Can real-ear insertion gain deviations from generic fitting prescriptions predict self-reported outcomes?

The aim of this study was to determine whether the differences in insertion gains from the first fit to generic prescriptions of hearing aids can predict the self-reported hearing aid (HA) outcomes for first-time and experienced HA users. This was a prospective observational study. The study included 885 first-time and 330 experienced HA users with a valid real-ear measurement on both ears and answers to the abbreviated version of the Speech, Spatial, and Quality of Hearing (SSQ12) and the International Outcome Inventory for Hearing Aids (IOI-HA) questionnaires. K-means clustering of gain differences between individual real-ear insertion gain to three generic gain prescriptions (NAL-NL2, NAL-RP, and one-third gain rules) was performed. The gain difference at higher frequencies generally differentiated the clusters. The experienced users in the cluster with fittings closest to NAL-NL2 and NAL-RP prescription were found to exhibit a higher IOI-HA Factor 1 score (representing the overall benefit of the hearing aid use). The gain differences to generic prescription did not affect other self-reported outcomes for first-time and experienced HA users. The experienced HA users with minimal gain deviations from generic prescriptions reported better self-perceived benefits than users with larger deviations. However, this was not apparent in first-time users

Emergence and evolution of ATM networks in the UK, 1967-2000

Research in this article traces the origins of a process of competitive change in British retail financial markets by looking at the emergence of cash dispensers technology, how it transformed into automated teller machines (ATMs) and how proprietary ATM networks gave way to total interoperability of cash withdrawals through a single common switch. Cash dispensers were an industry-specific innovation developed by British manufacturers (e.g. Chubb and De La Rue) which were, in turn, overtaken by US (e.g. NCR) and German (e.g. Siemens-Wincor) manufacturers. However, as the ATM became a global technology some of the leading providers (i.e. Burroughs, IBM and NCR) kept manufacturing and even their main design facilities in Scotland. The evolution of this technology illustrates changing boundaries of the banking organisation, the challenges faced by financial intermediaries to adopt on-line, real-time computing and highlights the role of network externalities in financial markets. From a business history perspective, the ATM, electronic funds transfer and other retail payment media have largely been neglected by British historians and management scholars. Yet the success of automated cash dispensers as a distribution channel in retail banking epitomises a shift in bank strategy, namely how applications of computer technology moved from being potential sources of competitive advantage to being a minimum requirement for effective competition in retail finance. This article thus promotes the idea that the history of technology must consider its users, their strategies and business models inasmuch as business histories of the late twentieth century will be incomplete without attention to developments in information and communications technologies.banks, building societies, cash dispensers, ATM, technological innovation, diffusion, UK, networks, payment systems,