Effect of Computerized Auditory Training on Speech Perception of Adults With Hearing Impairment

2013 ◽  
Vol 20 (3) ◽  
pp. 91-106 ◽  
Author(s):  
Rachel Pizarek ◽  
Valeriy Shafiro ◽  
Patricia McCarthy
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Literature Review ◽  
Low Cost ◽  
Experimental Designs ◽  
Auditory Training ◽  
Hearing Impairments ◽  
Communicative Disorders ◽  
And Training

Computerized auditory training (CAT) is a convenient, low-cost approach to improving communication of individuals with hearing loss or other communicative disorders. A number of CAT programs are being marketed to patients and audiologists. The present literature review is an examination of evidence for the effectiveness of CAT in improving speech perception in adults with hearing impairments. Six current CAT programs, used in 9 published studies, were reviewed. In all 9 studies, some benefit of CAT for speech perception was demonstrated. Although these results are encouraging, the overall quality of available evidence remains low, and many programs currently on the market have not yet been evaluated. Thus, caution is needed when selecting CAT programs for specific patients. It is hoped that future researchers will (a) examine a greater number of CAT programs using more rigorous experimental designs, (b) determine which program features and training regimens are most effective, and (c) indicate which patients may benefit from CAT the most.

scholarly journals Natural Agents that Act in the Prevention and Treatment of Oral Mucositis: Literature Review

2020 ◽  
Vol 22 (4) ◽  
pp. 214-221
Author(s):  
Tamires Ribeiro Avelino ◽  
Ana Carla Barletta Sanches ◽  
Tila Fortuna Costa Freire ◽  
Gabriela Botelho Martins ◽  
Juliana Borges de Lima Dantas
Keyword(s):  
Literature Review ◽  
Low Cost ◽  
Aloe Vera ◽  
Signs And Symptoms ◽  
Natural Agents ◽  
De Se ◽  
Prevention And Treatment ◽  
No Gold Standard

AbstractOral mucositis (OM) is one of the most frequent and painful problems caused by head and neck radiotherapy and/or chemotherapy. Because there is no gold standard therapy for this disruptive conditions management, the therapeutic approach promotes palliative action, which consists of the signs and symptoms relief, in addition to preventing further complications. The present study aims to identify the main natural agents that act in the prevention and treatment of MO, as well as to describe the pathophysiology and classification of this condition. This is a literature review of qualitative and exploratory nature through survey of scientific articles in the database SciELO, Lilacs, Medline and Pubmed. The results demonstrated that chamomile, propolis, aloe and honey have been widely used in dentistry, being pointed out in the scientific literature as promising strategies, as they present analgesic and anti-inflammatory effects, besides being well tolerated by the patients and have a low cost. It can be considered that the use of these agents for the prevention and treatment of OM provides a clinical lesions improvement, with consequent advance in the quality of life of these patients. However, more studies need to be carried out in an attempt to obtain more information about the most appropriate posology and presentation form, besides evaluating the toxicity of these natural agents. Keywords: Stomatitis. Chamomile. Propolis. Aloe. Honey. ResumoA mucosite oral (MO) consiste em um dos problemas mais frequentes e dolorosos provocados pela radioterapia em região de cabeça e pescoço e/ou quimioterapia. Por não existir terapia considerada padrão ouro para o manejo desta condição perturbadora, a abordagem terapêutica promove ação paliativa, que consiste no alívio de sinais e sintomas, além de prevenir maiores complicações. O presente estudo teve como objetivo identificar os principais agentes naturais que atuam na prevenção e tratamento da MO, bem como descrever a fisiopatologia e classificação desta afecção. Trata-se de uma revisão de literatura de natureza qualitativa e exploratória através de levantamento de artigos científicos na base de dados SciELO, Lilacs, Medline e Pubmed. Os resultados demonstraram que a camomila, a aloe vera, a própolis e o mel têm sido amplamente utilizados na Odontologia,sendo apontados na literatura científica como estratégias de tratamento promissoras, pois apresentam efeito analgésico e antiinflamatório, além de serem bem tolerados pelos pacientes e possuirem baixo custo.Pode-se considerar que a utilização desses agentes para a prevenção e o tratamento da MO proporciona uma melhora clínica das lesões, com conseqüente melhora na qualidade de vida desses pacientes. Todavia, mais estudos precisam ser realizados na tentativa de se obter maiores informações acerca da posologia e forma de apresentação mais indicadas, além de avaliar a toxicidade desses agentes naturais. Palavras-chave: Estomatite. Camomila. Própolis. Aloe. Mel.

Telemedicine Education Amidst COVID-19: Review of Literature and Call to Action (Preprint)

2020 ◽  
Author(s):  
Shil U. Punatar ◽  
Basharath A. Khan ◽  
Matthew Charnetski ◽  
Rajendram Rajnarayanan
Keyword(s):  
Literature Review ◽  
Healthcare Access ◽  
Standardized Assessments ◽  
Published Data ◽  
Future Directions ◽  
Call To Action ◽  
Legal Guidelines ◽  
And Training

UNSTRUCTURED Intro and Objective: In the presence of COVID-19, telemedicine is being utilized to limit person-to-person spread while increasing healthcare access. While telemedicine use is increasing, a mismatch exists with the amount of training to deliver care. For this, the American Medical Association has called for an increase in formalized training for telemedicine. This literature review provides recent examples of telemedicine education techniques to provide guidance for telemedicine training in this time of immediate need. Methods: The authors conducted a literature review by searching the PubMed (MEDLINE) database for publications pertaining to telemedicine education and training. After review, 12 pieces of literature were analyzed for methods and skills taught in telemedicine, means to assess competency, and future directions. Results: This study identified a broad scope of skills to be taught from orientation to technology, to patient interaction methods, as well as the current medico-legal guidelines. Using standardized assessments and being supervised by trained physicians, there is a role of telemedicine incorporation into formal curricula. As the field of telemedicine continues to adapt, so should the mechanisms by which training is delivered. Conclusions/Discussion: While accepted that telemedicine provides access to care, especially in the time of COVID-19, this is not synonymous with quality of care if telemedicine training is lacking. The results of this work provide many current examples of telemedicine teaching to be incorporated across all healthcare disciplines. With this, we emphasize the need for growth in the area of telemedicine education and published data in the field.

Effect of Cochlear Implantation on Quality of Life in Adults with Unilateral Hearing Loss

2017 ◽  
Vol 22 (4-5) ◽  
pp. 259-271 ◽  
Author(s):  
Margaret T. Dillon ◽  
Emily Buss ◽  
Meredith A. Rooth ◽  
English R. King ◽  
Ellen J. Deres ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Speech Perception ◽  
Cochlear Implantation ◽  
Normal Hearing ◽  
Unilateral Hearing Loss ◽  
Behavioral Measures ◽  
Speech Perception In Noise ◽  
Contralateral Ear

Objective: Patients with moderate-to-profound sensorineural hearing loss in 1 ear and normal hearing in the contralateral ear, known as unilateral hearing loss (UHL) or single-sided deafness (SSD), may experience improved quality of life with the use of a cochlear implant (CI) in the affected ear. Quality of life assessment before and after implantation may reveal changes to aspects of hearing beyond those explicitly evaluated with behavioral measures. Methods: The present report completed 2 experiments investigating quality of life outcomes in CI recipients with UHL. The first experiment assessed quality of life during the 1st year of device use with 3 questionnaires: the Speech, Spatial, and Qualities of Hearing Scale (SSQ), the Abbreviated Profile of Hearing Aid Benefit (APHAB), and the Tinnitus Handicap Inventory. Twenty subjects were evaluated preoperatively and 1, 3, 6, 9, and 12 months post-activation. Quality of life results were compared over the study period using traditional scoring methods and the SSQ pragmatic subscales. Subscales specific to localization and speech perception in noise were compared to behavioral measures at the preoperative and 12-month intervals. The 2nd experiment evaluated quality of life preoperatively and at the 12-month interval for CI recipients with UHL and CI recipients with bilateral hearing loss, including conventional CI users and those listening with electric-acoustic stimulation (EAS). The 3 cohorts differed in CI candidacy criteria, including the amount of residual hearing in the contralateral ear. Results: For subjects with moderate-to-profound UHL, receipt of a CI significantly improved quality of life, with benefits noted as early as 1 month after initial activation. The UHL cohort reported less perceived difficulty at the pre- and postoperative intervals than the conventional CI and EAS cohorts, which may be due to the presence of the normal-hearing ear. Each group experienced a significant benefit in quality of life on the APHAB with CI use. Conclusions: Cochlear implantation in cases of substantial UHL may offer significant improvements in quality of life. Quality of life measures revealed a reduction in perceived tinnitus severity and subjective improvements in speech perception in noise, spatial hearing, and listening effort. While self-report of difficulties were lower for the UHL cohort than the conventional CI and EAS cohorts, subjects in all 3 groups reported an improvement in quality of life with CI use.

scholarly journals Study of Acute and Sub-Acute Effects of Auditory Training on the Central Auditory Processing in Older Adults with Hearing Loss—A Pilot Study

2020 ◽  
Vol 17 (14) ◽  
pp. 4944
Author(s):  
Carla Matos Silva ◽  
Carolina Fernandes ◽  
Clara Rocha ◽  
Telmo Pereira
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Speech Perception ◽  
Auditory Processing ◽  
Test Group ◽  
Auditory Training ◽  
Central Auditory Processing ◽  
Speech In Noise ◽  
Noise Test ◽  
Group 1

Background: Impairment in speech perception is a common feature of older adults. This study aimed at evaluating the acute and sub-acute (after three months) effects of auditory training on central auditory processing in older people with hearing loss. Methods: A nonrandomized study was conducted enrolling 15 older adults with hearing loss and an average age of 78.6 ± 10.9 years. All participants underwent a baseline otoscopy, tympanogram, audiogram and speech-in-noise test with a signal-noise ratio (SNR) of 10 and 15 dB. Afterwards, auditory training intervention was implemented consisting of 10 training sessions over 5 weeks. Participants were divided into two groups: group 1 (G1) underwent auditory training based on a speech-in-noise test; group 2 (G2) underwent a filtered-speech test. Auditory processing was evaluated at baseline (T0) immediately after the intervention (T1) and 3 months after the intervention (T2). Results: Group 1 were quite efficient regardless of the SNR in the right ear with statistically significant differences from T0 to T1 (p = 0.003 and p = 0.006 for 10 dB and 15 dB, respectively) and T0 to T2 (p = 0.011 and 0.015 for 10 dB and 15 dB, respectively). As for the left ear, the increase of success was statistically significant for the SNR of 10 dB and 15 dB from T0 to T1 (p = 0.001 and p = 0.014, respectively) and from T0 to T2 (p = 0.016 and p = 0.003). In G2, there was a significant variation only from T0 for T1 in the left ear for an SNR of 10 dB (p = 0.001). Conclusion: Speech perception in noise significantly improved after auditory training in old adults.

scholarly journals Auditory-Cognitive Training For Adult Cochlear Implant Recipients: A Study Protocol for a Randomised Controlled Trial

2021 ◽  
Author(s):  
Blake J Lawrence ◽  
Robert H Eikelboom ◽  
Dona M.P. Jayakody
Keyword(s):  
Quality Of Life ◽  
Speech Perception ◽  
Randomised Controlled Trial ◽  
Cochlear Implant ◽  
Cognitive Training ◽  
Controlled Trial ◽  
Auditory Training ◽  
Life Outcomes ◽  
Randomised Controlled

Abstract Background: There is an urgent need to develop new therapies to improve cognitive function in adults following cochlear implant surgery. This study aims to determine if completing at-home computer-based brain training activities improve memory and thinking skills in adults following their first cochlear implant. Methods: This study will be conducted as a single-blind, head-to-head, randomised controlled trial (RCT). It will determine whether auditory training combined with adaptive computerised cognitive training will elicit greater improvement in cognition, sound and speech perception, mood, and quality of life outcomes in adult cochlear implant recipients, when compared to auditory training combined with non-adaptive (i.e., placebo) computerised cognitive training. Participants 18 years or older who meet the clinical criteria for a cochlear implant will be recruited into the study. Results: The results of this trial will clarify whether the auditory training combined with cognitive training will improve cognition, sound and speech perception, mood, and quality of life outcomes in adult cochlear implant recipients. Discussion: We anticipate that our findings will have implications for clinical practice in the treatment of adult cochlear implant recipients.Trial registration: ANZ clinical trial registration: ACTRN12619000609156

scholarly journals The Implementation of Practice Based Simulation of New Nurse Toward Self Confidence: A Literature Review

2020 ◽  
Vol 3 (2) ◽  
pp. 132-142
Author(s):  
Yusriani Saleh Baso ◽  
Fitri Arofiati
Keyword(s):  
Literature Review ◽  
Clinical Skills ◽  
Simulation Method ◽  
Nursing Service ◽  
New Graduates ◽  
Self Confidence ◽  
Or Practice ◽  
And Training ◽  
Quality Of Nursing

Background: To enhance the quality of nursing service at hospital, it needs learning process (education and training) using clinical skills facility. It gives ideal place for the development of nurse’s confident before entering the real world of work. Problem based learning approach is able to use simulation learning method or Practice Based Simulation Model can enhance new nurse’s confidence. Objective: This study aimed at investigating the literature for of  the practice based simulation that may be expected to enhance new nurse’s self confidenceMethod: This research used Literature Review. Source of the research was taken from some database. Searching was conducted in December 2018 through database of PubMed of 3016 articles, Google Scholar of 13.5000 articles, Science Direct of 3466 articles, Pro Quest of 256 articles using combination of key words “self confidence” and practice based simulation+new graduates nursing. From all database, there were only 7 which fulfilled inclusion criteria.Result: based on the result of literature review from 7 articles, it was found that applying simulation method to new nurse can enhance self confidence. New nurse would be more independent, able to make decision and conduct nursing care and be more calm while working.Conclusion: the aim of this literature review obtains the result that application of practice based simulation can increase self confidence of nurse.

Media Guidelines for the Responsible Reporting of Suicide

Crisis ◽  
2012 ◽  
Vol 33 (4) ◽  
pp. 190-198 ◽  
Author(s):  
India Bohanna ◽  
Xiangdong Wang
Keyword(s):  
Literature Review ◽  
Suicidal Behavior ◽  
Guideline Implementation ◽  
Media Ownership ◽  
Suicide Methods ◽  
Positive Effects ◽  
The Media ◽  
Effects Of Media ◽  
And Training

Background: The media have a powerful influence on those at risk of suicide. Evidence linking sensational media reporting with imitative suicidal behavior continues to grow, prompting the widespread development of guidelines for media professionals on the reporting of suicide. While such guidelines have been widely implemented, only a small amount of research has addressed their use and effectiveness. Aims: To conduct a systematic literature review aimed at critically evaluating the evidence concerning the use and effectiveness of media guidelines for reporting on suicide. Methods: All research publications that addressed the effectiveness of media guidelines against a variety of outcome measures were examined. Results: The findings highlight cases in which guideline implementation has successfully mitigated imitative suicides. Significant variability in the effect of guidelines on the quality of suicide reporting was observed between studies, and research suggests journalist awareness, use, and opinion of guidelines is generally low. The critical positive effects of media collaboration and training on reporting are noted. Conclusions: Overall, the findings of this review suggest that the guidelines can change reporting style and prevent imitative suicide, but that approaches centered on consultation, collaboration, media ownership, and training are likely to achieve the greatest success.

scholarly journals The influence of non-linear frequency compression on the perception of music by adults with a moderate to severe hearing loss: Subjective impressions

2012 ◽  
Vol 59 (1) ◽  
Author(s):  
Marinda Uys ◽  
Lidia Pottas ◽  
Bart Vinck ◽  
Catherine Van Dijk
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Speech Perception ◽  
Hearing Aid ◽  
Severe Hearing Loss ◽  
Frequency Compression ◽  
Linear Frequency ◽  
Musical Perception ◽  
Non Linear

Objective: To date, the main direction in frequency-lowering hearing aid studies has been in relation to speech perception abilities. With improvements in hearing aid technology, interest in musical perception as a dimension that could improve hearing aid users’ quality of life has grown. The purpose of this study was to determine the influence of non-linear frequency compression (NFC) on hearing aid users’ subjective impressions of listening to music. Design & sample: A survey research design was implemented to elicit participants’ (N=40) subjective impressions of musical stimuli with and without NFC. Results: The use of NFC significantly improved hearing aid users’ perception of the musical qualities of overall fidelity, tinniness and reverberance. Although participants preferred to listen to the loudness, fullness, crispness, naturalness and pleasantness of music with the use of NFC, these benefits were not significant. Conclusion: The use of NFC can increase hearing aid users’ enjoyment and appreciation of music. Given that a relatively large percentage of hearing aid users express a loss of enjoyment of music, audiologists should not ignore the possible benefits of NFC, especially if one takes into account that previous research indicates speech perception benefits with this technology.

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