Search

Background/Aim. Initial experiences in rehabilitation of children with cochlear implants and frequent debates regarding the effects of their application have imposed the necessity to compare the effects of speech rehabilitation in children with hearing aids with those having cochlear implants. The aim of this study was to evaluate and compare the level of lexical development in hearing impaired children who are involved in the process of hearing and speech-language rehabilitation and who were amplified by hearing aids or cochlear implants. Methods. The sample consisted of 55 children aged 3-6 years, diagnosed with prelingual bilateral hearing impairment with a hearing threshold above 90 dB. All examined children had average intellectual abilities and no additonal impairments. The sample was divided into 2 groups: E1 group consisted of 30 children with cochlear implants and E2 group consisted of 25 children who were amplified by individual hearing aids. Research methodology included a Test of Vocabulary. The testing was performed individually. A year after the testing, a retest was done. Statistical analysis was performed using the SPSS v. 17 for Windows. Results. The largest number of children had average achievements on a Test of Vocabulary during initial testing. After a year (retest) significant improvements were noticed. A large number of children had above average achievements (46.7% in the E1 and 36% in the E2 group) while the number of children with below average achievements was significantly reduced (3.3% in the E1 and 8% in the E2). A comparative analysis of the test and those with gearing aids achievements showed that there was no statistically significant difference between children with cochlear implants and retest. Conclusion. Significant improvement of the achievements on retest in both groups can be explained by positive effects of systematic, planned, intensive and continuous rehabilitation of hearing impaired children, and not by application of cer, Uvod/Cilj. Početna iskustva sa rehabilitacijom dece sa kohlearnim implantima i česte debate u vezi efekata njihove primene nameću neophodnost poređenja efekata rehabilitacije govora dece sa slušnim pomagalima sa decom koja imaju kohlearne implante. Cilj ovog rada bio je da se proceni i uporedi nivo razvijenosti leksičkog fonda dece oštećenog sluha koja su uključena u proces rehabilitacije slušanja i govora, a koja su amplifikovana slušnim aparatima ili kohlearnim implantom. Metode. Uzorak je obuhvatio 55-oro dece uzrasta 3-6 godina kod kojih je dijagnostifikovano prelingvalno obostrano oštećenje sluha sa pragom čujnosti od preko 90 dB. Sva deca, su imala prosečne intelektualne sposobnosti i bila su bez dodatnih oštećenja. Uzorak je podeljen na grupu dece koja su kohlearno implantirana (E1 grupa = 30) i grupu dece koja su amplifikovana individualnim slušnim aparatima (E2 grupa = 25). U istraživanju je korišćen Test rečnik. Testiranje je obavljano individualno. Nakon godinu dana od testiranja, rađen je retest. Statistička obrada rezultata izvršena je pomoću je programom SPSS v. 17 for WIDOWS. Rezultati. Najveći broj ispitanika pokazao je prosečna postignuća na Test rečniku, na prvom testiranju. Nakon godinu dana (na retestu) uočena su značajna poboljšanja. Veliki broj ispitanika imao je iznadprosečna postignuća (46,7% u grupi E1 i 36% u grupi E2), a smanjen je i broj ispitanika koji su imali ispodprosečna postignuća (3.3% u grupi E1 i 8% u grupi E2). Komparativnom analizom postignuća dece (na testu i retestu) sa kohlearnim implantom i dece sa individualnim slušnim aparatima primećeno je da između pomenutih grupa ispitanika nije bilo statistički značajne razlike. Zaključak. Na osnovu dobijenih rezultata istraživanja možemo zaključiti da je značajno poboljšanje postignuća ispitanika na retestu u obe ispitivane grupe moguće objasniti pozitivnim efektima sistematski planirane, intenzivne i kontinuirane rehabilitacije dece oštećenog sluha, a ne primenom određenog tipa sluš

Background/Aim. Initial experiences in rehabilitation of children with cochlear implants and frequent debates regarding the effects of their application have imposed the necessity to compare the effects of speech rehabilitation in children with hearing aids with those having cochlear implants. The aim of this study was to evaluate and compare the level of lexical development in hearing impaired children who are involved in the process of hearing and speech-language rehabilitation and who were amplified by hearing aids or cochlear implants. Methods. The sample consisted of 55 children aged 3-6 years, diagnosed with prelingual bilateral hearing impairment with a hearing threshold above 90 dB. All examined children had average intellectual abilities and no additonal impairments. The sample was divided into 2 groups: E1 group consisted of 30 children with cochlear implants and E2 group consisted of 25 children who were amplified by individual hearing aids. Research methodology included a Test of Vocabulary. The testing was performed individually. A year after the testing, a retest was done. Statistical analysis was performed using the SPSS v. 17 for Windows. Results. The largest number of children had average achievements on a Test of Vocabulary during initial testing. After a year (retest) significant improvements were noticed. A large number of children had above average achievements (46.7% in the E1 and 36% in the E2 group) while the number of children with below average achievements was significantly reduced (3.3% in the E1 and 8% in the E2). A comparative analysis of the test and those with gearing aids achievements showed that there was no statistically significant difference between children with cochlear implants and retest. Conclusion. Significant improvement of the achievements on retest in both groups can be explained by positive effects of systematic, planned, intensive and continuous rehabilitation of hearing impaired children, and not by application of cer, Uvod/Cilj. Početna iskustva sa rehabilitacijom dece sa kohlearnim implantima i česte debate u vezi efekata njihove primene nameću neophodnost poređenja efekata rehabilitacije govora dece sa slušnim pomagalima sa decom koja imaju kohlearne implante. Cilj ovog rada bio je da se proceni i uporedi nivo razvijenosti leksičkog fonda dece oštećenog sluha koja su uključena u proces rehabilitacije slušanja i govora, a koja su amplifikovana slušnim aparatima ili kohlearnim implantom. Metode. Uzorak je obuhvatio 55-oro dece uzrasta 3-6 godina kod kojih je dijagnostifikovano prelingvalno obostrano oštećenje sluha sa pragom čujnosti od preko 90 dB. Sva deca, su imala prosečne intelektualne sposobnosti i bila su bez dodatnih oštećenja. Uzorak je podeljen na grupu dece koja su kohlearno implantirana (E1 grupa = 30) i grupu dece koja su amplifikovana individualnim slušnim aparatima (E2 grupa = 25). U istraživanju je korišćen Test rečnik. Testiranje je obavljano individualno. Nakon godinu dana od testiranja, rađen je retest. Statistička obrada rezultata izvršena je pomoću je programom SPSS v. 17 for WIDOWS. Rezultati. Najveći broj ispitanika pokazao je prosečna postignuća na Test rečniku, na prvom testiranju. Nakon godinu dana (na retestu) uočena su značajna poboljšanja. Veliki broj ispitanika imao je iznadprosečna postignuća (46,7% u grupi E1 i 36% u grupi E2), a smanjen je i broj ispitanika koji su imali ispodprosečna postignuća (3.3% u grupi E1 i 8% u grupi E2). Komparativnom analizom postignuća dece (na testu i retestu) sa kohlearnim implantom i dece sa individualnim slušnim aparatima primećeno je da između pomenutih grupa ispitanika nije bilo statistički značajne razlike. Zaključak. Na osnovu dobijenih rezultata istraživanja možemo zaključiti da je značajno poboljšanje postignuća ispitanika na retestu u obe ispitivane grupe moguće objasniti pozitivnim efektima sistematski planirane, intenzivne i kontinuirane rehabilitacije dece oštećenog sluha, a ne primenom određenog tipa sluš

Uvod/Cilj. Rezultati ranijih studija govore u prilog ideji da mašine koje u proizvodnim halama prave buku različite frekvencije i jačine, mogu prouzrokovati slabljenje slušne sposobnosti radnika. Gubitak sluha prouzrokovan bukom jedno je od najrasprostranjenijih profesionalnih oboljenja. Buka je složeni fenomen, te je stoga potrebno u razmatranje uzeti više faktora, kao što su frekvencija, jačina i dužina izloženosti. Cilj istraživanja bio je da se proveri da li postoje razlike u apsolutnom slušnom pragu između zaposlenih koji su dugotrajno izloženi buci visokog spektra i onih koji su izloženi buci umerenog spektra, pri različitim frekvencijama zvuka. Metode. Istraživanje je obuhvatilo 308 zaposlenih u proizvodnom pogonu preduzeća "Knjaz Miloš" u Aranđelovcu. Ukupno 205 zaposlenih radilo je u uslovima buke povišenog (4 000-8 000 Hz), dok je njih 103 radilo u uslovima buke standardnog spektra (31,5- 2 000,0 Hz). Objektivne mere buke (frekvencije i amplitude) dobijene su pomoću fonometra, a mere apsolutnog slušnog praga za oba uha pomoću audiometra, pri izlaganju zvuku na devet nivoa frekvencija. Podaci su analizirani proverom statističke značajnosti razlika u pogledu apsolutnog praga draži za obe grupe, na svih devet frekventnih nivoa. Rezultati. Rezultati su pokazali da je apsolutni slušni prag značajno viši kod ispitanika izloženih buci višeg spektra i to na frekventnim nivoima od 4 000 i 8 000 Hz. Zaključak. Smanjenje čulne osetljivosti primetno je kod onih radnika koji su izloženi buci višeg spektra, što je naročito vidljivo pri merenjima na višim frekventnim opsezima. Zaposleni su često nesvesni ovih efekata jer su oni posledica dugotrajne izloženosti. Stoga se preporučuju preventivne mere i redovno audiometrijsko testiranje čula sluha., Background/Aim. Results of previous studies gave support to the idea that machines in power plants produce noise of different levels of loudness and frequency, and that it could cause deterioration of the hearing ability of workers. As a matter of fact, noise-induced hearing loss is the most widespread occupational disease nowadays. As noise is a complex acoustic phenomenon, more factors have to be considered when studying it, such as frequency, intensity and the period of exposure. The aim of this study was to find if there are differences in the absolute threshold of hearing between workers in the factory production lines that are constantly exposed to the industrial noise of higher spectrum and those exposed to the noise of standard spectrum at different frequencies of sound. Methods. In the research plan, there were 308 workers employed in the production line of the Factory "Knjaz Miloš", Aranđelovac. A total of 205 of them were working in the conditions of higher spectrum noise (4,000 Hz - 8,000 Hz) and 103 workers were exposed to standard noise spectrum (31.5 Hz -2,000.0 Hz). The objective measures of noise (frequency and amplitude) were acquired by phonometer, and measures of absolute threshold of hearing for both ears were obtained by audiometer by exposure to nine sound frequency levels. Data were statistically analyzed by establishing the significance of differences between absolute thresholds of hearing for both groups and for all nine frequency levels. Results. It was found that the absolute threshold of hearing is significantly higher for the group exposed to high-frequency noise at the 4,000 Hz and 8,000 Hz levels of frequency. Conclusion. Reduction of hearing sensitivity is evident for those exposed to higher spectrum noise, which is particularly evident at the higher frequency levels. Employees are often unaware of its effects because they are the results of prolonged exposure. Therefore, working in those conditions requires preventive measures and r

Sve više istraživanja iznosi dokaze u prilog hipotezi da zakasnela maturacija vestibularnog čula značajno korelira sa kašnjenjem u motornom razvoju, lošijom sposobnošću održavanja ravnoteže, senzorno integrativnom disfunkcijom, oštećenjem sluha, usporenim govorno-jezičkim i kognitivnim razvojem, teškoćama u usvajanju školskih veština. Međutim, funkcionalno ispitivanje vestibularnog aparata i tumačenje dobijenih rezultata na ranom dečijem uzrastu, predstavljaju zahtevan zadatak. Longitudinalna studija sprovedena je sa višestrukim ciljem: 1. da se utvrdi da li je stepen uspešnosti izvođenja refleksa vezanih za funkciju vestibularnog čula na rođenju u korelaciji sa stepenom uspešnosti održavanja ravnoteže u ranom detinjstvu; 2. da se utvrdi da li procena funkcije vestibularnog čula neposredno po rođenju može da bude dodatni pokazatelj rizika za oštećenje sluha. 3. da se utvrdi da li funkcija vestibularnog čula može da se posmatra kao novi parametar maturacije. Osnovna ispitivana grupa je obuhvatila N=54 dece oba pola, uzrasta od 5.0 do 5.4 godina kod kojih je, na osnovu standardizovane baterije testova i odgovarajućih audioloških metoda, obavljena procena sposobnosti održavanja ravnoteže (SOR), audiološkog statusa, govornojezičkog razvoja (GJR), senzomotornog razvoja (SMR) i socio-emocionalnog ponašanja (SEP). U istom uzorku dece, grupa refleksa vezanih za funkciju vestibularnog čula i funkcija kohlearnog čula, klinički su ispitani 3. dana po rođenju. Dobijeni podaci na rođenju i na uzrastu od 5 godina, dokumentovani su uz pomoć digitalne kamere, potom bodovani, statistički i deskriptivno obrađeni. Pored toga, za svako dete unutar ispitivanog uzorka, uzeti su podaci o vremenu kada je počelo da sedi, stoji, kada je prohodalo i kada progovorilo (SSPP). Rezultati istraživanja su ukazali na postojanje statistički značajne povezanosti između stepena prisutnosti sva četiri refleksa zajedno na rođenju (Moroov refleks+labirintarni refleks ispravaljanja glave+asimetrični toničn, An increasing number of researches present the evidence which supports the hypothesis that delayed maturation of the vestibular sense is in significant correlation with the delay in motor development, poorer ability to maintain balance, sensory-integrative dysfunction, hearing impairment, delayed speech and language and cognitive development, difficulties in acquiring school skills. However, functional testing of the vestibular apparatus and the interpretation of the results obtained at an early age, represent a demanding task. Longitudinal study was carried out with multiple goals: 1. to establish whether the success rate in performing reflexes related to the function of the vestibular sense at birth is in correlation with the success rate in maintaining balance in early childhood; 2. to examine whether the assessment of the vestibular function immidiately after birth, can be an additional indicator of risk for hearing impairment; 3. to establish whether the vestibular function can be viewed as a new parameter of maturation. The main study group included N=54 children of both genders, aged 5.0 to 5.4, whose balance ability (BA), audiological status, speech and language development (SLD), sensorymotor development (SMD) and social-emotional beahviour (SEB), were evaluated, based on the battery of standardized tests and adequate audiological methods. The group of reflexes related to the function of the vestibular sense and the function of the cochlear sense were clinically tested 3 days upon birth on the same sample of children. The data at birth and at the age of 5 were recorded by a digital camera and subsequently scored and statistically and descriptively processed. In addition, data on the time when children included in our research start to sit, stand, walk and talk (SSWT), were taken for each examinee individually. The research results indicated the statistically significant correlation between the simultaneous presence of all four reflexes at birth (Moro reflex

Auditivno (slušno) pamćenje je sposobnost da se informacije prezentovane usmeno, analiziraju mentalno, sačuvaju i upotrebe kada je potrebno. Osobe sa jakim kapacitetom ove vrste memorije nazivaju se “auditory learners”. Osnova za razvoj auditivnog pamćenja je očuvana funkcija sluha. Primena kohlearnog implanta dovela je do značajnog poboljšanja u percepciji zvukova, kvalitativno boljeg slušanja i razvoja auditivnog pamćenja kod gluve dece. Auditivno pamćenje je jedan od osnovnih uslova za razvoj jezičkih sposobnosti. Praktična ili potpuna gluvoća, kongenitalna ili stečena, može potpuno da zaustavi ili ozbiljno omete formiranje i razvoj auditivnog pamćenja. Teškoće auditivnog pamćenja javljaju se i kod dece urednog sluha. U tom slučaju trebalo bi da budu obuhvaćene preventivnim i korektivnim merama, u cilju sprečavanja njihovog produbljivanja i značajnijeg odražavanja na razvoj drugih sposobnosti i veština. Cilj istraživanja bio je da se ispita uticaj okolne buke na sposobnost neposrednog auditivnog pamćenja kod kohlearno implantirane i dece urednog sluha. Uzorak u istraživanju činilo je 18 kohlearno implantirane dece i 18 dece urednog sluha, uzrasta od četiri do deset godina, prosečnih intelektualnih sposobnosti i bez udruženih smetnji u razvoju. Deca u ispitivanom uzorku imala su najmanje 12 meseci slušnog uzrasta sa kohlearnim implantom (CI). Instrument istraživanja bio je Test za ispitivanje sposobnosti verbalnog pamćenja I‒IV, namenjen deci sa smetnjama u auditivnoj percepciji i verbalnoj memoriji, koja se sem u populaciji dece oštećenog sluha, najčešće javlja kod dece sa disfazijom. Ovim testom može se ispitivati opseg auditivne memorije, neposredno i odloženo verbalno pamćenje, redosled reprodukcije, gramatička razvijenost i semantičko shvatanje poruke. Za potrebe ovog istraživanja testom smo ispitivali neposredno verbalno pamćenje sa i bez prisustva okolne buke. Za utvrđivanje značajnosti odnosa između posmatranih varijabli korišćeni su korelaciona analiza, a, Auditory memory is the ability to process, analyze, store and recall orally presented information. Persons with good capacity of auditory memory are called “auditory learners“. Auditory memory is among basic prerogatives for speech and language development. Cochlear implantation has improved the perception of sounds, quality of listening and auditory memory of deaf children considerably. Normal hearing is essential for the development of auditory memory. Practical or total deafness, whether congenital or acquired, could prevent or seriously disturb the development of auditory memory. Even normal hearing children can have auditory memory disorders. If so, they need intervention in order to prevent developmental consequences. The aim of this study was to investigate the impact of the environmental noise on auditory memory capacity in cochlear implanted and normal hearing children. The sample consisted of 18 cochlear implanted and 18 normal hearing children aged 4 to 10. All of the children in this study had normal intelligence and no additional handicaps. They had at least 12 months of cochlear implant (CI) experience. The instrument was the Test of immediate verbal memory (I-IV) by S. Vladisavljević (1983) designed for children with auditory perception and verbal memory disorders, both hearing impaired and dysphasic as well. The test is used for memory span assessment, immediate and delayed memory, rehearsal order, grammar and semantic comprehension of the message. In this study we applied the test both in quiet and noisy environment. Statistical significance between variables was tested using correlation coefficient, variance analysis and chi square test. The results indicate that the negative influence of environmental noise on immediate auditory memory in cochlear implanted and normal hearing children increases with task complexity.

Auditivno (slušno) pamćenje je sposobnost da se informacije prezentovane usmeno, analiziraju mentalno, sačuvaju i upotrebe kada je potrebno. Osobe sa jakim kapacitetom ove vrste memorije nazivaju se “auditory learners”. Osnova za razvoj auditivnog pamćenja je očuvana funkcija sluha. Primena kohlearnog implanta dovela je do značajnog poboljšanja u percepciji zvukova, kvalitativno boljeg slušanja i razvoja auditivnog pamćenja kod gluve dece. Auditivno pamćenje je jedan od osnovnih uslova za razvoj jezičkih sposobnosti. Praktična ili potpuna gluvoća, kongenitalna ili stečena, može potpuno da zaustavi ili ozbiljno omete formiranje i razvoj auditivnog pamćenja. Teškoće auditivnog pamćenja javljaju se i kod dece urednog sluha. U tom slučaju trebalo bi da budu obuhvaćene preventivnim i korektivnim merama, u cilju sprečavanja njihovog produbljivanja i značajnijeg odražavanja na razvoj drugih sposobnosti i veština. Cilj istraživanja bio je da se ispita uticaj okolne buke na sposobnost neposrednog auditivnog pamćenja kod kohlearno implantirane i dece urednog sluha. Uzorak u istraživanju činilo je 18 kohlearno implantirane dece i 18 dece urednog sluha, uzrasta od četiri do deset godina, prosečnih intelektualnih sposobnosti i bez udruženih smetnji u razvoju. Deca u ispitivanom uzorku imala su najmanje 12 meseci slušnog uzrasta sa kohlearnim implantom (CI). Instrument istraživanja bio je Test za ispitivanje sposobnosti verbalnog pamćenja I‒IV, namenjen deci sa smetnjama u auditivnoj percepciji i verbalnoj memoriji, koja se sem u populaciji dece oštećenog sluha, najčešće javlja kod dece sa disfazijom. Ovim testom može se ispitivati opseg auditivne memorije, neposredno i odloženo verbalno pamćenje, redosled reprodukcije, gramatička razvijenost i semantičko shvatanje poruke. Za potrebe ovog istraživanja testom smo ispitivali neposredno verbalno pamćenje sa i bez prisustva okolne buke. Za utvrđivanje značajnosti odnosa između posmatranih varijabli korišćeni su korelaciona analiza, a, Auditory memory is the ability to process, analyze, store and recall orally presented information. Persons with good capacity of auditory memory are called “auditory learners“. Auditory memory is among basic prerogatives for speech and language development. Cochlear implantation has improved the perception of sounds, quality of listening and auditory memory of deaf children considerably. Normal hearing is essential for the development of auditory memory. Practical or total deafness, whether congenital or acquired, could prevent or seriously disturb the development of auditory memory. Even normal hearing children can have auditory memory disorders. If so, they need intervention in order to prevent developmental consequences. The aim of this study was to investigate the impact of the environmental noise on auditory memory capacity in cochlear implanted and normal hearing children. The sample consisted of 18 cochlear implanted and 18 normal hearing children aged 4 to 10. All of the children in this study had normal intelligence and no additional handicaps. They had at least 12 months of cochlear implant (CI) experience. The instrument was the Test of immediate verbal memory (I-IV) by S. Vladisavljević (1983) designed for children with auditory perception and verbal memory disorders, both hearing impaired and dysphasic as well. The test is used for memory span assessment, immediate and delayed memory, rehearsal order, grammar and semantic comprehension of the message. In this study we applied the test both in quiet and noisy environment. Statistical significance between variables was tested using correlation coefficient, variance analysis and chi square test. The results indicate that the negative influence of environmental noise on immediate auditory memory in cochlear implanted and normal hearing children increases with task complexity.

Introduction: Hearing loss in the elderly makes their social contacts difficult, leads to withdrawal from social life and can cause the appearance of depression. Audiological examination including the rapid assessment of hearing disability, cognitive and depressive status enables the initial recognition of patient groups which require hearing amplification and rehabilitation of hearing in order to prevent and reduce their disability. Objective The aim of this paper was to highlight the cognitive and psychological benefits of using the hearing amplifiers by older people with impaired hearing as well as the usefulness of screening tests in audiological practice. Method: Audiological screening analysis using the tests in otorhinolaryngology clinical practice (Hearing Handicap inventory for the elderly - screening version, the Mini Mental Status Examination, Beck Depression Inventory-Short Form) will provide adequate consideration of hearing handicap problems, and timely response in terms of prevention of depression and deepening of disability. Results: Statistical significance was found in relation to duration of hearing loss in both groups (p = 0.003); namely, the duration of hearing loss over one year was predominant in the group with corrected hearing - 70.4%. In the group with uncorrected hearing, an average hearing threshold corresponded to moderate hearing loss - 18 (66.7%) patients, while in the group with corrected hearing, severe hearing loss degree was predominant, 19 (70.4%) subjects (p lt 0.001). Significant difference (p = 0.020) was established in patients with uncorrected hearing compared to the HHI at first examination and following controls, while highly significant difference was shown in the group with corrected hearing (p = 0.0001). The analysis of results at the first examination and the controls in both groups of patients revealed high significance in the group with corrected hearing (p = 0.004). Significant difference (p lt 0.001) was found with, Uvod: Gubitak sluha kod starih osoba otežava socijalne kontakte, dovodi do povlačenja iz društvenog života i ispoljavanja znakova depresije. Audiološka obrada uz brzu procenu slušnog hendikepa, kognitivnog i depresivnog statusa omogućava inicijalno prepoznavanje grupe pacijenata kojima je slušna amplifikacija i rehabilitacija sluha neophodna u cilju prevencije i smanjenja invaliditeta. Cilj rada: Cilj rada je da se ukaže na kognitivne i psihološke prednosti korišćenja slušnih amplifikatora od strane starijih osoba sa oštećenim sluhom, kao i značaj primene skrining testova u audiološkoj praksi. Metod: Audiološka obrada uz primenu skrining testova u otorinolaringološkoj kliničkoj praksi (Hearing Handicap inventory for the elderly - screening version, Mini-Mental Status Examination, Beck Depression Inventory - Short Form) omogućili bi pravilno sagledavanje problema slušnog hendikepa, pravovremeno reagovanje u smislu prevencije depresije i produbljivanja invaliditeta. Rezultati: Statistička značajnost zapažena je u odnosu dužine trajanja nagluvosti kod obe grupe ispitanika (p=0,003) gde u grupi sa korigovanim sluhom dominira dužina trajanja nagluvosti duže od godinu dana 70,4%. U grupi nekorigovanog sluha prosečan prag čujnosti odgovara umerenoj nagluvosti 18 (66,7%) ispitanika, dok u grupi sa korigovanim sluhom dominira nagluvost težeg stepena, 19 (70,4%) ispitanika (p lt 0,001). Pacijenti sa nekorigovanim sluhom, u odnosu na HHI pri prvom kao i kontrolnom pregledu pokazuju statistički značajnu razliku (p=0,020), dok je visoko značajna razlika u grupi sa korigovanim sluhom (p=0,0001). Analizom rezultata MMS pri prvom i kontrolnom pregledu, obe grupe pacijenata, zapažena je visoka statistička značajnost u grupi sa korigovanim sluhom (p=0,004). Simptomi depresije prema Bek-ovoj skali u grupi pacijenta sa korigovanim sluhom pokazuju visoko statistički značajnu razliku (p lt 0,001). Zaključak: Audiološko ispitivanje i rani skrining slušnog hendikepa, mentalnog statusa i pr

Introduction: Hearing loss in the elderly makes their social contacts difficult, leads to withdrawal from social life and can cause the appearance of depression. Audiological examination including the rapid assessment of hearing disability, cognitive and depressive status enables the initial recognition of patient groups which require hearing amplification and rehabilitation of hearing in order to prevent and reduce their disability. Objective The aim of this paper was to highlight the cognitive and psychological benefits of using the hearing amplifiers by older people with impaired hearing as well as the usefulness of screening tests in audiological practice. Method: Audiological screening analysis using the tests in otorhinolaryngology clinical practice (Hearing Handicap inventory for the elderly - screening version, the Mini Mental Status Examination, Beck Depression Inventory-Short Form) will provide adequate consideration of hearing handicap problems, and timely response in terms of prevention of depression and deepening of disability. Results: Statistical significance was found in relation to duration of hearing loss in both groups (p = 0.003); namely, the duration of hearing loss over one year was predominant in the group with corrected hearing - 70.4%. In the group with uncorrected hearing, an average hearing threshold corresponded to moderate hearing loss - 18 (66.7%) patients, while in the group with corrected hearing, severe hearing loss degree was predominant, 19 (70.4%) subjects (p lt 0.001). Significant difference (p = 0.020) was established in patients with uncorrected hearing compared to the HHI at first examination and following controls, while highly significant difference was shown in the group with corrected hearing (p = 0.0001). The analysis of results at the first examination and the controls in both groups of patients revealed high significance in the group with corrected hearing (p = 0.004). Significant difference (p lt 0.001) was found with, Uvod: Gubitak sluha kod starih osoba otežava socijalne kontakte, dovodi do povlačenja iz društvenog života i ispoljavanja znakova depresije. Audiološka obrada uz brzu procenu slušnog hendikepa, kognitivnog i depresivnog statusa omogućava inicijalno prepoznavanje grupe pacijenata kojima je slušna amplifikacija i rehabilitacija sluha neophodna u cilju prevencije i smanjenja invaliditeta. Cilj rada: Cilj rada je da se ukaže na kognitivne i psihološke prednosti korišćenja slušnih amplifikatora od strane starijih osoba sa oštećenim sluhom, kao i značaj primene skrining testova u audiološkoj praksi. Metod: Audiološka obrada uz primenu skrining testova u otorinolaringološkoj kliničkoj praksi (Hearing Handicap inventory for the elderly - screening version, Mini-Mental Status Examination, Beck Depression Inventory - Short Form) omogućili bi pravilno sagledavanje problema slušnog hendikepa, pravovremeno reagovanje u smislu prevencije depresije i produbljivanja invaliditeta. Rezultati: Statistička značajnost zapažena je u odnosu dužine trajanja nagluvosti kod obe grupe ispitanika (p=0,003) gde u grupi sa korigovanim sluhom dominira dužina trajanja nagluvosti duže od godinu dana 70,4%. U grupi nekorigovanog sluha prosečan prag čujnosti odgovara umerenoj nagluvosti 18 (66,7%) ispitanika, dok u grupi sa korigovanim sluhom dominira nagluvost težeg stepena, 19 (70,4%) ispitanika (p lt 0,001). Pacijenti sa nekorigovanim sluhom, u odnosu na HHI pri prvom kao i kontrolnom pregledu pokazuju statistički značajnu razliku (p=0,020), dok je visoko značajna razlika u grupi sa korigovanim sluhom (p=0,0001). Analizom rezultata MMS pri prvom i kontrolnom pregledu, obe grupe pacijenata, zapažena je visoka statistička značajnost u grupi sa korigovanim sluhom (p=0,004). Simptomi depresije prema Bek-ovoj skali u grupi pacijenta sa korigovanim sluhom pokazuju visoko statistički značajnu razliku (p lt 0,001). Zaključak: Audiološko ispitivanje i rani skrining slušnog hendikepa, mentalnog statusa i pr

The main idea in this rehabilitation program, that we wont to present, is it imitate the development of the usual children's population. Since 1978. this program was apply during the rehabilitation process in ORL Clinic at Department for Audiology rehabilitation. This program have three phases adaptation, development of the communication and speech development. Authors wants to introduce concept that based on the verbal method, by conception very similar to John Tracy Clinic and Galoudet College in USA (individual treatment, parent as active member of the rehabilitation teem...) and some elements of Piaget's Theory of Senzorimotori (Cognitive) Development. The results are related on 600 hearing impaired children's, at 7 year old rehabilitated by this program. We are going to show a number of children which they start education in regular schools (which we are observed as criteria for successful results at this age) with normal hearing population., Osnovna ideja na kojoj je bazirana rana rehabilitacija dece oštećenog sluha prema konceptu koji želimo da prikažemo u ovom radu, je oponašanje razvoja dece opšte populacije. Proces rahabilitacije prema konceptu koji prikazujemo i koji se koristi od 1979. god na ORL Klinici, odeljenje za Audiološku rehabilitaciju, (tj. u modifikovanoj formi, od 1967. g i formiranja Centra za sluh i govor Sveti Sava, i prvih projekata na temu karakteristika i aspekata gluvoće i nagluvosti). Prema ovom programu rana rehabilitacija odvija se u tri faze: adaptacija, razvoj komunikacije i razvoj govora i jezika. Cilj ovog rada je da podsetimo i ukažemo na inovacije u teorijskom i programskom konceptu sistema rehabilitacije, verbalnom metodom, koja se konceptualno oslanja na način rada Džon Trejsi klinike i Galodet Koledža (individualan rad, roditelj aktivan učesnik, itd), a zasnovana je na elementima Pijažeovoe teorije senzomotornog razvoja. Osim toga, ukazaćemo na program, ciljeve i trajanje svake faze u rehabilitaciji i na promene do kojih je dovelo pomeranje uzrasta detekcije i dijagnostike patologije sluha. Rezultati se odnose na oko 300 do sada rehabilitovane dece oštećenog sluha po ovom programu, na uzrastu do sedme godine starosti. Osim toga biće prikazani i podaci o učestalosti upisa ove dece u redovnu školu, što se posmatra kao stepen uspešnosti rehabilitacije na ovom uzrastu.

The main idea in this rehabilitation program, that we wont to present, is it imitate the development of the usual children's population. Since 1978. this program was apply during the rehabilitation process in ORL Clinic at Department for Audiology rehabilitation. This program have three phases adaptation, development of the communication and speech development. Authors wants to introduce concept that based on the verbal method, by conception very similar to John Tracy Clinic and Galoudet College in USA (individual treatment, parent as active member of the rehabilitation teem...) and some elements of Piaget's Theory of Senzorimotori (Cognitive) Development. The results are related on 600 hearing impaired children's, at 7 year old rehabilitated by this program. We are going to show a number of children which they start education in regular schools (which we are observed as criteria for successful results at this age) with normal hearing population., Osnovna ideja na kojoj je bazirana rana rehabilitacija dece oštećenog sluha prema konceptu koji želimo da prikažemo u ovom radu, je oponašanje razvoja dece opšte populacije. Proces rahabilitacije prema konceptu koji prikazujemo i koji se koristi od 1979. god na ORL Klinici, odeljenje za Audiološku rehabilitaciju, (tj. u modifikovanoj formi, od 1967. g i formiranja Centra za sluh i govor Sveti Sava, i prvih projekata na temu karakteristika i aspekata gluvoće i nagluvosti). Prema ovom programu rana rehabilitacija odvija se u tri faze: adaptacija, razvoj komunikacije i razvoj govora i jezika. Cilj ovog rada je da podsetimo i ukažemo na inovacije u teorijskom i programskom konceptu sistema rehabilitacije, verbalnom metodom, koja se konceptualno oslanja na način rada Džon Trejsi klinike i Galodet Koledža (individualan rad, roditelj aktivan učesnik, itd), a zasnovana je na elementima Pijažeovoe teorije senzomotornog razvoja. Osim toga, ukazaćemo na program, ciljeve i trajanje svake faze u rehabilitaciji i na promene do kojih je dovelo pomeranje uzrasta detekcije i dijagnostike patologije sluha. Rezultati se odnose na oko 300 do sada rehabilitovane dece oštećenog sluha po ovom programu, na uzrastu do sedme godine starosti. Osim toga biće prikazani i podaci o učestalosti upisa ove dece u redovnu školu, što se posmatra kao stepen uspešnosti rehabilitacije na ovom uzrastu.