Performance after cochlear implantation: a comparison of children deafened by meningitis and congenitally deaf children

2000 ◽  
Vol 114 (1) ◽  
pp. 33-37 ◽  
Author(s):  
T. E. Mitchell ◽  
C. Psarros ◽  
P. Pegg ◽  
M. Rennie ◽  
W. P. R. Gibson

The speech perception and speech production performance following cochlear implantation of congenitally deaf children and children deafened by meningitis were analysed. Three groups consisting of 70 congenitally deaf children, 22 children deafened by meningitis before two years of age and 14 children deafened by meningitis after two years of age were compared. The group deafened by meningitis after two years of age demonstrated significantly better speech perception than the other two groups. Their speech production appeared better but did not achieve statistical significance compared with the other two groups. There was no significant difference in either speech perception or speech production between the congenitally deaf group and the group deafened by meningitis before two years of age.

2000 ◽  
Vol 9 (1) ◽  
pp. 21-35 ◽  
Author(s):  
Maureen B. Higgins ◽  
Elizabeth A. McCleary ◽  
Laura Schulte

The primary purpose of this study was to determine if negative intraoral air pressures (−P o ) produced by young deaf children can be treated effectively with visual feedback. We used two forms of visual feedback. One was a display of the P o signal on an oscilloscope, and the other was movement of cellophane streamers placed in front of the children’s mouths. Participants were two 5-year-old boys who had been using cochlear implants (CIs) for less than 6 months. Both children were congenitally deafened and had very limited speech production and perception skills. In addition to frequent usage of −P o , both children exhibited deviant phonatory behaviors, so phonatory goals were incorporated into treatment. The magnitude and direction of P o was monitored, as well as fundamental frequency and electroglottograph cycle width. Data were collected at baseline, before and after treatment sessions, and 7 weeks after termination of treatment. One child responded well to treatment of −P o with both forms of visual feedback, and progress was maintained at follow-up. For the other child, +P o occurred more frequently as the study progressed, and he rarely produced −P o by the end of the investigation. However, because changes were evident in baseline as well as during treatment, it is difficult to attribute his more frequent use of +P o specifically to treatment. The phonation of the two children changed in ways that were consistent with their phonatory goals, although the degree of change was not always significant. Change was more evident for phonatory behaviors that could be shaped with visual feedback. Although both children exhibited some undesirable speech/voice behaviors in response to visual feedback, there was no evidence of long-lasting mislearning. Although our data are limited, it appears that treatment of −P o can be efficacious for some young children with CIs, even those with very poor speech perception and speech production skills. Further, treatment of −P o can be incorporated effectively with other speech production goals.


2011 ◽  
Vol 125 (5) ◽  
pp. 455-459 ◽  
Author(s):  
A Daneshi ◽  
S Hassanzadeh ◽  
H Emamdjomeh ◽  
S H Mohammadi ◽  
S Arzhangi ◽  
...  

AbstractObjectives:To investigate the prevalence of mutations in the coding exon of the GJB2 gene in Iranian children with cochlear implants, and to compare the outcomes of auditory perception and speech production in cochlear-implanted children with and without GJB2 mutation.Materials and methods:One hundred and sixty-six prelingually deaf children who had undergone cochlear implantation at the Iranian Cochlear Implant Center, Tehran, were selected from a pool of 428 implanted children. The prevalence of GJB2 gene mutations was assessed using nested polymerase chain reaction and direct sequencing. To enable comparisons, we also identified 36 implanted children with non-GJB2 deafness. Patients' speech perception and speech production were assessed using the Categorization of Auditory Performance and Speech Intelligibility Rating scales.Results:Thirty-three of 166 probands (19.9 per cent) were found to have GJB2 deafness-causing allele variants and were diagnosed with DFNB1 deafness. Results also indicated a significant improvement in speech perception and production scores in both GJB2 and non-GJB2 patients over time.Conclusion:Children with GJB2-related deafness benefit from cochlear implantation to the same extent as those with non-GJB2-related deafness.


2013 ◽  
Vol 5 (2) ◽  
pp. 21-25
Author(s):  
Manjunath. Shankariah ◽  
Malapati Sudhakar Rao ◽  
Kalappa T Muthanna

ABSTRACT Background The blood aspiration technique before the injection of local anesthetic solution is an essential procedure, because it prevents possible systemic’ complications. The purpose of this study is to evaluate the incidence of intravascular injection in different techniques of inferior alveolar nerve block and to know the technique which has very low incidence of vascular penetration. Methods Fifty patients in the ages of 17-70 years irrespective of sex, who were indicated for bilateral extractions of mandibular teeth were selected for this study. Patients were randomly divided into two divisions consisting of 25 patients requiring bilateral extraction procedures. In first division classical technique of inferior alveolar nerve block was administered on one side and on 2nd appointment Angelo Sargenti technique was administered on the other side. In the second division of 25 patients, indirect technique was administered on one side in 1st appointment and Clark and Holmes technique was administered on the other side in next appointment. Incidence of positive aspiration due to inadvertent penetration of inferior alveolar vessels was recorded. Results In group I positive aspiration rate was 8%, group II it was 4%, group III it was 4% and group IV it was 8%. Chi-square and fisher exact test was used and statistically there was no significant difference in the incidence of positive aspiration in all four groups. We found an overall aspiration rate of 6% in all four groups. Conclusion The incidence of positive aspiration was evaluated in all the 4 groups. There was no statistical significance in the rate of positive aspiration in all the groups included in our study.


2020 ◽  
Vol 17 (4) ◽  
pp. 532-536
Author(s):  
Vadim B. Kasevich ◽  

Linguists are increasingly turning to approaches that say that language has no phonology per se, but one should speak about the phonology of speech production, speech perception and language acquisition. The same applies to morphology, syntax and smaller structures in the general architectonics of language/speech grammar. Nowadays, there is no descriptionof grammar/phonology that would illustrate this logic. In the most general way, these approaches can be designated as behavioristic. It is argued here that oblivion of the principles of classical linguistics results in contradictions, unsolvable theoretical problems and delusions. Appeal to phonetics in the narrow sense of the term is unavoidable in modeling speech production, when reproducing from the “meaning to text” transition. The meaning is obviously immaterial, but the same cannot be said about the text. Another transition that in recent years began to be dealt with in linguistic literature on a par with Lev Shcherba’s “aspects”, is “text to language system”. The point of departure here is not easy to define, especially in the case of a natural speech. Two solutions are possible, one based on Chomsky’s postulation of the innate character of language, the other admitting a kind of recursive mechanism capable of “self-expanding” as a result of an infinite number of iterations. As a solution, a combination of two levels may be proposed, prehonological and phonological (resp. semantic and presemantic) which will be resonsible for both transitions.


2020 ◽  
Vol 11 (5) ◽  
pp. 424
Author(s):  
Tamer Bahjat Sabri ◽  
Khalid Mohammad Hasan Sweis ◽  
Issam Naim Mahammad Ayyash ◽  
Yasmeen Faheem Asaad Qalalwi ◽  
Israa Sami Abbas Abdullah

This study sought to test the relationship between cash flows from operating activities, investment activities and financial activities and on one hand and stock returns and the volume of assets on the companies listed in Palestine Stock Exchange on the other hand. The study incorporated 24 companies in 2018 and the required data were obtained through the financial statements. To test the hypotheses of the study, the Mann-Whitny U Test was used, a nonparametric test. Also the Kolmogorov-Smirnov was done. The findings demonstrated that the value of the Whitny U Test was (-3.291) Z with a statistical significance at 1%. Based on this, the null hypothesis was rejected and the alternative one, stating that there is a statistically significant difference between the operating flows of companies with low assets and those companies with high assets, was accepted. However, the other null hypothesis was accepted. The study recommended that companies and investors should take into consideration cash flows when taking an investment decision in Palestine Stock Exchange.


2016 ◽  
Vol 21 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Hanneke Bruijnzeel ◽  
Fuat Ziylan ◽  
Inge Stegeman ◽  
Vedat Topsakal ◽  
Wilko Grolman

Objective: This review aimed to evaluate the additional benefit of pediatric cochlear implantation before 12 months of age considering improved speech and language development and auditory performance. Materials and Methods: We conducted a search in PubMed, EMBASE and CINAHL databases and included studies comparing groups with different ages at implantation and assessing speech perception and speech production, receptive language and/or auditory performance. We included studies with a high directness of evidence (DoE). Results: We retrieved 3,360 articles. Ten studies with a high DoE were included. Four articles with medium DoE were discussed in addition. Six studies compared infants implanted before 12 months with children implanted between 12 and 24 months. Follow-up ranged from 6 months to 9 years. Cochlear implantation before the age of 2 years is beneficial according to one speech perception score (phonetically balanced kindergarten combined with consonant-nucleus-consonant) but not on Glendonald auditory screening procedure scores. Implantation before 12 months resulted in better speech production (diagnostic evaluation of articulation and phonology and infant-toddler meaningful auditory integration scale), auditory performance (Categories of Auditory Performance-II score) and receptive language scores (2 out of 5; Preschool Language Scale combined with oral and written language skills and Peabody Picture Vocabulary Test). Conclusions: The current best evidence lacks level 1 evidence studies and consists mainly of cohort studies with a moderate to high risk of bias. Included studies showed consistent evidence that cochlear implantation should be performed early in life, but evidence is inconsistent on all speech and language outcome measures regarding the additional benefit of implantation before the age of 12 months. Long-term follow-up studies are necessary to provide insight on additional benefits of early pediatric cochlear implantation.


2005 ◽  
Vol 80 (3) ◽  
pp. 307-312 ◽  
Author(s):  
V. E. Beattie ◽  
K. Breuer ◽  
N. E. O'Connell ◽  
I. A. Sneddon ◽  
J. T. Mercer ◽  
...  

AbstractApproximately 5% of pigs slaughtered in the UK have been tail-bitten, leading to welfare and production issues. Tail biting is sporadic and not all pigs tail bite. The aim of this study was to identify factors that are common in pigs that perform tail-biting behaviour, and that might be used in a predictive way to identify such animals.The behaviour of 159 pigs was observed in the post-weaning period. Pigs were weaned at 4 weeks of age. In the week prior to weaning and at 6 weeks of age each pig was individually tested in a tail chew test (tail chew test 1 and 2, respectively). The tail chew test involved recording the pig's behaviour directed towards two ropes, one of which had been soaked in saline solution and the other not. The production performance of the pigs was recorded from birth to 7 weeks of age. Time spent performing tail-biting behaviour correlated positively with time in contact with the rope in tail chew test 2 (r = 0·224, P < 0·05), and time spent ear biting correlated positively with time spent in rope directed behaviour in tail chew test 1 (r = 0·248, P < 0·01). Pigs that spent as much as 1·5% of their time of more performing tail-biting behaviour were lighter at weaning (26 days) and tended to be lighter at 7 weeks of age compared with pigs that spent less than 1·5% of their time performing tail-biting behaviour (weaning weight: ≥1·5% tail biting 8·96 kg, <1·5% tail biting 9·67 kg, P < 0·05; 7-week weight: ≥1·5% tail biting 15·75 kg, <1·5% tail biting 17·09 kg, P < 0·08). There was no significant difference in birth weight between pigs that spent ≥ or <1·5% of their time performing tail-biting behaviour. Pigs that spent 1·5% of their time or more performing tail-biting behaviour showed significantly lower growth rates between birth and weaning (≥1·5% tail biting 260 g/day, <1·5% tail biting 285 g/day, P < 0·05) but not between weaning and 7 weeks of age (≥1·5% tail biting 343 g/day, <1·5% tail biting 365 g/day, P > 0·05).The results suggest that pigs that tail bite have some nutritional deficiency that results in performance of foraging behaviour that is expressed in intensive housing as ear/tail biting.


2019 ◽  
Vol 40 (8) ◽  
pp. e761-e768 ◽  
Author(s):  
Yehree Kim ◽  
Jee Yeon Lee ◽  
Won Seob Lim ◽  
Min Young Kwak ◽  
Ji Won Seo ◽  
...  

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