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1.
Codas ; 33(3): e20200080, 2021.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34133611

RESUMO

PURPOSE: To verify the distribution of self-reported speech-language and hearing disorders and their association to sex and age in a representative sample of the population in southern Brazil. METHODS: Prevalence of speech-language and hearing disorders in elderly and younger adults according to sex and age: a population survey based on a household survey on Human Communication Disorders (DCH-POP Study). Standardized home interviews were conducted using a questionnaire with residents of the city of Porto Alegre between 2012 and 2014. The study outcome was self-reported "speech-language and hearing disorders", constituted from the variables: language, orofacial motricity, hearing, and balance. Analyses of absolute and relative frequencies were performed. Multivariable prevalence ratios were estimated in an adjusted analysis using Poisson Regression with robust variation and 95% confidence intervals. RESULTS: Of the 1246 individuals interviewed, 918 participants were eligible for this study. Most of them were female (58.1%), and the average age was 48.9 (± 19.6) years. The outcome of speech-language and hearing disorders was found in 364 (39.4%) individuals, and the most affected age group was 60 years old or more (54.4%), with a higher prevalence in men (58.9%) than in women (51.9%). The multivariate analysis showed a significant prevalence ratio only in elderly individuals aged 60 years or older (PR 1.84; 95% CI 1.50-2.26). CONCLUSION: In this study, we did not find significant differences between sexes in the prevalence of self-reported speech-language and hearing disorders in elderly and younger adults. However, elderly and younger adults presented a higher prevalence of these disorders.


Assuntos
Transtornos da Comunicação , Fala , Adulto , Idoso , Brasil/epidemiologia , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência
2.
Rev Esp Salud Publica ; 942020 Dec 16.
Artigo em Espanhol | MEDLINE | ID: mdl-33372916

RESUMO

OBJECTIVE: Under the declaration of the state of alarm (SA) in efforts to control COVID-19, normal development of health programs was threatened. The aim of the study was the evaluation of COVID 19 emergency and SA approval impact on neonatal Endocrine and Metabolic Disorders Program (EMDP) and Neonatal Hearing Program (HP) in Madrid. METHODS: Qualitative and quantitative descriptive study was conducted. Semistructured interview was designed and developed to picture newborn screening activities taking place from January 1st to 31st of April 2020. To describe the undergo rates of newborn screening, neonatal screening information system (RECRINE) and martenity and prenatal care units were studied. Differences were analyzed using Chi2 test (p value = 0.05). RESULTS: More than 70% interviews were reported. Early hospital discharges, between 24 and 48h, were made in more than 80% hospitals. Screening programs were adapted in more than 75% health care centers. EMDP 19 diseases, RECRINE and Clinical Reference Units (RCU) referral were conducted. No significant incidences were observed in diagnostic confirmation and treatment in the RCU. RCU were adapted because of the reorganization of health care. 88.5% of the hospitals showed higher than 95% coverage rates on Hearing screening and SEM. No differences were observed compared to the pre-epidemic period. CONCLUSIONS: Our study demonstrates PCN professionals resilience. The importance of designing periodic evaluations to understand and alleviate the COVID-19 impact is remarkable. We need to assure 2020 newborns attention health care quality.


Assuntos
COVID-19/epidemiologia , Transtornos da Audição/diagnóstico , Testes Auditivos/estatística & dados numéricos , Doenças Metabólicas/diagnóstico , Triagem Neonatal/organização & administração , Feminino , Hospitais/tendências , Humanos , Incidência , Recém-Nascido , Masculino , Triagem Neonatal/tendências , Alta do Paciente , Avaliação de Programas e Projetos de Saúde , Espanha
3.
PLoS One ; 15(8): e0237815, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32822384

RESUMO

The universal newborn hearing screening (UNHS) component of the multi-center EUSCREEN project is being piloted in Albania since January 1st 2018. The aim of this study was to explore mothers' perceptions about various elements of UNHS in Albania. A cross-sectional study was carried out in the three sites of UNHS in Albania, namely in Tirana, Kukës and Pogradec during May-June 2019. During this period 512 consecutively approached mothers giving birth to included maternity hospitals were interviewed face-to-face about different aspects of UNHS. Basic socio-demographic and socioeconomic information was also collected. Mean age of participating mothers was 28.6 years ± 5.5 years. The overwhelming majority (93%) of mothers knew what their baby was being tested for, 33% were aware that hearing screening was offered in maternity hospital, 94% were very satisfied/satisfied with UNHS and about 62% were very stressed/stressed waiting for screening results, with significant sociodemographic and socioeconomic differences. The main information source about UNHS was screening staff in the maternity hospitals where mothers gave birth, reported in 67% of cases. All mothers (100%) agreed on the importance of early detection of newborn hearing problems, all mothers were willing to be informed early if their newborn baby had a hearing problem and all mothers were willing to contribute financially for testing the hearing of their newborn baby. These findings should guide information and education campaigns about UNHS in Albania. The public willingness to financially support neonatal hearing testing should be considered as an opportunity to achieve universal newborn hearing screening in the country.


Assuntos
Transtornos da Audição/diagnóstico , Mães/psicologia , Triagem Neonatal , Adolescente , Adulto , Albânia , Estudos Transversais , Demografia , Feminino , Testes Auditivos , Maternidades , Humanos , Recém-Nascido , Mães/estatística & dados numéricos , Satisfação Pessoal , Gravidez , Inquéritos e Questionários
4.
Clin Interv Aging ; 15: 927-935, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32606634

RESUMO

Purpose: The objective of the study was to identify subjects presenting hearing deficits, specifically age-related hearing losses (ARHL), via objective assessment methodologies. Materials and Methods: Initially, 259 subjects (165 men, 94 women) were enrolled in the study. After the application of inclusion criteria, the final number was reduced to 88 subjects (49.8 ± 19.1 ys) subdivided into 64 normal and 83 ARHL cases. The subjects were assessed with traditional audiometry tests and with transiently evoked otoacoustic emissions (TEOAEs). Since each ear has its own acoustic signature, the TEOAE analyses were conducted in terms of ears and not subjects. The TEOAE data were processed by traditional and recurrence quantification analyses, leading to the estimation of the WWR (whole waveform reproducibility) and the new RAD2D (2-dimensional radius) parameters. A plot of WWR vs RAD2D was used to optimize the classification of the cases presenting ARHL. Results: By using a WWR value of 70% as a classifier, the sensitivity of TEOAEs was estimated as 75.9% and the specificity as 89.1%. By using the RAD2D parameter (with a cut-off value of 1.78), a sensitivity value of 80.7% and a specificity value of 71.9% were obtained. When both parameters were used, a sensitivity value of 85.5% and a specificity value of 92.2% were estimated. In the latter classification paradigm, the number of false negatives decreased from 20 to 12 out of 83 ears (14%). Conclusion: In adult hearing screening assessments, the proposed method optimizes the identification of subjects with a hearing impairment correlated to the presence of age-related hearing loss.


Assuntos
Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Transtornos da Audição/diagnóstico , Emissões Otoacústicas Espontâneas/fisiologia , Estimulação Acústica , Idoso , Audiometria , Limiar Auditivo/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Índice de Gravidade de Doença
5.
Artigo em Russo | MEDLINE | ID: mdl-32119209

RESUMO

Among HIV-infected patients there are individuals with masked chronic diseases that affect life quality and life-span. Their timely detection and treatment can improve life quality of HIV-infected patients. The screening examination allows to establish prevalence level, structure and features of concomitant diseases under HIV- infection to provide timely medical preventive care.


Assuntos
Infecções por HIV , Transtornos da Audição , Pneumopatias , Programas de Rastreamento , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Transtornos da Audição/complicações , Transtornos da Audição/diagnóstico , Humanos , Pneumopatias/complicações , Pneumopatias/diagnóstico , Prevalência , Qualidade de Vida , Sistema Respiratório
6.
Int J Pediatr Otorhinolaryngol ; 133: 110001, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32222580

RESUMO

OBJECTIVES: We previously reported that fetal heart rate (FHR) accelerations could be obtained after fetal sound stimulation. We examined FHR accelerations during 20-37 weeks gestational age (GA) in order to assess the optimal time for the test. METHODS: The fetus was stimulated from the maternal abdomen with pure tone 2000 Hz, 90 dB, 5 s. Changes in the FHR before and after the sound stimulation were measured by a cardiotocometer. RESULTS: Compared with the positive rate of FHR accelerations at 20-21 weeks GA, significant increases were recognized in 26-27, 28 to 29, 30 to 31, and 34-35 weeks GA. Comparing the positive rate of FHR accelerations between the minimal and moderate variability of FHR baseline, no significant differences were observed at 20-27 weeks GA. On the other hand, at 28-37 weeks GA, the positive rate to detect FHR accelerations due to sound stimulation was 100% in moderate FHR baseline variability. CONCLUSION: Considering development of human fetal hearing, the method should be performed between 28 and 37 weeks GA and during moderate FHR variability corresponding to active sleep conditions. The method developed in the present study may provide a promising tool for evaluating the fetal hearing.


Assuntos
Idade Gestacional , Transtornos da Audição/diagnóstico , Testes Auditivos/métodos , Frequência Cardíaca Fetal , Diagnóstico Pré-Natal/métodos , Estimulação Acústica , Adulto , Feminino , Feto , Humanos , Gravidez , Segundo Trimestre da Gravidez , Terceiro Trimestre da Gravidez , Som
7.
Int. arch. otorhinolaryngol. (Impr.) ; 24(1): 86-92, Jan.-Mar. 2020. tab
Artigo em Inglês | LILACS | ID: biblio-1090561

RESUMO

Abstract Introduction Spinocerebellar ataxia (SCA) is part of a genetic and clinical heteroge- neous group of neurodegenerative diseases characterized by progressive cerebellar ataxia. Objective To describe the results of audiological and electrophysiological hearing evaluations in patients with sporadic ataxia (SA). Methods A retrospective cross-sectional study was carried out with 11 patients submitted to the following procedures: anamnesis, otorhinolaryngological evaluation, tonal and vocal audiometry, acoustic immittance and brainstem auditory evoked potential (BAEP) tests. Results The patients presented with a prevalence of gait imbalance, of dysarthria, and of dysphagia; in the audiometric and BAEPs, four patients presented with alterations; in the acoustic immittance test, five patients presented with alterations, predominantly bilateral. Conclusion The most evident alterations in the audiological evaluation were the prevalence of the descending audiometric configuration between the frequencies of 2 and 4 kHz and the absence of the acoustic reflex between the frequencies of 3 and 4 kHz bilaterally. In the electrophysiological evaluation, the patients presented changes with a prevalence of increased I, III and V wave latencies and the interval in the interpeak I-III, I-V and III-V. In the present study, it was observed that auditory complaints did not have a significant prevalence in this type of ataxia, which does not occur in some types of autosomal recessive and dominant ataxia.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Audiometria de Tons Puros , Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos do Tronco Encefálico , Ataxias Espinocerebelares/fisiopatologia , Testes de Impedância Acústica , Estudos Transversais , Estudos Retrospectivos , Ataxias Espinocerebelares/complicações , Transtornos da Audição/diagnóstico , Transtornos da Audição/etiologia
8.
Pediatrics ; 145(1)2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31843861

RESUMO

Early identification and intervention for developmental disorders are critical to the well-being of children and are the responsibility of pediatric professionals as an integral function of the medical home. This report models a universal system of developmental surveillance and screening for the early identification of conditions that affect children's early and long-term development and achievement, followed by ongoing care. These conditions include autism, deafness/hard-of-hearing, intellectual and motor disabilities, behavioral conditions, and those seen in other medical conditions. Developmental surveillance is supported at every health supervision visit, as is as the administration of standardized screening tests at the 9-, 18-, and 30-month visits. Developmental concerns elicited on surveillance at any visit should be followed by standardized developmental screening testing or direct referral to intervention and specialty medical care. Special attention to surveillance is recommended at the 4- to 5-year well-child visit, prior to entry into elementary education, with screening completed if there are any concerns. Developmental surveillance includes bidirectional communication with early childhood professionals in child care, preschools, Head Start, and other programs, including home visitation and parenting, particularly around developmental screening. The identification of problems should lead to developmental and medical evaluations, diagnosis, counseling, and treatment, in addition to early developmental intervention. Children with diagnosed developmental disorders are identified as having special health care needs, with initiation of chronic condition management in the pediatric medical home.


Assuntos
Deficiências do Desenvolvimento/diagnóstico , Transtorno do Espectro Autista/diagnóstico , Pré-Escolar , Doença Crônica , Deficiências do Desenvolvimento/reabilitação , Intervenção Educacional Precoce , Transtornos da Audição/diagnóstico , Humanos , Lactente , Deficiência Intelectual/diagnóstico , Transtornos Motores/diagnóstico
9.
HNO ; 68(3): 155-163, 2020 Mar.
Artigo em Alemão | MEDLINE | ID: mdl-31628531

RESUMO

BACKGROUND: Hearing and cognition are closely related to each other. Particularly in suboptimal listening situations, cognitive abilities become important to enable speech comprehension. Besides, studies have indicated that hearing impairment is associated with a more rapid mental decline compared to persons with normal hearing. However, hearing loss also has an impact on neurocognitive testing, which is generally based on auditive stimuli. With increasing age, the risk of sensory but also of cognitive impairments increases. So far this comorbidity receives little consideration in otorhinolaryngology. MATERIALS AND METHODS: The paper presents an overview and evaluation of widely used German neurocognitive test batteries for older patients, with regard to the different test modalities and their focus. RESULTS: A multitude of different neurocognitive screening tests and detailed test batteries are available, particularly in the field of dementia. So far, sensory deficits have not been considered in neurocognitive testing, neither concerning application nor interpretation. Normative data adapted to the hearing impaired are still missing. CONCLUSION: With regard to demographic changes and the well-known bias between hearing and cognition, screening of neurocognitive functions should be implemented in basic otorhinolaryngologic diagnostics. More comprehensive test batteries might be useful for research purposes or speech therapy.


Assuntos
Transtornos Cognitivos , Transtornos da Audição , Testes Auditivos , Otolaringologia , Cognição , Transtornos Cognitivos/diagnóstico , Audição , Transtornos da Audição/diagnóstico , Humanos , Testes de Estado Mental e Demência
10.
Rev. esp. salud pública ; 94: 0-0, 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-196381

RESUMO

OBJETIVO: El estado de alarma decretado como medida de control de la epidemia COVID-19 supuso una amenaza en el correcto desarrollo de los programas de salud de la Comunidad de Madrid. El objetivo de este trabajo fue evaluar el impacto de la epidemia por COVID-19 y el estado de alarma decretado en los Programas de Cribado Neonatal (PCN) de Enfermedades Endocrino-Metabólicas (EEM) e hipoacusias en la Comunidad de Madrid. MÉTODOS: Se realizó un estudio descriptivo cuali-cuantitativo del 1 enero al 31 abril de 2020. Para describir las actividades desarrolladas en las etapas de los PCN se diseñaron cuestionarios semiestructurados. Para conocer las coberturas de cribado se analizaron el REgistro de CRIbado Neonatal (RECRINE) e información de los Servicios de Maternidad. Se analizaron diferencias utilizando el test de Chi2 (p valor=0,05). RESULTADOS: Las tasas de respuesta a los cuestionarios fueron mayores del 70%. Más del 80% de los hospitales dieron altas precoces entre las 24 y 48 horas de vida del recién nacido. Se diseñaron circuitos alternativos para realizar los PCN en más del 75% de los centros. Se aseguró el cribado de las diecinueve enfermedades del PCN de EEM, el RECRINE y la derivación a las Unidades Clínicas de Referencia (UCR). No se observaron incidencias importantes en confirmación diagnóstica y tratamiento en las UCR que se adaptaron a la reorganización de la asistencia sanitaria. Se observaron coberturas de cribado auditivo y de EEM superiores al 95% en el 88,5% de los hospitales. No se observaron diferencias frente al periodo preepidémico. CONCLUSIONES: Nuestro estudio demuestra la resiliencia de los profesionales que participan en el desarrollo de los PCN. Es remarcable la importancia de continuar diseñando evaluaciones periódicas para conocer y subsanar el impacto de la epidemia de COVID-19 según los estándares de calidad de atención a la población nacida en 2020 y sus madres


OBJECTIVE: Under the declaration of the state of alarm (SA) in efforts to control COVID-19, normal development of health programs was threatened. The aim of the study was the evaluation of COVID 19 emergency and SA approval impact on neonatal Endocrine and Metabolic Disorders Program (EMDP) and Neonatal Hearing Program (HP) in Madrid. METHODS: Qualitative and quantitative descriptive study was conducted. Semistructured interview was designed and developed to picture newborn screening activities taking place from January 1st to 31st of April 2020. To describe the undergo rates of newborn screening, neonatal screening information system (RECRINE) and martenity and prenatal care units were studied. Differences were analyzed using Chi2 test (p value = 0.05). RESULTS: More than 70% interviews were reported. Early hospital discharges, between 24 and 48h, were made in more than 80% hospitals. Screening programs were adapted in more than 75% health care centers. EMDP 19 diseases, RECRINE and Clinical Reference Units (RCU) referral were conducted. No significant incidences were observed in diagnostic confirmation and treatment in the RCU. RCU were adapted because of the reorganization of health care. 88.5% of the hospitals showed higher than 95% coverage rates on Hearing screening and SEM. No differences were observed compared to the pre-epidemic period. CONCLUSIONS: Our study demonstrates PCN professionals resilience. The importance of designing periodic evaluations to understand and alleviate the COVID-19 impact is remarkable. We need to assure 2020 newborns attention health care quality


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Infecções por Coronavirus/epidemiologia , Transtornos da Audição/diagnóstico , Testes Auditivos/estatística & dados numéricos , Doenças Metabólicas/diagnóstico , Triagem Neonatal/organização & administração , Hospitais/tendências , Incidência , Triagem Neonatal/tendências , Alta do Paciente , Avaliação de Programas e Projetos de Saúde , Espanha/epidemiologia
11.
PLoS One ; 14(7): e0219600, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31295316

RESUMO

CONTEXT: Permanent childhood hearing loss (PCHL) can affect speech, language, and wider outcomes. Adverse effects are mitigated through universal newborn hearing screening (UNHS) and early intervention. OBJECTIVE: We undertook a systematic review and meta-analysis to estimate prevalence of UNHS-detected PCHL (bilateral loss ≥26 dB HL) and its variation by admission to neonatal intensive care unit (NICU). A secondary objective was to report UNHS programme performance (PROSPERO: CRD42016051267). DATA SOURCES: Multiple electronic databases were interrogated in January 2017, with further reports identified from article citations and unpublished literature (November 2017). STUDY SELECTION: UNHS reports from very highly-developed (VHD) countries with relevant prevalence and performance data; no language or date restrictions. DATA EXTRACTION: Three reviewers independently extracted data and assessed quality. RESULTS: We identified 41 eligible reports from 32 study populations (1799863 screened infants) in 6195 non-duplicate references. Pooled UNHS-detected PCHL prevalence was 1.1 per 1000 screened children (95% confidence interval [CI]: 0.9, 1.3; I2 = 89.2%). This was 6.9 times (95% CI: 3.8, 12.5) higher among those admitted to NICU. Smaller studies were significantly associated with higher prevalences (Egger's test: p = 0.02). Sensitivity and specificity ranged from 89-100% and 92-100% respectively, positive predictive values from 2-84%, with all negative predictive values 100%. LIMITATIONS: Results are generalisable to VHD countries only. Estimates and inferences were limited by available data. CONCLUSIONS: In VHD countries, 1 per 1000 screened newborns require referral to clinical services for PCHL. Prevalence is higher in those admitted to NICU. Improved reporting would support further examination of screen performance and child demographics.


Assuntos
Análise Custo-Benefício , Transtornos da Audição/epidemiologia , Perda Auditiva/epidemiologia , Criança , Pré-Escolar , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/economia , Transtornos da Audição/patologia , Perda Auditiva/diagnóstico , Perda Auditiva/economia , Perda Auditiva/patologia , Testes Auditivos/economia , Humanos , Lactente , Recém-Nascido , Masculino , Triagem Neonatal/economia
12.
Psychiatr Pol ; 53(2): 447-458, 2019 Apr 30.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-31317969

RESUMO

Misophonia is a new and relatively under-explored condition characterized by experiencing strong emotions (mainly anger and disgust) and a physical response (such as muscle constriction, increased heart rate) when exposed to specific sounds. Among the most frequent aversive triggers are the sounds of eating, breathing, or typing. The experience of misophonia is associated with suffering and a significant decrease in quality of life. The phenomenon was first described in 2002. Since then, numerous case studies and data from psychophysiological and neurological and survey research on this phenomenon have been published. These data indicate that misophonia is a consistent phenomenon and preliminary identification is possible. The most recent results show that misophonia occurs independent of other disorders. There are still, however, many questions regarding the definition and diagnostic criteria to be answered. The most important diagnostic issues that are faced during clinical work with people with misophonia are described in this article. Furthermore, the main theoretical concepts and research on misophonia are reviewed and analyzed.


Assuntos
Sintomas Afetivos/diagnóstico , Transtornos da Audição/diagnóstico , Hiperacusia/diagnóstico , Som , Humanos , Transtornos da Percepção , Qualidade de Vida
13.
J Am Acad Audiol ; 30(8): 677-693, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31210636

RESUMO

BACKGROUND: Large vestibular aqueduct syndrome (LVAS) is an auditory disorder that is difficult to diagnose and manage; it is confirmed when the vestibular aqueduct is >1.5 mm in diameter. Diagnosis of LVAS in children can devastate parents and challenge healthcare professionals who serve these patients and their families. PURPOSE: This study surveyed parents of children with LVAS about their knowledge of and experiences with LVAS and their attitudes about the support provided to them by healthcare professionals. This study also surveyed audiologists about their knowledge of and experiences with LVAS and their level of confidence in serving families with children having this disorder. RESEARCH DESIGN: Cross-sectional survey. STUDY SAMPLE: 100 parents, mostly mothers, and 144 audiologists responded to invitations to participate in surveys designed to elicit information about their knowledge of, experiences with, and attitudes toward LVAS. DATA COLLECTION AND ANALYSIS: Invitations via links to participate in a survey on surveymonkey.com were posted in LVAS support group pages on Facebook.com for parents and sent to audiologists randomly selected from the American Academy of Audiology Membership Directory. Descriptive statistics were used to analyze trends in parents' and audiologists' responses. RESULTS: A response rate could not be obtained for the parents' survey because it was impossible to know how many parents actually viewed the invitation to participate via Facebook.com. The response rate for the audiologists' survey was 10%. Most of the parents reported that their children had clinical trajectories similar to those of cases reported in the literature, and said they needed more information from their healthcare providers, especially pediatricians and primary care physicians. Most of the audiologists felt confident in their knowledge of and/or skills in aiding in the diagnosis and/or treatment of LVAS, except for issues surrounding cochlear implants. Audiologists were interested in obtaining continuing education about LVAS from multiple sources. CONCLUSIONS: Parents of children having LVAS need greater support from their healthcare providers, who in turn need additional information on the topic and should collaborate for supportive and appropriate interprofessional care.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Audiologistas/psicologia , Audiologia , Conhecimentos, Atitudes e Prática em Saúde , Transtornos da Audição , Pais/psicologia , Aqueduto Vestibular/patologia , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Feminino , Transtornos da Audição/diagnóstico , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Tamanho do Órgão , Síndrome , Adulto Jovem
14.
Int J Audiol ; 58(8): 510-515, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31074295

RESUMO

Objectives: The goal of this work was to develop and normalise an international French version of the AzBio sentence test. Design: A corpus of 1000 sentences was generated. These sentences were recorded with four talkers and processed through a four-channel cochlear implant simulation. The mean intelligibility for each sentence achieved by 16 normal-hearing listeners was computed. The consecutively ordered 165 sentences from each talker rendering an average score of 85% were sequentially assigned to 33 lists of 20 sentences. All lists were presented to 30 normal-hearing and 25 hearing-impaired listeners in order to verify their equivalency. Thirty normal-hearing adults were also recruited to assess the test's psychometrics and define norms. Results: The results of the list equivalency validation study showed no significant differences in percent correct scores for 30 sentence lists. A binomial distribution model was used to estimate the 95% critical differences for each potential percentage score. Normalization data showed an average performance between 96% and 99% with a very low standard deviation. Conclusions: With a set of 30 lists, researchers and clinicians can use the FrBio to evaluate a large number of experimental conditions; changes in performance over time or across conditions can then be tracked.


Assuntos
Audiometria da Fala/métodos , Transtornos da Audição/diagnóstico , Pessoas com Deficiência Auditiva/psicologia , Percepção da Fala , Adolescente , Adulto , Estudos de Casos e Controles , Compreensão , Feminino , Audição , Transtornos da Audição/fisiopatologia , Transtornos da Audição/psicologia , Humanos , Masculino , Valor Preditivo dos Testes , Psicometria , Reprodutibilidade dos Testes , Inteligibilidade da Fala , Adulto Jovem
15.
Am J Speech Lang Pathol ; 28(2): 408-423, 2019 05 27.
Artigo em Inglês | MEDLINE | ID: mdl-31091132

RESUMO

Purpose The aim of this study was to assess knowledge, self-rated confidence, and perceived relevance of genetics in the clinical practice of audiologists and speech-language pathologists (SLPs) toward a better understanding of the need for genetics education, given that genetics plays a growing role in the diagnosis of hearing impairment and communication disorders. Method A survey consisting of 8 demographic items and 16 content questions was returned by 233 audiologists and 283 SLPs. Knowledge of applied genetics was queried with clinical scenarios in a multiple-choice format. Self-assessment of clinical confidence and perceived relevance of genetics in one's field was queried with questions and statements rated on 5-point Likert scales. The benefit of additional training in genetics was rated with a yes/no question, and if answered with yes, suggested topics were entered. Results A large significant gap between confidence in one's own genetics skills and the perceived relevance of genetics was evident, regardless of professional group. Over one third of the audiologists and over two thirds of the SLPs indicated low or somewhat low confidence in their own ability to implement principles of genetics, whereas over two thirds of both groups agreed that genetics is relevant for their field. Regardless of group, confidence scores were significantly and positively associated with relevance scores. Over 80% of respondents in both groups indicated that they would benefit from additional training in genetics. Most commonly suggested topics included genetic causes, general information about genetics, and making referrals. Conclusion Both audiologists and SLPs felt that genetics is relevant for their fields and that additional training in genetics would be beneficial. Future studies should evaluate the effect of genetics training on patient outcomes and the need for incorporating genetics more extensively into audiology and speech-language pathology training programs.


Assuntos
Atitude do Pessoal de Saúde , Audiologistas/educação , Transtornos da Comunicação , Educação Profissionalizante , Genética/educação , Pessoal de Saúde/educação , Transtornos da Audição , Patologia da Fala e Linguagem/educação , Adulto , Idoso , Audiologistas/psicologia , Competência Clínica , Transtornos da Comunicação/diagnóstico , Transtornos da Comunicação/genética , Transtornos da Comunicação/terapia , Currículo , Escolaridade , Feminino , Pessoal de Saúde/psicologia , Transtornos da Audição/diagnóstico , Transtornos da Audição/genética , Transtornos da Audição/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
16.
Int J Pediatr Otorhinolaryngol ; 123: 110-115, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31096068

RESUMO

OBJECTIVES: Aim of this study is to report and discuss the results of 4 years of Newborn hearing screening (NHS) program at the Neonatal Intensive Care Unit (NICU), particularly evaluating the clinical ABR results. METHODS: Retrospective study. NHS data from NICU newborns, admitted for ≥5 days, in the period from January 1st, 2013 and December 31st, 2016, were retrieved and analyzed. NHS results were classified as following: (i) "pass" when both ears for both the a-TEOAE (automated Transient-Evoked Otoacoustic Emissions) and the a-ABR (automated Auditory Brainstem Response) protocol resulted as "pass"; (ii) "fail" when one ear, at either one of the two performed tests resulted as "fail"; (iii) "missing" when the newborns were not tested with both protocols. All "fail" and "missing" newborns were retested (with both tests): in the case of a second "fail" result, a clinical ABR was performed within a period of 3 months. RESULTS: A total of 1191 newborns were screened. From those, 1044/1191 resulted as "pass", 108/1191 as "fail", and 39/1191 as "missing". During the re-testing of these 147 newborns, 43 were assigned as "missing", 63 were assigned as "pass" (showing bilaterally a wave V identifiable within 30 dB nHL) and 25 failed the retest and/or did not present an identifiable wave V within 30 dB nHL. Among the 147 retested infants, we identified a group of 16 subjects who resulted as NHS "refer" and who, during the audiological follow-up, showed either: (i) a unilateral or bilateral wave V identifiable over 30 dB nHL, at the first clinical ABR assessment; or (ii) a bilateral wave V identifiable within 30 dB nHL, in a following clinical ABR test during the first year of life. These 16 subjects were defined to have an 'Auditory Brainstem Maturation' issue. CONCLUSIONS: A possible "maturation" of the ABR response (and therefore of the auditory pathway) has been hypothesised in 16 out of 1191 infants (1.3%). A delay of the auditory pathway maturation in preterm babies compared to term newborns has already been suggested in the literature. A possible delay of the NHS retest could be considered, in selected cases, with significant savings in economic resources and parental anxiety.


Assuntos
Tronco Encefálico/crescimento & desenvolvimento , Transtornos da Audição/congênito , Transtornos da Audição/diagnóstico , Testes Auditivos , Doenças do Prematuro/diagnóstico , Triagem Neonatal , Audiologia , Potenciais Evocados Auditivos do Tronco Encefálico/fisiologia , Feminino , Humanos , Lactente , Recém-Nascido de Baixo Peso , Recém-Nascido , Recém-Nascido Prematuro , Unidades de Terapia Intensiva Neonatal , Masculino , Emissões Otoacústicas Espontâneas/fisiologia , Estudos Retrospectivos
17.
J Speech Lang Hear Res ; 62(6): 2018-2034, 2019 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-31145649

RESUMO

Purpose Growing evidence supports the inclusion of perceptual tests that quantify the processing of temporal fine structure (TFS) in clinical hearing assessment. Many tasks have been used to evaluate TFS in the laboratory that vary greatly in the stimuli used and whether the judgments require monaural or binaural comparisons of TFS. The purpose of this study was to compare laboratory measures of TFS for inclusion in a battery of suprathreshold auditory tests. A subset of available TFS tasks were selected on the basis of potential clinical utility and were evaluated using metrics that focus on characteristics important for clinical use. Method TFS measures were implemented in replication of studies that demonstrated clinical utility. Monaural, diotic, and dichotic measures were evaluated in 11 young listeners with normal hearing. Measures included frequency modulation (FM) tasks, harmonic frequency shift detection, interaural phase difference (TFS-low frequency), interaural time difference (ITD), monaural gap duration discrimination, and tone detection in noise with and without a difference in interaural phase (N0S0, N0Sπ). Data were compared with published results and evaluated with metrics of consistency and efficiency. Results Thresholds obtained were consistent with published data. There was no evidence of predictive relationships among the measures consistent with a homogenous group. The most stable tasks across repeated testing were TFS-low frequency, diotic and dichotic FM, and N0Sπ. Monaural and diotic FM had the lowest normalized variance and were the most efficient accounting for differences in total test duration, followed by ITD. Conclusions Despite a long stimulus duration, FM tasks dominated comparisons of consistency and efficiency. Small differences separated the dichotic tasks FM, ITD, and N0Sπ. Future comparisons following procedural optimization of the tasks will evaluate clinical efficiency in populations with impairment.


Assuntos
Audiometria/métodos , Percepção Auditiva/fisiologia , Técnicas de Observação do Comportamento/métodos , Sinais (Psicologia) , Audição/fisiologia , Estimulação Acústica/métodos , Adulto , Idoso , Feminino , Transtornos da Audição/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Psicoacústica , Valores de Referência , Reprodutibilidade dos Testes , Osso Temporal
18.
Int J Audiol ; 58(8): 468-475, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31012791

RESUMO

Objective: To investigate the feasibility of using the LittlEARS® Auditory Questionnaire (LEAQ®) as part of the infant hearing screening programme in Germany. Design: LEAQ®s were distributed to 47 paediatric practices and were completed by the parents/guardians of the infants (aged between 9-14 months) involved in the study (= LEAQ® screening). The infants who failed the LEAQ® screening were invited to a LEAQ rescreening. Infants who failed the LEAQ® rescreening were sent to a paediatric ENT specialist. After 3 years, a follow-up was performed on two groups: the first group comprised infants who failed the LEAQ screening; the second group (control group) comprised 200 infants who passed the LEAQ screening. Study Sample: 5316 questionnaires were returned. Results: Six infants with permanent hearing loss were identified using the LEAQ® as a screening tool. Conclusions: An infant hearing screening using the LEAQ® is easily implementable in paediatric practices and may be a good alternative in countries where no objective screening instruments are available. The LEAQ® was suitable for monitoring hearing development in infants in general and could help to identify a late-onset or progressive hearing loss in infants.


Assuntos
Transtornos da Audição/diagnóstico , Testes Auditivos , Audição , Triagem Neonatal/métodos , Inquéritos e Questionários , Fatores Etários , Desenvolvimento Infantil , Estudos de Viabilidade , Feminino , Alemanha , Transtornos da Audição/fisiopatologia , Humanos , Lactente , Recém-Nascido , Masculino , Valor Preditivo dos Testes
19.
Int J Audiol ; 58(8): 484-496, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31017499

RESUMO

Objective: To examine the auditory system of Brazilian gasoline station workers using an extensive audiological test battery. Design: This was a cross-sectional study. The audiological evaluation included a questionnaire, pure-tone audiometry, acoustic immittance tests, transient-evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), auditory brainstem response (ABR) and P300 auditory-evoked potentials. Study sample: A total of 77 Brazilian gasoline station workers were evaluated, and their results were compared with those of 36 participants who were not exposed to chemicals or noise at work. The gasoline station employees worked in 18 different gas stations, and the noise area measurements from all gas stations revealed time-weighted averages below 85 dBA. Results: Of the 77 gasoline station workers evaluated, 67.5% had audiometric results within the normal range, but 59.7% reported difficulties in communication in noisy places. Gasoline station workers showed significantly poorer results than non-exposed control participants in one or more conditions of each of the audiological tests used, except P300. Conclusions: The results suggest that the gasoline station workers have both peripheral and central auditory dysfunctions that could be partly explained by their exposure to gasoline.


Assuntos
Vias Auditivas/fisiopatologia , Percepção Auditiva , Gasolina/efeitos adversos , Transtornos da Audição/etiologia , Perda Auditiva Provocada por Ruído/etiologia , Audição , Exposição Ocupacional/efeitos adversos , Adulto , Idoso , Audiometria de Tons Puros , Limiar Auditivo , Brasil , Estudos Transversais , Potencial Evocado P300 , Potenciais Evocados Auditivos do Tronco Encefálico , Feminino , Transtornos da Audição/diagnóstico , Transtornos da Audição/fisiopatologia , Transtornos da Audição/psicologia , Perda Auditiva Provocada por Ruído/diagnóstico , Perda Auditiva Provocada por Ruído/fisiopatologia , Perda Auditiva Provocada por Ruído/psicologia , Humanos , Masculino , Pessoa de Meia-Idade , Ruído/efeitos adversos , Doenças Profissionais/etiologia , Doenças Profissionais/fisiopatologia , Doenças Profissionais/psicologia , Saúde do Trabalhador , Emissões Otoacústicas Espontâneas , Medição de Risco , Fatores de Risco , Adulto Jovem
20.
J Speech Lang Hear Res ; 62(1): 169-176, 2019 01 30.
Artigo em Inglês | MEDLINE | ID: mdl-30950751

RESUMO

Purpose The objective of the study was to compare test-retest reliability of three dichotic listening tests: SCAN-3 Competing Words Test (Words; Keith, 2009a , 2009b ), Double Dichotic Digits Test (Digits; Musiek, 1983a ), and Bergen Dichotic Listening Test With Consonant-Vowel Syllables (Syllables; Hugdahl & Hammar, 1997 ). Method Sixty English-speaking children, 7-14 years old with normal hearing, had a single study visit during which each test was administered twice. Changes on retest were summarized by within-subject standard deviation ( S w), compared among tests, and compared with binomial model predictions. Correlates of variance were explored. Results Scores based on 40 items were more precise ( S w = 5%) than those based on 20-30 items ( S w = 6%-8%). All 3 tests had reliability within bounds predicted by binomial model. Changes on retest for Words and Digits Test were weakly associated with age, but this is confounded by the trend for older children to have higher Words and Digits scores. Conclusions Digits Right, Digits Left, and Words Total scores-each based on 40 items-had the best reliability among the clinically used scores. Scores based on fewer items were less precise. Poor precision may contribute to misdiagnosis in clinic and to nondifferential misclassification in research. More precise estimates of dichotic listening ability require longer tests.


Assuntos
Testes com Listas de Dissílabos , Transtornos da Audição/diagnóstico , Adolescente , Fatores Etários , Criança , Testes com Listas de Dissílabos/métodos , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Inquéritos e Questionários
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