Τετάρτη 13 Σεπτεμβρίου 2017

Towards evidence-based practices in voice pedagogy

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Publication date: Available online 12 September 2017
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): Filipa M.B. Lã
Voice pedagogy was initially based on an orally transmitted master-apprentice teaching–learning model, applying observational type of learning centred in the final artistic product. Since then, this model has been continuously replaced. Nowadays, the social organization of work in globalized economies has called for the need of rethinking education so that future generations can meet the demands of lifelong learners, who are skilful at using systems of information, who are flexible and adapt to the lack of stability at work, and who are able to make their own career opportunities. How can this be applied to voice pedagogy? This work aims at finding answers to these questions, further contributing to the discussion raised at the voice pedagogy round table of the 10th Pan-European Voice Conference, “Vocal Pedagogy – What do we need?”. The rationale for reflective practices in voice education and for enhancing metacognitive skills in student's using evidence-based guided awareness is discussed. The provision of meaningful feedback and the use of a holistic approach to voice teaching are presented as means to meet individual needs of different types of learners. Problem-solving and student-centred teaching–learning models are proposed as key elements in developing reflective voice practitioners.



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Towards evidence-based practices in voice pedagogy

alertIcon.gif

Publication date: Available online 12 September 2017
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): Filipa M.B. Lã
Voice pedagogy was initially based on an orally transmitted master-apprentice teaching–learning model, applying observational type of learning centred in the final artistic product. Since then, this model has been continuously replaced. Nowadays, the social organization of work in globalized economies has called for the need of rethinking education so that future generations can meet the demands of lifelong learners, who are skilful at using systems of information, who are flexible and adapt to the lack of stability at work, and who are able to make their own career opportunities. How can this be applied to voice pedagogy? This work aims at finding answers to these questions, further contributing to the discussion raised at the voice pedagogy round table of the 10th Pan-European Voice Conference, “Vocal Pedagogy – What do we need?”. The rationale for reflective practices in voice education and for enhancing metacognitive skills in student's using evidence-based guided awareness is discussed. The provision of meaningful feedback and the use of a holistic approach to voice teaching are presented as means to meet individual needs of different types of learners. Problem-solving and student-centred teaching–learning models are proposed as key elements in developing reflective voice practitioners.



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Towards evidence-based practices in voice pedagogy

alertIcon.gif

Publication date: Available online 12 September 2017
Source:Revista de Logopedia, Foniatría y Audiología
Author(s): Filipa M.B. Lã
Voice pedagogy was initially based on an orally transmitted master-apprentice teaching–learning model, applying observational type of learning centred in the final artistic product. Since then, this model has been continuously replaced. Nowadays, the social organization of work in globalized economies has called for the need of rethinking education so that future generations can meet the demands of lifelong learners, who are skilful at using systems of information, who are flexible and adapt to the lack of stability at work, and who are able to make their own career opportunities. How can this be applied to voice pedagogy? This work aims at finding answers to these questions, further contributing to the discussion raised at the voice pedagogy round table of the 10th Pan-European Voice Conference, “Vocal Pedagogy – What do we need?”. The rationale for reflective practices in voice education and for enhancing metacognitive skills in student's using evidence-based guided awareness is discussed. The provision of meaningful feedback and the use of a holistic approach to voice teaching are presented as means to meet individual needs of different types of learners. Problem-solving and student-centred teaching–learning models are proposed as key elements in developing reflective voice practitioners.



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Serum vitamin D and recurrent benign paroxysmal positional vertigo.

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Serum vitamin D and recurrent benign paroxysmal positional vertigo.

Laryngoscope Investig Otolaryngol. 2016 Dec;1(6):150-153

Authors: Rhim GI

Abstract
OBJECTIVES: The objective of the present study was to examine the effects of serum 25-hydroxyvitamin D concentrations on patients diagnosed with benign paroxysmal positional vertigo (BPPV) on BPPV recurrence.
STUDY DESIGN: Case series.
METHODS: A retrospective review of 232 patients diagnosed with BPPV visiting the clinic between June 2014 and June 2015 was performed. All patients underwent a complete otolaryngological, audiologic, and neurologic evaluation. The appropriate particle-repositioning maneuver was performed depending on the type of BPPV. The patients were divided into the recurrence group and the nonrecurrence group. Age, gender, follow-up period, type of BPPV, and vitamin D concentrations in the two groups were compared and analyzed through binary logistic regression analyses.
RESULTS: The average follow-up period after treatment was 10.2 months. Forty-one (17.7%) of 232 patients suffered a recurrence during the follow-up period. The mean vitamin D concentration of 191 patients who did not suffer any recurrence was 16.63 ng/mL, whereas that of 41 patients who suffered a recurrence was 13.64 ng/mL. This difference in vitamin D concentrations was statistically significant (P < 0.019). The patients' age, gender, follow-up period, and type of BPPV had no statistically significant impact.
CONCLUSION: Vitamin D is assumed to affect BPPV as a recurrence factor independent of age, gender, follow-up period, and type of BPPV.
LEVEL OF EVIDENCE: 4.

PMID: 28894811 [PubMed]



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Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

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Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Int J Audiol. 2017 Sep 12;:1-9

Authors: Brungart D, Schurman J, Konrad-Martin D, Watts K, Buckey J, Clavier O, Jacobs PG, Gordon S, Dille MF

Abstract
OBJECTIVE: The goal of this article is to highlight mobile technology that is not yet standard of care but could be considered for use in an ototoxicity monitoring programme (OMP) as an adjunct to traditional audiometric testing. Current guidelines for ototoxicity monitoring include extensive test protocols performed by an audiologist in an audiometric booth. This approach is comprehensive, but it may be taxing for patients suffering from life-threatening illnesses and cost prohibitive if it requires serial clinical appointments. With the use of mobile technology, testing outside of the confines of the audiometric booth may be possible, which could create more efficient and less burdensome OMPs.
DESIGN: A non-systematic review of new OMP technology was performed. Experts were canvassed regarding the impact of new technology on OMPs.
STUDY SAMPLE: OMP devices and technologies that are commercially available and discussed in the literature.
RESULTS: The benefits and limitations of portable, tablet-based technology that can be deployed for efficient ototoxicity monitoring are discussed.
CONCLUSIONS: New mobile technology has the potential to influence the development and implementation of OMPs and lower barriers to patient access by providing time efficient, portable and self-administered testing options for use in the clinic and in the patient's home.

PMID: 28893111 [PubMed - as supplied by publisher]



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Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Related Articles

Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Int J Audiol. 2017 Sep 12;:1-9

Authors: Brungart D, Schurman J, Konrad-Martin D, Watts K, Buckey J, Clavier O, Jacobs PG, Gordon S, Dille MF

Abstract
OBJECTIVE: The goal of this article is to highlight mobile technology that is not yet standard of care but could be considered for use in an ototoxicity monitoring programme (OMP) as an adjunct to traditional audiometric testing. Current guidelines for ototoxicity monitoring include extensive test protocols performed by an audiologist in an audiometric booth. This approach is comprehensive, but it may be taxing for patients suffering from life-threatening illnesses and cost prohibitive if it requires serial clinical appointments. With the use of mobile technology, testing outside of the confines of the audiometric booth may be possible, which could create more efficient and less burdensome OMPs.
DESIGN: A non-systematic review of new OMP technology was performed. Experts were canvassed regarding the impact of new technology on OMPs.
STUDY SAMPLE: OMP devices and technologies that are commercially available and discussed in the literature.
RESULTS: The benefits and limitations of portable, tablet-based technology that can be deployed for efficient ototoxicity monitoring are discussed.
CONCLUSIONS: New mobile technology has the potential to influence the development and implementation of OMPs and lower barriers to patient access by providing time efficient, portable and self-administered testing options for use in the clinic and in the patient's home.

PMID: 28893111 [PubMed - as supplied by publisher]



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Hearing loss as a risk factor for dementia: A systematic review.

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Hearing loss as a risk factor for dementia: A systematic review.

Laryngoscope Investig Otolaryngol. 2017 Apr;2(2):69-79

Authors: Thomson RS, Auduong P, Miller AT, Gurgel RK

Abstract
OBJECTIVES: To review evidence of hearing loss as a risk factor for dementia. Data Sources: PubMed Review methods: A systematic review was conducted using the PubMed database using the search terms (hearing loss OR presbycusis) AND (dementia OR cognitive decline). Initially, 488 articles were obtained. Only those studies evaluating an association between hearing loss and incident dementia or cognitive decline were included in the analysis. This resulted in 17 articles which were thoroughly evaluated with consideration for study design, method for determining hearing loss and cognitive status, relevant covariates and confounding factors, and key findings.
RESULTS: All of the 17 articles meeting inclusion criteria indicate that hearing loss is associated with dementia or cognitive decline. The methods used among the studies for ascertaining hearing loss and dementia were notably varied. For hearing loss, peripheral auditory function was tested far more than central auditory function. For peripheral audition, pure tone audiometry was the most commonly reported method for defining hearing loss. Only a few studies measured central auditory function by using the Synthetic Sentence Identification with Ipsilateral Competing Message test (SSI-ICM) and the Staggered Spondaic Word Test (SSW). Dementia was most often defined using the Mini Mental State Exam (MMSE). However, many studies used extensive batteries of tests to define cognitive status, often including a neuropsychologist. Confounding variables such as cardiovascular risk factors were measured in 17 studies and family history of dementia was only evaluated in 1 study. Overall, the methods used by studies to ascertain hearing loss, cognitive status and other variables are valid, making their evaluation appear reliable.
CONCLUSION: While each of the studies included in this study utilized slightly different methods for evaluating participants, each of them demonstrated that hearing loss is associated with higher incidence of dementia in older adults.
LEVEL OF EVIDENCE: Level V, systematic review.

PMID: 28894825 [PubMed]



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A Dialogue on the Multiple Facets of Sustainability.

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A Dialogue on the Multiple Facets of Sustainability.

Am Ann Deaf. 2017;162(1):39-46

Authors: De Clerck GA, Hermann-Shores P, Jokinen M, Lutalo-Kiingi S, Moores DF, Pabsch A, Paul PV, Young A

Abstract
This chapter contains excerpts from a conversation among the contributors to Sign Language, Equal Opportunities, and Sustainable Development (De Clerck & Paul, 2016) during a workshop that preceded the International Conference on Sign Language, Sustainable Development, and Equal Opportunities (Ghent University, Belgium, April 2014). The objective of the conversation was to illustrate an open-ended, dialogical approach that added an interactive component to the book and inspired further thoughts and exchanges. Videos of the conversation were posted online by the European Union of the Deaf at http://ift.tt/2y5434f.

PMID: 28502915 [PubMed - indexed for MEDLINE]



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Scaffolding the Communication of People With Congenital Deafblindness: An Analysis of Sequential Interaction Patterns.

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Scaffolding the Communication of People With Congenital Deafblindness: An Analysis of Sequential Interaction Patterns.

Am Ann Deaf. 2017;162(1):24-33

Authors: Damen S, Janssen MJ, Ruijssenaars WA, Schuengel C

Abstract
The High Quality Communication intervention aims to stimulate interpersonal communication between individuals with congenital deaf-blindness (CDB) and their social partners. Found effective in multiple-case experiments, the intervention is based on Trevarthen's theory of inter-subjective development (Bråten & Trevarthen, 2007), which describes children's innate and developing ability to share subjective states in interpersonal communication and social partners' mediating role in this development. One implication of this theory is that social partners can support the emergence of higher-complexity communication behaviors in individuals who are still developing these behaviors. To test this proposition, communication patterns between individuals with CDB and their parents, teachers, and professional caregivers were analyzed. Analysis of two-event sequences of communicative behaviors showed a highly significant correspondence between the behavior of the social partner and the subsequent behavior of the individual with CDB, confirming that social partners can scaffold higher-complexity communication within interpersonal communication.

PMID: 28502913 [PubMed - indexed for MEDLINE]



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Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Related Articles

Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Int J Audiol. 2017 Sep 12;:1-9

Authors: Brungart D, Schurman J, Konrad-Martin D, Watts K, Buckey J, Clavier O, Jacobs PG, Gordon S, Dille MF

Abstract
OBJECTIVE: The goal of this article is to highlight mobile technology that is not yet standard of care but could be considered for use in an ototoxicity monitoring programme (OMP) as an adjunct to traditional audiometric testing. Current guidelines for ototoxicity monitoring include extensive test protocols performed by an audiologist in an audiometric booth. This approach is comprehensive, but it may be taxing for patients suffering from life-threatening illnesses and cost prohibitive if it requires serial clinical appointments. With the use of mobile technology, testing outside of the confines of the audiometric booth may be possible, which could create more efficient and less burdensome OMPs.
DESIGN: A non-systematic review of new OMP technology was performed. Experts were canvassed regarding the impact of new technology on OMPs.
STUDY SAMPLE: OMP devices and technologies that are commercially available and discussed in the literature.
RESULTS: The benefits and limitations of portable, tablet-based technology that can be deployed for efficient ototoxicity monitoring are discussed.
CONCLUSIONS: New mobile technology has the potential to influence the development and implementation of OMPs and lower barriers to patient access by providing time efficient, portable and self-administered testing options for use in the clinic and in the patient's home.

PMID: 28893111 [PubMed - as supplied by publisher]



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Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Related Articles

Using tablet-based technology to deliver time-efficient ototoxicity monitoring.

Int J Audiol. 2017 Sep 12;:1-9

Authors: Brungart D, Schurman J, Konrad-Martin D, Watts K, Buckey J, Clavier O, Jacobs PG, Gordon S, Dille MF

Abstract
OBJECTIVE: The goal of this article is to highlight mobile technology that is not yet standard of care but could be considered for use in an ototoxicity monitoring programme (OMP) as an adjunct to traditional audiometric testing. Current guidelines for ototoxicity monitoring include extensive test protocols performed by an audiologist in an audiometric booth. This approach is comprehensive, but it may be taxing for patients suffering from life-threatening illnesses and cost prohibitive if it requires serial clinical appointments. With the use of mobile technology, testing outside of the confines of the audiometric booth may be possible, which could create more efficient and less burdensome OMPs.
DESIGN: A non-systematic review of new OMP technology was performed. Experts were canvassed regarding the impact of new technology on OMPs.
STUDY SAMPLE: OMP devices and technologies that are commercially available and discussed in the literature.
RESULTS: The benefits and limitations of portable, tablet-based technology that can be deployed for efficient ototoxicity monitoring are discussed.
CONCLUSIONS: New mobile technology has the potential to influence the development and implementation of OMPs and lower barriers to patient access by providing time efficient, portable and self-administered testing options for use in the clinic and in the patient's home.

PMID: 28893111 [PubMed - as supplied by publisher]



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Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants

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Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants

.


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Spoken language and everyday functioning in 5-year-old children using hearing aids or cochlear implants

.


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