scholarly journals The Age of Hesitancy, Recognition, Reinforcement, and Interposition in Cochlear Implant Children in Ahvaz, Iran: A 5-year Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Nader Saki ◽  
Amir Hossein Asadollah Pour ◽  
Hasan Abshirini ◽  
Soheila Nikakhlagh ◽  
Majid Karimi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
High Risk ◽  
Cochlear Implant ◽  
Middle Ages ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Psychological Status ◽  
Cross Sectional ◽  
Cochlear Implant Surgery ◽  
The Mean

Background: Delay in early detecting of hearing loss (HL) and aural interposition in children have intense impacts on their speech and language expansion, academic progress, social skills, and psychological status. Objectives: The purpose of the current study was to assess the age of hesitancy, recognition, reinforcement, and interposition in children with bilateral severe to deep hearing loss. Methods: This cross-sectional study was conducted on children who were candidates for cochlear implant surgery at Khuzestan Cochlear Implantation Center, Ahvaz, Iran. The rehabilitative histories and children’s medical were utilized to record ages of hesitancy, recognition, reinforcement, and interposition for both groups of “high-risk” and “not-high-risk” children. Paired sample t-test was used to evaluate the middle ages of children between the “high-risk” and “not-high risk” groups. Results: A total of 389 children (205 boys and 184 girls) were included. The mean ages of hearing loss hesitancy, hearing loss recognition, fitting the hearing reinforcement devices, and interposition were 10.7 ± 7.1, 15.75 ± 9.4, 21.81 ± 8.1, and 26.32 ± 9.2 months, respectively. The average delays between the ages of hesitancy and recognition: 3.74 (P < 0.0001); recognition and reinforcement: 5.05 (P < 0.0001); reinforcement and interposition: 2.83 months (P < 0.0001) were obtained. There were no significant statistical differences in terms of four studied ages among the high-risk (n = 129) and not-high risk (n = 260) children (P > 0.05). Conclusions: The outcomes showed that there is a significant improvement in the average ages of hearing loss hesitancy, recognition, reinforcement, and interposition in Iran. However, there is still an obvious difference between these ages and those recommended by the Joint Committee on Infant Hearing.

scholarly journals ANGKA BANDING APO B/APO A-I PADA GEJALA KORONER AKUT

2016 ◽  
Vol 20 (1) ◽  
pp. 1
Author(s):  
Sienny Linawaty ◽  
JB. Suparyatmo ◽  
Tahono Tahono
Keyword(s):  
High Risk ◽  
Cross Sectional Study ◽  
Risk Category ◽  
Very Low Density Lipoproteins ◽  
Cross Sectional ◽  
Apo B ◽  
Significance Level ◽  
Mortality And Morbidity ◽  
Coronary Syndrome ◽  
The Mean

Coronary Artery Disease has a high prevalence and is frequently occurred and associated with the high mortality and morbidity. Dyslipidemia is one of the risk factors of Coronary Heart Disease (CHD). ApoB contained in very low-density lipoproteins (VLDL), intermediate-density lipoproteins (IDL), LDL and small dense LDL (sd-LDL), with one molecule of apoB in each particle. Apo A-I is the major apolipoprotein in HDL particles. The ratio of apoB/apoA-I is a balance between apoB-containing particles and potentially atherogenic apoA-I that is antiaterogenik. This study is carried to know the determination whether there are differences between apoB/ apoA-I ratio in patients dyslipidemia with ACS and non ACS. The research used a cross-sectional study design with patients dyslipidemia subjects suffering Acute Coronary Syndrome (ACS) and non ACS who enter to the Laboratory of Pathology Clinic at Dr. Moewardi Hospital between July and November 2011. To determine the pattern of data distribution, the researchers used Kolmogorov Smirnov test. For the analysis of differences in mean apoB/apoA-I ratio in the two population groups is used the T test, using a computer program, with the significance level p<0.05, 95% confidence interval. From 74 samples examined the mean age is 56.42 year old. This patients consisted of 33 males (44.6%) and 41 women (55.4%). All subjects are grouped into two groups, dyslipidemia ACS and non dyslipidemia ACS. The results showed apoB/apoA-I ratio significantly different in patients with dyslipidemia with ACS and non ACS. The mean apoB/apoA-I ratio of women and men subjects in both groups, including groups at high risk of myocardial myokard and higher than the cut-off ratio of apoB/ apoA-I (men 0.9 and women 0.8). It can be concluded that the apoB/apoA-I ratio of women and men subjects in both groups, included the high risk category for infarct myokard although lipid abnormalities are still not demonstrated to the risk of infarct myokard.

Tinnitus and Its Effect on the Quality of Life of Sufferers: A Nigerian Cohort Study

2017 ◽  
Vol 157 (4) ◽  
pp. 690-695 ◽  
Author(s):  
Onyinyechi C. Ukaegbe ◽  
Foster T. Orji ◽  
Basil C. Ezeanolue ◽  
James O. Akpeh ◽  
Ijeoma A. Okorafor
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Pure Tone Audiometry ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Symptom Duration ◽  
Cross Sectional ◽  
Southeastern Nigeria ◽  
The Mean

Objectives To evaluate the quality of life of patients with ongoing tinnitus. Study Design This was a cross-sectional study of patients with ongoing tinnitus. Setting The study was carried out in a tertiary hospital in southeastern Nigeria. Subjects and Methods Subjects are adults who presented to the otorhinolaryngology clinic with tinnitus as their primary complaint. Pure-tone audiometry, tinnitus pitch, and loudness matching were done. The Tinnitus Handicap Inventory (THI) questionnaire was used in assessing their quality of life. Results There were 63 participants within the age range of 16 to 74 years; 20 (31.7%) were male and 43 (68.3%) were female. The mean duration of tinnitus was 26.7 ± 38.1 months. Nineteen (30.2%) participants had bilateral tinnitus while 44 (69.8%) had unilateral tinnitus. The mean THI score was 36.6 ± 19.7. The most reported handicap was anxiety and difficulty with concentration followed by depression and irritability. There was no correlation between the disability shown by the THI score and the age, sex, duration of the tinnitus, the tinnitus pitch, tinnitus loudness, or the laterality of the tinnitus. There was a significant positive correlation between the grade of hearing loss and the level of disability reported in the THI ( P = .01). Conclusion Tinnitus sufferers appear to have poorer quality of life compared with nonsufferers. This quality-of-life affectation is likely to be worse in those with disabling hearing loss but does not appear to be related to their age, sex, symptom duration, or the loudness and pitch of their tinnitus.

scholarly journals Determinants of immunisation coverage of children aged 12–59 months in Indonesia: a cross-sectional study

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e015790 ◽  
Author(s):  
Putri Herliana ◽  
Abdel Douiri
Keyword(s):  
Health Survey ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Demographic And Health Survey ◽  
Immunisation Coverage ◽  
Design Data ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
The Mean ◽  
Immunisation Status

ObjectivesDespite the adoption of WHO’s Expanded Programme on Immunisation in Indonesia since 1977, a large proportion of children are still completely unimmunised or only partly immunised. This study aimed to assess factors associated with low immunisation coverage of children in Indonesia.SettingChildren aged 12–59 months in Indonesia.ParticipantThe socioeconomic characteristics and immunisation status of the children were obtained from the most recent Demographic and Health Survey, the 2012 Indonesia Demographic and Health Survey. Participants were randomly selected through a two-stage stratified sampling design. Data from 14 401 children aged 12–59 months nested within 1832 census blocks were included in the analysis. Multilevel logistic regression models were constructed to account for hierarchical structure of the data.ResultsThe mean age of the children was 30 months and they were equally divided by sex. According to the analysis, 32% of the children were fully immunised in 2012. Coverage was significantly lower among children who lived in Maluku and Papua region (adjusted OR: 1.94; 95% CI 1.42 to 2.64), were 36–47 months old (1.39; 1.20 to 1.60), had higher birth order (1.68; 1.28 to 2.19), had greater family size (1.47; 1.11 to 1.93), whose mother had no education (2.13; 1.22 to 3.72) and from the poorest households (1.58; 1.26 to 1.99). The likelihood of being unimmunised was also higher among children without health insurance (1.16; 1.04 to 1.30) and those who received no antenatal (3.28; 2.09 to 5.15) and postnatal care (1.50; 1.34 to 1.69).ConclusionsSocioeconomic factors were strongly associated with the likelihood of being unimmunised in Indonesia. Unimmunised children were geographically clustered and lived among the most deprived population. To achieve WHO target of protective coverage, public health interventions must be designed to meet the needs of these high-risk groups.

scholarly journals Hepatitis B and C prevalence among the high risk groups of Pakistani population. A cross sectional study

2012 ◽  
Vol 70 (1) ◽  
Author(s):  
Abdul Rauf Memon ◽  
Kashif Shafique ◽  
Ashraf Memon ◽  
Agha Umer Draz ◽  
Mohammad Uzair Abdul Rauf ◽  
...  
Keyword(s):  
High Risk ◽  
Hepatitis B ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pakistani Population

scholarly journals Is FEV1 associated with quality of life in children with cystic fibrosis? An original article

2019 ◽  
Vol 6 (1) ◽  
pp. e06-e06
Author(s):  
Rohola Shirzadi ◽  
Safoura Navaei ◽  
Mohammadreza Modaresi ◽  
Farzad Masiha
Keyword(s):  
Quality Of Life ◽  
Cystic Fibrosis ◽  
Pulmonary Function ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Forced Expiratory Volume ◽  
Psychological Status ◽  
Cross Sectional ◽  
The Mean

Introduction: Cystic fibrosis (CF) is a serious genetic life-shortening disease. Quality of life (QoL) measurement related to CF children is a relatively new field of research, which includes the patient’s perspective in research and clinical practice. Objectives: This study aimed to evaluate the QoL in children with CF and its association with FEV1 (forced expiratory volume in 1 second). Patients and Methods: This cross-sectional study was carried out on 7-14 years old children with CF attending children’s medical center from March 2017 to March 2018. Throat swab cultures and spirometry evaluation was performed for all patients. FEV1 was determined and the 6-min walk test (6MWT) was conducted. The patient’s psychological status was assessed using the Persian version of pediatric QoL inventory. ANOVA, t test, and chisquare tests were used for data analysis. Results: Seventy-six subjects with the mean age of 10.49±3.18 years were studied since 59% of them (n=44) were boys. The mean total QoL was 65.34±17.73. Patients with lower pulmonary function had a lower QoL. There was a significant association between FEV1 and school and emotional functioning (P=0.005 and P=0.002, respectively). A significant association was found between SPO2 (peripheral capillary oxygen saturation) reduction after 6MWT and FEV1 decline (P=0.001). Additionally, a significant association was detected between FEV1 and the distance walked during 6MWT (P=0.030). Conclusion: Regarding the association between pulmonary function and QoL in CF patients and lower QoL score in our study, the importance of assessing pulmonary function in these patients should not be neglected.

scholarly journals Comparing Anxiety, Depression, and Stress in Consanguineous Versus Non-Consanguineous Parents of Children With Deafness in Baqiyatallah Hospital’s Cochlear Implant Center From 2007 to 2009

2018 ◽  
Vol 3 (3) ◽  
pp. 85-89
Author(s):  
Sima Noohi ◽  
Mohammad Ghalamfarsa ◽  
Esmat Davoudi Monfared
Keyword(s):  
Hearing Loss ◽  
Cochlear Implant ◽  
Short Form ◽  
Cross Sectional Study ◽  
Psychological Problems ◽  
Stressful Event ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
The Family ◽  
Anxiety Depression

Background: The birth of a child with a hearing disability is a stressful event in the family. Since consanguineous marriages are associated with the incidence of congenital hearing loss, it is expected that such parents will experience greater psychological problems. Objective: The current study investigated and compared anxiety, depression, and stress in parents of children with severe hearing loss who have undergone cochlear implantation with a focus on the relation between parents (consanguineous vs. non-consanguineous). Methods: This cross-sectional study was conducted on all 180 couples (360 individuals) who had become parents and attended Baqiyatallah hospital’s Cochlear Implant Center from 2007 to 2009. The participants included two groups of consanguineous (125 couples) and non-consanguineous (55 couples) parents. After providing consent to participate in this study, the participants completed the short form of the Depression and Anxiety and Stress Scale questionnaire (DASS-21). Data analysis was done using SPSS 17 and t test. Results: The participating parents had high levels of depression, anxiety, and stress. Depression and anxiety were significantly higher among the consanguineous parents (P=0.001 and P=0.005, respectively). However, stress levels were not significantly different between the 2 groups. Moreover, compared to the fathers, the mothers had higher levels of depression, anxiety, and stress (P<0.05). Conclusion: Based on these findings, it may be concluded that the birth of a child with hearing loss can be the source of psychological problems in parents, particularly in consanguineous parents. Furthermore, mothers are more psychologically vulnerable than fathers.

scholarly journals Systematic screening of pulmonary tuberculosis among HIV high risk groups in two districts of Chhattisgarh: a feasibility study

2021 ◽  
Vol 8 (8) ◽  
pp. 3864
Author(s):  
Ashish Kumar Sinha ◽  
Sumeet Tripathi ◽  
Kshitij Khaparde ◽  
Avinash Chaturvedi ◽  
Swapnil Vasant Shinkar
Keyword(s):  
High Risk ◽  
Compliance Rate ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Screening Strategy ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Systematic Screening ◽  
Pulmonary Tb ◽  
Hidden Population

Background: HIV is an important risk factor for the development of tuberculosis. People living with HIV are 21-34 times more likely to develop TB than their uninfected counterparts. Efficient approach for detecting more cases along with shortened duration of infectivity involves a systematic screening of pulmonary TB in settings where high risk groups are concentrated even before the diagnosis HIV infection. Lack of proper screening strategy for HRGs might result in their exclusion from timely intervention which may prove lethal without treatment.Methods: A cross sectional study was carried out in two districts of Chhattisgarh during September-December 2019.Training cum sensitization sessions were conducted for peer educators, outreach workers, counselors and project managers prior to the survey and were trained for systematic screening of pulmonary TB, sputum collection and transportation to GeneXpert®MTB/RIF lab and other relevant data collection for pulmonary TB diagnosis.Results: A total of 3963 HRGs were intended to be included in the study, 3418 were screened with 86.2% compliance rate. Out of all HRGs screened (3418), 81 (2.4%) were found presumptive pulmonary TB, of them 2 (0.05%) were microbiologically confirmed, 5 cases were found with incomplete treatment (all were IDUs). Prevalence of tobacco use, alcohol use, diabetes and hypertension were observed in 5.3% and 7.2%, 1.2% and 1.1 respectively.Conclusions: Although yield for pulmonary TB in this study was not much, the study has demonstrated that active case finding for accessing such a hidden population through existing manpower can assure better acceptability and feasibility in resource poor settings. 

scholarly journals Prevalence of otomycosis in patients with cerumen impaction due to ear-phone usage during COVID-19

2021 ◽  
Vol 2 (1) ◽  
pp. 28-39
Author(s):  
Sunethra Suresh ◽  
Suraj Suresh ◽  
Sudha Sivasamy
Keyword(s):  
Hearing Loss ◽  
Conductive Hearing Loss ◽  
Fungal Growth ◽  
Cross Sectional Study ◽  
Predisposing Factor ◽  
Cross Sectional ◽  
The Mean ◽  
The Relationship ◽  
Conductive Hearing ◽  
Insignificant Correlation

Background: Otomycosis affects about 9% of patients with otitis externa. One of the predisposing factor is impacted cerumen.  Earphone usage causes cerumen impaction. In the light of the recent COVID-19 pandemic, people are housebound due to prolonged lockdown. Hence people are more technology dependent as working from home and studying online has become the norm. Therefore, usage of earphones has proportionately increased, and the impacted cerumen cases have increased. Methods: This cross-sectional study aimed to analyze data from questionnaire to assess the prevalence of otomycosis among patients with impacted cerumen due to excessive earphone usage, establish associations between otomycosis and symptoms such as pain and hearing loss as well as the correlation between fungal growth and the long hours of earphones usage. The relationship between the age of participants and the usage of earphones during the pandemic was also explored. The data was collected from 100 individuals aged 14 to 51 years who sought treatment for symptomatic impacted wax at an ENT clinic in Malaysia. Results: The mean age of participants was 25.9 years. There was a 31% prevalence of otomycosis among these patients. Otalgia was present in 60% of patients with otomycosis (t value 2.94, coefficient 0.27). Approximately 37% of patients had a large air-bone gap indicating conductive hearing loss. There was an insignificant correlation between otomycosis and the longer hours of earphones usage (t value 1.51, coefficient 0.00015). No correlation was found between age of participants and the total hours of earphone usage (t value 0.63, coefficient 0.0012). Conclusion: This study offers initial evidence that earphone usage could be a predisposing factor in developing otomycosis. However, there was no evidence of longer hours of earphones usage increasing the chances of developing otomycosis. Additionally, symptoms like otalgia and conductive hearing loss could be present in both earwax impaction and otomycosis.

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