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Effect of auditory training and speech reading on speech discrimination ability of children with hearing loss in Ibadan, Oyo State, Nigeria
Published 2020-06Subjects: “…Children with hearing loss…”
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Is there any relationship between hearing threshold levels and CD4 cell count of human immunodeficiency virus infected adults?
Published 2016Subjects: “…hearing loss…”
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Page will reload when a filter is selected or excluded.- Hearing loss 13 results 13
- Hearing Loss 2 results 2
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- Adolescence is characterized by rapid physiological, psychological, and social development which presents considerable challenge when joined with the burden of acquired hearing loss. This study adopted a descriptive survey research design of expost-facto type. Three instruments; Nottingham Adjustment Scale, Hunter Opinions and Personal Expectations Scale and structured interview questionnaire were used to answer the three research questions raised. It focused on influence of intrapersonal and environmental factors on the psychosocial adjustment of adolescents with post- lingual hearing loss in Osun State. Data were analyzed using percentages, Pearson’s correlation and regression analysis. Psychosocial adjustment has a correlation with intrapersonal factors (r=0.44, p<0.05) and environmental factors (r=0.47, p<0.05). Intrapersonal and environmental factors showed significantly joint prediction of psychosocial adjustment of adolescents with post-lingual hearing loss. (F (2, 47) = 13.09; R = 0.60; R2 = 0.33; p<.05). Also, interpersonal factors (B=0.47; t = 3.17; p<.05) and environmental factors (B=0.44; t = 0.41; p<.05) revealed significantly independent prediction of psychosocial adjustment of adolescents with post-lingual hearing loss and environmental factors contributed more to the explained variation (fi = 0.41) than intrapersonal factors (B = 0.38). Understanding the process of adjusting to acquired hearing loss and the sequelae of such a loss should be the first step in developing and implementing appropriate intervention strategies to facilitate adaptation to the loss. Orientation should be given through different media available to educate the society about hearing loss, causes, prevention and management of people with hearing loss, as well as the ills of discriminating against those with hearing loss. Efforts must be made to improve the psychosocial adjustment of individuals with post-lingual hearing loss in this age group. 1 results 1
- Adolescents 1 results 1
- Adolescents with post-lingual hearing loss 1 results 1
- Africa 1 results 1
- Ageing 1 results 1
- Aminoglycosides 1 results 1
- Attitude 1 results 1
- Audiogrammes 1 results 1
- Auditory development 1 results 1
- Auditory performance 1 results 1
- Auditory training 1 results 1
- Background: Hearing loss is one of the commonest and most neglected disabilities in developing countries. However, most of these are preventable with early detection through screening and appropriate interventions. Methods: We determined the prevalence, pattern and predictors of hearing loss in school aged children in selected rural communities in Ogun state, Nigeria, using a cross sectional study design. A multistage cluster sampling technique was used to select 305 pupils from 6 randomly selected primary schools. Semi-structured interviewer administered questionnaires and a calibrated Amplivox 240 diagnostic audiometer were used for data collection. Multiple logistic regression analysis was used to determine the risk factors. Results: The prevalence of bilateral hearing loss was 19.6% while unilateral hearing loss was 11.8% on the left side and 7.9% on the right.Low frequency hearing lossconstituted the commoner type of hearing loss with [54(64.3%)] occurring on the right and [69 (71.1%)] on the left. Logistic regression analysis revealed that history of ear discharge (OR= 2.80, 95% CI= 1.23-6.38: p=0.006), ear injury (OR= 2.28, 95% CI= 1.09-4.74: p=0.028), head trauma (OR= 4.54, 95% CI= 1.97-10.44: p 1 results 1
- Background: Little or no attention is given to hearing health of children with orofacial cleft. This study was carried out to determine the prevalence of otitis media with effusion (OME) and evaluate hearing thresholds of children with orofacial cleft in Nigeria. Methodology: Eighty-three consecutive children with orofacial cleft comprising, 12 (14.5%) cleft lip alone, 32 (38.5%) cleft lip and palate and 39 (47.0%) cleft palate alone, and 83 healthy controls participated in the study. Structured questionnaire was used to collect socio-demographic and relevant medical information. Participants had ear, nose and throat examinations, visual reinforcement or condition play audiometry and tympanometry tests done. Statistical analysis was done with appropriate statistical tools, level of significance was set at p<0.05. Results: Mean age of cases was 22.83 ± 2.71 months and controls was 23.34 ± 2.54 months. Hearing loss was found in 28 (16.9%) ears of cases and 14 (8.5%) ears of controls (p=0.021). There was a significant difference between mean hearing thresholds of cleft palate ± lip and control (p<0.05). OME was present in 80 (48.2%) ears of cases and 17 (10.2%) ears of the controls (p=0.001). There was a statistically significant association between cleft palate ± lip and OME (p=0.0001, OR = 4.520 [2.353-8.681]). Conclusion: Otitis media with effusion and hearing loss were more prevalent among children with orofacial cleft palate than non-cleft children. Hence, routine early hearing and middle ear evaluations are recommended for inclusion in their management plan. 1 results 1
- Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to preventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four participants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Common complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcare 1 results 1
- Background: Newborn hearing screening programs identifies newborns with hearing loss. The early identification enables prompt intervention through hearing rehabilitation. Accurate knowledge of the program and its benefit will impact on the uptake of the program by the citizenry. We hypothesized that there is a gap in the knowledge of parents on hearing screening and rehabilitation measures in Nigeria. Aim: To determine the knowledge and perceptions of mothers of newborn children on hearing screening. Methods: A cross sectional observational study among mothers of newborn children at immunization clinics. Semi structured questionnaire on gestational duration, mode of delivery, birth asphyxia, knowledge on hearing loss and newborn hearing screening were administered. Results: Participants were 48 mothers with age range from 18 to 42 years. Awareness of newborn hearing screening was poor among the mothers; sources of information on newborn hearing screening were antenatal clinic, mass media and friends. The educational level of the participants had no association with awareness (p = 0.11), but the willingness to accept newborn hearing screening, was associated with socioeconomic status (p = 0.04) and the level of education (p = 0.02). The participants were not aware of factors responsible for hearing loss in childhood. Conclusion: There is inadequate knowledge about newborn hearing screening and risk factors for infant hearing loss among the mothers, though they demonstrate willingness to accept the newborn hearing screening 1 results 1
- Background: Sensorineural hearing loss (SNHL) is a rarely reported complication of subarachnoid block and may go unnoticed unless audiometric test is performed. Objective: The aim of this study was to determine the prevalence of sensorineural hearing loss following spinal anaesthesia in obstetric patients. Patients and Methods: Seventy patients of ASA physical status classes I and II scheduled for elective Caesarean section were randomized into two groups (A & B). Lumbar puncture was performed using 25 gaugepencil point spinal needle type in group A and 25 gauge Quincke cutting tip type in group B. Spinal anaesthesia was achieved in both groups with 12.5mg (2.5ml) of 0.5% hyperbaric bupivacaine subarachnoid injection in the sitting position. Each patient had a preoperative pure tone audiometry (PTA) test done before spinal anaesthesia as a baseline; this was repeated on the first and third days after the surgery for each patient. Results: Twelve (34.3%) patients in group A and 24 (68.6%) in group B had more than one attempt at lumbar puncture; and 5[1 (2.9%) from group A and 4 from group B (11.4%)] developed Post Dural Puncture Headache(PDPH), p= 0.36. Of the 4 patients in group B who developed PDPH, 2 had associated transient sensorineural hearing loss. Conclusion: This study shows that spinal anaesthesia may lead to transient hearing loss among few obstetric patients without long term sequelae. Use of Quincke spinal needle type was more likely to cause PDPH and transient hearing loss. 1 results 1
- Background: The role of viral load level and/or CD4 (Cluster of differentiation 4) cell count in the aetiopathogenesis of hearing loss in HIV infection is unclear. Therefore, we investigated the relation hip between CD4 cell counts, viral load and hearing threshold of HIV (Human immunodeficiency virus) infected adults. Methods: This cohort audiometric study involved consecutive HIV-infected and HIV-uninfected adults as controls. Clinical data relating to hearing loss, HIV status, and highly active antiretroviral therapy (HAART) were obtained. Audiometric evaluation was performed. The most recent CD4 cell counts and RNA viral load of HIV-infected participants were obtained from clinic records. Results: There were 299(66.7%) HIV-infected adults and 149(33.3%) controls with mean age of 39.64± 12.45 years and 39.60±12.45 years respectively (p=0.98). In both groups, there were more participants with Ieft hearing loss. Mild to profound hearing loss was found in 65.9% H IV infected participants and 53.7% controls. Majority (86.3%) of the HIV-infected participants were on HAART. The mean CD4 cell count was 654.58±289.15 in 41 HIV-infected participant not on HAART and 523.95±300.17 in 258 participants on HAART (p=O.O I). Majority, 197 (62%) HIV infected participants with hearing loss had CD4 cell count S200 cells/mm'. Higher viral load significantly correlated with low CD4 cell counts (p<0.01; r= 0.18) and low CD4 cell count significantly correlated with high hearing threshold (p<0.01; r= 0.17) Conclusion: There was a trend towards more hearing loss among the HIV-infected adults. The higher hearing threshold in those with low CD4 cell counts of <200 cells/mm3 suggests possible relationship between hearing status and severity of HIV disease. 1 results 1
- Bomb blast injuries are becoming an everyday scenario in Nigeria due to ever increasing act of terrorism. Such injuries in addition to affecting the functional living of the individual, is also accompanied with different patterns, nature, severity and types of hearing loss. The auditory mechanisms are usually affected as many victims of bomb blasts never get to use the hearing mechanism for adequate functional and communicative purposes. Against this background, a descriptive research design was conducted to investigate the patterns of hearing loss associated with bomb blasts. 45 victims of bomb blasts were assessed with the use of otoscopy, pure- tone audiometry (PTA) and tympanometry to ascertain their hearing thresholds and extent of hearing disability. The results showed that different patterns of abnormal audiogrammes and tympanogrammes of bomb blast ear injuries were evident among the participants, as there were more adverse effects of the explosion than could be imagined. Therefore, to every bomb blast, victims should consult audiologists for appropriate audiological rehabilitation and follow-up services; as hearing impairment from bomb explosions may have a lasting impact. 1 results 1
- Bomb blasts 1 results 1
- CD4+ cell counts 1 results 1
- Caesarean Section 1 results 1
- Childhood hearing loss 1 results 1
- Children with hearing loss 1 results 1
- Children with hearing loss have poor speech discrimination ability as a result of the loss of auditory capacity to recognize and discriminate speech, sounds. Past studies were focused largely on the rehabilitation of the auditory systems towards efficient speech recognition ability with little attention paid to the rehabilitation of speech discrimination difficulty. This study, therefore, was designed to determine the effect of auditory training and speech reading on the speech discrimination ability of children with hearing loss. The moderating effects of the degree and age of onset of hearing loss were also examined. The study adopted the pretest-posttest control group quasi-experimental design of 3x2x3 factorial matrix. Multi-stage sampling technique was used to select the three schools used, while the thirty participants involved were purposively selected based on their degree and onset of the hearing loss. The participants were randomly assigned into auditory training (10), speech reading (10) and control (10) groups. The treatment lasted ten weeks. The instruments used were the adapted version of the Clement Ayodele Bakare Speech Discrimination Test List (r = 0.75) and Masy Part LaForest Experimental Speech Sound Discrimination Test List (0.72). Data were analysed using Analysis of Covariance and Scheffe Post-hoc test at 0.05 level of significance. There was a significant main effect of treatment on the participants speech discrimination ability (F (2,13) = 10.008, partial2 = 0.56). Participants in the speech reading group had the highest mean score (49.00), followed by those in auditory training (42.33), while those in control group had the lowest mean (33.33). There was no two-way interaction effects of degree and onset of hearing loss on the speech discrimination ability of children with hearing loss. The study also revealed insignificant three-way interaction effects of treatment, degree, and onset of hearing loss on the speech discrimination ability. Auditory training and speech reading exercises were effective in enhancing speech discrimination ability of children with hearing loss in Ibadan, regardless of the degree and onset of hearing loss. However, speech reading showed better outcome than auditory training. Therefore, audiologists, hearing therapists and speech therapists should adopt these strategies towards improving the speech discrimination ability of children with hearing loss. 1 results 1
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