Navegando por Palavras-chave "Audiology"
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- ItemAcesso aberto (Open Access)Avaliação de um modelo adaptativo no sistema de treinamento das habilidades auditivas (SISTHA)(Universidade Federal de São Paulo (UNIFESP), 2020-06-19) Braun, Leonardo Luiz [UNIFESP]; Pisa, Ivan Torres [UNIFESP]; Universidade Federal de São PauloObjective: The objective of this study was to develop and evaluate an adaptive auditory training module on Sistema de Treinamento das Habilidades Auditivas (SisTHA) for adults and elderly hearing aids users. Methods: An adaptive auditory training model was created and implemented based on the user's profile, psychosocial restrictions and initial hearing complaints and performance during training. For the evaluation were considered a total of 40 subjects with bilateral fitting and 5 with unilateral fitting for the adaptative training (GE) and default training (GC). The Hearing Handicap Inventory for the Adult (HHIA), Hearing Handicap Inventory for the Eldery (HHIE) and hearing complaints questionnaires were applied pre and post-training. Results: Only 10% (4 subjects) subjects with bilateral fitting who met the inclusion criteria had been fitted less than 1 year ago. There was no significant change in the handicap for all variables from HHIE/HHIA questionnaires at both times (pre and post). For hearing aid users with bilateral fitting, the analysis of EG and CG showed that there was a decrease in complaints for EG and it was related to the difficulty of hearing sounds and discomfort caused by certain sounds and the decrease for the CG was related to the difficulty in hearing sounds and memorizing audibly. For both groups, some users had reported that they had no difficulty pretraining and an increase in hearing complaints post-training. Conclusion: The adaptive module training did not show significant improvement for the evaluated subjects. This phenomenon can be explained by the fact that users have mostly worn their hearing aids for more than 1 year and the perception of improvement occurs mainly in the first months post-fitting. SisTHA proved to be an important tool in clinical support and in establishing a link between speech therapist-patient, in maintaining the auditory abilities of hearing aids users who were fitted for more time and the perception of these users regarding their hearing complaints and socioemotional restrictions.
- ItemAcesso aberto (Open Access)CENTRAL AUDITORY PROCESSING IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS(Medfarma-edicoes Medicas, Lda, 2009-10-01) Bruner, Ana Paula [UNIFESP]; Sato, Emilia Inoue [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Santa Casa Sch Med Sao Paulo; Universidade Federal de São Paulo (UNIFESP)Systemic Lupus Erythematosus (SLE) patients can also present neuropsychiatric disorders, such as impaired memory and attention. Central auditory processing depends on a great number of skills controlled by the central nervous system.Objective: To characterize the performance of SLE patients, with and without neuropsychiatric disorders (NP), in central auditory processing tests.Patients and Methods: A prospective controlled study of Dichotic Speech and Temporal Processing Tests was carried out at a tertiary teaching Institution. Three groups were formed with 20 individuals each, totalizing sixty women with age varying from 18 to 48 years: Group I - SLE patients without neuropsychiatric disorders; Group II - SLE patients with neuropsychiatric disorders as well; and Group III - age and gender matched healthy controls.Results: Dichotic Speech Test showed similar results for patients in Group I and for healthy controls; however, most of the patients in Group II presented impaired performance with great variability of response. SLE patients (Groups I and II) presented a significantly lower performance in Temporal Processing tests than controls.Conclusion: SLE patients especially those with neuropsychiatric disorders presented impaired central auditory processing, which may contribute to the memory and attention impairment.
- ItemAcesso aberto (Open Access)Efeito da prática musical no reconhecimento da fala no silêncio e no ruído(Pró-Fono Produtos Especializados para Fonoaudiologia Ltda., 2006-08-01) Soncini, Fabiana; Costa, Maristela Julio [UNIFESP]; Universidade Federal de Santa Maria; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Santa Maria Departamento de Otorrino-FonoaudiologiaBACKGROUND: auditory training improves the perception of complex acoustic signals as well as the perception of speech. AIM: to verify if auditory training, through the practice of music, has an influence on the ability to recognize speech in quiet and noisy situations. METHOD: participants of this study were 55 individuals, with no musical experience (non-musicians) and 45 professional musicians who had been playing at military bands for at least 5 years (musicians). All of the participants were male right-handed military volunteers, with normal hearing thresholds and with ages varying between 25 and 40 years. Using the Portuguese Sentence Lists (LSP) test, sentence recognition threshold was investigated in quiet (SRTQ) and in noise (SRTN). Based on the obtained data, the signal/noise ratio (S/N) was calculated. The sentences and noise (fixed to 65 dB HL) had a monoaural presentation using headphones. RESULTS: when comparing the performances of both groups, the statistical analysis pointed no significant difference between the mean values obtained for the SRTQ. However, a statistically significant difference was verified between the mean values obtained for the S/N ratio. CONCLUSION: in a quiet situation, musicians and non-musicians had similar performances. However, in the noise situation, musicians presented better performances, indicating that musical practice is an activity that improves the ability of speech recognition when in a noisy environment.
- ItemAcesso aberto (Open Access)Estéreos pessoais: hábitos auditivos e avaliação audiológica(Academia Brasileira de Audiologia, 2013-01-01) Hanazumi, Aline [UNIFESP]; Gil, Daniela [UNIFESP]; Iorio, Maria Cecilia Martinelli [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)PURPOSE: To characterize the hearing habits of personal stereo users, without hearing complaints and to correlate the hearing habits and the audiological findings of these adults. METHODS: Eighty-five adults (54 females and 31 males), aged between 18 and 34 years, without occupational noise exposure, and personal stereo users participated in this study. They answered a questionnaire about hearing habits and had their hearing tested at the Federal University of São Paulo. The procedures included: Pure Tone Audiometry; High-frequency Audiometry; Immitance measures; Transient Evoked Otoacoustic Emissions (TEOAE) and Distortion Product Otoacoustic Emissions (DPOAE). RESULTS: Study participants have been exposed for more than two hours daily to music presented through headphones for over four years, usually when while commuting. Difficulty understanding in a noisy environment increases with environment noise and twenty-one subjects reported having tinnitus. The majority is worried about hearing health and believes that bad habits can damage their hearing. There was a 6 kHz notch in the audiometric which is characteristic of Noise Induced Hearing Loss (NIHL). The longer the time (in years) of sound exposure, the greater the chance of TEOAE absence and incidence of tinnitus. CONCLUSION: The results of this study showed that, although individuals did not have hearing complaints, issues related to noise exposure were observed, such as tinnitus, stress and difficulty understanding speech in noisy environments.
- ItemAcesso aberto (Open Access)Estudo do padrão de normalidade do potencial evocado auditivo de adultos ouvintes normais por meio de um novo equipamento de diagnóstico desenvolvido(Universidade Federal de São Paulo (UNIFESP), 2010-02-24) Soares, Ilka do Amaral [UNIFESP]; Pereira, Liliane Desgualdo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To validate responses of the Auditory Brainstem Response (ABR) using a new equipment developed in Brazil. Method: The annalyses of the absolute latencies, inter slopes, and magnitude of the waves I and V, using a new equipment developed to asses the Experimental Group 1 (76 participants with normal hearing). Analysis of the ABR using the gold-standard equipment, EP15/Interacoustis, where performed in Gold Group 1 (15 participants with normal hearing) and Gold Group 2 (15 participants with sensorineural hearing loss). In order to assess the validity of the new equipment, analysis of the ABR were performed using the new equipment with participants of the Gold Group 1 to compare with participants from the Experimental Group 2, and with participants from the Gold Group 2 to compare with participants from the Experimental Group 3. The stimulus used to obtain the evocated responses was a non-filtrated click sound, with a duration of 100 μs and a total of 2,000 stimuli. All stimuli were given in the negative (rarefaction wave) polarities in a stimulation frequency of 13.1 clicks, with an intensity of 80 dB Nan, an interval of 10 milliseconds and a filter band-pass set between 100 and 3000Hz. The results were statistically analyzed considering a significance level of 0.05. Results: The means for the absolute latencies and inter slopes for the specific waves using the new equipment were: I=1.50, III=3.57, V=5.53, I-III=2.06, III-V=1.96 e I-V=4.02. Statistically significant gender differences were observed for the absolute latencies in wave III (p=0,000) and V (p=0,000) as well as for the inter slopes I-III (p=0,007) and I-V (p=0,001). The mean magnitude values for wave I and V were 0.384 μV and 0.825 μV, respectively. No statistically significant differences between the new equipment and the gold-standard were observed when comparing the results for absolute latencies and inter slopes in the same individual (with normal hearing or with sensorineural hearing loss). Conclusions: The components of the ABR assessed in adults with no hearing impairments using the new equipment were similar for both ears, with latencies significantly lower for women than for men. Moreover, the latencies of the ABR in the same individual (either normal or with sensorineural hearing loss) did not differ between the new equipment and the gold-standard equipament. In hearing loss of mild to moderate degree the most frequent finding on the ABR was the presence of Waves I, III, V and absolute latencies and inter slopes within normal limits. The referent values of normality for the ABR were obtained in adults with normal hearing.
- ItemAcesso aberto (Open Access)Perfil mercadológico do fonoaudiólogo atuante na área de Audiologia Clínica(CEFAC Saúde e Educação, 2013-06-01) Braga, Cleiciane Martins; Martins, Kelly Vasconcelos Chaves; Queiroz, Moisés Andrade Dos Santos De; Câmara, Marília Fontenele E Silva [UNIFESP]; Universidade de Fortaleza; Universidade Federal do Ceará; Universidade Federal de São Paulo (UNIFESP)PURPOSE: to investigate the market profile of speech therapist professional working in the area of clinical audiology in Fortaleza, identifying the postgraduate level, professional salary range, the level of satisfaction, working hours and employment contract of this professional. METHOD: a cross-sectional study was conducted from February to April 2010. A questionnaire about the professional s performance in the area of Clinical Audiology was applied in 30 speech and hearing therapists, 29 (96.7%) females and one (3.3%) male, with average age of 31.4 years, ranging between 24 and 44 year old, in the city of Fortaleza, Ceará. The questionnaire consisted of the following items: academic history, salary range, acting area, acting department, working hours per week, employment contract and professional level of satisfaction. Data were organized and statistically analyzed by the test of equality of two proportions. RESULTS: thirteen (43.3%) of the clinical speech and hearing therapists earn between 4 to 6 minimum wages. Twenty-four (80%) interviewees working in the area of Clinical Audiology are self-employed four (13.3%) have formal contract and two (6.7%) are corporate entities. Sixteen (53.3%) of the speech and hearing therapists are satisfied with their job. CONCLUSION: the professional working in the area of Clinical Audiology in the city of Fortaleza presents, predominantly, specialization course, salary range from 4 to 6 minimum wages and 10 to 20 working hours per week. Most speech and hearing therapists are self-employed and are satisfied with their career.
- ItemAcesso aberto (Open Access)Síndrome de woakes e suas manifestações audiológicas: relato de caso(CEFAC Saúde e Educação, 2010-06-01) Hanazumi, Aline [UNIFESP]; Carvalho, Laura Maria Araújo de [UNIFESP]; Gil, Daniela [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: audiological manifestations in Woake`s Syndrome. PROCEDURE: a female adult patient diagnosed with Woake's Syndrome has undergone clinical history, pure tone audiometry, speech audiometry, acoustic immittance measures and revision of hearing aids. Her record files were also reviewed. RESULTS: three different pure tone audiometries were compared and indicated: flat audiometric configuration, with two evaluations indicating mixed hearing loss, and, in 2006, a moderate-to-severe sensorineural hearing loss with flat tympanograms, absence of acoustic reflexes bilaterally and good WRS. An increase of about 15 dB to 20dB of pure tone thresholds and 15 dB to 30 dB of bone thresholds was observed in 10 years of evolution. CONCLUSION: the study of the clinical manifestations concerning Woakes´s Syndrome allowed the acceptance of the coexistence between the sensory neural hearing loss and the type B tympanometric curve.