Relation Between the Screening Checklist for Auditory Processing in Adults and Diagnostic Auditory Processing Test Performance

2021 ◽  
pp. 1-15
Author(s):  
Ramya Vaidyanath ◽  
Asha Yathiraj

Purpose The aim of the study was to evaluate the relationship between the Screening Checklist for Auditory Processing in Adults and the performance of older adults on a battery of diagnostic tests for auditory processing. This was done for two versions of the checklist, one answered by older individuals at risk for auditory processing disorder (APD) and the other by the family of the older adults. Method Forty-nine older adults and 34 of their family members were initially tested with the screening checklist, each being tested with the version developed for them. Approximately half of the older adults had normal pure-tone thresholds, while the others had mild–moderate hearing loss above 2 kHz. The older adults were administered tests of auditory separation/closure, auditory integration, temporal resolution, temporal patterning, and auditory memory and sequencing. Results Most of the older adults and their family members reported of the presence of auditory processing difficulties on the screening checklist. On the diagnostic test battery, many of the older adults, irrespective of their high-frequency hearing sensitivity, failed the tests measuring temporal resolution and auditory integration. The sensitivity and specificity of the checklist answered by the older individuals were 69.05% and 71.43%, respectively. On the other hand, for the checklist answered by the family members, it was 77.78% and 33.33%, respectively. The test–retest reliability of the two versions of the checklist was found to be good. Conclusions As the specificity of the checklist answered by the family members was considerably lower than that answered by the older adults, the use of the version for the latter group is recommended. However, the checklist answered by the caregivers could be used to complement information obtained from the older adults at risk for APD when the older adults are unable to give valid responses.

2013 ◽  
Vol 24 (09) ◽  
pp. 867-878 ◽  
Author(s):  
Asha Yathiraj ◽  
Akshay Raj Maggu

Background: The presence of auditory processing disorder in school-age children has been documented (Katz and Wilde, 1985; Chermak and Musiek, 1997; Jerger and Musiek, 2000; Muthuselvi and Yathiraj, 2009). In order to identify these children early, there is a need for a screening test that is not very time-consuming. Purpose: The present study aimed to evaluate the independence of four subsections of the Screening Test for Auditory Processing (STAP) developed by Yathiraj and Maggu (2012). The test was designed to address auditory separation/closure, binaural integration, temporal resolution, and auditory memory in school-age children. The study also aimed to examine the number of children who are at risk for different auditory processes. Research Design: Factor analysis research design was used in the current study. Study Sample: Four hundred school-age children consisting of 218 males and 182 females were randomly selected from 2400 children attending three schools. The children, aged 8 to 13 yr, were in grade three to eight class placements. Data Collection and Analyses: The children were evaluated on the four subsections of the STAP (speech perception in noise, dichotic consonant-vowel [CV], gap detection, and auditory memory) in a quiet room within their school. The responses were analyzed using principal component analysis (PCA) and confirmatory factor analysis (CFA). In addition, the data were also analyzed to determine the number of children who were at risk for an auditory processing disorder (APD). Results: Based on the PCA, three components with Eigen values greater than 1 were extracted. The orthogonal rotation of the variables using the Varimax technique revealed that component 1 consisted of binaural integration, component 2 consisted of temporal resolution, and component 3 was shared by auditory separation/closure and auditory memory. These findings were confirmed using CFA, where the predicted model displayed a good fit with or without the inclusion of the auditory memory subsection. It was determined that 16% of the children were at risk for APD on one or more of the subsections of STAP. Among these 16%, the auditory memory subsection was the most affected (73.4%), followed by binaural integration (65.6%), auditory separation/closure (59.4%), and temporal resolution (53.1%). Conclusion: The current study revealed that the four subsections of STAP merged to form three distinct components. Dichotic CV and gap detection formed two independent components while speech perception in noise and auditory memory merged to form a single component. This indicates a possible relationship between auditory memory and speech perception in noise as suggested by Katz (1992). Thus, STAP is able to detect three different components related to auditory processing. The study also indicates that the number of children at risk for each of the different auditory processes vary. Ongoing evaluation will shed light on the usefulness of the subsections of STAP in identifying auditory processing problems. In addition to conducting the APD screening test, it is also recommended that a hearing screening be done to rule out peripheral hearing problems when hearing screening programs are not conducted in schools.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Satoe Okabayashi ◽  
Takashi Kawamura ◽  
Hisashi Noma ◽  
Kenji Wakai ◽  
Masahiko Ando ◽  
...  

Abstract Background Predicting adverse health events and implementing preventative measures are a necessary challenge. It is important for healthcare planners and policymakers to allocate the limited resource to high-risk persons. Prediction is also important for older individuals, their family members, and clinicians to prepare mentally and financially. The aim of this study is to develop a prediction model for within 11-year dependent status requiring long-term nursing care or death in older adults for each sex. Methods We carried out age-specified cohort study of community dwellers in Nisshin City, Japan. The older adults aged 64 years who underwent medical check-up between 1996 and 2005 were included in the study. The primary outcome was the incidence of the psychophysically dependent status or death or by the end of the year of age 75 years. Univariable logistic regression analyses were performed to assess the associations between candidate predictors and the outcome. Using the variables with p-values less than 0.1, multivariable logistic regression analyses were then performed with backward stepwise elimination to determine the final predictors for the model. Results Of the 1525 female participants at baseline, 105 had an incidence of the study outcome. The final prediction model consisted of 15 variables, and the c-statistics for predicting the outcome was 0.763 (95% confidence interval [CI] 0.714–0.813). Of the 1548 male participants at baseline, 211 had incidence of the study outcome. The final prediction model consisted of 16 variables, and the c-statistics for predicting the outcome was 0.735 (95% CI 0.699–0.771). Conclusions We developed a prediction model for older adults to forecast 11-year incidence of dependent status requiring nursing care or death in each sex. The predictability was fair, but we could not evaluate the external validity of this model. It could be of some help for healthcare planners, policy makers, clinicians, older individuals, and their family members to weigh the priority of support.


Blood ◽  
2010 ◽  
Vol 116 (21) ◽  
pp. 5056-5056
Author(s):  
Ru Feng ◽  
Lixia Hao ◽  
Yongmin Zhang ◽  
Yongqiang Wei ◽  
Fen Huang ◽  
...  

Abstract Abstract 5056 Introduction: JAK2V617F point mutation have been confirmed to be one of the major molecular mechanism of BCR/ABL negative myeloproliferative disorders(MPD). Besides, some other gene mutations such as JAK2 exon12, MPL W515L/K, c-mpl and EPOR have extended the scope of the research in this field. Most of the MPD patients are sporadic and there are seldom reports in Chinese familial MPD. 2008 ASH metting we have reported in a Chinese family of MPD's findings, the two brothers in our hospital diagnosis for MPD (one is a PV, another is ET), then we investigated the 15 members of the family. We discovered that there were three male members carried the JAK2V617F mutation in this family, including the two MPD patients and their father, which affected in two generations. All the family members were confirmed as BCR/ABL, MPL W515L/K, c-mpl, and EPOR negative. Subsequently, in order to understand the existence of family members in addition to the gene JAK2 V617F mutation, the existence of JAK2 gene mutations in other parts of the? if other mutations in existence and the high incidence of family members of MPD? We focus on the cDNA full-length of JAK2 gene to provide some theory basis on the pathogenesis in MPD. Methods: A total of 15 family members were enrolled in our study, including 2 brothers of MPD patients (the older one was thrombocythemia (ET), and another is polycythemia vera (PV)) and the other members in the same family. The mRNA of mononuclear cells from peripheral blood sample was extracted according to the manufacturer's instruction (TAKARA). RT-PCR and DNA sequencing have been used to analyze the cDNA full-length of the JAK2 gene. Results: All of the samples can be analyzed for JAK2 cDNA full-length. 3 members carried the JAK2V617F mutation (1849G®T) in this family, including the two MPD patients and their father. And the older brother was homozygous mutation and the other two were heterozygous mutation. All of the 15 samples were JAK2 exon12 gene mutation negative. 2 persons who were the male ET patient's children had a heterozygous mutation (380G®A) in JAK2 exon 3, caused a glycine-to-asparticacid substitution at position 127. Besides, 13 persons had 489C®T mutation in exon 4 and 14 persons had 2490G→A mutation in exon 17 in this family, But they were both same-sense mutation. Conclusion: It is necessary to do routine analysis of blood and other related inspection for MPD patient's family members, so as to make diagnosis earlier. However, we are not sure that the sequencing results are unique to all the familial MPD and need to be confirmed by more cases. We still do not determine the current discovery point mutations have biological significance, still need to be further explored. Disclosures: No relevant conflicts of interest to declare.


2021 ◽  
Vol 13 ◽  
Author(s):  
Daria Laptinskaya ◽  
Olivia Caroline Küster ◽  
Patrick Fissler ◽  
Franka Thurm ◽  
Christine A. F. Von Arnim ◽  
...  

An active lifestyle as well as cognitive and physical training (PT) may benefit cognition by increasing cognitive reserve, but the underlying neurobiological mechanisms of this reserve capacity are not well understood. To investigate these mechanisms of cognitive reserve, we focused on electrophysiological correlates of cognitive performance, namely on an event-related measure of auditory memory and on a measure of global coherence. Both measures have shown to be sensitive markers for cognition and might therefore be suitable to investigate potential training- and lifestyle-related changes. Here, we report on the results of an electrophysiological sub-study that correspond to previously published behavioral findings. Altogether, 65 older adults with subjective or objective cognitive impairment and aged 60–88 years were assigned to a 10-week cognitive (n = 19) or a 10-week PT (n = 21) or to a passive control group (n = 25). In addition, self-reported lifestyle was assessed at baseline. We did not find an effect of both training groups on electroencephalography (EEG) measures of auditory memory decay or global coherence (ps ≥ 0.29) and a more active lifestyle was not associated with improved global coherence (p = 0.38). Results suggest that a 10-week unimodal cognitive or PT and an active lifestyle in older adults at risk for dementia are not strongly related to improvements in electrophysiological correlates of cognition.


2020 ◽  
Vol 50 (5) ◽  
pp. 1440-1456
Author(s):  
Maree Petersen ◽  
Cameron Parsell

Abstract This article explores the links between older people’s homelessness and family relationships and aims to inform social work practice frameworks. Whilst breakdown in family relationships is widely recognised as linked to being at risk of homelessness, there is less understanding of the interplay of family, both positive and negative, with older people’s homelessness. Drawing on a study incorporating data mining of service records, this article aims to provide clarity on supportive and troubled family relationships and their links to housing crises as experienced by older Australians. The findings highlight a number of domains for social work practice including undertaking skilled assessments to understand the strengths and constraints experienced by families. Assessments will then inform intervention to support and provide resources to some families to prevent their older family members’ homelessness and to intervene in both a preventative and empowering way to address elder abuse. The implications for policy, in particular, the need for sectors of housing, aged care and health to intersect, are discussed.


Author(s):  
I MADE ADI DWIRANA PUTRA ◽  
KETUT BUDI SUSRUSA ◽  
NI WAYAN PUTU ARTINI

Analysis Of Household Consumer Demand On Bulk Cooking Oil in Denpasar CityNowadays cooking oil is sold in two forms; one is referred to as bulk cooking oil‘minyak goreng curah’ and the other is referred to as packaged cooking oil ‘minyakdalam kemasan’ with a particular trademark. However, the consumers in Denpasar stillprefer the bulk cooking oil to the packaged cooking oil. This present study was intendedto identify the factors contributing to the demand for the bulk cooking oil and theelasticity of the demand in Denpasar City. The study was conducted at Satrya Market,Sanglah Market, Kreneng Market, and Badung Market, which were all purposivelydetermined. The samples were taken using the accidental sampling technique, totaling40 and were purposively determined. This research uses Cobb-Douglas function withtransformed data. The independent variables were X1 (the price of the bulk cooking oil),X2 (the price of the packaged cooking oil), X3 (the price of chicken), X4 (the number offamily members), and X5 (the family income). The result of the model was as followslnY = -5,876 – 2.184lnX1* + 3.588lnX2* - 0.332lnX3 + 0.311lnX4* + 0.244lnX5*. Thefactors which contributed to the demand for the bulk cooking oil were its price, the priceof the packaged cooking oil, the price of chicken, the number of family members, andthe family income. The price of the bulk cooking oil showed elasticity. The crosselasticity showed that the packaged cooking oil was a substitution commodity and thatchicken was a complementary commodity. The income elasticity showed that the bulkcooking oil was an inferior commodity.


2017 ◽  
Vol 39 (7) ◽  
pp. 1962-1983 ◽  
Author(s):  
Paul Schrodt ◽  
Tamara D. Afifi

This study examined the associations among family members’ reports of negative relational disclosures and their feelings of being caught. Participants included a mother, father, and young adult child from 170 families. Social relations analyses revealed positive associations between each family member’s actor effect for negative disclosures (i.e., each member’s individual disposition to perceive receiving negative disclosures across all family relationships) and their feelings of being caught between the other two members of the family triad. The child’s actor effect for receiving negative disclosures from parents was positively associated with both parents’ feelings of being caught between their child and spouse. Important patterns of association emerged between unique relationship effects of receiving negative disclosures and family members’ feeling caught. Whereas negative disclosures in parent–child dyads were positively associated with feeling caught (especially for mothers and children), in spousal dyads, they were inversely associated with feeling caught.


2019 ◽  
pp. 31-58
Author(s):  
Dabin Kim ◽  
Gyoengseon Min

Clay Dolls, which means a doll made of earth, was excavated from the Silla area, mainly in Gyeongju. Accordingly, research on clay figurines in Silla has been carried out actively and it would not be too much to say that it was mostly Silla’s clay figurines which have been mostly studied so far. The study of clay figurines of Gaya has been relatively slow, probably due to the fact that the cases of excavations are very limited. Recently, various types of clay figurines have been excavated from the presumed royal palace site of Geumgwan Gaya under the excavation and investigation by the National Research Institute of Cultural Heritage. Earlier in Gimhae, a variety of clay figurines, including character clay figurines, were excavated in an excavation to create a site for a hanok living experience center. Based on these new data, this paper tries to infer the different characters, roles and significance of clay figurines in Gaya society, by studying various kinds of clay figurines excavated from Geumgwan Gaya territory. Bonghwang-dong, which is believed to be the center of Geumgwan Gaya, is a complex of relics including living facilities, hospitality facilities, trading facilities, workshop sites and earthen fortresses. Various clay figurines were excavated at the main sites of Bonghwang-dong s historical site, from which that the people of Gaya used clay dolls to perform ceremonial acts there can be inferred. In Bonghwang-dong sites other than the presumed royal palace ruins, horse shaped clay dolls and the clay dolls resemble utensils used in rituals are usually found. human figured clay dolls, animal figured clay dolls, house figured clay dolls have been excavated around the presumed royal palace ruins within Bonghwang-dong site which differentiates this region from the rest of the site. Along with the presumed royal palace ruins, there is a tendency of various clay figurines being found in the other ruin in the hanok living experience center with multiple purpose relics. In conclusion, there is a possibility that clay dolls had been used to wish for the well-being of the family members by the ruling group, or the well-being of the community at importance areas like the presumed royal palace ruins and the hanok living experience center ruins. This kind of tendency is found in many ruins around the Ancient Gimhae Bay(Gogimhae-Man), which leads to an assertion that various rituals and ceremonial acts had been carried out using clay dolls throughout that area.


1994 ◽  
Vol 38 (1) ◽  
pp. 51-63 ◽  
Author(s):  
Lillian E. Troll

Most of the white oldest-old in San Francisco have at least one surviving relative, but only one-half have relatives available to them if they need help. The primary family resources are children, especially for women. They are closer to children than to grandchildren or other relatives. The respondents themselves are more passive and unemotional family members, however, rather than being active kinkeepers. They also seem to derive satisfaction from thinking about relatives now dead—men usually about their dead wives and women about their mothers and siblings. There is a sharp contrast in life style and feelings between those who are most embedded in their families and those at the other extreme, the “family deprived,” with the embedded being much better off.


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