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Objective: To assess the American Medical Association (AMA) guide to the evaluation of binaural hearing impairment (BHI) as a procedure for estimating severity of hearing loss from audiograms., Design: The BHIs of Australian war veterans were calculated from their hearing threshold levels (HTLs) and compared with their scores on a hearing questionnaire, the hearing measurement scale (HMS)., Study Sample: The HTLs of 282 Australian war veterans were measured at frequencies from 0.25 to 8 kHz and scores on the HMS were obtained from 154 of those veterans., Results: No grounds could be found for altering the frequencies included in the average HTL or the high fence of 92 dB HL used in calculating the monaural hearing impairments (MHIs) of the veterans, and no grounds could be found for altering the ratio of 5:1 used in determining the BHI from the MHIs of the better and worse ears. However, agreement between HMS score and BHI was improved by reducing the low fence used in calculating MHI from 25 to 15 dB HL., Conclusion: A modified version of BHI provided an improved procedure for estimating severity of hearing loss from audiograms but would not be suitable for compensation purposes.

Objective: This study examines the mental health and associated risk factors of children with hearing loss., Methods: A cross-sectional analysis of the impact of hearing loss among Australian children using data drawn from Wave 1 of the Longitudinal Study of Australian Children (2004) (LSACs) (n=4589). LSACs provides data which assesses family circumstances, children's hearing problems, chronic health conditions, social and emotional difficulties, communications disorders and language, motor skills and educational outcomes. Outcomes for children aged 4-5 years identified with hearing loss (n=93) were compared with 4,496 children without hearing loss., Results: Children with hearing loss showed elevated prevalence across most dimensions of emotional and behavioural difficulties, and on indicators of communication disorders, language and cognitive development, and motor skills. Reduced receptive language skills and increased difficulties understanding others were predictive of increased psychosocial difficulties in children with hearing problems., Conclusion: Australian children with hearing problems face multiple concurrent health and developmental problems. Moreover, children with hearing problems exhibit behavioural problems when they do not understand what is going on around them. Without appropriate interventions, these children are at risk of developing mental health disorders., Implications: An epidemiological study of hearing in children is indicated. Children with receptive hearing problems require access to amplification, communication training, and psychosocial support. Attention must also be given to building design to reduce physical barriers to hearing., (© 2011 The Authors. ANZJPH © 2011 Public Health Association of Australia.)

This article reports on the experiences of a group of deaf and hard-of-hearing alumni of Griffith University in south-east Queensland, Australia. Participants completed a survey answering questions about their communication patterns and preferences, working lives, career barriers or difficulties anticipated and encountered, and workplace accommodations used or sought. Results revealed a range of career barriers and workplace difficulties encountered by these participants, as well as solutions found and strategies used by them. Differences in employment sector, job-search activities, difficult workplace situations, and use of accommodations were noted between 2 groups: those who communicated primarily in Australian Sign Language and considered themselves to have a Deaf or bicultural identity and those who communicated primarily in spoken English and considered themselves to have a hearing identity. Implications for university services supporting deaf and hard-of-hearing students are outlined, and suggestions for further research are made.

Psychophysical studies were conducted on 10 cochlear implant patients, between 5 and 23 years of age at the time of surgery, who were deafened prior to 4 years of age. The multiple-electrode prosthesis manufactured by Cochlear Ltd. was used. Identification studies, the recognition of 2-4 stimuli after some training, were conducted on 3 of the 10 patients. For current level and repetition rate identification, performance was comparable to that observed for postlingual adult patients. For electrode position identification, however, performance was much poorer than that observed for postlingual adults. In general, the difference limens for current level, repetition rate and duration, and the gap detection thresholds were similar to those observed for postlingual adults. For 3 patients whose etiology was Usher's syndrome, the repetition rate limens at higher rates were larger than those of the other patients. The limens for electrode position, measured in a discrimination task, were 1-3 electrodes for most patients. However, for 3 patients, limens of 6-10 electrodes were recorded. For numerosity judgements, the counting of stimuli in a temporal series as a function of the rate of presentation, the patients were less successful at counting for rates of 3-8/s than for lower rates (1-2/s).