scholarly journals Research Insights on Neural Effects of Auditory Deprivation and Restoration in Unilateral Hearing Loss: A Systematic Review

2020 ◽  
Vol 9 (3) ◽  
pp. 812 ◽  
Author(s):  
Jolijn Vanderauwera ◽  
Elisabeth Hellemans ◽  
Nicolas Verhaert
Keyword(s):  
Systematic Review ◽  
Hearing Loss ◽  
Auditory Processing ◽  
Onset Time ◽  
Unilateral Hearing Loss ◽  
Auditory Input ◽  
Number Of Patients ◽  
Magnetic Resonance Imaging Mri ◽  
Functional Neuroplasticity ◽  
The Impact

Neuroplasticity following bilateral deafness and auditory restoration has been repeatedly investigated. In clinical practice, however, a significant number of patients present a severe-to-profound unilateral hearing loss (UHL). To date, less is known about the neuroplasticity following monaural hearing deprivation and auditory input restoration. This article provides an overview of the current research insights on the impact of UHL on the brain and the effect of auditory input restoration with a cochlear implant (CI). An exhaustive systematic review of the literature was performed selecting 38 studies that apply different neural analyses techniques. The main results show that the hearing ear becomes functionally dominant after monaural deprivation, reshaping the lateralization of the neural network for auditory processing, a process that can be considered to influence auditory restoration. Furthermore, animal models predict that the onset time of UHL impacts auditory restoration. Hence, the results seem to advocate for early restoration of UHL, although further research is required to disambiguate the effects of duration and onset of UHL on auditory restoration and on structural neuroplasticity following UHL deprivation and restoration. Ongoing developments on CI devices compatible with Magnetic Resonance Imaging (MRI) examinations will provide a unique opportunity to investigate structural and functional neuroplasticity following CI restoration more directly.

scholarly journals Remote Microphone Technology for Children with Hearing Loss or Auditory Processing Issues

2020 ◽  
Vol 41 (04) ◽  
pp. 277-290
Author(s):  
Erin C. Schafer ◽  
Benjamin Kirby ◽  
Sharon Miller
Keyword(s):  
Hearing Loss ◽  
Auditory Processing ◽  
Multiple Disabilities ◽  
Unilateral Hearing Loss ◽  
The Poor ◽  
Global Pandemic ◽  
Reverberant Environments ◽  
Mild Hearing Loss ◽  
Children With Hearing Loss ◽  
The Impact

AbstractSchool classrooms are noisy and reverberant environments, and the poor acoustics can be a barrier to successful learning in children, particularly those with multiple disabilities, auditory processing issues, and hearing loss. A new set of listening challenges have been imposed by the recent global pandemic and subsequent online learning requirements. The goal of this article is to review the impact of poor acoustics on the performance of children with auditory processing issues, mild hearing loss, and unilateral hearing loss. In addition, we will summarize the evidence in support of remote microphone technology by these populations.

scholarly journals The impact of COVID-19 pandemic on the treatment of acute appendicitis in China

2021 ◽  
Author(s):  
ZhiXue Zheng ◽  
Jing Tao Bi ◽  
Ya Qi Liu ◽  
Xuan Cai
Keyword(s):  
Acute Appendicitis ◽  
White Blood Cells ◽  
Onset Time ◽  
The Novel ◽  
C Reactive Protein ◽  
Reactive Protein ◽  
Number Of Patients ◽  
Hospital Visits ◽  
Novel Coronavirus ◽  
The Impact

Abstract Objective This research aims to analyze the impact of the novel coronavirus pandemic on the hospital visits of patients with acute appendicitis. Methods The retrospective analysis was designed to look at the treatment of acute appendicitis in the Department of General Surgery in Beijing Jishuitan Hospital before and during the COVID-19 pandemic (2019–2020). Data was analyzed by the numbers of patients, sex, age, onset time, fever or not, laboratory examination, imaging test, and treatment. And we analyzed the differences between the “pre-COVID group” and “during-COVID group”. Results Compared with the year 2019, the number of acute appendicitis patients has diminished substantially during the COVID-19 pandemic (2020), but the number elevated with the control of the pandemic. Even if we did not find the differences of the treatment before and during the pandemic (P = 0.932), the onset time to emergency was significantly longer (P < 0.001), and more patients had showed fever (P < 0.001) during the COVID-19 pandemic. And the total number of white blood cells and C reactive protein level were significantly higher in 2020 than those in 2019 (P = 0.006, 0.003). And the same result was found in patients with appendiceal fecalith (P = 0.047). Conclusion During the pandemic of the new coronavirus pneumonia, the number of patients with acute appendix treatment dropped significantly, mainly because it took longer than before, and the condition was more severe. It can be seen that the new coronary pneumonia has a great impact on the patients’ medical treatment behavior, and the active prevention and treatment of the new coronavirus pneumonia is currently an important and urgent issue.

Quality of life of children treated for unilateral hearing loss: a systematic review and meta-analysis

2021 ◽  
pp. archdischild-2020-320389
Author(s):  
Sarah Nicolas ◽  
Yohan Gallois ◽  
Marie-Noëlle Calmels ◽  
Olivier Deguine ◽  
Bernard Fraysse ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Hearing Loss ◽  
Meta Analysis ◽  
Random Effect ◽  
Risk Of Bias ◽  
Primary Study ◽  
Unilateral Hearing Loss ◽  
Design Selection

ObjectiveTo evaluate the treatments’ consequences for unilateral hearing loss in children.DesignSystematic review and meta-analysis (CRD42018109417). The MEDLINE, CENTRAL, ISRCTN and ClinicalTrials databases were searched between September 2018 and May 2019. Articles were screened and data were collected independently by two authors following the Cochrane and Preferred Reporting Items for Systematic review and Meta-Analysis guidelines. The risk of bias was evaluated using the Cochrane tool, the Newcastle-Ottawa Scale, the National Institute of Health, USA tool and considering the risk of confounding. In the studies with the lowest risk of bias, a meta-analysis was conducted.InterventionsValidated hearing rehabilitation devices.Patients6–15 years old children with moderate to profound unilateral hearing loss.Main outcome measuresThe primary study outcome was children’s quality of life. Academic performances were studied as an additional outcome.Results731 unique articles were identified from the primary search. Of these, 18 articles met the Population, Intervention, Control, Outcomes and Study design selection criteria. In the eight studies with the lowest risk of bias, two meta-analysis were conducted. There was not enough data on academic results to conduct a meta-analysis. In 73 children included in a fixed effect meta-analysis (two studies), no effect of treatment could be shown (g=−0.20, p=0.39). In 61 children included in a random-effect meta-analysis (six studies), a strong positive effect of hearing treatment on quality of life was demonstrated (g=1.32, p<0.05).ConclusionsThe treatment of unilateral hearing loss seems to improve children’s quality of life. Further research is needed to identify the most effective treatment and its corresponding indications.

scholarly journals The Impact of Rapid Response Team Activation on Unplanned Transfers to the ICU

2021 ◽  
Author(s):  
Erica Nelson
Keyword(s):  
Systematic Review ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Healthcare Improvement ◽  
Number Of Patients ◽  
Pubmed Database ◽  
Response Team ◽  
Hospital Morbidity ◽  
Unplanned Admissions ◽  
The Impact

Rapid Response Teams (RRTs) were addressed by the Institute for Healthcare Improvement (IHI) as a means for improving inpatient hospital morbidity and mortality. There implementation was encouraged nationwide with the goal to decrease inpatient cardiopulmonary arrests, mortality rates and unplanned admissions to the Intensive Care Unit (ICU). The purpose of this systematic review was to evaluate the impact of RRTs on unplanned transfers to the ICU. A comprehensive literature review was performed using the PubMed database focusing on RRTs and unplanned ICU transfers. The Donabedian model was used as the theory for this review in conjunction with the PRISMA framework. Study specific data and data outcomes were extracted from individual studies and recorded in tables. Critical appraisal of the included studies was performed utilizing the CASP Checklist for cohort studies. Cross study analysis was then performed to compare outcomes of individual studies against one another in the form of a table. The findings of this systematic review addressed the impact of RRT on ICU admissions with varying outcomes in regards to number of patients admitted to the ICU after RRT review, APACHE scores, length of stay, and mortality. Results of this study address limitations of the identified research and recommendations and implications for the role of the advanced practice nurse.

scholarly journals Cortical Auditory Evoked Potentials in Cognitive Impairment and Their Relevance to Hearing Loss: A Systematic Review Highlighting the Evidence Gap

2021 ◽  
Vol 15 ◽  
Author(s):  
Hanne Gommeren ◽  
Joyce Bosmans ◽  
Emilie Cardon ◽  
Griet Mertens ◽  
Patrick Cras ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hearing Loss ◽  
Cognitive Impairment ◽  
Cognitive Decline ◽  
Auditory Processing ◽  
Auditory Evoked Potentials ◽  
Event Related Potential ◽  
Auditory Evoked Potential ◽  
Publication Date ◽  
Reference List

Background: Alzheimer’s disease (AD) is the most prevalent cause of dementia which affects a growing number of people worldwide. Early identification of people at risk to develop AD should be prioritized. Hearing loss is considered an independent potentially modifiable risk factor for accelerated cognitive decline and dementia in older adults. The main outcome of interest of this review is the alteration of Cortical Auditory Evoked Potential (CAEP) morphology in an AD or mild cognitive impairment (MCI) population with and without hearing loss.Methods: Two investigators independently and systematically searched publications regarding auditory processing on a cortical level in people with cognitive impairment (MCI or AD) with and without hearing loss. Only articles which mentioned at least one auditory elicited event-related potential (ERP) component and that were written in English or Dutch were included. Animal studies were excluded. No restrictions were imposed regarding publication date. The reference list of potential sources were screened for additional articles.Results: This systematic review found no eligible articles that met all inclusion criteria. Therefore, no results were included, resulting in an empty systematic review.Conclusion: In general, dysfunction – being either from cognitive or auditory origin – reduces CAEP amplitudes and prolongs latencies. Therefore, CAEPs may be a prognostic indicator in the early stages of cognitive decline. However, it remains unclear which CAEP component alteration is due to cognitive impairment, and which is due to hearing loss (or even both). In addition, vestibular dysfunction – associated with hearing loss, cognitive impairment and AD – may also alter CAEP responses. Further CAEP studies are warranted, integrating cognitive, hearing, and vestibular evaluations.

Minimal Hearing Loss: Implications and Management Options for Educational Settings

2014 ◽  
Vol 24 (2) ◽  
pp. 40-53 ◽  
Author(s):  
Cynthia McCormick Richburg ◽  
Annah L. Hill
Keyword(s):  
Hearing Loss ◽  
Speech Intelligibility ◽  
Voice Onset Time ◽  
Signal To Noise Ratio ◽  
Onset Time ◽  
School Age Children ◽  
Formant Frequency ◽  
Management Options ◽  
Auditory Systems ◽  
The Impact

Audibility, which refers to the ability of sound to be heard, is not sufficient for listening and learning environments, such as school classrooms. Speech intelligibility, not audibility, is the key to understanding and, therefore, must be addressed for all children, especially those who have some amount of hearing loss. It is well documented that children's central auditory systems are not fully myelinated or mature until the age of 10 to 12 years (Moore, 2002; Musiek, Gollegly, & Baran, 1984). School-age children have “developing” auditory systems due to their poorer sensitivity (when compared to adults) to small acoustic cues in speech, such as voice-onset time and formant-frequency transition (Elliott, 1986; Elliott, Longinotti, Meyer, Raz, & Zucker, 1981). Children are also less able to selectively attend to auditory tasks, have difficulty recognizing speech distorted by reverberation, and have problems with speech intelligibility in background noise and reverberation plus noise (Finitzo-Hieber & Tillman, 1978; Neuman & Hochberg, 1983; Stuart, 2005). Therefore, children under the age of 13 years (i.e., those in elementary and middle school) have been described as “special listeners” (Nabelek & Nabelek, 1994). This article describes minimal hearing loss (MHL), the poor acoustics found in educational environments, and the impact of those acoustics on children with MHL. In addition, this article reviews environmental modifications that can be made to improve classroom acoustics. This article offers multiple researchers' strategies for better access to listening and learning, including soundfield amplification options for improving the signal-to-noise ratio in classroom settings.

scholarly journals Language Disorders in Children with Unilateral Hearing Loss: A Systematic Review

2013 ◽  
Vol 18 (02) ◽  
pp. 198-203 ◽  
Author(s):  
Maria José ◽  
Maria Mondelli ◽  
Mariza Feniman ◽  
Simone Lopes-Herrera
Keyword(s):  
Systematic Review ◽  
Hearing Loss ◽  
Language Disorders ◽  
Unilateral Hearing Loss

scholarly journals Impact of COVID-19 on Presentation of Sudden Sensorineural Hearing Loss at a Single Institution

2020 ◽  
pp. 019459982097468
Author(s):  
Divya A. Chari ◽  
Ayush Parikh ◽  
Elliott D. Kozin ◽  
Meaghan Reed ◽  
David H. Jung
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Time Frame ◽  
Absolute Number ◽  
Sudden Sensorineural Hearing Loss ◽  
Sensorineural Hearing ◽  
Academic Center ◽  
Number Of Patients ◽  
Increased Risk ◽  
The Impact

The coronavirus disease 2019 (COVID-19) pandemic resulted in widespread unprecedented changes to the health care system. Herein, we sought to assess the impact of the viral outbreak on clinical presentations of sudden sensorineural hearing loss (SSNHL) at a single academic center. Our results demonstrate a decrease in the absolute number of patients presenting with SSNHL to our institution during the initial onset of the COVID-19 pandemic compared to an analogous time frame 1 year prior. However, the ratio of patients with SSNHL compared to total patients evaluated was largely similar during the 2 time periods. Based on data from our institution, the COVID-19 virus does not appear to confer a significantly increased risk for the development of SSNHL.

Sign in / Sign up

Export Citation Format

Share Document