3,601 research outputs found
Hearing loss: A silent health disparity
This paper presents an analysis of various aspects of hearing loss and its connection to healthcare settings, particularly nursing. Normal hearing is defined, followed by the definition of hearing loss and deafness. Cultural Deafness is then explained, followed by ways to prevent hearing loss. Additionally, healthcare experiences of individuals with hearing loss will be presented. The project will conclude with recommendations for healthcare professionals in regard to caring for their patients with hearing loss. The main population focus of the paper are Deaf and Hard of Hearing (HOH) individuals. Specifically, their unique experiences in healthcare encounters will be evaluated. Interactions with healthcare workers in settings such as hospitals, emergency rooms, urgent cares, and physician offices are presented. The goal of this project is to review published literature as well as generate new data in order to evaluate whether or not hearing loss contributes to health disparities for Deaf/HOH patients. A health disparity is identified when a certain population of individuals experience poorer healthcare outcomes based on specific differences and disadvantages. The project population of interest includes all members of the Deaf/HOH community, which can include ASL interpreters as well individuals that identify as Deaf or Hard of Hearing. Recommendations made herein arise from the reviewed literature and from the voices of the target population based on their healthcare interactions
Harnessing the power of artificial intelligence to transform hearing healthcare and research
The advances in artificial intelligence that are transforming many fields have yet to make an impact in hearing. Hearing healthcare continues to rely on a labour-intensive service model that fails to provide access to the majority of those in need, while hearing research suffers from a lack of computational tools with the capacity to match the complexities of auditory processing. This Perspective is a call for the artificial intelligence and hearing communities to come together to bring about a technological revolution in hearing. We describe opportunities for rapid clinical impact through the application of existing technologies and propose directions for the development of new technologies to create true artificial auditory systems. There is an urgent need to push hearing towards a future in which artificial intelligence provides critical support for the testing of hypotheses, the development of therapies and the effective delivery of care worldwide
From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries.
INTRODUCTION: Persons with disabilities have the same sexual and reproductive health and rights (SRHR) as non-disabled persons. Yet they face numerous barriers in their access to sexual and reproductive health services and their rights are often not met. Evidence on SRHR for persons with disabilities is sparse, particularly evaluations of interventions demonstrating 'what works.' This systematic review assessed interventions to promote SRHR for persons with disabilities in low- and middle-income countries. METHODS: We searched for qualitative, quantitative or mixed method observational studies representing primary research, published between 2010 and 2019, using MEDLINE, Embase, PubMed, Global Health and CINAHL Plus. Search strings were compiled for different elements of SRHR and for all forms of disability. 24,919 records were screened, leading to over 380 relevant papers, most of which were descriptive, focussing on needs and barriers to SRHR needs being fulfilled. Of the 33 full-text articles assessed for eligibility, 18 were included in the synthesis. All included studies were assessed for bias and quality of evidence, using STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) and RATS (relevance, appropriateness, transparency andsoundness) tools. Among the 16 interventions (from 18 articles), 25% had low risk of bias, 31% had moderate risk of bias and 44% had high risk of bias. Data analysis used narrative synthesis; a method suited for systematic reviews with heterogeneous studies. We used Levesque healthcare access model to analyse the focus of interventions. RESULTS: 11 interventions were from upper middle-income settings; two from lower-income settings; only one operated in rural areas. Interventions addressed intellectual impairment (6), visual impairment (6), hearing impairment (4), mental health conditions (2) and physical impairments (2). Most interventions (15/16) focus on information provision and awareness raising. We could not identify any intervention promoting access to maternal health, family planning and contraception, or safe abortion for people with disabilities. CONCLUSION: This systematic review has highlighted stark gaps in evidence. More rigorous evaluations are needed
Providing Chemical Dependency Treatment to the Deaf or Hard of Hearing Mentally Ill Client
The Minnesota Chemical Dependency Program for Deaf and Hard of Hearing Individuals is an inpatient chemical dependency treatment program designed to meet the cultural and communication needs of deaf or hard of hearing people seeking treatment services for alcohol or other drug dependency. Over 75% of the clients served have chemical dependency and additional mental illness- related disorders. This paper discusses treatment strategies and approaches used with dually- diagnosed clients, as well as considerations for effectively dealing with various psychiatric disorders including depression, borderline personality disorder, antisocial personality disorder, post-traumatic stress disorder, and developmental disorder
Universal Design of ICT for Emergency Management from Stakeholders’ Perspective - A Systematic Literature Review
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Dementia and hearing loss: A narrative review
Dementia and hearing loss are highly prevalent in older people. Both these conditions together increase complexities in all aspects of an individual’s care and management plan. There has been increasing research interest about the relationship between dementia and hearing loss in recent years. In this review we discuss the relationship between hearing loss and dementia, including hearing loss as a risk factor for dementia; the effects of dementia with hearing loss on affected persons’ quality of life and the care they receive; screening and available interventions; and opportunities for prevention. We also discuss dementia and hearing loss in the care home setting, as the majority of residents have either, or indeed both, dementia and/or hearing loss. Several mechanisms have been suggested for how hearing loss and dementia may be related but the evidence for how these may operate together is still unclear. Similarly, although it is to be hoped that the active identification and management of hearing problems may help to reduce the future development of cognitive impairment, evidence for this is still lacking
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