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Related Concept Videos

Hearing01:31

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When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
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The human ear is not equally sensitive to all frequencies in the audible range. It may perceive sound waves with the same pressure but different frequencies as having different loudness. Moreover, the perception of sound waves depends on the health of an individual's ears, which decays with age. The health of one's ears may also be affected by regular exposure to loud noises.
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Related Experiment Video

Updated: Jan 5, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Teacher Prescreening for Hearing Loss in the Developing World.

Justin R Shinn1, Asitha D L Jayawardena1, Ankita Patro1

  • 1Department of Otolaryngology, 12328Vanderbilt University Medical Center, Nashville, TN, USA.

Ear, Nose, & Throat Journal
|October 15, 2019
PubMed
Summary

Teachers in low-resource settings can effectively identify children with hearing loss. This approach achieved a 100% identification rate, improving hearing screening efficiency and enabling early intervention for affected students.

Keywords:
audiometryglobal healthhearing losshearing testslow- and middle-income countrieslow-resourced settingsmobile healthphysician-extenderspublic health

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Area of Science:

  • Public Health
  • Audiology
  • Pediatrics

Background:

  • Hearing loss is a significant global health issue, particularly in low-resource settings.
  • Efficient screening methods are crucial for early detection and intervention in children.
  • Traditional hearing screening programs face challenges in resource-limited environments.

Purpose of the Study:

  • To evaluate the effectiveness of teachers in identifying schoolchildren at risk of hearing loss.
  • To assess the efficiency of teacher-led prescreening for hearing impairment in low-resource settings.
  • To determine the potential of leveraging school teachers for hearing loss identification and early intervention.

Main Methods:

  • Prospective cohort study conducted in 4 semirural schools in Malindi, Kenya.
  • Comparison of preselected schoolchildren perceived as hearing impaired with those presumed to have normal hearing.
  • Utilized portable audiometry for hearing screening.

Main Results:

  • Eight out of 127 children (6.3%) failed the hearing screening.
  • All children who failed screening were initially identified by school teachers as high-risk.
  • Teacher prescreening demonstrated a 100% hearing loss identification rate and a 20% referral rate.

Conclusions:

  • Teachers can effectively identify schoolchildren with potential hearing loss in resource-limited settings.
  • Teacher prescreening significantly enhances hearing screening efficiency, identifying 1 in 5 children needing further evaluation.
  • This strategy supports early intervention for hearing impairment, overcoming challenges of universal screening in resource-constrained areas.