Co-viewing an Educational Video: A Pilot Study About Mother-DHH Child Interaction.

This study analyzes the mother-child interaction that takes place after co-viewing an educational video, comparing a group of 12 Spanish hearing mothers of deaf or hard of hearing (DHH) 7- to 9-year-olds and a group of 12 Spanish mothers of an age-matched cohort of children with typical hearing (TH). The results show that, in order to ascertain what the children have understood from the video, the mothers of the DHH children ask significantly more questions than the mothers of children with TH. Regarding the strategies that they use to prompt their children to explain the video, the mothers of the DHH children make reference most of all to shared experiences and focus their attention on contents of the video, whereas the mothers of children with TH tend to encourage their children to begin or continue the explanation of the video. The age of the hearing mothers was not found to have any effect on these results.

Linguistic Intervention Strategies Speech-Language Pathologists Use With Children Using Cochlear Implants.

The aim of this study was to explore the strategies that speech-language pathologists (SLPs) use during their linguistic interventions on children with cochlear implants (CIs). The sample comprised 7 SLPs in interactions with 62 children, 31 with CIs and 31 with typical hearing (TH), from 5 to 7 years of age. Two linguistic activities were used: conversation and naming. With children with CIs, the SLPs used 3.8 times more adaptation strategies and 5 times more educational strategies in the conversation activity, and 1.4 times more educational strategies in the naming activity than with children with TH. Communication strategies were significantly more frequent in the conversation activity than in the naming activity while educational strategies were more frequent in the naming activity than in the conversation activity. The auditory age of children with CIs also influenced the use of these two types of strategies, increasing the use of communication strategies by 0.6% and decreasing the use of educational strategies by 1.2% for each month of increase in the auditory age. In order to foster linguistic development, the SLPs used a wide variety of strategies with the children with CIs, adjusting them to the activity and the auditory age.

Production of nouns and adjectives of children with cochlear implants and of children with typical hearing.

This analytical cross-sectional study aimed to investigate the production of nouns and adjectives in 62 children between the ages 5 and 7, with 31 children having Cochlear Implants (CIs) and 31 children having Typical Hearing (TH). The study compaired their performance in a picture naming test of nouns and adjectives. Poisson regression models were fitted to compare the responses of both groups of children, and intra-subject differences between responses to the noun and adjective naming tasks were also analyzed. The results showed that both groups of children produced the same number of non-responses of nouns and of adjectives and a higher number of correct productions of nouns than of adjectives. However, children with CIs produced more errors when naming adjectives than when naming nouns, while this difference is not observed in children with TH. The comparative analysis between both groups of children indicates that children with CIs produced a higher proportion of non-responses when naming nouns, but the same proportion as children with TH when naming adjectives. Children with CIs also produced fewer correct nouns and adjectives and more errors than children with TH. Vocabulary expansion and repair of production errors in children with CIs should be targeted by speech-language pathologists in intervention programs.

Pragmatic Competence of Children With Cochlear Implants in Linguistic Activities.

The objective of the study was to analyze the pragmatic competence of children with cochlear implants (CIs). The researchers explored whether children with CIs participated in communicative exchanges in a similar way to children with typical hearing (TH), as well as how the participation of children with CIs was regulated by the activity they performed. The sample consisted of 31 children with CIs (prelingually deaf, with a hearing age equal to or greater than 2 years) and 31 children with TH. The researchers used two activities to carry out the study: conversation and picture naming. The results showed that the children with CIs participated in longer communicative exchanges than their peers with TH and had greater difficulty providing adequate responses to their interlocutor. The type of linguistic activity and their hearing age influenced the responses of the children with CIs.

High medium-term incidence of major cardiovascular events in discharged patients with unstable angina.

The introduction of high-sensitivity troponin (hsTn) assays has reduced the diagnosis of unstable angina (UA) in favor of non-ST elevation myocardial infarction (NSTEMI) in the context of non-ST elevation acute coronary syndrome (NSTEACS). It is unclear whether the detection of these hsTn levels affects the prognosis and therefore whether a different therapeutic approach is warranted. This study aims to determine whether using hsTn results in medium-term prognostic differences in patients with UA and NSTEMI. Methods: This multicenter, prospective registry study included consecutive patients who underwent hsTn assays and were discharged with a diagnosis of NSTEACS. Patients were followed for two years. Outcomes were the occurrence of major adverse cardiovascular events (MACE: cardiovascular death, non-fatal myocardial infarction, and non-fatal ischemic stroke), major bleeding, and all-cause mortality. Results: Patients with UA and NSTEMI did not show differences in terms of the invasive interventions received, the coronary artery disease diagnosed, the type of revascularization performed, or the proportion presenting MACE (UA 18.1% vs. NSTEMI 18.9%; p = 0.79). However, patients with NSTEMI had higher cardiovascular mortality at two years (UA 4% vs. NSTEMI 9.2%; p = 0.012), as well as, all-cause mortality (UA vs. 7.9% vs. NSTEMI 16.4%; p = 0.002). Conclusions: Medium-term incidence of MACE was similar in patients with UA and NSTEMI, but cardiovascular and all-cause mortality in NSTEMI patients was over twice that of patients with UA.

Graphical representations of a television series: a study with deaf and hearing adolescents.

The understanding of a television story can be very different depending on the age of the viewer, their background knowledge, the content of the programme and the way in which they combine the information gathered from linguistic, audio and visual elements. This study explores the different ways of interpreting an audiovisual document considering that, due to a hearing impaired, visual, audio and linguistic information could be perceived very differently to the way it is by hearing people. The study involved the participation of 20 deaf and 20 hearing adolescents, aged 12 to 19 years who, after watching a fragment of a television series, were asked to draw a picture of what had happened in the story. The results show that the graphical representation of the film is similar for both groups in terms of the number of scenes, but there is greater profusion, in the deaf group, of details about the context and characters, and there are differences in their interpretations of some of the sequences in the story.

Comprehension of television messages by deaf students at various stages of education.

Since television captioning first became available in Spain, advances have occurred on two fronts: a progressive increase in the number of programs with captions and improved captioning technology. The present study explores the effectiveness of captioning through analysis of deaf viewers' comprehension, taking into account the contribution of the program's verbal and visual information. The study participants, comprising two groups of deaf students at different educational stages, were asked to explain what they had understood after watching a film under two conditions: voice and sound but without captions; and voice, sound, and captions. Results indicate that deaf students have difficulty accessing the information even under the voice/sound/caption condition, not only due to their level of reading ability but also to the speed of caption presentation when oral content is literally transcribed on the screen in its entirety.

Acceptance of deaf students by hearing students in regular classrooms.

Peer relations are of great importance during adolescence. Belonging to a group and feelings of acceptance or rejection by other members are paramount. The article explores the attitudes of 792 hearing students from 10 to 20 years of age in 22 different schools in Spain toward the classroom mainstreaming of deaf students. In general terms, the results, obtained from a scale similar to the Likert and consisting of 19 questions, show that the deaf student is well received socially by hearing classmates. Hearing students in general felt that deaf students might be better looked after at a special school and that deaf students did not work as hard as hearing students. Young female hearing students reported the strongest support for mainstreaming of deaf students. Teachers were perceived as dedicated and patient.