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01.06.2014

International tinnitus seminar 2015, cures for depression nhs - Review

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The 9th Annual International TRI Tinnitus Symposium will take place in Ann Arbor, Michigan. The British Tinnitus Association (BTA) is a world leader, with a trained team of friendly and experienced advisers for anyone who experiences tinnitus or those simply seeking guidance or information about the condition. Rosie Kentish writes: The XI International Tinnitus Seminar (ITS) was held in Berlin, and it was hot. The second two days were devoted to Co-morbidity and Clinical Management, with topics ranging from the conventional hearing aids and cochlear implants, to the more unconventional – medicinal leech therapy in patients with tinnitus. Hearing aids are often a first line of treatment for people with tinnitus, yet there is a lack of high quality evidence to guide clinical practice and support their efficacy.
A similar study was presented from the Netherlands of 40 participants with symmetric mild hearing loss and tinnitus who were fitted with open hearing aids. Another study on the association between workrelated stress and tinnitus distress was presented by Dr Wallhouser from Heidelberg University. I felt quite delighted to be able to stand up in front of an international audience and state what I’ve known for some time, supported by the small amount of evidence I gained from the study. One of the highlights of the talks was that given on cognition in tinnitus by Laurence McKenna.


It was apparent that the UK is a leader in the field of tinnitus care and that the British Tinnitus Association has been a driving force in making this happen.
Presentations kept the academics in the audience on the edge of their seats, and it was encouraging to see their blending of ideas and enthusiasm for identifying the causes of hearing loss and tinnitus.
At six weeks and six months follow-up, positive benefits were found in the reduction of tinnitus distress in nine of the forty candidates.
She has written extensively on the emotional and psychological development of deaf and hearing impaired children, and on the management of children with tinnitus. It was hugely encouraging to find an eager audience and likeminded individuals who are dedicated to providing the very best care for those who are affected by tinnitus.
Stress has always been recognised as a component in tinnitus, but the lectures by Canlon (Sweden) and Mazurek (Berlin) were highly illuminating. It will explore basic mechanisms underlying tinnitus including cochlear damage consequences, synaptic plasticity, non-auditory (limbic, attentional, somatosensory) networks, as well as many areas of translational research.
Tinnitus distress, loudness, psychosocial work conditions, mental health and life satisfaction were all evaluated, and results revealed a significant association between job insecurity, tinnitus related distress, and tinnitus loudness, mental health, education and gender. Invited speakers include world experts from around the globe within and outside of the field of tinnitus.


Only nineteen of the participants continued to use their hearing aids to the six week follow-up, but of those, 90% showed a significant improvement in tinnitus distress, as measured by the Tinnitus Functional Index (TFI).
It seems therefore that for some tinnitus patients with mild hearing loss, hearing aids can play a useful part in reducing tinnitus distress, but more research is needed to determine who will benefit from hearing aid fitting.
Results of her study demonstrated a relationship between symptoms of long term stress and increased prevalence of hearing loss and tinnitus. Dr Canton suggested that emotional exhaustion is a better predictor of tinnitus than traditional risk factors such as noise at work, gender, and hearing. Participants also completed a range of traditional tinnitus questionnaires and a statistically significant correlation was found between PRISM results and corresponding grading on the traditional tinnitus questionnaires. As a measure of distress, PRISM loses the detail of information provided by questionnaires, but the authors of the study suggest that it can provide a reliable measure of overall tinnitus suffering in just a few minutes.



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