947 resultados para Rehabilitation of hearing impaired


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To elucidate the role of thyroid hormone receptors (TRs) 1 and in the development of hearing, cochlear functions have been investigated in mice lacking TR1 or TR. TRs are ligand-dependent transcription factors expressed in the developing organ of Corti, and loss of TR is known to impair hearing in mice and in humans. Here, TR1-deficient (TR1/) mice are shown to display a normal auditory-evoked brainstem response, indicating that only TR, and not TR1, is essential for hearing. Because cochlear morphology was normal in TR/ mice, we postulated that TR regulates functional rather than morphological development of the cochlea. At the onset of hearing, inner hair cells (IHCs) in wild-type mice express a fast-activating potassium conductance, IK,f, that transforms the immature IHC from a regenerative, spiking pacemaker to a high-frequency signal transmitter. Expression of IK,f was significantly retarded in TR/ mice, whereas the development of the endocochlear potential and other cochlear functions, including mechanoelectrical transduction in hair cells, progressed normally. TR1/ mice expressed IK,f normally, in accord with their normal auditory-evoked brainstem response. These results establish that the physiological differentiation of IHCs depends on a TR-mediated pathway. When defective, this may contribute to deafness in congenital thyroid diseases.

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Postmitotic hair-cell regeneration in the inner ear of birds provides an opportunity to study the effect of renewed auditory input on auditory perception, vocal production, and vocal learning in a vertebrate. We used behavioral conditioning to test both perception and vocal production in a small Australian parrot, the budgerigar. Results show that both auditory perception and vocal production are disrupted when hair cells are damaged or lost but that these behaviors return to near normal over time. Precision in vocal production completely recovers well before recovery of full auditory function. These results may have particular relevance for understanding the relation between hearing loss and human speech production especially where there is consideration of an auditory prosthetic device. The present results show, at least for a bird, that even limited recovery of auditory input soon after deafening can support full recovery of vocal precision.

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How can we reinforce internal security without destroying basic freedoms? This dilemma will become increasingly topical in the context of rising terrorist threats and in view of some of the responses already put in place at the national level. Many observers have pointed out the threat that these measures pose to individual freedom. But few have highlighted their relative inefficiency. Indeed, if the right to security is one of the founding reasons for political government and one of its main sources of legitimacy, can states still guarantee this basic right? This article examines this dilemma and focuses more specifically on its implications for the notion and practice of sovereignty. It also sketches a strong, but nuanced, rescue of sovereignty at the European level in order to assure individual security while, at the same time, protecting our freedoms.

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A deficincia auditiva afecta milhes de pessoas em todo o mundo, originando vrios problemas, nomeadamente a nvel psicossocial, que comprometem a qualidade de vida do indivduo. A deficincia auditiva influencia o comportamento, particularmente ao dificultar a comunicao. Com o avano tecnolgico, os produtos de apoio, em particular os aparelhos auditivos e o implante coclear, melhoram essa qualidade de vida, atravs da melhoria da comunicao. Com as escalas de avaliao determinamos o modo como a deficincia auditiva influencia a vida diria, com ou sem amplificao, e de que forma afecta o desempenho psicossocial, emocional ou profissional do indivduo, sendo esta informao importante para determinar a necessidade e o sucesso de amplificao, independentemente do tipo e grau da deficincia auditiva. O objectivo do presente estudo foi a traduo e adaptao para a cultura portuguesa da escala The Speech, Spatial and Qualities of Hearing Scale (SSQ), desenvolvida por Stuart Gatehouse e William Noble em 2004. Este trabalho foi realizado nos centros auditivos da Widex Portugal. Aps os procedimentos de traduo e retroverso, a verso portuguesa foi testada em 12 indivduos, com idades compreendidas entre os 36 anos e os 80 anos, dos quais 6 utilizavam prtese auditiva h mais de um ano, um utilizava prtese h menos de um ano e 5 nunca tinham utilizado. Com a traduo e adaptao cultural para o Portugus Europeu do Questionrio sobre as Qualidades Espaciais do Discurso SSQ, contribumos para uma melhor avaliao dos indivduos que estejam, ou venham a estar, a cumprir programas de reabilitao auditiva.

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Shipping list no.: 99-0282-P.

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Mode of access: Internet.