摘要:The abnormal speech rhythm of adult hearing-impaired speakers is a core obstacle that affects communication effectiveness and social participation. This article systematically reviews the current research status in this field, revealing the research dilemma of emphasizing description over explanation, emphasizing children over adults, and emphasizing correction over empowerment. It proposes a paradigm shift from correcting tone to empowering communication. And using AI sound restoration technology and MsTC multi sensory training course as empirical cases, the breakthrough value of artificial intelligence technology and multi sensory pathway training in activating speech and motor output was demonstrated. Based on the national lifelong hearing health policy framework, propose a future development path that integrates theoretical deepening, technological empowerment, intervention innovation, and system reconstruction.
关键词:Adult hearing impairment;Speech rhythm;Pathological tone;Multi sensory training;Artificial intelligence;Whole life cycle
摘要:ObjectiveTo investigate the current status of social interaction among hearing-impaired oral speakers, and to analyze the impact of language barriers on social interaction.MethodsA questionnaire survey was conducted using the Voice Handicap Index-10 (VHI-10) and the Quality of Communication Life (QCL) scale among 370 hearing-impaired oral speakers to analyze the impact of vocal impairment on their social interaction.ResultsThe average VHI-10 score of hearing-impaired oral speakers was 18.44±7.62, indicating an overall moderate level of vocal impairment impact; the total average QCL score was 17.41±6.77, with communication quality of life generally at a moderate level. The lowest score was observed in the daily communication participation dimension, suggesting that their engagement in complex communication scenarios remains relatively weak. Correlation analysis revealed a significant negative correlation between the total VHI-10 score and the total QCL score (r=-0.631, P0.05), meaning that the more pronounced the perception of vocal impairment, the lower the communication quality of life and the higher the degree of social interaction restriction.ConclusionLanguage barriers are a significant factor affecting the social interaction of hearing-impaired oral speakers. Efforts should be made from multiple dimensions, including vocal rehabilitation, communication strategy training, auditory-oral rehabilitation, and optimization of social support environments, to enhance their communication participation and social integration.
关键词:Hearing-impaired oral speakers;Social interaction;Language barriers;Quality of communication life
摘要:Hearing impairment leads to insufficient auditory feedback during speech production among hearing-impaired speakers, resulting in systematic abnormalities in segmental, suprasegmental and acoustic dimensions, which seriously restrict communication efficiency and social participation. Based on the ICF framework, this paper systematically reviews the core characteristics of speech clarity, analyzes influencing factors such as hearing loss level, intervention timing, rehabilitation training and communication environment, and summarizes the application of subjective, objective and comprehensive assessment methods. Focusing on the practical needs in rehabilitation services, intelligent technology, communication environment and social support, intervention strategies including precise early intervention, personalized rehabilitation training, intelligent technical support and barrier-free social support are proposed, providing a theoretical basis for improving speech quality and integrated development of hearing-impaired oral communicators.
关键词:Hearing-impaired speakers;Speech clarity;Speech characteristics;Rehabilitation needs;Barrier-free communication
摘要:Speech data from hearing-impaired speakers constitute a fundamental resource for research on hearing-impaired speech feature analysis and AI-driven voice restoration technologies. China has a large population of hearing-impaired individuals, among whom many use spoken language as their primary means of communication. However, dedicated speech data for Mandarin-speaking hearing-impaired individuals have long been lacking in quantity, standardized norms, and sharing mechanisms, which has become a critical bottleneck hindering the deployment of AI-based rehabilitation technologies. In response to the current lack of systematic standards for hearing-impaired speech data construction, this paper reviews relevant theories and practices from both domestic and international sources, and analyzes the localization challenges faced in China. On this basis, this paper proposes leveraging artificial intelligence technologies to promote the systematic, standardized, and intelligent construction of hearing-impaired speech databases through the establishment of industry standards, the development of human-AI collaborative workflows, the creation of tiered open data sharing mechanisms, and the acceleration of interdisciplinary talent cultivation. This study aims to provide methodological references for the systematic construction of speech data resources for hearing-impaired individuals in China.
关键词:Hearing-impaired speakers;Speech corpus;Voice information database;AI-powered;Speech restoration;Data sharing
摘要:Auditory and speech rehabilitation for hearing-impaired population. faces challenges such as uneven distribution of rehabilitation resources and high costs, which constrain the development of high-quality rehabilitation services. In particular, traditional rehabilitation methods fail to meet the auditory and speech rehabilitation needs of adults with hearing loss. The emergence of artificial intelligence (AI) provides a new way to solve these troubles in auditory and speech rehabilitation for the hearing-impaired population. This paper review the technological evolution of AI in this field, from traditional signal processing and machine learning to deep learning, large models, and clinical translation. Introduce the core technical architecture, including front-end perception, mid-level processing and back-end application. Now, AI has made significant progress in speech enhancement, outcome prediction, multimodal fusion and personalized rehabilitation plan generation. But, There are still difficulties remain, such as data scarcity and heterogeneity, insufficient model generalization capability, lack clinical interpretability and barriers to translation. Future works should focus on constructing large-scale multimodal databases, better out-of-distribution generalization of models and strengthen the integration of AI tools into clinical practice to make personalized and intelligent in auditory and speech rehabilitation for the hearing-impaired population.
摘要:ObjectiveTo investigate the clinical efficacy of individualized vestibular rehabilitation training combined with otolith repositioning device in the treatment of benign paroxysmal positional vertigo (BPPV).Methods76 patients with BPPV treated at to our hospital from January 2021 to June 2023 were selected and divided into two groups based on the presence of residual symptoms after otolith repositioning: the residual symptoms group (38 cases) and the asymptomatic group (38 cases). The residual symptoms group received individualized vestibular rehabilitation training, while the asymptomatic group underwent only routine follow-up. The distribution of otolith types before repositioning, the efficacy of repositioning, improvement of residual symptoms, and recurrence rates within 6 months were compared between the two groups.ResultsThe distribution of otolith types was similar between the two groups, with posterior semicircular canal BPPV accounting for the majority 25 cases (65.79%) in the residual symptoms group, and 24 cases (63.16%) in the asymptomatic group. Repositioning efficacy was comparable between the two groups 92.11% (35/38) in the residual symptoms group, 94.74% (36/38) in the asymptomatic group. After 2 weeks of vestibular rehabilitation training, mild dizziness/unsteadiness in the residual symptoms group was significantly improved VAS score: 4.87±0.92 pre-training vs. 2.15±0.65 post-training, P<0.05. At the 6-month follow-up, the recurrence rate was 13.16% (5/38) in the residual symptoms group and 15.79% (6/38) in the asymptomatic group, with no statistically significant difference (P>0.05).ConclusionVestibular rehabilitation training has a significant ameliorative effect on residual symptoms following otolith repositioning in BPPV patients; however, its efficacy in reducing disease recurrence rate remains unclear and requires further investigation.
摘要:ObjectiveTo investigate the clinical characteristics of patients with sudden sensorineural hearing loss (SSNHL) accompanied by vertigo, to analyze key factors influencing therapeutic outcomes, and to construct and validate a logistic regression model for prognostic prediction, thereby providing a basis for individualized treatment decision-making.MethodsA retrospective cohort study was conducted including 156 patients with SSNHL. Univariate analysis was performed using t-tests and chi-square tests. Based on clinical variables such as time from onset, age, degree of hearing loss and tinnitus, two stepwise logistic regression models (a basic model and an adjusted model) were constructed for multivariate analysis. Model 1 adopted the backward: LR method for variable selection. Model 2, on the basis of Model 1, additionally incorporated vestibular function-related variables and was analyzed using the enter method.ResultsAmong the 156 patients, 40-59 years old accounted for the highest proportion (43.6%), 53.8% (84/156) were male, 52.6% (82/156) had left-sided onset, 62.2% (97/156) had onset time ≤7 days, and profound hearing loss on admission accounted for the highest proportion (39.7%, 62/156). Chi-square analysis showed that onset time was significantly correlated with discharge efficacy (P=0.038), and the effective rate of patients treated ≤7 d (46.4%) was significantly higher than that of patients treated ≥15 d (21.2%). Tinnitus was marginally correlated with efficacy (P=0.053), and the effective rate was higher in patients without tinnitus. Logistic regression showed that onset time ≥15 d (OR=0.201, 95%CI=0.073-0.552) and tinnitus (OR=0.193, 95%CI=0.043-0.865) were the main adverse prognostic factors. Total cholesterol (CHOL, OR=0.353, 95%CI=0.133-0.940), low-density lipoprotein (LDL, OR=3.763, 95%CI=1.281-11.048), prothrombin time (PT, OR=0.825, 95%CI=0.685-0.993) and activated partial thromboplastin time (APTT, OR=1.093, 95%CI=1.000-1.195) were also independent influencing factors. The model sensitivity and specificity were 50.8% and 82.8%, respectively. After including vestibular function indicators, total cholesterol (OR=0.363), LDL (OR=3.454), onset time ≥15 d (OR=0.187), tinnitus (OR=0.160) and side (OR=0.454) were still independent influencing factors, and the model sensitivity and specificity increased to 58.7% and 84.9%, respectively. Conclusion Onset time, initial hearing loss degree and tinnitus are the main factors affecting the discharge efficacy of SSNHL patients with vertigo. Time from onset to treatment ≥15 d indicates a significantly worse prognosis. Blood lipid metabolism indicators' such as total cholesterol and LDL, as well as coagulation function parameters, are also related to efficacy, suggesting that inner ear microcirculation disturbance and hypercoagulable state play an important role in the disease process. The inclusion of vestibular function indicators' such as spontaneous nystagmus and video head impulse test (vHIT) can further improve the efficacy of the prognostic evaluation model, help to identify high-risk people with poor prognosis early, and guide the formulation of individualized treatment plans.
摘要:ObjectiveTo investigate the evolutionary trajectory of clinical research on Age-Related Hearing Loss (ARHL), reveal the dynamic shifts in research hotspots and patterns of international collaboration, and forecast future research trends.MethodsEnglish-language publications from 2005 to 2024 were retrieved from the Web of Science Core Collection. VOSviewer, CiteSpace, and Microsoft Excel 2021 were used for bibliometric analysis and visualization.ResultsThe volume of clinical research on ARHL has increased steadily, with an average annual growth rate of 28.8%. Notable surges were observed in 2014, 2017, and 2023. Research focus shifted from early epidemiological investigations (2005-2010), to comorbidity mechanisms (2011-2016), and recently, to associations with cognitive impairment (2017-2024).ConclusionOver the past two decades, the global research landscape of ARHL demonstrates both increasing integration and diversification. It has undergone three major paradigm shifts: from peripheral auditory mechanisms to central nervous system involvement, from single-discipline research to multidisciplinary integration involving clinical medicine and public health, and from observational studies to to interventional research and precision medicine approaches. Current research hotspots focus on the causal mechanisms linking ARHL and cognitive impairment, difference in intervention outcomes, and multisensory compensation strategies.
关键词:Age-related hearing loss;Bibliometric analysis;Visualization analysis;Clinical research
摘要:This paper systematically reviewed existing assessment tools in post-stroke aphasia. Lack of theoretic support, inefficient sample representativeness, and inadequate psychometric properties limit the development of a Chinese aphasia battery and its clinical practice. Therefore, we propose that future research should focus on Item Response Theory (IRT) and leverage Computerized Adaptive Testing (CAT) to establish a novel, precise assessment paradigm that dynamically matches individual patients' ability levels.
关键词:Aphasia;Battery;Tools;Reliability and validity
摘要:Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder in clinical practice, with an estimated lifetime prevalence of approximately 2.4%. Although otoconial dislodgement is the fundamental pathological basis, increasing attention has been paid to the contribution of systemic factors-particularly metabolic and nutritional status-to disease onset, recurrence, and clinical outcomes. Against the backdrop of the global obesity epidemic, the association between obesity and BPPV has become a focus of investigation; however, current evidence does not support a consistent direct causal relationship. By synthesizing available epidemiological, pathophysiological, and clinical data, this review shows that most cross-sectional studies report an association between overweight/obesity and BPPV prevalence, yet the association often attenuates or disappears after multivariable adjustment, and Mendelian randomization analyses have not identified obesity as an independent risk factor. Mechanistically, obesity is more likely to influence BPPV through indirect pathways, including metabolic syndrome-related microvascular dysfunction, chronic low-grade inflammation and oxidative stress, disrupted vitamin D/calcium homeostasis, and sarcopenia, thereby destabilizing the inner-ear microenvironment and otoconia and ultimately increasing susceptibility to onset and recurrence while reducing therapeutic benefit. Clinically, in addition to standardized canalith repositioning procedures, a comprehensive strategy integrating "metabolic intervention plus vestibular protection" is warranted. This includes screening and control of metabolic comorbidities, optimized vitamin D/calcium supplementation, resistance training with preservation of muscle function, and long-term follow-up within a multidisciplinary care model. Future work should prioritize large prospective cohorts, refined body-composition phenotyping, and targeted interventional trials to clarify key links and optimize individualized management.
摘要:The Relationship between Age-Related Hearing Loss, Mental and Cognitive Disorders: A Review and Recent DevelopmentsAge-related hearing loss (ARHL) is highly prevalent in the elderly. Accumulating evidence suggests that older adults with ARHL are prone to social withdrawal and isolation, which further contribute so the development of psychological disorders and cognitive decline. This topic has become a major focus of research worldwide. This article reviews recent domestic and international literature, and systematically summarizes the potential links between ARHL, mental health problems, and cognitive dysfunction in the elderly.
摘要:ObjectiveTo study the clinical efficacy of audio-visual integration training combined with repetitive transcranial magnetic stimulation (rTMS) in the treatment of children with delayed language development.Methods87 children with language development delay treated at our hospital from January 2019 to January 2021 were selected and randomly divided into a control group (n=43) and an observation group (n=44) using a random number table. The control group received conventional language training, while the observation group received audiovisual integration training combined with rTMS on the basis of the control group. The interventions lasted for 6 months. The treatment effects before and after the intervention, verbal behavior assessment scale (Ver-BAS) scores, oral motor function scores, articulation ability scores, developmental quotient (DQ) scores, and neurocentral nutritional factors were compared between the two groups, and parental satisfaction was also investigated.ResultsThe observation group had a higher overall effective rate (95.45%) than the control group (76.74%) (P0.05).Following the intervention, both groups' Ver-BAS, oral motor function, phonological ability, and DQ scores increased; the observation group's score was significantly higher than the control group's (P0.05). Serum levels of neurotrophic factor-3 (NT-3), glial cell-derived neurotrophic factor (GDNF), nerve growth factor (NGF), and brain-derived neurotrophic factor (BDNF) were significantly higher in the observation group than in the control group (P0.05). The observation group (97.73%) was more satisfied than the control group (79.07%)(P0.05).ConclusionVisual and auditory integration training combined with rTMS can significantly improve the language ability, oral-motor function, and phonological ability of children with delayed speech development, and also has the advantage of promoting the overall development of the children and the expression of central nervous trophic factor, the effect is accurate, and the families of the children are more satisfied.
关键词:Audio-visual integration training;Repetitive transcranial magnetic stimulation;Children with delayed speech development;Language ability;Oral-motor functions
摘要:ObjectiveTo investigate the relationship between job burnout and work-family conflict between teachers in deaf schools and those in regular primary and secondary schools.Methods142 teachers from a deaf school and a regular primary and secondary school in Tianjin were surveyed using the Teacher Burnout Scale for Primary and Secondary Schools and the Work-Family Conflict Questionnaire for Primary and Secondary School Teachers and to analysis the current situation of occupational burnout among deaf school teachers and its relationship with work family conflicts.ResultsThe levels of job burnout and work-family conflict among teachers in deaf schools were significantly lower than those among teachers in regular primary and secondary schools (t=3.131、3.419, P<0.05), and the level of work-family conflict among teachers in deaf schools could predict their job burnout to a certain extent (ΔR2=0.194, P<0.01).ConclusionAlleviating work-family conflict among teachers in deaf schools is beneficial to improving their job burnout levels.
摘要:ObjectiveTo explore the relationship between the parenting efficacy of parents with hearing-impaired infants and toddlers and the quality of parenting.Method106 parents of hearing-impaired infants were investigated by using the Questionnaire on the status quo of parental Parenting efficacy of preschool hearing-impaired children and the Parental Parenting Assessment Scale (Parent version) to explore the effect of parental parenting efficacy on the quality of parenting.ResultsThe overall level of parenting efficacy and parenting quality was high, and the parenting quality had significant differences in demographic variables' such as educational background, family residence, family per capita monthly income, and family structure.There was a significant positive correlation between parenting efficacy and parenting quality (P0.01).The educational rehabilitation guidance efficacy of parents' parenting efficacy had higher explanatory power to parenting quality. The difference of life parenting efficacy and information access efficacy in parenting quality was very small.ConclusionThe efficacy of education and rehabilitation guidance for hearing-impaired infants has a 58.4% predictive effect on parenting quality.
摘要:ObjectiveTo investigate the specific differences in the rhythmic characteristics of reading discourse between autistic children and typically developing children, aiming to provide references and suggestions for assessing and intervening in speech prosody in autistic children.MethodTen children with autism and ten children with typical development from Chinese backgrounds were recruited as subjects. Acoustic parameters, such as absolute syllable length, relative syllable length, pauses, and speech speed, were extracted and compared.ResultsThere were significant differences between autistic children and typically developing children in absolute syllable length and speech speed. However, there were no significant differences in relative syllable length and pauses between these two groups. Additionally, compared to typically developing children, autistic children exhibited more individual differences. Some children spoke too fast, while others spoke too slowly.ConclusionChinese-speaking children with autism generally grasp the rhythmic characteristics of discourse reading, yet exhibit atypicality in absolute duration and speech speed compared to typically developing children, indicating that their ability for speech control and adjustment is weak.
摘要:ObjectiveTo explore the effect of Ladder Model Training Strategy in group teaching on children with language disorders.MethodsAn action research method was adopted. 5 children with language disorders from a Shanghai rehabilitation institution received 21 sessions of group conversation training over 7 weeks, targeting conversation initiation and maintenance as well as turn-taking ability.ResultsBefore the intervention, children showed characteristics' such as being able to express but having difficulty in communicating and having limited conversation intentions and children with autism being more likely to feel impolite. After the intervention, children's conversation intentions and thematic experience were enhanced, and their conversation skills were improved. However, there were still challenges in skill generalization. Therapists' teaching skills and self-efficacy were also enhanced.ConclusionThe Ladder Model Training strategy improved the conversation skills of children with language disorders in group teaching and had a positive effect on the cognition and psychology of therapists.
摘要:ObjectiveTo extract the Mokken scale for functional assessment of children with autism spectrum disorder based on the Autism Treatment Evaluation Checklist (ATEC), and to evaluate its reliability and validity.MethodsIn this cross-sectional study, children diagnosed with ASD were recruited through maximum variation sampling. The Chinese version of ATEC, comprising 77 items, was assessed. Based on a health scoring strategy (where no impairment or difficulty was scored as 1,otherwise 0), the ATEC scores were converted into binary data and subjected to Mokken Scale Analysis (MSA).ResultsThe sample comprised 186 ASD children (male=150, female=36). MSA identified two scales: a Monotone Homogeneity Model (MHM) with 37 items and a Double Monotonicity Model (DMM) with 35 items. Both models demonstrated high reliability, with Latent Class Reliability Coefficients (LCRC) of 0.9420 (MHM) and 0.9432 (DMM). The items in both models covered all four subscales of the ATEC. The DMM total score correlated strongly negatively with original ATEC scores (P0.001, rPearson=-0.90) and moderately negatively with Childhood Autism Rating Scale (CARS) scores (P0.001, rWinsorized=-0.55).The most challenging items included "Ⅰ.12 Often uses several successive sentences" and "Ⅲ.12 Shows imagination", while "Ⅳ.10 Lethargic" was the least difficult.ConclusionThe Mokken scales derived from the Chinese version of ATEC demonstrate good reliability and validity for functional assessment in children with ASD. These scales provide a foundation for subsequent item screening in PIRT modeling.
摘要:The conventional training methods for age-related hearing loss rehabilitation can improve hearing loss to some extent, but there are limitations in complex noisy environments and training adherence. Currently, the principle of auditory plasticity provides theoretical support for auditory rehabilitation. Virtual reality (VR) technology, by constructing immersive and interactive training environments that simulate the acoustic complexity of real-world scenarios, offers a novel approach to overcome these limitations. This article reviews latest relevant research papers, based on auditory plasticity theory, explores the neural mechanisms of VR technology. It analyzes its advantages and limitations in the process of clinical transformation for auditory rehabilitation, providing insights for the future design of age-related hearing loss rehabilitation platforms.
摘要:Issued jointly by the Ministry of Human Resources and Social Security and the China Disabled Persons' Federation in February 2024, the National Occupational Standards for Auditory-Verbal Therapists addresses the large population of people with hearing disabilities in China and the inconsistent professional proficiency of rehabilitation practitioners. Adopting a career activity-oriented and professional skill-centered approach, the standards categorize auditory-verbal therapists into five levels, from Level 5/Junior Worker up to Level 1/Senior Technician, specify professional competencies in terms of basic requirements including professional ethics and specialized knowledge and job requirements with higher levels covering lower-level skills, and regulate the assessment methods for occupational skill certification as well as relevant training requirements. The issuance of this standards lays a key foundation for the standardized management of the industry and the hierarchical development of talents, and will effectively improve the overall level of hearing and speech rehabilitation services nationwide.
关键词:Auditory speaker;Mational standard;Interpretation;Hearing and speech rehabilitation
摘要:ObjectiveTo explore the effectiveness of rehabilitation intervention for children with white matter abnormalities(WMA)combined with sensorineural sudden deafness (SSN), and to provide useful references and insights for the rehabilitation training of such children.MethodsA study was conducted on a child with WMA combined with SSN using a closed-loop model of assessment-intervention-reassessment. Multidimensional assessment tools were employed to cover hearing function,neurodevelopment,vestibular function, problematic behaviors,psychological state,and daily functioning. Based on the assessment results, a personalized comprehensive rehabilitation intervention program was developed,including vestibular rehabilitation training (balance training,ramp walking exercises), auditory rehabilitation training,psychological therapy,and behavior modification techniques (positive reinforcement method). The intervention period was 2 months, followed by a 6-month follow-up after the intervention to dynamically monitor the recovery of functions and residual impairments.Ensure that the assessment results can accurately guide rehabilitation interventions.ResultsAfter 2 months of comprehensive rehabilitation interventions,the child's rehabilitation outcomes were significant, mainly including: a significant improvement in auditory discrimination ability,with precise recognition of daily monosyllabic words and short sentence commands,meeting daily communication and environmental sound recognition needs; a symptom control remission period lasting 4 months,with no dizziness,instability,or other discomforts during daytime walking and daily activities; full recovery of self-care ability,with a self-perceived functional recovery of 90% compared to the initial diagnosis;no significant limitations in core life scenarios. After voluntarily stopping vestibular rehabilitation, the child exhibited occasional mild instability during rapid walking in low-light environments at night and significant balance impairment when descending steep slopes of 15°, requiring handrails for assistance without severe discomfort such as falling.ConclusionThe rehabilitation strategy for children with white matter abnormalities combined with sensorineural sudden deafness requires comprehensive consideration of medical treatment, rehabilitation training, psychotherapy, educational support, and lifestyle adjustments. In clinical practice,emphasis should be placed on individualized program adjustments and long-term maintenance training.Through comprehensive rehabilitation strategies, symptoms in children can be effectively improved,and their quality of life can be enhanced.
关键词:Leukoencephalopathy;Sensory process deafness;Rehabilitation;Speech development disorder
摘要:ObjectiveTo explore the guiding behavior of parents of hearing-impaired children in picture book reading activities, so as to improve the quality of family picture book reading.MethodsUsing observation and interview methods, this study analyzed the reading attitudes, reading preparation, reading guidance strategies, and extension activities of eight parents of hearing-impaired children during their children's reading of picture books.ResultsParents paid little attention to picture books reading. The Parents were not fully prepared to read picture books. The Parents' guiding behavior in picture book reading was single. The Parents lacked extended awareness of picture book reading.ConclusionIt is recommended to take rehabilitation institutions as the lead and enhance the importance, guidance and extension level of picture book reading among parents of hearing-impaired children through various forms' such as strengthening home school cooperation and conducting training, in order to improve the overall effectiveness of their guidance behavior.
摘要:ObjectiveWhether peer interaction among hearing-impaired children can promote their transition from egocentrism, foster prosocial behaviors, and enhance social interaction and social cognitive abilities requires further in-depth investigation.MethodsThrough a combination of case observation and interviews, this study conducted typological differentiation of peer interaction behaviors among 9 hearing-impaired children, summarizing the characteristics of initiation methods, maintenance strategies, and conflict resolution approaches in their social interactions.ResultsThe different communication styles among hearing-impaired children highlight the significant differences in their communication methods, psychological activities, and social knowledge and skills.ConclusionThe communication patterns and communication ability training among hearing-impaired children peers need urgent research attention.
关键词:Hearing-impaired children;Peer interaction;Case study
摘要:Cochlear implantation is an effective intervention for severe-to-profound sensorineural hearing loss, but not all patients are suitable candidates. Therefore, thorough preoperative assessment is essential. With advances in technology and clinical practice, preoperative evaluation has evolved into a multidisciplinary, standardised, comprehensive assessment framework. This review synthesises commonly used assessment measures and key clinical considerations across the multiple dimensions of the cochlear implant preoperative evaluation, aiming to inform the development and implementation of robust preoperative assessment protocols.
摘要:Tinnitus is a common clinical symptom that seriously affects patients 'quality of life. Dietary supplements are widely used in healthy people and patients with various diseases around the world. Clinically, patients with tinnitus are very concerned about the use of dietary supplements. This article summarizes the clinical literature related to dietary supplements and tinnitus, analyzes the dose, safety and effectiveness of vitamins, minerals, flavonoids, and antioxidants in the auxiliary treatment of tinnitus, and provides reference for patients with tinnitus to safely and rationally use dietary supplements. The study has found that current studies provide inconsistent evidence on the impact of the above dietary supplements on the occurrence, development and treatment of tinnitus. Therefore, in clinical practice, there is no need to routinely recommend dietary supplements for patients with tinnitus. In the future, further research can be carried out on the relationship between dietary supplements that may be effective and tinnitus.