Cochlear Implant Nonuse: Insight from Deaf Adults

Abstract Research examining the outcome of pediatric cochlear implantation consists of certain limitations, including the use of assessments that are often restricted to auditory-spoken skills, biased recruitment practices, and lack of consideration for identity development. To better understand the long-term outcome of implantation, it is vital to seek out individuals who decide to stop using their device and elicit feedback related to their decision. Thus, 11 adults, who were past cochlear implant (CI) users, were interviewed to gain insight into factors that had led to their decision regarding cochlear implant nonuse. Results indicated several variables to have played a role, but the most prominent factors were limitations in postimplant auditory perceptual development and development of a d/Deaf identity. Although cochlear implant practices and technology have improved over the past few decades, we need to recognize the continued variability in outcome to ensure the provision of the most accurate information and appropriate services.

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ENDOCRINOLOGY AND ADOLESCENCE: Congenital hypothyroidism: a clinical update of long-term outcome in young adults

Acta Endocrinologica ◽

10.1530/eje-14-0777 ◽

2015 ◽

Vol 172 (2) ◽

pp. R67-R77 ◽

Cited By ~ 39

Author(s):

Juliane Léger

Keyword(s):

Congenital Hypothyroidism ◽

Current Knowledge ◽

Early Adulthood ◽

Accurate Information ◽

Medical Conditions ◽

Educational Strategies ◽

Term Outcome ◽

Long Term Outcome ◽

The Impact

Congenital hypothyroidism (CH) is the most common congenital endocrine disorder. The early treatment of CH patients has successfully improved the prognosis and management of this disorder. Optimal treatment and management throughout the patient's life, beginning in the neonatal period, are required to ensure long-term health. Affected patients should be offered assessments of associated medical conditions and provided with accurate information about their condition throughout their lives, but particularly during the transition from pediatric to adult services. This review provides a summary of current knowledge about the long-term outcomes of these patients and appropriate management into early adulthood. We carried out a systematic search of the Medline database to identify relevant articles. Despite major improvements in prognosis, the impact of CH is clearly not uniform, and management should take into account a broader range of relevant indicators, including CH severity, associated comorbid conditions and the adequacy of treatment during childhood and adulthood. The early diagnosis and management of associated medical conditions, and better educational strategies to improve compliance with treatment, should improve the long-term prognosis. Further studies are required to explore changes with aging.

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Long-term Outcome of Cochlear Implant in Patients with Chronic Otitis Media: One-stage Surgery Is Equivalent to Two-stage Surgery

Journal of Korean Medical Science ◽

10.3346/jkms.2015.30.1.82 ◽

2015 ◽

Vol 30 (1) ◽

pp. 82 ◽

Cited By ~ 5

Author(s):

Jeong Hun Jang ◽

Min-Hyun Park ◽

Jae-Jin Song ◽

Jun Ho Lee ◽

Seung Ha Oh ◽

...

Keyword(s):

Cochlear Implant ◽

Otitis Media ◽

Chronic Otitis Media ◽

Two Stage ◽

Term Outcome ◽

Long Term Outcome ◽

One Stage

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Prevention of Vascular Dysfunction after Preeclampsia: A Potential Long-Term Outcome Measure and an Emerging Goal for Treatment

Journal of Pregnancy ◽

10.1155/2012/704146 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 20

Author(s):

Merzaka Lazdam ◽

Esther F. Davis ◽

Adam J. Lewandowski ◽

Stephanie A. Worton ◽

Yvonne Kenworthy ◽

...

Keyword(s):

Cardiovascular Disease ◽

Risk Factor ◽

Independent Risk Factor ◽

Molecular Mechanisms ◽

Outcome Measure ◽

Vascular Dysfunction ◽

Term Outcome ◽

Long Term Outcome ◽

Insight Into

Preeclampsia is increasingly being recognised as more than an isolated disease of pregnancy. In particular, preeclampsia has emerged as an independent risk factor for maternal cardiovascular disease and has recently been recognised as a risk factor for cardiovascular disease in children exposed in utero. Preeclampsia and cardiovascular disease may share important pathophysiological and molecular mechanisms and further investigation into these is likely to offer insight into the origins of both conditions. This paper considers the links between cardiovascular disease and preeclampsia and the implication of these findings for refinement of the management of patients whose care is complicated by preeclampsia.

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