearing aid with an external computer temporarily connected to the device and can adjust all processing characteristics on an individual basis. Fully digital circuitry allows implementation of many additional features not possible with analog circuitry, can be used in all styles of Hearing aids and is the most flexible. Fully digital hearing aids can be programmed with multiple programs that can be invoked by the wearer, or that operate automatically and adaptively. These programs reduce acoustic feedback (whistling), reduce background noise, detect and automatically accommodate different listening environments (loud vs soft, speech vs music, quiet vs noisy, etc.), control additional components such as multiple microphones to improve spatial hearing, transpose frequencies (shift high frequencies that a wearer may not hear to lower frequency regions where hearing may be better), and implement many other features.

Fully digital circuitry also allows control over wireless transmission capability for both the audio and the control circuitry. Control signals in a hearing aid on one ear can be sent wirelessly to the control circuitry in the hearing aid on the opposite ear to ensure that the audio in both ears is either matched directly or that the audio contains intentional differences that mimic the differences in normal binaural hearing to preserve spatial hearing ability.

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Tuesday, December 14, 2010

Hearing aids Technology

             Hearing aid
hearing aids technology includes the working of a digital hearing aid. I let us know how the modern hearing aids are being used these days by the deaf people or the people with the hearing impairment. Hearing aids are mostly comes with a small device that is wireless as well it is much safe as compared to the old hearing aids.

Wireless hearing aids

Recent hearing aids include wireless hearing aids. One hearing aid can transmit to the other side so that pressing one aid's program button simultaneously changes the other aid and both aids change background settings simultaneously. FM listening systems are now emerging with wireless receivers integrated with the use of Hearing aids. A separate wireless microphone can be given to a partner to wear in a restaurant, in the car, during leisure time, in the shopping mall, at lectures, or during religious services. The voice is transmitted wirelessly to the Hearing aids eliminating the effects of distance and background noise. FM systems have shown to give the best speech understanding in noise of all available technologies. FM systems can also be hooked up to a TV or a stereo.

In developed countries FM systems are considered a cornerstone in the treatment of hearing loss in children. More and more adults discover the benefits of wireless FM systems as well, especially since transmitters with different microphone settings and Bluetooth for wireless cell phone communication have become available.
Many theaters and lecture halls are now equipped with assistive listening systems that transmit the sound directly from the stage; audience members can borrow suitable receivers and hear the program without background noise. In some theatres and churches FM transmitters are available that work with the personal FM receivers of hearing instruments.

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Monday, December 13, 2010

Hearing aids Processing


Analog audio/Adjustable control: The audio circuit is analog with electronic components that can be adjusted. The hearing professional determines the gain and other specifications required for the wearer, and then adjusts the analog components either with small controls on the hearing aid itself or by having a laboratory build the hearing aid to meet those specifications. After the adjustment the resulting the audio does not change any further, other than overall loudness that the wearer adjusts with a volume control. This type of circuitry is generally the least flexible. The first practical electronic hearing aid with adjustable analog audio circuitry was based on US Patent 2,017,358, "Hearing Aid Apparatus and Amplifier" by Samual Gordon Taylor, filed in 1932.

·      Analog audio/Programmable control: The audio circuit is analog but with additional electronic control circuitry that can be programmed, sometimes with more than one program. The electronic control circuitry can be fixed during manufacturing or in some cases, the hearing professional can use an external computer temporarily connected to the hearing aid to program the additional control circuitry. The wearer can change the program for different listening environments by pressing buttons either on the device itself or on a remote control or in some cases the additional control circuitry operates automatically. This type of circuitry is generally more flexible than simple adjustable controls. The first hearing aid with analog audio circuitry and automatic digital electronic control circuitry was based on US Patent 4,025,721, "Method of and means for adaptively filtering near-stationary noise from speech" by D Graupe, GD Causey, filed in 1975. This digital electronic control circuitry was used to identify and automatically reduce noise in individual frequency channels of the analog audio circuits and was known as the Zeta Noise Blocker.

·      Digital audio/Programmable control: Both the audio circuit and the additional control circuits are fully digital. The hearing professional programs the hearing aid with an external computer temporarily connected to the device and can adjust all processing characteristics on an individual basis. Fully digital circuitry allows implementation of many additional features not possible with analog circuitry, can be used in all styles of hearing aids and is the most flexible. Fully digital Hearing aids can be programmed with multiple programs that can be invoked by the wearer, or that operate automatically and adaptively. These programs reduce acoustic feedback (whistling), reduce background noise, detect and automatically accommodate different listening environments (loud vs soft, speech vs music, quiet vs noisy, etc.), control additional components such as multiple microphones to improve spatial hearing, transpose frequencies (shift high frequencies that a wearer may not hear to lower frequency regions where hearing may be better), and implement many other features. Fully digital circuitry also allows control over wireless transmission capability for both the audio and the control circuitry. Control signals in a hearing aid on one ear can be sent wirelessly to the control circuitry in the hearing aid on the opposite ear to ensure that the audio in both ears is either matched directly or that the audio contains intentional differences that mimic the differences in normal binaural hearing to preserve spatial hearing ability. Audio signals can be sent wirelessly to and from external devices through a separate module, often a small device worn like a pendant and commonly called a “streamer”, that allows wireless connection to yet other external devices. This capability allows optimal use of mobile telephones, personal music players, remote microphones and other devices. With the addition of speech recognition and internet capability in the mobile phone, the wearer has optimal communication ability in many more situations than with hearing aids alone. This growing list includes voice activated dialing, voice activated software applications either on the phone or on the internet, receipt of audio signals from databases on the phone or on internet, or audio signals from television sets or from global positioning systems. The first practical, wearable, fully digital hearing aid was invented by Maynard Engebretson, Robert E Morley, Jr. and Gerald R Popelka.Their work resulted in US Patent 4,548,082, "Hearing aids, signal supplying apparatus, systems for compensating hearing deficiencies, and methods" by A Maynard Engebretson, Robert E Morley, Jr. and Gerald R Popelka, filed in 1984. This patent formed the basis of all subsequent fully digital Hearing aids from all manufacturers, including those produced currently.

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Saturday, December 11, 2010

Types of disability

Types of disability
Disability is caused by impairments to various subsystems of the body - these can be broadly sorted into the following categories.

Physical disability
Any impairment which limits the physical function of limbs or fine or gross motor ability is a physical disability. Other physical disabilities include impairments which limit other facets of daily living, such as severe sleep apnea. Handicap products are being used over to reduce this type of disability

Sensory disability
Sensory disabilities relate mainly to sight and hearing. The inability to smell or taste is relatively rarer and is not always considerered to be a disability. Other sensory impairments such as of the skin senses, the sensing of touch, heat, cold or pain also exist and are commonly associated with physical disabilities involving paralysis.

Visual impairment
Visual impairment (or vision impairment) is vision loss (of a person) to such a degree as to qualify as an additional support need through a significant limitation of visual capability resulting from either disease, trauma, or congenital or degenerative conditions that cannot be corrected by conventional means, such as refractive correction, medication, or surgery.[2][3][4] This functional loss of vision is typically defined to manifest with
1.            best corrected visual acuity of less than 20/60, or significant central field defect,
2.            significant peripheral field defect including homonymous or heteronymous bilateral visual, field defect or generalized contraction or constriction of field, or
3.            reduced peak contrast sensitivity with either of the above conditions.

Hearing impairment
Hearing impairment or hard of hearing or deafness refers to conditions in which individuals are fully or partially unable to detect or perceive at least some frequencies of sound which can typically be heard by most people. Mild hearing loss may sometimes not be considered a disability. Some Hearing aids are used to makes you hearing properly

Olfactory and gustatory impairment
Impairment of the sense of smell and taste are commonly associated with aging but can also occur in younger people due to a wide variety of causes.
There are a wide variety of olfactory disorders:
o   Anosmia – inability to smell
o   Dysosmia – things smell different than they should
o   Hyperosmia – an abnormally acute sense of smell.
o   Hyposmia – decreased ability to smell
o   Olfactory Reference Syndrome – psychological disorder which causes the patient to imagine he has strong body odor
o   Parosmia – things smell worse than they should
o   Phantosmia – "hallucinated smell," often unpleasant in nature
Complete loss of the sense of taste is known as ageusia, while dysgeusia is persistent abnormal sense of taste.

Somatosensory impairment
Insensitivity to stimuli such as touch, heat, cold, and pain are often an adjunct to a more general physical impairment involving neural pathways and is very commonly associated with paralysis (in which the motor neural circuits are also affected).

Balance disorder
A balance disorder is a disturbance that causes an individual to feel unsteady, for example when standing or walking. It may be accompanied by symptoms of being giddy, woozy, or have a sensation of movement, spinning, or floating. Balance is the result of several body systems working together. The eyes (visual system), ears (vestibular system) and the body's sense of where it is in space (proprioception) need to be intact. The brain, which compiles this information, needs to be functioning effectively.

Intellectual disability
Intellectual disability is a broad concept that ranges from mental retardation to cognitive deficits too mild or too specific (as in specific learning disability) to qualify as mental retardation. Intellectual disabilities may appear at any age. Mental retardation is a subtype of intellectual disability, and the term intellectual disability is now preferred by many advocates in most English-speaking countries as aeuphemism for mental retardation.

Mental health and emotional disabilities
A mental disorder or mental illness is a psychological or behavioral pattern generally associated with subjective distress or disability that occurs in an individual, and which are not a part of normal development or culture. The recognition and understanding of mental health conditions has changed over time and across cultures, and there are still variations in the definition, assessment, and classification of mental disorders, although standard guideline criteria are widely accepted.

Developmental disability
Developmental disability is any disability that results in problems with growth and development. Although the term is often used as a synonym or euphemism for intellectual disability, the term also encompasses many congenital medical conditions that have no mental or intellectual components, for example spina bifida.


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Thursday, December 9, 2010

what is Handicap principle

The handicap principle is a hypothesis originally proposed in 1975 by biologist Amotz Zahavi to explain how evolution may lead to "honest" or reliable signaling between animals who have an obvious motivation to bluff or deceive each other. The handicap principle suggests that reliable signals must be costly to the signaler, costing the signaler something that could not be afforded by an individual with less of a particular trait. For example, in the case of sexual selection, the theory suggests that animals of greater biological fitness signal this status through handicapping behavior or morphology that effectively lowers this quality. The central idea is thatsexually selected traits function like conspicuous consumption, signalling the ability to afford to squander a resource simply by squandering it. Receivers know that the signal indicates quality because inferior quality signallers cannot afford to produce such wastefully extravagant signals.
The generality of the phenomenon is the matter of some debate and disagreement, and Zahavi's views on the scope and importance of handicaps in biology remain outside the mainstream. Nevertheless, the idea has been very influential, with most researchers in the field believing that the theory explains some aspects of animal communication.

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Wednesday, December 8, 2010

Mental health and emotional disabilities

A mental disorder or mental illness is a psychological or behavioral pattern generally associated with subjective distress or disability that occurs in an individual, and which are not a part of normal development or culture. The recognition and understanding of mental health conditions has changed over time and across cultures, and there are still variations in the definition, assessment, and classification of mental disorders, although standard guideline criteria are widely accepted.

A few mental disorders are diagnosed based on the harm to others, regardless of the subject's perception of distress. Over a third of people in most countries report meeting criteria for the major categories at some point in their lives.

The causes are often explained in terms of a diathesis-stress model or biopsychosocial model. In biological psychiatry, mental disorders are conceptualized as disorders of brain circuits likely caused by developmental processes shaped by a complex interplay of genetics and experience. We can used Hearing aids for some having disability in ears.

Diagnosis

Many mental health professionals, particularly psychiatrists, seek to diagnose individuals by ascertaining their particular mental disorder. Some professionals, for example some clinical psychologists, may avoid diagnosis in favor of other assessment methods such as formulation of a client's difficulties and circumstances.The majority of mental health problems are actually assessed and treated by family physicians during consultations, who may refer on for more specialist diagnosis in acute or chronic cases. Routine diagnostic practice in mental health services typically involves an interview (which may be referred to as a mental status examination), where judgments are made of the interviewee's appearance and behavior, self-reported symptoms, mental health history, and current life circumstances. The views of relatives or other third parties may be taken into account. A physical examination to check for ill health or the effects of medications or other drugs may be conducted. Psychological testing is sometimes used via paper-and-pen or computerized questionnaires, which may include algorithms based on ticking off standardized diagnostic criteria, and in rare specialist cases neuroimaging tests may be requested, but these methods are more commonly found in research studies than routine clinical practice.Time and budgetary constraints often limit practicing psychiatrists from conducting more thorough diagnostic evaluations.It has been found that most clinicians evaluate patients using an unstructured, open-ended approach, with limited training in evidence-based assessment methods, and that inaccurate diagnosis may be common in routine practice Mental illness involving hallucinations or delusions (especially schizophrenia) are prone to misdiagnosis in developing countries due to the presence of psychotic symptoms instigated by nutritional deficiencies. Co morbidity is very common in psychiatric diagnoses, i.e. the same person given a diagnosis in more than one category of disorder.

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Tuesday, December 7, 2010

Handicap Needs


There are many organizations in the world and in the State of Arizona as well as in India that are set up specifically to assist people that are handicapped, disabled or have special needs.

NHS Wheelchair Service
NHS Wheelchair Services are run by local health authorities. They are responsible for allocating funds to the Wheelchair Service and Primary Care Trusts who are responsible for providing the service itself.

It is important to note that the way services are organised and provided varies between locations. This includes the 'eligibility criteria' used to decide what type of wheelchair - if any - to provide, how soon to provide it, and the way in which wheelchairs are funded. The basic process is as follows:
  • you are referred to a local NHS Wheelchair Service
  • an assessment of your needs takes place
  • timescales and funding options are discussed
  • the wheelchair, and training in its use, is provided
  • a maintenance and repair plan is arranged
Wheelchairs can be manual or powered and may be provided with accessories such as cushions, armrests and trays.

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Monday, December 6, 2010

free handicapped organizations in india












The Spastics Society of India is India’s most noted non-profit and a Non-governmental organization(NGO), working for Neuro-Muscular and Developmental Disabilities. Started in 1972, to provide education and treatment services for the spastics (children suffering from cerebral palsy)
Today it has broadened its scope to include programs on teacher training, vocational training of young adults with Cerebral Palsy, Autism, Mental Retardation, handicap products, Multiple Disabilities and Learning Disabilities. It also works in the field of advocacy and awareness and offers support to parents and other professionals. It has led to the formation of independent Spastic societies in 16 states in India. In 1999, it established the ‘National Resource Centre for Inclusion (NRCI), in Mumbai, to include disabled children from special schools into normal schools.

History

In 1966, when daughter Malini, was diagnosed with cerebral palsy, Mithu Alur found no proper schools for children with disabilities. So in 1968, she got trained as a teacher in the field of Special Education at the Institute of Education (IOE), University of London. Back home, she wanted to open a school in Mumbai, and she contacted the then Prime Minister of India, Indira Gandhi. Indira Gandhi asked her to get in touch with actress, Nargis Dutt. Nargis Dutt became the first patron of ‘The Spastics Society of India’ (SSI), which formally started on October 2, 1972
Later the first ever special school in India for children with cerebral palsy, “Centre for Special education” was set up at Colaba on October 2, 1973, providing education and treatment facilities under one roof. It commenced with just three children — Malini (Mithu Alur’s daughter), Farhan and Imtiaz. Nargis Dutt, remained its lifelong patron. After her death in 1981, her mantle was taken up by her husband, Sunil Dutt.
Today, SSI Mumbai, runs centres in Colaba, Dharavi, Bandra and Chembur. SSI has spread its services in 16 states, and in cities like, Kolkata, Delhi (1978), Bangalore, Chennai, Allahabad, Dayalpur, Puneand Cochin, where it runs special schools for children with disabilities, and offers Wheelchairs, hearing aids as well vocational training and help for finding suitable jobs to the students, through rehabilitation, communication and speech therapy, counseling, parent training and support programs. Certificate and diploma courses are conducted for special educators, basic developmental therapists and community rehabilitators.
In 1987, the SSI received the National Award for the “Best Voluntary Agency” from the Government of India, and later in 1989, Mithu Alur was herself awarded the Padma Shri.


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Saturday, December 4, 2010

Total handicapped population in india


  

Total disabled population in india


Total disabled population
S No.
State / UT
Persons
Males
Females





1
India
21,906,769
12,605,635
9,301,134





2
Andaman & Nicobar Islands
7,057
4,226
2,831
3
Andhra Pradesh
1,364,981
773,971
591,010
4
Arunachal Pradesh
33,315
22,175
11,140
5
Assam
530,300
297,516
232,784
6
Bihar
1,887,611
1,131,526
756,085





7
Chandigarh
15,538
9,538
6,000
8
Chhattisgarh
419,887
231,768
188,119
9
Dadra & Nagar Haveli
4,048
2,329
1,719
10
Daman & Diu
3,171
1,779
1,392
11
Delhi
235,886
144,872
91,014





12
Goa
15,749
8,889
6,860
13
Gujarat
1,045,465
604,964
440,501
14
Haryana
455,040
273,837
181,203
15
Himachal Pradesh
155,950
90,444
65,506
16
Jammu & Kashmir
302,670
171,816
130,854





17
Jharkhand
448,377
264,229
184,148
18
Karnataka
940,643
537,730
402,913
19
Kerala
860,794
458,350
402,444
20
Lakshadweep
1,678
901
777
21
Madhya Pradesh
1,408,528
824,693
583,835





22
Maharashtra
1,569,582
933,867
635,715
23
Manipur
28,376
15,456
12,920
24
Meghalaya
28,803
15,317
13,486
25
Mizoram
16,011
8,763
7,248
26
Nagaland
26,499
14,541
11,958





27
Orissa
1,021,335
568,914
452,421
28
Pondicherry
25,857
14,765
11,092
29
Punjab
424,523
252,856
171,667
30
Rajasthan
1,411,979
840,650
571,329
31
Sikkim
20,367
11,409
8,958





32
Tamil Nadu
1,642,497
791,685
850,812
33
Tripura
58,940
33,461
25,479
34
Uttar Pradesh
3,453,369
2,076,504
1,376,865
35
Uttaranchal
194,769
113,209
81,560
36
West Bengal
1,847,174
1,058,685
788,489
 We are the unique and well renowned largest organisation for disabled people, we provides help on Wheelchairs, Hearing aids,  Tricycle, & Handicapped services from Indore and India.

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