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Diversity of Child and Family Characteristics of Children with Hearing Loss in Family-Centered Early Intervention in The Netherlands
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In: Journal of Clinical Medicine; Volume 11; Issue 8; Pages: 2074 (2022)
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Systematic literature review on early literacy interventions for children of immigrant families, including Dyslexia
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Gao, Ying. - : Trinity College (Dublin, Ireland). School of Education, 2022
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Spelling Intervention Strategies: What Works Best?
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In: Theses/Capstones/Creative Projects (2022)
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Oslo Early Education Study, study 1: Impact of a professional development intervention on child-language outcomes assessed after one year ...
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Fühlen Denken Sprechen. Alltagsintegrierte Sprachbildung in Kindertageseinrichtungen ...
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An Evaluation of One School's Reading Program to Support Struggling Readers Through the Use of Data
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In: Dissertations (2021)
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Fühlen Denken Sprechen. Alltagsintegrierte Sprachbildung in Kindertageseinrichtungen
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In: Münster ; New York : Waxmann 2021, 196 S. - (Sprachliche Bildung; 7) (2021)
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A preliminary evaluation of a manualised intervention to improve early literacy skills in children with developmental language disorder
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In: Research outputs 2014 to 2021 (2021)
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Assessing self-efficacy in families of children with hearing concerns through an audiological early intervention training
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In: Appalachian Student Research Forum (2021)
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Improving communication outcomes for children with hearing loss in their early years: tracking progress and guiding intervention
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Relationship between Behavioral Infant Speech Perception and Hearing Age for Children with Hearing Loss
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In: Journal of Clinical Medicine ; Volume 10 ; Issue 19 (2021)
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The Effects of Age, Dosage, and Poverty on Second Language Learning through SparkLingTM in Infant Education Centers in Madrid, Spain
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In: International Journal of Environmental Research and Public Health; Volume 18; Issue 23; Pages: 12758 (2021)
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Enhanced Milieu Teaching with Phonological Emphasis: A Pilot Telepractice Parent Training Study for Toddlers with Clefts
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In: Children ; Volume 8 ; Issue 9 (2021)
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An Investigation of how to support oral language development and emergent literacy skills of preschool children coming from a diverse linguistic and cultural background
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Early Childhood Educators and the Early Identification of Additional Need s in Early Years Settings
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Page, Heather. - : Trinity College (Dublin, Ireland). School of Education, 2021
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The Value of Musical Interactions in Early Development in Down syndrome: A Grounded Theory Study
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Evaluating the Independent Group Contingency: “Mystery Student” On Improving Behaviors In Head Start Classrooms
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In: Faculty Publications (2021)
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| 19 |
Detección precoz de la hipoacusia, influencia en el diagnóstico y en el tratamiento temprano
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Abstract:
Detección precoz de la hipoacusia, influencia en el diagnóstico y en el tratamiento temprano. INTRODUCCIÓN: La hipoacusia es el déficit sensorial mas frecuente en los países desarrollados. La prevalencia de cualquier grado de hipoacusia es de un 2-3 % de la población infantil y el 80% de las mismas, está presente al nacimiento. Los programa de screening auditivo (SA) se justifican por la alta incidencia de la hipoacusia y sus consecuencias devastadoras para el lenguaje cuando no se detecta precozmente. OBJETIVO: Establecer el número de niños diagnosticados de hipoacusia congénita gracias al SA en el hospital Universitario La Fe. Analizamos las técnicas utilizadas en el cribado, los parámetros de calidad del programa, causas de las hipoacusias e impacto en el tratamiento. MATERIAL Y MÉTODOS: Programa de SA del Hospital Universitario La Fe durante un periodo de 14 años. Estudiamos los 3 protocolos utilizados durante estos años. RESULTADOS: El protocolo secuencial de otoemisiones transitorias (TEOAE) en primera fase seguido de Potenciales evocados de tronco automáticos (PEATCa) en 2ª fase en niño sano y PEATCa en una fase para recién nacidos con factores de riesgo es el que produce mejores resultados. Presenta una cobertura del 99,3%, una tasa de participación en la segunda fase del 98%, un índice de referencia a la fase de confirmación del 1,2% y una tasa de detección del 0,45%. La edad media de diagnóstico con este protocolo fue de 93 días, la edad media de tratamiento de 182 días y las pérdidas en esta etapa fueron menores del 1%. La sensibilidad y especificidad de este protocolo fue mayor del 99%. El valor predictivo negativo fue superior al 99% y el valor predictivo negativo fue del 38% . Se diagnosticaron 250 hipoacusias durante todo el periodo estudiado, lo que implica una incidencia de 3,6 por mil RN. La incidencia de hipoacusia profunda bilateral en nuestro estudio es del 0,57‰ La incidencia en población de riesgo es 10 veces mayor que la población general y alcanza en nuestro estudio el 3,4%. Un 60 % de las hipoacusias son bilaterales. Los factores de riesgo más frecuentes que hemos encontrado asociados a una hipoacusia neurosensorial fueron: la estancia en UCIN > 5 días, los antecedentes familiares de hipoacusia, la administración de ototóxicos y la infección congénita por CMV. En cuanto a las hipoacusias de transmisión encontramos como factor de riesgo asociado más importante la presencia de malformaciones craneofaciales. Las hipoacusias más frecuentes fueron las neurosensoriales con un frecuencia del 46%. Se consiguió identificar la causa del déficit auditivo en el 66% de los casos. La otitis media serosa, supuso la causa en el 90% de las hipoacusias de conducción y el 9% de las mismas presentaban malformaciones de oído medio o externo. La causa más frecuente de hipoacusia adquirida fue el citomegalovirus congénito y la más frecuente de hipoacusia hereditaria fue la mutación del gen GJB2. CONCLUSIONES: El protocolo secuencial de TEOAE seguido de PEATCa es el más eficiente cumpliendo los criterios de calidad de la CODEPEH. El SA disminuye la edad de diagnóstico y de tratamiento de la hipoacusia congénita y permite una implantación precoz. ; Early detection of hearing loss, influence on diagnosis and early treatment. INTRODUCTION: Bilateral permanent childhood hearing loss impairment is the commonest sensory disability in developed countries. The prevalence of any degree of hearing loss in children population is near to 3%. This disability is present at birth in more than 80% of affected children. Identification of permanent hearing loss impairment in early childhood allows this children to receive early treatment and avoid the detrimental impact on oral language development. OBJECTIVE: The objective is to determine the number of children diagnosed of congenital hearing loss by universal newborn hearing screening program at La Fe University Hospital. We analyzed the techniques used through this time, the quality parameters of the program, the etiology of hearing loss and the impact of the screening program in treatment. MATERIAL AND METHODS: Hearing screening program at La Fe University Hospital over 14 years period. We studied the 3 different protocols used during this time. RESULTS: The sequential protocol of transient otoacoustic emissions in the first phase followed by automated auditory brainstem in the 2nd phase in healthy children and automated auditory brainstem in one step for newborns with hearing loss risk factors, is the screening protocol that produces better results. The coverage is 99.3%, the participation rate at second phase is 98%, the reference index to the confirmation phase is 1.2% and the detection rate is 0.45%. The mean age of diagnosis in this protocol was 93 days, the mean age of treatment was 182 days, and the patient lost at this protocol were less than 1%. The sensitivity and specificity of this protocol was greater than 99%. The negative predictive value were more then 99% and the positive predictive value were 38%. 250 hearing loss were diagnosed during the entire period studied, which means an incidence of 3.6 per thousand newborns. The incidence of bilateral profound hearing loss in our study was 0.57 ‰. The incidence in risk population was 10 times higher than general population and reached 3.4% in our study. 60% of hearing loss were bilateral. The most frequent risk factors that we found associated with sensorineural hearing loss were: a stay in the NICU> 5 days, a family history of hearing loss, the administration of ototoxic agents and congenital CMV infection. Regarding transmission hearing loss, we found the presence of craniofacial malformations as the most important associated risk factor. The etiology of the hearing deficit was identified in 66% of the cases. Serous otitis media was the cause in 90% of conduction hearing loss and 9% of them had malformations at middle or external ear. We found sensorineural hearing loss at 46% of the children, the most common cause of acquired hearing loss was congenital cytomegalovirus, and GJB2 gene mutation was present in 50% of hereditary causes. CONCLUSIONS: The sequential protocol of transient otoacoustic emissions followed by automated auditory brainstem is the most efficient. This protocol follow the CODEPEH quality criteria. Newborn hearing screening reduces the age of diagnosis and treatment of congenital hearing loss and allows early implantation in children.
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Keyword:
age at screen; auditory; automated auditory brainstem response; congenital hearing loss; early diagnosis; early intervention; epidemiology; evoked potentials; hearing impairment aetiology; neonatal hearing screening; otoacoustic emissions; referral rate; risk factors; UNESCO::CIENCIAS MÉDICAS; universal newborn hearing screening
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URL: https://hdl.handle.net/10550/80470
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| 20 |
Das dificuldades de aprendizagem na leitura à intervenção : perspetivas de professores de 1.º ciclo
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