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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Author Spotlight: Advancements in Impedance Monitoring for Cochlear Implant Surgery
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Barriers to early cochlear implantation.

Shani Dettman1,2,3, Dawn Choo1,2,3, Richard Dowell1,2,3

  • 1a The University of Melbourne, Department of Audiology and Speech Pathology , Parkville, Victoria , Australia ;

International Journal of Audiology
|May 4, 2016
PubMed
Summary

Newborn hearing screening has reduced the age of cochlear implant (CI) and hearing aid (HA) fitting for children. Factors like socio-economic status and diagnosis influence CI timing.

Keywords:
Cochlear implantdemographicshearing aidsnewborn hearing screeningpaediatric

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Area of Science:

  • Audiology
  • Paediatric Medicine
  • Medical Technology

Background:

  • Early intervention is crucial for children with hearing loss.
  • Cochlear implants (CIs) and hearing aids (HAs) are key devices for auditory rehabilitation.
  • Newborn hearing screening (NHS) aims to identify hearing impairment early.

Purpose of the Study:

  • To identify variables associated with paediatric access to cochlear implants (CIs).
  • To examine trends in age at CI surgery and HA fitting.
  • To explore demographic factors influencing early CI implantation.

Main Methods:

  • Analysis of trends in age at HA fitting and CI surgery over time, correlated with NHS implementation.
  • Exploration of demographic factors for children implanted under 3 years.
  • Examination of pre-implant steps for infants receiving CIs under 12 months.

Main Results:

  • Age at HA fitting and CI surgery decreased over time, linked to NHS implementation.
  • Earlier HA fitting, higher socio-economic status, and specific diagnoses (e.g., Connexin 26) were associated with earlier CI in children under 3.
  • Progressive hearing loss correlated with later CI, and significant delays were noted in diagnosis and pre-implant imaging.

Conclusions:

  • NHS implementation is associated with reduced age at device intervention for paediatric hearing loss.
  • Timely access to CIs depends on a combination of screening, socio-economic factors, and diagnostic pathways.