scholarly journals EFFECTIVENESS OFSCREENING TOOLS EMPLOYED FOR IDENTIFYING HEARING LOSSIN OLDER ADUL

2021 ◽  
Vol 11 (1) ◽  
pp. 90-95
Author(s):  
Tatjana Vladimirova ◽  
Mikhail Postnikov ◽  
Alexandr Kurenkov ◽  
Anastasia Martynova
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Predictive Value ◽  
Primary Care Physicians ◽  
Ease Of Use ◽  
Older Age ◽  
High Rate ◽  
Screening Tests ◽  
Age Group ◽  
Profound Hearing Loss

The study evaluated the effectiveness of screening tests by identifying hearing loss in 127 adults of the older age groups (aged 60–87). We performed a quantitative assessment of the HHIE-S questionnaire (accuracy, sensitivity, specificity) comparing to the puretone threshold audiometry (the gold standard for detecting hearing loss). The analysis of hearing impairment prevalence in the target population relied on both methods. We have observed a high rate of hearing loss — 81% in the patients of the older age group, of which 30% had mild hearing loss, 38% — moderate hearing loss, 9% — severe hearing loss, the remaining 4% with profound hearing loss. We have evaluated the average accuracy (62.2%), sensitivity (64.0%), specificity (54.0%) as well as the positive predictive value (85.7%) of the HHIE-S questionnaire, whereas it was the negative predictive value only that revealed a low rate (26%). The study outcomes confirm the possibility of using HHIE-S questionnaire as a screening tool for hearing loss in the older age group. HHIE-S can prove particularly useful for primary care physicians as well as for physical examination due to its reliable accuracy and ease of use. The probability of a false positive outcome and an overestimated hearing impairment in the older age group is relatively low. However, pure-tone threshold audiometry is required in patients with detected hearing loss.

Congenital and early-onset bilateral hearing impairment in children: the delay in detection

1997 ◽  
Vol 111 (11) ◽  
pp. 1018-1021 ◽  
Author(s):  
Eero Vartiainen ◽  
Seppo Karjalainen
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Hearing Impairment ◽  
Early Onset ◽  
Otoacoustic Emissions ◽  
Hearing Screening ◽  
Screening Tests ◽  
Profound Hearing Loss ◽  
Great Cost ◽  
Universal Hearing Screening

AbstractA retrospective review of 168 consecutive children with congenital or early-onset bilateral hearing impairment (>25 dB, 0.5–4 kHz, in the better hearing ear) was conducted. Only 39 per cent of the hearingimpaired children were diagnosed within the first two years of life. The age at diagnosis was related to the severity of hearing loss with profound (>95 dB) hearing losses being detected earlier than the other degrees. However, 37 per cent of children with severe to profound (>70 dB) hearing loss were still not diagnosed until after two years of age. Children with severe to profound hearing loss and with known risk factors were diagnosed earlier than children with the same hearing status but with no known risk factors. It was concluded that the behavioural hearing screening tests used in our well-baby clinics are insufficient and, therefore, more reliable methods, preferably evoked otoacoustic emissions, should be used for universal hearing screening of infants and young children in spite of the great cost.

The Effect of Conventional and Transparent Surgical Masks on Speech Understanding in Individuals with and without Hearing Loss

2017 ◽  
Vol 28 (01) ◽  
pp. 058-067 ◽  
Author(s):  
Samuel R. Atcherson ◽  
Lisa Lucks Mendel ◽  
Wesley J. Baltimore ◽  
Chhayakanta Patro ◽  
Sungmin Lee ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Hearing Impairment ◽  
Visual Input ◽  
Acoustic Properties ◽  
Speech Understanding ◽  
Profound Hearing Loss ◽  
Cross Sectional ◽  
Surgical Masks ◽  
Significant Difference

AbstractIt is generally well known that speech perception is often improved with integrated audiovisual input whether in quiet or in noise. In many health-care environments, however, conventional surgical masks block visual access to the mouth and obscure other potential facial cues. In addition, these environments can be noisy. Although these masks may not alter the acoustic properties, the presence of noise in addition to the lack of visual input can have a deleterious effect on speech understanding. A transparent (“see-through”) surgical mask may help to overcome this issue.To compare the effect of noise and various visual input conditions on speech understanding for listeners with normal hearing (NH) and hearing impairment using different surgical masks.Participants were assigned to one of three groups based on hearing sensitivity in this quasi-experimental, cross-sectional study.A total of 31 adults participated in this study: one talker, ten listeners with NH, ten listeners with moderate sensorineural hearing loss, and ten listeners with severe-to-profound hearing loss.Selected lists from the Connected Speech Test were digitally recorded with and without surgical masks and then presented to the listeners at 65 dB HL in five conditions against a background of four-talker babble (+10 dB SNR): without a mask (auditory only), without a mask (auditory and visual), with a transparent mask (auditory only), with a transparent mask (auditory and visual), and with a paper mask (auditory only).A significant difference was found in the spectral analyses of the speech stimuli with and without the masks; however, no more than ∼2 dB root mean square. Listeners with NH performed consistently well across all conditions. Both groups of listeners with hearing impairment benefitted from visual input from the transparent mask. The magnitude of improvement in speech perception in noise was greatest for the severe-to-profound group.Findings confirm improved speech perception performance in noise for listeners with hearing impairment when visual input is provided using a transparent surgical mask. Most importantly, the use of the transparent mask did not negatively affect speech perception performance in noise.

scholarly journals The Use of Frequency Lowering Technology in the Treatment of Severe-to-Profound Hearing Loss: A Review of the Literature and Candidacy Considerations for Clinical Application

2018 ◽  
Vol 39 (04) ◽  
pp. 377-389 ◽  
Author(s):  
Susan Scollie ◽  
Danielle Glista
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Clinical Application ◽  
Current Literature ◽  
High Frequency ◽  
Hearing Aid ◽  
Verification And Validation ◽  
Review Of The Literature ◽  
Profound Hearing Loss

AbstractThis article provides a review of the current literature on the topic of frequency lowering hearing aid technology specific to the treatment of severe and profound levels of hearing impairment in child and adult listeners. Factors to consider when assessing listener candidacy for frequency lowering technology are discussed. These include factors related to audiometric assessment, the listener, the type of hearing aid technology, and the verification and validation procedures that can assist in determining candidacy for frequency lowering technology. An individualized candidacy assessment including the use of real-ear verification measures and carefully chosen validation tools are recommended for listeners requiring greater audibility of high-frequency sounds, when compared with amplification via conventional hearing aid technology.

Prevalence and classification of asymmetric forms of sensorineural hearing loss in older age group

2021 ◽  
Vol 20 (5) ◽  
pp. 8-12
Author(s):  
T. Yu. Vladimirova ◽  
◽  
A. B. Martynova ◽  
Keyword(s):  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Hearing Aids ◽  
Hearing Threshold ◽  
Older Age ◽  
Sensorineural Hearing ◽  
Age Group ◽  
The Difference ◽  
The Right

The significance of asymmetric sensorineural hearing loss (ASNHL) is due to a special approach to diagnosis, followed by the process of hearing aids and auditory rehabilitation. Currently, there is no standard audiometric criterion for determining the forms of asymmetry, which significantly affects the assessment of the prevalence of ASNHL. The study aimed to assess the prevalence and classification of ASNHL forms in the older age group using two methods of calculation: 1) the difference in the average hearing threshold at speech frequencies (in the range of 0,5–4 kHz) ≥15 dB was detected in 14,14% of cases; 2) the different degree of hearing loss, according to the International classification, in the right and left ear was 35,98%. In most cases, asymmetry was manifested by bilateral sensorineural hearing loss of varying severity, prevailing in the group of long-livers – 82,6%. Given the potentially high prevalence of asymmetry depending on the audiological criterion, the results of the work are a reason for further research in the development of a unified method for verifying a clinically significant form of ASNHL.

Frequency of Severity and Types of Hearing Impairment In Children of Age 5 to 10 Years in Audiology Department

2021 ◽  
Author(s):  
Daniel Akhtar ◽  
Azmat Tahira ◽  
Ambreen Sadaf ◽  
Maria Shahzadi ◽  
Umair Ahsan ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Rural Areas ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
World Health ◽  
Control Analysis ◽  
Age Group ◽  
Cross Sectional ◽  
Chi Square Analysis

Hearing impairment also known as hearing loss is a total or partial incapability to hear. Hard of hearing individuals have difficulty understanding speech sounds. The hearing tribulations in children could have an effect on the ability to learn spoken language as well as in adults it could be able to generate difficulty with social communication in addition to at work. Objective: To determine the Frequency of severity level along with its types of hearing loss in children age 5 to 15 years coming to the Department of Audiology in Children Hospital and ICH, Lahore. Methods: The Descriptive cross-sectional study was performed in the Audiology Department of Children Hospital and ICH in Lahore District, Punjab Province, Pakistan. Children of age limit between 5 to 15 years were had screened and examine for hearing impairment according to the World Health Organization (WHO) protocols. A purposive sampling technique was used. The Case-control analysis of the audiometric test had performed to find out the type and degree of Hearing loss, follow by Chi-Square analysis. Results: The total of 175 children comprised the study population, in which 51.4% (n=90) children belong to the age group of 10-12 years, had Moderate to Severe SNHL due to Birth complications and lack of awareness about Preventable hearing loss especially in rural areas of Pakistan, 28.5% (n=50) children belong to the age group of 13-15 years, had Severe to Profound SNHL due to Consanguineous marriages, 20% (n=35) children belong to the age group of 7-9 years, had Mild to Moderate CHL due to Ear Discharge and other complications like Tonsillitis and Adenoids, etc. Conclusions: This study concluded that a total of 175 children participated in that research, in which 90 children had Moderate to Severe SNHL, 50 children had Severe to Profound SNHL and 35 children had Mild to Moderate CHL.    

scholarly journals Phenotypic Heterogeneity of Post-lingual and/or Milder Hearing Loss for the Patients With the GJB2 c.235delC Homozygous Mutation

2021 ◽  
Vol 9 ◽  
Author(s):  
Hongyang Wang ◽  
Yun Gao ◽  
Jing Guan ◽  
Lan Lan ◽  
Ju Yang ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Mutation Screening ◽  
Pcr Amplification ◽  
Phenotypic Heterogeneity ◽  
Homozygous Mutation ◽  
Profound Hearing Loss ◽  
Genetic Codes ◽  
Next Generation Sequencing Ngs ◽  
Normal Controls

ObjectiveTo report the phenotypic heterogeneity of GJB2 c.235delC homozygotes associated with post-lingual and/or milder hearing loss, and explore the possible mechanism of these unconditional phenotypes.MethodsMutation screening of GJB2 was performed on all ascertained members from Family 1006983 and three sporadic patients by polymerase chain reaction (PCR) amplification and Sanger sequencing. Next generation sequencing (NGS) was successively performed on some of the affected members and normal controls from Family 1006983 to explore additional possible genetic codes. Reverse transcriptase–quantitative PCR was conducted to test the expression of Connexin30.ResultsWe identified a Chinese autosomal recessive hearing loss family with the GJB2 c.235delC homozygous mutation, affected members from which had post-lingual moderate to profound hearing impairment, and three sporadic patients with post-lingual moderate hearing impairment, instead of congenital profound hearing loss. NGS showed no other particular variants. Overexpression of Connexin30 in some of these cases was verified.ConclusionPost-lingual and/or moderate hearing impairment phenotypes of GJB2 c.235delC homozygotes are not the most common phenotype, revealing the heterogeneity of GJB2 pathogenic mutations. To determine the possible mechanism that rescues part of the hearing or postpones onset age of these cases, more cases are required to confirm both Connexin30 overexpression and the existence of modifier genes.

scholarly journals Accuracy of Reflexive Behavioral (“Baah”) Test in the Screening for Hearing Impairment in Infants Six Months Old and Below

2012 ◽  
Vol 27 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Marieflor Cristy M. Garcia ◽  
Charlotte M. Chiong ◽  
Generoso T. Abes ◽  
Ryner Jose C. Carrillo
Keyword(s):  
Hearing Loss ◽  
Negative Predictive Value ◽  
Hearing Impairment ◽  
Predictive Value ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Care Providers ◽  
Government Hospital ◽  
Female Ratio ◽  
Newborn Hearing

Objective: To determine the prevalence of hearing loss among infants six months old and below sent for newborn hearing screening in our institution, and to measure the accuracy, sensitivity, specificity and positive predictive values of reflexive behavioral (“Baah”) test in detecting hearing loss in infants.Methods:     Design: Cross-sectional study     Setting: Ear Unit of a tertiary government hospital     Participants: Infants less than Six months old sent for newborn hearing screening at the Ear Unit of a tertiary government hospital from April to September, 2011 were recruited. All participants were tested with OAE for hearing screening. OAE was also used as the standard for evaluating hearing impairment. The reflexive behavioral (“Baah”) test was then done using the human voice as a loud sound stimulus, and the response recorded were auropalpebral, startle and blinking response to the sound. Thesensitivity, specificity, accuracy, positive and negative predictive value of the test was then measured.Results: From April to September 2011, a total of 101 patients were tested, with a male to female ratio of 1.1:1 (53 males, 48 females). The prevalence of hearing impairment in this study population was 6.9% (7 out of 101). The reflexive behavioral (“Baah”) test was found to have sensitivity of 71.4%, specificity of 95.7%, accuracy rate of 94%, positive predictive value of 55.6% and negative predictive value of 97.8%.Conclusion: The reflexive behavioral (“Baah”) test shows potential as an accurate, acceptable and cost-effective screening tool to identify infants that may be at higher risk for hearing impairment. This test may aid the health care providers, in areas without OAEs, in identifying infants who are in need further hearing diagnostic evaluation, with OAEs or other hearing tests. It is recommended that the “Baah” test be implemented in the community to test its reproducibility in a larger population and outside the hospital setting.Keywords: reflexive behavioral test, “Baah” test, otoacoustic emission, hearing screening

scholarly journals Biotinidase deficiency and its impact on the auditory system in Iranian children

2020 ◽  
Author(s):  
Hossein Talebi ◽  
Omid Yaghini ◽  
Zahra Habibi
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Demographic Data ◽  
Positive Family History ◽  
Biotinidase Deficiency ◽  
Profound Hearing Loss ◽  
Bilateral Absence ◽  
Brainstem Response ◽  
History Of ◽  
Iranian Children

Background and Aim: Biotinidase deficiency (BTD) is a rare autosomal recessive abnormality of biotin metabolism. If left untreated, it may lead to auditory symptoms. In this study, we examined the possible relationship between BTD and hearing impairment among Iranian children. Methods: This descriptive cross-sectional study was performed on 9 children (8 boys, 1 girl) with BTD, who referred to Imam Hossein Hos­pital in Isfahan City, Iran, in 2018. After coll­ecting their demographic data, including age, gender, weight, height, and history of diseases, we performed routine otolaryngologic and neu­rologic examination, audiological examinations, including otoscopic, acoustic immittance mea­surements, and auditory brainstem response (ABR). We recorded cochlear microphonic res­ults in most cases, too. Results: The subjects’ mean ± SD age of BTD diagnosis was 4.33 ± 5.36 months. Of all par­ticipants, 11.1% had a positive family history of the disease, and 66.7% of families had the first-degree consanguineous marriage. About 44.5% of participants had a normal hearing; 22.2% had moderate sensorineural hearing loss, and 33.3% showed no response to ABR test. All subjects showed normal acoustic immittance results. However, children with profound hearing loss showed bilateral absence of acoustic reflexes. Conclusion: BTD has a high impact on a chi­ld’s hearing system. The high prevalence of hearing loss among BTD patients suggests that parents of BTD children (diagnosed at birth) should pay special attention to auditory scree­ning and follow-up programs, as early diagnosis is important for preventing hearing loss. Also, families with first-degree of consanguineous marriages should consider genetic counseling before having children.   Keywords: Biotinidase deficiency; hearing impairment; children  

scholarly journals Speechreading as a communication mediator

CoDAS ◽  
2014 ◽  
Vol 26 (1) ◽  
pp. 53-60 ◽  
Author(s):  
Letícia Neves de Oliveira ◽  
Alexandra Dezani Soares ◽  
Brasilia Maria Chiari
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Normal Hearing ◽  
Hearing Impaired ◽  
Control Group ◽  
Study Group ◽  
Vocabulary Test ◽  
Profound Hearing Loss ◽  
Significance Level ◽  
Female Speaker

Purposes: To compare the speechreading between individuals with hearing impairment and with normal hearing levels to verify the factors that influence the speechreading among hearing impaired patients. Methods: Forty individuals with severe-to-profound hearing loss aged between 13 and 70 years old (study group) and 21 hearing individuals aged between 17 and 63 years old (control group) were evaluated. As a research instrument, anamnesis was used to characterize the groups; three speechreading instruments, presenting stimuli via a mute video, with a female speaker; and a vocabulary test, to verify their influence on speechreading. A descriptive and analytical statistics (ANOVA test and Pearson's correlation), adopting a significance level of 0.05 (5%). Results: A better performance was observed in the group with hearing impairment in speechreading tests than in the group with hearing individuals. By analyzing the group with hearing loss, there was a mean difference between tests (p<0.001), which also showed correlation between them. Individuals with pre-lingual hearing loss and those who underwent therapy for speechreading had a better performance for most speechreading instruments. The variables gender and schooling showed no influence on speechreading. Conclusion: Individuals with hearing impairment had better performance on speechreading tasks in comparison to people with normal hearing. Furthermore, it was found that the ability to perform speechread might be influenced by the vocabulary, period of installation of the hearing loss, and speechreading therapy.

scholarly journals Quality of life and comorbid status in persons of the older age group with chronic sensorineural hearing loss

2020 ◽  
Vol 19 (5) ◽  
pp. 36-43
Author(s):  
T. Yu. Vladimirova ◽  
◽  
A. B. Martynova ◽  
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Sensorineural Hearing Loss ◽  
Age Groups ◽  
Inverse Correlation ◽  
Older Age ◽  
Sensorineural Hearing ◽  
World Health ◽  
Age Group

A study was conducted of 300 patients with chronic sensorineural hearing loss (SNHL) in four age groups, allocated according to the age classification of the World Health Organization (WHO). For patients of the older age group, a high comorbidity index is noted, while among concomitant diseases, chronic non-infectious diseases that are likely to affect hearing (arterial hypertension, cardiovascular disease (CVDs), diabetes mellitus) are more often observed with age. A direct correlation was found between diseases that probably affect the auditory function and quality of life (QoL) of patients. It was noted that the proportion of people with moderate and severe hearing impairment increases with age, while the total QoL indicator correlated with age (inverse correlation in the elderly, direct correlation in senile people and long-livers) and the degree of SNHL (inverse correlation). Self-assessment of QOL level by the physical component in patients of the older age group corresponded to the pre-critical level.

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