Differential diagnosis of tinnitus

Tinnitus is a common clinical symptomthat can be debilitating. Risk factors forits development are hearing loss, use of ototoxic drugs, head injury and depression. At the onset of the disease, the likelihood of ear pathology, the presence of anxiety and depression should be considered. There are no effective drug treatments for tinnitus, although a number of scientific studies are ongoing to determine the mechanisms of the development of this condition and to search for possible options for its treatment. When ear pathology is detected, surgical interventions can be effective, but tinnitus associated with this disease persists. Available treatment approaches include hearing aids for diagnosed hearing loss (even mild or unilateral), broadband sound therapy, and counseling. Cognitive-behavioral therapy is indicated for some patients, but availability remains inadequate. The evidence base is most significant for the combination of sound therapy and CBT-based counseling, although clinical trials are complicated by the heterogeneity of the tinnitus patient population.

Low-Frequency, Open, Sound-Insulation Barrier by Two Oppositely Oriented Helmholtz Resonators

In this work, a low-frequency, open, sound-insulation barrier, composed of a single layer of periodic subwavelength units (with a thickness of λ/28), is demonstrated both numerically and experimentally. Each unit was constructed using two identical, oppositely oriented Helmholtz resonators, which were composed of a central square cavity surrounded by a coiled channel. In the design of the open barrier, the distance between two adjacent units was twice the width of the unit, showing high-performance ventilation, and low-frequency sound insulation. A minimum transmittance of 0.06 could be observed around 121.5 Hz, which arose from both sound reflections and absorptions, created by the coupling of symmetric and asymmetric eigenmodes of the unit, and the absorbed sound energy propagating into the central cavity was greatly reduced by the viscous loss in the channel. Additionally, by introducing a multilayer open barrier, a broadband sound insulation was obtained, and the fractional bandwidth could reach approximately 0.19 with four layers. Finally, the application of the multilayer open barrier in designing a ventilated room was further discussed, and the results presented an omnidirectional, broadband, sound-insulation effect. The proposed open, sound-insulation barrier with the advantages of ultrathin thickness; omnidirectional, low-frequency sound insulation; broad bandwidth; and high-performance ventilation has great potential in architectural acoustics and noise control.

Nonlinear behavior of Helmholtz resonator with a compliant wall for low frequency, broadband noise control

Low frequency sound attenuation is often pursued using Helmholtz resonators (HRs). The introduction of a compliant wall around the acoustic cavity results in a two-degree-of-freedom (2DOF) system capable of more broadband sound absorption. In this study, we report the amplitude-dependent dynamic response of a compliant walled HR and investigate the effectiveness of wall compliance to improve the absorption of sound in linear and nonlinear regimes. The acoustic-structure interactions between the conventional Helmholtz resonator and the compliant wall result in non-intuitive responses when acted on by nonlinear amplitudes of excitation pressure. This paper formulates and studies a reduced order model to characterize the nonlinear dynamic response of the 2DOF HR with a compliant wall compared to that of a conventional rigid HR. Validated by experimental evidence, the modeling framework facilitates an investigation of strategies to achieve broadband sound attenuation, including by selection of wall material, wall thickness, geometry of the HR, and other parameters readily tuned by system design. The results open up new avenues for the development of efficient acoustic resonators exploiting the deflection of a compliant wall for suppression of extreme noise amplitudes.