Why do people fitted with hearing aids not wear them?

Objective: Age-related hearing loss is an increasingly important public health problem affecting approximately 40% of 55–74 year olds. The primary clinical management intervention for people with hearing loss is hearing aids, however, the majority (80%) of adults aged 55–74 years who would benefit from a hearing aid, do not use them. Furthermore, many people given a hearing aid do not wear it. The aim was to collate the available evidence as to the potential reasons for non-use of hearing aids among people who have been fitted with at least one. Design: Data were gathered via the use of a scoping study. Study sample: A comprehensive search strategy identified 10 articles reporting reasons for non-use of hearing aids. Results: A number of reasons were given, including hearing aid value, fit and comfort and maintenance of the hearing aid, attitude, device factors, financial reasons, psycho-social/situational factors, healthcare professionals attitudes, ear problems, and appearance. Conclusions: The most important issues were around hearing aid value, i.e. the hearing aid not providing enough benefit, and comfort related to wearing the hearing aid. Identifying factors that affect hearing aid usage are necessary for devising appropriate rehabilitation strategies to ensure greater use of hearing aids

Recent achievements in facilitated transport membranes for separation processes

Membrane separation processes have been extensively used for some important industrial separations, substituting traditional methods. However, some applications require the development of new membranes. In this work, we discuss recent progress achieved in this field, focusing on gas and liquid separation using facilitated transport membranes. The advantages of using a carrier species either in a liquid membrane or fixed in a polymer matrix to enhance both the flux and the selectivity of the transport are summarized. The most probable transport mechanisms in these membranes are presented and the improvements needed to spread this technology are also discussed. As examples, we discuss our very successful experiences in air fractioning, olefin/paraffin separation and sugar recovery using liquid and fixed carrier membranes