Objective: To evaluate the hearing outcomes of cochlear implantation in different age groups by using data collected in the HEARRING registry. Methods: A multicenter study. Data of 146 patients were collected in a HEARRING registry. Patients were divided into three different age groups; ≤ 55 years old (age group 1, n = 66), 56 to 69 years old (age group 2, n = 45), and ≥ 70 years old (age group 3, n = 35). Speech in quiet (SPIQ), speech in noise (SPIN), and hearing implant sound quality index (HISQUI19) scores were evaluated for the different age groups at different test moments (preoperatively, 3, 6, 12, and 24 mo after first fitting). Results: A statistically significant difference (p < 0.01) was found between preoperative scores and the scores on all the follow-up moments across all age groups. For SPIQ and SPIN, none of the time points showed a statistically significant age effect (p = 0.88 and p = 0.89). For HISQUI19 scores, a statistically significant age effect was found at 12 months after first fitting. The oldest age group scored significantly lower on the HISQUI19 compared with the youngest age group. Conclusion: Hearing outcomes of adult cochlear implant users of different age groups were evaluated. The SPIQ and SPIN tests showed no significant differences between the different age groups. Nevertheless, the youngest group scored significantly better on self -perceived benefit (HISQUI19) with a cochlear implant compared with the oldest age group. Further research is needed to receive more insight into cochlear implantation in the elderly and its implications on rehabilitating and supporting this expanding older population.
Using a remote network connection for intraoperative objective measurements is an efficient and safe way to perform measurements during cochlear implantation surgery.
Currently, one of the most pressing concerns of labor psychology and healthcare is emotional burnout in healthcare professionals. During the COVID- 19 pandemic this condition has become very significant due to it takes a lot of physical, phychoemotional and ethical commitment of medical personnel. Emotional burnout is a syndrome that derives from chronic stress and leads to the depletion of personal, emotional, and energy resources of a person in the professional life. It is an dynamic sequential process and relevant to stress stages (the alarm stage, the resistance stage and the exhaustion stage). There are many various factors inducing the burnout syndrome: social, political, economic, bureaucratic, etc. In the process of studying this phenomenon, different models of emotional burnout were proposed. The most famous model is the three-part model of burnout by С. Maslach, which includes emotional exhaustion, depersonalization and a decrease in personal achievements. In Russia V. V. Boyko has been studying the burout phenomenon. There are three main stages of emotional burnout (alarm, resistance and exhaustion), which have a close connection to stress stages; each stage has a specific combination of symptoms. According to a number of authors, burnout syndrome is closely related to empathy, therefore, it is necessary to study the relationship between the level of empathy and the degree of emotional burnout in healthcare professionals for planning further psychological support for the prevention of this syndrome.
Deafblindness is a rare disease in which a person has a combination of hearing loss and vision loss, resulting in reduced access to both auditory and visual information. There are many reasons to occur of deafblindness: hereditary syndromes/disorders (CHARGE syndrome, Usher’s syndrome, Down’s syndrome), diseases that occurred before childbirth (cytomegalovirus, hydrocephalus, microcephaly), etc. The article presents a clinical case of an 11-year-old patient with a diagnosis of severe bilateral sensorineural hearing loss, condition after cochlear implantation on the right in 2012. Retinopathy of prematurity of the 5th degree, total retinal detachment with severe intraretinal proliferation. Infantile cerebral palsy. Hyperhomocysteinemia. Mitochondrial dysfunction. Casein intolerance. Persistent viral infection of Herpes Simplex Virus (HSV) type 6, Epstein–Barr virus (EBV). The authors showed a method for fitting the cochlear implant (CI) processor in a deaf-blind child by assessing the thresholds for perceiving sounds at different speech frequencies (500 Hz–4,000 Hz), which is the registration via Auditory Steady State Response (ASSR) to acoustic stimuli delivered through loudspeakers to an activated cochlear implant processor.
The cochlear form of otosclerosis is characterized by irreversible metabolic changes that lead to complete hearing loss. Cochlear implantation, which is a high-tech method of rehabilitation for patients with profound hearing loss and complete deafness, becomes an opportunity for hearing restoration. However, CI in patients with cochlear otosclerosis may be accompanied by a number of difficulties due to the remodeling of the cochlea of varying severity. Thus, changes in the bony labyrinth play a crucial role in the management of patients with the cochlear form of otosclerosis and sensorineural hearing loss IV.
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