{"title":"Auditory Processing Disorders: Earlier Diagnosis Possible?","authors":"R. Munguia","doi":"10.4172/2375-4427.1000E110","DOIUrl":"https://doi.org/10.4172/2375-4427.1000E110","url":null,"abstract":"Auditory Processing Disorders (APD) has been defined as the inability of the central nervous system to process incoming auditory information from the peripheral auditory system. It has been said that accurate representation of stimulus timing (latency) in the auditory brainstem is a hallmark of normal perception. Therefore, the diagnosis of APD is confirmed when functional listening difficulties are observed in the presence of both normal peripheral hearing and well-established deficits in one or several different auditory skill areas. In recent years, there has been an increased popular interest in these disorders; unfortunately, this interest has led to misconceptions and misinformation. There is now considerable confusion regarding what is and what are not an APD, how APD is diagnosed, and the methods for managing and treating the disorder.","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115806573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Volunteerism: Speech-Language Pathology with the Homeless","authors":"Betty L. Mc Micken","doi":"10.4172/2375-4427.1000E109","DOIUrl":"https://doi.org/10.4172/2375-4427.1000E109","url":null,"abstract":"I am a Speech-Language Pathologist (SLP) who has volunteered for the past 7 years, providing services to homeless men and women at a large urban rehabilitation mission. This faith-based mission specializes in a 13 month residential program which is offered to homeless individuals afflicted with drug and alcohol abuse. Often the rehabilitation is not a choice but court ordered in lieu of a prison sentence. I have evaluated and treated numerous residents of the mission’s programs who present with communication disorders such as long term stuttering [1], ataxic dysarthria post amateur boxing [2] hyperkinetic dysarthria post cocaine abuse [3], in addition to delayed language, Huntington’s chorea, swallowing disorders, and cognitive disorders post traumatic brain injury. The possibilities for positive life changes through rehabilitative intervention are infinite. Many of these homeless individuals must stay in the program or face incarceration, therefore the motivation for change is present and the time to make that change, 13 months, is adequate for rehabilitation intervention. My volunteerism has provided unique opportunities for treatment, education and research for students at the university in which I teach (California State University Long Beach). This SLP treatment program through a volunteerism platform demonstrates to students the power of philanthropy, the plight of the homeless, their humanity, and the all too familiar cycle of poverty; all complicated by a communication or swallowing disorder. The effect on students has been profound. Many have made volunteerism a commitment in their personnel and professional life. It is no longer an unfamiliar concept, but one which is now an expected part of their life plan. Mission referrals continue, with counselors more aware of swallowing and communication disorders. A recent referral of a 38 year old man, a lifelong stutterer, with a 25 year history of drug abuse led to evaluation and subsequent on-going treatment. He has completed one month of fluency establishment and will soon be moving on to transfer of his skills. He is being treated in a similar manner as detailed in McMicken et al. 2012. The speech and drug rehabilitation prognosis is positive based on his 13 month commitment to both activities. A detailed case history will follow in the fall of 2014.","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"361 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122799549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Non-Linear Frequency Compression on the Perception of Timbre and Melody by Adults with a Moderate to Severe Hearing Loss","authors":"M. Uys, Lidia Pottas, C. V. Dijk, B. Vinck","doi":"10.4172/2375-4427.1000104","DOIUrl":"https://doi.org/10.4172/2375-4427.1000104","url":null,"abstract":"Objective: To date, the main focus in frequency lowering hearing aid studies has been in relation to speech perception abilities. With improvements in hearing aid technology, interest in musical perception as a dimension that could improve hearing aid users’ quality of life, however, grew. The purpose of this study was to evaluate the influence of non-linear frequency compression (NFC) on music perception with the use of a self-compiled Music Perception Test (MPT). \u0000 Design & Sample: A quasi-experimental research design was implemented to fit participants (n=40) with NFC hearing aids. Test data was obtained with the hearing aids with NFC inactive and active. \u0000 Results: The use of NFC significantly improves hearing aid users’ perception of timbre and melody. \u0000 Conclusion: The use of NFC can result in hearing users perceiving music more positively and does not influence music perception negatively.","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115702683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Equy, A. Derore, N. Vassort, F. Branchet, B. Mongourdin, P. Hoffmann, P. Jouk
{"title":"Evaluation of Measures to Facilitate Access to Care for Pregnant Deaf Patients: Use of Interpreters and Training of Caregivers in Sign Language","authors":"V. Equy, A. Derore, N. Vassort, F. Branchet, B. Mongourdin, P. Hoffmann, P. Jouk","doi":"10.4172/2375-4427.1000103","DOIUrl":"https://doi.org/10.4172/2375-4427.1000103","url":null,"abstract":"Objectives: Deafness affects about 7% of the French population. In this context, the clinic of obstetrics and gynecology of Grenoble University Hospital (France) has set up two affirmative action’s to assist pregnant signingdeaf patients (who preferentially “speak” sign language). One is, a partnership with qualified French Sign Language interpreters from the Deaf Patient Reception and Care Unit, and the second is, sign language training for nine medical professionals. The aim of this study is to evaluate these initiatives in deaf patient care and propose some potential improvements. \u0000 Material and methods: This was a descriptive study conducted from information contained in the computerized and paper files of 22 pregnant signaling deaf patients. \u0000 Results: There is significant adaptation of patient management during scheduled consultations and hospitalization, whereas the adaptation rate remains poor for emergency situations. \u0000 Conclusion: The adaptation of care to the deaf turns out to be perfectible, through advance planning of the entire pregnancy consultation schedule. In emergency situations, the creation of a sign language interpreter on-call position would greatly improve the access to appropriate for these patients.","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127093554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clostridium Bacteria and its Impact in Autism Research: Thinking \"Outside The Box\" of Neuroscience","authors":"F. Zeidán-Chuliá, J. C. Moreira","doi":"10.4172/2375-4427.1000101","DOIUrl":"https://doi.org/10.4172/2375-4427.1000101","url":null,"abstract":"-RHO family of GTPases interactome network revealed a differential gene expression in the cerebellum of autistic patients. Therefore, this family may indeed represent one of these points of crosstalk commonly altered in autism spectrum conditions. A number of anaerobic bacteria are pathogenic to humans and their virulence is based on secreted toxins, which are mainly produced by species from the Clostridium genus [7]. Particularly, these are not invasive bacteria but their secreted active molecules can exert deleterious effects at a distance from the microorganism. Bolte [8] published a hypothetical paper postulating that a subgroup of children diagnosed with autism could be suffering from Clostridium tetani colonization of the intestinal tract and that the neurological symptoms were the direct result of in vivo production of tetanus neurotoxin. Four years later, Finegold et al. [9] reported that autistic children had nine species of Clostridium not found in control children, whereas controls yielded just three species not found in children with autism. In an elegant study, Parracho et al. [10] demonstrated that the faecal flora of autism spectrum disorders (ASD) patients was enriched in Clostridium histolyticum group (Clostridium clusters I and II) of bacteria than that of healthy children; a particular bacteria group that are recognized to be toxin-producers. Ras and Rho family GTPases are specifically targeted by clostridial toxins [11]. For instance, specific inhibition of Rho, Rac, and Cdc42 by Clostridium difficile toxin B induces apoptosis of granule neurons [12] and can induce changes in spine and density morphology [13]. Thus, the centrality displayed by RAC1 in our in silico model of geneenvironment interactions in the autistic context and the differential expression of the Rho family of small GTPases found in the cerebellum of patients [3] is consistent with reports supporting clostridial spores as key elements in the etiology of autism [14]. Moreover, higher concentrations of 3-(3-hydroxyphenyl)-3hydroxypropionic acid (HPHPA), a compound produced by different species of the Clostridium genus, have been found in urine samples of children with autism and seems to be also increased. In this study, the authors postulated it as a probable metabolite of m-tyrosine (or a tyrosine analog) able to deplete brain catecholamines and lead to typical autism-related symptomatology [15]. Nowadays, a number of researchers are paying attention to “gut dysbiosis” or a state of imbalance in the gut microbial ecosystem that includes excessive proliferation of specific organisms and loss of others, as a potential cause for several diseases and disorders like autism, obesity, and even diabetes [16-19]. With these examples, our aim is to emphasize the use of multidisciplinary research approaches, in addition to neuroscientific ones, to unravel the etiological causes and pathological events associated to autism; perhaps, the best example of multifactorial dis","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127786788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Origins and Pawns Scales: A Pilot Study Assessing Perception of Control in Adults with Hearing Problems","authors":"L. Allan, Rebecca J. Kelly-Campbell","doi":"10.4172/2375-4427.1000102","DOIUrl":"https://doi.org/10.4172/2375-4427.1000102","url":null,"abstract":"Purpose: The main purpose of this pilot study was to determine if a content analysis of locus of control (Origins and Pawns Scales) can be used reliably with a population of older adults with hearing impairment. A second purpose of this pilot study was to determine the relationship between locus of control using this content analysis and audiologic variables such as hearing aid adoption and self-perceived hearing handicap. Finally, the third purpose of this pilot study was to determine if there were any differences between older men’s and women’s perception of locus of control as measured by this content analysis. \u0000 Methods: A total of 30 adults with hearing impairment between the ages of 52 and 71 years participated in this study. Information regarding hearing ability, participant demographics, hearing aid adoption, and self-perceived hearing handicap were obtained. To obtain data for the content analysis, participants were required to respond to a single prompting question, which was transcribed verbatim and coded according to the refined Origins and Pawns scoring guidelines. \u0000 Results: The content analysis of locus of control (Origins and Pawns Scales) had high internal consistency and intra-class correlations. Additionally, participants who adopted hearing aids had significantly higher origins scores than those who did not adopt. Conversely, participants who did not adopt hearing aids had higher pawns scores, however this finding was not statistically significant. There was no significant relationship between Origins and Pawns Scales and self-perceived hearing handicap nor were any gender differences found. \u0000 Conclusions: Results of this study indicate that the Origins and Pawns Scales can be used reliably to assess the perception of locus of control for older adults with hearing impairment who present for clinical services. Both the Origins and Pawns Scales differentiated older adults who adopted hearing aids from those who did not. The Origins and Pawns Scales may prove to assist clinicians in addressing hearing aid adoption rates through targeting perceptions of control.","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128137856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial on Case Studies","authors":"B. McMicken","doi":"10.4172/2375-4427.1000E106","DOIUrl":"https://doi.org/10.4172/2375-4427.1000E106","url":null,"abstract":"","PeriodicalId":231062,"journal":{"name":"Journal of Communication Disorders, Deaf Studies & Hearing Aids","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129344762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}