Bibliography / Thesis (M.A.) -- Stellenbosch University, 1988.

published_or_final_version / Education / Master / Master of Education

published_or_final_version / abstract / Education / Master / Master of Education

A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy (PhD) in the Faculty of Humanities at the University of the Witwatersrand, Johannesburg, South Africa. December 2017. / Unilateral hearing loss (UHL), commonly known as 'single-sided deafness,' constitutes an ignored and under-researched population group. The limited existing research has established that persons with UHL tend to experience challenges in various social, emotional, language and academic areas, and thus persons with UHL experience more problems than previously realised. This study aims to address this gap by exploring the socio-emotional experiences of three persons with UHL. In addition, the researcher’s personal narrative as a person with UHL is included to provide another perspective. The participants were interviewed which provided narratives The theoretical framework of Bronfenbrenner's Bioecological model (1977-2009) and Vygotsky's (1962-1998) theories of language were used to interpret the influence of a child's surrounding social and cultural environments, and their interactions. The narrative data were analysed and interpreted using coding and categorising processes. Findings from the personal narratives revealed themes of anger, isolation, frustration as well as, indicated that children with UHL require assistance regarding disclosing their hearing loss. Additionally, topics such as ‘teasing’, ‘disturbing experiences during hearing loss diagnosis’ and ‘feelings of loneliness’ were also revealed. This study established that a child's surrounding social and cultural environments play a significant role in shaping their attitudes and perceptions of their unilateral hearing loss, and not all of the participants experienced disabling social challenges. Those who have intervention opportunities such as counselling, develop more effective communication and coping skills required for persons with UHL. In addition, links between interventions and coping skills were also revealed. Recommendations for future research include investigating the links between a child with UHL, intervention and coping skills, with a particular focus on their quality of life experiences. Significantly, there is a need for intervention programmes that address the social and emotional needs of children with UHL on an individual basis. Keywords Unilateral hearing loss; hearing related quality of life; Coping skills; Expressive Language; Stories; Autoethnography; Narrative Inquiry. / LG2018

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-04-17T10:43:20Z No. of bitstreams: 1 Vera Lúcia Ferreira Avelino.pdf: 1015801 bytes, checksum: 9ebffcac97a86abd948b5be7955925b9 (MD5) / Made available in DSpace on 2017-04-17T10:43:20Z (GMT). No. of bitstreams: 1 Vera Lúcia Ferreira Avelino.pdf: 1015801 bytes, checksum: 9ebffcac97a86abd948b5be7955925b9 (MD5) Previous issue date: 2017-03-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Introduction: Introduction: Early diagnosis of childhood hearing impairment is necessary for the confirmation of auditory status and the beginning of (re) habilitation. These processes are important factors for a better development of the language. The National Policy on Auditory Health Care (PNASA), 2004, establishes and organizes actions to promote hearing health, prevention and identification of hearing problems at all levels of complexity. To this end, the Living Without Boundary Plan, 2011, guarantees the accessibility of people with any type of disability, to all types of services, health, education, transportation and social inclusion. Objective: To characterize demographic and audiological data of the users of a reference center in hearing health, in the city of São Paulo. Method: This is a descriptive, retrospective observational study. Local: The study was developed at the Child Hearing Center (CeAC), Research Laboratory of the Child Hearing Research Line. Patients: A total of 857 patient records were analyzed from August 2010 to June 2015. These patients performed all the exams at the Auditory in the Child Center (CEAC), concluding the audiological diagnosis to define their auditory status. Data collection: The following data were extracted from the medical record of each user: gender, date of birth, area of residence, maternity of birth, whether or not the maternity belonged to the Mãe Paulistana / Stork Network Protection Network, if TANU was performed, If there were indicators of risk for hearing loss in the history of the child, origin of the referral for audiological evaluation, age at the first referral center, age at diagnosis completion and outcome of the audiological diagnosis. Analysis: A descriptive analysis was carried out, with the main focus being the age of the diagnosis, to observe the goal of early diagnosis, determinant in the result of the therapeutic intervention. Afterwards, inferential analyzes were performed to identify which aspects favor or hinder early diagnosis. Results: The results show that 60% of the users were male; The majority were resident in the South region (64.2%); The mean age at the beginning of the diagnosis was 2 months of life; The most prevalent complaint was hearing (54.8%) followed by screening (29.6%); 57.8% of the children performed TANU; The majority of children, on average, complete the diagnosis in the age group over one year old (50.2%), followed by children from 0 to 3 months (18.4%); The most prevalent bilateral hearing loss was profound sensorimotor hearing loss at 12.49%, followed by mild conductive hearing loss (8.52%). Conclusion: According to the results presented in the study, we can consider that, the TANU is being very important for the early diagnosis. However, the demand coming from this type of referral is still low, since its obligation was established at five years. Therefore, it is important to raise the awareness of those responsible for children, as well as the professionals who work in this area, in order to achieve greater adherence to the test, and subsequently reach a higher number in this type of demand / Introdução: O diagnóstico precoce da deficiência auditiva infantil é necessário para a confirmação do status auditivo e o início da (re)habilitação. Tais processos são fatores importantes para um melhor desenvolvimento da linguagem. A Política Nacional de Atenção à Saúde Auditiva (PNASA), de 2004, estabelece e organiza ações de promoção da saúde auditiva, prevenção e identificação de problemas auditivos, em todos os níveis de complexidade. Para tanto, o Plano Viver sem Limite, de 2011, garante a acessibilidade de pessoas com qualquer tipo de deficiência, à todos os tipos de serviços, saúde, educação, transporte e inclusão social. Objetivo: Caracterizar dados demográficos e audiológicos dos usuários de um centro de referência em saúde auditiva, do município de São Paulo. Método: Trata-se de um estudo de caráter observacional descritivo, e retrospectivo. Local: O estudo foi desenvolvido no Centro de Audição na Criança (CeAC), Laboratório de Pesquisa da Linha de Pesquisa Audição na Criança. Casuística: Foi realizada a análise de 857 prontuários de pacientes atendidos no período de agosto de 2010 a junho de 2015. Estes pacientes realizaram todos os exames no Centro Audição na Criança (CeAC), concluindo o diagnóstico audiológico para definição de seus status auditivo. Coleta de dados: Foram extraídos os seguintes dados do prontuário de cada usuário: gênero, data de nascimento, zona de moradia, maternidade de nascimento, se a maternidade pertencia ou não à Rede de Proteção Mãe Paulistana/Rede Cegonha, se foi realizada TANU, se havia indicadores de risco para deficiência auditiva na história da criança, origem do encaminhamento para a avaliação audiológica, idade na primeira consulta no centro de referência, idade na finalização do diagnóstico e resultado do diagnóstico audiológico. Análise: Foi realizada análise descritiva, tendo como foco principal a idade do diagnóstico, para observação da meta de diagnóstico precoce, determinante no resultado da intervenção terapêutica. Em seguida, foram realizadas análises inferenciais, com o objetivo de identificar quais aspectos favorecem ou dificultam o diagnóstico precoce. Resultados: Foi observado que 60% dos usuários atendidos eram do gênero masculino; a maioria era residente na região Sul (64,2%), que corresponde à área pela qual o centro de referência é responsável. A idade média no início do diagnóstico foi de dois meses de vida. Os motivos mais prevalentes para a busca do diagnóstico foram: queixa de alterações auditivas (54,8%), seguida de busca de diagnóstico após falha na TANU (29,6%). Dentre as crianças que buscaram diagnóstico, 57,8% realizaram a TANU. O status auditivo encontrado na casuística foi de 12,49% para perdas auditivas sensorioneurais profundas bilateralmente e 8,52% de perdas auditivas condutivas leves. Conclusão: De acordo com os resultados apresentados no estudo, podemos considerar que o TANU está sendo muito importante para o diagnóstico precoce. No entanto, a procura proveniente deste tipo de remessa ainda é baixa, uma vez que a sua obrigação foi estabelecida em cinco anos. Por isso, é importante sensibilizar os responsáveis pelas crianças, assim como os profissionais que trabalham nesta área, para que se atinja uma maior adesão ao teste e, posteriormente, alcancem um maior número neste tipo de demanda

Lee Yuet-sheung. / "May 2003." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2003. / Includes bibliographical references (p. 352-361). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

Thesis (Ph.D.)--James Madison University, 2010. / Includes bibliographical references.

The purpose of the present study was to test the use of visually displayed EMG biofeedback as a means for training hearing impaired adolescents to reduce anterior temporalis or frontalis muscle tension . Five male and four female hearing impaired students between the ages of 13 and 15 were chosen from the California School for the Deaf, Fremont, CA to serve as participants. Each participant was randomly assigned to either an experimental or control condition. Participants in the experimental groups were given five 15 minute EMG biofeedback training sessions. An additional group of 4 adolescents with normal hearing from Marshall Junior High School, Stockton, CA served as a hearing control group. The dependent measure was a 5 minute pretest and post-test measurement of muscle tension (in microvolts). Split-plot analyses were performed to determine if there were significant differences between a ) the .hearing impaired experimental and the hearing impaired control groups, b) the hearing impaired control and the hearing control groups, and c) the hearing impaired experimental group and the hearing control group. Results of the analyses showed that at post-test both the hearing impaired experimental group and the hearing control group showed a significant decrease in muscle tension F(1,7)=5.85 p< .05. The interaction was nonsignificant. Comparison of the two control groups showed that at post-test the two groups were not significantly different in levels of muscle tension. The comparison between the hearing impaired experimental and the hearing control groups resulted in a significant interaction (Group X Time of Testing) F( 1,6)=9.47, p=.02, and the main effect for time of testing approached significance.

published_or_final_version / Education / Master / Master of Education

published_or_final_version / Education / Master / Master of Education