scholarly journals Future directions for screening and treatment in congenital hearing loss

2020 ◽  
Vol 3 (3) ◽  
pp. 175-186
Author(s):  
Ryan K Thorpe ◽  
Richard J H Smith
Keyword(s):  
Hearing Loss ◽  
Multidisciplinary Team ◽  
Healthcare Providers ◽  
Newborn Hearing Screening ◽  
Congenital Hearing Loss ◽  
Future Directions ◽  
Body Of Knowledge ◽  
Growing Body ◽  
Newborn Hearing

Abstract Hearing loss is the most common neurosensory deficit. It results from a variety of heritable and acquired causes and is linked to multiple deleterious effects on a child's development that can be ameliorated by prompt identification and individualized therapies. Diagnosing hearing loss in newborns is challenging, especially in mild or progressive cases, and its management requires a multidisciplinary team of healthcare providers comprising audiologists, pediatricians, otolaryngologists, and genetic counselors. While physiologic newborn hearing screening has resulted in earlier diagnosis of hearing loss than ever before, a growing body of knowledge supports the concurrent implementation of genetic and cytomegalovirus testing to offset the limitations inherent to a singular screening modality. In this review, we discuss the contemporary role of screening for hearing loss in newborns as well as future directions in its diagnosis and treatment.

scholarly journals Etiology of Prelingual Hearing Loss in the Universal Newborn Hearing Screening Era: A Scoping Review

2020 ◽  
Vol 163 (4) ◽  
pp. 662-670
Author(s):  
Ashley Satterfield-Nash ◽  
Ayesha Umrigar ◽  
Tatiana M. Lanzieri
Keyword(s):  
Hearing Loss ◽  
Newborn Hearing Screening ◽  
Congenital Hearing Loss ◽  
Cmv Infection ◽  
Genetic Etiology ◽  
Delayed Onset ◽  
Universal Newborn Hearing Screening ◽  
Congenital Cmv Infection ◽  
Newborn Hearing ◽  
Congenital Cmv

Objective To conduct a scoping review on etiologic investigation of prelingual hearing loss among children <2 years of age in the era of universal newborn hearing screening (UNHS). Data Sources PubMed, Embase, PsycInfo, CINAHL, and Cochrane Library databases. Review Methods We searched for articles published from January 1, 1998, to February 19, 2020. We reviewed studies that (1) included children identified with either congenital or delayed-onset hearing loss before 2 years of age among cohorts who had undergone UNHS and (2) investigated ≥1 etiologies of hearing loss. We defined hearing loss as congenital when confirmed after UNHS failure and as delayed onset when diagnosed after ≥1 assessments with normal hearing. Results Among 2069 unique citations, 115 studies met criteria for full-text assessment, and 20 met our inclusion criteria. Six studies tested children diagnosed with hearing loss for genetic etiology, 9 for congenital cytomegalovirus (CMV) infection, and 5 for both. Among 1787 children with congenital hearing loss and etiologic investigation, 933 (52.2%) were tested for genetic mutations and 1021 (57.1%) for congenital CMV infection. The proportion of congenital hearing loss cases attributable to genetic etiology ranged between 7.7% and 83.3% and to congenital CMV infection between 0.0% and 32.0%. Conclusion Data are lacking on the identification and etiology of delayed-onset hearing loss in children <2 years of age in the UNHS era. The proportion of congenital hearing loss cases attributable to genetic etiologies and congenital CMV infection appears to vary widely.

scholarly journals Newborn Hearing Screening: Experience from a Tertiary level Hospital in Nepal

2021 ◽  
Vol 4 (1) ◽  
pp. 33-36
Author(s):  
Pankaj Ray ◽  
Siba Thakali ◽  
Session Prajapati
Keyword(s):  
Hearing Loss ◽  
Otoacoustic Emissions ◽  
Neonatal Intensive Care ◽  
Auditory Brainstem ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Congenital Hearing Loss ◽  
Universal Newborn Hearing Screening ◽  
Newborn Hearing ◽  
Brainstem Response

Introduction Congenital hearing loss is one of the commonest causes of hearing impairment and deafness in childhood. Early diagnosis and intervention in time help a child to lead a better life with good language and communication skills. Known risk factors include cytomegalovirus infection and premature birth necessitating a stay in the neonatal intensive care unit. Universal newborn hearing screening has been implemented by many countries due to easy and non-invasive screening test and their ability to identify children who may need early intervention. Methods: All the newborns delivered between December 2018 to November 2020 were screened for congenital hearing loss. The average age at screening was more than 24 hours. Those who were referred in OAE (otoacoustic emissions testing) underwent ABR (auditory brainstem response) test and further workup as needed. Conclusions: The incidence of congenital hearing loss was 1.8 per 1000 live births. This finding is consistent with other previous research. UNHS will be cost-effective easy and feasible method for early detection of hearing loss in newborns. Pediatric health services organizations should prioritize universal newborn hearing screening as a part of the standard of care in birthing services.  

Universal Newborn Hearing Screening Coming Soon: “Hear’s” Why

2001 ◽  
Vol 20 (8) ◽  
pp. 25-33 ◽  
Author(s):  
Carrie Knott,
Keyword(s):  
Hearing Loss ◽  
Cognitive Abilities ◽  
Standard Of Care ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Congenital Hearing Loss ◽  
Inborn Errors ◽  
Universal Newborn Hearing Screening ◽  
Newborn Hearing ◽  
Metabolic Screening

Screening the hearing of all newborns, both NICU and well nursery, is rapidly becoming the standard of care. The impetus for universal newborn hearing screening (UNHS) has come from outside the domain of nursing and the newborn nursery. Because nursing will be involved in nearly all aspects of UNHS, nurses need a thorough knowledge base about permanent childhood hearing loss (PCHL) and UNHS. Technology exisits today that can objectively and physiologically screen for this condition at a cost comparable to metabolic screening. PCHL occurs more than twice as often as all the hemoglobinopathies and inborn errors of metabolism combined. Undiagnosed hearing loss often leads to permanent developmental delays. The ultimate goal of early diagnosis and intervention for a congenital hearing loss is to enable the child to develop language and communication skills that correspond to his chronological age and innate cognitive abilities.

An Examination of Women's Perspectives on Power

1992 ◽  
Vol 16 (4) ◽  
pp. 415-428 ◽  
Author(s):  
Cynthia L. Miller ◽  
A. Gaye Cummins
Keyword(s):  
Women’S Experiences ◽  
Body Of Knowledge ◽  
Women's Experiences ◽  
Growing Body ◽  
Personal Authority ◽  
Women’S Perceptions ◽  
Definition Of ◽  
Men's Experience ◽  
The Way

Historically, theoretical and popular conceptions about power have not included or addressed women's experiences. This study adds to the growing body of knowledge about women by examining women's perceptions of and relationship to power. One hundred twenty-five women, ranging in age from 21 to 63, were asked to define and explore power through a variety of structured and open-ended questions. The results showed that women's definition of power differed significantly from their perception of society's definition of power, as well as from the way power has traditionally been conceptualized. More theoretical and empirical attention should be given to understanding the role of personal authority in both women's and men's experience of power.

Sign in / Sign up

Export Citation Format

Share Document