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Clinical Diagnostic and Management of Early Signs of Hearing Loss, in partnership with NAL

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1.  What are the most relevant factors that can develop hidden hearing loss? Smoking and falls Diabetes Noise exposure and aging Sedentarism and alcohol

2.  How do clinicians generally feel with clients with hidden hearing loss? Excited and confident Frustrated and disempowered Bored and disinterested Suspicious

3.  What is the hearing profile associated with hidden hearing loss? Elevated hearing thresholds at high frequencies and hearing problems with fricative sounds Speech-in-noise intelligibility difficulties and normal audiometric results Normal bone conduction audiometric thresholds, but elevated air conduction audiometric thresholds Temporary threshold shifts followed by persistent tinnitus

4.  What biomarkers have been used to investigate HHL in humans? The amplitude of the auditory brainstem response wave I Envelope Following Responses Distortion Product Otoacoustic Emissions Both A & B

5.  Do hearing aids and hearables improve the hearing experience of peoplewith HHL? Yes—hearing aids and hearables compensate for all their hearing difficulties Since people with HHL have normal audiometric thresholds, it makes no sense to fit them with hearing aids or hearables Hearables are the optimal solution for this people Despite the large inter-subject variability, on average hearing aids and hearables provide a small-to-moderate improvement