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Pediatric Auditory Screening

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601. Visual, tactile, and phobic hallucinations: recognition and management in the emergency department. (PubMed)

identified with VTPH who were evaluated during a 20-month period in 1998 to 1999 were reviewed. The diagnosis was established if the hallucinations were well documented as being anxiety-related, not auditory, and with no evidence of underlying organic etiology. All cases were initially screened in the emergency department. Demographic information included age, gender, duration, and description of symptoms, stressors, family psychiatric history, and outpatient treatment.Ten children with this disorder (...) and family.VTPH is a more commonly occurring disorder than previously reported in the pediatric emergency medicine literature. Emergency physicians who recognize the characteristics of this diagnosis are encouraged to seek psychiatric consultation rather than performing unnecessary and costly diagnostic tests.

2004 Pediatric Emergency Care

602. Measurement accuracy of fever by tympanic and axillary thermometry. (PubMed)

randomly selected pediatric patients who admitted to our hospital were enrolled, and simultaneous temperature measurements were performed via axilla and external auditory canal with 3 different techniques. For external auditory recordings, infrared tympanic First Temp Genius for clinical use and Microlife IR 1DA1 for home usage were used. Classic mercury-in-glass thermometers were used for axillary recording. For each method, 886 measurements were performed.The mean results of the axillary mercury (...) recording with different thermometers, and this variance was present in both higher and lower readings. We recommend thathome-use infrared tympanic thermometer could be used for screening but must not be considered as a tool to decide patients follow-up.

2007 Pediatric Emergency Care

603. Lessons from the national cooperative growth study. (PubMed)

or Turner syndrome. NCGS substudies have also provided important insights into actual clinical practice. For example, screening for renal, cardiac, or auditory comorbidities in Turner syndrome is often done less than is recommended by national guidelines (NCGS 9). Furthermore, almost 65% of children referred for short stature may be lost to follow-up before an evaluation is completed (NCGS 8).The NCGS has proven to be a valuable method of monitoring the safety and efficacy of biosynthetic GH. The study (...) years, data from over 47 000 patients representing 165 000 patient years have been collected. There are over 12 000 active subjects (estimated to be approximately 75% of all current patients treated with a Genentech GH product) at 435 centers, providing extensive efficacy and safety data. The GrowTrak program is a secure, user-friendly database which encourages a high level of participation by the pediatric endocrine community in the USA. Efficacy has been shown in a variety of clinical diagnoses

2004 European Journal of Endocrinology

604. MRI Language Studies in Young Children

in identifying language function and location and may improve the treatment of children with seizures. Right-handed, native English-speaking adults and children between 4 and 12 years of age may be eligible for this study. Candidates will be screened with a routine neurological examination. Children will also undergo neuropsychological testing (standard tests of language, memory, perception and attention) either at the screening visit or at a later time. Parents will fill out a form to identify children (...) literate children. These studies are designed to test the hypothesis that language networks are strongly lateralized and regionally specific in children younger than eight. The study extends our investigations of paradigm development and language network organization in adults and older children (8-12) to the 4-7 year age group. Word reading, object naming, and auditory comprehension paradigms will be adapted for children 4-7 years old. Paradigm stimuli will be devised from pilot data obtained under

2002 Clinical Trials

605. Incidence of cochlear involvement in hyperbilirubinemic deafness. (PubMed)

Incidence of cochlear involvement in hyperbilirubinemic deafness. Neonatal hyperbilirubinemia remains an important cause of childhood deafness, especially in developing countries. After neonatal hyperbilirubinemia, the auditory neural pathways, cochlea, or both may be affected. In this study, we aimed to determine the incidence of cochlear impairment and the appropriate means of hearing screening in hyperbilirubinemic neonates. A retrospective review of 1,032 pediatric patients with hearing (...) loss revealed 67 cases (6.5%) of severe hyperbilirubinemia in the neonatal period. Thirty of these patients had neonatal hyperbilirubinemia as the single identifiable risk factor for hearing loss. In 26 of 30 cases (87%), otoacoustic emissions (OAEs) were absent, whereas in the remaining 4 cases (13%), robust emissions were detected despite an absent auditory brain stem response (ABR). Auditory screening of newborns with jaundice by OAEs possesses a significant risk of undiagnosed deafness

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2002 Rhinology and Laryngology

606. Universal newborn hearing screening

. The views of parents of hearing impaired children on the need for neonatal hearing screening. Br J Audiol 1995;29(5):259-62. Kemp DT. Stimulated acoustic emissions from within the human auditory system. J Acoust Soc Am 1978;64(5):1386-91. Kemp DT, Ryan S. The use of transient evoked otoacoustic emissions in neonatal hearing screening programs. Seminars in Hearing 1993;14(1):30-45. Mason JA, Herrmann KR. Universal infant hearing screening by automated auditory brainstem response measurement. Pediatrics (...) Orientation By Sound) and Baby-test 3000. But flaws have emerged in these screening approaches and it has been shown that only 5.4 percent of all hearing impairment in Sweden is detected before the age of 6 months. Otoacoustic Emissions (OAEs) and automated Auditory Brainstem Response (aABR), two methods that offer fresh opportunities for hearing screening of the newborn, can be performed while the baby is still at the maternity ward. A two-stage screening is often employed, i.e., a second test

2004 Swedish Council on Technology Assessement

607. Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Interventions

. Bibliographic details Nelson H D, Nygren P, Walker M, Panoscha R. Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Interventions. Pediatrics 2006; 117(2): e298-e319 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Child, Preschool; Developmental Disabilities /diagnosis /therapy; Humans; Language Development Disorders /diagnosis /therapy; Language Therapy; Primary Health Care; Speech (...) Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Interventions Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Interventions Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Interventions Nelson H D, Nygren P, Walker M, Panoscha R CRD summary

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2006 DARE.

608. Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Screening

. Funding Agency for Healthcare Research and Quality, contract number 290-02-0024. Bibliographic details Nelson H D, Nygren P, Walker M, Panoscha R. Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Screening. Pediatrics 2006; 117(2): e298-e319 Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Child, Preschool; Developmental Disabilities /diagnosis /therapy; Language Development Disorders (...) Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Screening Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Screening Screening for speech and language delay in preschool children: systematic evidence review for the US Preventive Services Task Force - Screening Nelson H D, Nygren P, Walker M, Panoscha R CRD summary This review

2006 DARE.

609. A cost-effectiveness analysis of newborn hearing screening strategies

of the study and the conclusions drawn. Health technology The technology studied was universal screening of newborns for the detection of significant bilateral congenital hearing loss. All newborns would be screened with an automated transient-evoked otoacoustic emissions (TEOAE) device. Infants with positive results would then be screened with an automated auditory brain response (ABR) device. Infants with positive results on this second screen would then be referred for diagnostic ABR testing. Type (...) should consider seeking confirmation of this before commissioning such research. Source of funding None stated. Bibliographic details Kemper A R, Downs S M. A cost-effectiveness analysis of newborn hearing screening strategies. Archives of Pediatrics and Adolescent Medicine 2000; 154(5): 484-488 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Cost-Benefit Analysis; Deafness /congenital /diagnosis; Decision Support Techniques; Follow-Up Studies; Humans; Infant, Newborn; Models

2000 NHS Economic Evaluation Database.

610. Projected cost-effectiveness of statewide universal newborn hearing screening

by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of universal newborn hearing screening (UNHS; i.e. the screening of all newborn babies) to identify deaf infants. Deaf infants were defined as those with moderate to profound bilateral hearing loss (i.e. at least 40 decibels). A 2-step screening procedure was used. First, an automated transient evoked otoacoustic emissions (TEOAE) test, followed by an automated auditory brainstem response (...) . Source of funding Health Resources and Services Administration, US Department of Health and Human Services, grant number T32 PE 10018. Bibliographic details Keren R, Helfand M, Homer C, McPhillips H, Lieu T A. Projected cost-effectiveness of statewide universal newborn hearing screening. Pediatrics 2002; 110(5): 855-864 PubMedID Other publications of related interest Grein AJ, Lemons M, Weiner GM. What is the most cost effective strategy for implementing universal newborn hearing screening (abstract

2002 NHS Economic Evaluation Database.

611. A cost-effectiveness analysis of the high risk register and auditory brainstem response

implications can be derived for the cost-effectiveness of universal screening of newborn infants using HRR and ABR to assess those infants for congenital hearing loss. Source of funding None stated Bibliographic details Friedland D R, Fahs M C, Catalano P J. A cost-effectiveness analysis of the high risk register and auditory brainstem response. International Journal of Pediatric Otorhinolaryngology 1996; 38(2): 115-130 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Audiometry, Evoked (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology High risk register (HRR) screening and auditory brainstem response (ABR) testing for hearing impairment of newborns. Type of intervention Screening and diagnosis. Economic study type Cost-effectiveness analysis. Study population A cohort of newborn infants, extrapolated from data on approximately 16,500 infants. Setting Hospital. The study was carried out in New York City

1996 NHS Economic Evaluation Database.

612. Auditory perception and speech discrimination after cochlear implantation in patients with connexin 26 (GJB2) gene-related deafness. (PubMed)

Auditory perception and speech discrimination after cochlear implantation in patients with connexin 26 (GJB2) gene-related deafness. Auditory perception and speech discrimination among pediatric cochlear implantees may vary because of underlying deafness etiology, including connexin 26 (GJB2) gene-related deafness.Preliminary data suggest pathologic changes due to GJB2 mutations do not affect the spiral ganglion cells, which are stimulated by the cochlear implant. The survival of the spiral (...) -deafness syndrome. Speech discrmination was assessed prospectively when they had reached postoperative year 3 using the IOWA Matrix Level B Sentences test and Glendonald Auditory Screening Procedure (GASP), with both patients and assessors blind to GJB2 status.Eleven patients had GJB2-related deafness and 20 patients had GJB2-unrelated deafness. IOWA Matrix scores were higher in patients with GJB2-related deafness but did not reach statistical significance. However, GASP scores were statistically

2004 Otology and Neurotology

613. Auditory neuropathy/auditory dys-synchrony detected by universal newborn hearing screening. (PubMed)

Auditory neuropathy/auditory dys-synchrony detected by universal newborn hearing screening. The implementation of neonatal hearing screening has enabled early detection and intervention in hearing loss. The use of otoacoustic emissions (OAE) and auditory brainstem response testing in universal screening has led to the recognition of this recently described disorder called auditory neuropathy/auditory dys-synchrony (AN/AD). This diagnosis indicates that the infant has significant hearing loss (...) despite having normal outer hair cells in the cochlea. We reviewed the characteristics and natural history of nine infants detected to have AN/AD from universal newborn hearing screening in a national pediatric hospital. Fifty-two cases of hearing loss were detected from 14,807 consecutively screened cases. Of the 52 cases, 9 had electrophysiological test results consistent with AN/AD. They include both premature infants who had major neonatal complications and term infants with no perinatal

2006 International Journal of Pediatric Otorhinolaryngology

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