The impact of hair covering hearing aid microphones on directional performance

This study examined the effect of hair covering on hearing aid directional microphone performance. Nine adult, experienced hearing aid users (3 males, 6 females; mean age = 64.6 years) with mild to severe, sloping symmetrical sensorineural hearing loss were included in this study. Binaural Oticon Opn 1 receiver-in-the-ear hearing aids with closed domes were used to provide the recommended amplification for each participant. Speech Reception Threshold (dB SNR required for 50% speech understanding) was measured in all combinations of directional microphone (on/off) and hair covering (with/without) resulting in a total of four conditions. Results showed that directional microphones significantly improved speech understanding in noise (F(1,8)=15.51; p=0.004). However, there was no significant effect of hair covering in this small sample size of nine participants (F(1,8)=0.213; p=0.657). A pairwise comparison with Bonferroni corrections (α = 0.025) did not yield any difference between the two hair covering conditions (with and without) when the hearing aid was worn in the directional microphone mode (p=0.77). There was a large intersubject variability noticed in this small sample size

Pending Charges

pages 99-10

Halcyon Days

pages 97-9

Consumer Demand for Health Information on the Internet

The challenges consumers face in acquiring and using information are a defining feature of health care markets. In this paper, we examine demand for health information on the Internet. We find that individuals in poor health are more likely than those in better health to use the Internet to search for health information and to communicate with others about health and health care. We also find that individuals facing a higher price to obtain information from health care professionals are more likely to turn to the Internet for health information. Our findings indicate that demand for consumer health information depends on the expected benefits of information and the price of information substitutes.

Variances and Covariances in the Central Limit Theorem for the Output of a Transducer

We study the joint distribution of the input sum and the output sum of a deterministic transducer. Here, the input of this finite-state machine is a uniformly distributed random sequence. We give a simple combinatorial characterization of transducers for which the output sum has bounded variance, and we also provide algebraic and combinatorial characterizations of transducers for which the covariance of input and output sum is bounded, so that the two are asymptotically independent. Our results are illustrated by several examples, such as transducers that count specific blocks in the binary expansion, the transducer that computes the Gray code, or the transducer that computes the Hamming weight of the width-$w$ non-adjacent form digit expansion. The latter two turn out to be examples of asymptotic independence

Childhood Cancer Incidence in Georgia: Descriptive Epidemiology, Geographic Trends, and Disparities in Insurance Coverage, and Health Care Access

Background: Limited research has been conducted concerning childhood cancer (CC) incidence in Georgia, which is a leading cause of death for children in the US. The purpose of this study was to determine if county-level CC incidence rates differed by geography or race and if health care access disparities exist. Methods: Incidence data were obtained from the Georgia Comprehensive Cancer Registry for 2000-2011. Age-adjusted incidence rates per 100,000 were analyzed by sex, race, and county. Hotspots and coldspots of CC incidence were analyzed using the Getis-Ord GI* statistic. Health care access data for children under 19 were obtained using US Census Bureau’s Small Area Health Insurance Estimates for 2011. Georgia’s three children’s oncology group (COG) treatment facilities with 40-mile buffer zones were geographically overlaid with CC incidence rate maps and health insurance maps using Geographic Information Systems (GIS). Results: For leukemia and central nervous system cancers, incidence rates were significantly different between Whites [7.8, 95% confidence interval (CI) (7.4, 8.2)] and Blacks [5.2, 95% CI (4.8, 5.6)]. Statistical hotspots of CC were observed in north Georgia. A lower percentage of insurance coverage among children was observed in southeast GA. Approximately 25% of Georgia counties that were not within a COG buffer had a higher percentage of children who were uninsured (mean ± SD: 10.28% ±1.86%). Conclusion: Higher CC incidence rates and disparities in access to care were evident in north Georgia. Future research is needed in these geographies to investigate potential risk factors associated with CC incidence patterns and racial differences in Georgia

RESEARCH BRIEF: An Examination of the Social and Clinical Influences in Prostate Cancer Treatment in African American and White Men

BACKGROUND: The death rate for prostate cancer (PrCA), the most commonly diagnosed cancer in African-American (AA) men, is twice the rate of European-American (EA) men. AA men in South Carolina have the highest age-adjusted death rate in the nation. Studies have shown that treatment offered to AA men with PrCA is systematically different from that offered to EA men. METHODS: Surveys were mailed to 1,866 men in South Carolina with a diagnosis of PrCA. South Carolina men diagnosed with PrCA between 1996 and 2002 were eligible to participate. We performed a descriptive assessment of the factors that influenced PrCA treatment decisions. RESULTS: The treatment choices of AA men were significantly more likely to be influenced by pain and significantly less likely to be influenced by potential for cure compared to EA men. CONCLUSIONS: Providers must be cognizant of the factors that influence treatment, particularly in AA men. Despite the national undertaking to eliminate health disparities, the United States is far from implementing a comprehensive focus on the health of AA men, despite their elevated PrCA morbidity and mortality rates

Complaints as starting point for vicious cycles in customer-employee-interactions

A ring-model of vicious cycles in customer employee-interaction is proposed: service employees perceive complaints as a threat to their self-esteem resulting in defense responses such as an increased need for cognitive closure, a devaluation of the customer and their information and degrading service behavior. Confronted with such degrading service behavior, customers react defensively as well, by devaluing the employee for example with regard to his/her competence and by reducing repurchase and positive word-of-mouth (WOM). Three studies investigated each link in this ringmodel. In study 1, participants were confronted with an aggressive or neutral customer complaint. Results show that motivated closed-mindedness (one aspect of the need for cognitive closure) increases after an aggressive complaint leading to a devaluation of the customer and their information, and in turn to a degrading service reaction. In study 2, participants were confronted with a degrading or favorable service reaction. Results show that they devaluate the employees' competence after receiving a degrading service reaction and thus reduce their intention to repurchase. In study 3, we finally examined our predictions investigating real customer employee-interactions: we analyzed data from an evaluation study in which mystery callers tested the service hotline of an airline. Results show that the employees' competence is devaluated after degrading behavior and thus reduces positive WOM