Bós, Ângelo José Gonçalves

Dornelles, Silvia

Freitas, Cíntia de la Rocha

Gonçalves, Andréa Krüger

Santos, Ana Maria Pujol Vieira dos

Teixeira, Adriane Ribeiro

English

Lume 5.8

POSTER ABSTRACTS88speech	audiometry,	acoustic	immittance	measures,	transient	evoked	otoacoustic	emissions	and	auditory	brainstem	response.	RESULTS:	In	the	clinical	history	the	patient	reported	she	had	been	having	great	hearing	difficulties	especially	on	the	right	ear	for	ten	years	without	apparent	cause.	Auditory	evaluation	was	carried	out	in	two	sessions	of	45	minutes	each.	During	the	first	session,	the	patient	showed	difficulties	for	pure	tone	and	speech	audiometry	reveled	results	compatible	to	normal	peripheral	hearing	(normal	hearing	thresholds,	normal	acoustic	immittance	measures,	present	transient	and	distortion	product	evoked	otoacoustic	emissions).	Click	evoked	auditory	brainstem	response	showed	normal	nerve	conduction	for	neurologic	protocol	and	electrophysiologic	thresholds	compatible	with	normal	hearing	in	the	frequency	band	of	2000-4000	Hz	bilaterally.	CONCLUSION:	Audiological	evaluation	revealed	hearing	thresholds	within	normal	limits	bilaterally.	This	case	highlights	the	importance	of	electroacoustic	and	electrophysiologic	measures	as	a	complement	in	the	differential	diagnosis	in	cases	of	nonorganic	hearing	loss.POSTER SESSION I - DATE: 29/3/2010 TIME: 8H00 - 18H00 - PANEL 76ASSOCIATION BETWEEN HEARING LOSS AND DEPRESSION IN NON-INSTITUTIONALIZED ELDERLY PEOPLEAuthorsADRIANE RIBEIRO TEIxEIRA1,	ANDRÉA	KRÜGER	GONçALVES1,	CINTIA	DE	LA	ROCHA	FREITAS2,	ANA	MARIA	PUJOL	VIEIRA	DOS	SANTOS2,	SILVIA	DORNELLES1,	âNGELO	JOSÉ	GONçALVES	BÓS3Institution1.	UFRGS,	Universidade	Federal	do	Rio	Grande	do	Sul2.	ULBRA,	Universidade	Luterana	do	Brasil3.	PUCRS,	Pontifícia	Universidade	Católica	do	Rio	Grande	do	SulAbstract: The	population	aging	is	a	worldwide	phenomenon.	This	process	produces	various	physiological	alterations	and	the	auditory	system	is	one	of	the	first	observed.	Hearing	loss	causes	difficulties	in	speech	comprehension,	which	in	turn	originates	detachment	from	family	and	social	groups.	This	isolation	may	lead	to	depression.	This	study’s	objective	was	to	verify	the	association	between	hearing	loss	and	depression	in	a	group	of	non-institutionalized	elderly.	Individuals	60	years	and	older	who	performed	a	complete	hearing	evaluation,	in	an	acoustic	booth,	and	answered	the	Geriatric	Depression	Scale	(GDS)	questionnaire	participated	in	this	study.	The	audiometry	used	hearing	thresholds	for	air	(250Hz	to	8000Hz)	and	bone	conduction	(500Hz	to	4000Hz),	by	an	Interacoustics	model	AD-28	audiometer.	Using	the	same	equipment,	participants	tested	for	speech	audiometry	(Speech	Recognition	Percent	Index	and	Speech	Reception	Threshold).	The	acoustic	immittance	measures	were	performed	with	the	Interacoustics	model	AT235	middle	ear	analyzer.	The	presence	and	level	of	hearing	loss	were	determined	according	to	the	World	Health	Organization’s	(WHO)	classification.	The	analysis	of	acoustic	immittance	measures	used	the	classification	proposed	by	Jerger	(1970).	The	study	evaluated	54	elderly	people,	26	(48.1%)	females	and	28	(51.9%)	males.	Their	ages	varied	between	60	and	84	with	an	average	of	70.4	±	7.16	years	of	age.	Regarding	their	hearing	level,	39	(72.2%)	presented	altered	hearing	thresholds,	of	those	17	(31.5%)	had	a	slight	hearing	loss	and	22	(40.7%)	a	moderate	hearing	loss.	Twenty-five	(46.3%)	participants	had	signs	of	depression,	23	(42.6%)	had	slight	to	moderate	depression	and	2	(3.7%)	severe	depression.	Data	analysis	demonstrated	association	between	the	presence	of	hearing	loss	and	depression	(p=0.016),	considering	that	of	the	25	(46.3%)	elderly	people	with	depression,	22	had	hearing	loss.	Even	though	it	is	not	significant	(p=0.18),	the	association	between	the	level	of	hearing	loss	was	positive	in	relationship	to	the	severity	of	depression	signs.	In	other	words,	the	larger	the	hearing	loss,	the	larger	the	severity	of	depression	signs.	Data	analysis	demonstrates	a	tendency	to	this	association,	considering	that	of	the	29	elderly	people	(53.7%)	with	absence	of	depression,	the	majority	presented	normal	hearing	thresholds	(41.4%).	Taking	in	to	consideration	the	23	(42.6%)	elderly	people	with	slight	to	moderate	depression	signs,	only	3	(5.6%)	presented	normal	hearing	thresholds.	The	remaining	had	slight	(14.8%)	or	moderate	(22.23%)	hearing	loss.	Individuals	with	severe	depression	(3.7%)	presented	slight	(1.8%)	or	moderate	(1.9%)	hearing	loss.	Therefore,	the	study	concludes	that	regarding	the	researched	elderly	people,	there	is	a	strong	association	between	hearing	loss	and	depression	signs	and	a	tendency	to	exist	an	association	between	the	level	of	hearing	loss	and	the	severity	of	depression	signs	POSTER SESSION I - DATE: 29/3/2010 TIME: 8H00 - 18H00 - PANEL 77ASSOCIATION BETWEEN DYSPHONIA AND HEARING LOSS IN MIDDLE-AGE AND ELDERLY PEOPLEAuthorsADRIANE	RIBEIRO	TEIXEIRA1,	SILVIA	DORNELLES1,	NATACHA	SIQUEIRA1,	ALINE	STANISLAWSKI	SILVA1,	CAMILA	MALLMANN1,	CAROLINE	WÜPPEL1,	ISABEL	CRISTINA	BERGER1,	ANDREA	KRÜGER	GONçALVES1,	CINTIA	DE	LA	ROCHA	FREITAS2Institution1.	UFRGS,	Universidade	Federal	do	Rio	Grande	do	Sul2.	ULBRA,	Universidade	Luterana	do	BrasilAbstract: Aging	is	a	process	marked	by	the	decline	in	functioning	of	various	organs	of	the	body,	among	them	hearing	loss	and	vocal	alterations	like	dysphonia.	These	disorders	are	usually	diagnosed	and	treated	by	speech-language	therapist	and	audiologist.	There	are	indications	that,	in	many	cases,	hearing	loss	and	dysphonia	are	associated.	The	presence	of	hearing	loss	may	significantly	influence	vocal	quality,	aside	from	the	changes	brought	by	aging,	as	a	result	of	the	tendency	to	increase	the	voice	intensity	(loudness),	by	the	difficulties	in	its	perception.	Therefore,	hearing	loss	may	be	a	precipitating	or	aggravating	factor	of	dysphonia.	Based	on	these	premises,	this	study’s	tried	to	verify	if	an	association	existed	between	hearing	loss	and	dysphonia	in	a	group	of	middle-age	and	elderly	adults.	The	participants	screened	for	hearing	loss	using	a	pure	tone	audiometry	test	in	an	acoustically	treated	booth.	Hearing	test	used	thresholds	for	air	conduction	(from	250Hz	to	8000Hz)	and	bone	conduction	(500Hz	to	4000Hz),	to	determine	type	and	level	of	hearing	loss.	In	order	to	measure	the	level	of	hearing	loss	the	study	used	the	classification	proposed	by	the	World	Health	Organization.	To	verify	the	presence	of	dysphonia,	the	participants	performed	perceptual-auditory	analysis	of	the	vocal	type,	from	the	point	of	view	of	three	evaluators.	The	study’s	sample	involved	27	elderly	people,	21	(77.8%)	females	and	6	(22.2%)	males.	The	participant’s	age	ranged	between	54	and	89,	with	an	average	of	68.5	±	8.8	years	of	age.	Among	the	participants,	23	(85.2%)	presented	hearing	loss	while	4	(14.8%)	were	normal.	The	number	of	participants	with	dysphonia,	was	the	same,	than	those	with	hearing	loss,	23	(85.2%)	presented	vocal	alterations	and	4	(14.8%)	presented	adapted	voice,	which	means	without	signs	of	alteration.	Data	analysis	demonstrated	evidence	of	a	strong	association	between	dysphonia	and	hearing	loss	in	the	studied	group	(p=0,000).	These	results	establish	the	need	of	joint	action	among	speech-language	therapist	and	audiologist,	as	well	as	reinforce	the	importance	of	interdisciplinary	action	for	the	care	of	individuals	with	voice	and	hearing	disorders.POSTER SESSION I - DATE: 29/3/2010 TIME: 8H00 - 18H00 - PANEL 78INTENSITY PERCEPTION OF TINNITUS AND TINNITUS HANDICAP INVENTORY RESULTS IN A GROUP OF ELDERLY PEOPLEAuthorsADRIANE RIBEIRO TEIxEIRA1,	MICHELLE	GASSEN	PAULO	NUNES3,	CINTIA	DE	LA	ROCHA	FREITAS2,	ANDRÉA	KRUGER	GONçALVES1Institution1.	UFRGS,	Universidade	Federal	do	Rio	Grande	do	Sul2.	ULBRA,	Universidade	Luterana	do	Brasil3.	Centro	Auditivo,	Centro	AuditivoAbstract: The	population	aging	 is	a	phenomenon	observed	 in	both	developed	and	developing	countries.	 Increase	 in	 life’s	expectancy	 is	accompanied	by	a	series	of	physiological	alterations,	among	them	presbiacusis,	which	is	often	accompanied	by	tinnitus.	Several	authors	reported	association	between	tinnitus	and	the	affected	individuals’	quality	of	life.	This	study’s	aimed	to	verify	the	association	between	intensity	of	the	perception	of	tinnitus	and	the	handicap	level	caused	by	this	symptom	in	a	group	of	elderly	individuals,	as	well	as	to	verify	the	influence	of	the	sex	variable	in	the	level	of	handicap.	In	this	study	36	elderly	people	(60	years	of	age	and	above)	answered	a	questionnaire	on	socio-demographics	and	tinnitus	and	the	Tinnitus	Handicap	Inventory	(THI).	Data	analysis	demonstrated	that	the	major	part	of	the	elderly	were	female	(72.2%).	The	average	age	was	of	68.67	±	6.84	years.	Regarding	tinnitus	intensity,	16	(44.4%)	described	their	tinnitus	as	weak;	13	(36.1%)	as	average	and	7	(19.4%)	as	strong.	In	relationship	to	THI	scores,	15	elderly	(41.6%)	showed	a	handicap	level	1;	11	(30.56%)	handicap	2;	4	(11.1%)	handicap	3;	4	(11.1%)	handicap	level	4	and	2	(5.5%)	handicap	level	5.	Analyzing	the	intensity	perception	of	tinnitus	described	by	elderly	people	and	the	level	of	handicap	measured	through	THI,	it	was	observed	that	there	was	no	statistically	significant	association	(p	=	0.251).	Likewise	there	was	no	association	between	sex	and	handicap	level	(p	=	0.300).	We	concluded,	therefore,	that	the	intensity	of	tinnitus	perception	described	by	participants	and	sex	were	not	determining	factors	for	worsening	the	handicap	caused	by	tinnitus.	POSTER SESSION I - DATE: 29/3/2010 TIME: 8H00 - 18H00 - PANEL 79STUDY OF OTOACOUSTIC EMISSIONS IN NORMALLY HEARING WORKERS OF A SHOE INDUSTRY EXPOSED TO INDUSTRIAL NOISEAuthorsADRIANE RIBEIRO TEIxEIRA1,	TATIANA	DAHMER2,	SIMONE	BARCELOS	TEIXEIRA2Institution1.	UFRGS,	Universidade	Federal	do	Rio	Grande	do	Sul2.	ULBRA,	Universidade	Luterana	do	BrasilAbstract: A	worker	exposed	to	occupational	noise	risks	his/her	health	and	predisposes	him/herself	to	present	a	range	of	auditory	and	extra-auditory	effects	caused	by	high	levels	of	sound	pressure.	Among	the	auditory	effects	is	hearing	loss.	Studies	have	shown	evidence	that	the	changes	in	otoacoustic	emission	examinations	results	can	be	detected	before	the	lowering	of	audiometric	thresholds.	Therefore	the	goal	of	this	research	was	to	verify	the	presence	of	transient	evoked	otoacoustic	emissions	(TEOAE)	in	ears	of	normally	hearing	people	exposed	to	occupational	noise.	For	this	study	examined	87	ears	of	53	shoe	industry	workers,	stationed	at	the	cutting	sector.	The	decision	to	study	this	sector	was	due	to	the	fact	that	noise	was	the	only	agent	present.	In	other	sectors	of	the	industry	there	was	concomitant	exposure	to	noise	and	chemical	products.	The	evaluation	included	the	patient’s	medical	history,	meatoscopy,	threshold	tonal	audiometry,	measures	of	acoustic	immitance	and	the	study	of	transient	evoked	otoacoustic	emissions	(TEOAE).	The	study	found	that	94.25%	of	the	ears	presented	TEOAE.	There	was	no	side	(left	or	right	ear)	difference	in	the	number	of	ears	that	presented	TEOAE.	Neither	time	worked	at	the	industry	nor	sex	were	determining	factors	for	the	presence	of	TEOAE.	It	should	be	pointed	out	that	all	the	ears	that	did	not	present	TEOAE	were	of	individuals	exposed	to	noise	for	less	than	one	year,	suggesting	that	other	causes	were	responsible	for	the	lesion	in	external	ciliated	cells.	The	study	concluded	that	almost	all	evaluated	workers’	ears	presented	otoacoustic	emissions.	Therefore,	in	this	group,	the	exposure	to	noise	was	not	determining	for	a	lesion	of	the	external	ciliated	cells.	One	of	the	factors	that	can	determine	this	type	of	result	is	the	preventive	actions	adapted	by	the	company.	POSTER SESSION I - DATE: 29/3/2010 TIME: 8H00 - 18H00 - PANEL 80A STUDY OF OTOACOUSTIC EMISSIONS IN INDIVIDUALS EXPOSED TO NOISE AND CHEMICAL PRODUCTSAuthorsADRIANE RIBEIRO TEIxEIRA1,	MICHELLE	INÊS	FRöHLICH-HAMMES3,	LUCIMAR	FILOT	DA	SILVA	BRUM2Institution1.	UFRGS,	Universidade	Federal	do	Rio	Grande	do	Sul2.	ULBRA,	Universidade	Luterana	do	Brasil3.	SESI	-	RS,	Serviço	Social	da	IndústriaAbstract: Chemical	products	are	just	as	harmful	as	noise	to	the	auditory	system,	and	these	factors	may	act	isolated	or	in	synergic	form.	Aside	from	audiometry,	transient	evoked	otoacoustic	emissions	(TEOAE)	may	be	useful	in	monitoring	and	preventing	hearing	loss,	because	the	record	of	the	TEOAE	demonstrates	alterations	in	the	response	before	they	are	registered	in	hearing	threshold.	This	study	has	the	following	objectives:	to	verify	the	absence	of	TEOAE	in	workers	with	normal	hearing	thresholds	exposed	to	noise	and/or	chemical	products,	as	well	as	to	determine	if	there	was	an	association	between	time	at	work	and	the	absence	of	otoacoustic	emissions.	Initially	we	invited	315	workers	of	a	chemical	industry	to	participate	in	this	study.	The	industry	produces	varnish,	paint,	enamel,	and	lacquer.	Of	those	workers,	34	could	not	participate	because	of	their	hearing	loss.	Therefore,	281	normally	hearing	workers	participated	of	the	study,	74	with	no	risk	exposure	(administration),	38	exposed	to	noise,	40	exposed	to	chemical	products	and	129	exposed	to	noise	and	chemical	products.	All	answered	a	socio-demographic	questionnaire	and	participated	in	a	meatoscopy,	pure	tone	audiometry	and	TEOAE	tests.	The	participants	ranged	in	age	between	21	and	59,	and	the	length	of	time	worked	at	the	company	varied	from	6	months	to	more	than	15	years.	Among	the	evaluated	workers,	56	(19.9%)	presented	absence	of	otoacoustic	emissions,	8	(2.8%)	being	from	the	sector	considered	to	be	of	no	risk	(administration);	8	(2.8%)	were	exposed	to	noise;	6	(2.1%)	exposed	to	chemical	products	and	34	(12%)	exposed	to	noise	and	chemical	products.	Along	with	workers	with	absent	otoacoustic	emissions,	9	(3.2%)	worked	in	the	company	between	6	months	and	1	year,	23	(8.1%)	between	2	and	5	years,	10	(3.5%)	between	6	and	10	years,	5	(1.7%)	between	11	and	15	years	and	9	(3.2%)	for	more	than	15	years.	We	observed	that,	even	with	exposure	to	noise	and/or	chemical	products,	the	majority	of	workers	had	otoacoustic	emissions	present.	Analyzing	the	data	according	to	the	type	of	risk,	in	chemicals	and	noise	sector	there	was	more	absence	of	TEOAE	when	mioloICA3.indd   88 22/03/2010   13:14:03

Association between hearing loss and depression in non-institutionalized elderly people

https://lume.ufrgs.br/bitstream/10183/265002/1/000737393.pdf

Association between hearing loss and depression in non-institutionalized elderly people

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Lume 5.8