Lilian Ferreira Muniz

Sensorineural hearing loss in a case of congenital Zika virus

a Universidade Federal de Pernambuco (UFPE), Departamento de Cirurgia, Serviço de Otorrinolaringologia, Recife, PE, Brazil b Universidade Federal de Pernambuco (UFPE), Departamento de Fonoaudiologia, Recife, PE, Brazil c Associação de Assistência à Criança Deficiente de Pernambuco, Clínica de Neurologia Infantil, Recife, PE, Brazil d Universidade Federal de Pernambuco (UFPE), Divisão de Doenças Infecciosas, Departamento de Clínica Médica, Recife, PE, Brazil

Auditory processing performance in blind people.

UNLABELLED Hearing has an important role in human development and social adaptation in blind people. OBJECTIVE To evaluate the performance of temporal auditory processing in blind people; to characterize the temporal resolution ability; to characterize the temporal ordinance ability and to compare the performance of the study population in the applied tests. METHODS Fifteen blind adults participated in this study. A cross-sectional study was undertaken; approval was obtained from the Pernambuco Catholic University Ethics Committee, no. 003/2008. RESULTS Temporal auditory processing was excellent--the average composed threshold in the original RGDT version was 4. 98 ms; it was 50 ms for all frequencies in the expanded version. PPS and DPS results ranged from 95% to 100%. There were no quantitative differences in the comparison of tests; but oral reports suggested that the original RGDT original version was more difficult. CONCLUSIONS The study sample performed well in temporal auditory processing; it also performed well in temporal resolution and ordinance abilities.

Conhecimento de ginecologistas e pediatras de hospitais públicos do Recife a respeito dos fatores de risco para surdez

UNLABELLED Hearing is one of the main forms of connection between human being and the environment; however, hearing loss is still diagnosed very late in Brazil, which directly interferes with the childs development. AIM The aim of this study was to check the knowledge pediatricians and gynecologists have about the risk factors for the deafness, the way they acquired such knowledge and parent education about the subject. MATERIALS AND METHODS We enrolled 119 doctors from three public hospitals of the city of Recife. An interview was applied, before and after the educational campaign on the matter. The study was descriptive, cross-sectional, case series-type. Data analysis was descriptive and inferential. RESULTS The results showed that only 3 of the 18 hearing loss risk factors listed had gotten answers above 50% in the initial stage of the study and 53.84% of the professionals educated the families. All the answers had increased in the second stage. CONCLUSION The results emphasize the need to pay more attention to this matter; therefore, primary care is an inexpensive and efficient way to fight hearing loss.

The importance of electrically evoked stapedial reflex in cochlear implant

Introduction: The most important stage in fitting a cochlear implant is the identification of its dynamic range. The use of objective measures, in particular the electrically elicited stapedius reflex, may provide suitable assistence for initial fitting of cochlear implant, especially in children or adult with multiple disorders, because they provide specific values that serve as the basis of early cochlear implant programming. Objective: Verify through a review the use of the electrically elicited stapedius reflex threshold during the activation and mapping process of cochlear implant. Methods: Bibliographical search on the Pubmed and Bireme plataforms, and also on Medline, LILACS and SciELO databases, with standard searches until September 2012, using specific keywords. For the selection and evaluation of scientific studies found in the search, criterias have been established, considering the following aspects: author, year/location, grade of recommendation/level of evidence, purpose, sample, age, mean age in years, evaluative testing, results and conclusion. Results: Among 7,304 articles found, 7,080 were excluded from the title, 152 from the abstract, 17 from the article reading, 43 were repeated and 12 were selected for the study. Conclusion: The electrically elicited stapedius reflex may support when programming the cochlear implant, especially in patients with inconsistent responses.INTRODUCTION The most important stage in fitting a cochlear implant is the identification of its dynamic range. The use of objective measures, in particular the electrically elicited stapedius reflex, may provide suitable assistence for initial fitting of cochlear implant, especially in children or adult with multiple disorders, because they provide specific values that serve as the basis of early cochlear implant programming. OBJECTIVE Verify through a review the use of the electrically elicited stapedius reflex threshold during the activation and mapping process of cochlear implant. METHODS Bibliographical search on the Pubmed and Bireme plataforms, and also on Medline, LILACS and SciELO databases, with standard searches until September 2012, using specific keywords. For the selection and evaluation of scientific studies found in the search, criterias have been established, considering the following aspects: author, year/location, grade of recommendation/level of evidence, purpose, sample, age, mean age in years, evaluative testing, results and conclusion. RESULTS Among 7,304 articles found, 7,080 were excluded from the title, 152 from the abstract, 17 from the article reading, 43 were repeated and 12 were selected for the study. CONCLUSION The electrically elicited stapedius reflex may support when programming the cochlear implant, especially in patients with inconsistent responses.

A importancia do reflexo estapedico evocado eletricamente no implante coclear

Introduction: The most important stage in fitting a cochlear implant is the identification of its dynamic range. The use of objective measures, in particular the electrically elicited stapedius reflex, may provide suitable assistence for initial fitting of cochlear implant, especially in children or adult with multiple disorders, because they provide specific values that serve as the basis of early cochlear implant programming. Objective: Verify through a review the use of the electrically elicited stapedius reflex threshold during the activation and mapping process of cochlear implant. Methods: Bibliographical search on the Pubmed and Bireme plataforms, and also on Medline, LILACS and SciELO databases, with standard searches until September 2012, using specific keywords. For the selection and evaluation of scientific studies found in the search, criterias have been established, considering the following aspects: author, year/location, grade of recommendation/level of evidence, purpose, sample, age, mean age in years, evaluative testing, results and conclusion. Results: Among 7,304 articles found, 7,080 were excluded from the title, 152 from the abstract, 17 from the article reading, 43 were repeated and 12 were selected for the study. Conclusion: The electrically elicited stapedius reflex may support when programming the cochlear implant, especially in patients with inconsistent responses.INTRODUCTION The most important stage in fitting a cochlear implant is the identification of its dynamic range. The use of objective measures, in particular the electrically elicited stapedius reflex, may provide suitable assistence for initial fitting of cochlear implant, especially in children or adult with multiple disorders, because they provide specific values that serve as the basis of early cochlear implant programming. OBJECTIVE Verify through a review the use of the electrically elicited stapedius reflex threshold during the activation and mapping process of cochlear implant. METHODS Bibliographical search on the Pubmed and Bireme plataforms, and also on Medline, LILACS and SciELO databases, with standard searches until September 2012, using specific keywords. For the selection and evaluation of scientific studies found in the search, criterias have been established, considering the following aspects: author, year/location, grade of recommendation/level of evidence, purpose, sample, age, mean age in years, evaluative testing, results and conclusion. RESULTS Among 7,304 articles found, 7,080 were excluded from the title, 152 from the abstract, 17 from the article reading, 43 were repeated and 12 were selected for the study. CONCLUSION The electrically elicited stapedius reflex may support when programming the cochlear implant, especially in patients with inconsistent responses.

Hearing loss in children with HIV/AIDS

PURPOSE To investigate the occurrence of hearing loss in children with HIV and its association with viral load, opportunistic diseases, and antiretroviral treatment. METHODS A cross-sectional study was carried out with 23 HIV-positive children under care at two specialized centers in João Pessoa, Paraíba, Brazil. Their parents or legal guardians responded to a questionnaire, containing data on the clinical situation and the hearing health of the children, who were then submitted to audiological assessment. We complied with the guidelines for human research contained in the CNE (National Education Council) Resolution number 196/1996. The findings were analyzed through descriptive statistics. RESULTS We observed that lamivudine (3TC) was the antiretroviral drug most used in 17 (94.4%) patients, followed by Kaletra (KAL), administered in 14 (77.8%) patients, d4T in 11 (61.1%) patients, and zidovudine (AZT) in 7 (38.9%) participants. Otitis was the most frequent opportunistic disease, with 11 (61.1%) cases. In the audiometric examination, we observed 39 (84.8%) ears with hearing loss and 7 (15.2%) normal ears. After the immitance testing, we found five (10.9%) normal ears, characterized by type A tympanometric curves. The other 41 (89.1%) ears were revealed as altered, with predominance of type B curves in 67.4% of the cases. CONCLUSION There were hearing alterations in children with HIV/AIDS analyzed in this study. Discreet hearing losses were the most occurring. We verified statistically significant associations with the use of antiretroviral therapy and otitis. Therefore, we point out the importance of auditory monitoring and intervention as soon as possible, thus favoring adequate development in language and decreasing possible difficulties in learning and social inclusion.

Cochlear implant in a patient with neurofibromatosis type 2 undergoing radiotherapy

eurofibromatosis type 2 (NF2) is a rare disease, characerized by a mutation in the long arm of chromosome 2 that leads to the development of bilateral vestibular chwannomas (VS) in approximately 90% of patients with this yndrome.1--4 The control of tumor growth and hearing preservation are he cornerstones of its treatment, which can be carried out y surgery or radiotherapy, considering the size of the lesion nd the presence of functional hearing. The possibilities of hearing rehabilitation range from the daptation of conventional hearing aids (HA) to auditory

Potencial evocado auditivo de tronco encefálico por condução óssea: uma revisão integrativa

The aim of this study was to conduct an integrative review of the procedures used in the acquisition criteria of the Bone-Conducted Brainstem Auditory Evoked Potentials examination in order to help in the diagnosis of hearing problems. A search was conducted on the following databases: Latin American and Caribbean Literature on Health Sciences (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Scientific Electronic Library Online (SciELO). The following keywords were used: AEPs, Electrophysiology and Bone Conduction, found via Descriptors in Health Sciences Headings (MeSH). The results shown are for the 35 selected studies. Most studies opted to use click stimuli and supra-aural headphones, such as the TDH-39, as conduction transducers, and the Radioear B-71 vibrator, with a pressure of 425+/- 25g, for bone conducted stimulation. It was observed that the the bone vibrator was most frequently placed in the mastoid region. The majority of studies report using alternating polarity, with different presentation rates, the most widely used being 57.7/s, with a 30-3000 Hz filter and a window of 15 ms. Most studies used a stimulus rate of 2048, and a total of 2 stimulus recordings. The Brainstem Auditory Evoked Response exam has been studied for many years and much has been written in the literature regarding acquisition and analysis, in addition to underscoring its importance for newborns.

Hemoglobin concentrations and associated factors in adolescentes from Recife, Brazil

OBJECTIVE: To estimate the prevalence of anemia and associated factors in adolescents from the city of Recife in Pernambuco state. METHODS: This is a cross-sectional study, involving a random sample of 256 adolescents of both genders, aged 13 to 18, whose hemoglobin concentrations were evaluated, along with their nutritional status and socioeconomic and demographic characteristics. RESULTS: The prevalence of inadequate hemoglobin concentrations was 10.2% [CI95%=6.7-14.5], reaching levels considered as mild anemia (9 g/dL 0.05), nor with socioeconomic or demographic characteristics (p>0.05). CONCLUSION: Although the prevalence of anemia was low and classified as a mild health problem, preventive nutrition education involving the dissemination of healthy eating habits in schools and encouraging the consumption of iron-rich foods are strongly recommended.

Use of remote control in the intraoperative telemetry of cochlear implant: multicentric study

INTRODUCTION The conventional evaluation of neural telemetry and impedance requires the use of the computer coupled to an interface, with software that provides visualization of the stimulus and response. Recently, a remote control (CR220®) was launched in the market, that allows the performance of intraoperative tests with minimal instrumentation. OBJECTIVE To evaluate the agreement of the impedance values and neural telemetry thresholds, and the time of performance in the conventional procedure and by the remote control. METHODS Multicentric prospective cross-sectional study. Intraoperative evaluations of cochlear implants compatible with the use of CR220® were included. The tests were carried out in the 22 electrodes to compare the time of performance in the two situations. The agreement of the neural telemetry threshold values obtained from five electrodes was analyzed, and the agreement of impedance was evaluated by the number of electrodes with altered values in each procedure. RESULTS There were no significant difference between the impedance values. There was a moderate to strong correlation between the electrically-evoked compound action potential thresholds. The mean time to perform the procedures using the CR220 was significantly lower than that with the conventional procedure. CONCLUSION The use of the CR220 provided successful records for impedance telemetry and automatic neural response telemetry.