Κυριακή 21 Φεβρουαρίου 2016

Maximizing Outcomes for Children with Auditory Disorders: What are Children Hearing in the Classroom?

Why is assessing auditory functioning important? Hearing is a complex function. It is not safe to assume that a child has normal hearing or normal speech perception. A child may respond to some sounds but not hear other sounds. If they are missing critical information it will interfere with learning. A child needs to be able to understand speech in both quiet and in noise. A child may be fine when it is quiet, but when they are at a distance from the person who is talking or when there is competing noise, this child may have problems.

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Maximizing Outcomes for Children with Auditory Disorders: An Evidence-Based Approach to Managing Auditory Processing Disorders

Auditory processing disorder, or central auditory processing disorder (CAPD) is a breakdown in auditory abilities resulting in diminished learning or comprehension through hearing, even though peripheral hearing sensitivity is normal. Today we are not talking about children with peripheral hearing loss. We are talking about those children with normal peripheral hearing acuity who demonstrate auditory processing issues and who have been formally identified.

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Maximizing Outcomes for Children with Auditory Disorders: Auditory Brain Development - Listening for Learning

What is Hearing? Hearing is a first-order event for the development of spoken communication and literacy skills. Anytime the word hearing is used, we should think auditory brain development, because we hear with the brain. We may assume that people know that we hear with the brain, well just like we see with the brain. The eyes are the doorway to the brain for vision. The mouth is the doorway to the brain for taste. The nose is the doorway to the brain for smell. Those are all portals. Likewise, the ears are the portal to the brain for sound. A child's brain is born with about a billion neurons, but with experience and exposure, the brain will grow about a quadrillion auditory connections. In order for the brain to develop those connections, we have to feed the brain auditory information. Acoustic accessibility of intelligible speech is critical to grow accurate connections.

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Maximizing Outcomes for Children with Auditory Disorders: What are Children Hearing in the Classroom?

Why is assessing auditory functioning important? Hearing is a complex function. It is not safe to assume that a child has normal hearing or normal speech perception. A child may respond to some sounds but not hear other sounds. If they are missing critical information it will interfere with learning. A child needs to be able to understand speech in both quiet and in noise. A child may be fine when it is quiet, but when they are at a distance from the person who is talking or when there is competing noise, this child may have problems.

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Maximizing Outcomes for Children with Auditory Disorders: An Evidence-Based Approach to Managing Auditory Processing Disorders

Auditory processing disorder, or central auditory processing disorder (CAPD) is a breakdown in auditory abilities resulting in diminished learning or comprehension through hearing, even though peripheral hearing sensitivity is normal. Today we are not talking about children with peripheral hearing loss. We are talking about those children with normal peripheral hearing acuity who demonstrate auditory processing issues and who have been formally identified.

from #Audiology via ola Kala on Inoreader http://ift.tt/1oCR7xd
via IFTTT

Maximizing Outcomes for Children with Auditory Disorders: Auditory Brain Development - Listening for Learning

What is Hearing? Hearing is a first-order event for the development of spoken communication and literacy skills. Anytime the word hearing is used, we should think auditory brain development, because we hear with the brain. We may assume that people know that we hear with the brain, well just like we see with the brain. The eyes are the doorway to the brain for vision. The mouth is the doorway to the brain for taste. The nose is the doorway to the brain for smell. Those are all portals. Likewise, the ears are the portal to the brain for sound. A child's brain is born with about a billion neurons, but with experience and exposure, the brain will grow about a quadrillion auditory connections. In order for the brain to develop those connections, we have to feed the brain auditory information. Acoustic accessibility of intelligible speech is critical to grow accurate connections.

from #Audiology via ola Kala on Inoreader http://ift.tt/1VytXlQ
via IFTTT

Maximizing Outcomes for Children with Auditory Disorders: What are Children Hearing in the Classroom?

Why is assessing auditory functioning important? Hearing is a complex function. It is not safe to assume that a child has normal hearing or normal speech perception. A child may respond to some sounds but not hear other sounds. If they are missing critical information it will interfere with learning. A child needs to be able to understand speech in both quiet and in noise. A child may be fine when it is quiet, but when they are at a distance from the person who is talking or when there is competing noise, this child may have problems.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1VytWyj
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Maximizing Outcomes for Children with Auditory Disorders: An Evidence-Based Approach to Managing Auditory Processing Disorders

Auditory processing disorder, or central auditory processing disorder (CAPD) is a breakdown in auditory abilities resulting in diminished learning or comprehension through hearing, even though peripheral hearing sensitivity is normal. Today we are not talking about children with peripheral hearing loss. We are talking about those children with normal peripheral hearing acuity who demonstrate auditory processing issues and who have been formally identified.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1oCR7xd
via IFTTT

Maximizing Outcomes for Children with Auditory Disorders: Auditory Brain Development - Listening for Learning

What is Hearing? Hearing is a first-order event for the development of spoken communication and literacy skills. Anytime the word hearing is used, we should think auditory brain development, because we hear with the brain. We may assume that people know that we hear with the brain, well just like we see with the brain. The eyes are the doorway to the brain for vision. The mouth is the doorway to the brain for taste. The nose is the doorway to the brain for smell. Those are all portals. Likewise, the ears are the portal to the brain for sound. A child's brain is born with about a billion neurons, but with experience and exposure, the brain will grow about a quadrillion auditory connections. In order for the brain to develop those connections, we have to feed the brain auditory information. Acoustic accessibility of intelligible speech is critical to grow accurate connections.

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The high frequency of GJB2 gene mutation c.313_326del14 suggests its possible origin in ancestors of Lithuanian population.

The high frequency of GJB2 gene mutation c.313_326del14 suggests its possible origin in ancestors of Lithuanian population.

BMC Genet. 2016;17(1):45

Authors: Mikstiene V, Jakaitiene A, Byckova J, Gradauskiene E, Preiksaitiene E, Burnyte B, Tumiene B, Matuleviciene A, Ambrozaityte L, Uktveryte I, Domarkiene I, Rancelis T, Cimbalistiene L, Lesinskas E, Kucinskas V, Utkus A

Abstract
BACKGROUND: Congenital hearing loss (CHL) is diagnosed in 1 - 2 newborns in 1000, genetic factors contribute to two thirds of CHL cases in industrialised countries. Mutations of the GJB2 gene located in the DFNB1 locus (13q11-12) are a major cause of CHL worldwide. The aim of this cross-sectional study was to assess the contribution of the DFNB1 locus containing the GJB2 and GJB6 genes in the development of early onset hearing loss in the affected group of participants, to determine the population-specific mutational profile and DFNB1-related HL burden in Lithuanian population.
METHODS: Clinical data were obtained from a collection of 158 affected participants (146 unrelated probands) with early onset non-syndromic HL. GJB2 and GJB6 gene sequencing and GJB6 gene deletion testing were performed. The data of GJB2 and GJB6 gene sequencing in 98 participants in group of self-reported healthy Lithuanian inhabitants were analysed. Statistic summary, homogeneity tests, and logistic regression analysis were used for the assessment of genotype-phenotype correlation.
RESULTS: Our findings show 57.5 % of affected participants with two pathogenic GJB2 gene mutations identified. The most prevalent GJB2 mutations were c.35delG, p. (Gly12Valfs*2) (rs80338939) and c.313_326del14, p. (Lys105Glyfs*5) (rs111033253) with allele frequencies 64.7 % and 28.3 % respectively. GJB6 gene mutations were not identified in the affected group of participants. The statistical analysis revealed significant differences between GJB2(-) and GJB2(+) groups in disease severity (p = 0.001), and family history (p = 0.01). The probability of identification of GJB2 mutations in patients with various HL characteristics was estimated. The carrier rate of GJB2 gene mutations - 7.1 % (~1 in 14) was identified in the group of healthy participants and a high frequency of GJB2-related hearing loss was estimated in our population.
DISCUSSION: The results show a very high proportion of GJB2-positive individuals in the research group affected with sensorineural HL. The allele frequency of c.35delG mutation (64.7 %) is consistent with many previously published studies in groups of affected individuals of Caucasian populations. The high frequency of the c.313_326del14 (28.3 % of pathogenic alleles) mutation in affected group of participants was an unexpected finding in our study suggesting not only a high frequency of carriers of this mutation in our population but also its possible origin in Lithuanian ancestors. The high frequency of carriers of the c.313_326del14 mutation in the entire Lithuanian population is supported by it being identified twice in the ethnic Lithuanian group of healthy participants (a frequency 2.0 % of carriers in the study group).
CONCLUSION: Analysis of the allele frequency of GJB2 gene mutations revealed a high proportion of c. 313_326del14 (rs111033253) mutations in the GJB2-positive group suggesting its possible origin in Lithuanian forebears. The high frequency of carriers of GJB2 gene mutations in the group of healthy participants corresponds to the substantial frequency of GJB2-associated HL in Lithuania. The observations of the study indicate the significant contribution of GJB2 gene mutations to the pathogenesis of the disorder in the Lithuanian population and will contribute to introducing principles to predict the characteristics of the disease in patients.

PMID: 26896187 [PubMed - as supplied by publisher]



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The influence of multiple sensory impairments on functional balance and difficulty with falls among U.S. Adults.

The influence of multiple sensory impairments on functional balance and difficulty with falls among U.S. Adults.

Prev Med. 2016 Feb 16;

Authors: Wilson SJ, Garner JC, Loprinzi PD

Abstract
OBJECTIVE: Studies have looked at the individual associations of sensory impairment on balance, but no population-based studies have examined their combined association on balance and difficulty with falls. Thus, the purpose of this study was to examine both the independent associations and combined associations of visual impairment, peripheral neuropathy, and self-reported hearing loss with the odds of reporting difficulty with falls and functional balance.
METHODS: Data from the 2003-2004 National Health and Nutrition Examination Survey were used. Vision and peripheral neuropathy were objectively measured, and hearing was self-reported. Balance testing consisted of a modified Romberg test. After exclusions, 1662 (40-85years of age) participants provided complete data on the study variables.
RESULTS: Sensory impairment was associated with perceived difficulty of falls and functional balance. Participants who presented a single sensory impairment had 29% reduced odds of having functional balance (95% CI=0.54-0.93, p=0.01) and increased odds of reporting difficulty with falls by 61% (95% CI=0.99-2.60, p=0.05). Moreover, our multisensory models showed some evidence of a dose-response relationship, in that sensory impairment of multiple sensory systems was associated with worse balance (OR =0.59, CI=0.35-1.00, p=0.05) and perceived difficulty of falls (OR =5.02, 95% CI=1.99-12.66, p=0.002) when compared to those with less sensory impairment.
CONCLUSION: Multiple sensory impairment is associated with significantly higher odds of both reporting difficulty with falls and balance dysfunction, which may lead to a subsequent fall, ultimately compromising the individual's health.

PMID: 26896633 [PubMed - as supplied by publisher]



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The influence of multiple sensory impairments on functional balance and difficulty with falls among U.S. Adults.

The influence of multiple sensory impairments on functional balance and difficulty with falls among U.S. Adults.

Prev Med. 2016 Feb 16;

Authors: Wilson SJ, Garner JC, Loprinzi PD

Abstract
OBJECTIVE: Studies have looked at the individual associations of sensory impairment on balance, but no population-based studies have examined their combined association on balance and difficulty with falls. Thus, the purpose of this study was to examine both the independent associations and combined associations of visual impairment, peripheral neuropathy, and self-reported hearing loss with the odds of reporting difficulty with falls and functional balance.
METHODS: Data from the 2003-2004 National Health and Nutrition Examination Survey were used. Vision and peripheral neuropathy were objectively measured, and hearing was self-reported. Balance testing consisted of a modified Romberg test. After exclusions, 1662 (40-85years of age) participants provided complete data on the study variables.
RESULTS: Sensory impairment was associated with perceived difficulty of falls and functional balance. Participants who presented a single sensory impairment had 29% reduced odds of having functional balance (95% CI=0.54-0.93, p=0.01) and increased odds of reporting difficulty with falls by 61% (95% CI=0.99-2.60, p=0.05). Moreover, our multisensory models showed some evidence of a dose-response relationship, in that sensory impairment of multiple sensory systems was associated with worse balance (OR =0.59, CI=0.35-1.00, p=0.05) and perceived difficulty of falls (OR =5.02, 95% CI=1.99-12.66, p=0.002) when compared to those with less sensory impairment.
CONCLUSION: Multiple sensory impairment is associated with significantly higher odds of both reporting difficulty with falls and balance dysfunction, which may lead to a subsequent fall, ultimately compromising the individual's health.

PMID: 26896633 [PubMed - as supplied by publisher]



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